Periodontics · single question

Which of the following is NOT an indicator/sign of periodontitis?

  1. Clinical attachment loss (CAL)
  2. Gingival inflammation
  3. Probing pocket depth
  4. Presence of calculus
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Correct answer: D. Presence of calculus

  • A. CAL IS the primary indicator of periodontitis — loss of attachment at the CEJ distinguishes periodontitis from simple gingivitis.
  • B. Gingival inflammation (BOP, erythema, edema) IS a sign of periodontitis — though it can also be gingivitis without attachment loss.
  • C. Pocket depth IS an indicator of periodontitis (pathological pockets >3 mm with attachment loss).
  • D. Calculus is NOT an indicator of periodontitis per se — it is a RISK FACTOR and a local irritant. Calculus can be present without periodontitis. Periodontitis is diagnosed by CAL, radiographic bone loss, and clinical signs — not by the presence of calculus alone.

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