Practice Test Geeks(ABP) American Board of Periodontology Practice Test
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Treatment Planning 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 Treatment Planning flashcards as text

  1. A patient with Stage III Grade C periodontitis and poorly controlled Type 2 diabetes presents for treatment planning. What is the most appropriate initial step?

    Answer: Establish glycemic control before initiating periodontal therapy

    Poorly controlled diabetes impairs periodontal healing, so optimizing glycemic control (target HbA1c <7%) before active therapy improves treatment outcomes.

  2. Which factor most strongly predicts tooth loss after periodontal treatment when formulating a long-term prognosis?

    Answer: Patient compliance with supportive periodontal therapy

    Long-term studies consistently show patient compliance with supportive periodontal therapy is the single strongest predictor of tooth retention after active treatment.

  3. When planning treatment for a patient with a furcation Class III molar, which option offers the most predictable long-term outcome?

    Answer: Extraction and implant placement

    Class III furcation involvement carries the poorest prognosis, and extraction followed by implant placement typically yields more predictable long-term results than heroic retention attempts.

  4. In a patient taking bisphosphonates for osteoporosis who requires periodontal surgery, what is the primary concern?

    Answer: Medication-related osteonecrosis of the jaw (MRONJ)

    Bisphosphonates suppress bone remodeling, and surgical trauma can trigger MRONJ, necessitating careful risk assessment and possible drug holiday for IV bisphosphonates.

  5. A strategic extraction is most appropriately considered when a tooth has which combination of findings?

    Answer: Hopeless prognosis that compromises the overall treatment plan

    Strategic extraction is justified when retaining a tooth with a hopeless prognosis would compromise adjacent teeth, prosthetic outcomes, or overall treatment success.

  6. Which patient scenario best justifies a 3-month supportive periodontal therapy (SPT) interval rather than a 6-month interval?

    Answer: Stage III Grade B periodontitis, smoker, residual pockets 4-5mm

    Higher disease stage, active risk factors like smoking, and residual pockets increase recurrence risk, warranting more frequent SPT intervals.

  7. When sequencing periodontal treatment, during which phase should osseous surgery typically be performed?

    Answer: Phase II (surgical phase), after re-evaluation of Phase I outcomes

    Osseous surgery is performed in Phase II only after re-evaluating the tissue response to Phase I (non-surgical) therapy, ensuring inflammation is controlled first.