Perio Chap 21: deciding gingivitis vs Perio

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.

• Both statements are true.

• Both statements are false.

• The first statement is true; the second is false.

• The first statement is false; the second is true.

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:

• periodontal maintenance.

• nonsurgical periodontal instrumentation.

• periodontal master treatment plan.

• collective outline of treatment.

If the clinical periodontal assessment reveals an absence of overt signs of gingival inflammation, the periodontium is healthy. If a patient has recession but no inflammation, no further assessment is needed to determine health or disease.

• Both statements are true.

• Both statements are false.

• The first statement is true; the second is false.

• The first statement is false; the second is true.

It is important to use both clinical findings and radiographs during the clinical assessment process.

The dental team must make every effort to detect periodontitis before there is obvious radiographic evidence of alveolar bone loss.

• both true

• both false

• true/false

• false/true

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

• What type of gingivitis or periodontitis?

• Is the disease gingivitis or periodontitis?

• Does the clinical assessment indicate disease or health?

• Have all the clinical assessment procedures been completed correctly?

It is possible for a patient to have more than one periodontal condition. Always make a definitive periodontal diagnosis even if you are uncertain of the type and category.

• Both statements are true.

• Both statements are false.

• The first statement is true; the second is false.

• The first statement is false; the second is true.

All of the following are true about documenting disease severity and extent, except: A. if there is clinical attachment loss, it is moderate Stage II. B. if less than 30% of the teeth have attachment loss, disease is localized. C. if there is up to 8 mm of attachment loss in multiple teeth with many missing teeth, disease is Stage IV. D. if there is no attachment loss but generalized gingival inflammation, it is Stage 0.

• A. if there is clinical attachment loss, it is moderate Stage II.

• B. if less than 30% of the teeth have attachment loss, disease is localized.

• C. if there is up to 8 mm of attachment loss in multiple teeth with many missing teeth, disease is Stage IV.

• D. if there is no attachment loss but generalized gingival inflammation, it is Stage 0.

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

The clinical measurement(s) that determine(s) the difference between gingivitis and periodontitis is the:

• clinical loss of attachment.

• level of the free gingival margin.

• pocket depth readings.

• clinical mobility and furcation involvement.

The descriptive modifier “generalized” is a term used to determine disease:

• extent

• severity

• progression

• duration