Deck 55: Periodontics

Question 1

A periodontal examination should include:

A)the patient's medical and dental history.
B)an examination of the teeth and oral tissues.
C)measuring pockets with a pocket marker.
D)both a and b.

Answer 1

both a and b.

Question 2

Which statement is not true concerning occlusal adjustments?

A)Excessive biting pressure noted in a specific area is referred to as occlusal trauma.
B)Occlusal equilibration adjusts the patient's bite so that occlusal forces are equally distributed over all the teeth.
C)Occlusal trauma can cause periodontal pocket formation.
D)Tooth mobility can be caused by occlusal trauma.

Answer 2

Occlusal trauma can cause periodontal pocket formation.

Question 3

Which of the following are advantages of laser surgery?

A)Laser incisions heal faster than incisions made with scalpels.
B)Hemostasis is rapid.
C)The surgical field is kept relatively moist.
D)The dental staff and patient do not need protective eyeglasses, as there isn't a cutting edge to create debris.

Answer 3

Hemostasis is rapid.

Question 4

Periodontal surgery that does not remove any of the affected tissue,but pushes the tissues away from the underlying tooth roots and alveolar bone,is called:

A)gingivectomy.
B)flap surgery.
C)incisional surgery.
D)both b and c.

Question 5

The _____ includes the gathering of information such as periodontal pocket readings,furcations,tooth mobility,presence of exudate (pus),and gingival recession.

A)medical history
B)dental charting and history
C)periodontal examination and charting
D)hygiene exam

Question 6

The ____ the depth of the periodontal pocket,the ____ the loss of bone; therefore,the _____ severe the periodontal disease.

A)greater; greater; more
B)greater; greater; less
C)lesser, lesser; more
D)lesser; greater; less

Question 7

The most effective antimicrobial therapy available to reduce plaque and gingivitis is:

A)tetracycline.
B)penicillin.
C)chlorhexidine.
D)fluoride.

Question 8

The soft material that forms on the teeth that is the primary cause of gingival inflammation and other forms of periodontal disease is:

A)calculus.
B)exudates.
C)fluoride.
D)plaque.

Question 9

Which instrument is designed to remove supragingival calculus from the posterior teeth?

A)Sickle scaler
B)Contra-angle sickle scaler
C)Chisel scaler
D)Files

Question 10

Early signs of periodontal disease include:

A)gingival bleeding.
B)evidence of exudates.
C)gingival inflammation.
D)all of the above.

Question 11

The primary advantage of noneugenol periodontal surgical dressing over periodontal surgical dressing that does contain eugenol is that:

A)only the noneugenol dressing will protect newly forming tissues.
B)some patients are allergic to the eugenol and could experience redness and burning pain in the area of the dressing.
C)the noneugenol material can be mixed and stored in advance while the eugenol material cannot be stored in advance.
D)the eugenol-containing dressing is supplied in two tubes, one for the base and the other for the accelerator.

Question 12

_____ is a preventive measure that is most often performed during a recall appointment,and it is the primary treatment for gingivitis.

A)Dental prophylaxis
B)Root planing
C)Coronal polish
D)Gingival curettage

Question 13

_____ radiographs are excellent for determining the extent of crestal bone loss.

A)Anterior periapical
B)Posterior periapical
C)Vertical bite-wing
D)Both a and b

Question 14

Which instrument is used to measure the horizontal and vertical pocket depth of multirooted teeth?

A)Furcation probe
B)Periodontal probe
C)Periodontal explorer
D)Pocket marker

Question 15

Which instruments are used primarily in periodontal procedures?

A)Hoes and files
B)Chisels and hoes
C)Scalers and files
D)Scalers and curettes

Question 16

Teeth normally have a slight amount of mobility.Normal mobility is recorded at ___ while extreme mobility is recorded at ____.

A)0; 2
B)1; 3
C)0; 3
D)1; 2

Question 17

_____ is defined as a surgical procedure involving the removal of bone.

A)Osseous surgery
B)Ostectomy
C)Osteoplasty
D)A pedicle graft

Question 18

A _____ is an instrument calibrated in millimeters that is used to locate and measure the depth of periodontal pockets.

A)periodontal probe
B)periodontal scaler
C)periodontal explorer
D)Gracey curette

Question 19

The _____ provides rapid calculus removal by converting very-high-frequency sound waves into mechanical energy and also reduces operator hand fatigue.

A)sickle scaler
B)ultrasonic scaler
C)universal curette
D)Gracey curette

Question 20

Signs and symptoms of periodontal disease could include:

A)presence of plaque and calculus.
B)a bad taste in the mouth.
C)teeth that are sensitive to cold.
D)teeth that are stained.

Question 21

Which statement is not true of laser use in periodontics?

A)Lasers can be used to remove excess tissues, such as in a gingivoplasty.
B)Laser incisions heal faster than those made with scalpels.
C)The risk of blood-borne contamination is reduced.
D)Special training is needed by any person who operates or assists during a laser operation.

Question 22

The process of scraping or cleaning the gingival lining of the pocket to remove necrotic tissue from the pocket wall is:

A)gingival curettage.
B)gingival debridement.
C)scaling.
D)root planing.

Question 23

The acronym "laser" means :

A)less amplification of stimulated emission of radiation
B)light amplification by stimulated emission of radiation
C)Light amplification by simulations of emission of radiation
D)light amps of simulated emission of rays

Question 24

Which of the following describes the purpose of the dentist marking the pockets on the facial and lingual surfaces of the gingival before beginning surgery?

A)The bleeding points indicate where the dentist will need to place the sutures after surgery.
B)The bleeding points indicate the depth of the pockets showing the dentist where to place the initial incisions.
C)The bleeding points indicate the bottom of the gingival sulcus showing the dentist where the alveolar bone begins.
D)The bleeding points indicate the beginning of the gingival grooves.

Question 25

Which instrument listed below is designed to clean subgingival calculus from a specific tooth surface?

A)Universal curette
B)Gracey curette
C)Chisel scaler
D)File

Question 26

Additional instructions for the patient after periodontal surgery include:

A)no smoking as smoking can interfere with the healing process and produce poor results.
B)limiting activities for a few days to those requiring minimal exertion.
C)the gentle use a soft toothbrush to clean the area of the surgery.
D)all of the above.

Question 27

What instrument is used to sever periodontal ligaments for a traumatic tooth extraction,used primarily when dental implants are indicated?

A)Kirkland knife
B)Orban knife
C)Periotome
D)Laser

Question 28

The surgical procedure that involves the surgical reshaping and contouring of the gingival tissue is:

A)gingivectomy.
B)gingivoplasty.
C)flap surgery.
D)osseous surgery.

Question 29

An important adverse effect of tetracycline is:

A)that it can cause temporary brown staining of the teeth, tongue, and resin restorations.
B)that it is less effective against periodontal disease because many periodontal pathogens are resistant to it.
C)that it interferes with the effectiveness of birth control pills.
D)none of the above.

Question 30

It is normal for some bleeding to continue after periodontal surgery for about 4 to 5 hours.If bleeding continues longer than that,the patient needs to:

A)rinse with water to stop the bleeding.
B)apply pressure for 30 minutes with a piece of gauze.
C)call the dentist if the bleeding persists.
D)remove and replace the gauze every 10 minutes.

Question 31

New methods of delivering antibiotics include the:

A)insertion of a dissolvable chip that releases tetracycline into the deep pockets.
B)placement of a fiber containing tetracycline into the periodontal pocket.
C)injection of a dissolvable material, such as a gel, around the tooth.
D)twice-daily rinse with chlorhexidine.

Question 32

Which statement is not true concerning ultrasonic scalers?

A)The spray of water at the tip of the ultrasonic scaler prevents the tip from getting too hot and continuously flushes debris and bacteria from the pocket.
B)The ultrasonic scaler is used to remove only supragingival calculus and difficult stain.
C)The ultrasonic scaler may damage porcelain crowns, composite resins, and laminate veneers.
D)The ultrasonic scaler should not be used on primary teeth or newly erupted permanent teeth.

Question 33

The procedure of smoothing the surface of a root by removing abnormal tooth tissue that is rough,contaminated,or permeated with calculus is the:

A)probing.
B)scaling.
C)root planing.
D)curettage.

Question 34

The procedure where bone is contoured and shaped is:

A)ostectomy.
B)bone grafting.
C)bone augmentation.
D)osteoplasty.