Question 1

What is known as the restoration of gingival health,reduction in pocket depth,and a gain in or maintenance of a stable clinical attachment level?

Accepted Answer

Therapeutic endpoint in periodontal treatment refers to the restoration of gingival health, reduction in pocket depth, and a gain in or maintenance of a stable clinical attachment level, which are the primary goals of periodontal therapy.

Question 2

Periodontal debridement includes all of the following except which one?

Accepted Answer

Periodontal debridement focuses on removing plaque biofilm, calculus, and retentive factors without intentionally removing cementum or dentin unless necessary for calculus removal.

Question 3

Periodontal diagnosis is determined by analyzing disease characteristics including all of the following except which one?

Accepted Answer

Bleeding on provocation is a symptom or sign of periodontal disease, but it is not a characteristic used to determine the diagnosis classification.

Question 4

All of the following are true about chronic disease states of plaque-induced gingivitis and periodontitis except which one?

Accepted Answer

Chronic disease states of plaque-induced gingivitis and periodontitis typically progress slowly and have predictable responses to therapy, which includes oral self-care and professional debridement. Antimicrobial agents or devices can also be useful in therapy. The statement that they respond in an unpredictable manner is not true, as these conditions generally respond predictably to appropriate therapy.

Question 5

Which of the following is the first clinical feature of inflammatory periodontal disease?

Accepted Answer

Bleeding on probing is often the first clinical sign of inflammatory periodontal disease, indicating inflammation of the gingiva due to the accumulation of plaque.

Question 6

All of the following are therapeutic interventions for gingivitis except which one?

Accepted Answer

The primary therapeutic interventions for gingivitis focus on the removal of calculus and plaque biofilm, both above (supragingival) and below (subgingival) the gum line, and improving oral hygiene practices through instruction. The application of in-office 2% sodium fluoride is more directly aimed at preventing dental caries rather than treating gingivitis.

Question 7

Which of the following would a competent dental hygienist be least likely to recommend to a client diagnosed with aggressive periodontitis?

Accepted Answer

Aggressive periodontitis often requires more frequent periodontal maintenance (PM) visits than the standard 6-month intervals due to its rapid progression and the need for close monitoring and intervention.

Question 8

What is the first stage of periodontal therapy?

Accepted Answer

The first stage of periodontal therapy is Nonsurgical Periodontal Therapy (NSPT), which aims to remove or control the etiologic agents causing periodontal disease, such as dental plaque and calculus. This approach typically involves scaling and root planing and is considered the initial step in treating periodontal diseases before considering more invasive surgical options.

Question 9

When periodontitis is recognized,nonsurgical periodontal therapy (NSPT)is initiated for all of the following purposes except which one?

Accepted Answer

Nonsurgical periodontal therapy (NSPT) aims to control infection and modify risk factors but does not guarantee the elimination of the need for periodontal surgery in the future. Some cases may still require surgical intervention after NSPT.

Question 10

Challenges facing the dental hygienist in mechanical therapy adjacent to furcation involvement include all of the following except which one?

Accepted Answer

Mechanized inserts that fit the furca do exist, making option D incorrect. The challenges in mechanical therapy adjacent to furcation involvement primarily include the complex furcal anatomy, difficulty in accessing the area, and the persistence of pathogenic microflora, but not the absence of mechanized inserts designed for furca areas.

Question 11

How long should periodontal maintenance (PM)continue for a client?

Accepted Answer

Periodontal maintenance (PM) is a continuous care plan designed to prevent the progression of periodontal disease after the initial therapy. It should continue for the life of the dentition or its implant replacements to ensure the long-term health of the gums and supporting structures.

Question 12

All of the following describe minibladed curets except which one?

Accepted Answer

Minibladed curets are designed with thinner blades and often with longer terminal shanks to enhance access to deep periodontal pockets and root concavities, but their blades are not curved upward compared to standard area-specific curets. The curvature of the blade is not what distinguishes minibladed curets; rather, it's the size and length of the blade and shank that are modified.

Question 13

Research findings indicate that after scaling and root planing the most predictable outcome is which of the following?

Accepted Answer

Scaling and root planing primarily aim to remove plaque and calculus from tooth surfaces and root surfaces beneath the gumline, which helps in reducing the bacterial load. This procedure is particularly effective in decreasing the population of motile microbes and spirochetes, which are commonly associated with periodontal disease. The reduction in these specific types of bacteria leads to a decrease in inflammation and improvement in periodontal health.

Question 14

The therapeutic endpoint for nonsurgical periodontal therapy includes all of the following except one which one?

Accepted Answer

The primary goal of nonsurgical periodontal therapy is to control the infection and promote healing of the periodontium, not necessarily to eliminate all infectious microorganisms, as some level of bacteria will always be present in the oral environment. The focus is more on reducing their numbers to a level that the body's immune system can manage.

Question 15

What phase of the dental hygiene process includes the delivery of the preventive and therapeutic procedures identified in the individualized care plan to meet client human needs?

Accepted Answer

The implementation phase of the dental hygiene process involves the delivery of the preventive and therapeutic procedures that have been identified in the individualized care plan to meet the client's specific needs.

Question 16

When should an appointment for periodontal maintenance (PM)therapy occur if the objectives of nonsurgical periodontal therapy (NSPT)are not reached as determined at the reevaluation visit?

Accepted Answer

The answer of When should an appointment for periodontal maintenance...

Question 17

A client has just completed therapy for the control of chronic periodontal disease.The client is compliant with recommendations and has responded well to therapy.What is the recommended continued-care (periodontal maintenance,recare,recall)interval?

Accepted Answer

The recommended continued-care interval for a client who has completed therapy for chronic periodontal disease and is compliant with recommendations is typically every 3 months. This frequency helps to maintain periodontal health, prevent recurrence of the disease, and allows for early intervention if any issues arise.

Question 18

In the case of periodontitis,the first area to be involved in bone resorption is which of the following?

Accepted Answer

The answer of In the case of periodontitis,the first area...

Question 19

Periods of _____ are characterized by a reduced inflammatory response and little or no loss of bone and connective tissue attachment.

Accepted Answer

Periods of quiescence are characterized by a reduced inflammatory response and little or no loss of bone and connective tissue attachment, indicating a temporary halt or reduction in the progression of periodontal disease.

Question 20

Nonsurgical periodontal therapy (NSPT)is part of what phase of periodontal care planning?

Accepted Answer

Nonsurgical periodontal therapy (NSPT) is part of Phase I therapy, which is the initial phase of periodontal treatment focused on controlling infection and establishing a healthy oral environment. This phase includes procedures like scaling and root planing, patient education, and oral hygiene instruction.

Quiz 28: Decision Making Related to Nonsurgical Periodontal Therapy