Test #1

Question 1

What percentage of adult tooth loss is due to periodontal disease?

Answer 1

70%

Question 2

The complete loss of teeth among adults in the US has declined significantly since what year?

Answer 2

1957

Question 3

What 4 lega responsibilities does a dentist have?

Answer 3

Must diagnose, must inform, must offer treatment or refer, and must treat to standard of care.

Question 4

What are the 5 failures of periodontics?

Answer 4

Failure to:

• Diagnose
• Treat
• Refer for treatment
• Establish and follow appropriate maintenance schedule
• Accept treatment (patient)

Question 5

What are the four systemic factors (3 endocrine and 1 blood) that modify gingival disease?

Answer 5

• Puberty
• Pregnancy
• Diabetes
• Leukemia (blood)

Question 6

What are the three medications that cause gingival enlargement?

Answer 6

• Phenytoin sodium (Dilantin)
• Cylcosporine (Sandimmune)
• Ca Channel Blockers (Nifedipine) (Amlodapine)

Question 7

What are the three bacteria responsible non plaque induced gingival disease?

Answer 7

• Neisseria gonorrhea
• Treponema pallidum
• Streptococcal (beta-hemolytic)

Question 8

What are the two viral causes of non plaque induced gingival disease?

Answer 8

• HSV I and II

- Varicella-zoster

Question 9

What are the three fungal causes of non plaque induced gingival disease?

Answer 9

• Candida albicans
• Histoplasmosis
• Linear gingival erythema

Question 10

What is a genetic origin for gingival diseases?

Answer 10

Hereditary Gingival Fibromatosis

Question 11

What are the four mucocutaneous disorders that have gingival manifestations?

Answer 11

• Lupus erythematosus
• Lichen planus
• Pemphigoid
• Erythema multiforme

Question 12

What are the five allergic reactions that can manifest gingivally?

Answer 12

• Nickel
• Acrylic
• Toothpaste
• Mouthrinses
• Chewing gum additives

Question 13

Chronic periodontitis can be classified in two ways. What are those two ways and what distinguishes them?

Answer 13

• Can be classified as either localized or generalized.
• Within both of these can be slight, moderate, or severe
• Localized is 30% or less of teeth are affected
• Generalized is more than 30% of teeth are affected

Question 14

What two hematological disorders are associated with periodontitis?

Answer 14

• Acquired neutropenia

- Leukemia

Question 15

What 5 genetic disorders are associated with periodontitis?

Answer 15

• Familial and Cyclic Neutropenia
• Down Syndrome (defective neutrophil chemotaxis)
• Leukocyte Adhesion Deficiency syndrome
• Papillon-Lefvre Syndrome
• Chediak-Higashi Syndrome

Question 16

What are the four possible causes of abscesses of the periodontium?

Answer 16

• Cord
• Calculus
• Residual calculus
• Fractured root

Question 17

What are 4 tooth related factors that modify or predispose to plaque-induced gingival disease/perodontitis?

Answer 17

• Root fracture
• Tooth anatomic factors
• Dental restorations and appliances
• Cervical root resorption

Question 18

What are 5 mucogingival deformities that modify or predispose to plaque induced gingival disease/periodontitis?

Answer 18

• Gingival soft tissue recession
• Lack of keratinized gingiva
• Decreased vestibular depth
• Aberrant frenum/muscle attachment
• Gingival excess