ABP Treatment Planning 2

Question 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?

Accepted Answer

Establish glycemic control before initiating periodontal therapy

Answer

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

Question 2

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

Accepted Answer

Patient compliance with supportive periodontal therapy

Answer

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

Question 3

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

Accepted Answer

Extraction and implant placement

Answer

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.

Question 4

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

Accepted Answer

Medication-related osteonecrosis of the jaw (MRONJ)

Answer

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

Question 5

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

Accepted Answer

Hopeless prognosis that compromises the overall treatment plan

Answer

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

(ABP) American Board of Periodontology Practice Test

(ABP) American Board of Periodontology Practice Test

ABP Treatment Planning 2