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60 Cards in this Set
- Front
- Back
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Structures and tissues surrounding the tooth are known as the ______.
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Structures and tissues surrounding the tooth are known as the periodontium.
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The periodontium includes which structures?
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The periodontium includes which structures?
1. gingiva 2. periodontal ligament 3. cementum 4. alveolar and supporting bone |
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The two functional units of the periodontium are the:
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The two functional units of the periodontium are the:
1. dentogingival junction 2. attachment apparatus |
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The sulcular epithelium forms the wall of the ____________.
The sulcular epithelium is the lining of the _______________. |
The sulcular epithelium forms the wall of the gingival crevice (sulcus).
The sulcular epithelium the lining of the gingival sulcus (crevice). |
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The Sulcular epithelium is:
a. keratinized b. Non- keratinized c. parakeratinized d. b and c |
The Sulcular epithelium is:
non- keratinized & parakeratinized |
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Approximately 1 year after smoking cessation, the gingiva loses the fibrotic, thickened appearance and assumes normal anatomy
a.True b.False |
Approximately 1 year after smoking cessation, the gingiva loses the fibrotic, thickened appearance and assumes normal anatomy
True |
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One of the reasons to encourage implant patients to quit smoking is the
a. Increased failure rate for osseointegration of implants b. Increased staining on the implant c. Decreased ability to taste food d. Ability to tolerate surgery discomfort |
One of the reasons to encourage implant patients to quit smoking is the
- Increased failure rate for osseointegration of implants |
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According to the literature, 90% of which type of disease are smokers?
a. Chronic periodontitis b. Gingivitis c. Adolescent periodontitis d. Refractory periodontitis |
According to the literature, 90% of which type of disease are smokers?
- Refractory periodontitis |
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Basically, the scientific literature suggests that the link between periodontal disease and cardiovascular disease is
a. Because of sugar metabolism b. Detrimental effects of inflammation in the body c. Pain receptor hypersensitivity d. All of the above |
Basically, the scientific literature suggests that the link between periodontal disease and cardiovascular disease is
b. Detrimental effects of inflammation in the body |
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Patients with diabetes have 2-3 times more chance of having periodontal disease.
a. True b. False |
Patients with diabetes have 2-3 times more chance of having periodontal disease.
a. True |
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With a diabetic patient, periodontal infection control
a. Should be considered as an integral part of diabetic control b. Has been shown to reduce the level of AGE’s in the serum c. A and B d. None of the above |
With a diabetic patient, periodontal infection control
Should be considered as an integral part of diabetic control & Has been shown to reduce the level of AGE’s in the serum |
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Evidence-based dentistry requires the integration of which of the following?
a. Best research evidence (clinically relevant) b. Clinical condition of the patient c. Clinical expertise of the clinician d. Patient’s treatment needs and values e. All of the above |
Evidence-based dentistry requires the integration of which of the following?
1. Best research evidence (clinically relevant) 2. Clinical condition of the patient 3. Clinical expertise of the clinician 4. Patient’s treatment needs and values |
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The PICO process is useful for determining how to
a. Arrive at a clinical research question comparing two treatments b. Assess the periodontal status of patient c. Quit smoking d. None of the above |
The PICO process is useful for determining how to
- Arrive at a clinical research question comparing two treatments |
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17. The question: “Are teenagers who frequently drink soda at risk for developing dental caries” is a ______type of clinical question
a. Diagnosis b. Etiology/Harm c. Therapy/prevention d. Prognosis |
17. The question: “Are teenagers who frequently drink soda at risk for developing dental caries” is a ______type of clinical question.
b. Etiology/Harm |
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Randomized control trial
a. Summary/review of research b. Observation at a point in time c. Population studied over time d. Experiment w/control group e. Retrospectively evaluated pop. f. All subjects get placebo and TX |
Randomized control trial:
d. Experiment w/control group |
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Cohort
a. Summary/review of research b. Observation at a point in time c. Population studied over time d. Experiment w/control group e. Retrospectively evaluated pop. f. All subjects get placebo and TX |
Cohort
c. Population studied over time |
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Case control
a. Summary/review of research b. Observation at a point in time c. Population studied over time d. Experiment w/control group e. Retrospectively evaluated pop. f. All subjects get placebo and TX |
Case control
e. Retrospectively evaluated pop. |
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Cross-sectional design
a. Summary/review of research b. Observation at a point in time c. Population studied over time d. Experiment w/control group e. Retrospectively evaluated pop. f. All subjects get placebo and TX |
Cross-sectional design
b. Observation at a point in time |
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Systematic review
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Systematic review
a. Summary/review of research |
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Crossover design (RCT)
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Crossover design (RCT)
f. All subjects get placebo and tx. |
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Original research is referred to as primary research and synthesized
publications of primary research is called secondary research. a. True b. False |
Original research is referred to as primary research and synthesized
publications of primary research is called secondary research. -True |
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Clinical attachment loss (CAL) is measured as:
a. the distance from the base of the periodontal pocket to the gingival margin b. the sum of probe depth and width of attached gingiva c. the distance from the CEJ to the gingival margin d. the distance from the CEJ to the periodontal pocket or JE |
Clinical attachment loss (CAL) is measured as:
- the distance from the CEJ to the periodontal pocket or JE |
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Using the PSR probe, what score would a sextant receive if the colored area of the probe is only partially visible?
a. 0 b. 1 c. 2 d. 3 e. 4 |
Using the PSR probe, what score would a sextant receive if the colored area of the probe is only partially visible?
d. 3 |
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Clinicians should refrain from probing around an implant, for what length of time following abutment connection?
a. avoid probing for 1 week b. avoid probing until edema and erythema are no longer present c. avoid probing for the first 3 months d. avoid probing for the first 6 months |
Clinicians should refrain from probing around an implant, for what length of time following abutment connection?
c. avoid probing for the first 3 months |
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How long should you wait after treatment (SRP) to probe?
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How long should you wait after treatment (SRP) to probe?
-28 days |
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What are the advantages of PSR probing?
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What are the advantages of PSR probing?
Quicker, yields a summary of perio status, is easier if unassisted |
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Microbial testing is beneficial because specific systemic antimicrobials work more effectively for specific periopathogens. For instance, Tetracyclines are best suited to these pathogens in localized aggressive and refractory cases:
a. A. actinomycetemcomitans b. P. gingivalis . c. F. nucleatum. d. P. intermedia e. Both a and d. |
Microbial testing is beneficial because specific systemic antimicrobials work more effectively for specific periopathogens. For instance, Tetracyclines are best suited to these pathogens in localized aggressive and refractory cases:
- A. actinomycetemcomitans |
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The type of therapy for periodontitis that could include systemic antimicrobials is:
a. Chemical therapy b. Mechanical therapy c. Enzyme-Suppression Therapy d. Both a and c. e. Both b and c. |
The type of therapy for periodontitis that could include systemic antimicrobials is:
a. Chemical therapy c. Enzyme-Suppression Therapy --> no mechanical therapy |
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The following statements about subgingival biofilm are correct except:
a. It cannot be removed by brushing and flossing alone. b. It must be mechanically removed c. It is partly responsible for the rapid rebound in bacterial number. d. It may be eliminated using systemic or local antibiotics. e. It is sticky, and acts as a protective cover for the bacterial ecosystem below. |
The following statements about subgingival biofilm are correct except:
d. It may be eliminated using systemic or local antibiotics. |
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When a tooth is intrinsically stained by Minocycline therapy, you can expect the tooth to appear:
a. Brown b.Gray c.Bluish d. Spotted |
When a tooth is intrinsically stained by Minocycline therapy, you can expect the tooth to appear:
c.Bluish |
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Patients with necrotizing ulcerative periodontitis (NUP) are:
a. the same as necrotizing ulcerative gingivitis (NUG) except there is also loss of attachment and bone destruction b. the same as primary herpetic gingivostomatitis c. in no pain but need an appointment with a periodontist d. instructed to use use a warm saline solution - 1 tablespoon table salt to 8 ounces of warm water for seven days |
Patients with necrotizing ulcerative periodontitis (NUP) are:
a. the same as necrotizing ulcerative gingivitis (NUG) except there is also loss of attachment and bone destruction. |
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Antiviral drugs such as acyclovir (Zovirax) 400 mg four times daily for one to two weeks is recommended to reduce the duration of the infection in:
a. gingival abscess b. necrotizing ulcerative gingivitis c. primary herpetic gingivostomatitis d. endodontic abscess |
Antiviral drugs such as acyclovir (Zovirax) 400 mg four times daily for one to two weeks is recommended to reduce the duration of the infection in:
c. primary herpetic gingivostomatitis |
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A gingival abscess is:
a. an acute infection characterized by a localized, painful edema at the free gingival margin. b. also called a lateral abscess c. mostly on the upper lip d. located apically on the tooth |
A gingival abscess is:
a. an acute infection characterized by a localized, painful edema at the free gingival margin. |
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Primary herpetic gingivostomatis is:
a. seen often in elderly men b. seen more frequently in women over the age of 50 c. seen most commonly in young adult populations d. seen in young men often in combat |
Primary herpetic gingivostomatis is:
c. seen most commonly in young adult populations |
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Treatment of necrotizing ulcerative gingivitis involves:
a. systemic antibiotics and mechanical debridement when the patient is out of pain b. rinsing every other day for 10 days with water because pain is so great c. oral hygiene instructions with a soft toothbrush immediately when patients presents with NUG d. no treatment needed – patient will get better in 10 to 14 days |
Treatment of necrotizing ulcerative gingivitis involves:
a. systemic antibiotics and mechanical debridement when the patient is out of pain |
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What is GCF and why is it a good marker for periodontal disease?
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What is GCF and why is it a good marker for periodontal disease?
It’s the fluid found in the gingival crevice and is a good marker for periodontal disease because its like a serving of “inflammation soup” in that it has representative parts of the infection that the body is currently fighting, such as antigens and antibodies to specific pathogens and other markers of inflammation that usually accompany periodontitis. |
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What can be found through culturing techniques?
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What can be found through culturing techniques?
Number and type of bacteria |
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An inflammatory marker associated with fever, that when isolated makes a person 7 times more likely to have periodontal disease is?
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An inflammatory marker associated with fever, that when isolated makes a person 7 times more likely to have periodontal disease is?
Interleukin-1 |
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Is there an electronic probe that detects subgingival calculus? If so, what is it called?
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Is there an electronic probe that detects subgingival calculus? If so, what is it called?
DetecTar Temp (perioTemp) |
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What is the name of the immunologic assay used to identify specific bacteria?
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What is the name of the immunologic assay used to identify specific bacteria?
Elisa |
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During nonsurgical periodontal therapy, roots should be planed until they are glassy smooth.
A. True B. False |
During nonsurgical periodontal therapy, roots should be planed until they are glassy smooth.
B. False |
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Studies have demonstrated that following nonsurgical periodontal therapy, greater healing (reduction in probing depths) can be expected in areas of deeper pockets compared to shallow pockets.
A. True B. False |
Studies have demonstrated that following nonsurgical periodontal therapy, greater healing (reduction in probing depths) can be expected in areas of deeper pockets compared to shallow pockets.
A. True |
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Following periodontal debridement, a decrease in pocket depth is usually a result of:
a. bone regrowth b. flossing c. an elongated junctional epithelium d. connective tissue repair |
Following periodontal debridement, a decrease in pocket depth is usually a result of:
c. an elongated junctional epithelium |
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Which therapy phase involves nonsurgical periodontal therapy?
a. Preliminary b. Phase I c. Phase II d. Phase III |
Which therapy phase involves nonsurgical periodontal therapy?
b. Phase I |
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Periodontal debridement is to restore the periodontium to health. The goal is to produce glassy, hard root surfaces that are free of various deposits.
a. The first statement is true, the second statement is false. b. The first statement is false, the second statement is true. c. Both statements are true. d. Both statements are false. |
Periodontal debridement is to restore the periodontium to health. The goal is to produce glassy, hard root surfaces that are free of various deposits.
a. The first statement is true, the second statement is false. |
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A dental prophylaxis with emphasized treatment of areas with previous attachment loss and/or inflammatory sites is defined as:
a. Scaling and Root Planing b. Periodontal Debridement c. Periodontal Maintenance d. Prophylactic Maintenance |
A dental prophylaxis with emphasized treatment of areas with previous attachment loss and/or inflammatory sites is defined as:
c. Periodontal Maintenance |
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What is the ADA code for periodontal maintenance?
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What is the ADA code for periodontal maintenance?
D4910 |
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Periodontal maintenance typically involves 6-12 month appointments for stain removal, and oral hygiene instructions.
A. True B. False |
Periodontal maintenance typically involves 6-12 month appointments for stain removal, and oral hygiene instructions.
A. True B. False (for periodontal maintenance, the recall is shorter due to the previous diagnosis of periodontal disease which acknowledges the pathogenic nature of some of the patient’s intraoral flora. To decrease this bacterial load found in plaque, and to care for the tissues revealed by previous periodontal therapy, maintenance is required.) |
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List at least 5 components of a periodontal maintenance appointment:
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List at least 5 components of a periodontal maintenance appointment:
Radiographic Review Oral Hygiene instructions Medical history review Dental history review Plaque index Scaling, root debridement, polishing, adjunctive chemotx. DENTAL EXAM EOE, IOE |
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The following affect frequency of recall interval except:
a. disease severity b. systemic health c. Level of patient care d. insurance provider |
The following affect frequency of recall interval except:
d. insurance provider |
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Which of the following steps describes the correct administration of ARESTIN?
a. Mix liquid with powder, invert cannula into pocket, dispense material, direct tip towards tooth and remove from pocket b. Insert curved end first; maneuver into position c. Place tip into periodontal pocket, express the powder while withdrawing the cartridge d. Gently force tip into periodontal pocket, express the powder while withdrawing cartridge. |
Which of the following steps describes the correct administration of ARESTIN?
c. Place tip into periodontal pocket, express the powder while withdrawing the cartridge |
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ARESTIN, a broad spectrum antimicrobial is effective against which of the following periodontal pathogens?
a. P. gingivalis b. P. intermedia c. A. actinomycetemcomitans d. All of the above |
ARESTIN, a broad spectrum antimicrobial is effective against which of the following periodontal pathogens?
- P. gingivalis - P. intermedia - A. actinomycetemcomitans |
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Clinical trials have demonstrated that PerioChip is effective against which of the following periodontal pathogens?
a. P. gingivalis b. P. intermedia c. B. forsythus d. a & b only e. a, b, & c |
Clinical trials have demonstrated that PerioChip is effective against which of the following periodontal pathogens?
- P. gingivalis - P. intermedia - B. forsythus |
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Which of the following post-op instructions should be given to patients following the placement of ARESTIN?
a. avoid brushing for 12 hours, and flossing (or other interproximal aids) the treated area for 10 days b. avoid hard, crunchy, sticky, or spicy foods in addition to dairy products c. avoid alcohol d. a & b e. a, b, & c |
Which of the following post-op instructions should be given to patients following the placement of ARESTIN?
- avoid brushing for 12 hours, and flossing (or other interproximal aids) the treated area for 10 days - avoid hard, crunchy, sticky, or spicy foods in addition to dairy products |
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ARESTIN, which contains 1 mg of minocycline HCL is:
a. bacteriostatic b. bacteriocidal |
ARESTIN, which contains 1 mg of minocycline HCL is:
a. bacteriostatic |
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List at least 2 indications for periodontal surgery:
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List at least 2 indications for periodontal surgery:
- Access therapy - Periodontal plastic surgery - Regenerative Periodontal Therapy - Dental Implant Therapy - Resective Periodontal Therapy |
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List 3 contraindications to periodontal surgery:
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List 3 contraindications to periodontal l surgery:
- Continued poor plaque control - High Caries Index - Extremely sensitive teeth - uncontrolled systemic disease - results of surgery would create an unaesthetic result, especially in anterior area. |
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Periodontal Surgery is only used to treat periodontal disease.
a. true b.false: because it is also used for cosmetic purposes, to reach deep subgingival restoration margins, to reach inaccessible caries, and reach fractures for restoration, and to aid poor access for plaque control. |
Periodontal Surgery is only used to treat periodontal disease.
b.false: because it is also used for cosmetic purposes, to reach deep subgingival restoration margins, to reach inaccessible caries, and reach fractures for restoration, and to aid poor access for plaque control. |
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Removal of the frenum along with entire base and muscle attachment is termed:
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Removal of the frenum along with entire base and muscle attachment is termed:
Frenectomy |
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Describe procedures for hemostasis post-op:
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Describe procedures for hemostasis post-op:
some pinkness in saliva is normal for the first day. If there is bleeding, apply a piece of moist gauze or any tea bag with pressure for 30 minutes. |
