Exam 1 (Ch. 9, 12, 18 & a little on 10 & 11) Flashcards by Big Red

In health, the depth of the slucus is from 1 to 3mm and a pocket is when the depth is greater than 3 mm. The probe should reach the junctional epithelium at the base of the sulcus.

a. first one is false, second one is true
b. both statements are false
c. Both statements are true
d. first statement is true, the second one is false

c. Both statements are true

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The calibrated probes have blunt rod-shaped working ends that may be circular or rectangular in cross section.

True

False

True

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The grasp is relaxed and just enough lateral pressure is used to keep the probe adapted to the tooth.

True

False

True

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A periodontal pocket is a gingival sulcus that has been deepened by disease. The JE forms the base of the pocket by attaching to the root surface somewhere apical to the CEJ.

a. Both statements are true
b. Both statements are false
c. First statement true, second statement false
d. First statement is false, second statement is true

a. Both statements are true

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The technique for probing includes all of the following except one. Which one is exception?

a. A series of bobbing strokes with the probing going in and out of the sulcus
b. Strokes are 1-2 mm in length and about 1mm apart
c. The side of the probe tip stays against the tooth
d. Use what is called a walking stroke

a. A series of bobbing strokes with the probing going in and out of the sulcus

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The direct facial site is measured from the distofacial line angle to the mesiofacial line angle.

True

False

True

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The probe is positioned as parallel as possible to the tooth surface. The probe is angled under the contact area to reach the col when you probe the interproximal area.

a. Both statements are true
b. Both statements are false
c. First statement is true, second statement is false
d. First statement is False, second statement is True

a. Both statements are true

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Calibrated periodontal probes are periodontal instruments marked in centimeter increments and used to evauate the health of periodontal tissues.

True

False

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One of the following statements concerning charting probe depths is NOT true. Which one is NOT true?

a. There is 1 reading recorded per site
b. Record half millimeter measurements by rounding down to the nearest whole number
c. Record 6 sites per tooth
d. record the deepest per site

b. Record half millimeter measurements by rounding down to the nearest whole number

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The calibrated periodontal probe is commonly used to do all of the following except one. Which one is the exception?

a. measure width of alveolar mucosa
b. measure width of the attached gingiva
c. assess presence of bleeding
d. measure probe depths
e. measure size of oral lesions

a. measure width of alveolar mucosa

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Strategies for Psychomotor Learning consists of : Choose all that apply.

a. Recognition self assessment
b. Feedback
c. Practice
d. Practice beyond getting it tight
e. Guidance
f. All of the above

f. All of the above

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________ is the muscle action used to move the working-end of an instrument across a tooth surface.

a. Muscle memory
b. Automaticity
c. Psychomotor
d. Motion activation

d. Motion activation

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During activation the _______ supports weight of hand to increase stability

a. fulcrum finger
b. Index finger
c. Middle finger
d. Little finger

a. fulcrum finger

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Fulcrum acts as a “brake” to stop movement at end of stroke

True

False

True

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Instrumentation strokes are tiny movements. The working-end moves only a few millimeters with each stroke.

a. The first statement is correct. The second one is incorrect
b. Both statements are incorrect.
c. Both statements are correct.
d. The first statement is incorrect. The second one is correct

c. Both statements are correct.

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The hand, wrist, arm work as a unit to produce a rotating motion used to move the working-end of an instrument best describes:

a. Digital manipulation
b. Wrist-rocking motion
c. Digital activation
d. Wrist activation

b. Wrist-rocking motion

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____ is used for all calculus removal with hand-activated instruments.

a. Digital activation
b. Wrist-rocking motion

b. Wrist-rocking motion

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Choose how teeth are positioned in dental arches: Mandibular premolars

a. More vertical
b. tilt outward
c. tilt inward

a. More vertical

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Choose how teeth are positioned in dental arches: Mandibular molars:

a. More vertical
b. Tilted inward
c. Tilted outward

c. Tilted outward

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Used primarily with ultrasonic instruments, also used with periodontal probes, explorers

a. Digital manipulation
b. Digital activation
c. Wrist-rocking motion

b. Digital activation

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Match each terms with its definition.

a. is needed to learn psychomotor skills.
1. Brain-body coordination
2. Digital motion activation
3. Motion activation
4. Wrist-rocking motion activation

1.Brain-body coordination

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Match each terms with its definition.

b. is the muscle action used to move the working-end of an instrument across a tooth surface.
1. Brain-body coordination
2. Digital motion activation
3. Motion activation
4. Wrist-rocking motion activation

Motion activation

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Match each terms with its definition.

c. is used for calculus removal with hand-activated instruments.
1. Brain-body coordination
2. Digital motion activation
3. Motion activation
4. Wrist-rocking motion activation

Wrist-rocking motion activation

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Match each terms with its definition.

d. is used with ultrasonic instruments when physical strength is not required.
1. Brain-body coordination
2. Digital motion activation
3. Motion activation
4. Wrist-rocking motion activation

Digital motion activation

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\_\_\_\_\_\_\_ is a fine motor (psychomotor) skill. It involves small movements where brain, nervous system and muscles work together. a. Instrumentation b. Orientation c. Movement

a. Instrumentation

Psychomotor skills require complex movements and repeated practice. True False

True

Stages of Psychomotor Development. a. Adapting, Observing, Imitating, Practicing b. Observing, Imitating, Practicing, Adapting c. Observing, Practicing, Imitating, Adapting d. Practicing, Observing, Imitating, Adapting

b.Observing, Imitating, Practicing, Adapting

Which stage of Psychomotor Development where mental attention to steps of psychomotor skill. This is learned during preclinical instrumentation sessions. a. Imitating b. Practicing c. Observing d. Adapting

c. Observing

What stage of psychomotor skill best describes where movements are not smooth or automatic yet. a. Imitating b. Adapting c. Practicing d. Observing

a. Imitating

Practicing is attempting a psychomotor skill over and over. Thus, movements become smoother. a. Both statements are true b. The first statement is correct. The second one is incorrect. c. Both statements are incorrect. d. The first statement is incorrect. The second statement is correct.

a. Both statements are true

Fine-tuning of psychomotor skills and minor adjustments are made to perfect the skill best describes: a. Practicing b. Observation c. Adapting d. Imitating

c. Adapting

Frequently enacted muscle tasks that are stored in the brain best describes a. Observation b. Muscle memory c. Fine-tuning d. Practice

b. Muscle memory

\_\_\_\_\_\_\_ is the process of forming myelin sheath around nerve to allow nerve impulses to move more quickly

Myelination

\_\_\_\_\_\_\_ is the ability to perform a psychomotor skill smoothly, easily, and without frustration. a. Fine-tuned b. Automaticity c. Psychomotor d. Myelination

b. Automaticity

Each tooth has many surfaces. Each with its own orientation or surface plane. a. Both statements are correct b. The first statement is incorrect. The second statement is correct. c. Both statements are incorrect d. The first statement is correct. The second one is incorrect

a. Both statements are correct

Orientations of crown surfaces _______ from the orientations of root surfaces. a. differ b. are somewhat the same c. are somewhat different d. are about the same

a. differ

\_\_\_\_\_\_\_ the instrument handle is turning the handle between the thumb and index finger. a. Fulcruming b. Rolling c. Driving d. Turning

b. Rolling

The purpose of ROLLING the handle is to maintains precise contact of the working-end to the tooth surface as it moves around the tooth True False

True

Drive finger is _______ , which determines the direction in which the working-end turns a. either the index finger or the thumb b. fulcrum finger c. thumb d. index finger

a. either the index finger or the thumb

\_\_\_\_\_\_ is a slight swinging motion of the hand and arm carried out by balancing on the fulcrum finger. a. pivoting b. fulcruming c. driving d. rolling

a. pivoting

Pivoting assists the clinician in maintaining adaptation as the working-end moves around the tooth. Pivoting is used principally when moving around a line angle onto a proximal surface. a. Both statements are correct b. The first statement is correct. The second one is incorrect. c. The first statement is correct. The second one is incorrect. d. Both statements are incorrect.

a. Both statements are correct

Most teeth are not positioned vertically in dental arches. Most teeth are tilted in dental arches. a. Both statements are correct b. The first statement is incorrect. The second statement is correct. c. Both statements are incorrect d. The first statement is correct. The second one is incorrect

a. Both statements are correct

What are the uses of periodontal probe?

1. Measure amount of _recession_ 2. Measurement of oral _lesions_ 3. Measurement of _clinical attachment level_ (CAL) 4. Measure width of a_ttached gingiva,_ MGI 5. Measurement of _pocket depth_ 6. _Furcation_ involvement Nabors 7. Determine consistency of _gingival bleeding/exudate_

Probe that has 3, 6, 9, 12mm readings, a thin working end, color coded/colored bands and difficult to read between the readings best describes: a. UNC 12 probe b. Novatech probe c. Marquis probe d. Williams probe e. PSR probe

c. Marquis probe

Probe that has 1,2,3, 5, 7,8,9,10 MM MARKINGS. AVAILABLE WITH OR WITHOUT COLOR CODING. Round, tapered. This best describes: a. UNC 12 probe b. Novatech probe c. Marquis probe d. Williams probe e. Naber's probe

d. Williams probe

Probe that has 1,2,3,4,5,6,7,8,9,10,11,12 MM markings with a band of black b/w 4&5 and 9&10. a. UNC 12 probe b. Novatech probe c. Marquis probe d. Williams probe e. PSR probe

a. UNC 12 probe

Periodontal probe are used to evaluate the ______ of the periodontal tissues. CHOOSE THE BEST ANSWER. a. health b. pockets c. lesions d. disease

a. health

\_\_\_\_\_\_\_\_\_\_ design features a working end which is positioned at a right angle to the handle. a. UNC 12 probe b. Novatech probe c. Marquis probe d. Williams probe e. PSR probe

b. Novatech probe

Probe that is markings at 3.5, 5.5, 9 and 11.5mm, color band extends from 3.5 to 11.5mm, ball tip to help detect subgingival calculus 0.5mm, thin, round working end. a. UNC 12 probe b. Novatech probe c. Marquis probe d. Williams probe e. World Health Organization

e. World Health Organization

Plastic probe are used for measuring implants while Electronic probing systems are graphic representation of periodontal condition True False

True

A periodontal probe is inserted into this space to assess its health. Choose the BEST answer. a. Space in periodontal ligament b. Col c. Periodontal pocket d. Gingival sulcus

d. Gingival sulcus

Part of the gingiva that is tightly connected to the cementum on the root and to the connective tissue cover of the alveolar bone a. Attached gingiva b. Marginal gingiva c. Alveolar mucosa d. Periodontal ligament

a. Attached gingiva

In health, the probing depth should be from _____ in depth. a. 1mm to 2mm b. 1mm to 3mm c. 2mm to 4mm d. 1mm to 4 mm

b. 1mm to 3mm

A probe inserted in a periodontal pocket. The depth of the pocket shown here is a. 3mm b. 6mm c. 9mm d. 12mm

b. 6mm

The distance in millimeters from the gingival margin to the base of the sulcus or periodontal pocket as measured with a probe a. Mucogingival Involvement (MGI) b. Loss of Attachment (LOA) c. Probing Depth d. Clinical Attachment Level (CAL)

c. Probing Depth

The probe position in POCKET is Probe tip touches the root somewhere below the CEJ. Probing depth is greater than 3 mm. True False

True

A gingival sulcus that has been deepened by disease is called a. Gingivitis b. Periodontal pocket c. Hyperplasia d. Periodontitis

b. Periodontal pocket

The act of walking the tip of a probe along the base of a sulcus or pocket for the purpose of assessing the health status of the periodontal tissues best describes: a. Assessing b. Sweeping c. Probing d. Exploring

c. Probing

The _____ is 1 to 2 mm of the side of the probe. a. Probe tip b. Side tip c. Working end d. Lower shank

a. Probe tip

Where should one START during activation of the probe? a. Distal line angle b. Mesial line angle

a. Distal line angle

ACTIVATION OF THE PROBE 1. Gently walk probe into the distal proximal space-to the contact; angle as necessary 2. Using a walking stroke, measure the *deepest* pocket depth for any of the tooth (DF, F, MF, DL, L, ML) 3. Start at the distal line angle surface 4. Then *walk* the probe around the cervical surface into the mesial proximal space to contact and then angle into the col

3. Start at the distal line angle surface 1. Gently walk probe into the distal proximal space-to the contact; angle as necessary 4. Then *walk* the probe around the cervical surface into the mesial proximal space to contact and then angle into the col 2. Using a walking stroke, measure the *deepest* pocket depth for any of the tooth (DF, F, MF, DL, L, ML)

A series of bobbing strokes that are made within the sulcus or pocket while keeping the probe tip against the tooth surface best describes a. Walking strokes b. Assessment strokes c. Exploratory strokes

a. Walking strokes

The stroke pressure exerted with the probe tip against the soft tissue base of the sulcus or pocket should be between \_\_\_\_\_ a. 20 and 30 grams b. 10 and 20 grams c. 25 and 35 grams d. 15 and 25 grams

b. 10 and 20 grams

Walking strokes with the probe should cover the entire circumference of the sulcus or pocket base. True False

True

Which one would you record? A B C

How to conduct interproximal readings 1. Tilt the probe - In this position, gently press downward to touch the soft tissue base 2. Tilt the probe - Slant the probe slightly so that the tip reaches under the contact area 3. Touch the Contact Area - Walk the probe between the teeth until it touches the Contact Area

3. Touch the Contact Area - Walk the probe between the teeth until it touches the Contact Area 2. Tilt the probe - Slant the probe slightly so that the tip reaches under the contact area 1. Tilt the probe - In this position, gently press downward to touch the soft tissue base

A(n) ______ probe is a type of periodontal probe used to evaluate the bone support in the furcation areas of multirooted teeth. a. Periodontal b. Assessment c. Furcation d. Exploratory

c. Furcation

Probe that MAY OR MAY NOT HAVE MARKINGS. CURVED, WITH SHANK FOR ADAPTATION IN FURCATION AREAS ONLY. DOUBLE-ENDED WITH LONGER, THICKER, LESS FLEXIBLE WORKING END and a BLUNT END best describes: a. UNC 12 probe b. Novatech probe c. Marquis probe d. Williams probe e. Naber's probe

e. Naber's probe

\_\_\_\_\_\_\_\_\_ is a loss of alveolar bone and periodontal ligament fibers in the space between the roots of a multirooted tooth. Choose the BEST answer. a. Periodontitis b. Furcation involvement c. Periodontal pocket d. Gingivitis

b. Furcation involvement

The furcation of this molar is visible in the mouth due to bone loss and tissue recession. True False

True

Locate the furcation. a. Facial furcation of maxillary molar b. Facial furcation of mandibular molar c. Lingual furcation of maxillary molar d. Lingual furcation of mandibular molar

b. Facial furcation of mandibular molar

Where is the furcation shown in this picture? Palatal Buccal

Buccal

Where is the furcation shown in this pic Mesial Distal

Distal

Furcation classification Probe tip can partially enter the furcaation. Extends about one-third of the tooth. NOT able to pass completely through a. Class I b. Class II c. Class III d. Class IV

b. Class II

Furcation classification Concavity can be felt with probe. Probe tip cannot enter furcation area. a. Class I b. Class II c. Class III d. Class IV

a. Class I

Furcation classification Same as class III except that the furcation is visible clinically due to tissue recession a. Class I b. Class II c. Class III d. Class IV

d. Class IV

Furcation classification Probe passes completely through the furcation or probe touches the palatal root. a. Class I b. Class II c. Class III d. Class IV

c. Class III

Which one is better? Class III or Class IV furcation? Class III Class IV

Class IV

Which is the correct classification for the furcation shown in this picture? a. Class I b. Class II c. Class III d. Class IV

d. Class IV

Which is the correct classification for the furcation shown in this picture? a. Class I b. Class II c. Class III d. Class IV

c. Class III

Which is the correct classification for the furcation shown in this picture? a. Class I b. Class II c. Class III d. Class IV

b. Class II

Which is the correct classification for the furcation shown in this picture? a. Class I b. Class II c. Class III d. Class IV

a. Class I

Gingival enlargement with NO apical migration of the Junctional Epithelium. a. Periodontitis b. Gingival Sulcus c. Gingivitis d. Pseudo pocket

d. Pseudo pocket

\_\_\_\_\_\_\_\_\_\_\_\_ is damage to the structures that support the tooth. a. Loss of attachment (LOA) b. Clinical attachment level (COA) c. Periodontal pocket d. Mucogingival involvement

a. Loss of attachment (LOA)

What occurs on loss of attachment (LOA)? Choose all that apply. (Select all that apply) a. Relocation of periodontal fibers b. Destruction of gingival fibers c. Relocation of junctional epithelium d. Loss of alveolar bone support e. Destruction of periodontal ligament

b. Destruction of gingival fibers c. Relocation of junctional epithelium d. Loss of alveolar bone support e. Destruction of periodontal ligament

Gingivitis results in IRREVERSIBLE damage to the gingiva. There is NO damage to the periodontal ligament or alveolar bone and the height of bone is the same as in health. a. The first statement is correct, The second one is incorrect. b. The first statement is incorrect. The second one is correct c. Both statements are correct. d. Both statements are incorrect.

b. The first statement is incorrect. The second one is correct

Periodontitis results in permanent damage to the periodontal attachment system. Also, damage to gingival connective tissue, periodontal ligament, and alveolar bone. a. The first statement is correct, The second one is incorrect. b. The first statement is incorrect. The second one is correct c. Both statements are correct. d. Both statements are incorrect.

c. Both statements are correct.

In periodontitis, the gingival margin may REMAIN near the CEJ and this creates a deep periodontal pocket. True False

True

In periodontitis, the gingival margin may RECEDE and part of the tooth roots will be visible in the mouth. True False

True

A clinician should be able to determine that there is no BONE LOSS by looking at the position of the gingival margin. True False

False

The gingiva can mask bone loss. True False

True

The Three Possible Conditions in Periodontal Involvement includes: (Select three) a. Gingival recession with or without pocketing b. Gingival enlargement with or without pocketing c. Gingival margin at CEJ with pocketing d. Gingival margin at CEJ

a. Gingival recession with or without pocketing b. Gingival enlargement with or without pocketing c. Gingival margin at CEJ with pocketing

When the margin is APICAL to CEJ, it is termed recession. This is common in PERIODONTITIS. a. The first statement is correct, The second one is incorrect. b. The first statement is incorrect. The second one is correct c. Both statements are correct. d. Both statements are incorrect.

c. Both statements are correct.

If the gingiva is receded in an area, then the alveolar bone in that area has also been lost. (IMPORTANT) True False

True

It is important to determine how far the gingival margin is coronal to (above) its normal level slightly above the CEJ. True False

Recession is measuring the distance from the gingival margin to the CEJ. True False

True

What is the term for the distance from the CEJ to the JE? a. Clinical attachment level (CAL) b. Level of attachment (LOA) c. Both terms refer to distance from CEJ to JE

c. Both terms refer to distance from CEJ to JE

In a healthy tooth, what is the distance of the crest of the alveolar bone to the slightly apical JE? a. 2 to 2.5mm b. 1.5 to 2mm c. 1.5 to 2.5mm d. 2 to 3mm

b. 1.5 to 2mm

In determining how healthy a tooth is, you must know \_\_\_\_\_. a. The probing depth b. How much bone support it has c. both a. and b.

b. How much bone support it has

If there is bone loss, you need to know how much bone has been lost. (IMPORTANT) True False

True

Radiographs provide accurate information regarding the extent of bone loss True False

False

After inserting the colorvue Marquis probe, you reached the J.E and you noticed that the probe stopped at the top of the first band. You also noticed that the patient has recession and the distance from the CEJ to the JE is around 9mm. Given the scenario, what is the CAL? a. 6mm b. 9mm c. 3mm d. Not enough information to determine the CAL

b. 9mm

After inserting the colorvue Marquis probe, you reached the J.E and you noticed that the probe stopped at the top of the first band. You also noticed that the patient has recession and the distance from the CEJ to the JE is around 9mm. Given the scenario, what is probing depth? a. 9mm b. Not enough information to determine the probing depth c. 3mm d. 6mm

d. 6mm

After inserting the colorvue Marquis probe, you reached the J.E and you noticed that the probe stopped at the top of the first band. You also noticed that the patient has recession and the distance from the CEJ to the JE is around 9mm. Given the scenario, how much recession the patient has? a. 6mm b. 2mm c. Not enough information to determine recession d. 3mm e. 9mm

d. 3mm

Probing depth readings accurately indicate the level of the bone ONLY IF the gingival margin is in its normal position, slightly above the CEJ. True False

True

IF the gingival margin is in the normal position, the bone level is approximately equal to the probing depth True False

True

What are the measurements need to determine the bone support? (Select two) a. Width of attachment gingiva b. Probing depth c. MGI (Mucogingival Involvment) d. Gingival margin level

b. Probing depth d. Gingival margin level

The gingival margin level readings and probing depth readings are used to calculate the a. CAL b. Furcation c. MGI

a. CAL

If the gingival margin is at the normal level, the probing depth and the CAL are the SAME. True False

True

After using the UNC 12 probe, you found out that the total width of the gingiva is at the bottom of the first band(black). After insertion, the probe stopped at the 3rd marking. Given the scenario, is the patient mucogingivally involved? a. Yes b. No c. Not enough information to determine MGI

a. Yes

Which furcation may be "slightly" seen radiographically? a. Class III b. Class IV c. Class II d. Class I

c. Class II

\_\_\_\_\_\_\_\_ is the loosening of a tooth in its socket. a. Mobility b. Vertical bone loss c. Furcation d. Horizontal bone loss

a. Mobility

\_\_\_\_\_\_\_\_ is the ability to move the tooth in a facial-lingual direction in its socket. a. Vertical mobility b. Oblique mobility c. Horizontal mobility d. Horizontal bone loss

c. Horizontal mobility

Vertical mobility a. is the ability to move the tooth in a facial-lingual direction b. is the ability to move the tooth multidirectional c. is the ability to move the tooth in a side to side direction d. is the ability to depress the tooth in its sockeet

d. is the ability to depress the tooth in its sockeet

Assessing the vertical mobility is to exert gentle pressure against the occlusal surface while horizontal mobility is to gently apply alternating pressure against the tooth, first from the facial and then from the lingual aspect. True False

True

During complete periodontal charting, Periodontal probe readings of 4mm or more are charted/recorded in \_\_\_\_\_. a. Red b. Any color c. Blue d. Black

a. Red

During complete periodontal charting, furcation involvement is charted with a proper symble in _____ in area of furcation. a. Red b. Black c. Blue d. Any color

Why are probing depths not enough information to determine tooth health?

Because Recession or edima could be present

In order to determine how healthy a tooth is, you must know

How much bone support it has

Radiographs provide accurate information regarding bone loss. True False

False

Probing depth is enough to tell if there is bone loss. True False

False

How is bone support calculated?

1. Measuring probing depth 2. Measuring gingival recession

surround the root; one end attaches to the alveolar bone, the other to cementum of the root. a. Junctional epithelium b. Gingival fibers c. Periodontal ligament fibers d. Alveolar bone

c. Periodontal ligament fibers

Attaches the gingiva to the tooth. a. Junctional epithelium b. Gingival fibers c. Periodontal ligament fibers d. Alveolar bone

a. Junctional epithelium

A network of fibers that brace the free gingiva against the tooth. a. Junctional epithelium b. Gingival fibers c. Periodontal ligament fibers d. Alveolar bone

b. Gingival fibers

Surrounds the root of the teeth; forms the bony socket. a. Junctional epithelium b. Gingival fibers c. Periodontal ligament fibers d. Alveolar bone

d. Alveolar bone