Old perio questions

Question 1

Medication induced enlargement of the gingival tissues is most properly diagnosed clinically as:

Increased connective tissue overgrowth
Increased cell overgrowth
Gingival overgrowth
Gingival hyperplasia

Answer 1

Gingival overgrowth

Question 2

The determination of the extent of periodontal disease is important in making a definitive diagnosis. The percent of sites involved in making a diagnosis of generalized periodontal disease is:

Greater than 35%.
Greater than or equal to 30%.
Greater than one quadrant of inflammation.
Greater than 50%.

Answer 2

Greater than or equal to 30%

Question 3

In order to make a diagnosis of gingivitis in an area that has attachment loss which of the following is most false?
- A good knowledge of para-functional habits in the area can help rule in or out whether the attachment loss in the area is due to periodontitis.
-Longitudinal records are valuable to document the lack of progression in the area of diagnosis.
-A documented medical history of non-stable diabetes is useful in making the diagnosis.
-A documented history of toothbrush abrasion in the area is useful in making the diagnosis.

Answer 3

A documented medical history of non-stable diabetes is useful in making the diagnosis.

Question 4

When probing a patient you obtain the following findings on the facial of tooth number 11: the free gingival margin is 3mm coronal to the CEJ and the total probing depth is 9mm. How much attachment loss (CAL) does this site have?

12mm
6mm
9mm
3mm

Answer 4

6mm

Question 5

The amount of calculated attachment loss associated with moderate periodontitis as described by Armitage is:

2-3 mm
> 5mm
3-4 mm
1-3mm

Answer 5

3-4mm

Question 6

Which of the following statements is most incorrect regarding plaque induced gingival diseases?

• Plaque induced gingival diseases can be frequently induced by trauma.
• Plaque induced gingival diseases can be modified by malnutrition.
• Plaque induced gingival diseases can be modified by medications
• Plaque induced gingival diseases can be modified by systemic factors.

Answer 6

Plaque induced gingival diseases can be frequently induced by trauma.

Question 7

Non-plaque induced gingivitis can be the result of which of the following? Pick the most incorrect answer.

Gingival infection by viruses.
Gingival infection with fungi.
Autoimmune reactions in the gingival tissues
Loss of attachment caused by the red complex

Answer 7

Loss of attachment caused by the red complex

Question 8

Which of the following statements is most true regarding the diagnosis of gingivitis?

Erythema of the free gingival margin is always associated with bleeding on probing.

The absence of bleeding on probing is a good indication that there is no gingivitis in the area.

The presence of spongy and edematous free gingival margins are a clinical indicator of gingival inflammation.

The presence of a lamina dura is a typical clinical finding seen in patients with gingivitis.

Answer 8

The presence of spongy and edematous free gingival margins are a clinical indicator of gingival inflammation.

Question 9

Lichen planus is a common autoimmune reaction seen in the oral tissues including the gingiva. Proper oral hygiene is helpful in managing the inflammation seen in gingival lesions with lichen planus.

Answer 9

both are true

Question 10

Demographic data that is important in clinical risk assessment of periodontal disease related to age includes:

Evidence of aggressive periodontal disease.
Diabetes
Duration of exposure to risk elements.
Being a postmenopausal woman.

Answer 10

Diabetes

Question 11

In development of a periodontal treatment plan the chief complaint of the patient must be addressed. There are no exceptions to doing treatment until a complete periodontal treatment periodontal treatment plan has been established.

Answer 11

The first statement is true and the second statement is false.

Question 12

The absence of calculus on a horizontal bitewing is consistent with the absence of clinical calculus on the root surface. Typical dental radiographs can usually detect loss of bone when 10% demineralization has occurred.

Answer 12

both false

Question 13

The best radiograph to use to help visualize bone loss in patients with moderate to severe periodontitis is the:

Answer 13

vert bite wing

Question 14

Calculus is a common finding on the mandibular anterior lingual teeth andbuccal surfaces of the maxillary molars. The loss of attachment seen on the anterior lingual teeth is primarily caused by the physical (mechanical) pushing of the periodontal tissues away from the teeth.

Answer 14

first true, secound false