Widening of PDL with thickened lamina dura is often seen in:

  # Widening of PDL with thickened lamina dura is often seen in:

A. TFO

B. Chronic periodontitis

C. Apical periodontitis

D. Gingivitis

The correct answer is A. TFO.

Radiographic signs of trauma from occlusion may include the following: 

• Increased width of the periodontal space, often with thickening of the lamina dura along the lateral aspect of the root, in the apical region, and in bifurcation areas. 

• A "vertical" rather than "horizontal" destruction of the interdental septum. 

• Radiolucency and condensation of the alveolar bone. 

• Root resorption 

What percentage of the population is in class I occlusion?

  # What percentage of the population is in class I occlusion?

A. Less than 5 %

B. 25 %

C. 50 %

D. 70 %

The correct answer is D. 70 %.

Approximately 70% of the population is in class I occlusion. Approximately 25% of the population is in class II occlusion, and less than 5% of the population is in class III occlusion. 

Peri implant sulcular epithelium:

  # Peri implant sulcular epithelium:

A. Non keratinized

B. Both keratinized and non keratinized

C.  Attaches itself to smooth surface of neck profile of MIS (Mini implant screw) with hemidesmosomes

D. Serve as barrier for microbes

The correct answer is: A. Non keratinized.

After 3 months, all implants were firmly anchored in the bone and had no clinical signs of peri-implant inflammation. Undecalcified histologic sections demonstrated that all implants achieved osseointegration with direct bone contact. 

• The epithelial structures showed a peri-implant sulcus with a non-keratinized sulcular epithelium and a junctional epithelium. 

• Ultrastructural examination of the long junctional epithelial attachment adjacent to dental implants has demonstrated that epithelial cells attach with a basal lamina and hemidesmosomes. 

• Note that the intrasulcular tissue appears more erythematosus as the result of the thin, nonkeratinized layer of epithelium overlying the connective tissue. 

Correct treatment of a patient with ANUG is:

  # Correct treatment of a patient with ANUG is:

A. Amoxicillin 500 mg three times daily for 5 days and 0.2 % chlorhexidine mouthwashes twice daily 

B. Erythromycin 250 mg four times daily for 5 days and 0.2 % chlorhexidine mouthwashes twice daily 

C. Scaling and oral hygiene instruction 

D. Metronidazole 400 mg three times daily for 5 days and hydrogen peroxide mouthwash twice daily  

The correct answer is D. Metronidazole 400 mg three times daily for 5 days and hydrogen peroxide mouthwash twice daily. 

ANUG is a very painful condition. The most efficacious mouthwash is hydrogen peroxide, and the bacterial component is treated with metronidazole. Amoxicillin and erythromycin would be ineffective in the treatment of this condition.