Clinical Practice of the Dental Hygienist Workbook — Ch 6 Study Portal

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🦷 Chapter 6: Periodontal Disease Classification and Risk Assessment

Online Study Portal — Clinical Practice of the Dental Hygienist

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patients with identical staging can have different grades due to:”,”options”:[“Random chance only”,”Differing risk factor burden and progression history”,”Insurance type”,”Appointment time of day”],”answer”:1,”exp”:”Risk factors and progression history differentiate grade.”},{“q”:”The periodontal-diabetes relationship is best described as:”,”options”:[“Unidirectional, diabetes affects periodontal only”,”Bidirectional”,”No relationship exists”,”Only relevant in children”],”answer”:1,”exp”:”The relationship is bidirectional.”},{“q”:”Staging factors include:”,”options”:[“Attachment loss, bone loss, tooth loss, complexity”,”Only patient age”,”Only radiographs”,”Only bleeding index”],”answer”:0,”exp”:”Multiple factors combine for staging.”},{“q”:”A patient with Stage III, Grade C periodontitis has:”,”options”:[“Mild disease, slow progression”,”Significant damage and rapid progression risk”,”No disease”,”Only gingivitis”],”answer”:1,”exp”:”Stage III/Grade C reflects significant damage and rapid progression risk.”},{“q”:”Confusing severe gingivitis for periodontitis risks:”,”options”:[“Correct treatment always”,”Overtreatment”,”No consequence”,”Undertreatment only”],”answer”:1,”exp”:”It can lead to overtreatment (staging/grading unnecessarily).”},{“q”:”Re-evaluation intervals should be based on:”,”options”:[“Stage and grade combined”,”Patient preference alone”,”A fixed schedule for everyone”,”Insurance only”],”answer”:0,”exp”:”Stage and grade guide appropriate intervals.”},{“q”:”A well-controlled diabetic non-smoker vs a poorly controlled diabetic smoker with identical clinical findings would likely have:”,”options”:[“Identical grades”,”Different grades due to risk factor burden”,”No difference in care”,”Different stages only”],”answer”:1,”exp”:”Risk factors modify grade independent of clinical measurements.”},{“q”:”Peri-implant disease classification is:”,”options”:[“Identical to natural tooth classification in every way”,”Parallel but distinct from natural tooth criteria”,”Not classified at all”,”Based only on radiographs”],”answer”:1,”exp”:”It parallels but is distinct from natural tooth classification.”},{“q”:”The primary clinical value of separating stage from grade is:”,”options”:[“Simplifying documentation only”,”Communicating both current damage and future risk accurately”,”Reducing appointment time”,”Avoiding radiographs”],”answer”:1,”exp”:”Separating the two conveys damage and risk separately.”},{“q”:”A grade assignment can change over time if:”,”options”:[“The patient’s risk factors change (e.g. quits smoking)”,”Grades never change once assigned”,”Only stage can change”,”Grade is fixed at diagnosis forever”],”answer”:0,”exp”:”Grade should be reassessed as risk factors change.”},{“q”:”Which is NOT a component of periodontitis staging complexity factors?”,”options”:[“Furcation involvement”,”Vertical defects”,”Patient’s favorite toothpaste brand”,”Tooth loss due to periodontitis”],”answer”:2,”exp”:”Toothpaste preference is not a staging factor.”},{“q”:”The 2017 classification replaced which prior system?”,”options”:[“The 1999 classification”,”The 1950 classification”,”No prior system existed”,”ICDAS”],”answer”:0,”exp”:”It replaced the 1999 classification.”},{“q”:”A key risk communication principle for periodontal grading is to:”,”options”:[“Avoid discussing risk factors”,”Explain both current severity and future risk clearly”,”Only discuss stage, never grade”,”Focus solely on cost”],”answer”:1,”exp”:”Both stage and grade should be communicated clearly.”}]};
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