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Dentistry · Periodontology
Sample itemWhich factor is strongly associated with worse periodontal disease outcomes?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Smoking
Smoking impairs periodontal blood flow and immune response, increases disease severity, and reduces healing response to periodontal treatment.
Option by option
A. Adequate plaque removal
Plaque removal is therapeutic.
B. Smoking (correct)
Correct: smoking worsens disease and treatment response.
C. Routine brushing
Brushing reduces plaque.
D. Correct fluoride use
Fluoride protects enamel rather than worsening periodontitis.
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.