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Periodontics · single question

Necrotizing periodontal disease is most characteristically associated with which predisposing factors?

  1. Excellent oral hygiene and low stress
  2. HIV/immunosuppression, malnutrition, psychological stress, and smoking
  3. Recent orthodontic treatment alone
  4. Dental fluorosis
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Correct answer: B. HIV/immunosuppression, malnutrition, psychological stress, and smoking

Necrotizing periodontal diseases (necrotizing gingivitis/periodontitis) are classically linked to immunocompromise (including HIV), malnutrition, significant psychological stress, poor oral hygiene, and tobacco use — the classic 'stress, smoking, and immunosuppression' triad.

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