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Which of the following is not included in the clinical symptoms of adult periodontitis?
Answer: d

The clinical symptoms of adult periodontitis are gingivitis, periodontal pocket formation, alveolar bone absorption and late tooth loosening and displacement, so A, B and E are correct. Periodontal abscess may be an accompanying symptom of periodontitis. True periodontal pocket formation is accompanied by attachment loss, so D is wrong. Choose d for this question.