Reaccreditation and Maintenance 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 Reaccreditation and Maintenance flashcards as text
According to the 2017 AAP/EFP classification, a patient with treated periodontitis who has residual pockets ≥6 mm with BOP is classified as:
Answer: Periodontitis in remission — unstable
Residual pockets ≥6 mm with bleeding indicate an unstable condition despite prior treatment, not stable remission.
The concept of 'individual patient threshold' in periodontal maintenance refers to:
Answer: The level of biofilm below which the patient's host response prevents disease progression
Each patient has a unique susceptibility threshold; disease occurs when bacterial challenge exceeds the host's capacity to maintain homeostasis.
An ABP diplomate who fails to complete MOC requirements by their recertification deadline will have their certification status changed to:
Answer: Inactive
Failure to complete MOC requirements results in an 'inactive' certification status until requirements are fulfilled.
Which of the following BEST describes the role of genetic testing (e.g., IL-1 genotype) in periodontal maintenance risk stratification?
Answer: It provides adjunctive risk information but should not replace clinical risk assessment
IL-1 genotype testing can identify genetically susceptible patients but has limited sensitivity/specificity and supplements rather than replaces clinical evaluation.
During SPT for a patient with peri-implant mucositis, what is the FIRST-LINE treatment recommendation?
Answer: Mechanical debridement with implant-safe instruments plus enhanced home care
Peri-implant mucositis is reversible with mechanical debridement of the biofilm and reinforcement of home care, analogous to gingivitis treatment.
A patient presents at SPT with BOP at 35% of sites, two sites with 5 mm pockets stable since last visit, and excellent oral hygiene. The appropriate classification is:
Answer: Periodontitis in remission — stable
Stable BOP ≤30% with no progressive attachment loss and controlled hygiene characterizes remission; 35% BOP in this context requires re-evaluation of stability.
Which of the following MOST accurately describes the recommended approach when a maintenance patient develops a new furcation involvement detected at SPT?
Answer: Re-enter the patient into active therapy with reassessment of treatment goals
New furcation involvement indicates disease progression and requires re-initiation of active periodontal therapy with updated case analysis.