2011 Midterm

1. Mixture of cortical and cancellous bone is:

- Bone blend.

2. Positive physiologic contour includes all the followings, except:

- Interdental bone is apical to both lingual and buccal bones.

3. Regenerative therapy is always indicated when the pocket depth is less than
4 mm:
- False

4. Localized debridement is the treatment of choice in moderate chronic

periodontitis affecting lower anterior teeth, this is because they are single
rooted and are accessible to home care:
- Both are true.

5. Research suggested that no matter what a surgical technique is used for

elimination of pockets a certain depth will recur, and this depth won't be
important if less than 3 sites are affected:
- First sentence is true, second one I don't know.

6. Instruments used for removal of bone are:

- Chisels, burs and rongeurs.

7. The main disadvantage of zinc-oxide eugenol packs is:

- Allergic reactions.

8. You are planning for a periodontal surgery, and you don't know what type of
sutures to use. So, you should:
- Consult a periodontist.

9. Smoking affects periodontal surgery outcome and its cessation will favorably
affect the treatment plan and prognosis:
- True.

10. Using a probe after giving a L.A to confirm the extent and configuration of
intrabony component of the pocket is:
- Trans-gingival probing.

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11. False about osteotomy
a removing mandibular tori is osteoplasty,
b tooth recession and more sensitivity
c loss of tooth bone support
d used for functional crown lengthening for retention (subginigval caries)
they all seem 100% true except d. I'm not sure though

12. Patient who takes phenytoin and has severe gingival overgrowth. We use:
A Ginigvoplasty
B Gingivectomy
C Modified flap

13. Smoking can affect treatment outcome and prognosis of the tooth. Smoking
cessation favorably affects treatment and prognosis.
-1st statement is true, second wrong
-both wrong
-both are true
-1st wrong, second one is true
*in the book, second statement, should be 'treatment outcome'...

14. Excellent, good and hopeless prognoses are the only prognoses that can be
established with reasonable degree of accuracy
-True
-False (this is correct because we don't have excellent prognosis, in the
book it should be good, fair and hopeless)

15. Citric acid role as a bio mediator

a. Removal of smear layer (not sure)
b. Endodoxins on root surface
c. Decreases diameter of dentinal tubules
d. All of the above
e none of the above

16. BMP can stimulate osteoblasts and cementoblasts: True

17. Question about enamel protein matrix and its effect

-Inhibits bone resorption
-Stimulates undifferentiated bone cells (answer not 100% sure)
-Fibroblasts resist bacteria attack

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18. For 2 patients with comparable level of bone and soft tissues loss, prognosis
would be better in:
- Older patient.

19. Elevation of the full thickness flap can be achieved by:

- Periosteal elevator

20. One is true about flaps:

- Should be wide enough to provide accessibility and good blood supply

21. Open flap debridement is done by exposing the supporting alveolar bone and
root surfaces of teeth to aid in SRP:
- True.

22. NSAIDS are not recommended after periodontal surgery:

- False.

23. Key cells for the new periodontal attachment reside within the PDL. So,
epithelial cells should be prevented from proliferating the root surface:
- Both are True.

24. Removal of tori can be achieved by:

- Osteoplasty

25. What is not an advantage of pre operative therapy

a-it minimize the need for surgery
b-it renders tissue firm and consistent
c-reduce the pt fear and apprehension
d-increased attached gingiva make surgery easier
e-may eliminate lesions completely
answer is a + d

26. 50 year old pt with hypertension, upon examination she had multiple site of
m pocket the diagnosis will be
-mild chronic periodontitis
-can't be determined
-moderate chronic periodontitis modified by systemic disease

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27. Pt with gingival enlargement and phenytoin medication. Best TTT?
-modified widman flap
-Gingivectomy
-Ginigvoplasty

28. Instruments can be used for removal of alveolar bone

-Burs
-Chisels
- Rongeur
-Surgical curettes

Papillary Preservation Flap