Deck 13: Nonsurgical Periodontal Therapy

Question 1

Periodontal débridement is an effective therapy consisting of the removal of local irritants.It results in decreased probing depths and increased clinical attachment,particularly in deeper pockets.

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.

Answer 1

Both statements are TRUE.

Question 2

How much healing (reduction in probing depth)is expected in the posterior teeth 1 month after completing nonsurgical therapy?

A) 1 mm
B) 2 mm
C) 3 mm
D) Cannot be predicted

Answer 2

2 mm

Question 3

The most commonly occurring periodontal disease requiring nonsurgical periodontal therapy is:

A) Chronic periodontitis
B) Recurrent periodontitis
C) Aggressive periodontitis
D) Periodontitis as a manifestation of systemic diseases

Answer 3

Chronic periodontitis

Question 4

The magnification device that allows subgingival visualization and illumination to the working field at magnifications in the range of 24 to 48 times is called:

A) Loupes
B) Vision probe
C) Dental endoscope
D) Dental microscope

Question 5

The dental plaque biofilm is altered after periodontal débridement to become more:

A) Gram neutral
B) Gram positive
C) Gram negative
D) Populated by motile forms

Question 6

The cornerstone for reaching the short-term goal of nonsurgical therapy (i.e.,the periodontal débridement appointment)is:

A) Ultrasonic scaling
B) Calculus and biofilm removal
C) Effective plaque biofilm control
D) Universal infection control precautions

Question 7

In the etiologic factors of periodontal diseases,subgingival calculus is a:

A) Local
B) Systemic
C) Primary
D) Secondary

Question 8

Office-applied desensitizing agents can be expected to provide relief for approximately how long?

A) 1 day
B) 1 week
C) 2 weeks
D) 1 month

Question 9

The periodontium can be probed without penetrating through immature connective tissue for approximately how long after the periodontal débridement appointment?

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

Question 10

How much healing (reduction in probing depth)is expected in the anterior teeth 1 month after completing nonsurgical therapy?

A) 1 mm
B) 2 mm
C) 3 mm
D) Cannot be predicted

Question 11

The antimicrobial agents commonly prescribed for local site application are:

A) Amoxicillin, erythromycin, and ampicillin
B) Ampicillin, cephalosporin, and tetracycline
C) Penicillin, metronidazole, and chlorhexidine
D) Minocycline, doxycycline, and chlorhexidine

Question 12

Gingival curettage as a procedure is no longer recommended for routine use in nonsurgical periodontal therapy because:

A) It is too difficult to perform.
B) It is painful and unpopular with patients.
C) It is to be applied only in a surgical setting.
D) Research shows no additional benefit to débridement.

Question 13

The type of curettes designed to adapt to all surfaces of teeth in the mouth are:

A) Files
B) Chisels
C) Sickles
D) Universal curettes
E) Area-specific curettes

Question 14

The sonic power scaling devices that have been shown to be as effective as hand scaling operate in the range of:

A) 600 to 1000 hertz
B) 3000 to 8000 hertz
C) 9000 to 15,000 hertz
D) 20,000 to 40,000 hertz

Question 15

The cornerstone for reaching the long-term goal of nonsurgical periodontal therapy is:

A) Ultrasonic scaling
B) Calculus and biofilm removal
C) Effective plaque biofilm control
D) Universal infection control precautions

Question 16

Which of the following nonsurgical approaches will reduce the bacterial flora of the periodontal pocket?

A) Irrigation
B) Hand scaling
C) Electric-powered scaling
D) All of the above

Question 17

Use the following case description to complete the following exercises.
A 43-year-old woman, JLC, is seeking dental treatment.She has moderate levels of plaque at the gingival margins, inflamed tissues, and heavy calculus, especially in the molar teeth.Her chief complaint is sore teeth, and she reports a history of infrequent dental care.Her medical history is unremarkable and she takes no medications.Full-mouth probing and radiographic images reveal pocket depths of 5 to 6 mm and bone loss in the posterior sextants.In addition, anterior segments have 2- to 4-mm pockets and light calculus.The patient has 1 to 2 mm of recession throughout.Carious lesions were found on #3 and #14 with recurrent decay on #30 around a large amalgam filling.The patient is concerned about having soreness in her mouth and tells the dental hygienist she wants to have "better teeth."
The most likely diagnosis for this patient's oral condition is:

A) Chronic periodontitis
B) Recurrent periodontitis
C) Aggressive periodontitis
D) Periodontitis as a manifestation of systemic disease

Question 18

An effective substance to treat sensitivity in the dental office is:

A) Tin oxide
B) Glycerin
C) Potassium oxalate
D) Calcium hydroxide

Question 19

Current evidence regarding root planing indicates that the goal of this procedure is to remove all:

A) Plaque biofilm and calculus, preserving the tooth structure
B) Cementum and endotoxins, rendering the surface glassy smooth
C) Plaque biofilm and calculus, rendering the surface glassy smooth
D) Cementum impregnated with calculus, rendering the surface glassy

Question 20

The various powered scalers are equal in their abilities to remove plaque biofilm and calculus.They all operate effectively at the same frequency.

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 21

Positive,long-term effects of periodontal therapy are reliably received with:

A) Patient compliance
B) Effective patient plaque biofilm control
C) Effective dental hygiene treatment and care
D) All of the above
E) None of the above

Question 22

At the re-evaluation appointment,the patient had no supragingival plaque biofilm.One area on the mesial of tooth #19 bled when the surface was probed.All other areas had no bleeding.The first thing that should be done is to:

A) Rescale the area.
B) Perform subgingival irrigation.
C) Provide a local antibiotic therapy.
D) Provide a local antiseptic therapy.
E) Provide systemic antibiotic therapy.

Question 23

Instrumentation of the crowns and root surfaces of the teeth to remove supragingival plaque biofilm,calculus,and stains from these surfaces is called:

A) Hand-scaling instrumentation
B) Powered-scaling instrumentation
C) Root planing
D) Gingival curettage
E) Polishing
F) A and B

Question 24

What procedure incorporates the removal of plaque biofilm,plaque retentive features,and calculus above and below gingival margins?

A) Hand-scaling instrumentation
B) Powered-scaling instrumentation
C) Root planing
D) Gingival curettage
E) Polishing f. A and B

Question 25

The difference between root planing and scaling is instrumenting every portion of a root surface,not only the identifiable calculus deposits.

Question 26

One month after completing nonsurgical periodontal therapy,the patient returns for a re-evaluation.The procedures performed at that time include:

A) Probing only
B) Plaque biofilm control reinforcement
C) Probing and plaque biofilm control reinforcement
D) Probing, plaque biofilm control reinforcement, and irrigation

Question 27

The removal of the surface layer of cementum or dentin that may be impregnated with bacterial endotoxin or calculus to create a glassy,hard surface is the goal of:

A) Hand-scaling instrumentation
B) Powered-scaling instrumentation
C) Root planing
D) Gingival curettage
E) Polishing f. A and B

Question 28

Positive long-term effects of periodontal therapy are reliably achieved with patient compliance,effective plaque biofilm control,and dental hygiene treatment.

Question 29

The goal of root planing is leaving the roots clean,making them easier to maintain,and making them less likely to be associated with periodontal disease.

Question 30

The term nonsurgical periodontal therapy is used synonymously with periodontal débridement and the traditional terms of scaling and root planing.

Question 31

The key to long-term successful nonsurgical periodontal therapy is patient plaque biofilm control.

Question 32

The terms prophylaxis,oral prophylaxis,dental prophylaxis,and prophy all describe a preventive procedure to remove local irritants to the gingiva,including complete calculus removal,followed by root planing.

Question 33

The procedure focusing on the entire root surface associated with the periodontal pocket is:

A) Hand-scaling instrumentation
B) Powered-scaling instrumentation
C) Root planing
D) Gingival curettage
E) Polishing f. A and B

Question 34

The polishing procedure is commonly referred to as a prophylaxis or prophy.

Question 35

What term describes the preventive procedure used for removing local irritants to the gingiva?

A) Scaling
B) Root planing
C) Periodontal débridement
D) Prophylaxis
E) Gingival curettage f. Polishing

Question 36

Root planing is thought to render root surfaces less prone to the reestablishment of bacterial plaque biofilm.

Question 37

The term nonsurgical therapy is appropriately named because sharp blades are used during treatment to cut tissues,which is a form of surgery.

Question 38

The use of agents for removing stains and supragingival plaque biofilm from the teeth is called:

A) Scaling
B) Root planing
C) Periodontal débridement
D) Prophylaxis
E) Gingival curettage
F) Polishing

Question 39

The treatment procedure designed to remove cementum or surface dentin that is rough,impregnated with calculus,or contaminated with toxins or microorganisms is called:

A) Hand-scaling instrumentation
B) Powered-scaling instrumentation
C) Root planing
D) Gingival curettage
E) Polishing f. A and B

Question 40

The removal of identifiable deposits of calculus and supragingival plaque biofilm is achieved with:

A) Hand-scaling instrumentation
B) Powered-scaling instrumentation
C) Root planing
D) Gingival curettage
E) Polishing
F) A and B

Question 41

The rationale for nonsurgical periodontal therapy is _______________________.

Question 42

______________________ or ______________________ or ______________________ is the standard of care for nonsurgical and nonpharmacologic treatment of periodontal diseases.

Question 43

The dental hygienist can be confident that the treated periodontal pocket is free of deposits and contaminants embedded in the root surface when the ________________.

Question 44

Stain on teeth is harmful.

Question 45

The concept of plaque removal from specified surfaces on the basis of the presence of plaque biofilm and stain that cannot be removed with normal oral hygiene practices is called ______________________________________.

Question 46

The primary long-term goal of nonsurgical periodontal therapy is ___________________.

Question 47

Included in the initial approach to treating gingival and periodontal diseases are ___________________________ and _________________________.

Question 48

What are the long-term goals of nonsurgical periodontal therapy?
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Question 49

What are the short-term goals of nonsurgical periodontal therapy?
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Question 50

The key to long-term successful nonsurgical therapy is _____________________________.