Competency

Question 1

using the AAP 2018 classification system, the most likely diagnosis is:

Answer 1

Molar-Incisor Pattern Periodontitis: Stage III Grade C

Question 2

A 64-year-old male reported in his medical history he is taking verapamil, a calcium channel-blocking drug, for hypertension and chronic stable angina. The oral multiple sites of severe gingival enlargement. Which of the following actions should the dentist take at this exam appointment?

A. Instruct the patient to discontinue taking verapamil.
B. Conduct oral hygiene instructions.
C. Conduct a medical consultation with the patient’s physician.
D. Answers B and C are correct.
E. All of the above are correct.

Answer 2

D

Question 3

A gingival tissue biopsy specimen reveals fibrin deposits along the basement membrane zone through Direct Immunofluorescence and a band-like infiltrate of T-lymphocytes under light microscopy. The diagnosis is:

Answer 3

Lichen Planus

Question 4

Your 59-year-old female patient reported taking amlodipine for the treatment of hypertension in her medical history. Amlodipine has been linked to which of the following periodontal conditions?
A. Gingival enlargement
B. Medication-related osteonecrosis of the jaws
C. Endodontic-Periodontal lesion
D. Periodontal abscess

Answer 4

A

Question 5

The periodontal chart is from a 67-year-old female with generalized deposits of subgingival calculus and a medical history positive for smoking 1 pack cigarettes per day for the past 25 years. Using the AAP 2018 classification system, which of the following periodontal diagnoses should you assign?

Answer 5

Localized Periodontitis: Stage III, Grade C

Question 6

Calculate the Gingival Margin value for site #18 DL (disto-lingual).

Answer 6

-1 mm