Virgen Milagrosa University Foundation

Martin P. Posadas Avenue, San Carlos City, Pangasinan

Tel Nos. (075) 634 – 1111, (075) 531 - 2222
Fax Nos. (075) 634 – 2692, (075) 955 – 5707
www.vmuf.edu.ph E-mail: vmuf@mozcom.com

College of Dentistry
ORAL PATHOLOGY 1
MIDTERM EXAMINATION

Name:___________________________________ Date:_____________
General Instructions: ALL ANSWERS SHOULD BE IN CAPITAL LETTER. STRICTLY NO
ERASURES and NO SUPERIMPOSITIONS.
Multiple choice. Please write the letter of your answer on the space provided.

_________1. Region of normal healthy gingiva that extends from amelocemental junction to the
floor of gingival sulcus and forms the epithelial attachment to the tooth surface
a. Attached gingiva c. sulcular epithelium
b. Free gingiva d. junctional epithelium
_________2. Apically from free gingiva to periodontal fibers and periosteum
a. Attached gingiva c. sulcular epithelium
b. Free gingiva d. junctional epithelium
_________3. Coronal to the amelocemental junction and attached gingiva and includes the tip
of interdental papillae.
a. Attached gingiva c. sulcular epithelium
b. Free gingiva d. junctional epithelium
_________4. Lines the gingival sulcus and joins the epithelial attachment to the free gingiva
a. Attached gingiva c. sulcular epithelium
b. Free gingiva d. junctional epithelium
_________5. Principal fibers of periodontal ligament that extends from socket to root in coronal
to apical direction
a. Oblique c. Transeptal
b. Horizontal d. Gingival
_________6. Principal fibers of periodontal ligament that extends from the neck of tooth to root
socket
a. Oblique c. Transeptal
b. Horizontal d. Gingival
_________7. Principal fibers of periodontal ligament that joins adjacent teeth together and
resists forces that would separate teeth
a. Oblique c. Transeptal
b. Horizontal d. Gingival
_________8. Principal fibers of periodontal ligament that surrounds the cuff around neck of the
tooth supporting tissues, resist separation of gingiva from the tooth. It prevents pocket
formation.
a. Oblique c. Transeptal
b. Horizontal d. Gingival
_________9. The periodontium consists the following except:
a. Gingiva c. Cementum
b. Dentin d. Alveolar bone
_________10. Gingival crevicular fluid is not a secretion because they are not produced from
glands. Therefore, it is called an excretion.
a. Both statement is True
b. Both statement is False
c. First statement is true, second statement is false
d. First statement is false, second statement is true
_________11. Histopathological change where there is vasodilation, disruption of intercellular
spaces of junctional epithelium and impairment of barrier function that happens 2-4 days of
plaque accumulation
a. Early Lesion c. Established lesion
b. Initial lesion d. Advanced lesion
_________12. Histopathological change where there is vasodilation, disruption of intercellular
spaces of junctional epithelium, failure of gingiva to attach to enamel, deepening of gingival
sulcus, loss of collagen and hyperplasia of junctional epithelium which happens 4-7 days of
plaque accumulation
a. Initial lesion c. Advanced lesion
b. Early lesion d. Established lesion
_________13. Histopathological change where there is vasodilation, disruption of intercellular
spaces of junctional epithelium, failure of gingiva to attach to enamel, deepening of gingival
sulcus, loss of collagen, hyperplasia of junctional epithelium, ulceration of gingival pocket
epithelium and gingival hyperplasia that happens 2-3 weeks of plaque accumulation
a. Initial lesion c. Advanced lesion
b. Early lesion d. Established lesion
_________14. This histopathologic change is seen on lesions that affects the periodontal
tissues.
a. Initial lesion c. Advanced lesion
b. Early lesion d. Established lesion
_________15. This is the inflammatory response of the gingiva to plaque, bacteria and other
systemic factors.
a. ANUG c. Periodontitis
b. NUP d. Gingivitis
_________16. Histopathological change that happens 4-7 days of plaque accumulation
a. Initial lesion c. Advanced lesion
b. Early lesion d. Established lesion
_________17. This is the sequela of untreated plaque induced gingivitis. Characterized with
loss of attachment and bone recession that increased tooth mobility and eventually exfoliation of
teeth, commonly seen in adults.
a. ANUG c. NUP
b. Chronic Periodontitis d. Aggressive Periodontitis
_________18. This is a rare, often severe, rapidly progressive form of periodontitis.
Characterized by rapid bone loss and usually seen in patients below 30 years old.
a. ANUG c. NUP
b. Chronic Periodontitis d. Aggressive Periodontitis
_________19. This disease has circumpubertal onset and there is a robust serum antibody
response to infecting bacteria, not more than two teeth are affected, the usual teeth affected are
first molar and incisors.
a. Localized Aggressive Periodontitis c. NUP
b. Generalized Aggressive Periodontitis d. Aggressive Periodontitis
_________20. This disease has a poor serum antibody response to infecting agents and affects
persons under 30 years of age. There is loss of attachment on at least three permanent teeth.
a. Localized Aggressive Periodontitis c. NUP
b. Generalized Aggressive Periodontitis d. Aggressive Periodontitis
_________21. Also known as Trench mouth disease, which is the sequela of abundant plaque,
pre-existing gingivitis, psychological stress and immunosuppression. Spontaneous bleeding is
observed starting from the ulceration in the interdental papilla, general malaise due to fever is
observed and patient presents with halitosis.
a. ANUG c. NUP
b. Chronic Periodontitis d. Aggressive Periodontitis
_________22. This disease is characterized by sequestrum formation, bone loss and
generalized infection.
a. ANUG c. NUP
b. Chronic Periodontitis d. Aggressive Periodontitis
_________23. Dehumanizing orofacial gangrenous lesion which destroys the soft and hard
tissues of the oral and Para-oral structures. Risk factors are poverty, malnutrition and poor oral
hygiene. This disease is also called Cancrum oris
a. ANUG c. NUP
b. Foetor ex ore d. Noma
_________24. This is an inflammation observed in unerupted teeth, usually observed in
mandibular third molars.
a. Periodontal abscess c. Gingival abscess
b. Pericoronitis d. all of the choices
_________25. Physiological stage of development where there is thickening of placodes within
primary epithelial bands.
a. Initiation c. Bud stage
b. Proliferation d. Cap stage
_________26. It is the morphological stage of development that starts on the 11th week of the
embryo where dental organ, dental papilla and dental follicle are formed.
a. Bud stage c. Early bell stage
b. Cap stage d. Advanced bell stage

_________27. It is the morphological stage of development that starts on the 7th to 9th week of
the embryo where the first epithelial invagination into the oral ectomesenchyme is observed.
a. Bud stage c. Early bell stage
b. Cap stage d. Advanced bell stage
_________28. This component of the tooth germ produces cementoblasts, fibroblasts and
osteoblast
a. Dental lamina c. Dental papilla
b. Enamel organ d. Dental follicle/sac
_________29. If cementoblast produces cementum, and Osteoblasts produces alveolar bone,
what does Fibroblasts produce?
a. Dentin c. Pulp
b. Periodontal ligament d. Gingiva
_________30. Ameloblasts differentiates into what cells of the enamel organ?
a. Cervical loop c. inner enamel epithelium
b. Outer enamel epithelium d. Stratum intermedium
_________31. The root is formed from the cervical loop via _______________ which consists
of outer epithelial epithelium and inner epithelial epithelium.
a. Undifferentiated mesenchymal cells c. HERS
b. Bundle of HIS d. Dental sac
_________32. Permanent dentition has the same pattern as primary dentition and the tooth
germs of permanent incisors, canines and premolars also arise from the dental lamina.
However, permanent molars have no deciduous predecessors.
a. Both statement is True
b. Both statement is False
c. First statement is true, second statement is false
d. First statement is false, second statement is true
_________33. This is an autosomal dominant trait wherein the roots of the tooth/teeth are very
short and conical. The pulp chambers are obliterated by multiple nodules of poorly organized
dentin containing sheaves of tubules.
a. Ghost teeth c. Turner teeth
b. Rootless teeth d. evaginated odontome
_________34. This is a congenital abnormality in the number of teeth wherein there is complete
absence of dentition
a. Angiodontia c. Anodontia
b. Hypodontia d. Heterodontia
_________35. This disorder is a combination of environmental and genetic factors wherein the
teeth exceeds the normal dental formula.
a. Oligodontia c. Hypotrichosis
b. Hyperdontia d. Hypodontia
_________36. Dens invaginatus in Oehler’s category wherein the invagination extends beyond
cementoenamel junction, ending as blind sac and does not reach periapical tissues.
a. Type 1 c. Type 3
b. Type 2 d. Type 4
_________37. This is a rare genetic dental anomaly where there is abnormal proliferation of
inner enamel epithelium into the stellate reticulum of enamel organ. It is usually seen as an
extra cusp/tubercle that protrudes from the occlusal surface.
a. Dens invaginatus c. Talons cusp
b. Dens evaginatus d. Enamel pearl
_________38. Tooth Odontogenesis is the collective term for abnormal absence of teeth. The
usual teeth missing are maxillary lateral incisors, mandibular second molars, maxillary
premolars and third molars.
a. Both statement is True
b. Both statement is False
c. First statement is true, second statement is false
d. First statement is false, second statement is true
_________39. Term used for the supernumerary tooth located on the midline of maxillary
incisors.
a. Dens en dente c. Distadens
b. Mesiodens d. tubercle
_________40. This is an abnormality that is sometimes associated with dwarfism wherein the
teeth are normal in size and shape while the affected is smaller than the rest of the dentition.
The most frequently affected teeth are maxillary lateral incisors and third molars
a. Microdontia c. Macrodontia
b. Amelogenesis imperfecta d. Enamel pearl

_________41. Formation of two teeth from the same follicle with an evidence of an attempt for
the teeth to completely separate indicated clinically by a groove or depression
a. Fusion c. Concrescence
b. Gemination d. Twinning
_________42. Union of two tooth separate tooth buds, clinically seen with a groove or
depression in the tooth crown.
a. Fusion c. Concrescence
 b. Gemination d. Taurodontism
_________43. An abnormality of root morphologic condition that is seen in multi-rooted teeth
wherein there is an enlargement of pulp chamber which may reach proximity of root apex
caused by failure of HERS to invaginate at proper horizontal level.
a. Fusion c. Concrescence
b. Gemination d. Taurodontism
_________44. Form of fusion as a result of inflammatory response which caused cemental
deposition occurring when roots are already established. Mostly seen in maxillary molars.
a. Dilaceration c. Concrescence
b. Fusion d. Taurodontism
_________45. Angular position between two parts of a tooth whereby the calcified part is
displaced in relation to the uncalcified part
a. Dilaceration c. Concrescence
b. Fusion d. Taurodontism
_________46. This is a type of amelogenesiss imperfecta wherein crowns are smaller than
normal which is found in majority of cases seen as yellowish or brownish discolored crown with
the enamel calcified properly but not enough thickness.
a. Hypocalcification AI c. Hypomaturation AI
b. Hypoplastic AI d. Type IV AI
_________47. This is also called snowcapped Amelogenesis imperfecta, a defect in final growth
and maturation wherein there is normal thickness of enamel but too soft.
a. Hypocalcification AI c. Hypomaturation AI
b. Hypoplastic AI d. Type IV AI
_________48. This is the least common defect in the initial stages of enamel formation found in
7% of all Amelogenesis imperfect cases. The enamel is soft but the thickness is normal.
a. Hypocalcification AI c. Hypomaturation AI
b. Hypoplastic AI d. Type IV AI
_________49. This is a remnant of HERS which failed to separate from newly formed dentin
and continue to secrete enamel. Commonly seen in maxillary molars and always thought to be
subgingival calcular deposit.
a. Pulp stone c. Talons cusp
b. Enamel Pearl d. Leongs premolar
_________50. A collagen formation defect that affects both primary and permanent dentition.
This condition is of autosomal dominant trait seen as blue-gray or transparent discoloration in
the crown of the teeth.
a. Dentinal Dysplasia c. Amelogenesis imperfecta
b. Dentinogenesis imperfecta d. Regional odontodysplasia

II.A. Matching Type: Match column A ( Disorders of tooth development) on to Column B (

Morphologic stage of development- stage the defects or disorders occurred) . Write the
letter of your answer on the space provided. (Note: the choices in column B can be
repeated more than once)

Column A Column B
____C___1.Amelogenesis imperfecta A. Initiation
____D___2.Talons Cusp B. Proliferation
____D___3. Microdontia C. Histodifferentiation
____C___4. Dentinogenesis imperfecta D. Morphodifferentiation
____D___5. Gemination E. Apposition
____E___6. Concrescence
____E___7. Enamel Pearl
____A___8. Anodontia
____D___9. Peg shaped lateral
____B___10. Supernumerary tooth

Critical Thinking. (You can write at the back of your test papers if the space provided is
not enough)

1. Diagnose this case according to: (15 points)

a. Nature of overlying tissues
b. Winter’s Classification
c. Pell and Gregory’s Classification
2. One fine day a patient went to your clinic to ask for a second opinion, he said that he is
not satisfied with the diagnosis of the first dentist that he went to. Being an expert in Oral
Pathology and Oral Diagnosis you were challenged with his condition. The Patients name is
Wheres Waldo, 28 years old; he lives at a far-fetched barangay in San Carlos City, Pangasinan.
Mr. Waldo is complaining of generalized dental sensitivity, he also complains of the very
prominent yellowish to brown tooth discolorations which is making his appearance; according to
him “hindi nya ikina-pogi” (did not make him handsome). Aside from his complains, you noticed
that his teeth are very rough, pitted and smaller than normal in relation to his normal jaws. To
complete your history taking, you asked if aside from him, is the case also observed within his
family, and in his community. He told you that his Grandfather and younger brother also have
the same case, but the case is not apparent to his neighbors. You tried to scrape (using the
explorer) the tooth surface, you observed that the enamel is hard but too thin. (20 points)

Mr. Waldo said that the first dentist that he went to diagnosed him with severe fluorosis,
and to be treated with fluoridation every month.

a. Do you agree with the diagnosis of the first dentist? Yes/No. Justify and be specific with
your answer.
b. If your answer is yes, what is your additional treatment plan? If your answer is No, what
will be your ideal treatment plan?

3. What are the predominant bacteria found in Aggressive Periodontitis? (5 points)