Periodontics Periodontics SDLE MCQ | Part 3 Report a question What's wrong with this question? You cannot submit an empty report. Please add some details. 0% 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950 Periodontics Periodontics SDLE MCQ | Part 3 DentQuiz SDLE Mock Exam Instruction To mark a question and come back to it later, click the Bookmark icon. For the best experience, use a computer and switch to full screen button (from the top left corner). You can review and change your answers before clicking Next. Explanations will appear after each question to help you understand the correct answer. Your results will be shown right after you finish the exam. This is a fresh attempt — previous answers or bookmarks won't be saved. The source of the questions and answers is recent Rafee’ Al-Maqam files. Special thanks to رفيع المقام. Answers are based on colleagues best efforts and may not be 100% accurate. If you believe an answer is incorrect, please click the Report button to let us know. Please fill in your details to continue NameEmailPhone Number 1 / 50 Category: Periodontics 1) A patient has hypersensitivity and localized ulcers after scaling. What is the management? Topical steroid Localized antibiotics Redo scaling Desensitizing agent Topical steroids reduce inflammation and ulcer symptoms. 2 / 50 Category: Periodontics 2) A patient has bleeding during brushing and probing. What stage of inflammation is this? Plasma cell Leukocyte T Neutrophil Leukocyte B Leukocyte T stage is associated with bleeding during probing. 3 / 50 Category: Periodontics 3) A diabetic patient has gingival swelling apical to #46 and a buccal pocket. What is the diagnosis? Periodontal abscess Gingival abscess Peri-implantitis Osteomyelitis A periodontal abscess is likely in the presence of a buccal pocket. 4 / 50 Category: Periodontics 4) A patient has pain and grade 1 mobility after a mesial restoration. Radiographs show funneling in the PDL. What is the diagnosis? Chronic trauma Acute trauma Primary occlusal trauma Secondary occlusal trauma Primary occlusal trauma is caused by excessive forces on a healthy periodontium. 5 / 50 Category: Periodontics 5) A patient has multiple deep pockets after perio treatment. What is the goal of periodontal surgery? Bone grafting Gingivectomy Root coverage Pocket reduction Pocket reduction is the primary goal of periodontal surgery. 6 / 50 Category: Periodontics 6) What is the treatment sequence for a tooth needing endo, ortho extrusion, and a crown? Crown, endo, ortho extrusion Endo, ortho extrusion, crown Endo, crown, ortho extrusion Ortho extrusion, endo, crown The sequence is endo, ortho extrusion, and then crown placement. 7 / 50 Category: Periodontics 7) What is the angle of the blade in a cutting instrument (4-number formula)? 6 5 3 4 The angle of the blade in a 4-number formula is typically 4. 8 / 50 Category: Periodontics 8) How deep can toothbrush bristles penetrate the sulcus? 3 - 4 mm 1 - 2 mm 2 - 3 mm 0.5 - 1 mm Toothbrush bristles can penetrate 0.5 - 1 mm into the sulcus. 9 / 50 Category: Periodontics 9) A patient has foul odor during final exams. What is the first step? Remove pseudomembrane Superficial scaling Measure probing depth Antibiotics Removing the pseudomembrane is the first step in managing necrotizing gingivitis. 10 / 50 Category: Periodontics 10) A radiograph shows supragingival calculus. What instrument is used for scaling? Scaler Hoe Chisel Curette Scalers are used to remove supragingival calculus. 11 / 50 Category: Periodontics 11) A patient has swelling after eating fish post-scaling. What is the diagnosis? Osteomyelitis Peri-implantitis Periodontal abscess Gingival abscess A gingival abscess is likely after trauma or food impaction. 12 / 50 Category: Periodontics 12) A patient has 1 mm recession and sensitivity. What is the first action? Observation Prescribe anti-sensitivity agent Root planning Scaling Anti-sensitivity agents are the first step in managing sensitivity. 13 / 50 Category: Periodontics 13) What is the position of the shank during scaling? 75 degrees 45 degrees Perpendicular to long axis Parallel to long axis The shank should be parallel to the long axis of the tooth during scaling. 14 / 50 Category: Periodontics 14) A patient with stage II periodontitis has root sensitivity after scaling. What should they expect? Tooth mobility Gingival recession Root sensitivity Root caries Root sensitivity is common after scaling and root planning. 15 / 50 Category: Periodontics 15) A patient on cyclosporine has malaligned teeth, bad breath, and CAL of 5-6 mm. What should be treated first? Oral hygiene Bad breath Malaligned teeth Gingival enlargement Gingival enlargement should be addressed first to improve overall oral health. 16 / 50 Category: Periodontics 16) A patient has 2 mm between the CEJ and bone. What does this indicate? Reduced alveolar bone level Normal alveolar bone level Gingivitis Periodontitis 2 mm between the CEJ and bone is considered normal. 17 / 50 Category: Periodontics 17) A young adult with orthodontic treatment has gingival enlargement. What is the first step? Gingivectomy Antibiotics SRP and re-evaluation Observation Scaling and root planning (SRP) with re-evaluation is the first step. 18 / 50 Category: Periodontics 18) A picture shows bone resorption due to overhanging restorations. What is the etiological factor? Plaque Trauma Systemic disease Poor oral hygiene Plaque accumulation due to overhangs causes bone resorption. 19 / 50 Category: Periodontics 19) A patient wants to replace #21 with an implant but has poor oral hygiene and caries on #22. What is the first step? Do the lower RPD Scaling and root planning Do the implant Restore #22 Scaling and root planning are the first steps to improve oral hygiene. 20 / 50 Category: Periodontics 20) What are the periodontal effects of smoking? Increased gingival inflammation and decreased BOP Decreased gingival inflammation and BOP No effect Increased BOP Smoking increases gingival inflammation but decreases bleeding on probing (BOP). 21 / 50 Category: Periodontics 21) A patient has a short clinical crown with gingivitis and is unhappy with their appearance. What is the management? Gingivoplasty + lengthening Crown lengthening Gingivectomy Scaling and follow-up Crown lengthening improves the appearance of short clinical crowns. 22 / 50 Category: Periodontics 22) A patient has a 5 mm probing depth on a lower canine, no inflammation, and 4 mm attached gingiva. What is the diagnosis? Periodontitis Gingival overgrowth (fibrotic) Deficient attached gingiva Healthy periodontium Gingival overgrowth (fibrotic type) is likely in the absence of inflammation. 23 / 50 Category: Periodontics 23) A smoker has a lesion that disappears when stretched. What is the management? Antibiotics Follow-up Biopsy Smoking cessation Follow-up is necessary to monitor the lesion. 24 / 50 Category: Periodontics 24) A healthy smoker with deep pockets needs topical antibiotics. Which antibiotic is best? Minocycline gel Metronidazole gel Tetracycline fibers Doxycycline gel Doxycycline gel is effective for treating deep periodontal pockets. 25 / 50 Category: Periodontics 25) What is another name for the clear gingival sulcus? Mucogingival junction Gingival crevice Gingival margin Interdental papilla The gingival crevice is another term for the gingival sulcus. 26 / 50 Category: Periodontics 26) Where should the vertical incision be placed for perio surgery on #11? Distal to #12 Mesial to #12 Mesial to #13 Distal to #13 The vertical incision should be placed mesial to #13 for access to #11. 27 / 50 Category: Periodontics 27) A patient has bleeding after laser gingivectomy. What is the cause? Poor technique Allergic reaction Violation of biological width Infection Violation of biological width can cause post-operative bleeding. 28 / 50 Category: Periodontics 28) A patient with TB needs priority treatment. What is the first step? Ultrasonic scaling Observation Hand scaling and root planning Antibiotics Hand scaling and root planning are the first steps in managing periodontal disease. 29 / 50 Category: Periodontics 29) A patient has grade II furcation involvement and generalized horizontal bone loss. What is the treatment? Resection Extraction GTR Plasty Guided tissue regeneration (GTR) is used to treat furcation involvement. 30 / 50 Category: Periodontics 30) What indicates periodontal disease progression? Gingival recession Increased CAL or deeper pockets Bleeding on probing Tooth mobility Increased clinical attachment loss (CAL) or deeper pockets indicate disease progression. 31 / 50 Category: Periodontics 31) A patient is unhappy with their smile, has a short clinical crown, and a 12 mm sulcus depth. What is the treatment? Crown lengthening Gingivectomy Ortho extrusion Scaling Crown lengthening is the best option for improving the appearance of short crowns. 32 / 50 Category: Periodontics 32) A patient has a fever and inflamed gingiva 2 days after scaling. What is the management? Systemic ABX + scaling Local ABX + scaling Observation Scaling Systemic antibiotics and scaling are needed to manage post-scaling infections. 33 / 50 Category: Periodontics 33) A case with 0.5 mm ferrule, 5 mm remaining GP, and 2/3 post length. The crown fractured. What is the cause? Insufficient post length Insufficient ferrule effect Poor cementation Insufficient GP Insufficient ferrule effect is a common cause of crown fracture. 34 / 50 Category: Periodontics 34) A diabetic patient with HbA1c of 8, 9, and 11 needs implants and bone grafts. What is the treatment plan? Phase I treatment and defer Change treatment plan Keep treatment as is Phase I and II Phase I treatment and deferring further treatment until diabetes is controlled is essential. 35 / 50 Category: Periodontics 35) A 42-year-old patient has sudden mobility of upper central incisors with erythematous gingival margins. What is the diagnosis? Necrotizing gingivitis Periodontitis Pathological migration Gingivitis Pathological migration is the likely cause of sudden tooth mobility. 36 / 50 Category: Periodontics 36) A patient has a deep distal pocket in #35 and is referred for surgery on #36. What is the procedure? Guided tissue regeneration Guided bone regeneration Flap surgery Root amputation Guided tissue regeneration (GTR) is used to treat deep pockets. 37 / 50 Category: Periodontics 37) A picture of a curette is shown without labeling. Which specific area is used for scaling? Distal post Lingual Facial Mesial post The mesial post area of the curette is used for scaling mesial surfaces. 38 / 50 Category: Periodontics 38) A patient wants crowns but has bleeding and pocket depths of 2-3 mm. What is the appropriate action? Polishing and prep SRP and polishing Observation SRP every 4 weeks Scaling and root planning (SRP) with polishing is necessary before crowns. 39 / 50 Category: Periodontics 39) A patient has 5 mm from the gingival margin to the bone crest, 2 mm from the restoration margin to the bone crest, and 2 mm of tooth structure above the margin. What does this indicate? Insufficient attachment Insufficient supracrestal attachment and sufficient ferrule Sufficient ferrule and supracrestal attachment Insufficient ferrule The measurements indicate sufficient ferrule and supracrestal attachment. 40 / 50 Category: Periodontics 40) A patient has recession on the MB cusp of an upper first molar with a deep pocket. What is the management? Root amputation Extraction Hemisection GTR Root amputation is used to manage deep pockets in multi-rooted teeth. 41 / 50 Category: Periodontics 41) What is the position of the shank during scaling? 75 degrees 45 degrees Parallel to the surface being treated Parallel to long axis The shank should be parallel to the surface being treated during scaling. 42 / 50 Category: Periodontics 42) What is the best method to diagnose plaque? Probing Swab with cotton roll Disclosing agent Radiograph Disclosing agents visually highlight plaque accumulation. 43 / 50 Category: Periodontics 43) A patient needs perio surgery on #36 with distal bone resorption. What incision is used? Submarginal Semilunar Vertical Intrasulcular Intrasulcular incisions are used for access during periodontal surgery. 44 / 50 Category: Periodontics 44) A radiograph shows vertical bone loss mesial to a premolar and a graft above the ridge. What is the procedure? Root amputation Guided tissue regeneration Flap surgery Guided bone regeneration Guided bone regeneration (GBR) is used to treat vertical bone loss. 45 / 50 Category: Periodontics 45) A patient has discomfort around an implant with excellent oral hygiene. What is the cause? Peri-implantitis Poor implant placement Insufficient keratinized tissue Overloading Insufficient keratinized tissue can cause discomfort around implants. 46 / 50 Category: Periodontics 46) A 66-year-old patient has a necrotic #12 with bone loss to the mid-root. What is the cause? Caries Dens invaginatus Periodontal defect Trauma A periodontal defect is the likely cause of bone loss and necrosis. 47 / 50 Category: Periodontics 47) A patient had orthodontic treatment removed due to inflamed gingiva and no bone loss. What is the treatment? Scaling and gingivectomy Antibiotics Root planning Observation Scaling and gingivectomy are used to manage inflamed gingiva post-orthodontics. 48 / 50 Category: Periodontics 48) What is the distance between calculus and bone? 1.97 mm 2.97 mm 3.97 mm 4.97 mm The distance between calculus and bone is typically 1.97 mm. 49 / 50 Category: Periodontics 49) What is the procedure shown in the image? Guided bone regeneration Guided tissue regeneration Flap surgery Root amputation Guided bone regeneration (GBR) is the procedure shown. 50 / 50 Category: Periodontics 50) A patient has a short clinical crown with 2 mm between the CEJ and the bone crest. What is the treatment? Gingivectomy Scaling Ortho extrusion Crown lengthening Gingivectomy is used to address excess gingival tissue. Your score is The average score is 69% Facebook Twitter 0% Restart quiz Please rate this exam and leave a comment with any notes or suggestions. Anonymous feedback Thank you for your feedback Send feedback