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3/3 periodontitis prof: lim sokun

Create an illustrated infographic depicting healthy versus diseased gums, highlighting signs of gingival enlargement and the importance of oral hygiene practices.

Understanding Periodontitis and Gingival Health

This quiz is designed for dental students and professionals looking to deepen their understanding of periodontitis and oral health. With 102 questions focused on gingival enlargement and its various causes, this quiz assesses your knowledge and understanding of key concepts in periodontal health.

Explore drug-induced gingival changes.
Learn about the impact of vitamins on oral health.
Test your knowledge on periodontal anatomy and physiology.

102 Questions26 MinutesCreated by BrushingPearl75

Lobulated mulberry-shaped gingival enlargement is characteristic of :

σ� Inflammatory gingival enlargement

σ� Drug-induced ingival enlargement

σ� Combined gingival enlargement

σ� All of the above

. In drug-induced gingival enlargement ,hyperplasia occurs in:

σ� Connective tissue

σ� Epithelium

σ� Both of the above

σ� None of the above

. The daily dose of cyclosporine that can cause gingival enlargement is greater than:

σ� 200mg

σ� 300mg

σ� 500mg

σ� 400mg

Cyclosporin- induced gingival enlargement, is more frequent in:

σ� Children

σ� Adolescents

σ� Adults

σ� Old people

. Vitamin C deficiency can effect:

σ� Collagen formation

σ� Osteoid formation

σ� None of the above

σ� Both of the above

. Defensive delimiting connective tissue barrier reaction to gingival inflammation is reduced in deficiency of:

σ� Vitamin A

σ� Vitamin B

σ� Vitamin C

σ� Vitamin D

The effect of hormonal imbalance on periodontal tissue is:

σ� They show manifestations

σ� They modify the tissue response to plaque

σ� Produce anatomic changes that favour trauma from occlusion

σ� All of the above

The width of attached gingiva:

σ� Increases with age

σ� Decreases with age

σ� Doesn’t alter with age

σ� Initially decreases and later increase with age

The gingival sulcus develops:

σ� When the crown penetrates oral mucosa

σ� When ½ of the crown has erupted

σ� When3/4 of the crown has erupted

σ� When the complete crown has erupted

Prevalence of gingivitis increased during:

σ� Pregnancy

σ� Puberty

σ� Menstruation

σ� All the above

Whichofthefollowingwillincreaseduringmenstruation:

σ� Exudate from inflamed gingiva

σ� Salivary bacterial count

σ� Both the above

σ� None of the above

. Select the most appropriate answer in pregnancy the severity of gingivitis starts increasing during:

σ� First month

σ� Second month

σ� 4th month

σ� 6th month

Which of the following statements is incorrect about pregnancy:

σ� The severity of gingivitis is greatest between 2nd and 3rd trimesters

σ� The severity of gingivitis decreases during 9th month

σ� Plaque accumulation is more severe during 9th month

σ� The correlation between plaque accumulation and gingivitis is more during pregnancy than after parturition.

. The mucogingival junction is located between the:

σ� Free gingival and attached gingiva

σ� Fee gingival and tooth

σ� Base of the sulcus and alveolar mucosa

σ� Attached gingiva and alveolar mucosa

Stippling is seen in :

σ� Marginal gingiva

σ� Attached gingiva

σ� Interdental gingiva

σ� Attached gingiva and center of interdental papilla

The area of periodontium more susceptible to tissue breadown is:

σ� Free gingiva

σ� Gingival sulcus

σ� Interdental col

σ� Interdental papill

Gingiva is supplied by:

σ� Supraperiosteal vessels

σ� Vessels of periodontal ligament

σ� Arterioles emerging from alveolar crest

σ� All of the above

. Which of the following fiber group I.s not attached to alveolar bone :

σ� Oblique fibers

σ� Transseptal fibers

σ� Horizontal fibers

σ� Dentoperiosteal fibers

Dcntogingival unit comprises:

σ� Gingival fibers

σ� Gingival fiber and junctiona1 epithelium

σ� Periodontal fibers and ligament

σ� None of the above

The most common presentation of CEJ is:

σ� Butt- joint

σ� Failing to meet each other

σ� Enamel overlaps cementum

σ� Cementum overlaps enamel

Which of the following is more mineralzed?:

σ� A cellular extrinsic fiber cementum

σ� Cellular mixed stratified cementum

σ� Cellular intrinsic fiber cementum

σ� Intermediate cementum

Adhesion molecule present in cementum:

σ� Cementum attachment protein

σ� Vascular adhesion molecule

σ� Insulin growth factor

σ� None of the above

. Cementum that usually fills resorption lacunae:

σ� Cellular intrinsic fiber cementum

σ� Intermediate cementum

σ� Acellular extrinsic fiber cementum

σ� None of the above

. Coupling phenomenon is:

σ� Association of osteoclast with bone surface for resorption

σ� Association of osteoblast with the matrix for bone mineralization

σ� Interdependency of osteoblasts and osteoclasts in remodeling

σ� Contact between various osteocytes with in haversian system for exchange of nutrients

The inactive osteoblasts are:

σ� Osteocytes

σ� Osteoclasts

σ� Osteoproginator cells

σ� Bone lining cells

With aging, the solubility of the collagen in gingival connective tissue:

σ� Increases

σ� Decreases

σ� Remains constant

σ� Fist increase then decrease

Which of the following fibers increases with age in periodontal ligament?:

σ� Type I collagen

σ� Type II collagen

σ� Elastic fibers

σ� Oxytalan fibers

Which of the following organism’s role is decreased with age:

σ� P.gingivalis

σ� Aggregatibacter actinomycetemcomitans

σ� F.nucleatum

σ� P.intermedia

The width of the attached gingiva with age :

σ� Decreases

σ� Increases

σ� No change

σ� None of the above

Leukotoxin are produced by which of the following periopathogens:

σ� P.gingivalis

σ� P.intermedia

σ� A.actinomycetemcomitans

σ� F.nucleatum

. Which microorganism is increased in pregnancy:

σ� Prevotella intermedius

σ� Porphyromonas gingivalis

σ� Porphyromonas melaninogenicus

σ� Eikenella corrodens

Which of the following bacteria have the capacity to invade host tissue cells directly?:

σ� P.gingivalis

σ� A.actinomycetemcomitans

σ� T.denticola

σ� All of the above

Which of the following is not included in the Green complex?:

σ� Aggregatibacter actinomycetemcomitans serotype a

σ� P.gingivalis

σ� Eikenella corrodens

σ� Capnocytophaga spp.

. Mineralized plaque is:

σ� Materia alba

σ� Calculus

σ� Food debris

σ� Dental stains

The most common crystalline forms present in supragingival calculus are:

σ� Hydroxyapatite and magnesium whitlockite

σ� Hydroxyapatite and octacalcium phosphater

σ� Hydroxyapatite and brushite

σ� Magnesium whitlockite and octacalcium phosphate

Calculocementum is :

σ� Calculus similar in composition to cementum

σ� Cementum similar in composition to calculus

σ� Cementum appearing morphologically similar to calculus

σ� Calculus appearing morphologically similar to cementum

Which of the following drugs has been shown to slow down the alveolar bone loss in periodontitis:

σ� Rofecoxib

σ� Nimesulide

σ� Ibuprofen

σ� Valecoxib

The most common factor that defects healing after periodontal treatment:

σ� Plaque

σ� Excessive manipultation of tissue

σ� Inadequate blood supply

σ� Foreign bodies

. Which of the following does not improve healing after periodontal treatment:

σ� Pressure

σ� Debridement

σ� Immobilization

σ� Oxygen insufflation

. Plaque Index was developed by:

σ� Silness and Loe in 1964

σ� Loe and Silness in 1964

σ� Russell in 1956

σ� None of the above

Cementoenamel junction of the teeth is used as fived landmark for measuring the level of the periodontal attachment loss in:

σ� Papillary bleeding index (PBI)

σ� Periodontal disease index (PDI)

σ� Russell’s periodontal index (PI)

σ� None of the above

. The radiographic findings of gingivitis will Demonstrate:

σ� Vertical bone loss

σ� Horizontal bone loss

σ� Change in bone trabeculation

σ� Normal bone pattern

Gingival bleeding on probing appears:

σ� Before the color changes

σ� After the color changes

σ� At the same time as the color changes

σ� Not related with the color changes

Junctional epithelium shows formation of reted pegs in:

σ� Stage I gingivitis(Initial)

σ� Stage II gingivitis (Early)

σ� Stage III gingivitis (Established)

σ� Stage IV gingivitis(advanced)

The predominant inflammatory cell in early lesion:

σ� Neutrophil

σ� T lymphocytes

σ� Plasma cell

σ� Macrophages

. McCall’s festoon is common in:

σ� Incisor area

σ� Canine and premolar area

σ� Molar area

σ� same in all of the above

Crater-like deformities are seen in:

σ� NUG

σ� Aggressive periodontitis

σ� Chronic gingivitis

σ� Chronic periodontitis

Which of the following is not a clinical feature of necrotizing ulcerative gingivitis:

σ� Pocket formation

σ� Spontaneous bleeding

σ� Pain

σ� All of the above

Radiographic features of trauma from occlusion include all of the following expect:

σ� Thickening of lamina dura

σ� Angular bone loss

σ� Increase in the width of periodontal ligament space

σ� Hyalinization of periodontal ligament space

Trauma from occlusion does not produce:

σ� Tooth mobility

σ� Widening of periodontal spaces

σ� Angular bone loss

σ� Periodontal pockets

. Abnormal tooth mobility maybe initiated by each of the following except:

σ� Hyperparathyroidism

σ� Resorption of alveolar bone

σ� Daibetes

If the probing pocket depth is 6mm and gingival recession is 2mm then the total clinical attachment loss is:

σ� 8mm

σ� 2mm

σ� 6mm

σ� 4mm

. The best way to detect bony detects is:

σ� Surgical exposure

σ� Careful history taking

σ� Radiograph at different angulations

σ� Careful probing and measuring pocket depth

. 80Which of the following areas of the tooth are considered most sensitive from various stimuli?:

σ� Occlusal ,incisal

σ� Cervical ,proximal

σ� Lingual , cervical

σ� Facial ,cervical

Which of all the following come under PhageI therapy:

σ� Excavation of caries

σ� Chemical plaque control

σ� Removal of calculus

σ� All of the

Implant surgery is done in:

σ� Phase I

σ� Phase II

σ� Phase III

σ� Phase IV

Extraction of hopeless teeth is done in:

σ� Emergency Phase

σ� Phase I

σ� Phase II

σ� Phase III

Scaling process removes:

σ� Calculus

σ� Plaque

σ� Both of the

σ� None of the above

Instrument used for detection of subgingival caculus:

σ� Probe

σ� Explorer

σ� Both of the above

σ� None of the above

. The distance between apical edge of calculus and bottom of the pocket is usually less than:

σ� 1mm

σ� 2mm

σ� 3mm

σ� 4mm

Which one for the following instruments is not used for subgingival scaling:

σ� Sickle

σ� Hoe

σ� Chisel

σ� All of the above

Instrument used for crushing of subgingival calculus:

σ� After five curette

σ� Oschenbein chisel

σ� Hirsch field-file

σ� Ball-sickle

. The portion of tooth covered by calculus or altered cementum is called:

σ� Pathologic zone

σ� Toxic zone

σ� Deposit zone

σ� Instrumentation zone

. Periostat is:

σ� 20mg capsule of doxycycline hyclate

σ� 40mg capsule of doxycycline hyclate

σ� 100mg capsule of doxycycline hyclate

σ� 200mg capsule of doxycycline hyclate

The active ingredient in periochip is :

σ� Tetracycline

σ� Minocycline

σ� Metronidazole

σ� Chlorhexidine

The antibiotic to which all strains of Actinobacillus are susceptible is:

σ� Tetracycline

σ� Ciprofloxacin

σ� Amoxicillin

σ� Metronidazole

Which of the following antibiotics can concentrate at sites of periodontal inflammation:

σ� Amoxycillin

σ� Azithromycin

σ� Metronidazole

σ� Clindamycin

Metronidazole

σ� Penetrates stgnation areas well

σ� Is mainly active against gram-positive aerobes

σ� Is effective in the management of necrotizing ulcerative gingivitis

σ� Is mainly concentrated in saliva

If periodontal procedures have tobe carried out more than once, the minimum gap between two prophylactic antibiotic regimes in case of prophylaxis against SABE, should be:

σ� 2days

σ� 7days

σ� 20days

σ� 42days

Furcation is best detected by which probe:

σ� WHO probe

σ� University of Michigan’O’ probe

σ� Marquis color coded probe

σ� Naber’s probe

Which of the following instrument has a two-point contact with the tooth:

σ� Hoe

σ� Sickle

σ� Currette

σ� Cumin scaler

Gracey Curette N0.11-12 are used for:

σ� Anterior teeth

σ� Posterior teeth mesail surfaces

σ� Posterior teeth distal surfaces

σ� Posterior teeth facial and lingual surfaces

Kirkland and Orban knives are used for:

σ� Curettege

σ� Gingivectomy

σ� Root planing

σ� Scaling

Cross-section of sickle scaler is:

σ� Triangular

σ� Half circular

σ� Circular

σ� Oval

Which of the following is magnetized instrument?:

σ� Schwartz periotrievers

σ� Hu-friedy after five curette

σ� Morse sickle scaler

σ� Modified Gracey curette

During an acute gingival inflammatory response, which of the following cell types can destroy virulent bacteria by phagocytosis and T-cell mediation?

σ� Plasma cells

σ� Mast cells

σ� Limphocytes

σ� Macrophage

σ� Polymorhonuclear leukocyte

Periodontium include all of the following:?

σ� Enamel,root, periodontal ligaments and alveolar bone

σ� Gum, alveolar bone, dentine and cementum

σ� Cementum, gum, alveolar bone and periodontal ligaments

σ� All of the above

. All the following are phases of periodontal treatment plan except:?

σ� Surgical phase

σ� Maintenance phase

σ� Non-surgical phase

σ� Refractory phase

The primary cause of periodontal diseases is?

σ� Calculus

σ� Dental Plaque

σ� Malocclusion

σ� Faulty restoration

A 27 years-old preswents to your office all of the following: loss of interdental and marginal stippling, blue-red tissue color, and bleeding upon gentle probing. Your Diagnosis is:?

σ� Gingival recession

σ� Systemic diseases

σ� Chronic gingivitis

σ� Advanced priodontal diseases

Root planning is?

σ� Removal of material alba and stains from tooth surface

σ� Removal of soft tissue wall and periodontal pocket

σ� Removal of food debris from tooth surface

σ� Removal of diseased cementum along with other root deposits

In periodontal disease, loss of which of the following fiber bundles are primarily associated in preventing the progressive downward proliferation of the junctional epithelium into the periodontal ligament and alveolar bone?

σ� Transseptal

σ� Circular

σ� Interradicular

σ� Alveolar gingival

40 years diabetic patient, present clinically with periodontal attachment loss and diagnosed as having periodontitis. According to AAP 1999 classification of periodontal diseases, the type of periodontitis in this case is:?

σ� Aggressive periodontitis.

σ� Periodontitis as a manifestation of systemic disease.

σ� Chronic periodontitis modified by systemic condition

σ� Generalized aggressive periodontitis

Necrotizing ulcerative periodontitis?

σ� Is associated with deep periodontal pocket

σ� Is associated with crater like depression at the tip of interdental papilla and vesicle formation

σ� Is not responsive to any therapy

σ� Leads to gingival recession due to faulty tooth brushing

. Cementum :?

σ� Is derived from the sheath of Hertwig

σ� Is acellular in the apical third of the tooth

σ� Often overlaps the enamel

σ� Does not contain collagen fibers

Cellular cementum and compact bone contain :?

σ� Sharpey's fibers and elastic fibers

σ� Collagen fibers and blood vessels

σ� Canaliculi and incremental lines

σ� Lacunae and elastic fibers

Biofilm in general have:?

σ� Crystalline structure

σ� Stereoline structure

σ� Organized structure

σ� Disorganized structure

A test that can be used for typing of class I histocompatibility antigens is:?

σ� Cell mediated Lympholysis (CML)

σ� Donor-recepient mixed lymphocyte response

σ� Primed lymphocyte typing

σ� Antibody and complement mediated cytotoxicity

Does sub-gingival scaling alters the microflora of periodontal pocket?

σ� never gets altered

σ� alters aerobes only

σ� gets altered

σ� alters anaerobes only

The primary etiological factor in the development of furcation defect is:?

σ� Plaque

σ� Cemental caries

σ� Root infection

. A glycoprotein that promotes new attachment and increased cell proliferation is:?

σ� Fibronectin

σ� Fibropectin

σ� Glycogen

σ� Glycosaminoglycans

. In periodontal disease, ground substance is dissolved by:?

σ� Hyaluronidase

σ� Coagulase

σ� Phosphorylase

σ� Acid phosphatase

The biofilms found on tooth surface are termed as:?

σ� Enamel

σ� Dental Caries

σ� Dental Plaque

σ� Sliva

The lactoperoxidase thiocynate system present in saliva is against:?

σ� Actinomycetemcomitans

σ� Streptococcus

σ� Gingivalis

σ� Actinomyces

Periodontitis is caused by:?

σ� Malnutrition

σ� Supragingival plaque

σ� Biofilm

σ� Faulty toothbrushing

. The gram negative bacteria most numerous in oral cavity is:?

σ� Streptococci

σ� Veillonella

σ� Selenomous

σ� Eikenella

Which one of the following species of Streptococci is usually not found in dental plaque?

σ� S. mutans

σ� S. sanguis

σ� S. pyogens

σ� S. salivarius

Which component of diet affects plaque composition ?

σ� Carbohydrate

σ� Mineral

σ� Protein

σ� Fats/lipids

Which of the following is the method of transferring information in a biofilm ?

σ� Quorum sensing

σ� Conjugation

σ� Plasmid transfer

σ� All are corrects

. Microorganism which uses steroids as growth factor is:?

σ� P. gingivalis

σ� P. intermedia

σ� S. sanguis

σ� S. mutans

Phone:

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