Peio Midterm Review Ch. 4-6 Flashcards


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1

All of the following statements are "good" reasons for classifying periodontal diseases EXCEPT:
Select one:
A. Communicate clinical findings accurately and universally to other health care providers
B. Present accurate information to the patient about the condition of their periodontium
C. Formulate individualized treatment plan
D. To charge a higher service fee for treating periodontitis versus gingivitis

D. To charge a higher service fee for treating periodontitis versus gingivitis

2

Gingivitis is inflammation of the gingiva and is reversible. Periodontitis is the inflammation of the entire periodontium and is irreversible.
Select one:
A. Both statements are true
B. Both statements are false
C. The first statement is false; the second is true
D. The first statement is true; the second is false

A. Both statements are true

3

A bacterial infection of the periodontium that causes rapid attachment loss and poor response to periodontal therapy has a grade of:
Select one:
A. Rapid rate of disease progression
B. Slow rate of disease progression
C. Zero chance of improvement
D. Moderate rate of disease progression

A. Rapid rate of disease progression

4

Your assessment findings for a patient include: pink gingiva, moderate plaque biofilm, and probing depths of 6 to 8 mm. How would you classify his disease status?
Select one:
A. Gingivitis
B. Stage III periodontitis
C. Stage I periodontitis
D. Health

B. Stage III periodontitis

5

What reason might you have for referring to the old 1999 Classification of Inflammatory Periodontal Diseases when there is a newer 2017 classification?
Select one:
A. It is important for students to know the entire history of periodontics
B. The old terminology might be important when communicating with a dental team member who graduated prior to 1999
C. When reading classic research in the dental literature, the articles will use the old terminology
D. All of these

D. All of these

6

It is possible for a patient to have gingivitis that is not caused by bacterial plaque. Gingivitis can be caused from an allergic reaction or fungal infection.
Select one:
A. The first statement is false; the second is true
B. Both statements are true
C. The first statement is true; the second is false
D. Both statements are false

B. Both statements are true

7

According to the 2017 update to the AAP/EFA Periodontal Disease Classification System, whether a disease is biofilm induced depends on:
Select one:
A. Amount of radiographic bone loss
B. Type of pathogen causing the disease
C. Amount of plaque present in sulci
D. Date of onset of disease

C. Amount of plaque present in sulci

8

Gingivitis is distinguished from periodontitis by which of the following characteristics:
Select one:
A. Patient complaints of pain
B. Red gingival tissues
C. Swollen gingival tissues
D. Attachment loss

D. Attachment loss

9

AAP/EFA Periodontal Disease Classification System provides detailed descriptions of the various levels of disease. All four stages are considered periodontal diseases.
Select one:
A. Both statements are false
B. The first statement is true, the second false
C. Both statements are true
D. The first statement is false, the second true

C. Both statements are true

10

Which of the following is a classification of periodontal disease that involves infection or death of dental pulpal tissues?
Select one:
A. Periodontitis associated with endodontic lesions
B. Chronic periodontitis
C. Aggressive periodontitis
D. Necrotizing periodontal disease

A. Periodontitis associated with endodontic lesions

11

Your assessment findings for a patient include: red, swollen gingiva; moderate plaque biofilm, and probing depths of 2 to 3 mm. How would you classify her disease status?
Select one:
A. Stage III periodontitis
B. Stage IV periodontitis
C. Gingivitis
D. Health

C. Gingivitis

12

If your patient presents with a gingival reactive infection to a popcorn kernel in the sulcus on facial of tooth #30, it is not considered a true gingival disease. Pocket depths must be more than 7 mm deep to be considered severe periodontal lesions.
Select one:
A. Both statements are false
B. The first statement is true, the second false
C. Both statements are true
D. The first statement is false, the second true

D. The first statement is false, the second true

13

As long as stippling is clinically present in maxillary anterior teeth, tissues are considered healthy even with slight bleeding upon probing. If there is no tissue stippling, tissues are unhealthy.
Select one:
A. Both statements are false
B. The first statement is false; the second true
C. The first statement is true; the second false
D. Both statements are true

A. Both statements are false

14

All of the following statements are considerations of healthy gingiva EXCEPT:
Select one:
A. Physiologic pigmentation
B. Flaccid gingival margin
C. Gingival margin apical to CEJ but no bleeding upon probing
D. Flat papillae in area of diastema

B. Flaccid gingival margin

15

Chronic gingival inflammation includes all of the following EXCEPT:
Select one:
A. Increased numbers of leukocytes attracted to the gingival tissues
B. Increased blood flow to the gingival tissues
C. Bleeding on gentle probing
D. Increased bone loss

D. Increased bone loss

16

For a patient with plaque-induced gingivitis, the hygienist usually may expect to record any of the following probing depths, EXCEPT:
Select one:
A. 6 mm
B. 4 mm
C. 1 mm
D. 3 mm

A. 6 mm

17

When describing the distribution of gingivitis, all of the following may be applied EXCEPT:
Select one:
A. Papillary
B. Lingual
C. Marginal
D. Diffuse

B. Lingual

18

Healthy gingival tissue in the human population:
Select one:
A. May be pigmented
B. May be various shades of pink
C. Will have papilla that comes to a point and fill the space between teeth
D. All of these

D. All of these

19

All of the following tissue descriptions describe gingivitis EXCEPT:
Select one:
A. Dark pink with irregular scalloped margins
B. Light pink with scalloped margins
C. Generalized light pink with localized area of redness in posterior interproximals
D. Shiny pink with localized areas of cratered papillae

B. Light pink with scalloped margins

20

Gingivitis may cause tissue margins to move in what direction?
Select one:
A. Labial
B. Apical
C. Lateral
D. Coronal

D. Coronal

21

Healthy tissue consistency includes all of the following EXCEPT:
Select one:
A. Attached gingiva that attaches to underlying enamel
B. Resists gentle pressure and springs back immediately
C. Resilient (elastic) tissue that resists compression
D. Stippled appearance may be evident on the surface of the attached gingiva

A. Attached gingiva that attaches to underlying enamel

22

Which of the following statements is correct regarding gingival tissues for a patient who has received treatment for periodontitis and presents with generalized 4 mm of recession, blunted papillae, tissue pink in color and no bleeding on probing?
Select one:
A. Once a periodontitis diagnosis is given, tissues are never considered healthy
B. In spite of the periodontal treatment, gingival tissues are healthy
C. Tissues can't be considered healthy because of the generalized recession
D. Tissues can't be considered healthy because of the blunted papillae

B. In spite of the periodontal treatment, gingival tissues are healthy

23

Gingival papillae with a concave appearance are described as:
Select one:
A. Soft, spongy tissue
B. Cratered papilla
C. Blunted papilla
D. Bulbous papilla

B. Cratered papilla

24

Gingival papillae that are enlarged and expand out of the interproximal spaces are described as:
Select one:
A. Blunted papilla
B. Cratered papilla
C. Soft, spongy tissue
D. Bulbous papilla

D. Bulbous papilla

25

Which of the following statements best describes diffuse inflammation?
Select one:
A. Inflammation that includes the interdental papilla
B. Inflammation that includes both the gingival margin and papilla
C. Inflammation that includes the gingival margin, papilla, and attached gingiva
D. Inflammation that includes the gingival margin, papilla, attached gingiva, and alveolar mucosa

C. Inflammation that includes the gingival margin, papilla, and attached gingiva

26

Increased fluid in inflamed gingival tissue can cause the tissue to be characterized by:
Select one:
A. Gingival tissue with blunted papillae
B. Soft, spongy, and nonelastic tissue
C. Tissue that is red to purplish-red in color
D. Firm and fibrotic tissue

B. Soft, spongy, and nonelastic tissue

27

Hygienists should be alert for signs of gingival inflammation. Which sign of inflammation usually is the FIRST sign seen clinically?
Select one:
A. Bleeding on gentle probing
B. Changes in tissue color
C. Changes in tissue contours
D. Changes in tissue texture

A. Bleeding on gentle probing

28

All of the following are common sources for intraoral allergic reactions EXCEPT:
Select one:
A. Cinnamon flavoring in chewing gum
B. Carvone in toothpaste
C. Fluoride embedded in dental floss
D. Spearmint flavoring in mouthwash

C. Fluoride embedded in dental floss

29

A disease of the mucous membranes in which there may be interlacing white lines on the buccal mucosa, red gingiva, and raised white lesions in plaque-like configurations is termed:
Select one:
A. Oral lichen planus
B. Primary herpetic gingivostomatitis (PHG)
C. Gingival disease of specific bacterial origin
D. Erythema multiforme

A. Oral lichen planus

30

All of the following bacterial species are associated with increased intensity of gingivitis in adolescents, EXCEPT:
Select one:
A. Gram-negative diplococci spirochetes
B. Selenomonas
C. Leptotrichia
D. Actinomyces

A. Gram-negative diplococci spirochetes

31

Acute Gingivitis has a brief duration that is improved with good self-care. Chronic gingivitis lasts a long time and always develops into periodontitis.
Select one:
A. The first statement is false; the second is true
B. Both statements are false
C. Both statements are true
D. The first statement is true; the second is false

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

32

The dental clinician notes the following clinical signs during the periodontal assessment of a young female teenager:• A small amount of plaque biofilm present at the gingival margin• Gingival tissues appear bright red and soft• Bleeding upon gentle probing• Gingival margin slightly coronal to the CEJ• Probing depths of 2 to 3 mm• An inflammatory response that seems exaggerated given the small amount of plaque biofilm. Which of the following types of periodontal disease should the hygienist suspect for this patient?
Select one:
A. Plaque-induced gingivitis
B. Gingival diseases of a specific bacterial origin
C. Gingival disease associated with endocrine system and fluctuations in sex hormones
D. Drug-influenced gingival enlargement

C. Gingival disease associated with endocrine system and fluctuations in sex hormones

33

Which of the following is considered a dental plaque--induced gingival disease with a modifying factor?
Select one:
A. Linear gingival erythema
B. Primary herpetic gingivostomatitis
C. Erythema multiforme
D. Pregnancy-associated gingivitis

D. Pregnancy-associated gingivitis

34

Gingival disease characterized by a bacterial infection of the gingiva by a specific bacterium that is NOT commonly found in bacterial plaque biofilm is known as a:
Select one:
A. Primary herpetic gingivostomatitis (PHG)
B. Oral lichen planus
C. Gingival disease of specific bacterial origin
D. Erythema multiforme

C. Gingival disease of specific bacterial origin

35

A severe reaction to the initial infection with the herpes simplex type-1 virus. Clinical manifestations include fiery red marginal gingiva, pain, and small clusters of vesicles throughout the mouth for which of the following periodontal diseases?
Select one:
A. Erythema multiforme
B. Primary herpetic gingivostomatitis (PHG)
C. Gingival disease of specific bacterial origin
D. Oral lichen planus

B. Primary herpetic gingivostomatitis (PHG)

36

Gingival diseases of specific bacterial origin would be considered:
Select one:
A. Nonplaque-induced gingival disease
B. Gingival disease modified by systemic factors
C. Gingival disease modified by medication
D. Dental plaque--induced gingival disease

A. Nonplaque-induced gingival disease

37

A GENERALIZED, pronounced overgrowth of the gingival tissue, first seen in the papillae of the anterior sextants is a common clinical characteristic of which of the following periodontal diseases?
Select one:
A. Oral contraceptive--associated gingivitis
B. Drug-influenced gingival enlargement
C. Pregnancy-associated gingivitis
D. Gingival disease associated with endocrine system and fluctuations in sex hormones

B. Drug-influenced gingival enlargement

38

By far the most common type of periodontal disease is:
Select one:
A. Gingival disease modified by systemic factors
B. Allergy-induced gingivitis
C. Nonplaque-induced gingivitis
D. Gingivitis associated with dental plaque only

D. Gingivitis associated with dental plaque only

39

The clinical signs of inflammation seen in pediatric patients are not as intense as that seen in a young adult patient with the same quantity of plaque biofilm. Likewise, the clinical signs of inflammation seen in geriatric patients are not as intense as that seen in a young adult patient with the same quantity of plaque biofilm.
Select one:
A. Both statements are false
B. The first statement is true; the second is false
C. The first statement is false; the second is true
D. Both statements are true

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

40

The dental clinician notes the following clinical signs during the periodontal assessment of an young male teenager:• Moderate plaque biofilm present at the gingival margin• Gingival redness and tenderness• Bleeding on gentle probing• Gingival margin slightly coronal to the CEJ• Probing depths of 2 to 3 mm• An inflammatory response that seems appropriate given the amount of plaque biofilm.Which of the following types of periodontal disease should the hygienist suspect for this patient?
Select one:
A. Plaque-induced gingivitis by bacteria only
B. Puberty-associated gingivitis
C. Chronic gingivitis
D. Drug-influenced gingivitis

A. Plaque-induced gingivitis by bacteria only

41

Dental clinicians may be the first to suspect a patient may have leukemia because of an unusual odor emanating from the oral cavity. In leukemia, gingival tissues become keratinized and appear pale pink and very thick.
Select one:
A. The first statement is false; the second is true
B. Both statements are true
C. Both statements are false
D. The first statement is true; the second is false

C. Both statements are false

42

A LOCALIZED, mushroom-shaped gingival mass projecting from the gingival papilla is a common clinical characteristic of which of the following periodontal diseases?
Select one:
A. Drug-influenced gingival enlargement
B. Pregnancy-associated gingivitis
C. Gingival disease associated with endocrine system and fluctuations in sex hormones
D. Oral contraceptive--associated gingivitis

B. Pregnancy-associated gingivitis

43

A disorder of the mucous membranes due to an allergic reaction or infection that includes swollen lips with extensive crust formation is termed:
Select one:
A. Gingival disease of specific bacterial origin
B. Erythema multiforme
C. Oral lichen planus
D. Primary herpetic gingivostomatitis (PHG)

B. Erythema multiforme

44

Diabetes-associated gingivitis is an example of:
Select one:
A. Gingival disease of genetic origin
B. Gingival disease modified by a systemic factor
C. Dental plaque--induced gingival disease
D. Gingival disease modified by malnutrition

B. Gingival disease modified by a systemic factor