Question 1

Selective polishing is contraindicated during periodontal maintenance because it can contribute to clinical attachment loss.&#10;A) Both the statement and the reason are correct and related.&#10;B) Both the statement and the reason are correct but NOT related.&#10;C) The statement is correct,but the reason is NOT.&#10;D) The statement is NOT correct,but the reason is correct.&#10;E) NEITHER the statement NOR the reason is correct.

Accepted Answer

NEITHER the statement NOR the reason is correct.

Question 2

Which of the following are considered nonmodifiable risk factors? Select all that apply.&#10;A) Smoking&#10;B) Age&#10;C) Diet&#10;D) Gender

Accepted Answer

Nonmodifiable risk factors are those that cannot be changed or controlled. Both age and gender fall under this category. Smoking and diet are considered modifiable risk factors since they can be changed or controlled through behavioral modifications.

Question 3

It is particularly important to assess disease indicators other than bleeding on probing when the patient has a history of&#10;A) Diabetes&#10;B) Smoking&#10;C) Hepatitis&#10;D) High blood pressure

Accepted Answer

Smoking

Question 4

Which of the following locally delivered antimicrobials may be used during pregnancy?&#10;A) 10% doxycycline gel&#10;B) 2.5-mg chlorhexidine chip&#10;C) 1-mg minocycline hydrochloride

Accepted Answer

The 2.5-mg chlorhexidine chip is the best choice as it is a Category B drug, meaning it has been studied in pregnant animals and has not shown harmful effects on the fetus, and can be considered safe for use in pregnant women. The other two options, 10% doxycycline gel and 1-mg minocycline hydrochloride, are both Category D drugs and should be avoided during pregnancy as they have shown potential for harm to the fetus.

Question 5

A slight increase in probing depth of 0.5 mm to 1.0 mm is normal within the first year after an implant is placed.Too much force when probing an implant may compromise the epithelial attachment.&#10;A) Both statements are true.&#10;B) Both statements are false.&#10;C) The first statement is true; the second is false.&#10;D) The first statement is false; the second is true.

Accepted Answer

Both statements are accurate. A slight increase in probing depth within the first year after implant placement can be normal due to tissue maturation and adaptation. Additionally, excessive force during probing around an implant can indeed compromise the delicate epithelial attachment, potentially leading to implant damage or failure.

Question 6

The patient's risk factors need to be considered when determining an appropriate periodontal maintenance interval.The greater the risk factors the shorter the time frame should be between maintenance visits.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true; the second is false.
D) The first statement is false; the second is true.

Accepted Answer

Both statements are true because the patient's risk factors, such as smoking, diabetes, and history of periodontal disease, significantly influence the progression of periodontal conditions. Therefore, patients with greater risk factors require more frequent maintenance visits to manage their periodontal health effectively.

Question 7

Implants have a higher risk of losing attachment.Attachment loss around an implant is called peri-implantitis.&#10;A) Both statements are true.&#10;B) Both statements are false.&#10;C) The first statement is true; the second is false.&#10;D) The first statement is false; the second is true.&#10;

Accepted Answer

Implants have a higher risk of losing attachment, and attachment loss around an implant is called peri-implantitis.

Question 8

Which of the following guidelines should be considered when determining the need for locally delivered antimicrobials? Select all that apply.&#10;A) Pockets equal to or greater than 5 mm&#10;B) Areas not responding to debridement&#10;C) Patients with poor oral self-care&#10;D) Poor surgical candidates

Accepted Answer

Locally delivered antimicrobials are often considered for pockets equal to or greater than 5 mm (A) because these areas may not respond adequately to conventional mechanical debridement alone. Areas not responding to debridement (B) are also candidates for locally delivered antimicrobials as an adjunctive treatment to help control the bacterial load. Patients who are poor surgical candidates (D) may benefit from locally delivered antimicrobials as an alternative to surgical intervention, especially when surgery is not an option due to medical or other reasons. However, the choice of treatment should not be based solely on the patient's oral self-care practices (C), as the primary consideration should be the clinical condition and the specific characteristics of the periodontal disease.

Question 9

Match the patient description with the appropriate treatment.
Nonsurgical periodontal therapy

A)The patient exhibits localized bleeding,localized inflammation,generalized moderate plaque,and light subgingival deposits.
B)The patient exhibits attachment loss from the last appointment,generalized light plaque,and generalized light subgingival deposits.
C)The patient exhibits light supragingival calculus on the lower anterior teeth,light plaque on the lingual of the mandibular molars,and little to no inflammation.

Accepted Answer

The answer of Match the patient description with the appropriate...

Question 10

Which of the following pairs of risk factors pose the greatest risk for developing oral cancer?&#10;A) Gender and sun exposure&#10;B) Poor nutrition and oral self-care&#10;C) Smoking and drinking&#10;D) Gender and human papillomavirus

Accepted Answer

Smoking and drinking are the two most significant risk factors for developing oral cancer. When they are combined, the risk is even higher.

Question 11

Which of the following is an appropriate treatment plan modification for a patient with diabetes?&#10;A) Take vital signs at the beginning of appointment.&#10;B) Morning appointments are best.&#10;C) Local anesthesia will be needed for each appointment.&#10;D) A patient whose diabetes is controlled will always need a 3-month maintenance appointment.

Accepted Answer

The answer of Which of the following is an appropriate...

Question 12

It is important to identify risk factors such as smoking and diabetes because such risk factors increase the likelihood of the patient developing oral disease.&#10;A) Both the statement and the reason are correct and related.&#10;B) Both the statement and the reason are correct but NOT related.&#10;C) The statement is correct,but the reason is NOT.&#10;D) The statement is NOT correct,but the reason is correct.&#10;E) NEITHER the statement NOR the reason is correct.

Accepted Answer

The answer of It is important to identify risk factors...

Question 13

Match the patient description with the appropriate treatment.
Periodontal maintenance

A)The patient exhibits localized bleeding,localized inflammation,generalized moderate plaque,and light subgingival deposits.
B)The patient exhibits attachment loss from the last appointment,generalized light plaque,and generalized light subgingival deposits.
C)The patient exhibits light supragingival calculus on the lower anterior teeth,light plaque on the lingual of the mandibular molars,and little to no inflammation.

Accepted Answer

The answer of Match the patient description with the appropriate...

Question 14

Which of the following is the key factor in determining whether to take vertical bitewings?&#10;A) Clinician preference&#10;B) Caries risk&#10;C) Bone level&#10;D) Patient preference

Accepted Answer

The answer of Which of the following is the key...

Question 15

When determining the patient's maintenance interval,his or her health insurance benefits should be considered because they will determine how often the patient can return for maintenance.&#10;A) Both the statement and the reason are correct and related.&#10;B) Both the statement and the reason are correct but NOT related.&#10;C) The statement is correct,but the reason is NOT.&#10;D) The statement is NOT correct,but the reason is correct.&#10;E) NEITHER the statement NOR the reason is correct.

Accepted Answer

The answer of When determining the patient's maintenance interval,his or...

Question 16

For the patient who smokes,the clinician can expect to see all of the following findings EXCEPT one.Which one is the EXCEPTION?&#10;A) Periodontal pockets&#10;B) Generalized heavy bleeding&#10;C) Poor response to treatment&#10;D) Higher amounts of calculus

Accepted Answer

The answer of For the patient who smokes,the clinician can...

Question 17

Match the patient description with the appropriate treatment.
Nonsurgical periodontal therapy

A)The patient exhibits localized bleeding,localized inflammation,generalized moderate plaque,and light subgingival deposits.
B)The patient exhibits attachment loss from the last appointment,generalized light plaque,and generalized light subgingival deposits.
C)The patient exhibits light supragingival calculus on the lower anterior teeth,light plaque on the lingual of the mandibular molars,and little to no inflammation.

Accepted Answer

The answer of Match the patient description with the appropriate...

Question 18

Which of the following are appropriate methods for removing deposits from a dental implant? Select all that apply.&#10;A) Toothbrush&#10;B) Floss&#10;C) Plastic instrument&#10;D) Air polisher&#10;E) Rubber tip stimulator

Accepted Answer

The answer of Which of the following are appropriate methods...

Question 19

Smoking is a significant risk factor for periodontal disease because it has an effect on the immune response,healing rate,and the rate of disease progression.&#10;A) Both the statement and the reason are correct and related.&#10;B) Both the statement and the reason are correct but NOT related.&#10;C) The statement is correct,but the reason is NOT.&#10;D) The statement is NOT correct,but the reason is correct.&#10;E) NEITHER the statement NOR the reason is correct.

Accepted Answer

The answer of Smoking is a significant risk factor for...

Question 20

An oral risk assessment should be part of the maintenance plan.The patient's maintenance plan should be individualized based on the degree of risk.&#10;A) Both statements are true.&#10;B) Both statements are false.&#10;C) The first statement is true; the second is false.&#10;D) The first statement is false; the second is true.

Accepted Answer

The answer of An oral risk assessment should be part...

Deck 35: Maintenance