ABP Study Guide 2026

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📚 ABP Topics to Study (69)

✍️ Sample ABP Questions & Answers

1. Which of the following best describes a Stage IV periodontitis case?
CAL ≥5mm with complexity factors including masticatory dysfunction

Stage IV is the most severe stage and is distinguished by complexity factors that can lead to masticatory dysfunction, such as bite collapse or flaring.

2. The 'biological width' concept is relevant to regenerative therapy because violation of it can lead to:
Chronic osseous defect and bone loss around the restoration margin

Violation of biological width by restorative margins triggers a chronic inflammatory response that results in bone resorption as the periodontium attempts to re-establish the 2mm of supracrestal attachment.

3. Neutrophil extracellular traps (NETs) in the context of periodontal disease:
Can cause collateral tissue damage and perpetuate inflammation while targeting bacteria

While NETs trap and kill periodontal pathogens, the citrullinated histones, DNA scaffolds, and granule proteins they release also damage host tissue, activate the complement system, and sustain chronic inflammation.

4. A patient develops retrograde peri-implantitis 3 months after implant placement. The most likely etiology is:
Pre-existing periapical pathology on an adjacent tooth

Retrograde peri-implantitis most commonly results from contamination by periapical pathogens from a pre-existing lesion on an adjacent tooth migrating to the implant apex.

5. Which cells are primarily responsible for maintaining and remodeling the alveolar bone proper (bundle bone) adjacent to the PDL?
Osteoblasts and osteoclasts

Alveolar bone remodeling is carried out by coordinated activity of osteoblasts (bone formation) and osteoclasts (bone resorption), regulated by local and systemic signals.

6. The Summers osteotome sinus floor elevation technique relies on which principle to elevate the sinus membrane?
Controlled infracture of the sinus floor bone using blunt instruments

The Summers technique uses sequentially larger osteotomes to condense and infracture the sinus floor, elevating the membrane via the crestal approach.

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ABP Study Guide 2026 — Exam Format, Topics & Practice Questions