Evaluations Flashcards
7 cards from real ABP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Evaluations flashcards as text
What is the primary purpose of calculating full-mouth bleeding score (FMBS) during a periodontal evaluation?
Answer: To assess gingival inflammation and treatment response
FMBS reflects the prevalence of gingival inflammation across all sites and is used to monitor treatment response and patient compliance.
During evaluation of a patient for implant placement, which assessment finding most significantly increases the risk of peri-implantitis?
Answer: History of treated periodontitis with residual pockets ≥6 mm
A history of periodontitis, particularly with residual pockets, is the strongest risk factor for peri-implantitis due to shared bacterial reservoirs and host susceptibility.
A clinician detects a 3-wall intrabony defect of 5 mm depth at tooth #30 mesial during re-evaluation post-SRP. What is the most appropriate next step?
Answer: Refer for regenerative surgical therapy
A 3-wall intrabony defect of 5 mm is an excellent candidate for guided tissue regeneration or bone grafting to restore lost periodontium.
Which measurement method provides the most accurate quantification of clinical attachment level (CAL)?
Answer: Distance from the cementoenamel junction to the base of the sulcus/pocket
CAL is measured from the cementoenamel junction (CEJ) to the base of the periodontal pocket, reflecting true attachment loss independent of gingival margin position.
When evaluating a patient for mucogingival surgery, what minimum width of keratinized tissue (KT) is generally considered sufficient to maintain periodontal health without surgery?
Answer: Any width if oral hygiene is adequate
Current evidence supports that adequate oral hygiene, not a specific minimum width of keratinized tissue, is the primary determinant of periodontal health at a site.
Which of the following best describes a positive architecture in periodontal osseous evaluation?
Answer: Interproximal bone is more coronal than facial and lingual bone
Positive (physiologic) osseous architecture means interproximal bone is coronal to facial and lingual bone, reflecting the natural scalloped contour.
A 45-year-old non-smoker presents with rapid periodontal destruction affecting first molars and incisors. Bone loss is 60% at these sites, while other teeth are minimally affected. Which diagnosis best fits this presentation?
Answer: Localized Stage III periodontitis Grade C (molar-incisor pattern)
Molar-incisor pattern localized involvement with rapid bone loss in a non-smoker without systemic disease is characteristic of localized Stage III Grade C periodontitis.