Quiz 5 (ADVANCED) | Periodontics

#1. What would be precise periodontal diagnosis for this patient? – For more information HOVER on the question mark !!! ? A 56 old patient presents with gum recessions and tooth mobility. Periodontal chart shows PD of 5 mm on majority of dentition. Gingival recession on affected teeth is 2mm. The following teeth have been extracted due to periodontitis: 18, 17, 16, 26, 27, 36, 35. Panoramic radiograph shows vertical bone loss on 13, 24, 25 and 35 and furcation involvement of grade II on lower second molars. Mobility of grade I is present on 31, 41 and 42. Patient is currently smoking 20 cigarettes a day.

Localised STAGE III GRADE B Periodontitis

Generalised STAGE II GRADE C Periodontitis

Generalised STAGE IV GRADE C Periodontitis

Generalised STAGE I GRADE A Periodontitis

#2. Which of the following conditions results in early presentation of advanced periodontitis and may affect both primary and secondary dentition?

Dermatitis herpetiformis – Duhring’s disease

Papillon-Lefevre syndrome

Chron’s disease

Cleidocranial dysplasia

#3. Which of the following diseases may affect gingiva?

Psoriasis and Tinea (Ringworm)

Behcet’s disease and Atopic dermatitis

Wegener’s granulomatosis and Aphthous stomatitis

Lichen planus and Pemphigoid

#4. Main symptoms of necrotising gingivitis include.

Bleeding of gingiva, halitosis, pain, metallic taste

Bleeding of gingiva, desquamation, increased tooth mobility

Dry mouth, increased tooth mobility, pseudo membranes on gingiva

Halitosis, metallic taste, suppuration, osseous sequestration

#5. According to the Classification of the Periodontal and Peri-implant Diseases and Conditions from 2017, under which category of periodontal diseases you would classify HEREDITARY GINGIVAL FIBROMATOSIS?

Dental biofilm--induced gingivitis

Non-dental biofilm induced gingival diseases

Gingivitis as manifestation of systemic diseases and conditions

Mucogingival deformities and conditions

#6. A 63 years old female presents with distinctive gum redness and sensitivity. Intraoral exam indicates the presence of bilateral symmetrical lace-like lesions on inflamed buccal mucosa. Panoramic radiogram does not show any significant crestal bone loss. Which of the following conditions may have caused desquamative gingival lesions in this case?

Atrophic candidiasis

Lupus erythematosus

Erythroplakia

Mucous membrane pemphigoid

Lichen planus

#7. A 60 years old patient presents with gum swelling and suppuration around implant supported crown in region of 46. Periodontal chart shows PD of 8 mm and positive bleeding on probing with suppuration. See the PA and select the correct answer.

Symptoms and PA radiograph indicate peri-implant mucositis associated with implants in region of 36

Symptoms and PA radiograph indicate per-implantitis associated with implants in region of 36

Symptoms and PA radiograph indicate peri-implant hard and soft tissue deficiency associated with implants in region of 36

None of above

#8. List main differences between periodontal and peri-implant supporting tissues?

Peri-implant supporting tissues do not contain junctional epithelium and connective tissue in gingiva

Peri-implant supporting tissues do not contain blood vessels, nerve fibres and fibroblasts

Peri-implant supporting tissues contain all components same as periodontal tissues

Peri-implant supporting tissues do not contain periodontal ligament and root cementum

1 and 4 are correct

#9. Which documented evidence-based factors may increase risk for peri-implantitis?

Poor oral hygiene, soft tissue grafting, lack of keratinized peri-implant tissue

Poor oral hygiene, grafting of the implant recipient site, smoking

Poor oral hygiene, sinus augmentation, flapless implant insertion

Poor oral hygiene, history of periodontitis, lack of maintenance

#10. Is biofilm-induced peri-implant mucositis reversible condition following the therapy?

No, it always progresses to peri-implantitis

Yes, but its clinical resolution may take more than 3 months

Yes, but its clinical resolution may take more than 3 weeks

None of above is correct

Periodontics quiz

Advanced

Quiz 5

Classification of Periodontal and peri-implant diseases and conditions (Advanced)

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