Quiz about PERIO FINAL

Question 1

Which of the following lymph nodes drain most of the periodontal tissues?

Accepted Answer

Submandibular

Answer

Deep cervical

Answer

Submental

Answer

Jugulodigastric

Question 2

Innervation of the teeth and periodontal ligament of the maxillary arch is from the ____ alveolar nerves, and innervation of the teeth and periodontal ligament of the mandibular arch is from the ____ alveolar nerves.

Accepted Answer

Superior, Inferior

Answer

Nasopalatine, Buccal

Answer

Infraorbital, Mental

Answer

Supramaxillary, inframandibular

Question 3

The ____ is the part of the mucosa that surrounds the cervical portions of the teeth and covers the alveolar processes

Accepted Answer

Gingiva

Answer

Periodontal ligament

Answer

Cementum

Answer

Alveolar mucosa

Question 4

Which of the following tissues is NOT part of the periodontium?

Accepted Answer

Alveolar mucosa

Answer

Periodontal ligament

Answer

Gingiva

Answer

Cementum

Question 5

A dental hygienist inserts a calibrated periodontal probe into a healthy sulcus until the tip reaches the base of the sulcus. What anatomical structure forms the base of the sulcus?

Accepted Answer

Junctional epithelium

Answer

Periodontal ligament

Answer

Gingiva

Answer

Cementum

Question 6

While assessing the gingival tissue, the hygienist notes there appear to be "open spaces" apical to the contact areas of many of the patient's teeth. Which anatomical area of the gingiva is missing resulting in open spaces?

Accepted Answer

Interdental gingiva

Answer

Attached gingiva

Answer

Gingival sulcus

Answer

Interdental col

Question 7

The coronal-most edge of the gingiva is the alveolar mucosa. Alveolar mucosa is distinguished by its dark red color and smooth, shiny surface.

Accepted Answer

The first statement is false, the second is true

Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is true, the second is false

Question 8

What shallow linear depression separates the free and attached gingiva?

Accepted Answer

Free gingival groove

Answer

Gingival sulcus

Answer

Mucogingival junction

Answer

Gingival margin

Question 9

The space between the free gingiva and tooth surface is called:

Accepted Answer

Gingival sulcus

Answer

Interdental gingiva

Answer

Junctional epithelium

Answer

Periodontal ligament

Question 10

The depth of a clinically normal gingival sulcus is no greater than:

Accepted Answer

3 mm

Answer

1 mm

Answer

5 mm

Answer

7 mm

Question 11

Which of the following is NOT a function of the periodontal ligament?

Accepted Answer

Prevent food from becoming packed in the sulcus

Answer

Suspends the tooth in its socket

Answer

Provide feeling to the tooth

Answer

Build and maintain cementum

Question 12

A thin layer of yellow, hard, mineralized tissue that is attached to dentin of the root refers to which tissue?

Accepted Answer

Cementum

Answer

Alveolar bone

Answer

Periodontal Ligament

Answer

Enamel

Question 13

The existence of alveolar bone is dependent on the presence of teeth. .. teeth are extracted, alveolar bone resorbs.

Accepted Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is true, the second is false

Answer

The first statement is false, the second is true

Question 14

Which of the following is NOT one of the layers of the alveolar process?

Accepted Answer

Ramus

Answer

Alveolar bone

Answer

Cortical bone

Answer

Cancellous bone

Question 15

The periodontal ligament can remodel alveolar bone in response to pressure. The periodontal ligament can provide nutrients to cementum and bone.

Accepted Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is true, the second is false

Answer

The first statement is false, the second is true

Question 16

The thin layer of bone that lines the socket to surround the root of the tooth is called:

Accepted Answer

Alveolar bone proper

Answer

Cancellous bone

Answer

Periosteum

Answer

Compact bone

Question 17

Physiologic pigmentation appears:

Accepted Answer

More frequently in dark-skinned people

Answer

Light to dark coral pink

Answer

More frequently in light-skinned people

Answer

In anterior regions only; is never seen in posterior region

Question 18

Nerve supply to the periodontium is derived from branches of the _____

Accepted Answer

Trigeminal

Answer

Transseptal

Answer

Transoral

Answer

Trigingival

Question 19

Lattice-like bone that fills the interior portion of the alveolar process refers to:

Accepted Answer

Cancellous bone

Answer

Cortical bone

Answer

Periosteum

Answer

Cribriform plate

Question 20

A patient has a healthy periodontium. If the hygienist could see the microscopic structures of this patient's periodontium, how would the interface of the junctional epithelium with the gingival connective tissue appear?

Accepted Answer

It would have a smooth interface.

Answer

It would have a parallel interface.

Answer

It would have a sloping interface.

Answer

It would have a wavy interface

Question 21

The difference between a gingival pocket and a periodontal pocket is that:

Accepted Answer

A gingival pocket is a result of gingival enlargement, and a periodontal pocket is a result of apical migration of junctional epithelium and alveolar bone loss

Answer

A gingival pocket does not have exudate, and periodontal pocket exhibit exudate

Answer

A gingival pocket occurs when there is horizontal bone loss, and a periodontal pocket occurs when there is vertical bone loss

Answer

A periodontal pocket is a "false" pocket while a gingival pocket is a "true" pocket

Question 22

Continued apical migration of the junctional epithelium indicates a:

Accepted Answer

Site of active disease

Answer

Inflammation

Answer

Gingivitis

Answer

Pseudopocket

Question 23

All of the following are functions of the periodontal ligament EXCEPT which one?

Accepted Answer

It unites the free gingiva with the cementum.

Answer

It attaches the tooth to the bony socket.

Answer

It provides sensory and nutritive function.

Answer

It produces osteoclasts to resorb the bone.

Question 24

Which of the following tooth structures is an example of epithelial tissue?

Accepted Answer

Enamel

Answer

)Dentin

Answer

Cementum

Answer

Pulp

Question 25

All of the following are functions of the cementum EXCEPT which one?

Accepted Answer

It seals (covers) the dentinal tubules.

Answer

It attaches periodontal fibers to the tooth.

Answer

It lines the bony sockets and protects the roots of the teeth.

Answer

It compensates for the loss of the tooth tissue caused by attrition.

Question 26

Gingivitis always progresses into periodontitis. Gingivitis can be observed clinically as soon as 2 days after cessation of oral self-care.

Accepted Answer

Both statements are false.

Answer

Both statements are true.

Answer

The first statement is true; the second is false.

Answer

The first statement is false; the second is true.

Question 27

Without cementum, there can be no tissue reattachment after periodontal therapy. For enhanced healing, it is necessary to remove bacteria-laden cementum during subgingival instrumentation.

Accepted Answer

The first statement is false; the second is true

Answer

Both statements are true.

Answer

Both statements are false.

Answer

The first statement is true, the second is false.

Question 28

A patient exhibits a bacterial infection of all parts of the periodontium. Which of the following is the state of her periodontium?

Accepted Answer

Periodontitis

Answer

gingival health on

Answer

gingival health

Answer

Gingivitis

Question 29

A dental hygienist gently inserts a calibrated periodontal probe into a sulcus. One side of the working-end of the probe touches the tooth surface as the probe is inserted. During the process of insertion, the other side of the probe is touching which of the following anatomical structures?

Accepted Answer

Sulcular epithelium

Answer

Junctional epithelium

Answer

Basal epithelium

Answer

Oral epithelium

Question 30

The difference between a desmosome and hemidesmosome is that:

Accepted Answer

a desmosome connects two cells together, and hemidesmosomes connects a cell to the basal lamina

Answer

a desmosome is found in the gingival epithelium, and hemidesmosome is found in connective tissue

Answer

a desmosome connects a cell to the basal lamina, and hemidesmosome connects one cell to another

Answer

A desmosome is found in connective tissue, and hemidesmosome is found in gingival tissue

Question 31

When performing a clinical examination on your patient, you note that her gingival tissues are light pink with scalloped margins. There was no bleeding upon probing. Probing depths range from 1-2 mm in depth with no bone loss present. Which of the following is the state of her periodontium?

Accepted Answer

Gingival health on an intact periodontium

Answer

Gingival Health on a reduced periodontium

Answer

Gingivitis

Answer

Periodontitis

Question 32

It is possible for a patient to have gingivitis because of poor nutrition. Gingivitis can be caused from an allergic reaction or fungal infection.

Accepted Answer

Both statements are true.

Answer

Both statements are false.

Answer

The first statement is true, the second is false.

Answer

The first statement is false; the second is true

Question 33

Which of the following is a classification of periodontal disease that involves infection or death of dental pulpal tissues?

Accepted Answer

Periodontitis associated with endodontic lesions

Answer

Chronic periodontitis

Answer

Aggressive periodontitis

Answer

. Necrotizing periodontal disease

Question 34

All of the following are true of the oral epithelium, EXCEPT:

Accepted Answer

It is permeable allowing for flow of cervical fluid

Answer

It may be keratinized or parakeratinized

Answer

. The junction with connective tissue in health has a wavy interface

Answer

it covers the outer surface of free gingiva an attached gingiva

Question 35

All of the following are components of a comprehensive periodontal assessment EXCEPT

Accepted Answer

detection of occlusal caries

Answer

level of mucogingival junction

Answer

level of free gingival margin

Answer

fremitus

Question 36

During a periodontal assessment, the hygienist records the following findings on the periodontal chart for the facial aspect of a tooth:

Gingival margin level = +2 mm

Probing depth measurement = 5 mm

What is the clinical attachment loss for the facial surface of the tooth?

Accepted Answer

7 mm

Answer

2mm

Answer

3 mm

Answer

9mm

Question 37

A mandibular second molar has an 8-mm attachment loss. The hygienist is able to depress the tooth in its socket by applying downward pressure. This finding indicates that the tooth has ___ mobility.

Accepted Answer

class 3

Answer

class 1

Answer

class 2

Answer

class 4

Question 38

The importance of assessing calculus deposits on teeth during a comprehensive periodontal assessment is which of the following?

Accepted Answer

Calculus deposits must be removed during nonsurgical therapy.

Accepted Answer

Calculus is a local contributing factor in disease.

Answer

Calculus deposits are a necessary factor for the initiation of periodontal disease.

Answer

calculus deposits must be removed during nonsurgical therapy, and calculus is a local contributing factor in disease

Question 39

All of the following are true about detecting calculus deposits on a radiograph EXCEPT

Accepted Answer

Radiographic evidence of calculus is an accurate assessment tool for the detection of all calculus deposits

Answer

Only large calculus deposits usually are evident on radiographs

Answer

Deposits on the facial or lingual can be seen when severe bone loss is present

Answer

The ability to see the calculus depends on the degree of mineralization of the deposit

Question 40

Radiographs usually show more interradicular bone between the roots of the teeth than what is actually present. Facial and lingual bones can be superimposed over a furcation.

Accepted Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is true, the second is false

Answer

The first statement is false, the second is true

Question 41

Radiographs reveal the bone remaining rather than the amount of bone lost. The amount of bone loss can be roughly estimated on a radiograph as the difference between the level of the remaining bone and normal bone height

Accepted Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is true, the second is false

Answer

The first statement is false, the second is true

Question 42

Which of the following statements is true about viewing periodontal pockets on radiographs?

Accepted Answer

A periodontal pocket is not visible on radiographs

Answer

A periodontal pocket appears radiolucent on radiographs

Answer

A periodontal pocket appears radiopaque on radiographs

Answer

A periodontal pocket is less deep than it appears on a radiograph

Question 43

Associated symptoms of NPD include all of the following EXCEPT:

Accepted Answer

Pigmented gingiva

Answer

Fetid odor

Answer

Excessive salivation

Answer

Swollen lymph nodes

Question 44

One critical component of Necrotizing Periodontal Disease (NPD) is advanced age. NPD is more commonly found in the 40 years and older age group.

Accepted Answer

Both statements are false

Answer

Both statements are true

Answer

The first statement is true; the second statement is false

Answer

The first statement is false; the second statement is true

Question 45

A patient who presents with clear, thin delicate gingiva is said to have which periodontal biotype?

Accepted Answer

Thin scalloped

Answer

Thick flat

Answer

Thick scalloped

Answer

Thin flat

Question 46

A patient who exhibits INITIAL loss of interproximal attachment associated with horizontal bone loss is said to have which Cairo Classification?

Accepted Answer

RT2

Answer

RT0

Answer

RT1

Answer

RT3

Question 47

A palatolingual groove can enhance plaque retention thereby contributing to initiation of periodontal disease. Poorly fitting orthodontic appliances have been known to initiate periodontal disease.

Accepted Answer

The first statement is true; the second statement is false

Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is false; the second statement is true

Question 48

The portion of the implant that protrudes through the tissue into the mouth is called the:

Accepted Answer

Abutment

Answer

Implant fixture

Answer

Prosthesis

Answer

Implant Body

Question 49

Osseointegration is regarded as successful if there is:

Accepted Answer

Absence of gingival inflammation of peri-implant tissues

Answer

Only slight radiographic evidence of bone loss around the implant

Answer

No more than class II clinical mobility

Answer

Discomfort only when in fucntion

Question 50

A local risk factor for periodontitis can be acquired OR anatomical. Concavities and furcations are local risk factors acquired over time.

Accepted Answer

The first statement is true; the second false

Answer

Both statements are true

Answer

The first statement is false; the second true

Answer

Both statements are false

Question 51

Which of the following factors is considered the MOST significant risk factor for developing periodontal disease?

Accepted Answer

Smoking cigarettes

Answer

Long-term use of medicines that cause gingival overgrowth

Answer

Chronic poor home-care

Answer

Stress

Question 52

Gingival recession is the most common mucogingival deformity. Absence of attached gingiva predisposes a person to gingival recession.

Accepted Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is true; the second statement is false

Answer

The first statement is false; the second statement is true

Question 53

All of the following questions are considered fundamental in guiding the dental team during the diagnosis process EXCEPT:

Accepted Answer

Have all the clinical assessment procedures been completed correctly?

Answer

What type of gingivitis or periodontitis?

Answer

Is the disease gingivitis or periodontitis?

Answer

Does the clinical assessment indicate disease or health?

Question 54

Red, swollen gingival tissues are examples of clinically visible, overt signs of inflammation. An example of a hidden sign of inflammation is:

Accepted Answer

Alveolar bone loss

Answer

Changes in tissue contour

Answer

Changes in tissue consistency

Answer

Recession of the gingival margin

Question 55

The clinical measurement that determines the difference between gingivitis and periodontitis is ____________

Accepted Answer

Clinical loss of attachment

Answer

Level of the free gingival margin

Answer

Pocket depth readings

Answer

Clinical mobility and furcation involvement

Question 56

Nicotine cessation counseling is part of which phase of a periodontal master treatment plan?

Accepted Answer

Nonsurgical periodontal therapy phase

Answer

Preliminary therapy phase

Answer

Surgical therapy phase

Answer

Maintenance therapy phase

Question 57

The two sources of expertise that bring equally important forms of experience to decision-making processes are:

Accepted Answer

Clinician and patient

Answer

Treatment options and values

Answer

Dental hygienist and dentist

Answer

Standard of care and textbooks

Question 58

Biologic equilibrium in periodontal health means there is a balance between:

Accepted Answer

Bacterial plaque biofilms and the host response

Answer

Bacterial plaque biofilms and local risk factors

Answer

Local risk factors and acquired risk factors

Answer

Local contributing factors and systemic factors

Question 59

Risk factors for periodontal disease other than plaque biofilms include all of the following EXCEPT:

Accepted Answer

Environmental pollution

Answer

Pregnancy

Answer

Heredity

Answer

Systemic diseases

Question 60

The dentist has a legal responsibility to arrive at a periodontal diagnosis for every patient. The dental hygienist plays an important role in planning for nonsurgical periodontal therapy.

Accepted Answer

Both statements are true

Answer

Both statements are false

Answer

The first statement is true; the second statement is false

Answer

The first statement is false; the second statement is true

Question 61

A sequential outline of the measures to be carried out by the dentist, the dental hygienist, and the patient to eliminate disease and restore a healthy periodontal environment is termed:

Accepted Answer

Master periodontal treatment plan

Answer

Periodontal maintenance

Answer

Collective outline of treatment

Answer

Nonsurgical periodontal instrumentation

Question 62

Which of the following is a non-modifiable risk factor for periodontal disease?

Accepted Answer

Age

Answer

Stress

Answer

Nutrition

Answer

Diabetes

Question 63

All of the following are true about documenting disease severity and extent EXCEPT:

Accepted Answer

If there is no attachment loss but generalized gingival inflammation, it is Stage 0

Answer

If there is 3-4 mm clinical attachment loss, the diagnosis is stage II

Answer

If less than 30% of the teeth have attachment loss, disease is localized

Answer

If there is up to 8 mm of attachment loss in multiple teeth with many missing teeth, disease is Stage IV

Question 64

All of the following are steps in the SHARE approach for decision-making EXCEPT:

Accepted Answer

Prioritize

Answer

Assess

Answer

Reach

Answer

Evaluate

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