Deck 14: Periodontal Surgery

Question 1

After periodontal surgery,sutures should be removed approximately how long after their placement?

A) 1 day
B) 1 week
C) 1 month
D) When healing is complete

Answer 1

1 week

Question 2

Guided-tissue regeneration is most predictable in which surgical situation?

A) Regeneration efforts in infrabony pockets
B) Regeneration efforts in suprabony pockets
C) Attempts to create a long junctional epithelium
D) Regeneration efforts in mucogingival surgical sites
E) Attempts to create new attached keratinized gingiva

Answer 2

Regeneration efforts in infrabony pockets

Question 3

All of the following are results of pocket reduction surgery except one.Which result is the exception?

A) Recession of gingival margin
B) Less frequent dental hygiene care
C) Easier patient plaque biofilm control
D) Temporary increases in mobility of teeth
E) More accessible surfaces for dental hygienist care

Answer 3

Less frequent dental hygiene care

Question 4

The following forms of periodontal surgery are examples of incisional surgery except one.Which example is the exception?

A) Gingivoplasty
B) Regenerative surgery
C) Mucogingival surgery
D) Pocket reduction surgery

Question 5

Incisional periodontal surgery may achieve all of the following results except one.Which result is the exception?

A) Decreased tooth mobility
B) Reduction of pocket depths
C) Access to subgingival calculus
D) Correction of infrabony defects
E) Preservation of keratinized gingiva

Question 6

The function of the periodontal dressing placed after periodontal surgery is to:

A) Facilitate plaque biofilm control.
B) Attach firmly to the teeth and gingiva.
C) Provide protection to the surgical site.
D) Provide hemostasis from the surgical site.
E) Increase thermal sensitivity at the surgical site.

Question 7

All of the following statements are true regarding periodontal sutures except one.Which statement is the exception?

A) Suture materials may be resorbable.
B) Sutures remain in place until healing is complete.
C) Suture materials can promote plaque biofilm accumulation.
D) The location and number of sutures must be documented in the chart.
E) Sutures are usually tied from the buccal surfaces for less traumatic removal.

Question 8

All of the following actions are usually performed at the first postsurgical appointment except one.Which action is the exception?

A) Removal of sutures
B) Oral hygiene instructions
C) Removal of periodontal dressing
D) Plaque biofilm removal of the area
E) Scaling and root planing of the area

Question 9

Osseous surgery can achieve the following results except one.Which result is the exception?

A) Reverse bony architecture
B) Correction of infrabony defects
C) Improved alveolar bone contour
D) Removal of supporting alveolar bone

Question 10

All of the following conditions are contraindications to performing surgery except one.Which condition is the exception?

A) Uncontrolled diabetes
B) Advanced age of patient
C) Poor plaque biofilm control
D) Hopeless periodontal prognosis
E) Unstable cardiovascular disease

Question 11

Age is an important consideration in recommending periodontal surgery.Young patients who exhibit extensive bone loss are more likely to require surgical procedures as a component of therapy.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 12

Grafting procedures require all of the following except one.Which requirement is the exception?

A) Adequate tissue at the donor site
B) Prepared recipient site for the graft
C) Frenum attachments in the graft site
D) Scaling and root planing of the recipient site
E) Genetic information in the grafted connective tissue cells

Question 13

The term for a periodontal bone graft that is made from bovine or porcine bone material is:

A) Allograft
B) Alloplast
C) Autograft
D) Xenograft

Question 14

Guided-tissue regeneration is defined as:

A) Generation of new bone
B) Generation of keratinized gingiva
C) Generation of long junctional epithelium
D) Regeneration of new cementum on the root surface
E) Regeneration of bone, periodontal ligament, and cementum

Question 15

Patients frequently report which side effect after periodontal surgery?

A) No discomfort
B) Tooth sensitivity
C) Flap displacement
D) Swelling and infection
E) Pleasant taste sensation

Question 16

Postoperative instructions may include all of the following except one.Which instruction is the exception?

A) Eat a soft diet.
B) Avoid tobacco use.
C) Limit physical activity.
D) Rinse to control bleeding.
E) Take analgesic medications.

Question 17

The modified Widman flap:

A) Is a type of excisional surgery.
B) Is used to gain access to root surfaces.
C) Provides access to correct infrabony defects.
D) May increase the amount of keratinized gingiva.

Question 18

Gingivectomy may be the surgical treatment of choice when the patient has:

A) Infrabony pockets
B) Sensitivity to cold temperatures
C) Drug-induced gingival hyperplasia
D) Severe marginal gingival inflammation
E) Limited amount of attached keratinized gingiva

Question 19

Gingival recession may be caused by all of the following except one.Which source is the exception?

A) Poor plaque control
B) Aggressive toothbrushing
C) Frequent use of mouth rinses
D) Use of hard-bristled toothbrush
E) Orthodontic movement of teeth

Question 20

Mucogingival surgery may be performed to treat which one of the following conditions?

A) Infrabony defects
B) Suprabony defects
C) Exposed root surfaces
D) Poor home care procedures
E) Deep pockets on the distal surfaces of molars

Question 21

Periodontal pockets are a ___________________.

Question 22

What are two of the six disadvantages or contraindications of periodontal surgery?

Question 23

Bone continues to calcify after osseous surgery for:

A) 1 to 2 weeks
B) 2 to 4 weeks
C) 1 to 2 months
D) 4 to 6 months

Question 24

Attachment loss is measured from the ___________ to the _____________.

Question 25

The dental hygienist is often the person best suited to alert the dentist to the possible need for surgical intervention and to discuss options for periodontal surgery with the patient involved in the periodontal treatment.

Question 26

What is the rationale for periodontal surgery?

Question 27

Which type of periodontal surgery removes excess tissue from the wall of the periodontal pockets and is useful for the rapid reduction of gingival pockets?

A) Excisional periodontal surgery
B) Incisional periodontal surgery
C) Access flap procedures
D) Osseous surgery

Question 28

What are three of the seven goals for periodontal surgery?

Question 29

The tissue that heals most quickly after periodontal surgery is the:

A) Epithelium
B) Alveolar bone
C) Connective tissue
D) Periodontal ligament

Question 30

The presence of deep periodontal pockets with thick,fibrous tissue is the major indication for which type of periodontal surgery?

A) Excisional periodontal surgery
B) Incisional periodontal surgery
C) Access flap procedures
D) Osseous surgery

Question 31

The dental hygienist can assist the patient in his or her decision-making process to have periodontal surgery by enhancing the patient's understanding and acceptance of the proposed surgical procedure.

Question 32

List two of the six clinical conditions in patients who would most likely benefit from periodontal surgery.

Question 33

What are two of the six primary advantages of periodontal surgery as an adjunct to nonsurgical periodontal treatment?

Question 34

What are two of the six primary advantages of periodontal surgery as an adjunct to nonsurgical periodontal treatment?

Question 35

The type of periodontal surgery used for the modification of the bone level or shape is called:

A) Excisional periodontal surgery
B) Incisional periodontal surgery
C) Access flap procedures
D) Osseous surgery

Question 36

Familial gingival hyperplasia and localized crown lengthening for restorative dentistry are indications for which type of periodontal surgical procedure?

A) Excisional periodontal surgery
B) Incisional periodontal surgery
C) Access flap procedures
D) Osseous surgery

Question 37

What are two of the six disadvantages or contraindications of periodontal surgery?

Question 38

How long after periodontal surgery may the area be gently probed?

A) 1 day
B) 4 days
C) 1 week
D) 1 month

Question 39

What are three of the seven goals for periodontal surgery?

Question 40

The role of the dental hygienist may include all of the following except one.Which role is the exception?

A) Discussing postsurgical instructions
B) Placing sutures and a periodontal pack
C) Assisting during periodontal surgery
D) Removing sutures and a periodontal pack

Question 41

The value of a tooth is a significant consideration when determining the need for periodontal surgery.

Question 42

Patients with probe depths on the tooth of 5 to 6 mm may be monitored to determine whether nonsurgical periodontal therapy and careful maintenance are adequate.

Question 43

Pockets deeper than 5 mm are difficult to instrument and therefore remain infected,even after the best dental hygiene treatment and care have been performed.

Question 44

Probing pocket depth is equal to clinical attachment loss.

Question 45

Attachment loss represents bone destruction,affecting the long-term prognosis for a tooth.

Question 46

Generally speaking,osseous surgery is used when at least one-third of the bone support remains.