Question 1

What is the first stage of periodontal therapy?

Accepted Answer

A)   Supportive periodontal therapy
B)   Active therapy
C)   Nonsurgical periodontal therapy (NSPT) 
D)   Surgical periodontal therapy

Question 2

All of the following describe minibladed curets except which one?

Accepted Answer

A)   The blade is thinner than on the standard area-specific curet.
B)   The blades are curved upward as compared with the standard area-specific curet.
C)   The terminal shank is 3 mm longer than on the standard area-specific curet.
D)   The blade length is reduced by 50% when compared with the standard area-specific curet. B

Question 3

All of the following are therapeutic interventions for gingivitis except which one?

Accepted Answer

A)   Subgingival calculus and plaque biofilm removal
B)   Oral health instruction
C)   Supragingival calculus and plaque biofilm removal
D)   Application of in-office 2% sodium fluoride D

Question 4

Pharmacotherapeutic nonsurgical pocket therapy includes all of the following except which one?

Accepted Answer

A)   Systemic antimicrobial agents
B)   Mechanized instrumentation
C)   Topical antimicrobial agents
D)   Controlled-delivery antimicrobial agents

Question 5

What is the objective of therapeutic scaling and root planing?

Accepted Answer

A)   To remove as little root structure as possible while returning adjacent tissues to health
B)   To remove cementum or surface dentin that is rough or impregnated with calculus until it is glossy,smooth,and hard
C)   To remove cementum contaminated with toxins or microorganisms
D)   To remove all subgingival plaque biofilm and its byproducts

Question 6

The therapeutic endpoint for nonsurgical periodontal therapy includes all of the following except one which one?

Accepted Answer

A)   Reduction of pocket depth
B)   Restoration of gingival health
C)   Elimination of infectious microorganisms
D)   Improved or stable clinical attachment level C

Question 7

When periodontitis is recognized,nonsurgical periodontal therapy (NSPT) is initiated for all of the following purposes except which one?

Accepted Answer

A)   Modifying host and environmental risk factors
B)   Establishing an environment to help resolve inflammation
C)   Eliminating the need for periodontal surgery in the future
D)   Eliminating or controlling the infection to prevent reinfection

Question 8

When should an appointment for periodontal maintenance (PM) therapy occur if the objectives of nonsurgical periodontal therapy (NSPT) are not reached as determined at the reevaluation visit?

Accepted Answer

A)   2 weeks after reevaluation
B)   4 weeks after reevaluation
C)   8 to 10 weeks after reevaluation
D)   12 to 14 weeks after reevaluation

Question 9

Which of the following is the first clinical feature of inflammatory periodontal disease?

Accepted Answer

A)   Tooth mobility
B)   Drifting of the anterior teeth
C)   Periodontal pocket formation
D)   Bleeding on probing

Question 10

Periodontal debridement includes all of the following except which one?

Accepted Answer

A)   Removal of all clinically detectable plaque biofilm retentive factors
B)   Removal of detectable calculus and embedded cementum
C)   Removal of cementum or surface dentin that is rough or impregnated with calculus
D)   Removal of all subgingival plaque biofilm and its byproducts,evidenced by signs of inflammation

Question 11

Periodontal diagnosis is determined by analyzing disease characteristics including all of the following except which one?

Accepted Answer

A)   Extent
B)   Severity
C)   Classification
D)   Bleeding on provocation

Question 12

Characteristics of aggressive periodontal disease include all of the following except which one?

Accepted Answer

A)   Familiar aggregation
B)   Disease that progresses rapidly
C)   A healthy client
D)   Disease that progresses slowly

Question 13

How long should periodontal maintenance (PM) continue for a client?

Accepted Answer

A)   One year after initial therapy
B)   Five years after active therapy
C)   Until periodontal attachment loss is halted
D)   For the life of the dentition or its implant replacements

Question 14

In the case of periodontitis,the first area to be involved in bone resorption is which of the following?

Accepted Answer

A)   Cribriform plate
B)   Cancellous plate
C)   Bone surrounding the apical third of the tooth
D)   Cortical plate of the interdental septum

Question 15

Periods of _____ are characterized by a reduced inflammatory response and little or no loss of bone and connective tissue attachment.

Accepted Answer

A)   Immunosuppression
B)   Quiescence
C)   Necrotizing ulcerative periodontitis
D)   Aggressive periodontal disease

Question 16

What is known as the restoration of gingival health,reduction in pocket depth,and a gain in or maintenance of a stable clinical attachment level?

Accepted Answer

A)   Root planing
B)   Therapeutic endpoint
C)   Periodontal debridement of the entire mouth
D)   Oral prophylaxis

Question 17

Which of the following would a competent dental hygienist be least likely to recommend to a client diagnosed with aggressive periodontitis?

Accepted Answer

A)   A medical evaluation
B)   Modification of periodontal disease risk factors
C)   Controlled-released drug delivery therapy for pockets greater than 5 mm that do not respond to mechanical therapy
D)   Periodontal maintenance (PM) at 6-month intervals

Question 18

What phase of the dental hygiene process includes the delivery of the preventive and therapeutic procedures identified in the individualized care plan to meet client human needs?

Accepted Answer

A)   Assessment
B)   Planning
C)   Implementation
D)   Evaluation

Question 19

A client has just completed therapy for the control of chronic periodontal disease.The client is compliant with recommendations and has responded well to therapy.What is the recommended continued-care (periodontal maintenance,recare,recall) interval?

Accepted Answer

A)   3 months
B)   4 months
C)   5 months
D)   6 months

Question 20

Research findings indicate that after scaling and root planing the most predictable outcome is which of the following?

Accepted Answer

A)   Osseous repair
B)   Elimination of Aggregatibacter actinomycetemcomitans
C)   A decrease in the percentage of cocci and nonmotile microbes
D)   A reduction in the percentage of motile microbes and spirochetes

Exam 28: Decision Making Related to Nonsurgical Periodontal Therapy

What is the first stage of periodontal therapy?

Correct AnswerverifiedShow Answer

All of the following describe minibladed curets except which one?

Correct AnswerverifiedB

All of the following are therapeutic interventions for gingivitis except which one?

Correct AnswerverifiedD

Pharmacotherapeutic nonsurgical pocket therapy includes all of the following except which one?

Correct AnswerverifiedShow Answer

What is the objective of therapeutic scaling and root planing?

Correct AnswerverifiedShow Answer

The therapeutic endpoint for nonsurgical periodontal therapy includes all of the following except one which one?

Correct AnswerverifiedC

When periodontitis is recognized,nonsurgical periodontal therapy (NSPT) is initiated for all of the following purposes except which one?

Correct AnswerverifiedShow Answer

When should an appointment for periodontal maintenance (PM) therapy occur if the objectives of nonsurgical periodontal therapy (NSPT) are not reached as determined at the reevaluation visit?

Correct AnswerverifiedShow Answer

Which of the following is the first clinical feature of inflammatory periodontal disease?

Correct AnswerverifiedShow Answer

Periodontal debridement includes all of the following except which one?

Correct AnswerverifiedShow Answer

Periodontal diagnosis is determined by analyzing disease characteristics including all of the following except which one?

Correct AnswerverifiedShow Answer

Characteristics of aggressive periodontal disease include all of the following except which one?

Correct AnswerverifiedShow Answer

How long should periodontal maintenance (PM) continue for a client?

Correct AnswerverifiedShow Answer

In the case of periodontitis,the first area to be involved in bone resorption is which of the following?

Correct AnswerverifiedShow Answer

Periods of _____ are characterized by a reduced inflammatory response and little or no loss of bone and connective tissue attachment.

Correct AnswerverifiedShow Answer

What is known as the restoration of gingival health,reduction in pocket depth,and a gain in or maintenance of a stable clinical attachment level?

Correct AnswerverifiedShow Answer

Which of the following would a competent dental hygienist be least likely to recommend to a client diagnosed with aggressive periodontitis?

Correct AnswerverifiedShow Answer

What phase of the dental hygiene process includes the delivery of the preventive and therapeutic procedures identified in the individualized care plan to meet client human needs?

Correct AnswerverifiedShow Answer

A client has just completed therapy for the control of chronic periodontal disease.The client is compliant with recommendations and has responded well to therapy.What is the recommended continued-care (periodontal maintenance,recare,recall) interval?

Correct AnswerverifiedShow Answer

Research findings indicate that after scaling and root planing the most predictable outcome is which of the following?

Correct AnswerverifiedShow Answer

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