Question 1

What are the signs and symptoms of pericoronitis?&#10;A) Pericoronitis is spread by physical contact.&#10;B) The most commonly affected teeth are the incisors.&#10;C) Pericoronitis is soft-tissue inflammation associated with a partially erupted tooth.&#10;D) Pericoronitis appears along the lateral aspects of the root and in furcation areas of multirooted teeth.

Accepted Answer

Pericoronitis is soft-tissue inflammation associated with a partially erupted tooth. It may be acute, subacute, or chronic in nature. The most commonly affected tooth is the mandibular third molar, but maxillary third molars and other teeth that are the most distal in the arch have been associated with the disease.

Question 2

What are the signs and symptoms of primary herpetic gingivostomatitis?&#10;A) The ulcers have red, elevated, &#34;halolike&#34; margin with depressed yellow or gray central area&#10;B) Presence of a large proportion of gram-positive organisms&#10;C) The most commonly affected teeth are incisors&#10;D) Inflammatory exudates seeping into the oral cavity

Accepted Answer

Irrespective of the viral type, herpes simplex virus (HSV) primarily affects skin and mucous membranes. Primary herpetic gingivostomatitis (PHGS) is the most common orofacial manifestation of HSV-1 infection and is characterized by oral and/or perioral vesiculoulcerative lesions. Although herpetic gingivostomatitis is a self-limiting disease, affected individuals may experience severe pain and be unable to eat or drink.

Question 3

What are the signs and symptoms of gingival abscess?&#10;A) Reddened tissue (marginal gingival), as well as swelling and pain&#10;B) Inflammatory exudates seeping into the oral cavity&#10;C) Occurrence in chronic periodontitis sites&#10;D) Tooth mobility

Accepted Answer

The gingival abscess usually occurs in a previously disease-free area. Most frequently, gingival abscesses are found on the marginal gingiva and are not associated with deeper tissue pathology.

Question 4

What are significant signs for endodontic lesions?&#10;A) Inflammatory processes in the periodontium&#10;B) Ulceration and necrosis of the interdental papillae&#10;C) Occur in the palate&#10;D) Occurs in chronic periodontitis

Accepted Answer

Inflammatory processes in the periodontium associated with necrotic dental pulps have a clear infectious cause. In endodontic lesions, the inflammatory processes are directed toward infectious components released from bacterial growth and bacterial disintegration in the root canal system.

Question 5

What are the signs and symptoms of chronic periodontal abscess?&#10;A) Overgrowth of pathogenic organisms in a periodontal pocket that drains inflammatory exudates.&#10;B) An abscess that is confined to the marginal gingiva and often occurs in previously&#10;Healthy gingival areas&#10;C) No tooth mobility

Accepted Answer

The chronic periodontal abscess is a long-standing infection that often is associated with a sinus tract. This opening permits drainage of the infection and a diminution of acute symptoms such as pain and swelling, thus making the abscess chronic in nature.

Question 6

Which one of the following factors is most important in the emergency management of an avulsed tooth?&#10;A) Handle only by the crown and do not dry the tooth&#10;B) Store in tap water&#10;C) Dental hygienist treatment&#10;D) Dry the tooth

Accepted Answer

Avulsion of permanent teeth is the most serious of all dental injuries. The avulsed tooth is one that is separated from the alveolar bone by trauma. Avulsed teeth, though not strictly periodontal emergencies, are traumatized teeth that can be replanted successfully if managed properly.

Question 7

What are the signs and symptoms of necrotizing periodontal diseases?&#10;A) Ulceration and necrosis of the interdental papillae, pain, and spontaneous gingival bleeding&#10;B) Inflammatory exudates seeping into the oral cavity&#10;C) Occurrence in the palate&#10;D) Presence of a large proportion of gram-positive organisms.

Accepted Answer

Acute necrotizing ulcerative gingivitis (ANUG) has been reported widely and is not uncommon in developing countries. Classic diagnostic features include ulceration and necrosis of the interdental papillae, pain, and spontaneous gingival bleeding. Necrotizing ulcerative periodontal diseases are clinically recognizable and distinct from chronic periodontitis.

Question 8

What are the signs and symptoms of acute periodontal abscesses?&#10;A) Reddened tissue (marginal gingival), as well as swelling and pain&#10;B) Appear as shiny, red, raised, and rounded masses, and pain on the gingiva or mucosa&#10;C) An abscess that is confined to the marginal gingiva and often occurs in previously healthy gingival areas&#10;D) No tooth mobility

Accepted Answer

The acute periodontal abscess is a lesion with expressed periodontal breakdown, occurring over a limited period of time and with easily detectable clinical symptoms. It is characterized by pain, swelling, and other symptoms that lead the client to seek urgent care.

Deck 32: Acute Gingival and Periodontal Conditions, Lesions of Endodontic Origin, and Avulsed Teeth