INBDE (Integrated National Board Dental Examination) Practice Exam

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Ace your INBDE with our comprehensive practice exam. Featuring detailed explanations, interactive flashcards, and a wide array of multiple-choice questions designed to mirror the real test. Get ready to surpass your expectations!

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What is the mechanism of action (MOA) for Subantimicrobial-dose Doxycycline (SDD)?

  1. Promotes collagen synthesis

  2. Inhibits osteoblasts

  3. Inhibits MMPs (collagenases)

  4. Stimulates gingival growth

The correct answer is: Inhibits MMPs (collagenases)

SDD works by inhibiting MMPs or matrix metalloproteinases, specifically collagenases. These enzymes play a role in breaking down collagen, a key component in connective tissue, and are often found in excessive amounts in periodontal disease. By inhibiting MMPs, SDD helps to prevent the breakdown of collagen and promote the regeneration of healthy connective tissue in the gums. Options A, B, and D are incorrect as they do not describe the specific mechanism of action for SDD in treating periodontal disease. Promoting collagen synthesis would not target the root cause of periodontal disease, which is MMP overactivity. Inhibiting osteoblasts would actually be counterproductive as these cells are responsible for bone growth and regeneration. And stimulation of gingival growth would not directly address the issue of MMP overactivity and collagen breakdown in the gums.