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Advanced Periodontal Therapy delves into the comprehensive diagnosis, treatment, and management of complex periodontal diseases. The course emphasizes current concepts in periodontal surgery, regenerative procedures, and innovative non-surgical approaches, integrating the latest research findings into clinical practice. Students develop skills in advanced diagnostic techniques, risk assessment, and interdisciplinary treatment planning for patients with challenging periodontal conditions. Emphasis is placed on evidence-based decision-making, maintenance strategies for long-term oral health, and the integration of periodontal therapy with restorative, orthodontic, and implant dentistry.
Recommended Textbook
Periodontology for the Dental Hygienist 4th Edition by Dorothy A. Perry
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Q1) Today,the majority of dental hygienists practice in _____________________.
Answer: dental offices
Today,the majority of dental hygienists practice in dental offices.In 2003,170,500 of the 177,000 licensed hygienists reported working in dental offices.
Q2) At a time when the standard of care for periodontal disease was extraction,he advocated thorough calculus removal and subgingival curettage.
A)John Greenwood
B)Percy Howe
C)John M.Riggs
D)Anton van Leeuwenhoek
E)G.V.Black
F)T.B.Hartzell
G)D.D.Smith
Answer: C
Q3) The _____________ position places the patient's head lower than his or her heart.
Answer: Trendelenburg
The Trendelenburg position places the patient's head lower than his or her heart.
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Q1) List three of the five functions of the periodontal ligament.

Answer: The five functions of the periodontal ligament are tooth anchorage,fibrous tissue development and maintenance,calcified tissue development and maintenance,nutritive and metabolite trAnswerport,and sensory functions (touch,pressure,pain,proprioception).
Q2) The alveolar process is defined as the bone that:
A) Makes up the lamina dura.
B) Makes up the cribriform plate.
C) Forms the dense compact bone of the tooth sockets.
D) Extends from the mandible and maxilla to surround the teeth.
E) Permits the passage of blood vessels and nerves to the apex of the tooth.
Answer: D
Q3) Interdental gingiva and papillae refer to the same anatomical structures.
A)True
B)False
Answer: True
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Q1) No gender differences were identified in the sample studied; both men and women in the study group demonstrated the same characteristics of smoking and periodontal disease.What conclusion can the dental hygienist draw about the effects of gender on periodontal disease in this population?
A) The results were equally generalizable to men and women in the population.
B) Based on previous published evidence, the dental hygienist knew that the men in the population had more disease.
C) The results could only be attributed to the smaller study group; gender differences were likely present in the population.
D) No conclusions could be drawn about the population from the sample because it did not conform to previously published data.
Answer: A
Q2) _______________________ is the most commonly found type of epidemiologic disease in populations.
Answer: Gingivitis
Based on research conducted by the Third National Health and Nutritional Examination Survey (NHANES-III),gingivitis is the most commonly found type of epidemiologic disease in populations.
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Q1) Plaque biofilm is not a random accumulation of assorted types of bacteria; rather,it is a specific and complex arrangement based on bacterial characteristics.
A)True
B)False
Q2) Bacteria can be classified by their ability to live and grow in the presence or absence of oxygen.Bacteria that cannot survive in oxygen-rich environments are known as:
A) Anaerobes
B) Aerobes
C) Facultative anaerobes
D) Obligate anaerobes
Q3) Bacteria can be classified by their ability to live and grow in the presence or absence of oxygen.Bacteria requiring no oxygen to grow are known as:
A) Anaerobes
B) Aerobes
C) Facultative anaerobes
D) Microbiota
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Q1) The loss of the first molar is associated with periodontal disease.This condition can affect the extent and severity of disease.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q2) Orthodontic bands and brackets are associated with which of the following conditions?
A) Increased gingivitis and increased plaque biofilm
B) Decreased gingivitis and increased plaque biofilm
C) Increased gingivitis and decreased plaque biofilm
D) Decreased gingivitis and decreased plaque biofilm
Q3) Smoking and excessive alcohol use increase a person's risk for all of the following cancers except:
A) Esophageal
B) Thyroid
C) Throat
D) Oral
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Q1) Most fungal infections are caused by Bacteroides species.Patients who are immunosuppressed are at increased risk for developing fungal infections.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q2) Which of the following can exhibit a white lesion in the oral cavity,which,when wiped off,exposes raw tissue underneath; which of the following can also appear as a red line at the gingival margin of each tooth or as a redness with white patches on the gingiva,which,when wiped off,exposes raw,red tissue underneath?
A) Candida albicans
B) Herpetic gingivostomatitis
C) Gingival hyperplasia
D) Lichen planus
Q3) Women who are taking oral contraceptives or who are on hormone replacement therapy can exhibit gingival changes similar to pregnancy gingivitis.
A)True
B)False
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Q1) Periodontal disease also can have periods of _________________,in which the disease is static and periodontal pockets do not deepen.
Q2) Penicillin is the most useful antibiotic for augmenting the treatment of juvenile periodontitis.The microbial flora of this form of the aggressive disease is composed of up to 90% Actinobacillus actinomycetemcomitans.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q3) Studies documenting adverse health effects as related to chronic infections,which are mediated by inflammatory agents triggering the development of atherosclerosis in coronary arteries,have been implicated in which of the following diseases?
A) Periodontitis and cardiovascular disease
B) Periodontitis and preterm birth
C) Periodontitis and bacterial pneumonia
D) Periodontitis and diabetes
E) All of the above f. None of the above
Q4) A pathologically deepened gingival sulcus is called a ______________________.
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Q1) The primary vital signs-blood pressure,temperature,pulse,and respiration rate-should be taken and recorded at each patient appointment.
A)True
B)False
Q2) The following questions would be appropriate for Ms.AJP except one.Which question is the exception?
A) "What is your medication history?"
B) "Are you menopausal or perimenopausal?"
C) "Do you have an eating disorder or a history of one?"
D) "Are you aware of clinching or grinding your teeth?"
E) "Do you have a history of gastroesophageal reflux disease?"
Q3) Which of the following is an example of a physiologic cause of tooth mobility?
A) Grinding or clenching teeth
B) Periodontal disease
C) Normal tooth movement
D) Gingival inflammation
E) All of the above
Q4) Inflammation of the soft tissue around an implant is _________________.
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Q1) Blood pressure is highest when the heart beats (contracts).This reading is called the:
A) Blood pressure
B) Systolic pressure
C) Diastolic pressure
D) Resting blood pressure
Q2) Patients with type 2 diabetes mellitus account for approximately what percent of all those with diabetes?
A) 10% to 20%
B) 40% to 50%
C) 60% to 70%
D) 80% to 90%
Q3) Generally speaking,dental and periodontal treatment is contraindicated in most patients with cardiovascular diseases.
A)True
B)False
Q4) Specific situations,including strenuous physical exertion or extreme psychologic stress,can cause the symptoms of _________________,a systemic cardiovascular disease.
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Q1) Re-evaluation should be scheduled to monitor the patient's tissue response after nonsurgical periodontal therapy.How soon after treatment should the re-evaluation appointment be scheduled?
A) 1 week
B) 2 weeks
C) 4 weeks
D) 6 weeks
E) 3 months
Q2) Treatment notes should be accurate,concise,and in chronological order.Treatment notes should be written legibly in pencil or pen.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q3) A treatment plan has the greatest chance for success when the dentist,the hygienist,and the patient work together as a team.
A)True
B)False
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Q1) The symptoms observed in this patient would lead the dental hygienist to consider a condition of:
A) Malocclusion
B) Hyperfunction
C) Primary occlusal trauma
D) Secondary occlusal trauma
Q2) Considerations for treating patients with TMJ disorders should include:
A) Brief appointments, if possible
B) Postoperative instructions for a soft diet and using warm compresses
C) Using aids such as bite blocks during treatment for patient comfort
D) All of the above
Q3) Occlusal trauma is not a factor in the diagnosis and treatment of periodontal disease.
A)True
B)False
Q4) The most frequently recommended approach for the treatment of a TMJ disorder is:
A) Occlusal splint therapy
B) Pharmacologic therapy
C) Physical medicine therapy
D) Occlusal reduction therapy
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Q1) Flossing must be used in conjunction with interdental brushes for thorough biofilm removal.
A)True
B)False
Q2) For the best results,an individualized plaque control program consists of educating the patient on the use of floss and the Bass brushing method and then staying with these methods throughout the treatment.
A)True
B)False
Q3) Patients using powered toothbrushes have less periodontal disease.
A)True
B)False
Q4) Extrinsic tooth staining has been reported with which of the following products?
A) Cosmetic mouthwash
B) Sanguinarine mouthwash
C) Chlorhexidine mouthwash
D) Quaternary ammonium mouthwash
Q5) Oral irrigation is associated with bacteremia.
A)True
B)False
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Q1) What term describes the preventive procedure used for removing local irritants to the gingiva?
A) Scaling
B) Root planing
C) Periodontal débridement
D) Prophylaxis
E) Gingival curettage f. Polishing
Q2) Positive long-term effects of periodontal therapy are reliably achieved with patient compliance,effective plaque biofilm control,and dental hygiene treatment.
A)True
B)False
Q3) Periodontal débridement is an effective therapy consisting of the removal of local irritants.It results in decreased probing depths and increased clinical attachment,particularly in deeper pockets.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q4) The rationale for nonsurgical periodontal therapy is _______________________.
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Q1) Pockets deeper than 5 mm are difficult to instrument and therefore remain infected,even after the best dental hygiene treatment and care have been performed.
A)True
B)False
Q2) Guided-tissue regeneration is defined as:
A) Generation of new bone
B) Generation of keratinized gingiva
C) Generation of long junctional epithelium
D) Regeneration of new cementum on the root surface
E) Regeneration of bone, periodontal ligament, and cementum
Q3) The tissue that heals most quickly after periodontal surgery is the:
A) Epithelium
B) Alveolar bone
C) Connective tissue
D) Periodontal ligament
Q4) The value of a tooth is a significant consideration when determining the need for periodontal surgery.
A)True
B)False
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Q1) Orthodontic movement of implants is not possible once osseointegration has occurred.
A)True
B)False
Q2) 100% integration never develops with dental implants.
A)True
B)False
Q3) Endosseous
A)Is placed in the bone and can be a blade-shaped or a root-form implant.
B)Is used only in the mandibular arch to anchor the prosthesis; no direct bone anchorage is provided.
C)Custom cast framework is placed beneath the periosteum.This implant can be used in both maxillary and mandibular arches.
Q4) The selection for implant length is based on the available bone height and proximity to vital structures.
A)True
B)False
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Q1) A periapical abscess that is draining can resemble which of the following?
A) Pericoronitis
B) Allergic reaction
C) Periodontal abscess
D) Linear gingival erythema
Q2) Ultrasonic instrumentation may be used to treat NUG.
A)True
B)False
Q3) Abscesses may be combinations of periodontal and endodontic lesions.
A)True
B)False
Q4) Most painful teeth are the result of periapical abscesses.In the periodontist's office,patients are more likely to have periodontal abscesses than periapical abscesses.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
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Q1) Hypersensitivity in teeth is a common problem estimated to occur in:
A) One of three adult patients
B) One of seven adult patients
C) One of ten adult patients
D) One of twenty adult patients
Q2) The usual reason reported for patient noncompliance in personal plaque biofilm control is that:
A) No value is perceived.
B) The program is too time consuming and difficult.
C) The patient is unaware of the options available to perform the procedures.
D) The patient is unaware of the need to perform personal oral hygiene procedures.
Q3) Dental hygienists are essential providers of preventive services during Phases I and IV of periodontal maintenance care.
A)True
B)False
Q4) Periodontitis is always preceded by gingivitis.
A)True
B)False
Q5) The major objective of periodontal therapy is to ________________.
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Q1) Advanced bone loss,inadequate attachment,uncontrolled environmental and systemic factors,and tooth extraction all describe which one of the following categories of individual tooth prognoses?
A) Excellent
B) Good
C) Fair
D) Poor
E) Questionable
F) Hopeless
Q2) Mobility that is caused by occlusal forces can often be corrected.This type of mobility does not adversely affect the prognosis.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q3) An individual tooth prognosis reflects the:
A) Global prognosis
B) Overall prognosis
C) Situation of one tooth
D) Situation of the teeth in the arch
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