Exam 3

Question 1

An acute infection involving a circumscribed collection of pus in the periodontium

Answer 1

Abscess of the periodontium

Question 2

Consists primarily of dead and dying neutrophils, bacteria, cellular debris, and fluid leaked from blood vessels

Answer 2

Pus

Question 3

The process of forming pus

Answer 3

Suppuration

Question 4

What are the characteristics of acute periodontal conditions?

Answer 4

Sudden onset of the condition
Rapid course of progression
Accompanied by pain and discomfort
May be unrelated to preexisting gingivitis or periodontitis

Question 5

What are the causes of abscesses of the periodontium?

Answer 5

Blockage of the orifice or pocket, accidentally forcing a foreign object into the tissues, and incomplete calculus removal in a pocket

Question 6

An abscess of the periodontium that is primarily limited to the gingival margin or to the interdental papilla without the involvement of deeper structures

Answer 6

Gingival abscess

Question 7

An abscess of the periodontium that affects deeper structures of the periodontium as well as the gingival tissues

Answer 7

Periodontal abscess

Question 8

Flap of gingival tissue that covers a portion of the crown of a partially erupted tooth that can become infected

Answer 8

Operculum

Question 9

Where does pericoronitis most often occur?

Answer 9

The lower third molar

Question 10

Fundamental treatment steps for a patient with pericoronitis

Answer 10

1 establish a path of drainage for the pus
2 irrigation of the undersurface of the operculum
3 thorough periodontal debridement if the tooth surfaces in the area of the abscess
4 relief of pain

Question 11

An acute infection of the periodontium that is limited to the gingival tissues

Answer 11

Necrotizing ulcerative gingivitis

Question 12

Other names for NUG

Answer 12

Vincent infection
Trench mouth
Ulceromembranous gingivitis
Acute NUG (ANUG)

Question 13

Cell death

Answer 13

Necrosis

Question 14

The loss of epithelium normally covering underlying connective tissue

Answer 14

Ulceration

Question 15

Highest incidence of NUG is seen in patients between

Answer 15

20 and 30 years old

Question 16

Clinical signs of NUG

Answer 16

Punched out papillae and pseudomembrane

Question 17

Conditions or behaviors frequently present in patients with NUG

Answer 17

History of smoking
History of poor nutrition
History of severe stress

Question 18

A fragment of necrotic bone

Answer 18

Sequestrum

Question 19

A sequestrum is an unusual finding in

Answer 19

NUP

Question 20

Clinical signs of primary herpetic gingivostomatitis

Answer 20

Servers oral pain
Gingival tissues appear swollen and red and bleed easily 
Painful oral ulcers 
Small clusters of blisters 
Elevated body temperature 
Feeling of discomfort (malaise) 
Headache 
Swollen lymph nodes 
Dehydration (children)

Question 21

Treatment of primary herpetic gingivostomatitis

Answer 21

Primarily supportive (designed to keep pt comfortable until the viral infection runs its course)

Question 22

Primary herpetic gingivostomatitis is _____ and lasts how many days?

Answer 22

Viral, 10-14

Question 23

“A patient centered counseling style for addressing the common problem of ambivalence about change”

Answer 23

Motivational interviewing

Question 24

The 4 key elements of motivational interviewing

Answer 24

Partnership
Acceptance
Compassion
Evocation

Question 25

Questions that are framed to avoid a simple yes/no response

Answer 25

Open ended questions

Question 26

The process in which the healthcare provider listens to the patients remarks and then paraphrased what the clinician heard the patient say

Answer 26

Reflective listening

Question 27

Acknowledged

Answer 27

Affirmed

Question 28

The process of clarifying in collaboration with the pt what direction the conversation should take

Answer 28

Focusing

Question 29

Clinical data gathered at the beginning of periodontal treatment that is subsequently used for comparison

Answer 29

Baseline data

Question 30

Factors related to biofilm accumulation

Answer 30

Patients may lack manual dexterity Discontinued self care that was recommended previously Gingival recession or shrinkage

Question 31

Pt who does not follow recommendations for healthcare advice

Answer 31

Noncompliant pt

Question 32

Root caries is a significant problem for ___% adults aged 50-64 years

Answer 32

21.6%

Question 33

Root caries is a significant problem for ___% adults aged 65 to 74 years

Answer 33

31%

Question 34

Risk factors for the development of root caries

Answer 34

``` Attachment loss Inadequate self care Cariogenic diet Infrequent dental visits Past caries experience Inadequate salivary flow Lack of fluoride exposure Removable partial dentures ```