Midterm

Question 1

Routine components of the periodontal maintenance appointment evaluation of the effectiveness of daily oral self-care include…… (2 things)

Answer 1

reinstruction in self-care techniques and comprehensive periodontal assessment.

Question 2

What the primary pattern of healing after periodontal instrumentation.

Answer 2

The formation of a long junctional epithelium

Question 3

What is one of the major roadblocks to patients making a behavior change relating to periodontal health

Answer 3

A patient’s ambivalence about making a change

Question 4

A patient with Grade A periodontitis exhibits few risk factors and is ___________

Answer 4

more responsive to standard periodontal therapy.

Question 5

Goals of nonsurgical therapy are to …. ( 3 things)

Answer 5

-eliminate or control local risk factors for periodontal disease -minimize the impact of systemic risk factors for periodontal disease,
-stabilize attachment levels.

Question 6

Steps in the reevaluation appointment include….

Answer 6

-Updating medical history
-Periodontal clinical assessment
-Comparing initial assessment data with reevaluation data

Question 7

What can be used by a patient to clean areas between roots where there are exposed furcations that permit insertion?

Answer 7

Pipe cleaners

Question 8

Where is tufted dental floss effective at removing plaque? ?

Answer 8

Type II embrasures
Under the pontic of a fixed bridge
The distal surface of the last tooth in the arch

Question 9

What is the task of the clinician?

Answer 9

evoke
facilitate
strengthen the patient’s own desire for change.

Question 10

Fundamental in guiding the dental team during the diagnosis process is…

Answer 10

-determining if the disease is gingivitis or periodontitis
-what type of periodontitis or gingivitis
-if the clinical assessment indicates disease or health.

Question 11

Statements made by patients in the direction of change are not referred to as….

Answer 11

Sustained talk

Question 12

Osseointegration is regarded as successful when….

Answer 12

there is an absence of gingival inflammation of the peri-implant tissues.

Question 13

What is the presence of inflammation around an implant?

Answer 13

Perio-implantits

Question 14

Fear of dental treatment, the expense of treatment, and denial are reasons for a patient to be….

Answer 14

Non-compliant

Question 15

What are some risk factors associated with periodontal disease?

Answer 15

Heredity
Personal behaviors
Gender

Question 16

How can self care around an implant be done?

Answer 16

Plastic coated wire proxy brush or end tufted brush

Question 17

How often should we check a dental implant with x-rays?

Answer 17

1x/year

Question 18

What is a clinical sign of inflammation?

Answer 18

Red swollen gingival tissue?

Question 19

What is a hidden sign of inflammation?

Answer 19

Alveolar bone loss

Question 20

A tongue scraper is recommended to help decrease periodontal pathogens that produce ____________ ____________ accumulate within the filiform papillae on the back of the tongue.

Answer 20

Methyl Mercaptan

Question 21

What are the phases of periodontal treatment?

Answer 21

Nonsurgical
Surgical
Restorative
Maintenance

Question 22

What is the barrier between the implant and the oral cavity?

Answer 22

The biological seal

Question 23

A sulcus lined by ________ _________ surrounds the implant abutment post

Answer 23

Sulcular epithelium

Question 24

The 4 components of the process of structuring a question for research include…(PICO)

Answer 24

Problem
Intervention
Comparison
Outcome

Question 25

T/F Case-controlled studies provide a lower level of evidence for evidence-based decision-making than randomized controlled trials, systematic reviews, and cohort studies.

Answer 25

True

Question 26

Reasons for recurrence of moderate chronic periodontitis include the ..... (3 things)

Answer 26

-inability of the patient to establish adequate plaque control - improper periodontal surgical technique - attempting to treat teeth with a poor prognosis.

Question 27

Tobacco smoking may have many effects on the periodontium such as....

Answer 27

a decrease in bleeding as the result of vasoconstriction of the blood vessel, and changes in the pocket environment resulting in different bacterial pathogens

Question 28

What are the 5 As of smoking cessation?

Answer 28

Ask, advise, assess, assist, arrange

Question 29

How is a wooden wedge used?

Answer 29

Flat side against the gums

Question 30

Asking a patient how he/she would feel about learning a new method to clean their teeth is most likely to bring about the

Answer 30

desired behavior change in a patient

Question 31

T/F Both clinical findings and radiographic findings are important during the clinical assessment process.

Answer 31

True

Question 32

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

Answer 32

True

Question 33

The implant body is anchored in the ____

Answer 33

Bone

Question 34

What are the tissues that surround the implant?

Answer 34

Peri-implant tissues

Question 35

What phase is periodontal instrumentation part of?

Answer 35

Non-surgical periodontal phase

Question 36

Which phase includes all measures used to keep periodontitis from recurring once the inflammatory disease is brought under control.?

Answer 36

The maintenance phase

Question 37

What is recommended for patients with a coated tongue that may contribute to periodontal disease, to reduce bacteria on the tongue and reduce the number of pathogens in the saliva?

Answer 37

A tongue scaper

Question 38

Dental floss is effective in which type of embrasure space?

Answer 38

Type 1

Question 39

What is most effective in removing plaque biofilm from an interproximal root concavity.

Answer 39

Interdental brush

Question 40

Periodontal patients have been shown to have a significantly higher prevalence of

Answer 40

Tongue coating

Question 41

Best practice for dental hygiene involves

Answer 41

Research expert opinion Personal experience

Question 42

Best practice encompasses...

Answer 42

Measurable outcomes, consistent outcomes, reproducible outcomes

Question 43

What is associated with exposed dentin?

Answer 43

Dental hypersensitivity

Question 44

Which theory is the origin of dentinal hypersensitivity proposes the cause of sensitivity in open dentinal tubules is a fluid movement within the tubules that stimulates nerve endings associated with the odontoblastic processes:?

Answer 44

The hydrodynamic theory

Question 45

What is the theory that is related to the cause of sensitivity in open dentinal tubules is a fluid movement within the tubules that stimulates nerve endings associated with the odontoblastic processes?

Answer 45

The hydrodynamic theory for the origin of dentinal hypersensitivity

Question 46

What is the most frequently used aide for biofilm removal?

Answer 46

A toothbrush

Question 47

What releases an elevated production of inflammatory cytokines?

Answer 47

Adipose tissue

Question 48

What has more rapid tissue destruction? Peri-implant tissues or periodontal tissues?

Answer 48

Peri-implant tissues

Question 49

T/F Patients placed on perio maintenance therapy every 2-3 months can actually gain attachment and are continued on periodontal maintenance for the life of the natural dentition.

Answer 49

True

Question 50

T/FMost patients are able to retain their teeth throughout their lives with good periodontal maintenance therapy.

Answer 50

True