PERIODONTICS Q&A

Gianina Camille S. Gamboa, DMD

In patients with normal bone and normal healing capabilities, one should anticipate dental implant success rates of:
a. b. c. d. e.

35% 50-60% 74% 90-95% 80%

Which of the following dimensions is not part of routinely recommended space requirement for root form implants?
a.

b.

c.

d.

e.

A minimum of 3 mm space between adjacent implants At least 2 mm of remaining bone between the implant and vital structures At least 1 mm of bone surrounding the implant in all dimensions A minimum implant length of 16 mm for stability Placement of the restorative platform apical to the CEJs of adjacent teeth

If the interarch space available for the implant crown is limited, which abutment combination is least advantageous?
a. b. c.

d.

Cemented crown to the abutment Screw-retained crown on the abutment Restoration which fits to the implant with no abutment Abutment with a ball extension for a removable prosthesis

When considering probing depths around implants and attachment levels, what landmark is used to determine the clinical attachment level?
a. b. c. d.

e.

CEJ Apical end of the implant Ball tip of the probe Implant shoulder or other permanent physical structure Radiograph

Which one of the following statements is not a correct sign or symptom of a periodontal abscess?
a. b.

c. d.

There is a localized swelling of the gingiva There is an abnormal response to electric and thermal pulp testing Pain in the area of the abscess Tooth or teeth very sensitive to pressure

The predominant microorganisms in the first 24 hours of plaque formation are

a. b. c. d. e.

Vibrios Filaments Spirochetes and vibrios Rods and cocci Cocci and filaments

Loe, Theilade and Jensen, 1965

1-24 hours Gram-positive cocci and short rods 2-4 days Rods and filaments (cocci still present, fusobacteria) 6-10 days Vibrios and spirochetes (cocci, rods and filaments still present)

Histologic changes found in trauma from occlusion include

a. b.

c.

d.

Inflammation in the periodontal ligament Hemorrhage and thrombosis of blood vessels in the periodontal ligament Apical migration of the epithelial attachment Replacement of collagenous fibers in the periodontal ligament with elastic tissue fibers

Clinical picture of Trauma from Occlusion

Histologic Changes in Occlusal Trauma

increased vascularization increased vascular permeability vascular thrombosis disorganization of cells and collagen fiber bundles

Which of the following statements is true of osseous surgery?

a.
b.

c.

d.

Reshaping of bone is referred to as ostectomy or osteoplasty Implantation of bone is referred to as ostectomy or osteoplasty Implantation procedures are utilized with increasing greater frequency since the surgical results are reasonably predictable Reshaping of bone should not be performed when supporting bone will have to be removed to eliminate the defect

Osteoplasty bone reshaping and resection techniques; bone reshaping without removing tooth-supporting bone

Ostectomy/Odontoplasty bone reshaping involving some portions of tooth-supporting bone (bone directly involved in the

attachment of the tooth)

Treatment of ANUG consists of which of the following procedures, except?

a.

b.
c. d.

Removal of deposits, usually in a series of appointments Peroxide injected into the ulcerated lesion Antibiotics when a fever is present Antibiotics when a lymphadenopathy is present

The most effective method of toothbrushing is

a. b. c. d. e.

Roll Stillmans Charters Fones No one method has been shown to be best

Which of the following is the most important aspect of toothbrushing?

a. b. c. d. e.

The design of the brush head The method of toothbrushing Thoroughness on the part of the patient The frequency The use of toothpaste containing fluoride

Which of the following statements about dental flossing is not accurate?

a.

b.

c.

d.

It is not proper for individuals without periodontal disease to use dental floss The most efficient method of interproximal plaque removal is the use of dental floss Unwaxed dental floss has not been shown definitely superior to waxed floss The primary purpose of dental floss is the removal of plaque from the interproximal tooth surfaces

Which one of the following statements accurately reflects the population shift of inflammatory cells as the inflammatory lesion advances?
a.

b.

c.

d.

There is a shift from neutrophils in the earliest lesion, to mast cells in the established lesion, and to macrophages in the more advanced lesion There is a shift from neutrophils in the earliest lesion, to plasma cells in the established lesion, and to lymphocytes in the more advanced lesion There is a shift from plasma cells in the earliest lesion, to lymphocytes in the established lesion, and to neutrophils in the more advanced lesion There is a shift from neutrophils in the earliest lesion, to lymphocytes in the established lesion, and to plasma cells in the more advanced lesion

Early lesion neutrophils predominates

Established lesion lymphocytes

Advanced lesion plasma cells

In testing for mobility, which of the following statements is true

a.

b.

c.

d.

Heavy pressure must sometimes be used to test mobility Only lateral mobility is significant in diagnosis and treatment of chronic inflammatory periodontal disease Hyper mobility indicates that the tooth supporting structure have been weakened Reliance on radiograph is essential

Probe pressure at the sulcus of pocket should not be more than enough to
a. b.

c.

d. e.

Feel the top of the crestal bone Balance the pressure between fulcrum and grasp Define the location of the apical and the calculus deposit Feel the coronal end of the attached tissues Limit the lateral pressure

Which of the following organisms are pathognomonic of acute necrotic ulcerative gingivitis
a. b. c. d.

e.

Spirochaetes and fusobacterium SP Spirochaetes and eikenella corrodes Polymorphs and lymphocytes Actinobacillus actinomycetes comitans oral capnocytophaga Porphyromonas gingivalis and prevotella intermedia

12 years old child presents with symptoms of widespread gingivitis with bleeding and general malaise for several weeks. How would you manage this patient
a. b.

c. d. e.

Prescribe Metronidazole 100mg Locally debride, give oral hygiene instruction and prescribe H2O2 mouth wash Give a prophylaxis with ultra sonic scaling Refer for haematological screening Advise for bed rest with supportive and palliative treatment

The most common elements found in periodontal membrane are:

a. b. c. d. e.

Fibroblast Epithelial cells Erythrocytes Rest cells of malassez Inflammatory plasma cells and lymphocytes

The term false pocket stands for:

a. b. c. d.

e.

Infra bony pocket Loss of periodontal attachment Hyperplasia of the gingiva Suprabony pocket NOTA

Which of the following is correct about periodontal disease

a.

b.

c.

d.

The finger pressure is enough for mobility diagnosis Radiograph after intra alveolar surgery is sufficient for diagnosis healing Systemic diseases have no effects on it ZoE paste will accelerate healing

Which of the following cytokines are not implicated in periodontal disease? a. TNF-a b. TGF-B c. MMP d. IL-8 e. PGE2

Cytokines
DISEASE (pro-inflammatory)
IL-1 beta TNF-alpha INF-gamma PGE2 MMP

HEALTH (anti-inflammatory)
IL-10 TGF-beta IL-1 ra TIMP

Px X presents with erythematous gingiva, numerous punched out interdental papillae, PPD of 4 mm with no evidence of clinical attachment loss. What is the pxs condition?
a. b. c. d.

Desquamative gingivitis Acute necrotizing ulcerative gingivitis Acute necrotizing ulcerative periodontitis Herpetic gingivostomatitis