Deck 18: Periodontal Maintenance Therapy

Question 1

The accepted bone loss/year standard for a stable dental implant is

A)0)1 mm.
B)0)2 mm.
C)1 mm.
D)2 mm.

Answer 1

0)2 mm.

Question 2

Which of the following types of radiographs is ideal for a periodontal patient with bone loss?

A)Horizontal bitewing
B)Vertical bitewing
C)Panoramic
D)Periapical

Answer 2

Vertical bitewing

Question 3

Which of the following definitions pertains to recurrent periodontal disease?

A)Severe bone loss on the initial visit
B)Generalized increasing tooth mobility on subsequent visits
C)No future attachment loss at future visits
D)Persistent deep pockets without strict home-care or recare visits

Answer 3

Generalized increasing tooth mobility on subsequent visits

Question 4

Which of the following signs is indicative of occlusal problems when observed during a maintenance visit?

A)Wear facets
B)Bleeding on probing
C)Gingival inflammation
D)Deep probing depths

Question 5

Which of the following statements is true concerning radiographs and periodontal maintenance?

A)They are not needed during a maintenance visit.
B)They should be current.
C)They are adequate if within 2 years.
D)They are obtained based on judgment of the patient.

Question 6

In a recent article by Fischer et al. (2008), it is reported that regular maintenance treatment in a population of highly motivated patients with chronic periodontitis seemed to be equally successful in preventing progressive periodontal tissue destruction in

A)hypertensive patients.
B)current smokers and current nonsmokers.
C)patients with tuberculosis.
D)patients with kidney implant.

Question 7

Which of the following protocols is most appropriate in a patient who shows generalized recurrence of disease at a periodontal maintenance visit?

A)Perform phase I therapy again.
B)Perform periodontal surgery.
C)Prescribe a systemic antibiotic.
D)Use a controlled-release drug.

Question 8

The scheduling of maintenance appointments is based on the

A)repopulation of subgingival microflora.
B)financial status of the patient.
C)scheduled time for new radiographs.
D)replacement time of the patient's toothbrush.

Question 9

According to Wilson et al. (1984), what percentage of patients never return to the office for periodontal maintenance?

A)10
B)23
C)34
D)45
E)59

Question 10

Which of the following items is important in determining the success of a recare appointment?

A)Plaque control
B)Radiographic analysis
C)Brand of toothbrush used
D)Use of waxed or unwaxed floss

Question 11

Which of the following is the accepted standard for a stable endosseous implant 1 year after placement?

A)Vertical bone loss less than 0.2 mm per year
B)Vertical bone loss more than 0.2 mm per year
C)Horizontal bone loss less than 2 mm per year
D)Horizontal bone loss more than 2 mm per year

Question 12

According to Armitage (1996), bleeding in sites with deep pockets is indicative of

A)inflammation in the connective tissue.
B)superficial inflammation in pocket lining.
C)severe alveolar bone loss.
D)extensive attachment loss.

Question 13

Which of the following features is evident in a smoker?

A)Increased bleeding on probing
B)Shallower probing depths
C)Edematous gingiva
D)Less gingival inflammation

Question 14

The most reliable way to monitor disease activity is by measuring

A)clinical attachment levels.
B)probing depths.
C)bleeding on probing.
D)fremitus.

Question 15

All of the following are factors when determining the maintenance interval except one. Which one is the exception?

A)Number of teeth or implants
B)Patient cooperation
C)Oral hygiene compliance
D)Previous history of periodontal disease
E)Type of health insurance the patient has

Question 16

Which of the following factors should be routinely evaluated in a maintenance patient with dental implants?

A)Probing depths
B)Attachment level
C)Bleeding index
D)Mobility

Question 17

What is the percent of chlorhexidine present in the OTC products?

A)0)12%
B)1)2%
C)26.5%
D)35.5%

Question 18

Which of the following procedures is appropriate if a bleeding site with a probing depth of 5 mm is found during a periodontal maintenance appointment?

A)Perform periodontal debridement.
B)Immediately refer to a periodontist.
C)Reevaluate the site 8 months later.
D)Prescribe systemic antibiotics.
E)Administer controlled-release antimicrobial.

Question 19

All of the following are goals of periodontal maintenance except one. Which one is the exception?

A)Prevent or minimize recurrence of disease progression in treated patients
B)Prevent or reduce the incidence of tooth or implant loss
C)Increase the probability of locating and treating other conditions or diseases in the mouth
D)Predict when untreated gingivitis will progress to periodontitis

Question 20

The greatest patient dropout from maintenance therapy occurs during the

A)first year.
B)second year.
C)sixth month.
D)ninth month.

Question 21

Periodontal maintenance is usually started ________ periodontal/implant therapy.

Question 22

________ periodontal disease occurs in treated patients who fail to respond to periodontal treatment.

Question 23

________ periodontal disease occurs in patients who previously responded well to periodontal therapy but later showed signs of disease reactivation.

Question 24

Once a patient has completed periodontal treatment, he or she may feel as though regular maintenance visits and continued oral hygiene self-care is not important anymore. How would you deal with this patient's attitude?

Question 25

Clinical ________-level measurements should be compared from the last maintenance visit.

Question 26

The dental hygienist should ________ the patient on risk factors that contribute to periodontal diseases.

Question 27

The absence of ________ on probing is a better indicator of gingival health than its presence is of periodontal disease.