Maintenance Protocols 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 Maintenance Protocols flashcards as text
In the full-mouth debridement approach during periodontal maintenance, what is the key advantage of treating all quadrants within 24 hours?
Answer: Minimizes bacterial recolonization from untreated sites
Treating the entire mouth within 24 hours prevents recolonization of treated sites by pathogenic bacteria migrating from untreated quadrants.
Which of the following is the BEST indicator of a patient's long-term compliance with home care during the maintenance phase?
Answer: Plaque index measured at each maintenance visit
Repeated plaque index measurements at maintenance visits provide objective, longitudinal data on a patient's oral hygiene performance over time.
A patient in periodontal maintenance develops a new Class II furcation on tooth #14 that was not present 6 months ago. This finding most likely indicates:
Answer: Active periodontal disease with disease progression
A newly detected Class II furcation at a previously unaffected site is a clear sign of active periodontal disease progression despite maintenance.
The concept of 'full-mouth disinfection' during maintenance most often involves which adjunctive agent?
Answer: 0.12% chlorhexidine gluconate rinse or irrigation
Full-mouth disinfection protocols typically use 0.12% chlorhexidine gluconate as an adjunct to mechanical debridement to reduce oral bacterial load.
When should a patient on periodontal maintenance be referred back to a periodontist by the general dentist performing maintenance visits?
Answer: When signs of disease progression or non-response are detected
Referral back to the periodontist is indicated when clinical signs of disease progression or inadequate response to maintenance are detected.
Which of the following maintenance protocol elements has the strongest evidence for reducing periodontal disease recurrence?
Answer: Professional mechanical plaque removal with individualized recall
Regular professional mechanical plaque removal combined with an individualized recall schedule has the strongest evidence base for preventing periodontal disease recurrence.
According to the 2018 AAP classification, a patient with generalized periodontitis Stage III who is currently stable during maintenance is classified as:
Answer: A periodontal health status on a reduced periodontium
Per the 2018 classification, a patient with a history of periodontitis who achieves clinical stability is classified as having periodontal health on a reduced periodontium.