Osseointegration is regarded as successful if there is:
Select one:
A. Only slight radiographic evidence of bone loss around the implant
B. Discomfort only when in function
C. Absence of gingival inflammation of peri-implant tissues
D. No more than a class II clinical mobility

C. Absence of gingival inflammation of peri-implant tissues

The same bacteria that are pathogenic to natural teeth can be detrimental to dental implants. Smoking is not an additional risk factor in implant failures.
Select one:
A. The first statement is true; the second is false
B. The first statement is false; the second is true
C. Both statements are false
D. Both statements are true

A. The first statement is true; the second is false

Self-care around the implant can be accomplished using any of the following cleaning aids EXCEPT a(n):
Select one:
A. Implant floss
B. End-tufted brush
C. Soft bristle brush
D. Standard wire interproximal brush

D. Standard wire interproximal brush

Connective tissue fibers run perpendicular to the implant surface. Junctional epithelium does NOT attach to the implant surface.
Select one:
A. Both statements are true
B. The first statement is true; the second is false
C. The first statement is false; the second is true
D. Both statements are false

D. Both statements are false

The biologic seal functions as a barrier between the implant and the oral cavity. A sulcus lined by sulcular epithelium surrounds the implant abutment post.
Select one:
A. The first statement is false; the second is true
B. The first statement is true; the second is false
C. Both statements are true
D. Both statements are false

C. Both statements are true

Dental implants should be checked radiographically at least __________.
Select one:
A. Every 2 months
B. Every other year
C. Every 6 months
D. Once a year

D. Once a year

Which of the following scalers is best for instrumenting around implants?:
Select one:
A. Universal ultrasonic tip
B. Scaler made of titanium
C. A gold-tipped curette
D. Sickle scaler constructed of plastic

B. Scaler made of titanium

The tissues that surround the implant are termed the:
Select one:
A. Peri-implant tissues
B. Transgingival tissues
C. Periodontium
D. None of these

A. Peri-implant tissues

All of the following are true about dental implants, EXCEPT:
Select one:
A. Gingival fibers and periodontal ligaments do not attach to the titanium surface of the implant
B. The implant is surrounded by junctional epithelium, connective tissue, and alveolar bone
C. There is keratinized tissue around the dental implant, as in a natural tooth
D. Periodontal pathogens destroy bone more rapidly along a dental implant than natural tooth

C. There is keratinized tissue around the dental implant, as in a natural tooth

Calculus on implants is easy to remove because it does not interlock with the surface. Light pressure with a plastic instrument is all that is needed.
Select one:
A. The first statement is false; the second is true
B. Both statements are true
C. The first statement is true; the second is false
D. Both statements are false

B. Both statements are true

The portion of the implant that protrudes through the tissue into the mouth is called the:
Select one:
A. Implant body
B. Prosthesis
C. Implant fixture
D. Abutment post

D. Abutment post

All of the following statements are true about probing an implant EXCEPT:
Select one:
A. Too much pressure will cause the probe to penetrate the biologic seal
B. No probing is recommended as a part of implant maintenance
C. Probing measurements are taken from a fixed reference point
D. A metal probe may be used if there is light pressure

B. No probing is recommended as a part of implant maintenance

The term for periodontitis in the tissues surrounding an osseointegrated dental implant, resulting in loss of alveolar bone is called ______________.
Select one:
A. Peri-implant gingivitis
B. Peri-implantitis
C. Implant periodontitis
D. A or C

B. Peri-implantitis

Periodontal instrumentation is part of which periodontal therapy phase?
Select one:
A. Preliminary therapy phase
B. Nonsurgical periodontal therapy phase
C. Maintenance therapy phase
D. Surgical therapy phase

B. Nonsurgical periodontal therapy phase

A sequential outline of the measures to be carried out by the dentist, the dental hygienist, and the patient to eliminate disease and restore a healthy periodontal environment is termed:
Select one:
A. Master periodontal treatment plan
B. Periodontal maintenance
C. Collective outline of treatment
D. Nonsurgical periodontal instrumentation

A. Master periodontal treatment plan

All of the following are true about documenting disease severity and extent EXCEPT:
Select one:
A. If there is up to 8 mm of attachment loss in multiple teeth with many missing teeth, disease is Stage IV
B. If less than 30% of the teeth have attachment loss, disease is localized
C. If there is no attachment loss but generalized gingival inflammation, it is Stage 0
D. If there is clinical attachment loss it is moderate Stage II

C. If there is no attachment loss but generalized gingival inflammation, it is Stage 0

The dentist has a legal responsibility to arrive at a periodontal diagnosis for every patient. The dental hygienist plays an important role in planning for nonsurgical periodontal therapy.
Select one:
A. The first statement is false; the second is true
B. Both statements are false
C. The first statement is true; the second is false
D. Both statements are true

D. Both statements are true

Patients with advanced periodontitis can best be classified according to the ADA periodontal case types. Patients with advanced periodontitis are in a class of their own.
Select one:
A. The first statement is true; the second is false
B. Both statements are false
C. Both statements are true
D. The first statement is false; the second is true

D. The first statement is false; the second is true

The clinical measurement(s) that determine(s) the difference between gingivitis and periodontitis is the __________________.
Select one:
A. Pocket depth readings
B. Clinical loss of attachment
C. Clinical mobility and furcation involvement
D. Level of the free gingival margin

B. Clinical loss of attachment

All of the following questions are considered fundamental in guiding the dental team during the diagnosis process EXCEPT:
Select one:
A. Does the clinical assessment indicate disease or health?
B. What type of gingivitis or periodontitis?
C. Is the disease gingivitis or periodontitis?
D. Have all the clinical assessment procedures been completed correctly?

D. Have all the clinical assessment procedures been completed correctly?

Which of the following specifies a PRECISE periodontal disease classification of the patient's periodontal health status?
Select one:
A. Assigning an insurance code to the patient case
B. Assigning a diagnosis based on the AAP Classification of Periodontal Diseases & Conditions
C. Assigning a Periodontal Screening and Recording (PSR) code
D. Assigning a periodontal case type of I, II, or III

B. Assigning a diagnosis based on the AAP Classification of Periodontal Diseases & Conditions

The descriptive modifier "generalized" is a term used to determine disease ___________.
Select one:
A. Progression
B. Extent
C. Severity
D. Duration

B. Extent

It is possible for a patient to have more than one periodontal condition. Always make a definitive periodontal diagnosis regardless if you are uncertain of which type and category to place the patient.
Select one:
A. Both statements are false
B. The first statement is false; the first is true
C. The first statement is true; the second is false
D. Both statements are true

C. The first statement is true; the second is false

If the clinical periodontal assessment reveals an absence of overt signs of gingival inflammation, the periodontium is healthy. If a patient has recession by no inflammation, no further assessment is needed to determine health or disease.
Select one:
A. The first statement is true; the second statement is false
B. Both statements are true
C. Both statements are false
D. The first statement is false; the second statement is true

A. The first statement is true; the second statement is false

Nicotine cessation counseling is part of which phase of a periodontal master treatment plan?
Select one:
A. Maintenance therapy phase
B. Nonsurgical periodontal therapy phase
C. Surgical therapy phase
D. Preliminary therapy phase

B. Nonsurgical periodontal therapy phase

It is important to use both clinical findings and radiographs during the clinical assessment process. The dental team must make every effort to detect periodontitis before there is obvious radiographic evidence of alveolar bone loss.
Select one:
A. The first statement is false; the first statement is true
B. Both statements are true
C. Both statements are false
D. The first statement is true; the second statement is false

B. Both statements are true

Red, swollen gingival tissues are examples of clinically visible, overt signs of inflammation. An example of a hidden sign of inflammation is:
Select one:
A. Recession of the gingival margin
B. Changes in tissue consistency
C. Alveolar bone loss
D. Changes in tissue contour

C. Alveolar bone loss

Which phase in the periodontal master treatment plan includes all measures used to keep periodontitis from recurring once the inflammatory disease is brought under control?
Select one:
A. Nonsurgical periodontal therapy phase
B. Preliminary therapy phase
C. Maintenance therapy phase
D. Surgical therapy phase

C. Maintenance therapy phase

Basic legal requirements to demonstrate informed consent include all of the following EXCEPT:
Select one:
A. A verbal consent must be written as close to verbatim as possible in the treatment record
B. Consent must be written out in easily understood language
C. A periodontal diagnosis must be presented and written using professional terminology
D. Patients or legal guardian must sign the consent form

C. A periodontal diagnosis must be presented and written using professional terminology

All of the following are steps in the SHARE approach for decision-making EXCEPT:
Select one:
A. Evaluate
B. Assess
C. Reach
D. Prioritize

D. Prioritize

The two sources of expertise that bring equally important forms of experience to decision-making process are:
Select one:
A. Treatment options and values
B. Clinician and patient
C. Dental hygienist and dentist
D. Standard of care and textbook

B. Clinician and patient

Letting the patient know there are several options for home care or treatment is:
Select one:
A. Not recommended. Keep the options to yourself
B. More effective if you explain in professional terms
C. Serves to just confuse the patient when trying to explain the care plan
D. Builds trust in the relationship

D. Builds trust in the relationship

All of the following are characteristics of shared decision making EXCEPT:
Select one:
A. Document the agreed upon periodontal care plan and make arrangements for follow-up
B. Elicit the patient's ideas, concerns and expectations
C. Care plan is developed in partnership with the patient
D. Consult with the dentist and other health care professionals but not the patient

D. Consult with the dentist and other health care professionals but not the patient

All of the following are considered Decision Aids EXCEPT:
Select one:
A. AAP website on periodontal disease that presents risks and benefits of surgery
B. Office-produced document outlining standard treatment procedures for all patients with periodontal disease
C. Video depicting options available for treatment
D. Pamphlet explaining periodontal disease and consequences of not receiving treatment

B. Office-produced document outlining standard treatment procedures for all patients with periodontal disease

A thorough informed consent includes all of the following EXCEPT:
Select one:
A. Guaranteeing treatment outcomes to the patient
B. Explaining the diagnosis to the patient and why treatment would be necessary
C. Discussing the known risks and benefits of the proposed periodontal treatment
D. Presenting alternative treatment options

A. Guaranteeing treatment outcomes to the patient

Failure for the dental hygienist to obtain consent before providing treatment to a patient can result in all of the following EXCEPT:
Select one:
A. Noncompliance
B. Malpractice
C. Negligence
D. Battery

A. Noncompliance

Informed consent is a patient's voluntary agreement to proposed treatment. But just because a patient has been well informed about treatment options, it does not mean there will be better treatment outcomes.
Select one:
A. Both statements are true
B. The first statement is true; the second statement is false
C. Both statements are false
D. The first statement is false; the second statement is true

B. The first statement is true; the second statement is false

Informed refusal means the patient gives notice to the health care provider that they do not want any treatment before even entering into the decision-making process. Any statement made by the patient on refusing treatment must be made in writing and added to the patient record.
Select one:
A. Both statements are true
B. The first statement is false; the second is true
C. The first statement is true; the second is false
D. Both statements are false

B. The first statement is false; the second is true

When arriving at a treatment decision:
Select one:
A. Explain to the patient that your professional judgment is more valuable than what they may think is best
B. Confirm the decision with the patient and assist them in following through
C. Confirm the decision with the dentist
D. Forego asking the patient if they have any further questions so as not to hold the process up

B. Confirm the decision with the patient and assist them in following through

Legal claims against healthcare providers usually consist of three parts including not informing the patient properly. Judges tend to look for what a reasonable patient would want to know.
Select one:
A. The first statement is true; the second statement is false
B. Both statements are false
C. The first statement is false; the second statement is true
D. Both statements are true

D. Both statements are true