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 5th Year 2006
Perio Mid 2006

<Q>Gingivectomy is contraindicated:
<C+>A- in cases of intrabony defects +
<C>B- in cases of thick gingiva
<C>C- in cases of gingivoplasty
<C> D- all the above
<C>E- a & b

<Q>Coronally positioned flap

<C>A- is useful in covering exposed crown margins
<C>B- may be performed utilizing semilunar incision
<C>C- may be performed in combination with free gingival graft
<C>D- all the above
<C+>E- a & b +
<C>F- a & c

<Q>Which of the following may cause gingival recession?

<C>A- the base of the periodontal pocket being apical or close to the mucogingival line
<C>B- frenal pull of the free gingiva
<C>C- orthodontic treatment
<C+>D- all the above +
<C>E- a & b

<Q> One possible method to correct uneven gingival margins in the anterior region, in
an otherwise well-aligned dentition is extrusion of the tooth with the more coronally
positioned gingival margin, followed by crowning.
<C> True
<C+> False +

<Q>The most predictable modality for achieving complete root coverage is the:
<C>A-free gingival graft
<C+>B-connective tissue graft +
<C>C-coronally advance flap
<C>D-guided tissue regeneration

1
<Q>According to Muller and Eager (1997) patients most susceptible to gingival
recession represent a periodontal phenotype characterized by a ------------ band of
keratinized tissue and --------marginal gingival
<C+>A-narrow, thin +
<C>B-wide, thickened
<C>C-moderate, non inflamed
<C>D-none of the above

<Q>Ideal Keratinized Gingiva level is

<C+> 2 mm of keratinized of which 1 mm is attached +
<C> 2 mm keratinized and 2 attached
<C> 2mm Keratinized and 0 attached
<C> None of the above

<Q>In the treatment plan of a patient we should remember; 1- patient diagnosed

with inflammatory gingivitis shall not need any type of periodontal surgery; 2- while
patient diagnosed with chronic periodontitis always we should put the need for
future periodontal surgery.
<C>Both statements are true.
<C+>Both statements are false. +
<C>First sentence is true, the second is false.
<C>First sentence is false, the second is true.

<Q>Periodntitis patient with persistent deep periodontal pocket with sites of angular
bone defects (defect depth more than 3 mm), the most appropriate type of
periodontal surgery is:
<C>Resective osseous surgery.
<C>subepithlial connective tissue graft.
<C>Free gingival graft.
<C+>Guieded tissue regeneration. +

<Q>In health, 1- tooth anatomy and position dictates the architecture of the alveolar
bone; 2- In turn, the bone dictates the architecture of the overlying soft tissue.
<C+>Both statements are true. +
<C>Both statements are false.
<C>First sentence is true, the second is false.
<C>First sentence is false, the second is true.

2
<Q>The best treatment option for pocket elimination is gingevectomy
<C>True.
<C+> False. +

<Q>Interproximal bone is more coronal than facial and lingual bone

<C+> Positive architecture. +
<C> Negative architecture.
<C>Flat architecture.

<Q>One of the objectives of osseous resective surgery is to improve flap adaptation

over bone.
<C+>True. +
<C>False.

<Q>The type of incision in resective osseous surgery is------------, & the flap is-------------
<C>beveled incision , Partial thickness flap.
<C+>Internal beveled incision , Full thickness flap.+

<Q> Primary closure of the flap after resective osseous surgery is not crucial
<C+>True. +
<C>False

<Q>According to Ochsenbein the detrimental factor that limits the apical extent of
the osseous surgery is:
<C>Width of the keratenized gingiva.
<C>Type of the bony defect.
<C> the design of the flap.
<C+> the furcation entrance relationship to the base of the defect/crater. +

<Q>Following periodontal treatment, the potential for regeneration of the lost

attachment apparatus depend mainly on:
<C>epithelial cells.
<C>gingival cells.
<C+>periodontal ligament cells. +
<C>Osteoclasts.

3
<Q>Generally, resorbable physical barriers are preferred than non-resorbable barriers
in order to:
<C+>avoid re-entry surgical procedure and destruction of new attachment. +
<C>destruction of non-resorbable membranes during manipulation.
<C>have smaller pore size in resorbable than non-resorbable membranes.
<C>all of the above.

<Q>A patient with localized moderate aggressive periodontitis may receive

orthodontic treatment provided that:
<C>A- There is no inflammation or progressing destruction.
<C>B- Patient demonstrates very good oral hygiene
<C>C- Light orthodontic forces are used
<C>D- Patient has vertical bone loss, as this will have better prognosis
<C>E- All the above
<C+>F- a, b, & c only +

<Q>Moving teeth with a healthy but reduced periodontium into intrabony defects
will result in further bone and attachment loss.
<C> True
<C+> False +

<Q>According to Wennström et al (1987), there is no relationship between the initial

width of KG and the tendency for gingival recession during orthodontic movement
<C+> True +
<C> False

<Q>The degree of separation at the furcation entrance influences instrument access

and efficiency
<C+> True +
<C> False

<Q>In a mandibular first molar, if the root trunk is 5 mm long and the longest root
cone is 11 mm, then the root complex length is:
<C+> 16 mm +
<C> 6 mm
<C> 11 mm
<C> 5 mm
<C> None of the above

4
<Q>If a maxillary 1st molar is affected by periodontal disease it is expected that the
furcation which will be involved last is the:
<C+>A- Distal furcation +
<C>B- Buccal furcation
<C>C- Mesial furcation
<C>D- All furcations will be involved at the same time

<Q>If the mandibular 2nd molar is affected by periodontitis, it is expected that the
lingual furcation will be more readily involved than the buccal.
<C> True
<C+> False +

<Q>Which of the following is/are True regarding maxillary molars?

<C>A- The 1st molar is larger than the 2nd molar in all dimensions, including the root
trunk
<C>B- The 1st molar is larger than the 2nd molar in all dimensions, except for the root
trunk
<C>C- The mesiobuccal root of the 1st molar has a mesial concavity, which makes
restoration difficult.
<C>D- a & c
<C+>E- b & c +

<Q>Research has shown that the best regenerative treatment modality in furcations
consists of
<C>Guided tissue regeneration (GTR)
<C>Bone grafts
<C>Open flap debridement
<C>Furcation plasty
<C+>Combination of bone grafts and GTR +

<Q>The action of growth factors during periodontal wound healing is by:

<C>controlling the proliferation of epiyhelial cells.
<C+>promoting proliferation of periodontal ligament fibroblasts and favoring bone
formation. +
<C>depression of epithelial cells proliferation.
<C>Differentiation of osteoblasts cells.

5
<Q>1-The prevalence of dentine hypersensitivity in patients of general dental
practice is higher than that of periodontal specialty clinic; 2-Improvement of majority
of cases of dentine hypersensitivity may obtained by chemical agent rather than
fluorides.
<C>Both statements are true.
<C>Both statements are false.
<C+>First sentence is true, the second is false. +
<C>First sentence is false, the second is true.

<Q>Regarding dentin hypersensitivity all these sentences are true, except:

<C+>Dentin hypersensitivity is a sharp pain related to dental defect or pathology. +
<C>Hydrodynemic theory is the most logical theory explaining dentine hypersensitivity.
<C>Parafunctional habits (ex: bruxism) may cause dentine hypersensitivity.
<C>cracked tooth syndrome pain may resemble that of dentin hypersensitivity.

<Q>Bovine collagen is the least immunogenic substance compared to other

extracellular substances.
<C> True
<C+> False +

<Q>1- Nymen (1980-82) used Millipore filters to retard cementum formation; 2-

Physical barrier (membrane) is used in GTR to exclude epithelial cells and gingival
cells from root surface.
<C>Both statements are true.
<C>Both statements are false.
<C>First sentence is true, the second is false.
<C+>First sentence is false, the second is true. +

<Q>The periodontal maintenance therapy include all these, except:

<C+>Scaling as apart of the active periodontal therapy. +
<C>Scaling for the controle of periodontal disease and maintenance of of periodntal
health.
<C>May include the use of chemical agent desenstizing and removal of overhang.

6
<Q>The effectiveness of non-surgical therapy can be detected through all of these
except:
<C>Pocket depth reduction.
<C>Decrease bleeding & inflammation
<C>pocket flora shifts from G-ve to G+ve.
<C+>Bone regeneration. +

<Q>All of these factors are critical for the effectiveness of non-surgical therapy,
except:
<C>Remove all clinically detectable calculus.
<C+>Complete removing of cementum. +
<C>Skill level of the operator.
<C>Position of the tooth is it multirooted or anterior one.

<Q>Periodontal maintenance therapy not only include the marinating of the stable
condition of the diseases that achieved after active treatment but re-treatment of
specific sites.
<C+>True. +
<C>False.

<Q>(dent571_200620071_F1) The gingival recession on the facial side of the lower

right incisor of this child is best treated by:
<C>free gingival graft.
<C>laterally positioned flap
<C>no need for treatment since it will be self-corrected with child's growth
<C+>orthodontic treatment
<C>none of the above is correct

7
<Q>(dent571_200620071_F2)What is your diagnosis on the lower right central?
<C>A-Lack of adequate keratinized gingiva
<C>B-recession , miller type III
<C>C-recession , miller type II
<C+>D- a+c.
<C>E- a+b

<Q>(dent571_200620071_F2)Etiologic factors for this lesion include?

<C>A-Teeth brushing
<C>B-Poor oral hygiene
<C>C-Thick tissue Biotype
<C+>D- a+b
<C>E- a+b+c

<Q>(dent571_200620071_F3)removing of this part, we call it:

<C+>osteoctomy.
<C>osteoplasty.

8
 2007
Perio Final 2007

<Q>Which of the following contraindicate(s) gingivectomy

<C>a-intrabony defects.
<C>b-inadequate attached gingiva.
<C>c-base of pocket extending beyond the mucogingival line.
<C+>d-all the above.
<C>b&c only

<Q>1-Coronally positioned flaps areuseful in covering exposed crown margins.

2-They almost insure 100% coverage of the exposed margins.
<C>Both statements are correct
<C>Both statements are wrong
<C+>First statement correct; second statement wrong
<C>First statement wrong; second statement correct

<Q>1-Adequate attached gingiva both in width and thickness is

thought to be important for maintaining periodontal health.
2- The minimal adequate width of this attached gingiva to
maintain health according to Lang & Loe 1972 is 1 mm in addition
to another 1 mm of kertinzed gingiva (free gingiva)
<C+>Both statements are correct
<C>Both statements are wrong
<C>First statement correct; second statement wrong
<C>First statement wrong; second statement correct

<Q>1-The connective tissue graft have the advantage of dual blood supply.
2-However it should not be covered with nonkeratinized mucosa
since the outcome will be nonkertinized tissue
<C>Both statements are correct
<C>Both statements are wrong
<C+>First statement correct; second statement wrong
<C>First statement wrong; second statement correct

1
<Q>The early lesion of gingivitis
<C>a-is stage II gingivitis
<C>b-is stage III gingivitis
<C>c-the main affected fiber group the circular & dentogingival
<C>d-fibroblasts show cytotoxic alterations with a ↓ capacity for
collagen production
<C+>a, c & d
<C>b, c& d
<C>a & c
<C>b & d

<Q>In the established lesion of gingivitis:

<C>a-extravasation of red blood cells into the connective tissue
<C>b-increased blood flow increases oxygen level in tissues.
<C>c-sluggish blood flow decreases oxygen level in tissues
<C>d-breakdown of hemoglobin contributes to darker tissue color
<C>a & b
<C>a & c
<C>a, b & d
<C+>a, c & d

<Q>According to P.D. Miller classification, type III recession coverage prediction is

<C>100%
<C>90%-100%
<C+>80%-90%
<C>70%-80%
<C>unpredictable

<Q> Endotoxins have the ability to:

<C>a-activate complement – classical path
<C>b-induce bone resorption
<C>c-induce cytotoxic effects on periodontal cells
<C>all the above
<C>a & b
<C>a & c
<C+>b & c

2
<Q>1-when bacteria invade periodontal tissues chemotatic factors
could lead to PMN and monocyte infiltration with bacterial
phagocytosis and lysis
2- Functional neutrophil or macrophage defects in chemotaxis
predispose to periodontal disease
<C+>Both statements are correct
<C>Both statements are wrong
<C>First statement correct; second statement wrong
<C>First statement wrong; second statement correct

<Q>1- The immune complex reaction (Arthus) is most likely to be

associated with periodontitis.
2- Antigen forms microprecipitates with IgA and IgG in or around
blood vessels in tissues
<C>Both sentences are correct.
<C+>First sentence correct, second sentence wrong.
<C>First sentence wrong, second sentence correct.
<C>Both sentences are wrong.

<Q>The established lesion of gingivitis is considered:

<C>Microscopic gingivitis.
<C+>Clinical gingivitis.
<C>Gingivitis with early periodontitis.
<C>Gingivitis with advanced periodontitis.
<C>None of the above.

<Q>Gingival enlargement may be associated with:

<C>a- plaque induced gingivitis.
<C>b- mouth breathing.
<C>c- diuretic antihypertensive drugs.
<C>all the above.
<C+>a & b.

<Q>Before undergoing any periodontal surgery, the patient should

control plaque accumulation; BECAUSE, the incidence of disease
recurrence will be greater.in plaque-infected dentition after surgery,
<C+>Both the statement and the reason are correct and related
<C>Both the statement and the reason are correct but NOT related
<C>The statement is correct, but the reason is NOT
<C>The statement is NOT correct, but the reason is accurate
<C>NEITHER the statement NOR the reason is correct

3
<Q>the most important mechanism(s) that is thought to contribute to
pathogenesis of periodontal disease is\are
<C> a- anaphylactic reactions
<C>b- cytotoxic reactions
<C+>c- immune complex reactions
<C>d- cell-mediated reactions
<C>all the above
<C>a & b only

<Q>1- The bacteria that cause periimplantitis and implant failure are
very similar to those that cause periodontal diseases.
2- Therefore it is important to treat periodontitis prior to implant
placement.
<C+>Both statements are correct
<C>Both statements are wrong
<C>First statement correct; second statement wrong
<C>First statement wrong; second statement correct

<Q>According to the American Heart Association 1997

recommendations, suggested antibiotic coverage for prevention of
bacterial endocarditis for a patient who is not allergic to penicillins is:
<C>Three grams of amoxicillin capsules 1 hour before procedure and 1.5
grams 6 hours after the first dose.
<C>Three grams of clindamycin capsules 1 hour before procedure.
<C+>Two grams of amoxicillin capsules 1 hour before procedure.
<C>Prophylaxis is not recommended any more.
<C>None of the above is correct

<Q>Regarding Candida albicans

<C>a-it is a normal commensal of the oral cavity
<C>b-it is not a normal c commensal of the oral cavity
<C>c-candidosis is the most common fungal infection of the oral
mucosa
<C+>a &c.
<C>b &c.

4
 5th Year 2007
Perio Final 2007

<Q> A 20 years old patient comes to your clinic seeking orthodontic treatment for
her lower anterior teeth. Comprehensive examination reveals: labially tilted lower
incisor teeth surrounded by thin labial gingivae with reduced width; generalized
inflammation of the gingivae, probing depth up to 3 mm, and multiple carious teeth
(class I and II cavities). Your treatment plan (in organized sequence) would be:

<C+>Motivation, OHI, scaling and polishing; restoration of carious teeth; orthodontic

treatment; periodontal surgery for gingival augmentation of lower labial gingiva;
maintenance
<C>Motivation, OHI, scaling and polishing; restoration of carious teeth; periodontal
surgery for gingival augmentation of lower labial gingiva; orthodontic treatment,
maintenance
<C>Restoration of carious teeth; motivation, OHI, scaling and polishing; orthodontic
treatment; periodontal surgery for gingival augmentation of lower labial gingiva;
maintenance
<C>Restoration of carious teeth; motivation, OHI, scaling and polishing; periodontal
surgery for gingival augmentation of lower labial gingiva; orthodontic treatment;
maintenance
<C>Motivation, OHI, scaling and polishing plus antibiotics; restoration of carious teeth;
orthodontic treatment; periodontal surgery for gingival augmentation of lower labial
gingiva; maintenance

<Q>A patient with localized moderate aggressive periodontitis may receive

orthodontic treatment provided that:
<C>There is no inflammation or progressing destruction.
<C>Patient demonstrates very good oral hygiene
<C>Light orthodontic forces are used
<C+>All the above
<C>a and b only

<Q>Moving teeth with a healthy but reduced periodontium into intrabony defects
will result in further bone and attachment loss.
<C> True
<C+> False

1
<Q>It is believed that preterm labour resulting in low birth weight (LBW) may be
caused by chronic gingivitis and periodontitis through the following mechanism(s):
<C>Periodontal pockets provide a remote reservoir for Gram negative bacteria, which
directly invade the fetus immune system.
<C>Gram negative bacteria in pockets cause early periodontitis in the developing fetal
periodontium, eliciting inflammation in amnion and leading to LBW.
<C+>Gram negative bacteria in pockets elicit an inflammatory reaction within amnion,
elevating cytokines and prostaglandins particularly PGE2, which initiates labour.
<C>a +c
<C>Periodontal diseases have, in fact, never been related to preterm low birth weight

<Q> Chronic periodontal infections may contribute to the aetiology of coronary

heart disease by:
<C>Increasing blood viscosity by elevating fibrinogen, factor VIII and WBC’s
<C>Inducing thrombogenesis by platelet aggregation associated protein (PAAP), which
is produced by periodontal pathogens
<C>Initiating atherosclerosis through intimal injury by bacterial endotoxin
<C>Contributing to atherosclerosis by up regulation of intimal adhesion molecules
such as ICAM-1, which facilitates macrophage adhesion to blood vessel walls
<C+>All the above

<Q> The reason(s) for replacing the term “Adult Periodontitis” with “Chronic
Periodontitis” is/are that:
<C>Research has shown that adult periodontitis is a chronic disease, not an acute one
as previously thought.
<C+>Epidemiological studies have shown that adult periodontitis can be seen in
adolescents, not only in adults.
<C>The lesion of adult periodontitis is characterized by the presence of neutrophils.
<C>It was found that ‘Adult Periodontitis” is most commonly associated with chronic
systemic diseases.
<C>b & d

<Q> The term “localized juvenile periodontitis” in the former classification of the
AAP (of 1989) has been replaced in the current AAP classification (of 1999) by:
<C>Localized chronic periodontitis
<C>Localized necrotizing periodontitis
<C>Localized early onset periodontitis
<C+>Localized aggressive periodontitis
<C>Localized refractory periodontitis

2
<Q> The diagnosis generalized moderate chronic periodontitis is assigned to an adult
individual when he/she has:
<C>Attachment loss around > 30% of sites, CAL= 3-4 mm, and has type I diabetes
mellitus since childhood
<C>Attachment loss around > 30% of sites, CAL= 1-3 mm and has grade II mobility of
incisors and 1st molars.
<C+>Attachment loss around > 30% of sites, CAL= 3-4 mm, and has no systemic
diseases known to be associated with periodontitis
<C>Attachment loss around > 30% of sites, CAL > 5 mm, and is above 50 years of age
<C>a & c

<Q> Which of the following is an indication for crown lengthening procedures?

<C>Short clinical crown
<C>Increasing the width of attached gingiva
<C>Alveolar crest is located 1mm apical to cervical margin of restoration
<C>Inability to obtain sufficient retention for a restoration, due to gross caries
<C>All of the above
<C+>a, c and d

<Q> The reason why “Early Onset Periodontitis” (EOP), with its 3 disease categories
was replaced by the new term Aggressive Periodontitis (AgP), consisting of one
disease category in the latest AAP classification (1999) is that:

<C>There is no periodontal disease that has en early onset

<C>AgP is a more ethical name
<C+>There were no sound scientific demarcations between the 3 disease categories
included in EOP, and it is not possible to know the time of disease onset.
<C>EOP can start at old age
<C>EOP is not a true form of periodontitis.

<Q> Which of the following statements is/are true regarding periodontal flaps?
<C>They should be kept too narrow rather than too wide to preserve tissues
<C>Vertical incisions must always be placed to provide access
<C>Reaching the mucogingival junction should be avoided
<C>Buccal flaps should always be sutured to lingual tissues
<C+>They should be made wide enough to provide adequate access & visibility

3
<Q> All the following statements are true regarding gingivectomy, EXCEPT:
<C+>It is one of the few procedures which heal by primary intention
<C>It is currently a procedure reserved for aesthetic treatment, or treatment of
gingival enlargement
<C>It is contraindicated when osteoplasty is intended
<C>It is perfromed by an external bevel incision
<C>It is not currently used to eliminate periodontal pockets

<Q> If a maxillary 1st molar is affected by periodontal disease it is expected that the
furcation which will be involved first is the:
<C> Distal furcation
<C> Buccal furcation
<C+> Mesial furcation
<C> All furcations will be involved at the same time

<Q> Regarding a mandibular molar with grade II furcation involvement, prevention

of further attachment loss and regeneration of lost tissues are reasonable goals of
treatment.
<C+> True
<C> False

<Q> The mesial root of mandibular 1st molars and the mesiobuccal root of maxillary
1st molars pose a greater challenge for treatment, as they both have concavities and
an hourglass shape.
<C+> True
<C> False

4
5th year periodontics final exam (first part 2008 batch , second part 2009 batch ) :
=> 2008 Questions :
Q: in any surgery we use internal bevel incision, external bevel incision?
Q: all the following can be used in anterior mucosa discrepancy?
Q: type of bacteria causing gingivitis in pregnant woman ?
Q: about indincation of perio surgery ?
Q: pressure 159/79 consider in any stage ?
Q: there was q about compliance of patient in recall visit ?
Q: which number of the following indicate abnormalty :
INR= 1, PTT= sec, Bleeding time=12 minutes , platelet count =350000 ?
Q: the nearest bifurcation to CEJ to bifurcation in maxillary first molar ?
Q: the daiy Dexocyline dosage is ?
200 mg , 100 mg , 50 mg , 25 mg
Q: which is the development abnormality that cause perio endo lesion :
developmental groove, cervical enamel ,...,...?
Q: the most type of defect in periodontitis is ?
Q: there was a q about number of wall in bone defect
Q: which of the following don't attach to alveolar bone ?
Q: sequence of manegment of patient in clinic
examination, MH, PI & GI, charting, , diagnosis,prognosis, treatment plan?
Q: the prognosis of disease after successful treatment due to ?
Q: the type of surgery used to widen the attahed gingiva ?
Q: in case of patient prone to infective endocarditis , we give him prophylais antibiotica if we do :
probing , scaling, subgingival scaling , root planin, surgery , BCDE,DE only , all of the above?
Q: Successful of GTR in furcation area after 5 years?
Q: which is from ectoderm, jxn epithelium or sulcular epithelium?
Q: type of aggresive that is episodic in nature ?
Q: characteristics of pregnancy gingivitis?
especially involvement of interdental papilla.
Q: Most common type of bone loss?read all including angular type , crater etc..
Q: where's the widest attached gingiva ?
Q: what is wrong about coronal flap ?
Q: stages of hypertension ?
Q: which stage neutrophils first present ?
-----------------------------------------------------------------------------
=>2009 Questions :
<Q>1-Coronally positioned flaps are useful in covering exposed crown margins.2-They almost insure
100% coverage of the exposed margins.
<C>Both statements are correct
<C>Both statements are wrong
<C+>First statement correct; second statement wrong
<C>First statement wrong; second statement correct
Q>1-Adequate attached gingiva both in width and thickness is thought to be important for
maintaining periodontal health. 2- The minimal adequate width of this attached gingiva to maintain
health according to Lang & Loe 1972 is 1 mm in addition to another 1 mm of kertinzed gingiva (free
gingiva)
<C+>Both statements are correct
<C>Both statements are wrong
<C>First statement correct; second statement wrong
<C>First statement wrong; second statement correct
<Q>1-The connective tissue graft have the advantage of dual blood supply.2-However it should not
be covered with nonkeratinized mucosa since the outcome will be nonkertinized tissue
<C>Both statements are correct
<C>Both statements are wrong
<C+>First statement correct; second statement wrong
<C>First statement wrong; second statement correct
<Q>According to P.D. Miller classification, type III recession coverage prediction is
<C>100%
<C>90%-100%
<C+>80%-90%
<C>70%-80%
<C>unpredictable
<Q>. What periodontal surgical procedure is contraindicated in the presence of minimal keratinized
attached gingiva?
a. Apically positioned flap
b. Osseous surgery
c. <+>Gingivectomy
d. Free gingival graft
<Q>. Indications for the lateral pedicle graft include all EXCEPT:
a. Good periodontal support at the recipient site
b. <+>Recession present on three adjacent teeth
c. Facial mucogingival defect
d. Adequate attached gingiva at the donor site
<Q>. To prevent exposure of a dehiscence or fenestration on a prominent root, the dentist's best
approach when elevating a flap is to use a (an)
A. double flap
B. stripping procedure
C. full thickness flap
D. apically positioned flap
E. partial or split thickness flap
<Q>. Which of the following is the MOST likely to cause gingival recession?
A. Occlusal trauma
B. Systemic disease
C. Toothbrush abrasion
D. <+>Improper deflecting contour (not sure)
E. Necrotizing ulcerative gingivitis
<Q>-In the growing child mucogingival defects may be eliminated spontaneously, provided an
adequate plaque controle is established and maintained.
a-Both statements are true.
b-Both statements are false.
c-First sentence is true, the second is false.
d-First sentence is false, the second is true.
<Q>-Hangrosky & Bissada 1980 failed to conclude that while the FGG is an effective means to
widen the zone of the gingiva, there is no indication that this increase has a direct influence upon
periodontal health
a-<+>True. (not sure)
b-False.
<Q>-Lang and loe 1972 in their study about the significant of gingival dimention;they suggested that
--------- mm of KG corresponde to --------mm of attached gingiva is adequate to maintain gingival
health.
a-3, 2.
b-2,2.
c-1,1.
d-<+> 2,1.
<Q>- A 21-year-old female dental student presented to Periodontics Clinic with following: 3 mm
facial recession at the maxillary left canine, does not reach beyond mucogingival junction, with intact
interproximal tissues. What is the Miller classification of this recession AND best treatment option:
a-Miller I, free gingival graft
b-Miller II, free gingival graft
c-Miller I, subepithelial connective tissue graft.
d-Miller II, subepithelial connective tissue graft
e-Miller III, desensitizing agent
<Q>Gingivectomy is contraindicated:
<C+>A- in cases of intrabony defects
<C>B- in cases of thick gingiva
<C>C- in cases of gingivoplasty
<C> D- all the above
<C>E- a & b
<Q>Coronally positioned flap
<C>A- is useful in covering exposed crown margins
<C>B- may be performed utilizing semilunar incision
<C>C- may be performed in combination with free gingival graft
<C>D- all the above
<C+>E- a & b
<C>F- a & c
<Q>The most predictable modality for achieving complete root coverage is the:
<C>A-free gingival graft
<C+>B-connective tissue graft
<C>C-coronally advance flap
<C>D-guided tissue regeneration
<Q>Ideal Keratinized Gingiva level is
<C+> 2 mm of keratinized of which 1 mm is attached
<C> 2 mm keratinized and 2 attached
<C> 2mm Keratinized and 0 attached
<C> None of the above
<Q>According to Wennström et al (1987), there is no relationship between the initial width of KG and
the tendency for gingival recession during orthodontic movement
<C+> True
<C> False
<Q>According to Muller and Eager (1997) patients most susceptible to gingival recession represent
a periodontal phenotype characterized by a ------------ band of keratinized tissue and --------marginal
gingival
<C+>A-narrow, thin
<C>B-wide, thickened
<C>C-moderate, non inflamed
<C>D-none of the above
<Q>Which of the following may cause gingival recession?
<C>A- the base of the periodontal pocket being apical or close to the mucogingival line
<C>B- frenal pull of the free gingiva
<C>C- orthodontic treatment
<C+>D- all the above
<C>E- a & b
 These questions were written out of pure memory, do NOT count on them!

Our exam was two parts; 15 theoretical and 20 practical (35 total)

A) The Practical Part :

Dr.Hashaim focused about infection control .The way he wrote the questions was
somewhat confusing; for example he’d bring a photo of a dental clinic where the
dentist is doing scaling and at the background ( very blurry ) there were some
uncovered computers and then he asks you how many violations of cross infection
code are there ( many answers ranging from 3 to 9 violations ) so
PAY close attention to every single detail in the photo , look for the
dentist’s hands , the nurse the patient , are they wearing glasses or
not , how is the dress code ? Are they wearing long sleeves and
neck protected lab coats or not? , the following are the questions
these are the questions he asked:
1. This clinician positon is (exact picture) …… ( there were
nearly 7 answers ; ranging from the positon is wrong to the
positon is correct )
2. This plastic bag is used to dispose? (Again many answers
ranging from needles to blood).
3. What glove do you use when disinfecting a bur in the
autoclave machine
4. He asked a question about where we throw the needle; the
answers were 3 pictures of plastic bags each with different
color (red, yellow ...etc.)
5. 3 questions showing pictures of dentists doing their job at
the clinic with the nurse beside them, and he asks you to
identify the violations of cross infection control.
Pay attention to what the dentist is doing; one of
the images showed the dentist doing polishing
(so glasses should be applied). These questions
were completely confusing , because the
answers were too many ( 3-9 violations ) pay attention as I said to the
 background as well , notice anything that’s uncovered or if the
nurse is writing with the pen and gloves ..etc.
6. A question about what glove you use to clean the clinic.
7. (NOT SURE) he might’ve asked about the chemical name of the
spray we use to disinfect the clinic chair.
8. There was a question that showed the scaler adaptation on the
tooth , and it asked is this correct adaptation or not ( the image
was similar to this one but surprisingly the answer was correct this
is NOT the same picture , I can’t remember what’s the name of
this modified adaptation ) .
9. There was a question showing the lower anterior region , with severe
gingival swelling ( can’t remember the answers … )

B) Theoretical part :
Concerning the theoretical part, he focused more about the 4th year material. Few
questions in general were about the 5th year material (I’d say 13 -15 out of 30), the
rest is 4th year and some (5-7 questions were about 3rd year material).
1. There was a question about the naming of the
disease; for example he gives you a normal
case (patient came to your clinic with CAL,
BOP ...Etc.) Then lists 4 possible names of the
disease (generalized gingivitis, chronic
periodontist ...etc.)
2. An intra-oral photograph of the palate with
multiple vesicles. The doctor said the answer is
intra oral herpes and no treatment is required.
3. Question about annual bone loss in natural
teeth
4. Question about Chlx.
5. A question from this slide (memorize the numbers)
6. The periodontal treatment outcome is ……. ( healing by long junctional
epithelium )
7. Progenitor cells for formation of new connective tissue reside within the ….
?(answer is PDL)
8. There was a question that asked about bony defects (how many walls)
9. A question about FDBA or DFDBA (which one is osetoconductive or
osteoinductive)
10.There was a question about furcation
involvement – horizontal classification (the
dome shaped is …. Class).
11.There was a question about what do we use in
dentine hypersensitivity , and the answer was
Sodium fluoride mouth rinse OR the answer
was prescription of desensitizing toothpaste.
12.There was a question for 3rd year material
(only this question) he asked about what’s the
microbial specificity in periodontal disease is
it nonspecific hypothesis , specific
hypothesis or a combination ?
13.(NOT sure) there was a question asking
which of the following causes gingival
enlargement (Phenytoin or Cyclosporine).
14.There was a question about this slide
(allergic reactions)
15.There was a question about Gingival Index
16.There was a question about the
treatment of NUG . (I think he
asked about what do you do in
the third visit ).
17.Secondary occlusal trauma is
….. (or it was primary can’t
remember).
18.(not sure) there was a question
about diabetic patients (HbA1c
of <10% should be established
before surgical treatment is
performed)
19.There was a question about
when is it SAFE to operate on a
pregnant lady (I think 2nd
trimester)
20.There was a question from this slide
(recall intervals)
21.(not sure) there was a question asking
what is the mechanism of deniten
hypersensitivity (hydrodynamic theory)
22. There was a question from this slide
(SEM) memorize the text I’ve highlight
23.(not sure) there was a question about
which are the most affected teeth by
dentine hypersensitivity (see last
picture)
 5th Year , 1st Semester 2010
Perio Mid 2010

Form 1

1) In patient with Generalized severe plaque-induced gingivitis , the marginal

alveolar bone pattern follows
a. Cementoenamel junction +
b. Gingiva
c. Any pattern

2) Citric acid role

a. Removalof smear layer
b. Makeendodoxins on root surface be readily removed
c. Decrease diameter of dentinal tubules
d. All of the above
( answer should be A+B , as it INCREASE diameter of dentinal tubule making it wider )

3) Patient with a tooth that has 40% attachment loss, Grade I furcation defect,
53 year old, good oral hygiene, the prognosis is... (not sure from answer)
a. Good
b. Fair +
c. Poor
d. Questionable
e. Hopeless

4) Which of the following does not aim at eliminating periodontal pocket?

a. Coronally-displaced +
b. Apically-displaced
c. Gingivectomy
d. Undisplaced flap following respective surgery

1
5) Which is a main disadvantage of zinc-oxide surgical packs?
a. Allergic reaction to some patients +
b. Long setting time
c. Difficult to place

6) Clot stabilization and wound closure advantages are

a. Provides growth factor to the site
b. Prevents apical migration of the gingival epithelium and allows for
connective tissue attachment
c. Prevent wound infection and loss of attachment
d. Extend time for healing and stable maturation
e. All of the above +

7) Marginal alveolar bone thickness may increase in

a. Horizontal bone loss +
b. Intrabony defect
c. Vertical bone loss
d. Craters

8) You are planning a periodontal surgery for a patient. If you don’ t know which
typeof suture you should use, you should
a. Consult nurse
b. Consult periodontist +
c. Use any suture available in the clinic
d. Consult company

9) Treatment for intrabony defect adjacent to edentulous area

- osteoplasty resection

10) Which is not advantage(s) of pre-operative stage of periodontal surgery

a. Complete elimination of certain lesions +
b. Re-assurance of patient and comfort
c. May not need surgery

2
11) Furcation involvement prognosis depends on (not sure from answer)
a. Local anatomy of alveolar bone
b. Location of tooth and relation to adjacent tooth
c. Tooth morphology
d. Age
e. 1,2,3 +
f. 1,2
g. 1,3
h. 1,4
i. All of the above ++

12) Prognosis.....
Prediction of outcome, duration, courseof a disease

13) True or False : Smoking affect periodontal surgery outcome. Cessation of

smoking favourably affects treatment plan and prognosis
- Both True

14) A case of grade III and IV furcation, Grade III mobility. The best treatment is...
a. Extraction +
b. Hemisection
c. Root Canal Treatment

15) The best treatment of severe periodontitis is

a. Resective surgery
b. Subtractive surgery
c. Additive surgery +

16) True or false : Modified windman flap involves horizontal and vertical
incisions
- False
( only Horizontal )

17) The best flap design for palatal is

- envelope flap

18) 3-wall defect is

- 3 walls remaining
3
 Perio – Final exam of 5th year 2011

1.

2. utility gloves :
-for use when cleaning and processing instruments

3. Question about this slide :

4.

5. - Intraoral herpes lesion ,no treatment

6. The clinical picture

Miller's classification of recession :
Class III
Answered by dr hisham

7. Which of the following is LEAST useful when diagnosing periodontitis :

-Plaque index
Answered by dr hisham

8. how many violations in the picture : (picture of dentist and dental assistant not
wearing gloves and another billion violation )
-2 !! Answered by Dr, Hisham

9. Most common type of pathogens in periodontitis:

-Red complex

10. Prognosis of perforated furcation area with loss of bone in furcation area
(radiograph):
-Hopeless
11. the photo of the brushing demo :
-Proper position

12. the photo of the indirect vision :

Proper position

13. Both photos of the probe :

In the right position

14. the photo of the probe that goes into the pocket with bleeding on the
gingival margins :
Severe periodontitis

15. A picture like "d" :

-Absent keratinized mucosa Not reduced

16.

17. 2 questions about what is the biological width

B+c , how much is the "average" of it ?
-average up to 4.3
18. What is this ?
-WHO probe

19.Patient smokes 20cig/day mn 7 years

-7pack/year

20.Which tooth with furcation involvement has the worst prognosis?

"photo"
-it's upper 4 "answered
 Elite Batch 2012

Clinical measurements of probing depths are likely to be influenced by:

a- Subgingival calculus
b- Probing force
c- Dimensions of the pocket
d- Inflammatory infiltrates at the base of the pocket
e- Angulations of probe insertion
-1,2,4,5
- 1 and 2
- 2 and 3
- all of the factors
- 1,2,3,5
- 1,2,3
Not sure

4- How many violations of infection control practice are there in this photo?

a- 5
b- 3 ( based on doctor answer)
c- 4
d- 1
e- 2

5 - How many violations of infection control practice are there in this photo?

a- >6
b- 2
c- 4
d- 6
e- 5

6- chronic periodontitis is known to be ''site-specific with regard to etiology. This

means that chronic periodontitis:

a- None is correct
b- Affect specific sites in the mouth
c- Affects surfaces of teeth in relation to local factors
d- Affects interproximal sites only
e- Affects all surfaces irrespective of local factors
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 Elite Batch 2012

7- this patient is affected by: "a picture was shown"

a- None is correct
b- Gingivitis
c- Periodontitis
d- Drug-induced gingival overgrowth
e- Desquamative gingivitis

8- Which of the following bacteria are found in higher concentrations in females?

a- Aggrigatibacteractinomycetemcomitans
b- Tannerella forsythia
c- Streptococcus mutans
d- Tereponemadenticola
e- Provetellaintermedia

9- In most of the cases, hypertension is caused by:

a- Renal artery stenosis

b- Thickened vasculature
c- Unknown causes
d- Cardiac hypertrophy
e- A combination of factors

10- The best diagnostic radiographic image for periodontal disease at molar region
is:

a- Panoramic view
b- All are equally helpful
c- Peri-apical
d- Vertical bite-wing
e- Two periapicals with different angulation

11- What is the pattern of bone loss and the associated pocket distal to lower
second premolar? We didn’t have a clear picture

a- Horizontal,suprabony
b- Cannot be determined by radiograph
c- Vertical ,suprabony
d- Horizontal,infraboney

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 Elite Batch 2012

e- Vertical, infrabony

12- Which of the following is the correct insertion direction? "A picture was
shown"

a- A
b- B ( the middle one)
c- C
d- All are correct
e- None is correct

13- Clinical attachment loss (CAL) indicates the presence of periodontitis. The
word '' attachment'' refers to:

A. Attachment of sharpey's fibers to bone

B. The hemi-demosomes that attach junctional epithelium to enamel
C. Attachment of tooth to the surrounding structures
D. Attachment of epithelium to connective tissue
E. The biologic width

14- plaque index(PI) is a very useful tool for assessment of patient's oral hygene. It
is determined calculated by averaging selected 6 teeth.These teeth are:

a- Millers teeth
b- Prichard teeth
c- Ramsey teeth
d- None is correct
e- Ramfjord teeth

15- what is the structure that arrows are pointing at:

a- Enamel pearls
b- Hypercementosis
c- Root irregularities
d- Hyper-mineralization of roots
e- Calculus

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 Elite Batch 2012

16- Radiograph showing secer resorbtion covering less than 1/3 of the root
of first molar, the tooth is:

a- Needs RCT and splinting

b- Has a good bone support
c- Will serve a good abutment
d- hopeless

17- A pocket depth of 5mm means that:

a- The probe passes 5mm beyond the CEJ

b- The tooth is likely to be mobile
c- The probe passes 5 mm beyond the gingival margin
d- The patient has periodontitis
e- The tooth has lots 5mm of connective tissue attachment

18- This photograph shows a properly sitting operator.

a- Yes
b- No

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Elite Dental Team
 Elite Batch 2012
Perio 2012 – Midterm Exam of 5 Year th

1. Objective of the flap

-visibility and displacement of the gingival

2. Position of the operator

-nose above your shoulder

3. Level of the elbow for a right handed operator

-at the level of the patient head

4. Case: patient had good healing for a 7 .. all except( cant remember the
question)
-systematic!

5. The patient should stop smoking for

3-4 weeks

6. Picture about the design of the flap according to the interdental incision
the first one was in the middle of the papilla so its false the seconded one was
from the contact area
-so its true

7. drug prescribed to control

post operative pain
NSAID ++
Acetomnophen
combination

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 Elite Batch 2012

8. what are the objective of internal bevel

-all that were mentioned in the lecture

9. attached ginigva is blue to red color, its keratinzed and can be pigmented
-false, true

10. difference between GBR and GTR is

-PDL!

11. BMP:
-bone forming cell and cementum forming cell

12. dead body graft (not sure from answer)

-allograft- ostioinductive
this was the most reasonable choice

13. resective surgery

-follow the contour of the normal physiology

14. definition of osioinductive

-false

15. if you don’t know how to suture

-consult perio

16. question about fensentration

-It was a pic of bony defect on the apex of a tooth, isolated and was asking what
is that

17. 65 year have a tooth will be better prognosis than a 45 with same severity
true/false

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 Elite Batch 2012

18. I furcation involvement less that the width of sth, it'seasier for
instrumentation ? "sth like this:
true , false

19. which is true

-most furcation in 80% is less than 1 mm

20. diagnosis of furcation needs

-proper bitwing
not sure

21. All can be used in bone removal

-Curette + surgical curette

22. full thickness flap is easier, partial thickness retain the periostium
-both true

23. prognosis is
-out come course and duration of the diseases

24. which is true

-after debridement bleeding will be reduced significantly

25.furcation grade one may include odontoplasty and you should enhance oral
hygiene
both true

26. 3 wall defect means

-three walls are left

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 Elite Batch 2012

27. which is not objective of surgery

-eliminate infection in gingival

28. question about bone blend (bone blend consists of bone and blood, better than
biologics or sth like that )
false, true

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Elite Dental Team
5th Year , 1st Semester Blaze 2014
Perio Mid 2014

Q1) Tooth with ---- center of rotation has better prognosis than another with ---
center of rotation
a)apical,cronal
b)distal,mesial
C)cornoal,apical +

Q2) Hemisection is most commonly used with

a)maxillary molars
b)maaxillary and mandibular molars
c)mandibular molars +

Q3) Premolarization means

a)hemisection +
b)tunnel in the furcation

Q4) Purest surgical procedure that ensure elimination of bone discrepancies

a)regeneration
b)resective osseous surgery +
c)all have the same results

Q5) Studies have shown that using DFDBA alone has ----- results than using
DFDBA with autogrnous bone
a)inferior +
b)superior
c)equal

1
Q6) Treatment for Class 2 furcation in glickman's classification (shallow bone defect):
1.closed debridement
2.bone graft
3.GTR
4.osteoplasty + ( also odontoplasty )

Q7) most of the time , the course coordinator :

- standing +
- 50%standing , 50%sitting
- sitting

Q8) course coordinator flip the slides by :

- computer by mouse
- by clicker +

Q9) anchor suture used in distal or mesial side of alone-standing tooth

- True +
- False

Q10) 15c blade differ from blade 15 :

- sharper
- smaller +
- larger
- non of the above

Q11) about design flap , which of the following correct :

- conventional flap :split the papilla facial and lingual half +
- conventional flap :split the papilla mesial and distal half
- papilla preservation flap split the papilla mesial and distal

Q12) ----------center of rotation when it is better than ------

- coronal , apical +
- apical , apical

2
Q13) GTR cause :
- regeneration of periodontal ligaments +
- periodontal ligaments around tooth only
- periodontal ligaments around tooth and implant

Q14) new attachment is less likely to happen in rapid resorption in case of

periodontal abscess , bone graft essential
- both false +
- both true
- first false , second true
- first true , second false

Q15) BMP induce :

a) fibroplast
b) cementum
c) bone
- a +b
- a+c
- b+c ++

Q16) criteria for selection of surgical technique in pocket therapy :

1-soft tissue wall of the pocket
2-tooth surface
3-systemic disease of the pt
4-alveolar bone
5-prognosis of the tooth
-1 , 2 , 3
-1,2,3,4,5
-1,2,4 +
-1,2,3
-1,2,5
-2.3,5
-2,4,5

3
Q17) CEP present in furcation in ------ of maxillary molars:
- 50% or half
- 25% or quarter
- 17% +
- third

Q18) we use osseous resecutive surgery in :

-shallow , narrow intrabony deficit
-shallow , wide intrabony deficit +
-deep ,wide
-deep , narrow

Q19) CEP in mandibular molars was found more than

a)third
b)quarter +
c)half

4
5th Year , 1st Semester Passion 2015
Mid Perio 2015

Q1) 55 years old female patient , her HbA1c is 8.6% , on RG bone loss is exactly
on middle of the root , diagnosis of periodontitis is ?
- stage 3 , Grade C
( stage 3 as bone loss on middle third of root , Grade C as HbA1c is more than 7% ,
we rely more on DM and smoking for grading rather than %bone loss / age )

Q2) pt examined her 28 teeth with no CAL , 10 sites only has bleeding on
probing , diagnosis ?
- healthy gingival condition

Q3) Localized aggressive periodontitis has been removed from new

classification, Generalized aggressive periodontitis is still there and used for
severe cases.
- First true, second false +

Q4) widows prominence :

- interproximal bone loss on molar teeth

Q5) surgicel and collaplug are used in :

- capillaries and small vessels

Q6) Severity of gingivitis in new classification is based on:

- Amount of bleeding (%) +
- Plaque index (PI)
- Gingival index (GI)
- Non of the above
( severity and extent of gingivitis depend on %BOP )

1
 Q7) Bone blend is composed of cortical bone and blood, it is biologically
superior than osseous coagulum
- First false, second true +
( its a mixture of cortical and cancellous bone )

Q8) resective osseous surgery , include which of the following :

A) full thickness flap
B) partial thickness flap
C) engine drived instruments
D) manual instruments
A&C&D +

Q9) Gentle handling of flap:

1) Less bleeding
2) Less edema
3) Less pain
4) Less comfort for pt
5) Less visibility
1&2&3 +

Q10) after surgical procedure there will be mobility in teeth initially , this
mobility will be diminished in :
- 4 weeks +
- 3 weeks
- 3 months

Q11) What is the correct match:

-Shallow and wide > resective osseous surgery

Q12) Sharp dissection :

- partial thickness flap

Q13) at which time healing process when epithelium attachment to root surface happen :
- 1 week
2
Q14) Treatment for Class 2 furcation in glickman's classification (shallow bone
defect) :
- closed debridement
- bone graft
- GTR
- osteoplasty and odntoplasty +

Q15) Material used to improve quality (conditioning ) of the root surface after
full debridement all EXCEPT :
- fibronectin
- tetracycline
- citric acid
- Enamel matrix protien +

Q16) CEP in mandibular molars was found more than:

- third
- quarter +
- half

Q17) Purest surgical procedure that ensure elimination of bone discrepancies?

- regeneration
- resective osseous surgery +
- all have the same results

Q18) Anchor suture used in distal or mesial side of alone-standing tooth.

- true

Q19) BMP induce:

a) fibroblast
b) cementum forming cells
c) bone forming cells
-a+b
-a+c
- b + c ++

3
Q20) Criteria for selection of surgical technique in pocket therapy:
1-soft tissue wall of the pocket
2-tooth surface
3-systemic disease of the pt
4-alveolar bone
5-prognosis of the tooth

-1 , 2 , 3
-1,2,3,4,5
-1,2,4 +
-1,2,3
-1,2,5
-2.3,5
-2,4,5

Q21) Internal beveling incision accomplise the following :

1) removes pocket lining
2) conserve the realitivity of uninvolved outer surface of the gingive
3) produce sharp thin flap margin.
4) facilitate bone graft
1&2&3 +

Q22) Biological difference between osteoconduction and osteoinduction:

-Similar
-Both are inactive biologicaly
-Osteoinduction is superior +
-Osteoconduction is superior

Q23) healing by junctional epithelium :

- the most commonly healing pattern +
- unstable and high tendency to recure +
- stable
- non of the above
( Q has 2 answers )

4
Q24) In regeneration, the attachment is based on:
- Bone space
- First cells bind to root +
- Type of defect

Q25) Patient with inactive perio pocket can stay maintained with little
attachment loss by :
- scalling + RP +
- oral hygien instruction
- none of the above
- surgical removal of pocket

Q26) difference btw classification 2018 , and 1989 :

1) stage depend on severity +
2) stage depend on progression
3) extent could be localized and generalized

Q27) Revaluation of phase 1 therapy after :

- No less than 1-3 month +
- No less than 3-4 weeks
- No less than 3-4 month

Q28) Premolarization means:

- Hemisection

Q29) we call periodontitis pt if he has :

- at least one site with CAL
- two non adjacent sites with CAL +

‫مش اكيد‬

Q30) Studies have shown that using DFDBA alone has ----- results than using
DFDBA with autogenous bone.
- inferior+
- superior
- equal
5