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Which of the following situations would be an indication for regenerative periodontal surgery?


A) An edematous 5-mm pseudopocket
B) Severe drug-influenced gingival enlargement
C) An infrabony pocket of 6 mm on the distal aspect of tooth #30
D) Gingival recession that extends into the alveolar mucosa
E) A periodontal abscess

F) C) and E)
G) A) and E)

Correct Answer

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All of the following are substances produced by the host response to bacterial plaque biofilm EXCEPT one. Which one is the EXCEPTION?


A) Lipo-polysaccharide
B) Matrix metalloproteinase (MMP)
C) Cytokines
D) Interleukin 1 (IL-1)
E) Prostaglandin E2 (PGE2)

F) B) and E)
G) A) and D)

Correct Answer

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What has the discipline of periodontal medicine shown about the relationship between periodontal diseases and systemic diseases?


A) Periodontitis causes systemic diseases such as heart disease and cerebrovascular disease
B) Persons with weakened host response have increased susceptibility to periodontitis
C) Periodontal disease is treated with systemic antibiotics
D) Periodontitis has been associated with systemic diseases as a possible risk factor
E) Genetic mutations affecting susceptibility and progression of systemic diseases also affect periodontitis

F) A) and E)
G) A) and C)

Correct Answer

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Which of the following types of drugs have been associated with gingival overgrowth?


A) Oral contraceptives
B) Antidepressants
C) Calcium channel blockers
D) Antihistamines
E) Quinolones

F) A) and E)
G) C) and D)

Correct Answer

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Which area within the periodontium is LEAST susceptible to tissue breakdown in periodontal disease?


A) Gingival crevice
B) Dentogingival junction
C) Interdental col
D) Junctional epithelium
E) Attached gingival

F) A) and B)
G) None of the above

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Joe Smith, age 50, returns for periodontal maintenance therapy every 3 months for 1 year after nonsurgical periodontal treatment for chronic periodontitis. The inflammation has been resolved, and periodontal probing depths have decreased from 5 mm or 6 mm to 4 mm or less in most treated areas, with the exception of the distal surface of #2, where the probing depth has increased from 4 mm to 6 mm. Radiographs reveal no change on #2 distal. Which of the following explains this finding?


A) Continuing clinical attachment loss
B) Error in periodontal probing technique
C) Calculus deposits affecting accuracy of initial reading
D) Inaccessibility and poor visibility in pocket areas
E) Healing of periodontal tissues

F) A) and B)
G) A) and D)

Correct Answer

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All of the following are environmental risk factors associated with periodontal disease EXCEPT one. Which one is the EXCEPTION?


A) Smoking
B) Rough restorative margins
C) Mouthbreathing
D) Age
E) Dental calculus

F) B) and D)
G) None of the above

Correct Answer

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Which of the following factors could limit a recommendation for dental implants?


A) Complete edentulism
B) Age over 65 years
C) Minimal bone density
D) Single missing tooth

E) A) and B)
F) B) and C)

Correct Answer

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Tooth mobility and fremitus are hallmarks of occlusal trauma because trauma is the primary cause of clinical attachment loss when occlusal trauma is present.


A) Both the statement and the reason are correct and related
B) Both the statement and the reason are correct but NOT related
C) The statement is correct, but the reason is NOT correct
D) The statement is NOT correct, but the reason is correct
E) NEITHER the statement NOR the reason is correct

F) C) and D)
G) A) and D)

Correct Answer

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Which of the following is an objective of periodontal regenerative surgery?


A) Improve the aesthetics of the client's face
B) Create gingival contour and appearance acceptable to the client
C) Remove alveolar bone to improve contour and correct defects
D) Remove enlarged tissue to assist the client in daily plaque control
E) Promote regeneration of connective tissue, periodontal ligament, cementum and alveolar bone

F) B) and E)
G) A) and E)

Correct Answer

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All of the following are possible causes of gingival recession EXCEPT one. Which one is the EXCEPTION?


A) Faulty toothbrushing
B) Bacterial plaque biofilm
C) Dehiscence
D) Dental caries
E) Tooth position in the arch

F) C) and D)
G) C) and E)

Correct Answer

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After bacterial virulence is established and the periodontal lesion is initiated, which is the first inflammatory cell to respond?


A) B lymphocytes
B) Plasma cells
C) Neutrophils
D) T lymphocytes
E) Macrophages

F) C) and D)
G) A) and E)

Correct Answer

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Which radiographic findings will MOST likely be seen in dental plaque-induced gingivitis?


A) Widened periodontal ligament space and triangulation
B) Slight changes in the lamina dura
C) Condensing osteitis
D) Normal lamina dura and crestal bone

E) B) and D)
F) A) and B)

Correct Answer

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