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Dentistry · Periodontology
Sample itemWhich finding best distinguishes periodontitis from uncomplicated gingivitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Clinical attachment loss with alveolar bone destruction
Periodontitis involves irreversible loss of periodontal attachment and supporting alveolar bone, whereas gingivitis is confined to soft-tissue inflammation.
Option by option
A. Sensitivity to cold after whitening
Whitening sensitivity does not establish periodontal destruction.
B. Clinical attachment loss with alveolar bone destruction (correct)
Correct: attachment and bone loss define periodontitis.
C. Bleeding on brushing without attachment loss
Bleeding alone can occur in reversible gingivitis.
D. Transient tongue coating
Tongue coating is not a periodontal diagnosis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.