ADEX Periodontal Instrumentation and Care 5

Question 1

A patient is in supportive periodontal therapy (SPT) with stable 4 mm pockets and no bleeding on probing. The recommended maintenance interval is MOST likely:

Accepted Answer

Every 3–4 months

Answer

Patients in SPT typically require 3–4 month intervals to prevent re-colonization of pathogenic bacteria and disease recurrence.

Question 2

Which furcation classification indicates that a furcation can be completely negotiated by a probe through to the opposite side?

Accepted Answer

Class III

Answer

Class III furcation involvement means the probe passes completely through the furcation from one side to the other.

Question 3

When adapting a curette to the mesial surface of a maxillary first molar from the facial approach, the clinician should position the instrument so the:

Accepted Answer

Toe of the blade points toward the mesial contact area and adapts at 45–90 degrees

Answer

Pointing the toe toward the mesial surface and maintaining proper angulation ensures the cutting edge engages calculus without tissue trauma.

Question 4

The primary reason for using a modified pen grasp during periodontal instrumentation is to:

Accepted Answer

Provide tactile sensitivity and controlled lateral pressure

Answer

The modified pen grasp distributes grip across three fingers, enhancing tactile feedback and precise control of lateral pressure.

Question 5

Which of the following statements about periodontal maintenance for a patient with a history of aggressive periodontitis is CORRECT?

Accepted Answer

More frequent maintenance intervals and adjunctive antibiotics may be indicated

Answer

Aggressive periodontitis patients are at high risk for recurrence and may benefit from more frequent SPT and systemic antibiotic adjuncts.

ADEX - Dental Hygiene Exam Practice Test

ADEX - Dental Hygiene Exam Practice Test

ADEX Periodontal Instrumentation and Care 5