40 40 Candidate Handbook for the Written Examination – 2025 VIGNETTE ITEMS 14 – 16 A 24-year-old patient presents for an emergency exam. During the interview it is noted that he is a heavy smoker and has been under a great deal of emotional stress. The clinical examination findings are: a biofilm index of 3 with some ulceration of interdental papillae. ITEM 14 Which one of the following gingival conditions does this patient have? 1. Herpetic gingivostomatitis. 2. Necrotizing periodontitis. 3. Aggressive periodontitis. 4. Pericoronitis. Domain reference: 5.10.3 ITEM 15 What is the recommended treatment for this patient? 1. Scaling and curettage, brushing and flossing twice per day, fluoride. 2. Debridement, careful brushing at home, warm water rinses. 3. Daily chlorhexadine rinses, stop smoking aids. 4. Gingivectomy. Domain reference: 5.10.1 ITEM 16 What does the biofilm index assigned to this patient mean? 1. No accumulated biofilm. 2. Marginal biofilm only. 3. Moderate biofilm levels that can be easily seen. 4. Heavy biofilm accumulations on both the tooth and gingival surfaces. Domain reference: 7.1.5 VIGNETTE ITEMS 17 – 20 A 7-year-old falls down some stairs, and is immediately transported to a hospital dental facility. Clinical examination of the injured area reveals that tooth 11 has a fracture with pulpal exposure and that 21 has been avulsed. The patient’s father has the avulsed tooth. ITEM 17 For the re-implantation of the tooth to have the highest success rate, how quickly should it be placed back into the alveolus? 1. Within 30 minutes. 2. Within 45 minutes. 3. Within the first hour. 4. Within the first few hours.
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