Peridontics

Which of the following periodontal disease does not have calculus :
A
ANUG
B
Chronic adult periodontitis
C
Juvenile periodontitis **
D
Periodontal abscess
Phenytoin causes gingival :

A
Inflammation
B
Hyperplasia **
C
Atrophy
D
Aplasia
During a maintenance appointment, which of the following measures is most appropriate to

assess the periodontal health status ?
A
Plaque index
B
Gingival index **
C
Calculus score
D
Decayed, missing and filled teeth
Which of the following is a major contraindication to resection of crestal bone ?

A
Gingival recession
B
Postsurgical infection
C
Removal of healthy bone
D
Weakening of support of an adjacent tooth **
To re-establish proper gingival contours gingivectomy is the surgical procedure of choice for all
of the following conditions, except :
A
Phenytoin induced overgrowth
B
Suprabony pockets
C
Pseudopockets
D
Infrabony pockets **
Most common site of occurrence of lateral periodontal cyst is :
A
Between maxillary premolars
B
Mandibular third molar area
C
Maxillary tuberosity area
D
Between mandibular cuspid and premolar **
The graft with maximum osteogenic potential is :

A
Allograft
B
Xenograft
C
Autocortical
D
Autocancellous **
Main port of leukocyte to the oral cavity is :

A
Cheek mucosa
B
Gingival crevice **
C
Dorsum of tongue
D
Ventral aspect of tongue
Which of the instrument should remain parallel to the long axis of the tooth ?
A
Blade
B
Handle
C
Cutting edge
D
Shank **
The loss of attachment will be equal to the pocket depth when :

A
The gingival margin is apical to the CEJ
B
The gingival margin is coronal to the CEJ
C
The gingival margin coincides with the CEJ **
D
The gingival margin coincides with the base of pocket
The T-lymphocyte and B-lymphocyte ratio in periodontal ligament is :

A
3 : 1 **
B
1:3
C
1.3 : 3.1
D
3.1 : 1.3
Odontoplasty is indicated in :
A
Grade I furcation involvement **
B
Grade II furcation involvement
C
Grade III furcation involvement
D
Grade IV furcation involvement
Markedly excessive force on teeth results in all of the following except :

A
Apical abscess
B
Root resorption
C
Necrosis of periodontal ligament
D
Alveolar bone resorption
Treatment of choice for generalized fibrous gingival hyperplasia is :

A
Lateral pedicle flap
B
Full thickness flap surgery
C
Gingivectomy **
D
Root planning and curettage
The classification of bony defects most helpful in determining the likelihood of repair after
periodontal treatment is based on :
A
Depth of the bony defect
B
Number of bony walls of the defect **
C
Distance between facial and lingual walls of the defect
D
Distance from the crest of the defect to the CEJ
During passive eruption of the tooth junction epithelium proliferates from the crown on to the
root and lies on the cementum in :
A
Stage one
B
Stage two
C
Stage three **
D
Stage four
In periapical surgery which of the following flap designs limits access to the operative site and
often heals scar formation ?
A
Envelope
B
Semilunar **
C
Triangular
D
Rectangular
An iodine test is done on a lesion of the oral mucous membrane. The lesion takes up the dark
blue color of iodine but the adjacent mucous dose not, the lesion could be :
A
Leukoplakia
B
Erosive lichen planus
C
Traumatic ulcer **
D
Erythroplakia
In a healthy gingival, the distance between gingival margin and free gingival groove is :
A
0.1 – 0.5 mm
B
0.5-1 mm
C
0.5 – 1.5 mm
D
1.2 mm **
If the maxillary right second molar is treated successfully the distal furcation involvement can
best be kept plaque-free by using :
A
Dental floss
B
Perio aid **
C
Stimudent
D
Rubber tip stimulator
In Grade II furcation defect :

A
There is partial loss with or without gingival recession **
B
The prognosis for regeneration of periodontal tissue is good
C
. There is total bone loss without gingival recession
D
The prognosis for regeneration of periodontal tissue is poor
The most important sign and symptom of marginal gingivitis :

A
Redness **
B
Pain
C
Pocket formation
D
Soft, swollen gingival
Plaque tends to form most rapidly :

A
While eating food
B
Just before brushing teeth
C
During sleep **
D
Plaque forms at constant rate
The primary cause of an inflammatory reaction to an overhanging gingival margin of a

restoration is :
A
Food impaction
B
Retention of plaque **
C
Compression of soft tissues
D
Mechanical irritation to tissues
The anatomic crown is shorter than the clinical crown of a tooth in which of the following
instances ?
A
Impaction
B
Gingivitis
C
Occlusal wear
D
Gingival recession **
A pyogenic granuloma :
A
It is also referred to as pregnancy tumor **
B
Tends to occur frequently in case of phenytoin hyperplasia
C
Is associated with gingival recession
D
Is usually treated with antibiotics
The consistency of the subgingival calculus is described to be :

A
Clay like
B
Flint like **
C
Brick like
D
Soft
A 10-year-old girl has an appointment for a prophylaxis. This patient reports that for three days,
she had has had severe pain in the attached gingival surrounding here mandibular anterior teeth.
She has an oral temperature of 1010F. The dental hygienist observes that the tissues in the
surrounding area bleed easily and are erythematous and ulcerated. Which of the following can
most likely be expected ?
A
Aphthous stomatitis
B
Juvenile periodontitis
C
Early onset periodontitis
D
Herpetic gingivostomatitis **
Occlusal night guards are used to :

A
Reduce pocket formation
B
Redistribute forces on teeth **
C
Prevent bruxism
D
Restore vertical facial height
The significance of an amalgam overhang as an etiologic agent in chronic periodontal disease

has to do mainly with its role as :
A
Mechanical irritant
B
A plaque retaining area **
C
A non-defecting tooth surface
D
An over-contoured tooth surface
Most reliable diagnostic aid in periodontal disease :

A
Radiograph
B
Visual criteria
C
Periodontal probe **
D
Explorer
Nifedipine can be replaced by and this dose not cause gingival enlargement :
A
Verapamil
B
Diltiazam
C
Isradipine **
D
Nicardipine
The area within the periodontium most suspceptible to tissue breakdown is the :
A
Attached gingival
B
Interdental gingival
C
Interdental col **
D
Gingival sulcus
Phenytoin induced gingival enlargements occurs in mouth devoid of local irritants. The
enlargement disappears in mouth in which teeth are extracted :
A
Both the statements are true **
B
The first statement is true and second false
C
The first statement is false and second true
D
Both the statements are false
Blanching of the oral mucosa is associated with :

A
Scleriderma
B
Riboflavin deficiency
C
Oral submucous fibrosis **
D
Thiamine deficiency
Which of these factors causes recurrence of ANUG :

A
Pericoronal flap **
B
Adequate local therapy
C
Anterior openbite
D
Posterior openbite
Gracey curette No. 11-12 are used for :

A
Anterior teeth
B
Posterior teeth mesial **
C
Posterior teeth distal
D
Posterior teeth facial and lingual
The periodontopathogens found in slowly progressing periodontitis include :

A
Actinomyces viscosus
B
Bacterides gingivalis **
C
Veillonella parvula
D
Streptococcus mitis
Which of the following noted during periodontal re-evaluation indicates active periodontal
disease ?
A
Loss of stippling
B
Hypersensitivity
C
Pain in response to probing
D
Bleeding during circumferential probing **
Of the following which are the most successful methods of preventing periodontal disease ? 1.
Antibiotics 2. Vitamin supplements 3. Personal oral hygiene 4. Regular oral prophylaxis
A
1, 3 and 4
B
2 and 3 only
C
2, 3, 4
D
3 and 4 only **
Which of the following is the role of barrier membrane in GTR ?

A
To help overall healing
B
Prevention of epithelial migration **
C
To stop bleeding
D
To prevent the underlying tissues from the infection
Which of the following is the most important sign or symptom of marginal gingivitis ?
A
Pain
B
Redness **
C
Hyperplasia
D
Pocket formation
A procedure done to eliminate periodontal pocket and increase the width of attached gingival is
termed as :
A
Laterally displaced flap
B
Apically displaced flap **
C
Papilla preservation flap
D
Modified Widman flap
An advanced diagnostic technique which has been suggested as an alternative to culture

methods is :
A
Phase contrast microscopy **
B
Direct immunefluorescence
C
Latex agglutination
D
Indirect immunofluorescent microscopy assays
Erosion commonly occurs on the :
A
Occlusal surfaces of teeth
B
Proximal surfaces of teeth at the contact area
C
Lingual surfaces of teeth
D
Labial surfaces of teeth in gingival third **
The area of oral cavity most severely affected by gingivitis is :

A
Interproximal, upper arch **
B
Interproximal, lower arch
C
Buccal, upper arch
D
Lingual, lower arch
Which of the following is used in the management of haemophilic patient ?

A
Tranexamic acid **
B
Acetic acid
C
Ascorbic acid
D
Palmitic acid
The rate of calculus formation can be retarded by :

A
Using disclosing solution
B
Minimizing fluoride uptake
C
Using an enzyme dentifrice
D
Having plaque removal regularly **
Antibacterial component of saliva is :

A
Lysozyme **
B
Statherin
C
Peroxide
D
Ptyalin
Bioglass is used in :
A
Root bio-modification
B
Resective osseous surgery
C
Regenerative osseous surgery **
D
Mucogingival surgery
Conditional gingival enlargements is usually not :

A
Hormonal
B
Leukemic
C
Granuloma pyogenicum
D
Drug induced **
Bone/periosteum is scored during grafting procedure in order to :

A
Prevent marsupialisation of graft **
B
Prevent infection
C
Prevent bleeding after grafting
D
None of the above
A patient reports to a dental hygienist that a tooth restored three weeks ago seems high and is
sensitive to mastication. Gingival assessment reveals periodontal probing less than 3 mm with no
bleeding upon probing. This condition is most likely to cause which of the following ?
A
Fremitus **
B
Tooth migration
C
Pocket formation
D
Periodontal abscess
An automated measurement of mobility can be carried out by using a vibrating device called :
A
Periodontometer **
B
Periotron
C
Florida probe
D
Pressure sensitive probe
The width of normal periodontal ligament increases :

A
In absence of function
B
As the age advances
C
With decrease in function
D
During period of heavy function **
Which microorganism has 90% presence in localized aggressive periodontitis ?

A
Spirochetes
B
Pigingivalis
C
P. Intermedia
D
A. actinomycetemcomitans **
Which of the following is a symptom ?

A
Deep gnawing pain **
B
Periodontal pocket
C
Pain on percussion
D
None of the above
Which of the following root surfaces are most likely to have fluting which will make root
planning difficult ?
A
Distal surfaces of mandibular canine **
B
Mesial or distal surfaces of mandibular incisors
C
Mesial or distal surfaces of mandibular premolars
D
Mesial surfaces of maxillary lateral incisors
Which type of gingival enlargement is seen in puberty ?

A
Interdental papillae appear bulbous but facial gingiva is not affected
B
Interdental papillae and facial gingiva both are enlarged. **
C
Interdental gingival marginal gingival and attached gingiva all are enlarged
D
Both marginal gingival and attached gingival are enlarged
The major role of initial therapy is the :

A
Elimination or control of all etiological factors **
B
Alleviation of all emergency procedures
C
Removal of calculus
D
None of the above
The periodontal fibers which are consistent and are reconstructed even after destruction of
alveolar bone is :
A
Alveolar crest group
B
Transseptal group **
C
Oblique fibres
D
Apical fibres
Occlusal trauma may be best defined as a condition caused due to :

A
The pressure on the teeth due to lack of proper arch alignment
B
Failure of the occlusal balance bilaterally
C
The force or the pressure beyond the physiological limits of the periodontium **
D
The force or the pressure within which the physiological limits of the periodontium
The flap technique for pocket elimination and to increase in width of attached gingival :
A
Coronally positioned flap
B
Apically prepositioned flap **
C
Lateral pedicel flap
D
Plateau like defect caused by resorption of thickened bone is called as :

A
Crater
B
Reversal of architect
C
Ledges **
D
Angular defect
Dental plaque is formed by enzymatic reactions of which of the following ?

A
Glucose and lipid
B
Sucrose and protein **
C
Glucose and saliva
D
Sucrose and saliva
The term pyorrhoea alveolaris was coined by :

A
Adolph Witzel
B
Alphonse Toirac **
C
John W Riggs
D
WD Miller
Plaque is a causative agent in chronic inflammatory periodontal disease because it :

A
Is a precursor to calculus
B
Allows for bacterial growth
C
Mechanically irritates gingival
D
Produces biochemical irritants **
In primary trauma from occlusion :

A
The blood vessels present in periodontal ligament rupture and release contents in surroundings
space **
B
Adaptive capacity of tissues to withstand occlusal forces is impaired resulting in injury from
normal forces
C
The alveolar bone is not damaged
D
Bifurcations and trifurcations are less susceptible to injury related to this condition
What percentage of dentin contains collagen ?

A
5%
B
19%**
C
40%
D
68%
What is inter proximal distance required to produce angular detected ?

A
>2.25 mm
B
> 2.5 mm **
C
>5.2 mm
D
>5.25 mm
Necrotic slough is seen most commonly in :

A
Free gingival grafting **
B
Pedicle grafting
C
Lateral sliding grafting
D
None of the above
Predominant cell type most frequently found in periodontal ligament is :

A
Fibroblast **
B
Osteoclast
C
Osteoblast
D
None of the above
Which of the following groups of principal fibers is likely to be absent from the periodontal
ligament of central incisor of a 6-year-old child ?
A
Alveolar crest
B
Transseptal
C
Horizontal
D
Apical **
The blood supply to gingival is derived from all the sources gives here except :
A
Supraperiosteal
B
Vessels of the periodontal ligament
C
Arterioles emerging from text of interdental septa
D
Arterioles from the pulpal branches **
Too low a current in an electrosurgical electrode can be detected by :

A
Hemorrhage
B
Tissue drag **
C
Tissue sparking
D
None of the above
Wavelength of the laser CO2 and Nd:YAG used for gingivectomy is :

A
10,600 nm and 1064 mm **
B
16,00 mm and 164 nm
C
10,600 mm and 1064 mm
D
16,00 mm and 164 mm
Which of the following statements about calculus is false ?

A
A rise in the pH of the saliva causes precipitate of calcium phosphate
B
Sublingual calculus is a product rather than a cause of periodontal pocket
C
Principal irritating factor is the surface plaque rather than the underlying calculus
D
Crystalline inorganic component of calculus does not consist of hydroxyapatite crystals **
Fate of free gingival grafts is :

A
Proliferation
B
Degeneration **
C
Re-epithelialization
D
Absorption
Bleeding on probing is indicative of :

A
Attachment loss
B
Occlusal trauma
C
Horizontal bone loss of interproximal crest
D
Ulceration of sulcular epithelium **
Occlusal forces exceeding physiologic limit of periodontium result in which of the following
radiographic changes ?
A
Widening of periodontal ligament spaces and loss of clarity of lamina dura **
B
Widening of periodontal ligament spaces and increased density of lamina dura
C
Narrowing of periodontal ligament space and loss of clarity of lamina dura
D
Narrowing of periodontal ligament space and increased density of lamina dura
A patient a generalized, 4 mm Gingival recession on maxillary anterior teeth. During periodontal

probing, sulcus depths of 3 mm. On the interproximals of all teeth are recorded. Which of the
following can be concluded ? 1. There is increased clinical crown length 2. There is a 7 mm loss of
gingival attachment 3. The patient has periodontitis 4. The patient has traumatic occlusion 5. The
patient probably had previous periodontal surgery
A
1, 2, 5 **
B
1, 4
C
2, 3
D
2, 4, 5
If a known but treated use of congested heart disease presents with congestive signs/symptoms,
during periodontal procedure, he should be paced in :
A
A nerve Trendelenberg position **
B
Upright position
C
Head down position
D
Lateral reclining position
Drug replaced in cases of nifedipine induced gingival overgrowth :

A
Phenytoin
B
Diltiazem
C
Felodipine
D
Isradipine **
In diabetes mellitus the microscopic changes reported in the gingival include all except :
A
Thickening of basement membranes
B
Narrowing of lumina of capillaries
C
Osteosclerotic changes **
D
Increased fuchsinophilia
Which is an example of non-graft associated regenerative technique ?

A
HTR polymer
B
Bioactive glass
C
Osseous coagulum
D
GTR **
Endotoxin acting on cementum is obtained from :

A
Bacteria **
B
Sulcular fluid
C
Saliva
D
Junctional epithelium
In soft toothbrush the diameters of commonly used bristles are :

A
0.002 mm
B
0.02 mm
C
0.2 mm **
D
2 mm
Which of the following tissue responses may occur as a reaction to orthodontic bands ?
A
Marginal gingivitis **
B
Gingival fibrosis
C
Ulcerative gingivitis
D
Fulminating periodontitis
Average specific gravity of salvia is :

A
1.001
B
1.010
C
1.020
D
1.003 **
During bone reduction procedures, surface necrosis occurs when temperature generated ranges
between :
A
15-170C
B
25-270C
C
35-370C
D
45-470C **
The accepted distance between the patient’s oral cavity and clinician eye is :
A
15 inches **
B
15 cm
C
15 feet
D
15 mt
Free gingival groove is present in about :

A
90% of cases **
B
50% of cases
C
Only some patients
D
All the patients
Primary herpetic gingivostomatitis usually occurs :

A
Prior to age 10 **
B
Between 13 and 30
C
At onset of menstrual period
D
During menopause
Primary colonization of plaque is dominated by :

A
Facultative aerobic gram-positive rod
B
Facultative anaerobic gram-negative rods
C
Facultative aerobic gram-negative cocci
D
Facultative anaerobic gram-positive cocci **
Amount of tooth structure removed during ultrasonic scaling is :

A
11.6 µm **
B
93.5 µm
C
108.9 µm
D
118. 7 µm
Which of the following regimen is not likely to influence periodontal therapy ?

A
Nifedipine
B
Antihistamines **
C
Warfarin
D
Corticosteroids
Flap with no vertical incision is called :

A
Trapezoidal
B
Triangular
C
Envelope **
D
Semilunar
The periodontal membrane is variable in thickness :

A
Alveolar crest
B
Apical area
C
Mid-root section
D
Fulcrum **
Necrotizing ulcerative gingivitis is best described as :

A
A chronic disease of fusospirochetal origin
B
A highly contagious disease of unknown etiology
C
An acute, ulcerative disease in which staphylococci predominate
D
A noncontagious acute disease **
The actinobacillus Actinomycetem comitans is renamed as Aggregatibacter Actinobacillus by :

A
Norskov and Killian **
B
Mahmoud Tamizi
C
Haim Tal, Dan Oegiesser
D
Gregory E Phillips, Vanchit John
Kirkland and orban knives are used for :
A
Curettage
B
Root planning
C
Frenectomy
D
Gingivectomy **
Linear gingival erythema is a characteristic feature of :

A
ANUG
B
Acute herpetic gingivostomatitis
C
HIV-gingivitis **
D
Chronic gingivitis
Which cutting edge is used in gracey curette ?

A
Inner edge
B
Outer edge **
C
Both inner and outer edge
D
Face of the blade
Jean Smith returned for a post-treatment evaluation. She had root planning on Teeth #2 through
7 four weeks ago. A dental hygienist observed a draining asymptomatic fistula on the facial of #5.
All other areas are healing well. New periodontal probing on the facial are 3, 4, 4. Former
probings were 5, 6, 5. The tooth tests vital and has no restoration or color change. Which of the
following is the most likely explanation ?
A
The tooth is endodontically involved, and has nothing to do with the periodontal treatment
received.
B
This is a result of aggressive root planning and healing will occur in 7 to 10 days
C
Marginal gingival tissue has healed, limiting access of the probe, even though deposit remains **
D
This is a combination endodontic/periodontal problem
A simple method of educating a child patient to the dental problem is :

A
The Snyder test
B
Enamel solubility test
C
The use of disclosing solution **
D
Using the phase microscope to examine the plaque
An early effect of primary traumatic occlusion is :

A
Vertical pocket formation
B
Generalized bone loss
C
Undermining resorption of alveolar bone
D
Hemorrhage and thrombosis of PDL **
Following metal is most commonly used as an endosteal implant :

A
Titanium **
B
Stainless steel
C
Cobalt –Chromium
D
Aluminium
Pyogenic granuloma histological resembles :

A
Pregnancy tumor **
B
ANUG
C
Periapical granuloma
D
Peripheral giant cell glanuloma
The brushing technique recommended for patient with periodontal disease is :

A
Scrub technique
B
Sulcular technique **
C
Roll technique
D
Circular technique
Which of the following immunoglobulin is present in higher concentration in gingival crevicular

fuild ?
A
IgA
B
IgG **
C
IgE
D
IgM
The primary role of chaperones is to help in :

A
Protein synthesis
B
Protein degradation
C
Protein denaturation
D
Protein folding **
Choose the most effective mechanical device for cleaning concave interdental surfaces of teeth :
A
Conventional toothbrushes
B
Powered toothbrushes
C
Triangular tooth picks
D
Interdental brushes **
The purpose of flossing with dental flossa is :

A
Removal of plaque **
B
Removal of food wedged in between two teeth
C
Removal of dental pellicle
D
Removal of calculus
The width of keratinized gingival is :

A
The distance between the free gingival groove and mucogingival junction
B
The distance between the crest of free gingival and mucogingival junction **
C
The distance from the base of gingival sulcus or periodontal pocket, along the epithelial surface
over the crest of free gingival to the mucogingival junction
D
The distance between the mucogingival junction and the projection on the external surface of the
bottom of the sulcus or the periodontal pocket
The oral ulcers that heal with scars are suggestive of :

A
Minor aphthae
B
Major aphtae **
C
Herpetiform aphthae
D
Aphthous pharyngitis
All of the following about Down syndrome are true except :

A
PDL degeneration takes place
B
Tooth never exfoliates though there is advanced PDL loss **
C
Deep periodontal pockets associated with a substantial plaque
D
Acute necrotizing lesions are a frequent finding
The primary reason for removing calculus from root surfaces is because it :
A
Alters cementum
B
Harbors plaque organisms **
C
Pushes against the junctional epithelium
D
Acts as a mechanical irritant against soft tissues
Water irrigating devices are used :

A
As an adjunct to toothbrush
B
Replaces toothbrush
C
Alters the plaque and increases the gingival health **
D
Kills the bacteria
Which of the following alteration in papillary contour is a sign of previous infection with
necrotizing ulcerative gingivitis ?
A
Edema
B
Atrophy
C
Cratering **
D
Recession
Which of the following is not a cause of gingival hyperplasia ?

A
Excessive intake of vit.A **
B
Phenytoin
C
Persistent local irritation
D
Inherited traits
Radiographs will show :

A
Relationship between soft and hard tissue
B
Degree of tooth mobility
C
Extent of all bone loss
D
None of the above **
The local drug delivery system “elyzol” contains :

A
Metronidazole **
B
Penicillin
C
Sanguinarine
D
Tetracycline
CADIA system is used to assess :

A
Occlusal trauma
B
Furcation involvement
C
Gingival enlargement
D
Periodontal disease progression **
Thick manageable true pockets with no recession are best treated by :

A
Langer’s technique
B
C
Free gingival graft
D
Touch funnel pocket
After curettage re-epitheliazation occurs in :

A
1-2 days
B
2-3 days
C
1 week **
D
2 weeks
What is Epitatic concept ?

A
Seeding agent theory of calcification **
B
Colloidal theory
C
Phosphatase theory
D
Increase in the βH
Elimination of preliminary inflammation is the prime objective of :

A
Root planning and curettage **
B
Occlusal equilibration
C
D
Laser sugery
What percent of craters form mandibular defects ?

A
62% **
B
26%
C
6.2%
D
2.6%
The normal appearances of gingival after a flap surgery is attained within :

A
1 to 2 weeks
B
5 to 8 weeks
C
4 weeks **
D
2 to 3 weeks
The teeth are in occlusal contact for the following percent of times in a day :
A
94%
B
10-15%
C
6-8%
D
2-6% **
A simple method of educating a child patient to the problem of caries control is :

A
Snyder test
B
Use of disclosing solutions **
C
Microscopic study of plaque
D
Collagen fibers that emerge from the supra-alveolar part of cementum and pass outward
beyond the alveolar crest in an apical direction into the mucoperiosteum are called as :
A
Circular fibers
B
Dentogingival fibers
C
Dentoperiosteal fibers**
D
Interpapillary fibers
The active ingredient present in tartar control toothpaste is :

A
Pyrophosphate **
B
Metaphosphate
C
Carboxymethyl
D
Bicarbonate
All of the mentioned causes TFO except :

A
Prosthesis exerting greater force on the abutment
B
Low filling restoration **
C
Extrusion of tooth
D
Drifted tooth
A gingival abscess usually :

A
Involves the marginal and attached gingival
B
Occurs in disease-free areas **
C
Is not painful
D
Extends to underlying periodontal ligament
Plaque predominantly consists of :

A
Water
B
Dextran
C
Bacterial colonies **
D
Minerals
A procedure done to eliminate periodontal pocket and increase the width of attached gingival is
termed as :
A
B
C
D
Periotemp probe which measures elevation in sulcular temperature in due to periodontal disease
activity can detect temperature differences from a referenced subgingival temperature of :
A
0.0010C
B
0.010C
C
0.10C **
D
1.00C
A patient has cheliosis, angular stomatitis, glossitis, red, itching eyes. The periodontal surgery that
was performed on week ago has not healed properly. Deficiency of which of the following
vitamin is most likely ?
A
Thiamin
B
Riboflavin **
C
Tocopherol
D
Calciferol
No collagen is seen in :
A
Acellular extrinsic fiber cementum
B
Acellular afibrillar cementum **
C
Mixed stratified cementum
D
Intermediate cementum
During calculus removal, the surface of the root feels smoothest following scaling with :
A
Periodontal file
B
An ultrasonic instrument
C
A hoe
D
A periodontal curret **
The graft with maximum osteogenic potential is :

A
Allograft
B
Xenograft
C
Auto-cortical
D
Auto-cancellous **
A true pocket, as distinguished from a pseudopocket is characterised by :

A
Gingival bleeding
B
Inflammation of the gingival
C
Apical movement of the junctional epithelium **
D
Gingival proliferation in a coronal direction
Which of the following procedures may cause dehydration and destruction of tissues ?
A
Electrosection
B
Electrocoagulation
C
Fulguration **
D
All of the above
The percentage of children with stippling between 5 and 13 years is about :

A
50%
B
90%
C
35% **
D
20%
A 2-year-old developing plaque consists primarily of :

A
Filamentous organisms
B
Siprochetal organisms
C
Gram-positive cocci and rods **
D
Gram-negative motile organism
Gracey curettes :
A
Can work with either cutting edge
B
Are curved in 2 planes **
C
Have their blade angled approx 80 degree to lower shank
D
Gracey no. 7-8 can be used for premolars
Trellis effect occurs with ingrowth of capillaries in new connective tissue is also referred as :
A
Fibrogenesis
B
Osteogenesis
C
Osteoinduction
D
Osteoconduction **
Surgery being performed to increase zone of attached gingiva in the region of mandibular
molar, is often complicated by the presence of the :
A
Temporal muscle attachment
B
External oblique ridge **
C
Mylohyoid ridge
D
Internal oblique ridge
The technique of collection of gingival fluid pioneered by Brill et al in 1958 involved :

A
Placing filter paper strip into the pocket until resistance was felt **
B
Having filter paper strip just at the entrance of the pocket
C
Placing filter paper over the pocket entrance
D
Staining of filter paper with ninhydrin stain
Which of the following is not a chemical mediator of the inflammatory response in the
periodontal ligament ?
A
Histamine
B
5-hydroxytryptamine
C
Heparin
D
Glucouronidase**
Purulent exudation from the gingival sulci is an indication of :

A
Deep pockets
B
Severe periodontal attachment loss
C
Nature of the inflammatory changes in the pocket wall **
D
Shallow pockets
Tissue changes occurring in teeth no longer in function :

A
Widening of periodontal ligament
B
Increased trabeculation
C
Cemental atrophy **
D
All of the above
Which percentage of sodium fluoride is used in iontophoresis ?

A
1%
B
2% **
C
3%
D
4%
Coronoplasty should be carried out in patients with :

A
Occlusal prematurities
B
Parafunctional habits
C
Signs of trauma from occlusion **
D
Any of above feature
Initial therapy does not include :

A
Bone grafting **
B
Scaling and root planning
C
Occlusal adjustment
D
Alleviation of all emergencies, rampant caries, chief complaint, iatrogenic restorations
In Down Syndrome patients which of the following periopathogen increases in number ?

A
P. Intermedia **
B
P. Gingivalis
C
T. Forsythus
D
F. Nucleatum
Which is type of gingival enlargement which is seen with “Tuberous sclerosis” ?

A
Plasma cell gingival enlargement
B
Idiopatic gingival enlargement **
C
Drug induced gingival enlargement
D
Enlargement in pregnancy
The condition in which patient presents with normal leukocyte count or less than normal and
there are no abnormal cells in the peripheral blood :
A
Aleukemic leukemia **
B
Subleukemic leukemia
C
Acute leukemia
D
Chronic leukemia
Instrumentation zone in periodontal therapy is :

A
Deep periodontal pocket
B
CE junction
C
Exposed root surface
D
The portion of the tooth where calculus or necrotic cementum is formed **
One of the following is not a type of stroke used during periodontal instrumentation :
A
Exploratory stroke
B
Probing stroke **
C
Scaling stroke
D
Root planing stroke
An extrinsic stains occurs ;

A
One composite filling only
B
On nonvital teeth only
C
Outside of tooth only **
D
Inside the tooth
During scaling on heavy calculus, the angulation of instrument should be :

A
Less than 45 degree
B
Slightly less than 90 degree **
C
Slightly more than 90 degree
D
Slightly more than 45 degree
Periopathogens counteract activity of defense cells by inhibiting mechanism of all except :

A
PNM chemotaxis
B
Phagocytes
C
Bactericidal activity
D
All of the above **
Subgingival scaling and root planning is better carried by :

A
Curette **
B
Sickle scaler
C
Universal scaler
D
Ultrasonic scaler
Maintenance care of the periodontal patient includes frequent examination for :

A
Sulcular depth
B
Tooth mobility
C
Plaque and calculus
D
All of the above **
Herpes simplex may closely resemble which form the lichen planus ?
A
Erosive
B
Bullous **
C
Hypertrophic
D
Atrophic
The probing pressure applied by CPITN probe :

A
10 GMS
B
25 GMS **
C
35 GMS
D
45 GMS
Glycated haemoglobin levels of 7-8% suggest :

A
Good diabetes control
B
Poor diabetes control
C
Moderate diabetes control **
D
Normal blood glucose level
Which is true about mucogingival flap designs ?

A
Flap should be wider at the base **
B
Flap should be narrower at the base
C
Flap margins should not reset on bone
D
Mucogingival flap should be avoided
ANUG is best visualized :

A
Crater like lesions **
B
Severe gingivitis
C
Recession of gingival
D
Halitosis
Culture media used for isolation of herpes simplex virus from vesicles of acute herpetic gingivitis
is :
A
Chocolate agar
B
Chorioallantoic membrane of chick embryo **
C
Skimmed milk cotton mesh
D
Blood agar with 25% albumin concentration
The crevicular epithelium of a periodontal pocket consistently differs from that seen in normal
gingival in that the epithelial lining of a pocket is :
A
Thicker
B
Atrophic
C
Ulcerated **
D
Keratinized
Undermining resorption of alveolar bone surrounding the periodontal ligament space is

associated with :
A
Hormonal imbalance
B
Necrosis resulting in bone resorption **
C
Periodontal abscess
D
Hypersecretion of parathyroid gland
Bacteria associated with root caries :

A
A.viscous **
B
Lacto bacilli
C
Streptococci
D
None of the above
Which of the following signs and symptoms is not commonly associated with long standing
chronic gingival inflammation ?
A
Bleeding on probing
B
Loss of stippling
C
Spongy, swollen gingival **
D
Change in color
Angulation of a periodontal instrument refers to :

A
Angle between the face of the blade and the shank
B
Angle between the shank and shaft
C
Angle between face of blade and tooth surface **
D
Angle between the shank and tooth surface
Gingival sulcular fluid can be collected by means of all except :

A
Absorbing paper strips
B
Microcapillary pipettes
C
Periotron **
D
Gingival washings
Which organism is increased in pregnant ladies :

A
Pervotella intermedius **
B
Porphyromonas gingivalise
C
Porphyromonas melaninogenius
D
Echinella corrodens
An emotional factor is often part of the etiology of :

A
Periodontitis
B
Chronic gingivitis
C
Acute periodontal abscess
D
Acute necrotizing ulcerative gingivitis **
Hemiseptal defects are :

A
One walled defects **
B
Two walled defects
C
Three walled defects
D
Combination of above
82) The average daily increment in calculus former is from ________ of daily weight :
A
0.010 – 0.015%
B
0.10 – 0.15% **
C
1-5%
D
Varies
Clinical signs of occlusal trauma include all of the following except :

A
Migration of teeth
B
Periodontal pocket **
C
Tenderness of teeth to percussion
D
Increased width of periodontal ligament
The most common clinical sign of trauma to the periodontium is :

A
Gingival inflammation
B
Increased attachment loss
C
Increased tooth mobility **
D
Pocket formation
All of the following are diagnostic of occlusal trauma except :

A
Wear facts
B
Loss of alveolar bone
C
Periodontal pocket formation **
D
Increased width of the ligament space
A 29-year-old patient taking 60 mg hydrocorticosone for the last one month, requires
periodontal surgery :
A
It should not be carried out
B
It does should be halved and then surgery carried out **
C
The dose should be doubled and surgery be performed
D
No change in dose should be made and surgery carried out
Which of the antibiotics is prescribed in case of juvenile periodontitis ?

A
Tetracycline **
B
Erythromycin
C
Sulfonamide
D
Cephalexin
88) In infrabony pockets :

A
The periodontal pathogens are of more virulent type than those in suprabony pockets
B
The alveolar crest of bone is below the base of the pocket
C
The transseptal fibers loose their original configuration **
D
The pattern of bone destruction is horizontal
Histologic examination of the tissues in desquamative gingivitis reveals :

A
Hyperkeratosis
B
Elongation of rete pegs
C
Local loss of basement membrane **
D
No inflammatory response
Splinting of several teeth together as abutments for a fixed prosthesis is done to :

A
Distribute occlusal load **
B
Facilitate plaque control
C
Improve retention of the prosthesis
D
Preserve remaining alveolar support
In extremely severe cases acute necrotizing ulcerative gingivitis may give rise to :
A
Fusospirochetal meningitis **
B
Trigeminal neuralgia
C
Cardiac arrest
D
Necrosis of underlying alveolar bone
In human oral cavity, the serotypes of actinobacillus actinomycetem comitans which are
predominantly present are :
A
a and b **
B
a and c
C
b and c
D
Only c
Which of following is most susceptible to injury in greater occlusion force ?

A
Interdental bone
B
Furcation **
C
Facial bone
D
Lingual bone
Sodium lauryl sulphate used in tooth paste is :

A
Humectant
B
Abrasive
C
Flavoring agent
D
Surfactant **
Healing after periodontal surgery may result in new attachment if the denuded root surface is
occupied by :
A
Cells from gingival epithelium
B
Cells from gingival connective tissue
C
Cells from bone tissue
D
Cells from periodontal ligament **
Number of teeth used in modified PHP index is :

A
6 **
B
12
C
18
D
24
Craters in the interseptal bone are best eliminated by :

A
Gingivectomy
B
Osseous recontouring **
C
Subgingival curettage
D
Interseptal massage with stimulator
The predominant cell type in gingival fluid is the :

A
Most cell
B
Plasma cell
C
Macrophage
D
Polymorphonuclear leukocyte **
The tensile strength of a healing wound depends on :

A
Wound hormones
B
Adequate fluid intake
C
Activation of fibrinolysis
D
Formation of collagen fibers **
The cell junctions allowing exchange of cytoplasmic molecules between two cells are called :
A
Gap junctions **
B
Tight junctions
C
Anchoring junctions
D
Focal junctions
The rate of calculus formation can be retarded by :
A
Using disclosing solutions
B
Minimizing fluoride uptake
C
Using an enzyme dentifrice
D
Having plaque removed regularly **
Which of the signs and symptoms is not usually associated with chronic gingival inflammation ?
A
Bleeding
B
Suppuration
C
Colour change
D
Pain **
A 32-year-old patient’s last dental check-up was about a year ago. The patient has a history of
treated periodontal disease and presents for a maintenance appointment with recurrent
periodontitis, subgingival plaque accumulation, moderate calculus deposits, staining on the
clinical crowns of anterior teeth, and frequent snacking. Which of the following represents the
factor most likely responsible for the recurrence of the patient’s periodontitis ?
A
Diet
B
Stain
C
Plaque **
D
Calculus
Which of the following osseous procedure is least likely to be successful in resolving a

periodontally related osseous defect ?
A
Osseous coagulation graft
B
Osseous resection
C
Bone wedging
D
Reattachment procedure **
Compared to other techniques, Bass method has an advantage of being :

A
Quicker
B
Removes more plaque
C
Easy to perform
D
Provides more stimulation to gingival **
Which of the following lesions may create gingival deformities that require gingivoplasty to
eliminate the defects ?
A
Erosive lichen planus B
B
Desquamative gingivitis
C
D
Necrotizing ulcerative gingivitis **
Which of the following are theories of regional analgesia ?

A
Specificity theory and gate control theory
B
Specific receptor and gate control theory
C
Specific receptor and membrane expansion theory **
D
Specificity theory and membrane expansion theory
In pathogenesis of pocket formation the junctional epithelium detaches from the tooth surface
when the relative volume of PMN leukocytes reaches at/above :
A
10% of the junctional epithelium
B
C
D
60% of the junctional epithelium **
The defect produced by loss of interdental bone without concomitant loss radicular bone is
called as :
A
Crater
B
Reversal of architect **
C
Ledges
D
Angular defect
Anoxemia is first seen in :

A
Established gingivitis **
B
Early gingivitis
C
Advanced gingivitis
D
Acute periodontitis
The gingival attached to the tooth by the :

A
Lamina propria
B
Periodontal membrane
C
Gingival fibers
D
Epithelial attachment **
Composition of two-tone dye is :

A
FD and C Green No.3 and FD and C Fed No.3 **
B
FD and C Green No.3 3.5% or 2.5%
C
Merbromin NF
D
Gentian violet
DNA probe is used to :

A
. Detect the depth of periodontal pocket
B
Detect the furcation involvement
C
Check the bleeding
D
Detect specific microorganism **
Plaque from area apical to contact point is best removal by :

A
Unwaxed dental floss **
B
Waxed dental floss
C
Stimudent
D
Proxa-brush
Guided tissue regeneration is most successful in :

A
Shallow furcations
B
Narrow infrabony defects
C
Ridge augmentation
D
All of the above **
The anatomic form of roots of teeth is determined :

A
Dental lamina
B
Hammock ligament
C
Epithelial attachment
D
Hertwig’s sheet **
Which of the following bacterial organisms are most frequently associated with necrotizing
ulcerative gingivitis ? a. Fusiforms b. Spirochetes c. Streptococci d. Staphylococci
A
1 and 2 **
B
1, 3 and 4
C
1 and 4 only
D
2, 3 and 4
A pocket which is 5-6 m deep coronal to CEJ is called :

A
True pocket
B
Periodontal pocket
C
Pseudo pocket **
D
Infrabony pocket
Stages of trauma from occlusion include all except :

A
Injury to the periodontium
B
Changes in the morphology of the periodontium
C
Repair of the periodontium
D
Stimulation of the periodontium **
Extractions can be done in anug patients after :

A
4 weeks **
B
At first appointment only
C
4 months
D
1 week
Which of the following is most frequent type of osseous lesion in periodontitis ?

A
Hemiseptum
B
Reverse architecture
C
Crater **
D
Torus
Best position for apically displaced flap is :

A
At the alveolar crest
B
At 2 mm apical to alveolar crest **
C
At 1 mm apical to alveolar crest
D
At 1 mm coronal to alveolar crest
Predominant bacteria in 2-day-old supragingival plaque are :

A
Streptococci **
B
Actinomyces
C
Bacteriodes
D
Fusiforms
A periodontal pocket that is 6 mm deep and has the junctional epithelium located coronal to the
CEJ is :
A
A pseudopocket **
B
An infrabony pocket
C
A bifurcation involvement
D
A true periodontal pocket
The antibiotic cover is mandatory before extraction in the following condition of the heart :
A
Ischemic heart diseases
B
Hypertension
C
Congestive cardiac failure
D
Congenital heart disease **
If content of ammonia is increased in saliva it results in :
A
Increase in calculus formation
B
Decrease in plaque formation **
C
Increase in plaque formation
D
Increase in gingivitis
Among the principal fibers of the periodontal ligament, which group of fibers has a cementum-
to-cementum attachment ?
A
Apical
B
Oblique
C
Transseptal **
D
Free gingival
Junctional epithelium is also called as :

A
Sulcular epithelium
B
Attachment epithelium **
C
Reduced enamel epithelium
D
Outer epithelium
The optimal flow rate of coolant for sonic and ultrasonic subgingival scaling is :
A
1-11 ml/min
B
14-23 ml/min
C
24-32 ml/min **
D
34-40 ml/min
Periotron is the instrument used for :

A
Tooth mobility
B
Measure of GCF flow **
C
Periodontal pocket
D
Trauma from occlusion
A common factor in the diseases of caries and periodontal disease is :

A
Faulty restoration
B
Disturbed hormonal balance
C
Dental plaque **
D
Low socioeconomic status
Bone fill procedures are most successful in treating :

A
Trifurcation involvements
B
Narrow three walled defects **
C
Osseous defects with one remaining wall
D
None of the above
A free gingival graft is least likely to be an appropriate form therapy on the facial surfaces of the :
A
Maxillary canine
B
Mandibular central incisors
C
Maxillary first premolar
D
Mandibular third molar **
If a patient is able to prevent plaque accumulation on his teeth, how offer is a prophylaxis
required ?
A
Every 3 months
B
Every 6 months
C
Every 12 months
D
Never **
In the etiology of periodontal disease, calculus functions primarily by :

A
Irritating gingival tissue
B
Producing toxins that cause inflammation
C
Exerting pressure on the epithelial attachment
D
Providing a rough surface for the harbouring of plaque **
Which of the following cannot occur in periodontal ligament as a result of trauma from occlusion
?
A
Hemorrhage
B
Necrosis
C
Thrombosis
D
Dentinal tears **
All of the following are radiographic features of traumatic occlusion :

A
Thickening or loss of lamina dura
B
Periapical or furcation radiolucency
C
Alveolar bone resorption
D
Narrowing of periodontal ligament space **
Two main factors responsible for the pathological tooth migration are :
A
. Health and normal height of periodontium; force exerted on the teeth **
B
Pressure from the cheek, tongue, lips, etc.
C
Tooth morphological features
D
Proximal contact/contour
Which of the following is the most appropriate form of therapy if periodontal surgery is needed
in mandibular anterior region :
A
Gingivectomy
B
Gingivoplasy
C
Periodontal flap for access **
D
Apical displaced flap
In modified per grasp :

A
The pad of little finger touches the instrument **
B
The index finger is positioned at the level of little finger
C
The middle finger is bent at the second joint from the finger tip
D
The side of thump touches index finger
A blue thin line on the gingival is due to :

A
Fe ingestion
B
Pb ingestion **
C
Hg ingestion
D
Ag ingestion
The most common reason for the removal of impacted mandibular third molars :
A
Referred pain
B
Orthodontic treatment
C
Recurrent pericoronitis **
D
Chronic periodontal diseases
Which of the listed surgical procedures should be performed first in sequencing treatment of
periodontal disease ?
A
B
Gingivoplasty
C
Infrabony pocket therapy **
D
Apically repositioned flap
The advantage of electrosurgery over blade surgery for gingival tissue management is :
A
Rapid postoperative healing
B
Cheaper
C
Less hemorrhage **
D
All of the above
“Com-Cob” appearance seen in :

A
Supragingival calculus
B
Subgingival calculus
C
Supragingival plaque **
D
Subgingival plaque
The periodontal membrane is variable in thickness. It is thinnest at the :

A
Alveolar crest
B
Apical area
C
Mid-root section
D
Fulcrum point of the tooth **
The instrumentation zone is :

A
A segment of the arch to which a specific instrument no is applicable
B
A segment of the arch to where instrument can be carried out with operator in the same position
C
An area of the tooth to which instrument strokes are confirmed **
D
An area of the tooth to which the instrument blade can be kept parallel
Which of the following is seen in trauma from occlusion/sever tension ?

A
Constriction of periodontal ligament **
B
Elongation of periodontal ligament
C
Crater formation
D
Cemental tear
Vesicles of acute herpetic gingivostomatitis are commonly present on the :

A
Buccal mucosa and gingiva **
B
Pharynx and vestibule
C
Hands and feet
D
Forehead and cheeks
Drug causing gingival hyperplasia :

A
Tetracycline
B
Nifedipine **
C
Penicillin
D
Aspirin
Resistance to occlusal forces is by virtue of the principal fibers of the periodontal ligament
according to the :
A
Tensional theory **
B
Viscoelastic theory
C
Thixotropic theory
D
None of the above
Chronic desquamative gingivitis may be caused in all except :

A
Phemphigus
B
Tuberculosis
C
Drug eruptions
D
Psoriosis **
Which of the following is not a sign or symptom of periodontal abscess ?

A
Localized swelling of gingival
B
Tooth sensitive to pressure
C
No response to electric pulp testing **
D
Pain in area of abscess
In “fones brushing technique”, the bristles are placed at :

A
90 degree to tooth **
B
45 degree to tooth
C
45 degree to apex
D
None of the above
An example of acute inflammatory gingival enlargement is most likely to be seen in patients

exhibiting :
A
Periodontal cysts
B
Pregnancy gingivitis **
C
Dilantin hyperplasia
D
Hereditary fibromatosis
Which of the following is not an indication for performing occlusal equilibration :

A
Facets on teeth **
B
Widening of periodontal ligaments
C
TMJ pain
D
Food impaction
First indication of juvenile periodontitis is :

A
Sudden drifting of teeth **
B
Pain
C
Mobility of teeth
D
Pocket formation
The location of margins of a restoration associated with periodontal health is :

A
Subgingival
B
At the level of gingival crest **
C
Supragingival
D
Varying depending upon type of restoration
The carbobydrate not associated with dental plaque is :

A
Dextrose
B
Levans
C
Glucose
D
Rhamnose **
The common goal of all periodontal flap procedure is to :

A
Correct mucogingival inadequacies
B
Remove diseased granulation tissue
C
Provide access for instrumentation **
D
Add bone support where it has been lost
Salivary pellicle is composed of the following, except :

A
Immunoglubulin G
B
Immunoglobulin A
C
Amylase
D
Albumin **
A 15-year-old boy suffers from vesiculating painful ulcers, there is also oral temperature of 1030F
since 3 days and lymphadeonopathy. The most likely diagnosis is :
A
Herpes zoster
B
Acute herpetic gingivostomatitis **
C
Major aphthae
D
Recurrent aphthae
Abrasion most commonly occurs on which surface of teeth ?

A
Incisal surface of anteriors
B
Exposed root surfaces **
C
Cusps in heavy occlusion
D
Proximal surfaces
Trauma from occlusion leads to alteration in the :

A
Periodontal ligament
B
Cementurm
C
alveolar bone
D
All of the above **
Intrinsic stains include which of the following ? 1. Tetracycline stain 2. Fluorosis 3. Tobacco stain
4. Death of the pulp
A
1, 2, 3
B
2, 3
C
1 only
D
All of the above **
Which of the following is used as a biodegradable membrance in “guided tissue regeneration”

process ?
A
Polylactic acid **
B
Polytetrafluoroethylene
C
Millipore
D
Core membrance
All of the following measure the plaque index, except :

A
Ramjford index
B
Mollers index **
C
OHI-S index
D
Loe and Silness index
The method of brushing used for gingival massage is :

A
Bass method
B
Stillman method
C
Charteres method **
D
Roll method
Heat labile instruments for use in surgical procedures can be sterilized by :

A
Absolute alcohol
B
Ultraviolet rays
C
Chlorine releasing compounds
D
Ethylene oxide gas **
The most numerous cells in the inflammatory exudates of an acute periodontal abscess are :
A
Neutrophils **
B
Lymphocytes
C
Monocytes
D
Basophils
Plaque is a major etiologic factor in which of the following condition ?

A
Gingival atrophy
B
Occlusal traumatism
C
Desquamative gingivitis
D
Juvenile periodontitis **
White finger is caused on long-term exposure to :

A
Radiation
B
Ultrasonic **
C
Aerotor
D
Micromotor
A patient returns 1 wk after scaling and prophylaxis. Hardened black deposits of calculus are
noted near gingival margin this indicates that :
A
The patient is a high tea drinker
B
Reduction of inflammation occurred after instrumentation **
C
Home care is poor and new calculus is formed
D
After scaling blood clotted on the tooth surface
For complete repair of connective tissue after gingivectomy takes place by :

A
15 days
B
1 mth
C
1 wk
D
7 wk **
Which of the following is not a common manifestation of occlusal trauma ?

A
B
Crater formation in interdental papilla **
C
Tooth mobility
D
Resorption of alveolar bone
In gingival crevice, an important role in neutralizing the antigen, is placed by :

A
Macrophages
B
T lymphocytes
C
Neutrophils **
D
Mast cells
Dental plaque consists mostly of :

A
Water **
B
Microorganisms
C
Organic components
D
Inorganic elements
Inorganic content of calculus is closest to that of :

A
Enamel
B
Dentin **
C
Cementum
D
Bone
Earliest microorganisms occurring in bacterial plaque are :

A
Vibrios
B
Gram-positive rods and cocci **
C
Gram-negative rods and cocci
D
Spirochetes
Incidence of gingivitis in pregnancy is :

A
10-20%
B
20-30%
C
40-50%
D
50-100% **
Gingival hyperplasia may occur in :

A
Chronic irritation
B
Pregnancy
C
Familiar fibromatosis
D
All of the above **
Soft curettage is indicated in :

A
Periodontal pockets
B
Edematous gingival pocket
C
Fibrous gingival pocket **
D
Supragingival calculus pocket
Which of the following occur as plaque deposits mature ? 1. The deposits calcify 2. The crystalline
structure increases 3. The deposits extend apically but do not thicken 4. The organic composition
increases proportionately 5. The number of cocci increases proportionately 6. The number of
filamentous forms increases proportionately
A
1, 2, 4 and
B
1, 2 ,and 6 **
C
1, 3, 5 and 6
D
1, 4 and 5 only
Which is the classic definition of the presence of periodontal disease ?

A
Radiographic evidence of bone loss **
B
Periapical radiolucency
C
Gingival hyperplasia
D
None of the above
Focal infection theory was given by :

A
William Hunter **
B
Carranza
C
Schroder
D
Saymour
What is calculocementum ?
A
Cementum in periodontal ligament **
B
Calculus in cementum
C
Less calcified cementum
D
Less calcified calculus
In patients with marked periodontitis, markedly mobile teeth should be splinted to :

A
Reduce gingival inflammation
B
Enhance bone growth
C
Accelerate epithelialisation
D
In which condition papillae preservation flap is indicated ?

A
Infrabony defects **
B
One walled defects
C
Horizontal bone loss in upper anterior teeth
D
Crater types of bony defect
Amount of tooth structure lost during hand scaling is :

A
11.6 µm
B
93.5 µm
C
108.9 µm **
D
118.7 µm
Proposed criteria by which periodontal microorganisms may be judged to the potential

pathogens :
A
William Koch
B
Robert Koch
C
Socransky **
D
Alexander Koch
Small interproximal brushes are recommended to be used in :

A
Type I embrasure
B
Type II embrasure **
C
Type III embrasure
D
Type IV embrasure
A tin radiopaque line running around the curvature of root in IOPA is :

A
Lamina dura **
B
Lamina propria
C
Lamina limitants
D
Lamina densa
A bacterial enzyme capable of altering the ground substance of the periodontal ligament is :
A
Hyaluronidase **
B
Streptokinase
C
Collagenase
D
Lysozyme
Reduction of the interdental bone the same height as the radicular bone is known as :
A
Reverse architecture
B
Flat architecture **
C
Ideal architecture
D
Positive architecture
Fibronectin degrading enzyme is secreted by :

A
P. Gingivalis
B
P. Intermedia
C
P. Nigrescence
D
Both A and B **
Generalized loss of lamina dura is seen in :

A
Scleroderma
B
Hypoparathyroidism
C
Osteitis deformans **
D
Fibrous dysplasia
In which of the following conditions gingivectomy is contraindicated ?

A
Gingival sulcus beyond mucogingival junction **
B
Enlargement of gingival
C
Papillary enlargement
D
Enlargement of systemic diseases
When should an intraoral autograft from an extraction be harvested ?

A
6-8 weeks after extraction **
B
One week after extraction
C
Two weeks after extraction
D
Two days after extraction
It is advisable to use dental floss :

A
One each day
B
Twice each day
C
One each week
D
After every meal **
In which year were powered toothbrushes invented ?

A
1921
B
1929
C
1939 **
D
1941
The non-invasive method to measure to blood flow in gingival is :

A
Electric test
B
Percussion
C
Radiograph
D
Laser Doppler flowmetry **
Non-microbial portion of dental plaque is composed primarily of:

A
Food debris
B
Dextrans **
C
Bacterial enzymes
D
Bacterial acids
Crates in the interseptal bone are best eliminated by :

A
Gingivectomy
B
Curettage
C
Osseous re-contouring **
D
None of the above
Which of the following collagen fibers demonstrates “Chicken Wire” configuration ?

A
Type I
B
Type II
C
Type III
D
Type IV **
The biofilms found on tooth surfaces are termed as :

A
Enamel
B
Dental caries
C
Dental plaque **
D
Saliva
What is reversal phenomenon ?

A
Decline from maximum size of calculus **
B
Decline in mineralization
C
Decline in plaque accumulation
D
Decline in bleeding gums
ANUG cant in otherwise disease free mouths, but some cases local lymphadenopathy and slight
elevation of temperature may be present :
A
Both parts of statement are true
B
Both parts of statement are true
C
The first part of statement is true and second part is false
D
The first part of statement is false and second true **
The most effective method of preventing dental disease in general population is :

A
Oral hygiene **
B
Balance diet
C
Fluoride therapy
D
Analgesics and antibiotics
This is ideal to arrest putrefaction and destroy odors in mouth :

A
Chlorine
B
Iodine **
C
Phenol
D
Cresol
Ecologic determinants of plaque depend on all except :

A
Sugar content of diet
B
Host resistance
C
Age and sex of the patient **
D
Status of the dentition
Periochip is a commercially available local drug delivery system containing :

A
Doxycycline
B
Chlorhexidine **
C
Minocycline
D
Metronidazole
The colour of gingival in deciduous dentition is best described as :

A
Pink
B
Coral pink
C
Pale pink **
D
Reddish pink
What is the difference between gingivitis and periodontitis ?

A
Gingival sulcus
B
Periodontal pocket
C
Loss of epithelial attachment **
D
Mobility of tooth
Desensitizing agent used in dentifrice is :

A
Sodium chloride
B
Postassium nitrate **
C
Ammonium sulphate
D
Glycerin
Formation of pellicle involves :

A
Colonization by microorganisms
B
Decalcification of tooth structure
C
Deposition of mineral salt on tooth surface
D
Selective absorption of acidic glycoproteins from saliva **
Orange stains on facial and gingival surfaces of anterior teeth are produced by :
A
Aspergillus
B
Serratia marcescens **
C
Bacteroides melaninogenicus
D
Actinobacillus actinomycetemocomitance
Total protein content of GCF is ________ serum :

A
Less than **
B
Greater than
C
Equal to related
D
Not related to
The bacterial flora of necrotizing ulcerative gingivitis indicates the presence of :

A
Spirochete **
B
Bacteriophages
C
Filamentous rods
D
Cocci
In hereditary basis type gingival enlargement – may as well be seen :

A
Impaired teeth development
B
Impaired physical development **
C
Impaired oral mucosa development
D
Impaired jaw development
Periodontitis that does not resolve with treatment is termed as :

A
Aggressive periodontitis
B
Chronic periodontitis
C
Refractory periodontitis **
D
The only form of collagen that has been shown to contain both alfa-1 and alfa-2 chain is :
A
Type I **
B
Type II
C
Type III
D
Type IV
A papilla preservation flap is indicated in :

A
Horizontal bone loss in upper anterior region **
B
Infrabony defects
C
Crater type bony defect
D
One walled defect
BANA analysis is used to measure the activity of :

A
An enzyme from bacteria **
B
A protein polysaccharide
C
Inflammatory cytokinde
D
An enzyme derived from host
Chlorhexidine on tooth causes :

A
No stain
B
Brownish yellow stain **
C
Greenish yellow stain
D
Blue black stain
The normal depth of the gingival sulcus in an adult does not exceed :
A
0.5-0 mm
B
1-2 mm
C
1-3 mm
D
2-3 mm **
Psychosomatic factors play major role in etiology of :
A
ANUG **
B
Acute hepetic gingivostomatitis
C
Aggressive periodontis
D
Marginal gingivitis
Which of the following is desensitizing agent not recommended for home use ?
A
Formaldehyde
B
Strontium chloride
C
Zinc chloride **
D
Polyglycol
Juvenile periodontitis is :
A
Common
B
More common in males than females
C
A degenerative disease
D
Most severe around incisors and first molars **
The predominant immunoglobin in gingival fluid is :

A
IgA
B
IgB **
C
IgM
D
IgE
Which of the following is most critical to determine the appointment interval for supportive
periodontal therapy ?
A
Elimination of pockets
B
Reduction in dental caries **
C
Presence of bacterial plaque
D
Financial status of the patient
The difference in colour between supragingival and subgingival calculus is related to :

A
The consistency of deposits
B
Desiccation by air
C
Colonization by microorganisms
D
Hemolysis of erythrocytes **
Clinical signs of ANUG are :

A
Acute, recurring infection of gingival
B
Necrosis of papilla and fetor-oris
C
Spontaneous bleeding and pain
D
All of the above **
Which of the following is problem related to use of laterally positioned flap employed to cover
dehiscence ?
A
Extreme patient discomfort
B
Presence of undetected occlusal trauma
C
Creation of new dehiscence at the donor site **
D
Severe infection
Growth factors which may be used to stimulate osseous regeneration are :

A
Bone morphogenic protein
B
Platelet derived bone factor
C
Insulin like growth factor
D
All of the above **
CPITIN index uses which probe ?

A
Williams
B
WHO periodontal probe **
C
Marquis probe
D
Nabers probe
The earliest symptom of gingival inflammation that is great value for the early diagnosis and
prevention of more advanced gingivitis is :
A
Pain
B
Increase in gingival fluid production rate
C
Change in colour
D
Bleeding from the gingival suclus on gentle probing **
The average number of CD4 cells in body fluid is :

A
800-1000/mm3
B
800-1200/mm3 **
C
500-800/mm3
D
400-600/mm3
The width of the attached gingival is determined by subtracting the sulcus or pocket depth from
the total width of the gingival, i.e. from gingival margin to mucogingival line. The mucogingival
line can be demarcated by :
A
Stretching the lip or cheek
B
Paining the mucosa with Schiller’s solution
C
Both of the above **
D
Staining with gentian violet
Periodontal pocket principally contains :

A
Living and degenerating leukocytes
B
Microorganisms – their products and debris **
C
Gingivasl fluids and salivary mucin
D
Desquamated epithelial cells
Which of the following types of periodontal pockets offers the best possibility for bone
regeneration ?
A
Suprabony pocket
B
One-wall infrabony pocket
C
Two-wall infrabony pocket
D
Three-wall infrabony pocket **
Fluorine is :
A
Major inorganic component of calculus
B
Present in plaque of individuals leaving in fluoridated areas only
C
A trance in inorganic calculus **
D
No found in plaque or calculus
All of the following about Down syndrome are true except :

A
PDL degeneration takes place
B
Tooth never exfoliates though there is advanced PDL loss **
C
Deep periodontal pockets associated with a substantial plaque
D
Acute necrotizing lesions are a frequent finding
From the point of view of maintenance of oral health, the sulcus depth which is most favourable
is :
A
Shallow sulcus **
B
Deep sulcus
C
Deep and torture
D
Shallow and wide sulcus
Buffering action of saliva is due to :

A
Bicarbonates **
B
Calcium phosphate
C
Calcium chloride
D
Calcium hydroxide
The diameter of the tip of periodontal probe is :

A
0.25 mm
B
0.75 mm
C
0.5 mm **
D
1 mm
The first antibody to the formed after encounter with an antigen is of following class :
A
IgM **
B
IgA
C
IgD
D
IgG
Which of the following steps should be most preferably taken in root planning procedure ?
A
Removal of root caries
B
Removal of necrozed cementum and calculus **
C
Removal of calculus
D
Removal of dentin
Occlusal correction is done after periodontal therapy in which condition ?

A
Infrabony pockets
B
Suprabony pockets
C
Trauma from occlusion **
D
Pseudo pockets
In an inflamed periodontal tissue, mucopolysaccharides :

A
Decrease in debilitated patients
B
Increase in debilitated patients
C
Decrease in all individuals **
D
Increase in all individuals
In periodontitis pain is localized because of presence of :

A
Free nerve endings
B
End bulb of Krause
C
Pacinian corpuscles **
D
Meisseners corpuscles
1 ) Three walled defect commonly occurs :
A
In interdental region **
B
On lingual side
C
On facial side
D
At furcation area
2 ) Pronounced bony ledges and interproximal catering are indication of performing :

A
Flap surgery
B
Osseous resection and contouring
C
Osseous grafting
D
Both A and B **
3 ) Clinical picture of erosive lichen planus may resemble that of :

A
Erythema multiforme **
B
Candidiasis
C
Stomatitis
D
None of the above
4 ) In infrabony pockets :
A
The periodontal pathogens are of more virulent type than those in suprabony pockets
B
The alveolar crest of bone is below the base of the pocket
C
The transseptal fibers loose their original configuration **
D
The pattern of bone destruction is horizontal
5 ) Unwaxed dental floss is useful in removing plaque from which of the following areas ?
A
The area apical to contact point
B
Sulcus inter-proximally
C
Sulcus facially and lingually
D
Both A and B **
6 ) Which of the following material has osteoconductive property ?

A
Autogenous graft
B
Hydroxyapatite **
C
Plastic materials
D
Cartilage
7 ) Elaunin fibers are seen in :

A
Gingiva
B
Cementum
C
Alveolar bone
D
Periodontal ligaments **
8 ) The percentage of children with stippling between 5 and 13 years is about :

A
50%
B
90%
C
35% **
D
20%
9 ) The electronic probing system “foster miller” probe defects :

A
Only the pocket depth
B
Only the CEJ
C
CEJ and the pocket depth **
D
10 ) The tensile strength of a healing wound depends on :

A
Wound hormones
B
Adequate fluid intake
C
Activation of fibrinolysis
D
Formation of collagen fibers **
11 ) Clinical picture of erosive lichen planus may resemble that of :

A
B
Candidiasis
C
Stomatitis
D
None of the above
12 ) Which phase is called etiotropic phase ?

A
Phase I **
B
Phase II
C
Phase III
D
Phase IV
13 ) In the conventional finger rest, the ginger rest is established on :

A
Other side of the same touch
B
Tooth surface immediately adjacent to the working area **
C
Opposing arch
D
Index finger or thump of the non-operating hand
14 ) The major route of spread of inflammation on the buccal surface of the bone is :
A
Directly into the bone
B
Along the muscle fibers
C
Along the epithelium, connective tissue
D
Along the perivascular tissue **
15 ) Trauma from occlusion mainly results in :

A
Pain on percussion
B
Enamel hyperplasia
C
Wear facets on cusps of teeth
D
Tooth mobility **
16 ) Composition of two-tone dye is :

A
B
C
Merbromin NF
D
Gentian violet
17 ) Which is type of gingival enlargement which is seen with “Tuberous sclerosis” ?

A
Plasma cell gingival enlargement
B
Idiopatic gingival enlargement **
C
Drug induced gingival enlargement
D
Enlargement in pregnancy
18 ) The condition in which patient presents with normal leukocyte count or less than normal and
A
B
C
Acute leukemia
D
Chronic leukemia
19 ) Calcitonin :
A
Decreases resorption of bone **
B
Increases resorption of bone
C
Increases activity of osteoclasts
D
Decreases activity of osteoclasts
20 ) Bone formation which occurs in attempt to produce buttress bone trabecule formation is
called is :
A
Angular defect
B
Lipping **
C
Osseous crater
D
Ledge
21 ) Gingival sulcular fluid can be collected by means of all except :

A
Absorbing paper strips
B
Microcapillary pipettes
C
Periotron **
D
Gingival washings
22 ) Immonological techniques for assessing bacterial plaque are :

A
Fluorescent antibody staining
B
ELISA
C
Latex agglutination
D
All of the above **
23 ) Sodium lauryl sulphate used in tooth paste is :

A
Humectant
B
Abrasive
C
Flavoring agent
D
Surfactant **
24 ) Water irrigating devices are used :

A
As an adjunct to toothbrush
B
Replaces toothbrush
C
Alters the plaque and increases the gingival health **
D
Kills the bacteria
25 ) Generalized gingival recession occurs in :

A
B
Incorrect method of brushing **
C
D
ANUG
26 ) In human oral cavity, the serotypes of actinobacillus actinomycetem comitans which are
predominantly present are :
A
a and b **
B
a and c
C
b and c
D
Only c
27 ) Following metal is most commonly used as an endosteal implant :

A
Titanium **
B
Stainless steel
C
Cobalt –Chromium
D
Aluminium
28 ) ANUG is best visualized :

A
Crater like lesions **
B
Severe gingivitis
C
Recession of gingival
D
Halitosis
29 ) Calcitonin :
A
B
C
D
30 ) Granules seen in the stratum granulosum of keratinized oral mucosa are known as :
A
Keratohyaline granules **
B
Zymogens granules
C
Membrane coating granules
D
Birbeck’s granules
31 ) In determining the severity of periodontitis affecting a tooth, the most important criterion :
A
Tooth mobility
B
Probing depth
C
Loss of attachment **
D
Bleeding on gentle probing
32 ) Linear gingival erythema is a characteristic feature of :

A
ANUG
B
C
HIV-gingivitis **
D
Chronic gingivitis
33 ) A procedure done to eliminate periodontal pocket and increase the width of attached
gingival is termed as :
A
B
C
D
34 ) Perio test used to detect :

A
Tooth mobility **
B
Periodontal pocket
C
D
35 ) After curettage re-epitheliazation occurs in :

A
1-2 days
B
2-3 days
C
1 week **
D
2 weeks
36 ) Tissue changes occurring in teeth no longer in function :

A
B
Increased trabeculation
C
Cemental atrophy **
D
All of the above
37 ) Radiographs will show :

A
Relationship between soft and hard tissue
B
Degree of tooth mobility
C
Extent of all bone loss
D
38 ) For each of the principal fiber groups, which of the following statements is correct about is
function and features ?
A
Free gingival fibers support free gingival and are attached on one end to alveolar bone proper
B
Horizontal fibers aid in preventing tooth rotation and have both ends attached in cementum
C
Transseptal fibers are not found on the facial aspect of a tooth and have no attachment to
alveolar crestal bone **
D
Obligue fibers prevent occlusal tooth displacement and have one end attached into bone by
Korff’s fibers
39 ) Jean Smith returned for a post-treatment evaluation. She had root planning on Teeth #2
through 7 four weeks ago. A dental hygienist observed a draining asymptomatic fistula on the
facial of #5. All other areas are healing well. New periodontal probing on the facial are 3, 4, 4.
Former probings were 5, 6, 5. The tooth tests vital and has no restoration or color change. Which
of the following is the most likely ?
A
received.
B
C
D
40 ) No collagen is seen in :
A
Acellular extrinsic fiber cementum
B
Acellular afibrillar cementum **
C
Mixed stratified cementum
D
Intermediate cementum
41 ) Mucogingival surgery is not indicated for the treatment of :

A
Decreased width of attached gingival
B
C
Gingival recession
D
High frenal pull
42 ) A transplant of bone from one part to other part of body in the same individual :
A
Autogenous **
B
Homologous
C
Heterogeneous
D
Alloplastic
43 ) Bacteria of oral fluid which plays least role in periodontitis is :

A
Actionomyces **
B
Actiomycetemcomitans
C
Bacteroides
D
Spirochetes
44 ) One of the following is not a type of stroke used during periodontal instrumentation :
A
Exploratory stroke
B
Probing stroke **
C
Scaling stroke
D
Root planing stroke
45 ) Pronounced bony ledges and interproximal catering are indication of performing :

A
Flap surgery
B
C
Osseous grafting
D
Both A and B **
46 ) 10% KNO3 is used to :

A
Treat hypersensitive dentin **
B
Reduce caries
C
As a acid etchant
D
As a base below restoration
47 ) TFO alters the path of gingival inflammation and may proceed to the periodontal ligament
rather than bone :
A
B
C
First statement is true but the second statement is false
D
. First statement is false but the second statement is true
48 ) After removal of periodontal dressing what should be done to keep sensitivity to minimum ?
A
Use of mouthwash
B
Use of desensitizing paste
C
Keep roots, plaque free **
D
None of the above
49 ) Number of teeth used in modified PHP index is :

A
6 **
B
12
C
18
D
24
50 ) Amount of GCF produced per day in the proximal molar area is :

A
0.43 – 1.56 µl **
B
0.43 – 1.56 ml
C
0.043 – 0.156 µl
D
0.043 – 0.156 ml
51 ) Trush :
A
Occurs only in elderly
B
Is caused by gram-ve bacteria
C
Is seen clinically as a proliferate lesion
D
Response to nystain **
52 ) The effect of occlusal forces on the periodontium is not influenced by :

A
Type of occlusal loading **
B
Duration of occlusal loading
C
Frequency of occlusal loading
D
Magnitude of occlusal loading
53 ) Which of the following procedures may cause dehydration and destruction of tissues ?
A
Electrosection
B
Electrocoagulation
C
Fulguration **
D
All of the above
A
B
C
Acute leukemia
D
Chronic leukemia
55 ) Organic matrix of cementum consists of :

A
Collagen type I
B
Collagen type I, V
C
Collagen type I, V, XII **
D
Collagen type II
56 ) Which is true about mucogingival flap designs ?
A
B
C
D
57 ) Kirkland and orban knives are used for :

A
Curettage
B
Root planning
C
Frenectomy
D
Gingivectomy **
A
B
C
D
Korff’s fibers
59 ) Healing after periodontal surgery may result in new attachment if the denuded root surface
is occupied by :
A
B
C
D
60 ) Which of the following alteration in papillary contour is a sign of previous infection with
necrotizing ulcerative gingivitis ?
A
Edema
B
Atrophy
C
Cratering **
D
Recession
61 ) Culture media used for isolation of herpes simplex virus from vesicles of acute herpetic
gingivitis is :
A
Chocolate agar
B
Chorioallantoic membrane of chick embryo **
C
Skimmed milk cotton mesh
D
Blood agar with 25% albumin concentration
62 ) In a free gingival graft, what happens to epithelium of graft ?

A
Remains as such
B
Proliferates
C
Degenerates **
D
Has to be removed by surgeon
63 ) All of the following are diagnostic of occlusal trauma except :

A
Wear facts
B
Loss of alveolar bone
C
Periodontal pocket formation **
D
Increased width of the ligament space
64 ) Healing after periodontal surgery may result in new attachment if the denuded root surface
is occupied by :
A
B
C
D
65 ) An 18-year female patient with swelling and pain in the mandibular 3rd molar area will most
likely have :
A
B
Pericoronitis **
C
Pregnancy gingivitis
D
Plasma cell gingivitis
66 ) In Down Syndrome patients which of the following periopathogen increases in number ?

A
P. Intermedia **
B
P. Gingivalis
C
T. Forsythus
D
F. Nucleatum

A
Pain on percussion
B
Enamel hyperplasia
C
D
Tooth mobility **
68 ) A 29-year-old patient taking 60 mg hydrocorticosone for the last one month, requires
periodontal surgery :
A
It should not be carried out
B
It does should be halved and then surgery carried out **
C
The dose should be doubled and surgery be performed
D
No change in dose should be made and surgery carried out
69 ) Gingival bleeding index measures :

A
Gingivitis **
B
Dental plaque
C
Gingival bleeding
D
Gingival recession
70 ) The purpose of flossing with dental flossa is :

A
Removal of plaque **
B
Removal of food wedged in between two teeth
C
Removal of dental pellicle
D
Removal of calculus
71 ) A simple method of educating a child patient to the dental problem is :

A
The Snyder test
B
C
The use of disclosing solution **
D
Using the phase microscope to examine the plaque
72 ) Which of the following organisms have not been implicated in periodontal disease ?
A
Streptococcus mutans **
B
C
Bacteroides gingivalis
D
Veillonella alcalescens
73 ) The normal appearances of gingival after a flap surgery is attained within :

A
1 to 2 weeks
B
5 to 8 weeks
C
4 weeks **
D
2 to 3 weeks
A
B
C
Acute leukemia
D
Chronic leukemia
A
received.
B
C
D
76 ) The predominant cell type in gingival fluid is the :

A
Most cell
B
Plasma cell
C
Macrophage
D
Polymorphonuclear leukocyte **
77 ) Elimination of preliminary inflammation is the prime objective of :

A
Root planning and curettage **
B
Occlusal equilibration
C
D
Laser sugery
78 ) Which is true about mucogingival flap designs ?
A
B
C
D
79 ) The electronic probing system “foster miller” probe defects :

A
B
Only the CEJ
C
D

A
Pain on percussion
B
Enamel hyperplasia
C
D
Tooth mobility **
81 ) Saliva is the mineral source for :

A
Supragingival calculus **
B
C
Both
D
None
82 ) Radiographically the level of normal interproximal alveolar crest is related to the :

A
Position of cement – enamel teeth **
B
Location of gingival attachment
C
Anatomy of alveolar process
D
83 ) One of the following is not a type of stroke used during periodontal instrumentation :
A
Exploratory stroke
B
Probing stroke **
C
Scaling stroke
D
Root planing stroke
84 ) When should the correction of occlusal prematurities are performed ?

A
At the same time as soft tissue surgery
B
Before staring soft tissue therapy
C
Gross correction should be done before surgery and finer adjustment after surgery **
D
After tissue healing
85 ) Which of following is most susceptible to injury in greater occlusion force ?

A
Interdental bone
B
Furcation **
C
Facial bone
D
Lingual bone
86 ) Subgingival calculus is usually dark in color because :

A
Tobacco stains are usually incorporated
B
Pigments from blood breakdown are usually incorporated **
C
Its location prevents the washing action of saliva
D
It contains a high percentage of calcium phosphate
87 ) Peripheral buttressing bone formation effect is termed as :

A
Ledges
B
Craters
C
Hemiseptum
D
Lipping **
88 ) The local drug delivery system “elyzol” contains :

A
Metronidazole **
B
Penicillin
C
Sanguinarine
D
Tetracycline
89 ) An emotional factor is often part of the etiology of :

A
Periodontitis
B
Chronic gingivitis
C
Acute periodontal abscess
D
Acute necrotizing ulcerative gingivitis **
A
received.
B
C
D
91 ) Gracey curettes :
A
Can work with either cutting edge
B
Are curved in 2 planes **
C
Have their blade angled approx 80 degree to lower shank
D
Gracey no. 7-8 can be used for premolars
92 ) Most common clinical sign of occlusal trauma is the presence of :

A
Tooth mobility **
B
Cuspal discoloration
C
Enamel cracks
D
None of the above
93 ) Which organism is increased in pregnant ladies :

A
Pervotella intermedius **
B
Porphyromonas gingivalise
C
Porphyromonas melaninogenius
D
Echinella corrodens
94 ) After removal of periodontal dressing what should be done to keep sensitivity to minimum ?
A
Use of mouthwash
B
C
D
None of the above
A
B
C
D
Korff’s fibers
96 ) All of the following are conditioned gingival enlargements except :
A
Pregnancy
B
Puberty
C
Allergic
D
Gingival fibroma **
97 ) The probing pressure applied by CPITN probe :

A
10 GMS
B
25 GMS **
C
35 GMS
D
45 GMS
98 ) Choose the most effective mechanical device for cleaning concave interdental surfaces of
teeth :
A
Conventional toothbrushes
B
Powered toothbrushes
C
Triangular tooth picks
D
Interdental brushes **
A
B
C
D
Korff’s fibers
100 ) Elaunin fibers are seen in :

A
Gingiva
B
Cementum
C
Alveolar bone
D
Of the following traumas from occlusion is the least likely to affect :
A
Bone
B
Cementum
C
The periodontal ligament
D
The epithelial attachment **
Radiographically the level of normal interproximal alveolar crest is related to the :

A
Position of cement – enamel teeth **
B
Location of gingival attachment
C
Anatomy of alveolar process
D
Histological examination of the tissues in desquamative gingivitis would reveal :

A
Hyperkeratosis
B
Elongation of rete pegs
C
Loss of basement membrane**
D
No inflammatory response
Three walled defect commonly occurs :

A
In interdental region **
B
On lingual side
C
On facial side
D
At furcation area
Generalized gingival recession occurs in :

A
B
Incorrect method of brushing **
C
D
ANUG
Which cells are decreased in chronic periodontitis ?

A
B-lymphocytes
B
T-lymphocytes **
C
Mast cells
D
Plasma cells
Circadian periodontitis in GCF production is seen, the time duration is between :

A
6 am – 10 pm
B
6 am – 10 am **
C
6 pm – 10 pm
D
6 pm – 10 am
Hemisection is the treatment of choice in :

A
Maxillary molars
B
Mandibular molars **
C
Maxillary first premolar
D
None of the above
Elaunin fibers are seen in :

A
Gingiva
B
Cementum
C
Alveolar bone
D
Organic matrix of cementum consists of :

A
Collagen type I
B
Collagen type I, V
C
Collagen type I, V, XII **
D
Collagen type II
Bone formation which occurs in attempt to produce buttress bone trabecule formation is called is
:
A
Angular defect
B
Lipping **
C
Osseous crater
D
Ledge
Bacteria of oral fluid which plays least role in periodontitis is :

A
Actionomyces **
B
Actiomycetemcomitans
C
Bacteroides
D
Spirochetes
As per gingivitis component of periodontal disease index by Ramfjord, mild to moderately severe
gingivitis extending all around the tooth, is assigned a score of :
A
1
B
2 **
C
3
D
4
Amount of GCF produced per day in the proximal molar area is :

A
0.43 – 1.56 µl **
B
0.43 – 1.56 ml
C
0.043 – 0.156 µl
D
0.043 – 0.156 ml
Guided tissue regeneration is done in :

A
Vestibular deepening procedures
B
Flap surgery **
C
Frenectomy
D
Gingivectomy
Which trait characterizing halitosis most often reflects underlying disease ?

A
Strong intensity and distinct quality **
B
Short duration and strong intensity
C
Sweet quality and greenish color
D
Physiologic malodor and acrid quality
Contour of the gingival is determined by :

A
Tooth alignment
B
Interproximal contact areas of adjacent teeth
C
D
Underlying bone
When should the correction of occlusal prematurities are performed ?

A
At the same time as soft tissue surgery
B
Before staring soft tissue therapy
C
Gross correction should be done before surgery and finer adjustment after surgery **
D
After tissue healing
A disclosing wafer is used in :

A
Determining the distribution of food particles
B
Evaluation the efficiency of toothbrushing **
C
Knowing the acidity of plaque
D
All of the above
Granules seen in the stratum granulosum of keratinized oral mucosa are known as :
A
Keratohyaline granules**
B
Zymogens granules
C
Membrane coating granules
D
Birbeck’s granules
Interbacterial matrix of plaque is mainly made up of :

A
Dextrans and levans **
B
Mucopolysaccharides
C
Lipoprotein and disaccharides
D
Dextrans and dextrose
Which of the following is a characteristic of juvenile periodontitis that differentiates if from

chronic adult periodontitis ?
A
Sparse plaque
B
Complex bacteriology
C
Presence of bacteriodes species **
D
Presence of spirochetes and vibrios
All of the following are conditioned gingival enlargements except :

A
Pregnancy
B
Puberty C
Allergic
D
Gingival fibroma **
A major consideration for patients in selection of dentifrice is the :

A
Flavorine agent **
B
Detergent
C
Abrasive
D
Water content
Unwaxed dental floss is useful in removing plaque from which of the following areas ?
A
The area apical to contact point
B
Sulcus inter-proximally
C
Sulcus facially and lingually
D
Both A and B **
A young adult shows non-fluctuant, tender and redness swelling in marginal gingival. This is
mostly likely :
A
Periodontal abscess
B
Gingival abscess **
C
Periapical abscess
D
Perioapical sinus
After endodontic therapy has been performed on a mandibular molar with both periodontal
bifurcation involvement and bifurcation caries :
A
Hemisection **
B
Fenestration
C
Root amputation
D
Apical curettage
For each of the principal fiber groups, which of the following statements is correct about is
A
B
C
D
Korff’s fibers
Immonological techniques for assessing bacterial plaque are :

A
Fluorescent antibody staining
B
ELISA
C
Latex agglutination
D
All of the above **
Which phase is called etiotropic phase ?

A
Phase I **
B
Phase II
C
Phase III
D
Phase IV
Which of the following techniques is best suited for use in temporary splinting of mobile
mandibular posterior teeth ?
A
Amalgam splint
B
Hawley appliance
C
Wire and acrylic ligature splint
D
Wire and acrylic nitra-coronal splint **
Perio test used to detect :

A
Tooth mobility **
B
Periodontal pocket
C
D
Gingivitis is initiated most commonly by :

A
Pregnancy
B
Malocclusion
C
Vitamin deficiency
D
Local irritating factors **
Composition of two-tone dye is :

A
B
C
Merbromin NF
D
Gentian violet
A patient has inflamed edematous gingival. Which of the following is a best treatment modality ?
A
Gingivectomy
B
Flap procedure
C
Soft tissue curettage **
D
Drainage and debridement followed by gingivoplasty
Which of the following cell types contains a vasoactive amine that is released in the inflammatory
process and is active in causing vascular permeability ?
A
Mast cell **
B
Plasma cell
C
T-lymphocyte
D
B-lymphocyte
In the conventional finger rest, the ginger rest is established on :

A
Other side of the same touch
B
Tooth surface immediately adjacent to the working area **
C
Opposing arch
D
Index finger or thump of the non-operating hand
Subclinical gingivitis represents gingival inflammation in the following stage :

A
Initial lesion **
B
Early lesion
C
Established lesions
D
Advanced lesions
Sulcular fluid does not perform one of the following functions :

A
Contains plasma proteins which may improve adhesion
B
Possesses antimicrobial function
C
Exerts antibody cavity
D
Provides nutrition to junctional epithelium **
Which of the following material has osteoconductive property ?

A
Autogenous graft
B
Hydroxyapatite **
C
Plastic materials
D
Cartilage
Which of the following types of periodontal bony defects offers the best prognosis for
regeneration ?
A
Crater
B
One-wall defect
C
Two-wall defect
D
Three-wall defect **
TFO alters the path of gingival inflammation and may proceed to the periodontal ligament rather
than bone :
A
B
C
D
. First statement is false but the second statement is true
Three walled defects occur most frequently :

A
On the lingual aspect
B
On the facial aspect
C
In the interdental region **
D
In furcation areas particularly involving maxillary molars
Electrocoagulation is used for :

A
Gingivectomy **
B
Flap surgery
C
D
Gingivoplasty
Which of the following organisms have not been implicated in periodontal disease ?
A
Streptococcus mutans **
B
C
Bacteroides gingivalis
D
Veillonella alcalescens
Calcitonin :
A
B
C
D
Metroinidazole :
A
Has no side effects
B
Is mainly active against gram-positive aerobes
C
Is effective in management of acute ulcerative gingivitis **
D
Is mainly concentrated in saliva
All of the following are radiographic signs of trauma from occlusion except :
A
Root resorption
B
Horizontal bone loss rather than vertical
C
Thickening of lamina dura **
D
Radiolucency and condensation of alveolar bone
Standard dose of secondary sterilization of allografts by high intensity gamma radiation which is
adequate to kill HIV is :
A
0.5 mega rad
B
1.5 mega rad
C
2.5 mega rad **
D
3.5 mega rad
The most failures in maintaining adequate plaque removal results from failure in patient :
A
Recalls
B
Training
C
Education
D
Motivation **
Burtonian line can be caused due to the ingestion of :

A
Iron
B
Silver
C
Mercury
D
Lead **
What are orogranulocytes ?

A
Living PMN’s in saliva **
B
Dead PMN’s in saliva
C
Living PMN’s in GCF
D
Living PMN’s in serum
The histopathological picture of chronic gingivitis :

A
. Leukocytic infiltration with increased neutrophils
B
Widening of capillaries and venules
C
Increased plasma cells and neutrophils
D
Infiltration of neutrophils, lymphocytes and plasma cells **
Interproximal cratering and pronounced bony ledges are indications for performing :
A
Gingivoplasty
B
Infrabony pocket therapy
C
Osseous grafting
D
Osseous resection and contouring **
Saliva is the mineral source for :

A
Supragingival calculus **
B
C
Both
D
None
Subgingival calculus is usually dark in color because :

A
Tobacco stains are usually incorporated
B
Pigments from blood breakdown are usually incorporated **
C
Its location prevents the washing action of saliva
D
It contains a high percentage of calcium phosphate
Which of the following periodontal diseases most nearly fulfills Koch’s postulates ?
A
Localized juvenile periodontitis **
B
Chronic periodontitis
C
Acute periodontitis
D
None of the above
Which tissue (s) has (have) little or no keratinisation ?

A
Sulcular epithelium
B
Alveolar mucosa
C
D
Interdental papilla
Clinical picture of erosive lichen planus may resemble that of :

A
B
Candidiasis
C
Stomatitis
D
None of the above
Excessive occlusal forces on teeth :

A
Cause a faster horizontal bone loss
B
Result in formation of pseudopockets
C
May after pathway of inflammation, causing alteration in morphology of periodontal pockets **
D
Increase the severity of gingival inflammation
Disadvantages of coagulation is (are) :

A
Recurrence of bleeding after 24 hr
B
Causes gingival recession **
C
Cannot be used in posterior quadrants
D
Causes pulp necrosis
10% KNO3 is used to :

A
Treat hypersensitive dentin **
B
Reduce caries
C
As a acid etchant
D
As a base below restoration
Treatment of choice for a 78-year-old patient with numerous pockets that are 3-5 mm deep
consists of plaque control and :
A
Root planning **
B
Gingivectomy
C
Surgical curettage
D
A key feature that differentiates stage III gingivitis from the stage II lesion is in increase in the
number of :
A
Lymphocytes
B
Plasma cells **
C
Mast cells
D
Polymorphs
Trush :
A
Occurs only in elderly
B
Is caused by gram-ve bacteria
C
Is seen clinically as a proliferate lesion
D
Response to nystain **
Most common clinical sign of occlusal trauma is the presence of :

A
Tooth mobility **
B
Cuspal discoloration
C
Enamel cracks
D
None of the above
Which of the following is characterized by inflammation that extends from the gingival into the
supporting apparatus with loss of attachment ?
A
Gingivitis
B
Periodontitis **
C
Secondary occlusal trauma
D
Necrotizing ulcerative gingivitis
In a free gingival graft, what happens to epithelium of graft ?

A
Remains as such
B
Proliferates
C
Degenerates **
D
Has to be removed by surgeon
In the absence of proper oral hygiene gingival inflammation of previously healthy tissue is
expected to occur in little as :
A
1 day B
1 week **
C
2 weeks
D
1 month
Key cytokines in the pathogenesis of cytokines are :

A
IL 8
B
IL 3
C
IL 5
D
IL 1 and TNF **
Buttressing bone formation is a :

A
Process which is always peripheral
B
Occurs normally
C
Occurs when excessive occlusal forces are present
D
Process which is always endosteal **
The frequency of recall for treated periodontal patient is based on upon the :
A
Severity of original disease
B
Patient’s control of plaque
C
D
Age of the patient
Mucogingival surgery is not indicated for the treatment of :

A
Decreased width of attached gingival
B
C
Gingival recession
D
High frenal pull
Which of the following microorganisms are most commonly found in early plaque ?
A
Cocci **
B
Vibrios
C
Spirochetes
D
Actiomyces
Gingival bleeding index measures :

A
Gingivitis **
B
Dental plaque
C
Gingival bleeding
D
Gingival recession
If periodontal surgery is necessary in case of horizontal bone loss in upper anterior region, which
of the following is most appropriate ?
A
Papilla preservation flap **
B
Widman flap
C
Coronary displaced flap
D
Gingivectomy
ANUG is best diagnosed by :

A
Clinical signs and symptoms
B
Bacteriologic examination **
C
Biopsy
D
Visual examination and palpation
It is likely that cell-mediated immune reactions/delayed hypersensitivity occurs in periodontal

disease because :
A
IgG antibody reactive with plaque bacterial antigens **
B
T-lymphocytes sensitized to plaque bacterial antigens
C
High levels of collagenase in gingival fluid
D
High level of histamine within involved gingival tissue
Which of the following is the best method to evaluate the mobility of a tooth during a dental
examination ?
A
Hold the finger firmly with an index finger and thumb and move the tooth
B
Hold the tooth with the handles of two instruments and move the tooth **
C
Hold the tooth with the handle of one instrument and an index finger and move the tooth
D
Have the patient grind his teeth and observe movement
Trauma from occlusion mainly results in :

A
Pain on percussion
B
Enamel hyperplasia
C
D
Tooth mobility **
The electronic probing system “foster miller” probe defects :

A
B
Only the CEJ
C
D
The newly formed cementum is demarcated from the root by deeply staining irregular line
termed as :
A
Incremental line
B
Reversal line **
C
Resorption line
D
Formative line
The radiographic findings of gingivitis will demonstrate :

A
Horizontal bone loss
B
Vertical bone loss
C
Normal bone pattern **
D
Change in bone trabeculation
Smoking causes :
A
Increase in bleeding on probing
B
Decrease in bleeding on probing **
C
No effect on bleeding on probing
D
None of the above
After removal of periodontal dressing what should be done to keep sensitivity to minimum ?
A
Use of mouthwash
B
C
D
None of the above
Pronounced bony ledges and interproximal catering are indication of performing :

A
Flap surgery
B
C
Osseous grafting
D
Both A and B **
The bacterial flora in periodontal pockets associated with juvenile periodontitis is predominately :
A
Gram-positive aerobic cocci
B
Gram-positive anaerobic cocci
C
Gram-negative aerobic cocci
D
Non inflammatory response **
An 18-year female patient with swelling and pain in the mandibular 3rd molar area will most
likely have :
A
B
Pericoronitis **
C
Pregnancy gingivitis
D
Plasma cell gingivitis
“Trauma from occlusion occurs in supporting tissues and does not affect the marginal gingival” :
A
B
First statement is false but the second statement is true
C
Both statements are true **
D
Both statements are false
A transplant of bone from one part to other part of body in the same individual :
A
Autogenous **
B
Homologous
C
Heterogeneous
D
Alloplastic
Loss of attachment will be equal to pocket depth when :

A
Gingival margin is at cementoenamel junction
B
Gingival margin in 2 mm coronal to CEJ
C
Gingival margin is 2 mm apical to CEJ
D
When epithelial attachment is at CEJ but depth of the pocket is increased **
The major route of spread of inflammation on the buccal surface of the bone is :
A
Directly into the bone
B
Along the muscle fibers
C
Along the epithelium, connective tissue
D
Along the perivascular tissue **
Occlusal nightguards are used to :

A
Prevent bruxism
B
Reduce pocket formation
C
Redistribute forces on teeth **
D
Permit eruption or elongation of teeth
Which of the following cells are predominant in the stage I of gingivitis ?

A
Plasma cells
B
Neutrophils **
C
Mast cells
D
Lymphocytes
In determining the severity of periodontitis affecting a tooth, the most important criterion :
A
Tooth mobility
B
Probing depth
C
Loss of attachment **
D
Bleeding on gentle probing
Gract taken from different individual of same species is :

A
Allograft **
B
Xenograft
C
Autograft
D
Alloplast
The effect of occlusal forces on the periodontium is not influenced by :

A
Type of occlusal loading **
B
Duration of occlusal loading
C
Frequency of occlusal loading
D
Magnitude of occlusal loading
Width of the attached gingva can be determined by :

A
Subtracting the sulcus or pocket depth from the width of the free gingival
B
Adding the sulcus or pocket to the width of free gingiva
C
Subtracting the sulcus or pocket depth from the width of the alveolar mucosa
D
Subtracting the sulcus or pocket depth from the total width of gingival **
The redness of early gingivitis is most likely caused by :

A
Necrosis of connective tissue
B
Overproduction of collagen fibers
C
Hyperkeratinization of the epithelium
D
Proliferation and dilation of blood vessels **
Peripheral buttressing bone formation effect is termed as :

A
Ledges
B
Craters
C
Hemiseptum
D
Lipping **
A characteristic of pseodopocket is :
A
Apical migration of epithelial attachment
B
Horizontal bone loss
C
Severe pain**
D
Depth over 3 mm
The fact that oral microorganisms can enter the body by way of the gingival crevice (sulcus) is
evidenced by the :
A
Presence of transient bacteremias after dental procedures **
B
High incidence of actinomycosis that occurs after dental procedures
C
Increase in severity of systemic disease after gingival surgery
D
. Increased numbers of oral microorganisms found in the gingival crevices (sulci) of persons with
marginal gingivitis
For a patient undergoing anticoagulant therapy, who requires unavoidable dental surgical
treatment, the dental surgeon should :
A
Not take up the patient till the therapy is over
B
Bring down the dosage and proceed further
C
Adjust the dose before and after dental visit
D
Consult the physician of the patient for joint decision **
Which of the following is not a wasting disease of teeth ?

A
Erosion
B
Caries **
C
Attrition
D
Abrasion
What is bony dehiscence ?

A
V-shaped defect in the buccal or lingual plates of supporting bone **
B
Negative bone architecture
C
S-shaped defect in supporting bone
D
None of the above
What percent of craters from of all the defects ?

A
53%
B
35% **
C
55%
D
33%
Koch’s postulates were given by :

A
William Koch
B
Robert Koch **
C
Socransky
D
Alexander Koch
A mass of proliferating fibroblasts and capillary endothelium seen in a healing wound is :

A
Cicatrix
B
Scar tissue
C
Granulation tissue **
D
Subcutaneous connective tissue
Gingivitis :
A
Inevitably progress to periodontitis
B
Affects approximately 40% of adolescent
C
Is characterized by true pocketing
D
Is a reversible lesion **
Gingival Col is :
A
Orthokeratinized
B
Parakeratinized
C
Both parakeratinized and orthokeratinized
D
Nonkeratinized **
A child patient with lymphadenopathy, fever 101.20F has discrete areas of ulceration within rings
of intense inflammation on facial mucosa and palate. The mouth is sore and the child will not eat
or drink. The most probable diagnosis is :
A
Moniliasis
B
Infantile impetigo
C
Acute streptococcal infection
D
Acute herpetic gingivostomatitis **
Patients on cyclosporine have the gingival enlargement if the dose exceeds :

A
250 mg/day
B
500 mg/day **
C
150 mg/day
D
125 mg/day
A black line on the gingival which follows the contour of the margin :
A
Lead **
B
Argyria
C
Iron
D
Mercury
The first stage of rapidly progressive periodontitis is characterized by :

A
Degeneration of principal fibers of periodontal ligament **
B
Severe mobility of the teeth
C
Severe and rapid gingival recession
D
Inflammation limited to marginal gingival
Tissue consistency refers to :

A
Thickness
B
Resiliency **
C
Texture
D
Presence or absence of stippling
Denuded root surfaces are best covered by :

A
Replacement flap
B
Laterally repositioned flap **
C
Apically repositioned flap
D
None of the above
Activity of osteoclast is regulated by :

A
Calcitonin
B
PTH
C
D
Vit. D
According to extending stages of oral necrotizing disease stage 5 and 6 correspond to :

A
ANUP
B
ANUG
C
Necrotizing stomatitis **
D
Noma
Leukotoxin is released by :
A
F. nucleatum
B
A. naeslundii
C
B. forsythn
D
A. actionomycetecomitans **
Which of the following cells migrate into the gingival sulcus in the maximum quantity, as result of
plaque accumulation ?
A
Fibroblast
B
Plasma cells
C
Polymorphonuclear leukocytes **
D
Monocytes
Instruments used to remove calculus from implants is :

A
Plastic **
B
Metal
C
Ultrasonic instruments
D
All of the above
Human oral spirochetes are :

A
Gram-positive and aerobic
B
Gram-positive and strict anaerobic
C
Gram-negative and aerobic
D
Gram-negative and strict anaerobic **
Sharpey’s fibers are :

A
Collagen fibers **
B
Elastic fibers
C
Oxytalan fibers
D
Transseptal fibers
The predominant bacteria in a 2-day old supragingival plaque are :

A
Streptococci **
B
Actinomyces
C
Bacteroides
D
Fusiforms
Are more effective than surgical procedures in deducing pocket depth

A
Volatile sulphide **
B
Volatile sodium C
Volatile sulphur
D
Volatile chloride
How many osseous walls are present in one walled vertical defects ?
A
One wall present **
B
Two wall present
C
Three wall present
D
Four wall present
Subgingival scaling and root planning are best carried out with :
A
Sickle scaler
B
Curette **
C
Universal scaler
D
Ultrasonic instruments
Proxabrushes are recommended to be used in :

A
Type I embrasures
B
Type II embrasures **
C
Type III embrasures
D
Type IV embrasures
What type of fibers are principal fibers of the periodontal ligament ?

A
Elastic
B
Reticular
C
Collagenous **
D
Collagenous and elastic
Periodontal surgery may accomplish :

A
Elimination of pocket **
B
Regeneration of cementation
C
Stabilization of tooth
D
Regeneration of bone
Computer assisted densitometeric analysis (CADIA) has all advantages except :

A
Has better sensitivity than digital subtraction analysis
B
Has higher sensitivity that i-125 absorptiometery
C
Can be used accurately for posterior area also
D
Soft tissue density can be measured accurately **
Primary trauma from occlusion does not involve :

A
B
Root resorption
C
Leukocytosis **
D
None of the above
Subgingival plaque differs from supragingival plaque in that subgingival plaque commonly has :
1. More spirochetes 2. More streptococci 3. More fusobacteria 4. More dextrans in its matrix 5. A
pellicle formed by salivary components
A
1, 2 and 3
B
1 and 3 only **
C
1, 4 and 5
D
2 and 3 only
Inflammatory mediators indicative of periodontal disease activity are :

A
Interleukin-beta
B
Tumor necrosis factor (TNF) alfa
C
Calor
D
Both A and B **
Who described zones of ANUG :

A
Koch
B
Listgarten **
C
Socransky
D
Irving Glickman
ANUG does not usually lead to periodontal pocket formation because :

A
Of destruction of gingival epithelium **
B
. Of rapid gingival recession causing exposure of root surface
C
Of absence of pathogen considered responsible for periodontal pocket formation
D
There is no destruction of tooth supporting structures
Periodontal disease that is ongoing without symptoms is referred as :

A
Acute
B
Chronic **
C
Temporary
D
None of the above
Abnormal tooth mobility may be initiated by each of the following except :

A
Diabetes **
B
Hperparathroidism
C
Traumatic occlusion
D
Resorption of alveolar bone
Which of the following ingredients of a tooth paste acts as a detergent ?

A
An essential oil
B
Glycerin
C
Sodium lauryl sulphate **
D
Sodium meta phosphate
Furcation involvement is difficult to be detected in :

A
Maxillary 1st molar
B
Mandibular 1st molar
C
Maxillary 1st premolar **
D
Mandibular 1st premolar
The finger rest established on tooth surfaces on opposite side of the same arch is known as :
A
Conventional finger rest
B
Opposite arch finger rest
C
Cross arch finger rest **
D
Finger on finger rest
Most common donor site in the oral cavity for free gingival graft is :
A
Hard palate **
B
Soft palate
C
Anterior mandibular region
D
Buccal maxillary region
Most common organism present in the saliva is :

A
Sreptococcus **
B
Staphylococcus
C
Treponema
D
AA comitans
Iliac crest graft should be ideally taken from :

A
Lateral aspect
B
Medial aspect **
C
Posterior superior aspect
D
Anterior inferior aspect
Formation of dental plaque on tooth surface is likely to be proceeded by :

A
Materia alba
B
Pellicle **
C
Basic glycoproteins
D
Inflammatory exudates
Which of the following factors contribute to the development of necrotizing ulcerative gingivitis ?
a. Stress 2. Smoking 3. Pregnancy 4. Drug idiosyncrasy
A
1 and 2 **
B
1 and 3
C
1 and 4
D
2 and 3
Stratum basale of gingival epithelium does not contain :

A
Langherans’ cells **
B
Melanocytes
C
Merkel cells
D
Melanophores
Glucose concentration in gingival crevicular fluid is :

A
2-3 times greater than in serum**
B
2-3 times lesser than in serum
C
10 times greater than in serum
D
10 times lesser than in serum
Secondary occlusal traumatism is least likely to be associated with :

A
Inflamed gingival **
B
Bruxism
C
Tooth mobility
D
Migration of teeth
Apoptosis is suggestive of :
A
Coagulative necrosis
B
Liquefactive degeneration **
C
Neoangiogenesis
D
Epithelial dysplasia

Peridontics

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Peridontics

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Which of the following periodontal disease does not have calculus :

Phenytoin causes gingival :

During a maintenance appointment, which of the following measures is most appropriate to

Which of the following is a major contraindication to resection of crestal bone ?

The graft with maximum osteogenic potential is :

Main port of leukocyte to the oral cavity is :

The loss of attachment will be equal to the pocket depth when :

The T-lymphocyte and B-lymphocyte ratio in periodontal ligament is :

Markedly excessive force on teeth results in all of the following except :

Treatment of choice for generalized fibrous gingival hyperplasia is :

In Grade II furcation defect :

The most important sign and symptom of marginal gingivitis :

Plaque tends to form most rapidly :

The primary cause of an inflammatory reaction to an overhanging gingival margin of a

The consistency of the subgingival calculus is described to be :

Occlusal night guards are used to :

The significance of an amalgam overhang as an etiologic agent in chronic periodontal disease

Most reliable diagnostic aid in periodontal disease :

Blanching of the oral mucosa is associated with :

Which of these factors causes recurrence of ANUG :

Gracey curette No. 11-12 are used for :

The periodontopathogens found in slowly progressing periodontitis include :

Which of the following is the role of barrier membrane in GTR ?

An advanced diagnostic technique which has been suggested as an alternative to culture

The area of oral cavity most severely affected by gingivitis is :

Which of the following is used in the management of haemophilic patient ?

The rate of calculus formation can be retarded by :

Antibacterial component of saliva is :

Conditional gingival enlargements is usually not :

Bone/periosteum is scored during grafting procedure in order to :

The width of normal periodontal ligament increases :

Which microorganism has 90% presence in localized aggressive periodontitis ?

Which of the following is a symptom ?

Which type of gingival enlargement is seen in puberty ?

The major role of initial therapy is the :

Occlusal trauma may be best defined as a condition caused due to :

Plateau like defect caused by resorption of thickened bone is called as :

Dental plaque is formed by enzymatic reactions of which of the following ?

The term pyorrhoea alveolaris was coined by :

Plaque is a causative agent in chronic inflammatory periodontal disease because it :

In primary trauma from occlusion :

What percentage of dentin contains collagen ?

What is inter proximal distance required to produce angular detected ?

Necrotic slough is seen most commonly in :

Predominant cell type most frequently found in periodontal ligament is :

Too low a current in an electrosurgical electrode can be detected by :

Wavelength of the laser CO2 and Nd:YAG used for gingivectomy is :

Which of the following statements about calculus is false ?

Fate of free gingival grafts is :

Bleeding on probing is indicative of :

A patient a generalized, 4 mm Gingival recession on maxillary anterior teeth. During periodontal

Drug replaced in cases of nifedipine induced gingival overgrowth :

Which is an example of non-graft associated regenerative technique ?

Endotoxin acting on cementum is obtained from :

In soft toothbrush the diameters of commonly used bristles are :

Average specific gravity of salvia is :

Free gingival groove is present in about :

Primary herpetic gingivostomatitis usually occurs :

Primary colonization of plaque is dominated by :

Amount of tooth structure removed during ultrasonic scaling is :

Which of the following regimen is not likely to influence periodontal therapy ?

Flap with no vertical incision is called :

The periodontal membrane is variable in thickness :