MDS PREP
The treatment of choice for generalized fibrous gingival hyperplasia is
1. lateral pedicle flap
2. full thickness flap surgery
3. gingivectomy
4. root planning and curettage
Periodontics
Answer: 3
Fibrous gingival hyperplasia, also known as gingival overgrowth, is
characterized by an increase in the size of the gingival tissue due to an
excessive accumulation of collagen and other extracellular matrix components.
This condition can be caused by various factors, including certain medications
(like anticonvulsants, calcium channel blockers, and immunosuppressants),
hormonal changes, or chronic inflammation.
The main objective of maintenance therapy is
1) To initiate secondary surgical procedures
2) To identify aetiological agent
3) To prevent recurrence of disease
4) None of the above
Periodontics
Answer: 3
Maintenance therapy is designed to support the long-term health of periodontal
tissues after initial treatment. By regularly monitoring and managing
periodontal disease, practitioners can help prevent disease recurrence and
maintain periodontal health.
A loosely adherent yellowish-white mass of cellular debris and microorganisms
on the teeth is termed
1. oral deposit
2. materia alba
3. dental plaque
4. salivary pellicle
Periodontics Answer: 2
Milky white, soft, and visible to the naked eye, Lacks the organized structure of dental plaquecomposed of Food debris, bacteria, dead tissue cells, leukocytes, and salivary proteins
Histologic examination of desquamative gingivitis shows
1. Hyperkeratosis
2. Loss of retepegs
3. Loss of basement membrane
4. All of the above
Histologic examination of desquamative gingivitis shows loss of basement membrane.
The periodontal fiber group which inserts into two adjacent teeth is the
1. transseptal group
2. circular group
3. horizontal group
4. oblique group
Periodontics
Answer: 1
The transseptal fibers are a type of periodontal ligament fiber that run between the cementum of adjacent teeth. They help maintain the interproximal relationship between teeth and provide support to the gingival tissue. These fibers are important for the stability of the dental arch and help resist the forces that may cause teeth to drift apart.
Circular group fibers encircle the tooth.
Horizontal group fibers run horizontally between the
tooth and the alveolar bone.
Oblique group fibers run from the cementum to the bone
at an angle, providing resistance to vertical forces.
Pyogenic granuloma is
1. Granulation tissue overgrowth
2. Capillary haemangioma
3. Sarcoidosis
4. Tuberculoid leprosy
Periodontics
Answer: 1
Pyogenic granuloma is a granulation tissue overgrowth.
Treatment for ANUG in initial stages without systemic involvement is
1. Metronidazole and penicillin therapy
2. Gingivectomy and gingivoplasty
3. Both A and B
4. None of the above
Periodontics
Answer: 4
Treatment for ANUG in initial stages without systemic involvement is none of the above; typically, it involves debridement and possibly antibiotics.
Slight gingival recession on normally placed canine is noted due to inflammation. After through scaling and root planing it is free of inflammation. Treatment of choice
1) Laterally positioned graft
2) Free gingival graft
3) Coronally displaced graft
4) Maintenance and recall visits
Periodontics
Answer: 4
1) Laterally positioned graft: This technique is used when there is a loss of
interdental papilla, which may occur due to periodontal disease or trauma.
2) Free gingival graft: This involves the transfer of a piece of tissue from the
palate to the affected area to cover the exposed root surface and increase the
zone of attached gingival tissue.
3) Coronally displaced graft: This technique involves moving the existing
gingival tissue coronally over the exposed root to cover it.
4) Maintenance and recall visits: After the resolution of inflammation through
scaling and root planing, if the recession is minimal and the tooth is not at
risk of further damage, regular maintenance and recall visits may be sufficient
to monitor the area.
Since the question mentions that the tooth is normally placed and the issue is
resolved after scaling and root planing, the correct answer is 4) Maintenance
and recall visits to ensure the area remains healthy and monitor for any
recurrence of recession.