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Questions and Answers
What is the primary objective of a thorough periodontal examination?
What is the primary objective of a thorough periodontal examination?
What does the clinical attachment level measure?
What does the clinical attachment level measure?
What is furcation in the context of periodontal examination?
What is furcation in the context of periodontal examination?
What does furcation involvement indicate?
What does furcation involvement indicate?
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Which of the following is NOT a component of a periodontal examination?
Which of the following is NOT a component of a periodontal examination?
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What is the sensitivity of the presence of furcation arrow for diagnosing furcation involvement on maxillary molars?
What is the sensitivity of the presence of furcation arrow for diagnosing furcation involvement on maxillary molars?
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Which imaging method is rapidly gaining popularity for diagnosing periodontal issues?
Which imaging method is rapidly gaining popularity for diagnosing periodontal issues?
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Which of the following limitations is NOT associated with conventional dental radiography?
Which of the following limitations is NOT associated with conventional dental radiography?
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What percentage indicates the specificity of furcation arrow for diagnosing furcation involvement on maxillary molars?
What percentage indicates the specificity of furcation arrow for diagnosing furcation involvement on maxillary molars?
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In mandibular molars with furcation involvement, where is radiolucency typically noted?
In mandibular molars with furcation involvement, where is radiolucency typically noted?
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What is the significance of the absence of BOP at 25 g pressure in periodontal assessment?
What is the significance of the absence of BOP at 25 g pressure in periodontal assessment?
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Which area of a multirooted tooth does the term 'furcation' refer to?
Which area of a multirooted tooth does the term 'furcation' refer to?
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What does furcation involvement indicate regarding bone health?
What does furcation involvement indicate regarding bone health?
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What factor negatively affects the sensitivity of the BOP test?
What factor negatively affects the sensitivity of the BOP test?
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What is the primary difference between oral mucosa and AG/KG in terms of attachment?
What is the primary difference between oral mucosa and AG/KG in terms of attachment?
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What is a limitation of radiographs in periodontal diagnosis?
What is a limitation of radiographs in periodontal diagnosis?
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Which statement correctly reflects the relationship between clinical attachment loss and radiographic changes?
Which statement correctly reflects the relationship between clinical attachment loss and radiographic changes?
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What did the American Academy of Periodontology report in 2017 regarding CBCT?
What did the American Academy of Periodontology report in 2017 regarding CBCT?
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Which of the following is NOT classified under early-onset periodontitis?
Which of the following is NOT classified under early-onset periodontitis?
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Which pathogen is closely linked to the development of periodontitis?
Which pathogen is closely linked to the development of periodontitis?
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What is the status of research in advanced examination and biomarkers for periodontitis?
What is the status of research in advanced examination and biomarkers for periodontitis?
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Which classification stage refers to periodontitis occurring in individuals older than 35 years?
Which classification stage refers to periodontitis occurring in individuals older than 35 years?
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Which of the following statements about periodontal pathogens is correct?
Which of the following statements about periodontal pathogens is correct?
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Which classification substituted 'Adult periodontitis'?
Which classification substituted 'Adult periodontitis'?
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What new category was added to the classification of periodontal diseases?
What new category was added to the classification of periodontal diseases?
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Which form of periodontitis was identified as a manifestation of systemic disease?
Which form of periodontitis was identified as a manifestation of systemic disease?
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What was eliminated in the latest classification of periodontal diseases?
What was eliminated in the latest classification of periodontal diseases?
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Which of the following replaces 'Early-onset periodontitis'?
Which of the following replaces 'Early-onset periodontitis'?
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What is one of the goals of staging a periodontitis patient?
What is one of the goals of staging a periodontitis patient?
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What term was used to replace 'Necrotizing ulcerative periodontitis'?
What term was used to replace 'Necrotizing ulcerative periodontitis'?
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Which of the following is NOT a consideration in the new classification framework?
Which of the following is NOT a consideration in the new classification framework?
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Study Notes
Periodontal Examination
- Clinical Attachment Level (CAL): The distance from the cementoenamel junction (CEJ) to the tip of a periodontal probe during probing.
- Furcation: The anatomical area of a multirooted tooth where the roots diverge.
- Furcation Involvement: Pathologic resorption of bone within a furcation area.
Limitations of Conventional Radiography
- Radiographs do not show periodontal pockets.
- Radiographs cannot distinguish between posttreatment periodontitis and active periodontitis.
- Radiographs do not show buccal and lingual aspects of tooth and alveolar bone.
- Radiographs cannot detect tooth mobility.
- Radiographs can provide evidence of past destruction to the periodontium, but they cannot identify sites with active or ongoing periodontal inflammation.
- Clinical attachment loss always precedes visual radiographic changes by approximately 6 to 8 months.
Clinical Examination Components
- Bleeding on Probing (BOP): A sign of inflammation, but not a reliable indicator of active disease.
- Probing Depths (PDs): Indicates the depth of the periodontal pocket.
- Recession (RE): The distance between the CEJ and the gingival margin.
- Tooth Mobility: Indicates the degree of tooth movement.
- Furcation Involvement: Indicates the degree of bone loss in the furcation area.
Diagnostic Tools
- Schiller’s iodine test: Differentiates oral mucosa from attached gingiva/keratinized gingiva (AG/KG) based on glycogen distribution.
- Roll technique: Differentiates oral mucosa from AG/KG by identifying the mucogingival junction (MGJ).
Periodontal Disease Classifications
- Chronic Periodontitis: Previously known as "Adult Periodontitis."
- Aggressive Periodontitis: Previously known as "Early-onset Periodontitis."
- Necrotizing Periodontal Diseases: Includes necrotizing ulcerative gingivitis and necrotizing ulcerative periodontitis.
- Periodontitis as a Manifestation of Systemic Disease: Includes periodontitis associated with specific systemic diseases such as diabetes and HIV.
- Periodontic-Endodontic Lesions: Involve both the periodontium and the pulp of a tooth.
Periodontal Staging and Grading
- Staging: Classifies the severity and extent of disease based on tissue destruction.
- Grading: Assesses factors that influence disease control and long-term outcomes.
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Description
This quiz covers essential concepts related to periodontal examination, including clinical attachment levels, furcation involvement, and the limitations of conventional radiography in diagnosing periodontal issues. Test your knowledge on key terms and the significance of clinical examinations in periodontal health.
