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Radiographic Periodontal Diagnosis

Total questions: 51

Worksheet time: 26mins

Name
Class
Date
1.

Periodontal disease is defined as:

a)

an inflammatory condition affecting the tissues surrounding the teeth

b)

a viral infection of the oral cavity

c)

a genetic disorder causing tooth loss

d)

a condition affecting only the tongue

2.

The clinical manifestations of periodontal disease include:

a)

Bleeding gums, tooth mobility, gum recession, and bad breath

b)

Tooth whitening, increased saliva, and strong enamel

c)

Frequent headaches, blurred vision, and ear pain

d)

Nasal congestion, sore throat, and cough

3.

Radiographic manifestations of periodontal disease include which of the following?

a)

Loss of alveolar bone height

b)

Increased radiopacity of the periodontal ligament space

c)

Thickening of the lamina dura

d)

Presence of impacted teeth

4.

A radiographic examination alone is enough to diagnose periodontal disease.

a)

True

b)

False

c)

Sometimes

d)

Only in severe cases

5.

What is an EARLY radiographic indicator of periodontal bone loss in POSTERIOR teeth.

a)

Curving of the alveolar crest and widened crestal PDL space

b)

Furcation bone loss

c)

Severe loss of bone height

d)

Loosening teeth

6.

Which of the following is a local irritating factor that may be visualized in radiographs and increases the risk of periodontal disease?

a)

Calculus

b)

Plaque

c)

Gingivitis

d)

Gingival recession

7.

Poorly contoured or overextended ______ can be detected by radiographs, which could be a risk factor for periodontal disease. Fill in the blank.

a)

restorations

b)

implants

c)

braces

d)

crowns

8.

Radiographs help in assessing root length and morphology and ______-to-root ratio. Fill in the blank.

a)

crown

b)

apex

c)

pulp

d)

enamel

9.

Open interproximal contacts, which may be sites for food impaction, can be identified using ______. Fill in the blank.

a)

radiographs

b)

explorers

c)

mouth mirrors

d)

periodontal probes

10.

Radiographs provide information about the position of the maxillary sinus in relation to a ______ deformity. Fill in the blank.

a)

periodontal

b)

skeletal

c)

muscular

d)

dental

11.

Radiographs can help identify missing, supernumerary, impacted, and ______ teeth. Fill in the blank.

a)

tipped

b)

erupted

c)

decayed

d)

loose

12.

What type of imaging provides the highest spatial resolution?

a)

Intraoral imaging

b)

Panoramic imaging

c)

Computed tomography (CT)

d)

Magnetic resonance imaging (MRI)

13.

What is the primary modality in detecting radiographic signs of periodontitis?

a)

BW (Bitewing)

b)

OPG (Orthopantomogram)

c)

Lateral Cephalogram

d)

CBCT (Cone Beam CT)

14.

In intraoral imaging, what is the primary reason for vertical Bitewings rather that horizontal Bitewings?

a)

To help diagnose interproximal caries

b)

To help diagnose root caries

c)

Both A and B

d)

To help characterize severe periodontal bone loss

15.

What technique is ideal to avoid distortion in PA (Periapical) intraoral imaging?

a)

Parallel technique

b)

Bisecting angle technique

c)

SLOB technique

d)

Occlusal technique

16.

Fill in the blank: Intraoral radiography provides a 2-dimensional view of ______ structures. Bony defects overlapped by higher bony walls may be hidden.

a)

3-D

b)

soft tissue

c)

vascular

d)

muscular

17.

Fill in the blank: Intraoral radiographs show _____ bone destruction compared to what is actually present.

a)

more

b)

less

c)

equal

18.

Fill in the blank: Intraoral radiographs provide very limited information about the depth of ______ tissue pockets.

a)

soft

b)

hard

c)

dense

d)

calcified

19.

Fill in the blank: Bone level measurement from the CEJ is not valid where there is ______ or passive eruption.

a)

supraeruption

b)

attrition

c)

abrasion

d)

caries

20.

In a maxillary periapical, the beam is oriented from above, where does this project the buccal plate of bone?

a)

Apically

b)

Coronally

c)

Mesially

d)

Distally

21.

Which imaging modality can give a rough idea but is limited by distortion and poor image detail?

a)

Panoramic

b)

CBCT

c)

MRI

d)

Ultrasound

22.

CBCT is not recommended to be used routinely.

a)

True

b)

False

23.

What can limit the usefulness of CBCT imaging?

a)

Metal artifacts

b)

High radiation dose

c)

Short scan time

d)

Low patient comfort

24.

Some complex defects are better viewed _________

a)

3-dimensionally

b)

in black and white

c)

with the naked eye

d)

under low light

25.

What does CBCT stand for in dental imaging?

a)

Cone Beam Computed Tomography

b)

Cranial Bone Computed Tomography

c)

Cylindrical Beam Computed Tomography

d)

Centralized Beam Computed Tomography

26.

Healthy periodontium: The alveolar crest cortex is continuous with which structure?

a)

lamina dura

b)

periodontal ligament

c)

gingival sulcus

d)

cementum

27.

What is the height range of the crest from the CEJs in a healthy patient?

a)

0.5 to 2.0 mm

b)

2.5 to 4.0 mm

c)

3.0 to 5.0 mm

d)

1.5 to 3.0 mm

28.

In posterior teeth, the crest is parallel to which adjacent structures?

a)

CEJs

b)

Root apices

c)

Pulp chambers

d)

Occlusal surfaces

29.

The periodontal ligament (PDL) is often wider at which portion?

a)

cervical portion

b)

apical portion

c)

middle third

d)

furcation area

30.

Describe the radiographic appearance of the periodontal tissues between teeth #19 and 20.

a)

Normal crestal bone and periodontal ligament appearance

b)

Rounded corners of crestal bone/ periodontal ligament indicating early periodontal bone loss

c)

Severe, horizontal periodontal bone loss

d)

Localized, vertical periodontal bone loss adjacent to tooth #19

31.

In health, between anterior teeth, the crest is:

a)

Flat and poorly defined

b)

Pointed and well-defined

c)

Rounded and irregular

d)

Absent

32.

A well-corticated crest indicates the absence of ________ periodontal disease.

a)

ongoing

b)

chronic

c)

acute

d)

localized

33.

Lack of cortication always indicates disease.

a)

True

b)

False

34.

Acute lesions in periodontal disease tend to be:

a)

Sclerotic (radiopaque)

b)

Radiolucent

c)

Calcified

d)

Transparent

35.

Chronic lesions in periodontal disease tend to be:

a)

Radiolucent

b)

Sclerotic (radiopaque)

c)

Transparent

d)

Brittle

36.

Which of the following is an early change in morphology associated with periodontal disease?

a)

Localized erosion of the alveolar bone crest

b)

Increased bone density

c)

Formation of new bone

d)

Thickening of the lamina dura

37.

Fill in the blank: Early changes in morphology in posterior teeth include loss of sharp angle between the ______ and lamina dura.

a)

alveolar crest

b)

root

c)

enamel

d)

pulp

38.

Significant attachment loss must occur 6-8 months before any radiologic bone loss is evident in periodontal disease.

a)

True

b)

False

39.

What are the changes observed in the anterior region with periodontal disease?

a)

A) Blunting of alveolar crest and loss of bone height

b)

B) Increase in bone height

c)

C) No change in alveolar crest

d)

D) Formation of new bone

40.

Describe the periodontal status of the radiograph.

a)

Loss of periodontal bone height

b)

Rounding, or blunting of the alveolar crest

c)

Calculus can be visualized

d)

All of the above

41.

Refer to the diagram included. What does the 'physiologic level of bone' represent in the context of dental anatomy?

a)

The normal height of bone supporting the teeth

b)

The amount of bone lost due to disease

c)

The height of the tooth crown

d)

The thickness of the gum tissue

42.

In the diagram included, the 'height of remaining bone' refers to the amount of bone that is still present after ________ has occurred.

a)

severe, horizontal periodontal bone loss

b)

mild, horizontal periodontal bone loss

c)

bone growth

d)

gum healing

43.

Horizontal bone loss occurs in a plane (a)   to the CEJs of the teeth.

Choose from the below words
Parallel

Not parallel

44.

Vertical bone loss occurs in a plane ​ (a)   ​ to the CEJs of the teeth.

Choose from the below words
Not Parallel
Parallel
45.

Which of the following is a pattern of bone loss?

a)

Horizontal

b)

Vertical

c)

Both A and B

d)

None of the above

46.

Fill in the blank: Localized bone loss is limited to less than ___% of all sites.

a)

30

b)

50

c)

70

d)

90

47.

Fill in the blank: Generalized bone loss involves more than ___% of sites.

a)

30

b)

10

c)

50

d)

70

48.

Horizontal bone loss is seen in which regions as shown in the images?

a)

Anterior region

b)

Posterior region

c)

Both anterior and posterior regions

d)

Neither region

49.

In the included images, more severe horizontal bone loss is seen in the image on the right with _______ involvement.

a)

furcation

b)

crown

c)

apical

d)

gingival

50.

In the provided radiograph, what does the abnormal widening of the PDL space (arrow) indicate?

a)

Horizontal bone defect

b)

Vertical bone defect

c)

Normal bone structure

d)

Tooth decay

51.

In these maxillary periapical images, which surfaces are affected by more severe vertical defects?

a)

Mesial surface of the first molar and distal surface of the canine in image B

b)

Distal surface of the first molar and mesial surface of the canine in image A

c)

Occlusal surface of the first molar and canine in image A

d)

Lingual surface of the first molar and canine in image B