Perio
Periodontal Knowledge Quiz
Test your knowledge on periodontal diseases with our comprehensive quiz designed for dental professionals, students, and enthusiasts alike. Covering key concepts, clinical signs, and treatment options, this quiz is an excellent way to enhance your understanding of periodontal care.
- 110 carefully crafted questions
- Diverse topics within periodontology
- Engaging multiple-choice format
A 12-year-old female with an extremely clean dentition, 2-3mm pockets, and a severe inflammatory response, likely diagnosis?
Gingival disease with bacterial origin
Drug-influenced gingival enlargement
Gingival disease associated with fluctuations in sex hormones
Plaque-induced gingivitis
What is the first clinical sign of gingivitis?
Gingival recession
Furcation involvement
Bleeding on probing
Tooth mobility
How would you describe enlarged papillae that expand out to the interproximal spaces?
Soft, spongy tissue
Cratered papilla
Bulbous papilla
Blunted papilla
Increased fluid in inflamed gingival tissue (edema) can be best described as:
Pointed, knife-like papilla
Firm and pink
Firm and fibrotic
Soft and spongy
When describing the distribution of gingivitis, all of the following may be applied EXCEPT
Marginal
Diffused
Papillary
Lingual
Diabetes associated gingivitis is an example of:
Gingival disease modified by a systemic factor
Gingival disease of genetic origin
Gingival disease modified by malnutrition
Dental plaque-induced gingival disease
Two important elements of periodontitis are bacteria/biofilm and host inflammatory response
True
False
These two factors are included in the periodontitis disease process:
Indirect tissue destruction by the host inflammatory response
Direct tissue destruction by bacteria
Both of these options
Neither of these options
Term when patient is successfully treated for periodontitis & symptoms return after several months or years:
Refractory periodontitis
Recurrent periodontitis
Redundant periodontis
Periodontitis
Which of the following is NOT a treatment goal for a patient with periodontitis:
Instrumentation to remove microbial etiology
Elimination of local intraoral factors
Improve the aesthetics/appearance of the patient teeth
Reinforce daily home care
All of the following are typical warning signs of periodontitis EXCEPT:
Pain
Red,swollen gingiva
Loose teeth
Bad taste mouth
Localized disease is greater than or equal to 10% of the mouth, generalized disease is less than of equal to 75%
True
False
All of the following are characteristics of periodontitis EXCEPT
Disease progresses at a slow or moderate rate
Most common in adults who are younger than 35
Can be modified by cigarette smoking
Radiographic evidence of horizontal bone loss
All of the following are true of periodontitis EXCEPT:
Host response plays an important role in pathogenesis
The disease ALWAYS progresses at a rapid rate
Signs may include periodontal pockets and tooth mobility
Gingival bleeding is a common clinical finding
Disease sites that have not responded successfully to treatment are characterized by:
Plaque levels compatible with healthy gingiva
Increasing clinical attachment loss
White fibrotic gingival tissue
Pain in the localized area
All of the following are examples of local contributing factors for periodontal disease, EXCEPT
Dental caries
Occlusal trauma
Crevicular fluid
Tooth morphology
In combination with plaque biofilm, which of the following situations lead to progression of periodontal disease?
Dental caries on the facial of #3
A mesial root concavity on #12
Overhang on restoration on distal #7
All of the above
In a smoker, does absence of BOP always indicate a healthy periodontium?
Yes, an absence of BOP is a sign of health
Yes, absence of BOP means that no gingivitis is present
No, the clinical signs of inflammation are supressed in smokers
No, periodontium is unhealthy if it is red and swollen
Diabetics have a better response to treatment than non-diabetic
True
False
Earliest radiographic signs of periodontitis include
Breaks in alveolar crestal bone
Widening of the PDL space by resorption on the mesial or distal
Fuzziness of the alveolar crestal bone
All of the above
What are the tissues that surround implants called?
Periodontium
Transgingival tissues
Peri-implant tissues
None of the above
The biologic seal functions are a barrier between the implant and the oral cavity?
True
False
Osseointegration is regarded as successful if there is
Discomfort only when in function
No more than a class II clinically mobility
Radriographic bone loss of 3mm per year
Absence of gingival inflammation of peri-implant tissues
Dental implants should be checked radiographically at least _____
Everyother year
Once a year
Every 6 months
Every 2 months
Which of the following scalers is BEST for instrumenting around implants
A titanium scaler
A gold-tipped curette
Universal ultrasonic tip
plastic sickle scaler
All of the following are signs of a failing implant EXCEPT
Radiographic bone loss around the implant
Firm, pink tissue
Pain
BOP
All of the following statements are true about probing an implant except?
A metal probe may be used in there is very light pressure
Too much pressure will cause the probe to penetrate the biologic seal
Probing measurements are taken from a fixed reference point
No probing is recommended as part of implant maintenance
Self-care around the implant can be accomplished using any of the following aids EXCEPT
End-tufted brush
Standard wire interproximal brush
Implant floss
Soft bristle brush
This term described periodontitis around an Osseo integrated implant resulting in loss of alveolar bone
Perio-implantitis
Peri-implant gingivitis
Implant periodontitis
Both B and C
A sulcus lined by sulcular epithelium surrounds the implant abutment post
True
False
It is important to use clinical findings and radiographs to sequence the treatment plan and set a goal for treatment
True
False
This outline is carried out by the dentist, dental hygienist, and patient to eliminate disease and return patient to health
Collective outline of treatment
Master periodontal treatment plan
Nonsurgical periodontal instrumentation
Periodontal maintenance
The clinical measurements that determines the difference between gingivitis and periodontitis is the
Pocket depth readings
Clinical mobility and furcation involvement
Level of gingival margin
Clinical attachment level (CAL)
What phase of periodontal therapy does periodontal instrumentation fall
Maintenance therapy phase
Surgical therapy phase
Nonsurgical periodontal therapy phase
Preliminary therapy phase
Which phase of periodontitis measured to keep it from recurring after it has been brought under control?
Maintenance therapy phase
Surgical therapy phase
Nonsurgical therapy phase
Preliminary therapy phase
All of the following are characteristics of shared decision making EXCEPT?
Document that signed care plan and make arrangements for follow-up
Consult with the dentist and other health care but not the patient
Elicit the patient's ideas, concerns, and expectations
Develop a care plan in partnership with the patient
The two most important sources in the treatment decision making process are the ____ and ____
Standard of care and textbooks
Dental hygienist and dentist
Clinician and patient
Treatment options and values
A patient's voluntary agreement to proposed treatment is called _______
Patient approval
Informed consent
Informed refusal
Treatment phasing
Two local risk factors for periodontitis can be caused by poorly contoured restorations OR deep root grooves
True
False
Which of the following factors is considered the MOST SIGNIFICANT risk factors developing periodontal disease?
Stress
Smoking cigarrettes
Chronic poor home care
Medications that cause gingival overgrowth
Biological equilibrium in periodontal health means there is a balance between
Plaque and local risk factors
Bacterial plaque biofilms and the host response
Local contributing factors and systemic factors
Local risk factors and acquired risk factors
The portion of the implant that protrudes through the tissue into the mouth is _______
Implant body
Prosthesis
Abutment post
Implant fixture
Which of the following tissues is NOT part of the periodontium?
Periodontal ligament
Gingiva
Cementum
Alveolar mucosa
During mastication, the tooth is cushioned from occlusal forces by the?
Periodontal ligament
Gingiva
Cementum
Alveolar bone
Which part of the periodontium may become damaged after years of periodontal instrumentation
Periodontal ligament
Cementum
Gingiva
Alveolar bone
Lattice-like bone that fills the interior portion of the alveolar process refers to:
Cortical bone
Cancellous bone
Periosteum
Cribiform plate
In health, the alveolar crest covers the cementoenamel junctions of the teeth
True
False
Which of the following is a mesh-like material that surrounds the cell and provides a framework?
Extracellular matrix
Mast cell
Nucleus
Collagen fiber bundle
What structure forms the base of a periodontal pocket?
Basal epithelium
Sulcular epithelium
Junctional epithelium
Oral epithelium
This demarcation is a shallow linear depression that separates the free and attached gingiva?
Mucogingival junction
Free gingival groove
Gingival margin
Alveolar mucosa
All of the following are functions of gingival fibers EXCEPT
They connect adjacent teeth to one another control tooth position
They unite free gingiva with cementum of the best
They provide rigidity needed to withstand frictional forces during chewing
They prevent plaque biofilm from entering the gingival connective tissue
All of the following are functions of the periodontal ligament EXCEPT
It unites free gingiva with cementum
It attaches the tooth to the bony socket
It provides sensory and nutritive function
It produces osteoclasts to resorb bone
The ends of periodontal ligament fibers (brush-like) that embed in bone and cementum are known as :
Interradicular fibers
Oblique fibers
Sharpey's fibers
Horizontal fibers
The characteristics of periodontitis may include which of the following:
Loss of alveolar bone
Destruction of the gingival and PDL fibers
Apical migration of the junctional epithelium
All of the above
What is the most common pattern of bone loss?
Horizontal
Vertical
Oblique
Interproximal
What is the difference between a gingival and a periodontal pocket
Gingival pocket is true pocket, perio is a false pocket
A periodontal pocket does not have exudate
A gingival pocket is from horizontal bone loss, perio from vertical
A gingival pocket is f/ inflammation, perio pocket/migration of JE
The space between the free gingiva and tooth surface is called
Interdental gingiva
Junctional epithelium
Gingival sulcus
Periodontal ligament
Which of the following types of bacteria are associated with periodontitis?
Gram-positive bacteria
Nonpathogenic bacteria
Gram-negative bacteria
Innocucous bacteria
If a bacterium wants to join a biofilm, it should look for which of the following conditions:
A group of bacteria attached to a tooth surface
A freshly formed area of pellicle on a tooth surface
Clumps of bacteria floating in the saliva
An area of the mouth with a large number of free-floating bacteria
Which bacterial species are found in aggressive periodontitis?
Odontolyticus
Actinomycetemcomitans
Gingivitis
Both B & C
This term is used when two bacterial cells adhere to eachother
Bonding
Acquired pellicle
Joining
Coaggregation
The first bacteria to colonize on the tooth surface are
Pathogenic
Nonpathogenic
Motile
Anaerobic
Early bacteria in plaque biofilm are
Anaerobic bacteria
Gram-positive bacteria
Gram-positive bacteria
Motile bacteria
All of the following statements are true EXCEPT
Gram-positive bacteria are the first bacteria to attach to the pellicle
A disrupted biofilm must reform in a specific sequence
Motile bacteria are important first collonizer of the pellicle
Each bacteria strain has limited amount of bacteria to which it can adhere
Which type of bacterial subgingival attachment is the most harmful to the periodontal tissues
Pellicle-associated plaque biofilm
Bacteria that float in the periodontal pocket space
Tooth-associated plaque biofilm
Tissue-associated plaque biofilm
A biofilm is.....
Calcified community of bacteria that is difficult to remove
Free-floating bacteria
A film that thrives on moist surface
A well-organized community of bacteria
Antimicrobial solutions work better when partnered with mechanical disruption of plaque-biofilm
True
False
All of the following statements are true EXCEPT
An example of biofilm is tobacco stain
Bacteria in biofilm can be resistant to antibiotics
Bacteria in biofilm are embedded in an extracellular slime layer
Biofilm is a well organized colony of bactera
Biofilm only forms on dry surfaces
True
False
Each bacterial strain has a limited set of bacteria that it can adhere to
True
False
What is the best way of destroying plaque biofilm on teeth?
Antimicrobial rinse
Mechanical removal through good home care
Oxygen
Antibiotics
Within minutes after cleaning, the pellicle reattaches to the tooth surface
True
False
All of the following statements are true regarding disease progression except
As disease progresses, the bacteria becomes more gram-negative
As disease progresses, the bacteria become more gram-positive
As disease progresses, bacteria become more motile
The number of bacteria in the site increases as the disease progresses
Bacteria can penetrate epithelium and invade connective tissue
True
False
Motile bacteria use flagella to swim
True
False
What causes swelling?
Exudate
Entry of fluid into the connective tissue
Increased heat in the area
Magic
Which of these are signs of chronic inflammation
Heat
Redness
Pain
None of these
These are the rapid responders and the 1st to arrive at the infection site in a bacterial infection of the periodontium?
B-lymphocytes
Motile bacteria
Phagocytes
Polymorphonuclear leukocytes (PMNs)
This system protects the body from infections
Complement system
Endocrine system
Immune system
Lymphatic system
This is the process in which leukocytes are attracted to an infection cite
Migration
Coaggregation
Chemotaxis
Mitosis
This is the term used to describe the engulfing and digesting of cells
Phagocytosis
Coaggregation
Chemotaxis
Digestion
Cells activate the body's immune system by secreting biologically active compounds called
Peptide proteins
Homeostasis chemicals
B-reactive proteins
Biochemical medicators
This is the bodys reaction to inflammation
Injury
Bruising
Invasion of pathogens
Both A & C
Which of these IS NOT a symptom of inflammation?
Swelling
Heat
Pain
Bruising
What is the main role of B-Lymphocytes
To promote phagocytosis
To intensify the immune response
Killing microorganisms on contact
To secrete antibodies
In what periodontal lesion stage to the first clinical signs appear
Advanced lesion
Initial lesion
Early lesion
Established lesion
In what periodontal lesion stage do PMNs first travel through the bloodstream into the gingival connective tissue
Early lesion
Established lesion
Advanced lesion
Initial lesion
Collagen destruction in the periodontal tissue is caused by which biochemical mediator
Monocytes
Matrix metalloproteinases (MMPs)
PMNs
Immunoglobulins
Periodontal pathogens are the only cause of periodontal disease
True
False
What are the functions of cytokines?
Possibly initiate destruction and bone loss
Attract immune cells to the site of infection
Send macrophages to an infection site
All of the above
What is the function of matrix metalloproteinases (MMPs)
Signals the first responders of the imune response
Initiate the function of macrophages
Signals the leukocytes to cease function
Collagen destruction in periodontal tissue
Bacteria colonizes near the gingival margins in what phase of periodontal disease?
Early lesion
Advanced lesion
Established lesion
Initial lesion
Tissue destruction becomes the main outcome of the immune response in advance periodontitis
True
False
The immune system is a cause of tissue destruction
True
False
What kind of risk factor for periodontal disease does smoking fall under
Genetic
Acquired
Accumulated
Environmental
What is the process called when bacteria is engulfed?
Mitosis
Phagocytosis
Meiosis
Coaggregation
What is the second layer of defense
Complement system
Bacterial reproduction
Mytosis
Phagocytosis
Endotoxin is another name of lipopolysaccharides
True
False
What are endotoxins found on the outer layer of
T-cells
Macrophages
Gram positive bacteria
Gram negative bacteria
Collagenases and proteases are created by periodontal bacteria that can destroy host tissues
True
False
{"name":"Perio", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Test your knowledge on periodontal diseases with our comprehensive quiz designed for dental professionals, students, and enthusiasts alike. Covering key concepts, clinical signs, and treatment options, this quiz is an excellent way to enhance your understanding of periodontal care.110 carefully crafted questionsDiverse topics within periodontologyEngaging multiple-choice format","img":"https:/images/course3.png"}
More Quizzes
Introduction to Implantology
840
Dental Implant Dr. Poch sophearoth #Dr kang
64320
Fluorides (POHS Exam 1 - Part 1)
261364
Dental implants Dr.Tep Navy 6dd
7236410
Film Interpretation Rx 1
105288
Intro
8477
Dental Hygiene Final
10050161
Panoramic radiograph interpretation
1050
Periodontology
132660
Pediatric
341739
Gels
16856
KEEP CALM AND LOVE ENDO!
12610