Quiz 9

Question 2

Which procedure contours and shapes bone?

Answer 2

Osteoplasty

Osteoplasty is also known as additive bone surgery.

Question 3

Which statement is incorrect concerning ultrasonic scalers?

Answer 3

The ultrasonic scaler is used to remove only supragingival calculus and difficult stain.

The ultrasonic scaler can remove both supragingival and subgingival calculus.

Question 4

What is the primary advantage of noneugenol periodontal surgical dressing over eugenol dressing?

Answer 4

Some patients are allergic to the eugenol and could experience redness and burning pain in the area of the dressing.

Both dressings protect newly forming tissues, but noneugenol can be stored in advance.

Question 5

What preventive measure is most often performed during a recall appointment and is the primary treatment for gingivitis?

Answer 5

Dental prophylaxis

Dental prophylaxis is essential for preventing gingivitis.

Question 6

Subgingival calculus is ______.

Answer 6

not site specific and is found throughout the mouth.

Question 7

A woman with severe periodontal disease has a ___ times greater risk for a preterm infant with low birth weight.

Answer 7

7

This indicates a significant risk factor associated with periodontal disease.

Question 8

Which form of periodontal disease is reversible?

Answer 8

Gingivitis

Improved daily oral hygiene may reverse gingivitis.

Question 9

What should a periodontal examination include?

Answer 9

An examination of the teeth and oral tissues

A periodontal examination also requires a review of medical history and probing of periodontal pockets.

Question 10

Which instruments are used primarily in periodontal procedures?

Answer 10

Scalers and curettes

These instruments are essential for effective periodontal treatment.

Question 11

What are the two basic forms of periodontal disease?

Answer 11

Gingivitis and periodontitis

Each form has various subtypes and implications for treatment.

Question 12

Normal mobility is recorded at ___, whereas moderate mobility is recorded at ____.

Answer 12

0; 2

Mobility scales range from 0 to 3.

Question 13

Which of the following is an important adverse effect of tetracycline?

Answer 13

Interferes with the effectiveness of birth control pills.

Tetracycline does not cause staining; that effect is associated with chlorhexidine.

Question 14

Bacteria in dental _____ cause inflammation by producing enzymes and toxins.

Answer 14

biofilm

Question 15

Periodontal disease has proven a relationship with:

Answer 15

coronary artery disease

Periodontal disease can affect various systemic health conditions.

Question 16

What soft material forms on the teeth and is the primary cause of gingival inflammation?

Answer 16

Plaque

Plaque is the precursor to calculus and is critical in periodontal disease development.

Question 17

It is important to document home care and that the patient has been informed about the potential for future periodontal disease if home care does not improve.

Answer 17

True

Documentation helps protect against malpractice claims.

Question 18

The presence of which condition indicates periodontitis rather than gingivitis?

Answer 18

Loss of attachment

This differentiates periodontitis from gingivitis.

Question 19

The __________ provides rapid calculus removal by converting very high-frequency sound waves into mechanical energy.

Answer 19

ultrasonic scaler

Question 20

Which instrument is designed to remove supragingival calculus from anterior teeth?

Answer 20

Sickle scaler

Other scalers are used for different types of calculus removal.

Question 21

Gingivitis is:

Answer 21

inflammation of gingival tissue.

Question 22

Which of the following is the primary factor causing periodontal disease?

Answer 22

Plaque

Other factors include the type of bacteria and patient response.

Question 23

A patient who has a 6 mm. periodontal pocket would be categorized as having Stage __ periodontitis.

Answer 23

III

This stage includes specific clinical and radiographic criteria.

Question 24

Periodontal disease is considered to be generalized if more than ___% of sites in the mouth are affected.

Answer 24

30

Question 25

Which type of radiograph is best for determining the extent of crestal bone loss in a patient with periodontal disease?

Answer 25

Vertical bitewing ## Footnote Vertical bitewings provide better detail for assessing bone loss.

Question 26

Which type of radiograph is best for determining the extent of crestal bone loss in a patient with periodontal disease?

Answer 26

Vertical bitewing ## Footnote Bitewing radiographs, especially vertical bitewings, are excellent for determining the extent of crestal bone loss.

Question 27

What is the leading cause of tooth loss in adults?

Answer 27

Periodontal diseases ## Footnote Almost 75% of American adults have some form of periodontal disease.

Question 28

Which surgical procedure involves the surgical reshaping and contouring of the gingival tissue?

Answer 28

Gingivoplasty ## Footnote A gingivectomy involves the surgical removal of diseased gingival tissue.

Question 29

A _________ is an instrument calibrated in millimeters that is used to locate and measure the depth of periodontal pockets.

Answer 29

periodontal probe

Question 30

Which periodontal surgery does not remove any of the affected tissue but pushes the tissues away from the underlying tooth roots and alveolar bone?

Answer 30

Incisional surgery ## Footnote Also known as periodontal flap surgery.

Question 31

What are signs and symptoms of periodontal disease?

Answer 31

* Bleeding gums * Loose teeth * Bad taste in mouth * Dull pain after eating * Burning sensation in gingival tissue ## Footnote Presence of plaque or calculus is not an indicator of periodontal disease.

Question 32

A normal sulcus measures __ mm or less.

Answer 32

3

Question 33

What is the periodontal classification for a patient who smokes 10 cigarettes a day and has lost 5 teeth to periodontitis?

Answer 33

Stage IV Grade C ## Footnote Smoking ≥ 10 cigarettes a day indicates Grade C.

Question 34

Which statement is incorrect concerning occlusal adjustments?

Answer 34

Occlusal trauma does not cause periodontal pocket formation.

Question 35

Which is not true of subgingival calculus?

Answer 35

It forms below the root surface.

Question 36

Which of the following must be removed by the dentist or the dental hygienist with scaling instruments?

Answer 36

Calculus

Question 37

Perioscopy uses:

Answer 37

a miniature dental endoscope, along with video, lighting, and magnification.

Question 38

Periodontal disease may be triggered by all but which of the following factors?

Answer 38

Gingival stippling ## Footnote Stippling is a normal component of gingiva that is associated with health.

Question 39

What does the acronym LASER mean?

Answer 39

Light amplification by stimulated emission of radiation

Question 40

Each of the following is an instruction a patient would receive following periodontal surgery except one. Which one is the EXCEPTION?

Answer 40

Rinse your mouth every 3 to 4 hours for the first day ## Footnote The patient is instructed not to rinse his or her mouth for 24 hours.

Question 41

Which part of the periodontium connects the cementum covering the root of the tooth with the alveolar bone of the socket wall?

Answer 41

Periodontal ligament

Question 42

Which of the following is not a relationship between periodontal disease and cardiovascular disease?

Answer 42

Ventricular septal defect ## Footnote It is a congenital heart defect and not directly related to periodontal disease.