The following triad represents groups of pharmaceutical agents (or medications) that can trigger the development and progression of gingival enlargement

The following statement is correct regarding an ultrasonic scaling device:

perio (1).png A 41 year old, diabetic female patient, Ms Bareng Lechesa, from Brits, who smokes a daily ‘joint’ of marijuana to combat emotional stress, consults at your surgery with the main complaint: “my gums bleed whenever I eat.” Two years previously she was treated for gum disease by one of the final year BDS students at Sefako Makgatho University’s Oral Health Centre. Medical history: The patient has had no previous illnesses and operations. List of current medication(s): Metformin 500mg and multivitamin supplements. Allergies: None Habits: The patient neither consumes alcohol nor smoke cigarettes. Extra-oral examination (including “JACCOL”) yielded no significant findings. Intra-oral soft tissues (except the gingivae), appeared normal. Details of the periodontal examination are reflected on the hard copy of the patient’s charting record provided to you. Radiographic examination: a panoramic taken on the day of this consultation revealed widespread areas of alveolar bone loss on both the upper and lower jaws. The periapical radiograph shown on the slide above depicts the patient’s worst affected site in terms of alveolar bone loss. At this site, the distance from the apex of the teeth to the cemento-enamel junction (CEJ) is 21mm, whilst the amount of the alveolar bone present is 11mm at the same site. NB: Please, utilize the radiograph depicted above and the hard copy of the patient’s dental chart provided to you to determine the following: The percentage of radiographic bone loss (% RBL), (calculated to one decimal place), at the worst affected site depicted above is:

Gracey curettes are area-specific handheld instruments and numbered to identify the recommended locations. Gracey curettes designed to instrument the buccal and lingual surfaces of the posterior teeth are numbered:

perio (1).png A 41 year old, diabetic female patient, Ms Bareng Lechesa, from Brits, who smokes a daily ‘joint’ of marijuana to combat emotional stress, consults at your surgery with the main complaint: “my gums bleed whenever I eat.” Two years previously she was treated for gum disease by one of the final year BDS students at Sefako Makgatho University’s Oral Health Centre. Medical history: The patient has had no previous illnesses and operations. List of current medication(s): Metformin 500mg and multivitamin supplements. Allergies: None Habits: The patient neither consumes alcohol nor smoke cigarettes. Extra-oral examination (including “JACCOL”) yielded no significant findings. Intra-oral soft tissues (except the gingivae), appeared normal. Details of the periodontal examination are reflected on the hard copy of the patient’s charting record provided to you. Radiographic examination: a panoramic taken on the day of this consultation revealed widespread areas of alveolar bone loss on both the upper and lower jaws. The periapical radiograph shown on the slide above depicts the patient’s worst affected site in terms of alveolar bone loss. At this site, the distance from the apex of the teeth to the cemento-enamel junction (CEJ) is 21mm, whilst the amount of the alveolar bone present is 11mm at the same site. NB: Please, utilize the radiograph depicted above and the hard copy of the patient’s dental chart provided to you to determine the following: What is the stage of this periodontal condition?

All of following, except one, are phases of the non-surgical periodontal treatment planning. Which one is the exception?

perio (1).png A 41 year old, diabetic female patient, Ms Bareng Lechesa, from Brits, who smokes a daily ‘joint’ of marijuana to combat emotional stress, consults at your surgery with the main complaint: “my gums bleed whenever I eat.” Two years previously she was treated for gum disease by one of the final year BDS students at Sefako Makgatho University’s Oral Health Centre. Medical history: The patient has had no previous illnesses and operations. List of current medication(s): Metformin 500mg and multivitamin supplements. Allergies: None Habits: The patient neither consumes alcohol nor smoke cigarettes. Extra-oral examination (including “JACCOL”) yielded no significant findings. Intra-oral soft tissues (except the gingivae, appeared normal. Details of the periodontal examination are reflected on the hard copy of the patient’s charting record provided to you. Radiographic examination: a panoramic taken on the day of this consultation revealed widespread areas of alveolar bone loss on both the upper and lower jaws. The periapical radiograph shown on the slide above depicts the patient’s worst affected site in terms of alveolar bone loss. At this site, the distance from the apex of the teeth to the cemento-enamel junction (CEJ) is 21mm, whilst the amount of the alveolar bone present is 11mm at the same site. NB: Please, utilize the radiograph depicted above and the hard copy of the patient’s dental chart provided to you to determine the following: The modifying factor(s) is/are:

The only two constituents of the periodontium that cannot be viewed radiographically are:

Perio.png Select the correct option for labels 1 to 6 on the diagram above

Which one of the following clinical characteristics of healthy gingiva is not evaluated during periodontal examination of a patient with periodontitis.