Printable Test

Rationale for Comprehensive Nonsurgical Periodontal Therapy:
A Review of the Clinical Evidence and Practice Protocol

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ADHA Member Non-Member
ADHA I.D. Number ____________________
Name ______________________________
Address ____________________________
City ________________ State _____ Zip ___________
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1. Following scaling and root planing, most healing of the treated pockets has occurred by 6 weeks. However, collagen maturation may continue for an additional _____ months:

	A. 3
	B. 6
	C. 9
	D. 12

2. Use of chemotherapeutics have prompted what model for treating chronic periodontitis?

	A. Mechanical
	B. Complementary medical-mechanical
	C. Medical
	D. All of the above

3. Undisturbed oral biofilm may achieve a thickness of _____ mm within a 96 hour period.

	A. 0.3
	B. 0.5
	C. 0.7
	D. 1.0

4. Risk factors associated with progressive periodontitis are:

	A. Smoking
	B. Diabetes
	C. Obesity
	D. All of the above

5. Please select the treatment code described below:

Involves therapeutic treatment of 4 or more periodontally involved teeth per quadrant through definitive removal of subgingival plaque biofilm and root preparation in order to halt the disease from progressing, thereby creating an opportunity for healing.

	A. 4341
	B. 4381
	C. 4999
	D. 1110

6. Locally delivered antimicrobials have been studied with patient populations exhibiting which of the following?

	a. Moderate chronic periodontitis
	b. Peri-implantitis
	c. Advanced periodontitis
	d. All of the above

7. A probing depth of how much is typically associated with the need for more aggressive therapy to treat chronic periodontitis?

	A. 3mm
	B. 5mm
	C. 7mm
	D. 9mm

8. A patient who removal of plaque, stain and calculus from tooth surfaces and is intended to control local irritation to gingival tissues should be coded as:

	A. 4910
	B. 4355
	C. 1110
	D. 4999

9. Minimal parameters for determining a periodontal diagnosis include:

	A. Probing depth
	B. Clinical attachment level
	C. Bleeding on probing
	D. Furcation involvement
	E. All of the above

10. All of the following microbes are considered periodontal pathogens EXCEPT:

	A. Porphyromonas gingivalis
	B. Tannerella forsythia
	C. Actinomyces viscosus
	D. Treponema denticola

11. Patient education is very important and should include the following:

	A. A visual component to show patients their periodontal findings.
	B. The patient should hear the pocket measurements as data is being collected.
	C. A description of the patient’s treatment options based on their diagnosis.
	D. All of the above

12. Epidemiologic studies indicate that approximately 11 million to _____ million U.S. adults may exhibit moderate to advanced periodontitis.

	A. 18
	B. 23
	C. 28
	D. 33

13. The mean reduction in probing depth of a 4-6 mm pocket following scaling and root planing is _____ mm.

	a. 1.09
	b. 1.29
	c. 1.49
	d. 1.69

14. Locally delivered antibiotics/antimicrobials may benefit patients with the following conditions:

	A. Periodontal maintenance patients with isolated pocket depths of ≥5mm that exhibit bleeding on probing.
	B. Pockets >6mm.
	C. High risk surgery patients
	D. Patient’s with marginal oral hygiene that is not likely to improve.
	E. All of the above.

15. Minocycline microspheres are maintained in the pocket at concentrations effective against periodontal pathogens for how long?

	A. 7 days
	B. 10 days
	C. 15 days
	D. 21 days

American Dental Hygienists' Association
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