Framework 44 of 92

Select ONE OR MORE correct answers.

 What are the most likely periodontal diagnoses?

 What is the most likely periodontal diagnosis?
 What is the periodontal condition in the area of teeth ___?
 What is the most likely diagnosis for tooth ___?

A. Clinical gingival health.

B. Gingivitis.
C. Periodontitis.
D. Intact periodontium.
E. Reduced periodontium.
F. Non-periodontitis patient.
G. Stable periodontitis patient.
H. Stage I.
I. Stage II.
J. Stage III.
K. Stage IV.
L. Grade A.
M. Grade B.
N. Grade C.
O. Localized.
P. Generalized.
Q. Molar/incisor pattern/distribution.

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Framework 45 of 92

Select ONE correct answer. / Select ONE OR MORE correct answers.

 What is the periodontal diagnosis?

 What are the periodontal diagnoses?
 What is the periodontal diagnosis for tooth ____?
 What are the periodontal diagnoses for tooth ____?
 What are the periodontal diagnoses in the area of teeth ___?
 What is the diagnosis for implant ___?

A. Clinical gingival health.

B. Intact periodontium.
C. Reduced periodontium stable periodontitis patient.
D. Reduced periodontium non-periodontitis patient.
E. Gingivitis associated with dental biofilm alone.
F. Gingivitis mediated by systemic or local risk factors.
G. Drug-influenced gingival enlargement.
H. Periodontitis.
I. Periodontitis as a manifestation of systemic disease.
J. Necrotizing gingivitis/periodontitis.
K. Necrotizing gingivitis.
L. Necrotizing periodontitis.
M. Necrotizing stomatitis.
N. Periodontal abscess.
O. Endodontic-periodontic lesion.
P. Acquired gingival/periodontal deformity.
Q. Developmental gingival/periodontal deformity.
R. Peri-implant health.
S. Peri-implant mucositis.
T. Peri-implantitis.
U. Normal pulp.
V. Reversible pulpitis.
W. Symptomatic irreversible pulpitis.
X. Asymptomatic irreversible pulpitis.
Y. Pulp necrosis.
Z. Normal apical tissues.
AA. Symptomatic apical periodontitis.
BB. Asymptomatic apical periodontitis.
CC. Acute apical abscess.
DD. Chronic apical abscess.
EE. Root fracture.

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Framework 46 of 92

Select ONE OR MORE correct answers.

Which of the following are required to establish a diagnosis and finalize the treatment plan for tooth
___?

A. Bite-wing radiograph.
B. Horizontal bite-wing radiograph.
C. Vertical bite-wing radiograph.
D. Periapical radiograph.
E. Panoramic radiograph.
F. Cone beam computed tomography (CBCT).
G. Pulp vitality testing.
H. Periodontal probing.
I. Root trunk/furcation assessment.
J. Tooth percussion.
K. Application of pressure on cusp(s) (Tooth Slooth®).
L. Assessment of tooth mobility.
M. Palpation.
N. Evaluation of occlusion.
O. Evaluation of restorations).
P. Caries removal for diagnosis and temporization.

Virtual OSCE® Frameworks 50 /97

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Framework 47 of 92

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 Which of the following factors contributes to the periodontal status?

 Which of the following factors contribute to the periodontal status?
 Which of the following factors contributes to the condition in the area of teeth __?
 Which of the following factors contribute to the condition in the area of teeth ___?
 Which of the following factors contribute to the periodontal condition in the area of implant ___?

A. Dental biofilm and/or calculus.

B. Toothbrush-induced trauma.
C. Traumatic occlusal forces.
D. Denture-induced trauma.
E. Inadequate interproximal contact(s)/food impaction.
F. Deficient and/or overcontoured restorations.
G. Violation of supracrestal tissue attachment.
H. Furcation involvement.
I. Tooth crowding and/or root proximity.
J. Root morphology and/or developmental tooth anomaly.
K. Root fracture and/or perforation.
L. Pulpal status.
M. Pulp necrosis.
N. Gingival phenotype (biotype).
O. Periodontal phenotype (biotype).
P. Patient medication(s).
Q. Tobacco use.
R. Systemic factors.
S. Proinflammatory cytokine levels.

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Framework 48 of 92

Select ONE correct answer. / Select ONE OR MORE correct answers.

 Which treatments/procedures should be performed during the initial periodontal management

(Phase I)?
 What is the most appropriate management for tooth ____?
 What is the initial management in the area of teeth ____?

A. Scaling and root planing/periodontal debridement.

B. Scaling and prophylaxis.
C. Caries management.
D. Chlorhexidine mouth rinse therapy.
E. Local application of antibiotics.
F. Systemic antibiotic(s).
G. Occlusal adjustment.
H. Splinting.
I. Bite plane/mouth guard fabrication.
J. Orthodontic tooth movement.
K. Dental implant placement.
L. Dental implant removal.
M. Periodontal flap surgery.
N. Gingival graft(s).
O. Free gingival graft.
P. Replacement of defective restoration(s)/removal of overhang(s)/temporization.
Q. Replacement of defective restoration(s).
R. Removal of overhang(s).
S. Placement of temporary restoration.
T. Fixed/removable partial dentures.
U. Denture adjustment/modification.
V. Endodontic therapy.
W. Extraction.

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Framework 49 of 92

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 Which periodontal surgical procedure is the most appropriate for tooth ____?
 Which periodontal surgical procedure are appropriate for tooth ____?
 Which periodontal surgical procedure is the most appropriate for teeth ____?
 Which periodontal surgical procedure are appropriate for teeth ___?

A. No surgical procedure required.

B. Open flap debridement.
C. Flap with osseous surgery.
D. Flap without osseous surgery.
E. Coronally positioned flap.
F. Laterally positioned flap.
G. Gingival graft(s).
H. Free gingival graft.
I. Subepithelial connective tissue graft.
J. Regenerative surgical therapy.
K. Surgical crown lengthening.
L. Gingivectomy.
M. Frenectomy.
N. Surgical tooth crown exposure.
O. Distal wedge.
P. Root amputation.
Q. Hemisection.
R. Extraction.

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Framework 50 of 92

Select ONE correct answer. / Select ONE OR MORE correct answers.

 Which periodontal surgical procedure is the most appropriate?

 Which periodontal surgical procedures are appropriate?

A. No surgical procedure is required.

B. Frenectomy.
C. Gingivectomy.
D. Free gingival graft.
E. Subepithelial connective tissue graft.
F. Flap surgery with osseous recontouring.
G. Flap surgery without osseous recontouring.
H. Crown lengthening.
I. Distal wedge.
J. Regenerative surgical therapy.
K. Guided tissue regeneration.
L. Bone graft.
M. Surgical tooth exposure.
N. Root amputation.
O. Hemisection.
P. Extraction.

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Framework 51 of 92

Select ONE correct answer.

A [procedure] has been planned for tooth ___. What is the most appropriate flap/incision design to use?

A. Partial thickness flap.

B. Full thickness flap.
C. Envelope flap.
D. Triangular flap (one vertical releasing incision).
E. Rectangular flap (two vertical releasing incisions).
F. Coronally positioned flap.
G. Laterally positioned flap.
H. Apically positioned flap.
I. Sulcular incision.
J. Vertical releasing incision.

Virtual OSCE® Frameworks 55 /97

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Framework 52 of 92

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 What is the periodontal management?

 What is the most appropriate management of tooth ___?
 What is the most appropriate management of the area of teeth ____?

A. Oral hygiene reinforcement.

B. Redo scaling and root planing/periodontal debridement and re-evaluate in 4-8 weeks.
C. No management and re-evaluate in 4-8 weeks.
D. Periodontal maintenance every 3 months.
E. Periodontal maintenance every 6 months.
F. Chlorhexidine mouth rinse.
G. Locally delivered antibiotics.
H. Systemic antibiotics.
I. Occlusal adjustment.
J. Splinting.
K. Bite plane/mouth guard fabrication.
L. Gingival graft(s).
M. Replacement of defective restoration(s)/removal of overhang(s)/temporization.
N. Endodontic therapy.
O. Flap surgery with osseous recontouring.
P. Flap surgery without osseous recontouring.
Q. Regenerative surgical therapy.
R. Gingivectomy.
S. Distal wedge.
T. Extraction.

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Framework 53 of 92

Select ONE OR MORE correct answers.

What is the most appropriate course of action?

A. Evaluate for the presence of systemic factors.

B. Redo periodontal debridement and re-evaluate in 4-8 weeks.
C. Continue with periodontal maintenance/recall every 3 months.
D. Chlorhexidine mouth rinse.
E. Systemic antibiotics.
F. Splinting.
G. Bite plane/mouth guard fabrication.
H. Gingival graft(s).
I. Flap with or without osseous surgery.
J. Regenerative surgical therapy.
K. Gingivectomy.
L. Endodontic therapy.
M. Extraction.

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Framework 54 of 92

Select ONE correct answer.

What is the diagnosis for tooth ___?

A. Recession Type 1 (RT1).

B. Recession Type 2 (RT2).
C. Recession Type 3 (RT3).

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Framework 55 of 92

Select ONE OR MORE correct answers.

 Which of the following contribute to the periodontal condition of tooth ___?

 Which of the following contribute to the periodontal condition in the area of teeth ___?

A. Dental biofilm and/or calculus.

B. Periodontitis.
C. Periodontal phenotype (biotype).
D. Thin periodontal phenotype (biotype).
E. Thick periodontal phenotype (biotype).
F. Toothbrush-induced trauma.
G. Self-induced injury.
H. Intraoral jewellery.
I. Caries.
J. Noncarious cervical lesions.
K. Cervical restoration(s).
L. Subgingival restorative margin.
M. Lack of attached gingiva.
N. Aberrant frenum/muscle position.
O. Tooth position too far buccally.
P. Shallow vestibular depth.
Q. Tobacco use.

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