Question 1

Phase _______ of periodontal therapy includes a second assessment of the periodontal condition to determine the results of the initial therapy and to determine whether additional periodontal intervention is required.

Accepted Answer

The answer of Phase _______ of periodontal therapy includes a...

Question 2

Phase _______ of periodontal therapy includes a review of the medical history; dental and periodontal examinations; caries detection; plaque biofilm,calculus,and stain removal; fluoride therapy; and referral to specialists as indicated.

Accepted Answer

The answer of Phase _______ of periodontal therapy includes a...

Question 3

The dental hygienist must collaborate with the dentist to ensure the success of the periodontal maintenance program.The dental hygienist must partner with the patient to develop a personalized and successful maintenance program.

Accepted Answer

Both statements are true. The dental hygienist and the dentist must work collaboratively to ensure that the periodontal maintenance program is successful. The dental hygienist must also work with the patient to create a personalized plan that meets their individual needs and ensures that the program is effective.

Question 4

During the maintenance appointment,a periodontal evaluation is mandatory to assess the current periodontal status of the patient.What components are included in the periodontal evaluation?

Accepted Answer

A comprehensive periodontal evaluation includes probe depths, gingival recession, bleeding assessment, furcations, mobility, mucogingival involvement, and plaque biofilm and calculus assessment to thoroughly assess the periodontal health of the patient.

Question 5

Use the following case description to complete the following exercises.
Mr.JTM, a 70-year-old man with a complex medical history and moderate-to-advanced periodontitis and extensive restorative dental treatment, reports to the dental hygienist for his annual dental checkup.During the clinical assessment, the dental hygienist notices moderate plaque biofilm accumulation.The patient reports that a few teeth are sensitive and that he has a "dry mouth." The patient is less than enthusiastic about discussing his daily home care protocol and wants to know how long the appointment will take.
-The most likely cause of Mr.JTM's dry mouth is:

Accepted Answer

Mr. JTM's dry mouth is likely caused by a systemic medical condition given his complex medical history and sensitivity of a few teeth. Periodontal disease and extensive restorative treatment may contribute to dry mouth, but a systemic medical condition is the most likely cause. Malocclusion is not typically associated with dry mouth.

Question 6

A key strategy for enhancing compliance with this patient should include a(an):

Accepted Answer

Explanation of the relationship of plaque biofilm to his oral conditions is the best choice as it will help the patient understand the cause and effect of his oral health issues and motivate him to maintain good oral hygiene practices. The other choices may be helpful, but they may not address the root cause of the compliance issues.

Question 7

The primary objective of periodontal maintenance is preserving the stable state achieved during the active phase of periodontal therapy.

Accepted Answer

The primary objective of periodontal maintenance is preserving the stable state achieved during the active phase of periodontal therapy.

Question 8

Use the following case description to complete the following exercises.
Mr.JTM, a 70-year-old man with a complex medical history and moderate-to-advanced periodontitis and extensive restorative dental treatment, reports to the dental hygienist for his annual dental checkup.During the clinical assessment, the dental hygienist notices moderate plaque biofilm accumulation.The patient reports that a few teeth are sensitive and that he has a "dry mouth." The patient is less than enthusiastic about discussing his daily home care protocol and wants to know how long the appointment will take.
-The most likely contributing factor to the patient's complaint of "sensitive teeth" would be:

Accepted Answer

Inadequate plaque biofilm control can lead to gingival recession and exposure of dentin, which can cause tooth sensitivity.

Question 9

What strategy should be tried in treating dentinal hypersensitivity?

Accepted Answer

This choice involves a comprehensive approach to treating dentinal hypersensitivity, including assessment of the condition, explanation to the patient, oral hygiene instruction, in-office therapy, recommendation of a home treatment product, and possible referral to the dentist if necessary. This approach is likely to be the most effective in treating dentinal hypersensitivity.

Question 10

During Phase _______ of periodontal therapy,corrective surgical and restorative procedures are performed as indicated.

Accepted Answer

Phase II, also known as the surgical phase, is when necessary corrective surgical procedures are performed to treat periodontal disease. Additionally, restorative procedures may also be performed during this phase.

Question 11

Phase _______ of periodontal therapy consists of individualized oral hygiene instructions and supragingival and subgingival débridement of plaque biofilm and calculus.

Accepted Answer

Phase I of periodontal therapy is the initial phase, which involves scaling and root planing, as well as individualized oral hygiene instructions aimed at removing plaque biofilm and calculus. This phase is focused on reducing inflammation and improving the overall health of the periodontal tissues.

Question 12

What maintenance interval would the dental hygienist recommend for Mr.JTM?

Accepted Answer

The dental hygienist would likely recommend a maintenance interval between 2 and 4 months for Mr. JTM if he has specific dental issues or risk factors that require more frequent monitoring and care.

Question 13

Untreated periodontal disease results in:

Accepted Answer

Untreated periodontal disease can lead to a continual loss of periodontal support, eventually resulting in tooth mortality. Therefore, both options A and B are correct, leading to choice C as the best answer.

Question 14

The dental hygienist notices that Mr.JTM has bubbly and ropy saliva,which increases the concern about xerostomia; consequently,the dental hygienist adds fluoride therapy to Mr.JTM's treatment plan.The most appropriate fluoride regimen would include:

Accepted Answer

Fluoride therapy for a patient with xerostomia (dry mouth) should be comprehensive to maximize the protective effects against tooth decay. This includes office fluoride treatments for professional strength, daily home rinses to maintain fluoride levels, and the use of fluoride toothpaste for daily dental hygiene. This combination offers the most thorough approach to managing the increased risk of dental caries associated with xerostomia.

Question 15

Phase _______ of periodontal therapy is initiated immediately after re-evaluation to ensure the stability of results attained during the initial phase.

Accepted Answer

Phase IV is the maintenance phase, which is initiated immediately after re-evaluation to ensure the stability of results attained during the initial and surgical phases.

Question 16

Some patients will simply not comply with the recommended plaque biofilm control during maintenance.What effect can regular maintenance visits with the dental hygienist have on these noncompliant patients?

Accepted Answer

Regular maintenance visits with the dental hygienist can still have a positive effect on noncompliant patients by removing plaque biofilm and calculus, which can contribute to improved periodontal health. While optimal periodontal health may not be achieved without proper plaque biofilm control at home, regular maintenance visits can still help prevent further progression of periodontal disease.

Question 17

Supragingival plaque biofilm control is important to emphasize with patients in the maintenance program because it:

Accepted Answer

Supragingival plaque biofilm can lead to the development of a pathogenic subgingival flora, which can cause periodontal disease. Therefore, controlling supragingival plaque is important in preventing the development of this pathogenic flora.

Question 18

The goal of Phase _______ of periodontal therapy is to provide reconstructive or surgical therapy to improve further the periodontal condition and increase the ability of the patient to perform adequate daily oral hygiene.

Accepted Answer

Phase II involves reconstructive or surgical therapy to improve the periodontal condition and make it easier for patients to perform adequate daily oral hygiene. Phases I and IV involve nonsurgical techniques and maintenance, respectively.

Question 19

The effectiveness of periodontal therapy can be measured by:

Accepted Answer

All of the above options are measures of the effectiveness of periodontal therapy. Preventing disease involves halting the progression of gum disease and improving overall oral health. Slowing disease progression can help prevent tooth loss and maintain the teeth in a state of health and function. Minimizing tooth loss is a key factor in determining the success of periodontal therapy, as it indicates that the treatment was able to address the underlying causes of the disease and preserve the teeth. Overall, the goal of periodontal therapy is to not only treat existing problems but also to prevent future ones and maintain good oral health.

Question 20

Phase _______ of periodontal therapy includes plaque biofilm control,dietary analysis and modification,and scaling and root planing.

Accepted Answer

The initial phase of periodontal therapy includes the basics such as educating the patient about oral hygiene, analyzing and modifying their dietary habits, and scaling and root planing to remove any calculus buildup. This phase usually takes place before any further treatment can begin.

Quiz 17: Periodontal Maintenance and Prevention

Phase _______ of periodontal therapy includes a second assessment of the periodontal condition to determine the results of the initial therapy and to determine whether additional periodontal intervention is required.

Phase _______ of periodontal therapy includes a review of the medical history; dental and periodontal examinations; caries detection; plaque biofilm,calculus,and stain removal; fluoride therapy; and referral to specialists as indicated.

The dental hygienist must collaborate with the dentist to ensure the success of the periodontal maintenance program.The dental hygienist must partner with the patient to develop a personalized and successful maintenance program.

During the maintenance appointment,a periodontal evaluation is mandatory to assess the current periodontal status of the patient.What components are included in the periodontal evaluation?

A key strategy for enhancing compliance with this patient should include a(an) :

The primary objective of periodontal maintenance is preserving the stable state achieved during the active phase of periodontal therapy.

What strategy should be tried in treating dentinal hypersensitivity?

During Phase _______ of periodontal therapy,corrective surgical and restorative procedures are performed as indicated.

Phase _______ of periodontal therapy consists of individualized oral hygiene instructions and supragingival and subgingival débridement of plaque biofilm and calculus.

What maintenance interval would the dental hygienist recommend for Mr.JTM?

Untreated periodontal disease results in:

The dental hygienist notices that Mr.JTM has bubbly and ropy saliva,which increases the concern about xerostomia; consequently,the dental hygienist adds fluoride therapy to Mr.JTM's treatment plan.The most appropriate fluoride regimen would include:

Phase _______ of periodontal therapy is initiated immediately after re-evaluation to ensure the stability of results attained during the initial phase.

Some patients will simply not comply with the recommended plaque biofilm control during maintenance.What effect can regular maintenance visits with the dental hygienist have on these noncompliant patients?

Supragingival plaque biofilm control is important to emphasize with patients in the maintenance program because it:

The goal of Phase _______ of periodontal therapy is to provide reconstructive or surgical therapy to improve further the periodontal condition and increase the ability of the patient to perform adequate daily oral hygiene.

The effectiveness of periodontal therapy can be measured by:

Phase _______ of periodontal therapy includes plaque biofilm control,dietary analysis and modification,and scaling and root planing.