Perio 1-60

1.      We need to consider which of the following in the treatment of refractory periodontal disease :?
Surgery
Antibiotic
Systemic health
Mechanical debridement
Patient compliance
All of the above
2.      In an adult patient with chronic adult periodontitis the most successful approach to treatment is:?
Surgery
Extreme initial treatment followed by reviews every year
Initial periodontal therapy followed by maintenance therapy alone
3.      What are common indications for Apically Positioned Flap?
Crown lengthening
Pocket reduction
Root coverage
All of the above
Crown lengthening and Pocket reduction0
4.      What bacteria are associated with ANUG?
Fusospirochetal complex (fusiform bacteria and spirochetes).
P. gingivalis
Actinobacillus actinomycetemcomitans,
Fusobacterium nucleatum and Prevetella intermedia,
5.      When should a soft tissue graft be considered as an appropriate treatment of gingival recession?
Probing extents beyond the mucogingival junction
Abnormal frenum attachment
Root sensitivity, root caries
All above
6.      In an adult patient with chronic adult periodontitis the most successful approach to treatment is?
Surgery
Extreme initial treatment followed by reviews every year
Initial periodontal therapy followed by maintenance therapy alone
7.      Pre-operative preparation of exposed roots following gingival recession can be accomplished using substances such as EDTA or Tetracycline paste, for what period of time must this be applied to the root surface?
1mm
2mm
3mm
4mm
5mm
8.      The following substance(s) can be used to condition the root surface prior to grafting?
EDTA
Tetracycline
Acidic acid
Nitric acid
Citric acid
EDTA, Tetracycline and Citric acid
9.      The use autogenous grafts utilizing the palatal connective tissue the initial incision for graft harvesting should be made at what measurement above the gingival margin of the maxillary teeth?      
1mm
2mm
3mm
4mm
the measurement is relatively unimportant
10.  Incision in the esthetic zone with regards to semi-lunar graft treatment of gingival recession: ?
should whenever possible be vertical
should where ever possible be made through thin connective tissue
Initially should be made at the mucogingival junction
should initially be made of full thickness
11.  Modified Widman Flap was first introduce by ?
Neuman in 1920
Widman in 1918
Ramfiord and Nissele in 1974
Ramfiord and Widman in 1974
Ramfiord and Neuman in 1945
12.  Apical position flap was first introduced by ?
Nebers, C.L in 1954
Neuman in 1918
Kirkland, O. in 1920
Nebers, Neuman in 1954
13.  Papilla preservation flap was first introduced by ?
Kirkland, O. in 1985
Takei, H,H in 1985
Friedman and Neuman in 1985
Neuman and Arjaudo, a.a & Tyrell in 1985
14.  Two releasing incisions demarcate the area schedule for surgical therapy. A scalloped reverse bevel incision is made in the gingival margin to connected the two releasing incision. This technic called:?
Apical position flap
Original Widman flap
Modified Widman flap
Papilla preservation flap
Kirdland flap
15.  Intracrevicular incision then the gingiva is retracted to expose the diseased root surfaces and the exposed root surfaces are subjected to mechanical debridement then the flap are replaced to their original position and sutured. This technic called. ?
Apical position flap
Original Widman flap
Modified Widman flap
Papilla preservation flap
Kirdland flap
16.  The initial incision is placed 0.5-1mm from the gingival margin and parallel to the long axis of the tooth. Following careful elevation of flaps, second intracrevicular incision is made to the alveolar bone crest to separate the tissue collar from the root surface. A third incision is made perpendicular to the root surface and as close as possible to the bone crest, thereby separating the tissue collar from the alveolar bone. This technic called:?
Apical position flap
Original Widman flap
Modified Widman flap
Papilla preservation flap
Kirdland flap
17.  All the following are phases of periodontal treatment plan except: ?
Surgical phase
Maintenance phase
Non-surgical phase
Refractory phase
18.  Necrotizing ulcerative periodontitis ?
Is associated with deep periodontal pocket
Is associated with crater like depression at the tip of interdental papilla and vesicle formation
Is not responsive to any therapy
Leads to gingival recession due to faulty tooth brushing
19.  Which is the best method of brushing technique preferred for the patient with orthodontic appliance: ?
Charter’s method
Bass method
Still man method
Both a and b correct
20.  Which of the following statements accurately interrelates the tooth and periodontium interface?
Junctional epithelium cells are oriented parallel to the root surface
Periodontal ligament fibers insert in cementum and bone biochemically through fibronectin
The juntional epeithelial cells are non secreting cells
The lamina densa primarily contains hemidesmosomal plaques.
21.  During an acute gingival inflammation response, which of the following cell types can destroy virulent bacteria by phagocytosis and T-cell mediation?
Plasma cells
Mast cells and Polymorphonuclear
Limphocytes
Macraphage
22.  A 27 years-old present to your office all of the following: loss of interdental marginal stippling, blue-red tissue color, and bleeding upon gently probing, Your diagnosis is: ?
Gingival recession
Systemic diseases
Chronic gingivitis
Advanced periodontal diseases
23.  Periodontium include all of the following: ?
Enamel, root periodontal ligaments and alveolar bone
Gum, alveolar bone, dentine and cementum
Cementum, gum, alveolar bone and periodontal ligaments
All of the above
24.  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:?
Aggressive periodontitis
Periodontitis as a manifestation of systemic disease
Chronic periodontitis modified by systemic condition
Generalized aggressive periodontitis
25.  In the present of abundant plaque formation hyperplastic gingivitis can be associated with which of the following?
Cyclosporine
Procardia
Pregnancy
Phenytoin
All of them
26.  Root planning is ?
Removal of material alba and stain from tooth surface
Removal of soft tissue wall and periodontal pocket
Removal of food debris from tooth surface
Removal of diseased cementum along with other root deposits.
27.  Gracey curretes used to scale distal surface of posterior teeth are ?
Gracey curretes 1/2, 3/4 and 11/12
Gracey curretes 11/12, 13/14 and 5/6
Gracey curretes 7/8 and 9/10
Gracey curretes 13/14
28.  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 ?
Transseptal fiber
Circular fiber
Interradicular fiber
Alveolar gingival fiber
29.  Gracey curretes used to scale mesial surface of posterior teeth are : ?
Gracey curretes 1/2, 3/4 and 11/12
Gracey curretes 11/12, 13/14 and 5/6
Gracey curretes 7/8 and 9/10
Gracey curretes 11/12
30.  Regional lymphnode enlargement is present in: ?
Acute pericoronitis
Linchen planus
Pemphigus vulgaris
Pemphigoid
Chronic ulcerative stomatitis
31.  Horizontal bone loss is present in : ? 
Localized aggressive periodontitis
Generalized aggressive periodontitis
Intrabony pockets
Chronic periodontitis
Acute necrotizing ulcerative gingivitis
32.  Average human biologic width is?
3mm
2mm
4mm
1mm
0.5mm
33.  Papilla preservation flap:?
Is a conventional flap precedures
Is used when narrow interdental spaces are present
Is used for teeth with wide interdental spaces
Is a partial thickness flap
Is a apically displace flap
34.  Greater occlusal pressure on the periodontium produces: ?
Increase resorption of alveolar bone and formation of cementum
A gradation of changes in periodontal ligament starting with tension of fibers which produce area of fibrosis
Injury of fibroblasts and other connective tissue cells lead to necrosis of area of the ligament
Disintegration of blood vessels within 30 minutes
Disintegration of blood vessels within 5 minutes
35.  The mobility of the teeth is graded 3 if : ?
The mobility is 1mm
The mobility is in apico-occlusal direction and 1mm in labio-lingual direction
The mobility is in apico-occlusal direction and mobility is less than 1mm in labio-lingual direction
The mobility is less than 1mm
The mobility is in apico-occlusal direction and mobility in labio-lingual direction is more than 2mm
36.  Furcation involvement is measure by: ?
WHO probe
CPITN probe
Naber’s probe
Michigan “O” probe
Periodontal explorer
37.  Periodontal attachment loss detect clinically: ?
When there is recession only.
When there is radiographic alveolar bone loss.
When there is true pocket only.
When there is recession and/or true pocket.
38.  16 years boy, present clinically with attachment loss related to 1st Molars and Incisors only. Diagnosis of this case according to AAP 1999 periodontal diseases Classification is: ?
Generalizedaggressiveperiodontitis.
Generalized juvenile periodontitis.
Localized juvenile periodontitis.
Localized aggressive periodontitis.
39.  60 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: ?
Aggressive periodontitis.
Chronic periodontitis modified by systemic condition.
Periodontitis as a manifestation of systemic disease
40.  Planning of periodontal surgery best accomplished at: ? 
Phase I therapy.
AfterphaseItherapyandbeforere-evaluation.
After phase I therapy and during re-evaluation visit.
Can be planned at any phase of periodontal therapy.
41.  Most commonly used periodontal pack is/are: ?
Zinc oxide Eugenol pack.
Non Eugenol pack.
Coe-Pack.
Non Eugenol pack and Coe-Pack.
42.  On human jaws there are anatomical areas which can be used as a source for bone graft harvest for periodontal regenerative surgical procedure, of those areas is/are: ?
Premaxilla.
MaxillaryTubersity.
External oblique ridge of the mandible.
Maxillary Tubersity and External oblique ridge of the mandible.
43.  Periodontal surgery can be classified into many types, of those types is/are: ?
Periodontal flap surgery, periodontal plastic surgery, resective osseous surgery.
Transalveolar surgery, implant surgery, resective osseous surgery.
Gingival curettage, Periodontal flap, Surgical extraction.
Gingevectomy, Regenerative periodontal surgery, surgical closure of oro-antral fistula.
44.  Adult patient present clinically with irregular thickness of buccal gingiva, a round diamond bur used to correct and establish a physiological gingival contour. The type of this procedure is/are:?
Gingivoplasty.
Gingivectomy.
Combined gingivoplasty & gingivectomy.
None of the above.
45.  Which of the following does not come under phase 1 therapy?
Plaque control
Root planning
Restoration
Removable prosthodontic appliances
46.  Curettage comes under?
Phase-1
Phase-II
Phase-Ill
Phase-IV
47.  The concept of one stage Full mouth disinfection has been put forth to prevent?
Adhesion of microorganisms
Proliferation of microorganisms
Translocation of microorganisms
Bacterial invasion
48.  Main aim of restoration of carious lesion in phase-I therapy?
To restore function of tooth
To restore form of tooth
To reduce microbial source
All of the above
49.  Primary purpose of scaling and root?
To remove sulcular epithelium
To remove calculus & softened necrotic cementum
To remove epithelial attachment
All of the above
50.  Clinical changes that may be apparent after scaling and root planning?
Gain in attachment and reduction of pocket depth
Reduction in inflammation and pocket depth
Gain in epithelial and new connective tissue attachment
Increase in width of attached gingiva
51.  Which of the following determines the amount of shrinkage of inflammed tissue after scaling and root planning?
Depth of pocket
Oedema in the tissue
Nature of bone loss
Type of instrument
52.  Major problem in scaling and root planing in interproximal areas of mandibular anterior tooth is?
Small dimensions of crown
Small dimension of root
Proximity of root surfaces
All of the above
53.  A patient returned on week after scaling and prophylaxis. Hard black deposits of calculus are noted in gingival margin. This indicates?
Patient is a heavy tea drinker
Shrinkage of tissue due to reduction in inflammation after scaling
Poor maintenance and formation of new calculus
Blood clots which are not removed from tooth surface
54.  procedures is indicated in early?
Scaling and root planning
Gingival curettage
Gingivectomy
Flap surgery
55.  Subgingival curettage should provide favourable results in?
Oedematous gingivitis
Fibrotic gingivitis
Infrabony pockets
None of the above
56.  During soft tissue curettage the following occur?
Removal of diseased cement
Removal of diseased connective tissue
Removal of sulcular epithelium
Removal of granulomatous tissue
57.  The following is critical for success of a subgingival curettage procedure?
Removal of free gingiva
Removal of epithelial lining of pocket 0
Removal of cementoenamel junction
Placement of sutures
58.  After curettage, re-epthelialization of sulcus occurs in?
2-7 days
1-2 weeks
2-3 weeks
4-5 weeks
59.  At the time of healihng of gingival wounds epithelial cells migrate at the rate of?
0.5-1.0 mm/Day
1.0-1.5 mm/Day
0.0-0.5 mm/Day
1.5-2.0 mm/Day
60.  Indication of gingivectomy is?
Oedema of gingiva
Infrabony pockets
Adequate attached gingiva
Pocket depth below mucogingival junction
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