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Periodontics > Test 2: Chapter 20 > Flashcards

Test 2: Chapter 20 Flashcards

1
Q

_______ is a quick process to determine if a more comprehensive assessment is needed

A

Periodontal Screening Examination

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2
Q

_______ is an intensive and in-depth information-gathering process

A

Comprehensive Periodontal Assessment

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3
Q

What are the components of a periodontal assessment? (we do this with every adult clinical patient)

A
  1. Gingival description 2.Probing depth measurements 3. Bleeding on probing 4. Tooth mobility 5. Furcation involvement 6. Presence of calculus deposits on the teeth 7. Presence of dental plaque biofilm
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4
Q

An evaluation of the gingiva includes tissue color, contour, consistency and ________.

A

texture

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5
Q

The _______ is between the keratinized gingiva and the nonkeratinized mucosa. It is usually easy to detect because of color definition. ________tissue is pale pink and _______ is more thin and vascular

A

MGJ; keratinized; nonkeratinized

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6
Q

________, also called suppuration or pus represents dead white blood cells. It can only occur in infection and is easiest to detect by tissue manipulation.

A

Exudate

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7
Q

_______ tooth mobility is the movement of a tooth in the facial to lingual direction.

A

Horizontal

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8
Q

_______tooth mobility is the movement of a tooth up and down in the socket.

A

Vertical

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9
Q

Which mobility class is up to 1 mm horizontal displacement in a facial–lingual direction?

A

Class I

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10
Q

Which mobility class is greater than 1 mm but less than 2 mm of horizontal displacement in a facial–lingual direction?

A

Class II

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11
Q

Which mobility class is greater than 2 mm displacement in a facial–lingual direction or bouncing in the socket?

A

Class III

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12
Q

________ is a palpable or visible movement of a tooth when in function

A

Fremitus

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13
Q

What type of involvement frequently signals need for periodontal surgery?

A

Furcation involvement

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14
Q

Curvature of concavity can be felt with the probe tip; the probe penetrates no more than 1 mm and is indicative of a _____ furcation involvement?

A

Class I

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15
Q

If the probe tip penetrates into the furcation greater than 1 mm but does not pass through it would be classified as a ______ furcation involvement.

A

Class II

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16
Q

It the probe passes completely through the furcation it would be classified as a _____ furcation involvement.

A

Class III

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17
Q

This furcation involvement is the same as class III, except entrance to furcation is clinically visible because of recession of the gingival margin.

A

Class IV

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18
Q

What are assessment components requiring calculations?

A

Width of attached gingiva, mucogingival defects and CAL

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19
Q

What is the function of the attached gingiva?

A

Keeps the free gingiva from being pulled away from the tooth

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20
Q

What is the formula for calculating the width of the attached gingiva?

A
  1. Measure from the gingival margin to the mucogingival junction to obtain total width of the attached gingiva. 2. Measure the pocket depth. 3. Subtract the pocket depth from the total width of the AG
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21
Q

To determine the ____, estimate of the periodontal support around the tooth as measured with a periodontal probe

A

Clinical Attachment Level

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22
Q

________ is measured from the gingival margin to the base of the sulcus or periodontal pocket; whereas, the ______ is measured from a fixed point—usually the CEJ—to the base of the sulcus or periodontal pocket

A

Probing depths; CAL

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23
Q

For ______ the position of the gingival margin may change with tissue swelling or recession.

A

probing depths

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24
Q

What is the significance of the CAL?

A
  1. It is a more accurate indicator of the periodontal support around a tooth than probing depth measurement. 2. It provides an accurate means to monitor changes in periodontal support over time
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25
Q

______ is a critical factor in distinguishing between gingivitis and periodontitis.

A

Loss of attachment (LOA)

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26
Q

_______ recession is isolated to the facial surface and the interdental papillae. This type of recession does not extend to the mucogingival line.

A

Miller Class I Defect

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27
Q

_______ recession is isolated to the facial surface and the papillae remain intact and fill the interdental spaces. This type of recession extends to or beyond the mucogingival line into the mucosa

A

Miller Calss II Defect

28
Q

______ recession is quite broad with the interdental papilliae missing due to damage from disease. This type of recession extends beyond the MG line into the mucosa.

A

Miller Class III Defect

29
Q

______ recession extends to or beyond the MGJ with severe loss of interproximal alveolar bone resulting in open interdental areas.

A

Miller Class IV Defect

30
Q
  1. Defined as a quick information-gathering process to determine if a more comprehensive assessment is needed
    1. Periodontal Screening and Recording
    2. Comprehensive Periodontal Assessment
    3. Clinical Periodontal Assessment
    4. Baseline Data Assessment
A

A. Periodontal Screening and Recording

31
Q

According to the textbook, an intensive clinical periodontal assessment used to gather information about the periodontium.

  1. Periodontal Screening and Recording
  2. Comprehensive Periodontal Assessment
  3. Comprehensive Periodontal Charting
  4. Both B and C
A

B. Comprehensive Periodontal Assessment

32
Q
  1. Defined as an in-depth information-gathering process used to gather detailed data of the periodontal health.
  2. Periodontal Screening and Recording
  3. Comprehensive Periodontal Assessment
  4. Comprehensive Periodontal Charting
  5. Both B and C
A

D. Both B and C

33
Q

The comprehensive periodontal assessment is a rapid information-gathering process to determine health versus disease.

  1. True
  2. False
34
Q

A thorough, accurate periodontal assessment must be performed on every patient.

  1. True
  2. False
35
Q

The easiest way for detecting exudate is by light figure pressure on the gingiva.

  1. True
  2. False
36
Q

All of the following are classic clinical signs of inflammation EXCEPT:

  1. Mobility
  2. Redness
  3. Pain
  4. Swelling
A

A. Mobility

37
Q

Bleeding upon probing is caused by:

  1. Edema
  2. Ulceration of the JE
  3. More than 20 grams of pressure
  4. Residual calculus
A

B. Ulceration of the JE

38
Q

If a patient has gingivitis, the reason for edema is due to:

  1. An inorganic irritant
  2. An organic irritant
  3. Toxins produced from biofilm
  4. Acids produced from biofilm
A

C. Toxins produced from biofilm

39
Q
  1. _______ represents the junction between the keratinized gingiva and the nonkeratinized mucosa and is usually readily visible.
  2. CEJ
  3. Mucogingival junction
  4. Attached gingiva
  5. Free gingival groove
A

B. Mucogingival junction

40
Q
  1. At which one of the following is the width of attached gingiva greatest?
  2. Mandibular second premolars
  3. Mandibular canines
  4. Maxillary lateral incisors
  5. Maxillary first premolars
A

C. Maxillary lateral incisors

41
Q

Attached gingiva is best characterized as

  1. Nonkeratinized.
  2. Keratinized
  3. Parakeratinized
  4. Keratinized and parakeratinized
A

D. Keratinized and parakeratinized

42
Q
  1. The free gingiva includes all of the following EXCEPT?
  2. Gingival margin
  3. Free gingival groove
  4. Mucogingival junction
  5. Gingival sulcus
A

C. Mucogingival junction

Explanation: The mucogingival junction separates the attached gingiva from the alveolar mucosa.

43
Q
  1. ______ is a critical factor in distinguishing between gingivitis and periodontitis.
  2. Bacteria
  3. Local-contributing factor
  4. Systemic-contributing factor
  5. Loss of attachment
A

D. Loss of attachment

44
Q

CAL is measured from ______ to ______.

  1. Gingival margin to the base of the sulcus
  2. CEJ to the base of the sulcus.
  3. CEJ to the base of the periodontal pocket.
  4. B and C
A

D. B and C

45
Q
  1. When performing periodontal charting, which three steps are used to measure clinical attachment level?
  2. Measure pocket depth, evaluate furcation involvement, measure recession
  3. Measure pocket depth, measure recession, adding the pocket depth and recession
  4. Measure pocket depth, evaluate furcation involvement, assessing mobility
  5. Measure pocket depth, assessing bleeding ipon provocation, measure recession
A

B. Measure pocket depth, measure recession, adding the pocket depth and recession

Explanation: Pocket depth + recession = CAL

46
Q

There is a 3 mm pocket on the direct lingual of tooth #30. There is also 4 mm of recession on the direct lingual. What is the clinical attachment level for tooth #30?

  1. 6mm
  2. 7mm
  3. 4mm
  4. 3mm
A

B. 7mm

Explanation: to calculate the clinical attachment level you add the recession and the pocket depth.

47
Q
  1. When the gingival margin is coronal to the CEJ, the CAL is calculated by adding the gingival margin level from the probing depth.
  2. True
  3. False
48
Q
  1. Your patient has a pocket depth of 5mm with 2mm of edema on tooth #14. The patient’s clinical attachment level is:
  2. 2mm
  3. 3mm
  4. 5mm
  5. 7mm
49
Q
  1. Your patient has a probing depth of 5mm’s. Her gingival margin level is at the CEJ. What is the CAL?
  2. 5mm
  3. 8mm
  4. 6mm
  5. 9mm
50
Q
  1. Which of the following describes the total amount of clinical attachment loss if a tooth presents with a probing depth of 5mm and a gingival recession of 3mm?
  2. 2mm
  3. 8mm
  4. 3mm
  5. 5mm
51
Q

Your patient has a probing depth of 7mm. The gingival margin is 2mm above the CEJ. What is the CAL?

  1. 5mm
  2. 6mm
  3. 7mm
  4. 9mm
52
Q
  1. A woman presents to the office with a 6mm probing depth on the facial of tooth #19. The free gingival margin on that tooth is 3mm apical to the cementoenamel junction (CEJ). How much clinical attachment loss is found on the facial of that tooth?
  2. 12mm
  3. 9mm
  4. 3mm
  5. 4mm
53
Q
  1. What is the MOST critical factor determining the prognosis of a periodontally involved tooth?
  2. Amount of attachment loss
  3. Probing depth
  4. Mobility of tooth
  5. Presence of furcation involvement
A

A. Amount of attachment loss

54
Q
  1. _____ is clinical measurement of the true periodontal support around a tooth as measured with a probe.
55
Q

What is the definition of class III tooth mobility

  1. Mobility in a horizontal direction greater than 3mm
  2. Mobility in a vertical motion of 2mm
  3. Horizontal mobility over 1mm
  4. Depressability along with > 2mm horizontal mobility
A

D. Depressability along with > 2mm horizontal mobility

56
Q
  1. All of the following are classifications for mobility EXCEPT:
    1. Class I – slight horizontal mobility
    2. Class II – moderate horizontal mobility greater than 1mm
    3. Class III – Severe mobility, horizontal and vertical movement
    4. Class IV – Severe bone loss where the Nabers probe can pass between the roots with recession
A

D. Class IV – Severe bone loss where the Nabers probe can pass between the roots with recession

57
Q

_____ is palpable or visible movement of a tooth when in function

58
Q

When checking for furcation involvement the Nabor’s probe will be used on which of the following teeth?

  1. Upper first premolar, maxillary and mandibular molars
  2. Upper premolars, maxillary and mandibular molars
  3. Upper second premolars, maxillary and mandibular molars
  4. Lower first premolar, maxillary and mandibular molars
A

A. Upper first premolar, maxillary and mandibular molars

59
Q
  1. Class 1 furcation involvement: curvature of concavity can be felt with the probe tip; the probe penetrates no more than ___ mm.
  2. 4
  3. 1
  4. 2
  5. 3
60
Q

A tooth demonstrates moderate bone loss, and a probe can enter the furcation, but it cannot pass completely through the furcation.

  1. Class I
  2. Class II
  3. Class III
  4. Class IV
A

B. Class II

61
Q

During a periodontal evaluation, furcation involvement is detected on tooth #30. The Nabers probe enters into the furcation area and penetrates through to the opposite side. There is no recession present. What class of furcation is this?

  1. Class I
  2. Class II
  3. Class III
  4. Class IV
A

C. Class III

62
Q

Your patient has furcation involvement on #30. The pocket depth is 8mm with 2mm of recession. What class is this furcation most likely?

  1. Class I
  2. Class II
  3. Class III
  4. Class IV
A

D. Class IV

Explanation: This is severe furcation; the probe can pass through and recession is visible clinically

63
Q

Tooth # 3 has furcation involvement. When you use your explorer, you can pass between the roots, but you can’t see the furcation clinically. Which class of furcation is this?

  1. Class I
  2. Class II
  3. Class III
  4. Class IV
A

C. Class III

64
Q

(light) supra and/or localized, light sub: light to slightly moderate calc found on mand anteriors and maxillary molars and possibly localized to other areas.

A. A-O

B. A

C. B

D. C

65
Q

What Miller class is this?

A

Class II Defect

66
Q

What Miller class is this?

A

Class III Defect

Periodontics (16 decks)

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