Perio 2
Perio 2
Perio 2
JOT
11111-
Periodontology 11
C,
i-
9-Which of the following is a reason to perform 14-The purpose of a periodontal dressing is to
initial periodontal debridement before a. enhancewound healing.
i periodontal surgery? b. protectthe wound from injury.
>`yl MtLtJ-
Ltt 1.. lil '- a. Increase the attachmentlevels. c.
d.
increase patient comfort.
AIIoftheabove.
ha crfu b.
c.
Reduce infrabony pockets.
Reduce bleeding duringthe
ho2LLLdi Surgery. 15-lf a periodontal probe is inserted 4 or 5mm
d. Increasethe width of to the base of a pocket on the mesialbuccal of a
junction. d. neoplasia.
b. toeliminatethe suprabony
pockets when the pocket Wall is c 17-Which of the following is the most
fibrous and firm. appropriate indication for resective osseous
c. totreat moderately deep periodontal surgery?
pockets with mild intrabony a. Advanced attachment loss.
defects. b. Class Ill furcation defect.
c. Inadequate clinical crown
12-The benefits of flap curettage include length.
a. direct accessforthorough d. Vertical root fracture.
debridement.
b. pocket reduction. 18-Resective osseous surgery is best suited for
c. increased opportunity for periodontal sites with
reattachment. a. severeattachment loss.
d. A.andB. b. severe intrabony defects.
e. Alloftheabove c. teeth with short roots.
d. earlyto moderate bone loss.
13-The most prevalent inflammatory cells
found in gingival tissue 24 hours following flap
surgery are
a. monocytes.
b. macrophages.
c. Iymphocytes.
<(-tt`„„ `y`-l-
d. polymorphonuclear leukocytes. +``
(i,\d-a- .1
•,,\,\{-
3T,¢i -i `f--
i(,, >¢-'`1^. -
Periodontology 11
19-Tooth 2.4 hassubgingival recurrent caries C 24-The treatment of choice of a deep pocket
on the distal aspect of a Class 11 amalgam whose base extends beyond the attached
i
d. Resective osseous surgery. b. 2to3days.
c. 2to3weeks.
20-ln periodontal therapy, gingivectomy is the d. 2to3months.
treatment of choice to eliminate
a. osseous craters. 26-The blood vessel which may be injured
b. infrabony pockets. when harvesting a connective tissue graft from
c. suprabony pockets. the palatal mucosa is the
d. root hypersensitivity. a. sphenopalatine.
e. inadequate attached gingiva. b. nasopalatine.
c. posteriorsuperior alveolar.
21-Periodontal pockets can be eliminated by d. greater palatine.
a. surgical resection of the pocket
wall (gingivectomy). 27-Patients who have gingival enlargements
b. apically positionedflap surgery. surgically removed should be forewarned that
c. reattachment procedures. there is a high incidence of
d. Alloftheabove. a. altered tastesensation.
e. Noneoftheabove. b. dentinal hypersensitivity.
.-----i-=l=.----_---_-i_--_---i--.---i-ii=---====-.==:=\, c. reoccurrence ofgingival
22-Before performing periodontal surgery, it i; \ enlargement.
important to d. post-operative swelling.
1. prescribe a mouthwash.
2. prescribe an oral antibiotic. 28-Which of the following teeth is LEAST likely
3. control plaque. to develop a furcation involvement?
`,-T \\\,` 4. scale and root plane.
a. 1.4.
a. (1)and(3) b. 1.5.
b. (2)and(4) c. 1.6.
c. (3)and(4) d. 1.7.
a.---Altof-theabove.
+LL,r-td---------------------------------------------------------
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23-Healing following a gingivectomy occurs by
I- `o"i- c~|
a. primary intention.
b. secondary intention. cJt,.lL,\,i
c. both primaryand secondary
intention.
d. tertiary intention.
Periodontology 11
b. (1)and(3) A 8-Successfulrepairofbonydefectsis
c. (2)and(4) dependent upon
d. (4)only. a. itsdepth.
e. Alloftheabove. b. thenumberofwalls.
c. the distance between the
3-Tooth 3.3 has a 9mm probing depth with a buccal and lingual walls.
6mm three-wall infrabony mesial defect. It tests d. the distance from the crest of
vital and is not mobile. Which of the following is the defect to thecemento-
the most appropriate treatment? enamel junction.
a. Gingival curettage.
b. Modified widman flap. Cl; 9-Two importantwound healing principles for
c. Osseous resective surgery. guided tissue regeneration are
d. Guidedtissue regeneration. a. space creation and wound
stabilization.
1\ 4-Periodontal pockets CANNOT be reduced by b. space creation and intramarrow
a. occlusal adjustment. penetration.
b. scalingand root planing c. root surface biomodification
(debridement). and wound stabilization.
c. open flap curettage. d. rootsurface biomodification
d. guided tissue regeneration and intramarrow penetration.
11-Which of the following procedures is NOT Ct_ 17-A common clinical sign of occlusal
indicated for the management of infrabony traumatism is
defects? a. tooth mobility.
a. Gingivectomy. b. pocket formation.
b. Regenerative surgery. c. gingival recession.
c. Flapsurgery. d. temporomandibularjoint pain -
d. Gingival graft. dysfunction syndrome.
e. pulp calcifications.
fl 12-The most likely cause of tooth loss following
a tunneling procedure to provide complete e 18-lnfraosseous defects mayoccuratthe
access for a mandibular Class Ill furcation 1. palatal surface of maxillary anterior teeth.
involvement is 2. buccal and lingual surfaces of molars.
a. rootcaries. 3. interproximal areas.
b. rootsensitivity. 4. bifurcations and trifurcations.
c. pulpal involvement. a. (1)(2)(3)
22-In which of the following defects is bone fill 4-Regular use of oral irrigators (e.g. "Water
most likely to occur? Pik") will
d. 5.5mm. b. (1)and(3)
e. 6.Omm. c. (2)and(4)
d. (4)only
2-When a patient fails to demonstrate effective e. Alloftheabove.
plaque control during initial periodontal therapy
for moderate periodontitis, the best course of 7-Following periodontal flap surgery, the most
action is common cause of recurrence of pockets is
a. gingival curettage. a. systemic disease.
b. an apically positioned flap. b. traumaticocclusion.
c. continued initial therapy. c. failuretosplint.
d. gingivectomy. d. poororalhygiene.
3-Water irrigation devices have been shown to 8-After completion of initial therapy which
a. eliminate plaque. included root planing and curetage, a patient
b. dislodge food particles from has suprabony pockets of 5mm. Despite good
between teeth. plaque control, these pockets exhibit bleeding
c. disinfect pockets for up to 18 on probing. The treatment of choice is
hours. a. additional root planing.
d. prevent calculus formation b. occlusal adjustment.
c. gingivectomy.
d. periodontal flap surgery.
e. Noneoftheabove.
Periodontology 11
9-Areas of isolated gingival recession are most 14-A risk factor for gingival recession is
frequently seen on teeth that are
a. nonvital, #~>VlbecLfi:leL4:irrii+-
b, moderately mobile. tooth position.
c. ankylosed. traumatic occlusion
d. Iabially prominent in the arch,
15-Res.idual soft tissue interdental craters not
10-Examination reveals an area of gingival associated with underlying bony changes are
recession that exposes a wide area of denuded eliminated by
root. The procedure of choice to obtain a. rootplaning.
coverage of this root surface is b. subgingival curettage.
a. free gingival autograft. c. flapoperation.
b. apically positioned flap. d. gingivoplasty.
c. laterally positioned pedicle e. Noneoftheabove.
graft.
d. coronally positioned flap
q`' ::;sG::gjov:::::t¥.is indicated for
graft. d. (4)only
c. lateral sliding pediclegraft. e. Alloftheabove
d. double papilla pediclegraft. .----------.,::-i--i-/---.,--,i-T`--tlJ--+Ji-li-------------------------
18-A surgical flap approach to periodontal I-`.'== I, =;:eeth WITHOUT loss of bone
pocket elimination permits S-===1S-ggeS---
a. healing by primary intention. :. 2 primarytraumatjcocclusion.\+
b. retention ofgingiva. D. a secondarytraumatic
c. accessto perform osseous occius,on.t+u~``ct,.~>ctry`prio giv
recontouring. \,I.
)1,U~
-J^
d. Alloftheabove. A \t 'giv
: ;:::;:oo:nht,,cu:a_:::\::{T::{t{::e\,th _\
19-The most likely cause of localized facial _a=.d..:..... i.r.i.t.,.`=Uji.q.`£+};*.;I) 1# ¥
gingival recession in a healthy 17 year old S-Too:ri mobility may be due to
ne\-t!::tl,``
individual is 1. excessive occlusal force.
a. minimal attached gingiva. 2. cjgc.eased osseous support.
b. occlusal trauma. 3. penodontal abscess.
c. traumatictooth brushing. £. gingival inflammation.
b. (1)and(3)
Post Operative and Emergency Care c. (2)and(4)
d. (4)only
I.`. , ? 1-Trauma from occlusion may e. Alloftheabove.
SroJCL5L a. initiate marginal gingivitis.
accurately measured if
1-A patient with a history of infective a. gingival inflammation in the
endocarditis is currently taking penicillin for an area has been eliminated.
unrelated condition. The most appropriate b. there is an increase in crevicular
management for periodontal therapy for this fluid.
patient is to c. theprobingdepthis3mmor
a. prescribe a different antibiotic. less.
b. increasethe dosage of d. scalinghasnotbeendone.
penicillin.
c. maintain penicillinatthe 6-Which one of the following oral preventive
present level. aids does not remove plaque?
d. use chlorhexidinesolution as a a. Toothbrush.
pre-therapy rinse. b. Dentalfloss.
c. Stimudents.
2-Patients who are positive for the interleukin- d. Proxybrush.
e. Irrigating devices..
CL 1 (lL-1)
10
Periodontology 11
a. attached gingiva.
b. I.unctional epithelium.
c. transverse fibres of the
periodontal ligament.