Name: Score:

35 Multiple choice questions

Term 1 of 35
Which of the following is usually the first treatment in the management of the acute
periodontal abscess?

Site specific antibiotics

Supragingival scaling

Incision and drainage

Leave alone until it becomes chronic

Term 2 of 35
Which one of the following parameters is most reliable in the assessment of the prognosis for
osseointegrated implants?

Color and contour of the gingiva

Bleeding on probing and mobility

Radiographic changes and mobility

Term 3 of 35
Which one of the following factors is the major criterion for success of an implant?

Inflammation

Mobility

Bleeding

Bone level
Term 4 of 35
Which of the following is a prominent feature of NUG?

Tooth mobility

Fetid odor

Pain

Pus

Term 5 of 35
The hormonal changes associated with pregnancy cause an increased incidence of gingival
disease because these changes are associated with an increase in sex hormone levels

Both the statement and the reason are correct and related

Both the statement and the reason are correct but not related

The statement is correct but the reason is not

The statement is not correct but the reason is correct

Neither the statement nor the reason is correct

Term 6 of 35
Cells coming from which one of the following structures is required for successful periodontal
regeneration?

Periodontal ligament

Alveolar bone

Gingival connective tissue

Gingival epithelial
Term 7 of 35
During periodontal surgery, bone is taken from a mandibular torus and placed into a three-wall
periodontal osseous defect. Which one of the following types of bone graft is this?

Allograft

Autograft

Alloplast

Xenograft

Term 8 of 35
All of the following are objectives of using bone grafts or bone replacement materials in the
treatment of intrabony defects except one. Which one is the exception?

Reduction in probing depth

Reduction of bleeding

Gain in clinical attachment

Fill of the defect

Regeneration of the attachment apparatus

Term 9 of 35
In which one of the following drugs a patient is taking is implant placement a contraindication?

IV bisphosphonate

Aspirin

Acetaminophen

Vitamin D
Term 10 of 35
Which one of the following materials is a type of allograft?

Bone from the patient's chin

Demineralized freeze-dried bone

Bone from the patient's hip

Enamel matrix protein derivatives

Bioactive glass particles

Term 11 of 35
Oral irrigation should be used routinely around dental implants because there is no
periodontal ligament attachment to an implant, allowing for easy access of the irrigant to the
implant surface

Both the statement and the reason are correct and related

Both the statement and the reason are correct but not related

The statement is correct but the reason is not

The statement is not correct but the reason is correct

Neither the statement nor the reason is correct

Term 12 of 35
Which of the following disease is a differential diagnosis of necrotizing ulcerative gingivitis?

Chronic periodontitis

Necrotizing ulcerative periodontitis

Primary herpetic gingivostomatitis

Aphthous ulcers
Term 13 of 35
Which one of the following defects heals best when treated with bone grafts or bone
substitutes?

One wall

Two wall

Three wall

Class III furcations

Term 14 of 35
Which one of the following types of dental implants is used most commonly today to support
prostheses?

Submucosal

Subperiosteal

Endosseous

Transoseal

Term 15 of 35
Which one of the following concerns should the dental hygienist be aware of in patients taking
bisphosphonates?

Diabetes

Osteonecrosis of the jaw

Stroke

Hypertension

Respiratory disease
Term 16 of 35
Which of the following is the first step in treating NUG?

Scaling and root planing

Ultrasonic debridement

Systemic antibiotics

Observation

Term 17 of 35
Which one of the following mechanisms explains how increased stress adversely affects the
periodontium?

Increases in subgingival pathogenic bacteria

Increases in estrogen levels results in gingivitis

Less compliance with home care of teeth and gums

Shifts in the concentration of available endotoxins

Term 18 of 35
Smoking affects the periodontium by which of the following mechanisms?

Decreasing the number of melanocytes

Suppressing of the immune system

Altering the metabolism of fibroblasts

Increasing the amount of fibrotic tissue

Decreasing the number of periodontal pathogens

Term 19 of 35
Which of the following treatment is used for a patient with a gingival abscess?
Incision and drainage
Systemic antibiotics
Systemic analgesic
Controlled drug delivery

floss the surgical area

ultrasonic debridement

radiographic changes and mobility

>Incision and drainage

Term 20 of 35
The presence of keratized gingiva is important around implants because it may improve tissue
health

Both the statement and the reason are correct and related

Both the statement and the reason are correct but not related

The statement is correct but the reason is not

The statement is not correct, but the reason is correct

Term 21 of 35
Which of he following substances may be related to periodontal disease activity and low birth
weight
Blood
Suppuration
Gingiva crevicular fluid
Prostaglandin E2
Salivation

Prostaglandin E2
Salivation

Gingival Overgrowth

Periodontal Ligament

Incision And Drainage

Term 22 of 35
All of the following systemic conditions are precautions or contraindications to implant
placement except one. Which one is the exception?

Uncontrolled diabetes mellitus

Controlled hypertension

Smoking AIDS

Term 23 of 35
Which of the following statement about smoking and periodontal disease is true?

Smoking dramatically affects the oral microflora

Past effects of smoking on the periodontium are usually reversible

Current smokers have a low level of tooth mobility

Smokeless tobacco does not increase the incidence of periodontal disease

Smokeless tobacco does not increase the incidence of periodontal disease

Term 24 of 35
All of the following postoperative instructions apply to a patient after a regenerative
procedure using a barrier membrane except one. Which one is the exception?

Floss the surgical area

Rinse the area frequently with diluted water

Use an antimicrobial mouthrinse

Take antibiotics are prescribed

Term 25 of 35
Which of the following similarities is common between dental implants and natural teeth?

Bone interface

Microbial flora

Connective tissue attachment

Probing depths topography

Term 26 of 35
Periodontal diseases may be important risk factor for all of the following medical conditions
except one. Which one is the exception?

Stoke

Hypertension

Diabetes mellitus

Low birth weight babies

Kidney failure
Term 27 of 35
Which one of the following types of material is BioMend membrane?

Polytetraflucorethylene (e-PTFE)

Poly-DL-lactide (PLA)

Polylactic acid/Polyglycolate (PLA/PGA)

Bovine collagen

Term 28 of 35
In which of the following types of instruments are used to clean implant abutments except
one. Which one is the exception?
Teflon
Stainless steel
Nickel
Wood

Nickle

Molybdenum

Copper

Zinc

Term 29 of 35
After surgical placement of a barrier membrane around an intraosseous defect, it is important
to cover the membrane with the flap because

Brushing the area is easier

Bacterial colonization can be prevented

Aesthetics are enhanced

Tooth mobility is reduced to pretreatment levels

Term 30 of 35
Which of the following bacterium in the mouth has been found to possibly infect and obstruct
blood vessels in the heart and brain?

Prevotella intermedia

Fuscobacterium nucleatum

Prophyromonas gingivalis

Campylobacter rectus

Tannerella forsythensis

Term 31 of 35
Which of the following explains why patients with periodontal disease may be at risk for
respiratory disease especially in hospital and nursing homes?
Neglected oral hygiene
Decayed teeth
Collapsed circulatory system
Increased risk for heart disease
Increased risk for other systemic diseases

Gingival overgrowth

Neglected oral hygiene

Decayed teeth

Ultrasonic debridement

Osteonecrosis of the jaw

Term 32 of 35
Which one of the following evidence exists to support the concept of a genetic predisposition
to the periodontal disease?

Presence of a specific type of bacteria

Increased levels of bacterial enzymes in the blood

Association of periodontitis with certain transmitted traits

Transmission of bacteria through saliva from mother to child

Term 33 of 35
All of the following complications may be seen after placement of barrier membranes except
one. Which one is the least likely?

Suppuration

Gingival overgrowth

Soft tissue recession

Membrane exposure

Term 34 of 35
Which one of the following signs indicates implant failure?

Deep probing depths

Edematous tissue

Bleeding

Mobility

Term 35 of 35
Guided tissue regeneration (GTR) focuses on the isolation or exclusion of what type of tissue
cells

Junctional epithelial and gingival connective tissue

Aloveolar bone and sulcular epithelium

Connective tissue and alveolar bone

Alveolar bone and junctional epithelial

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