Exam 2 Flashcards
The four basic steps to be considered when planning patient care are:
A) Develop a formal plan for care.
B) Select treatment and education interventions.
C) Establish the diagnosis
D) Collect and analyze assessment information.
D) Collect and analyze assessment information.
C) Establish the diagnosis
B) Select treatment and education interventions.
A) Develop a formal plan for care.
Is a systematic approach used to help the clinician determine changes and modifications needed when providing dental hygiene patient care.
A) OSCAR
B) ADPIED
C) Evidence-based care
D) Dental Hygiene Care Plan
A) OSCAR
What does OSCAR stands for?
A) Oral, Systemic, Capability, Autonomy, Reality
B) Oral, Systemic, Capability, Autonomy, Reliability
C) Oral, Systemic, Care, Autonomy, Reality
D) Oral, Systemic, Capability, Assessment, Reality
A) Oral, Systemic, Capability, Autonomy, Reality
Teeth, restorations, prostheses, periodontium, pulpal status, oral mucosa, occlusion, saliva, tongue, and alveolar bone are listed under what factors of concern in OSCAR?
A) Oral
B) Systemic
C) Reality
D) Autonomy
E) Capability
A) Oral
In OSCAR, normative age changes, medical diagnoses, pharmacologic agents and interdisciplinary communication are all examples of:
A) Systematic
B) Capability
C) Oral
D) Autonomy
E) Reality
A) Systematic
In OSCAR, functional ability, self-care, caregivers, oral hygiene, transportation to appointments, and mobility within the dental office are examples of:
A) Reality
B) Capability
C) Systematic
D) Oral
E) Autonomy
B) Capability
In OSCAR, decision-making ability, and dependence on alternative or supplemental decision makers are examples of:
A) Reality
B) Capability
C) Systematic
D) Oral
E) Autonomy
E) Autonomy
In OSCAR, prioritization of oral health, financial ability or limitations, and significance of anticipated life span are examples of:
A) Reality
B) Capability
C) Systematic
D) Oral
E) Autonomy
A) Reality
OSCAR is a systematic approach to identifying dental, medical/pharmacologic, functional, ethical, and fiscal factors that need to be evaluated and weighed when planning treatment for GERIATRIC individuals or those with DISABILITIES.
True
False
True
___________ is the cornerstone to developing a patient-centered care plan.
A) OSCAR
B) Risk Assessment
C) Evidence-Based care
D) ADPIED
B) Risk Assessment
Risk factors modulate the onset, severity, and prognosis of periodontal diseases, dental caries, and oral cancer.
True
False
True
The most significant periodontal risk factors are: Choose all that apply:
A) Alcohol use
B) Smoking
C) Genetics
D) Diabetes
E) HPV
B) Smoking
C) Genetics
D) Diabetes
The most significant oral cancer risk factors are: Choose all that apply
A) Diabetes
B) Tobacco use
C) HPV
D) Alcohol use
B) Tobacco use
C) HPV
D) Alcohol use
Reduction of risk factors improves therapy outcomes and prognosis.
True
False
True
________________________ and _________________ are important factors for the prevention or treatment of oral infectious diseases.
Patient compliance to self care regimens; reduction of risk
All of the following are NON-MODIFIABLE RISK FACTORS. Choose all that apply
Select the Correct Answers
A) HIV/AIDS
B) Immunosupression
C) Leukemia
D) Age
E) Race
F) Sex
G) Genetics
H) History of Disease
D) Age
E) Race
F) Sex
G) Genetics
H) History of Disease
Which of the following are NOT considered MODIFIABLE RISK FACTORS. Choose all that apply:
A) Lupus
B) Smoking and tobacco use
C) Oral health status and bleeding
D) Local contributing factors
E) Diabetes mellitus
F) Osteoperosis
G) Obesity
H) Medications
I) Xerostomia
J) Immunosupression
K) History of disease
A) Lupus
K) History of disease
Bacteria (periodontal pathogens) associated with Periodontal Disease that has STRONG evidence includes: Choose all that apply:
Select the Correct Answers
A) Aggregatibacter actinomycetemcomitans
B) Porphyromonas gingivalis
C) Prevotella melaninogenica
D) Tannerella forsythia
A) Aggregatibacter actinomycetemcomitans
B) Porphyromonas gingivalis
D) Tannerella forsythia
All of the following are PUTATIVE PATHOGENS. Choose all that apply.
Select the Correct Answers
A) Tannerella forsythia
B) Fusobacterium nucleatum
C) Aggregatibacter actinomycetemcomitans
D) Prevotella melaninogenica
E) Eubacterium spp
F) Prevotella intermedia
G) Porphyromonas gingivalis
H) Peptostreptococcus micros
B) Fusobacterium nucleatum
D) Prevotella melaninogenica
E) Eubacterium spp
F) Prevotella intermedia
H) Peptostreptococcus micros
Determining a dental hygiene diagnosis, formulating a treatment plan, and completely and accurately documenting all aspects of the dental hygiene process of care are elements of the standards for clinical dental hygiene practice
True
False
True
___________ refers to the ability to recognize or identify a disease.
A) Diagnosis
B) Assessment
C) Documentation
D) Implementation
C) Evaluation
D) Planning
A) Diagnosis
Diagnosis is based on: Choose all that apply:
Select the Correct Answers
A) Recognizing ethical and legal responsibilities of record keeping
B) Recording legible, concise, and accurate information.
C) Signs and symptoms
D) Interview with the patient and/or family
E) other pertinent health assessments
F) Physical examination
C) Signs and symptoms
D) Interview with the patient and/or family
E) other pertinent health assessments
F) Physical examination
All of the following are Key Areas of Assessment Data (10). Choose all that apply.
Select the Correct Answers
A) Scaling
B) General systemic
C) Dental Charting
D) Chief complaint
E) Nutrition
F) Periodontal
G) Hard tissue
H) Soft tissue
I) Oral Hygiene
J) Dental history
K) Radiographic survey
L) Oral habits
M) Air polishing
B) General systemic
D) Chief complaint
E) Nutrition
F) Periodontal
G) Hard tissue
H) Soft tissue
I) Oral Hygiene
J) Dental history
K) Radiographic survey
L) Oral habits
The dental hygiene treatment plan is based on: Choose all that apply:
Select the Correct Answers
A) Dental Hygiene diagnosis
B) Patient’s health history
C) Assessment findings
D) Current scientific evidence
E) Patient’s goal’s values and lifestyle
F) Patient wants
A) Dental Hygiene diagnosis
B) Patient’s health history
C) Assessment findings
D) Current scientific evidence
E) Patient’s goal’s values and lifestyle
Financial implications should be included in a treatment plan.
True
False
True
HIPPA Stands for: CHOOSE ALL THAT APPLY:
Select the Correct Answers
A) Act
B) Patient
C) Portability
D) Health
E) Accountability
F) Investment
G) Insurance
H) Ammendment
A) Act
C) Portability
D) Health
E) Accountability
G) Insurance
__________________ has been referred to as one of the most chronic and painful dental conditions that occurs often in the general population but is more prevalent in periodontal patients.
A) Dentin hypersensitivity
B) Enamel hypersensitivity
C) Pulpal hypersensitivity
D) Root hypersensitivity
A) Dentin hypersensitivity
What ensures greater success in managing, preventing, and relieving symptoms of dentin hypersensitivity?
A) Differential diagnosis of the etiology of dentin hypersensitivity in conjunction with evidence based-care
B) Patient education of dentin hypersensitivity in conjunction with evidence based-care
C) Differential diagnosis of the etiology of dentin hypersensitivity in conjunction with patient education.
C) Differential diagnosis of the etiology of dentin hypersensitivity in conjunction with patient education.
The _______________ elicit a well-localized sharp pain considered responsible for dentin hypersensitivity
A) myelenated A-delta fibers
B) myelinated C-delta fibers
C) myelinated D-delta fibers
D) myelinated B-delta fibers
A) myelenated A-delta fibers
Which are more responsive to electrical stimulation
A) C-fibers
B) A-beta fibers
C) A-delta fibers
B) A-beta fibers
The likelihood that a patient will experience dentin hypersensitivity is directly proportionate to the number of exposed dentin tubules.
True
False
True
The role of __________ is to cover the tubules and reduces sensitivity
A) smear layer
B) dentin
C) enamel
D) pulp cap
A) smear layer
What are the predisposing factors of dentin hypersensitivity?
Select the Correct Answers
A) Enamel loss (erosive dissolution with pH below 5.5)
B) Parafunctional oral habits (excessive brushing, poor oral hygiene, grinding, abrasion of root surfaces, etc.)
C) Anatomical abnormality (Malpositioned teeth, enamel and cementum do not meet at the cementoenamel junction)
D) Periodontal (gingival recession, exposed dentin, extensive tooth and root instrumentation)
A) Enamel loss (erosive dissolution with pH below 5.5)
B) Parafunctional oral habits (excessive brushing, poor oral hygiene, grinding, abrasion of root surfaces, etc.)
C) Anatomical abnormality (Malpositioned teeth, enamel and cementum do not meet at the cementoenamel junction)
D) Periodontal (gingival recession, exposed dentin, extensive tooth and root instrumentation)
he prevalence of dentin hypersensitivity is about:
A) 50-80%
B) 40-50%
C) 60-70%
D) 4-74%
D) 4-74%
The Basic Erosive Wear Examination (BEWE) of Hard tissue loss < 50% of surface area is:
A) 2
B) 5
C) 0
D) 3
E) 4
F) 1
A) 2
The Basic Erosive Wear Examination (BEWE)
Match the following:
0, 1, 2, 3
A) Hard tissue loss < 50% of surface area
B) No erosive tooth wear
C) Hard tissue loss > 50% of surface area
D) Initial loss of surface texture
0 - B) No erosive tooth wear
1 - D) Initial loss of surface texture
2 - A) Hard tissue loss < 50% of surface area
3 - C) Hard tissue loss > 50% of surface area
Treament options for managing dentin hypersensitivity includes: Choose all that apply:
A) Plug/block and occlude dentin tubules
B) Interrupt the transmission of neural impulses
A) Plug/block and occlude dentin tubules
B) Interrupt the transmission of neural impulses
Which desensitizing agents is classified as a nerve hyperpolarization, which interrupt nerve conduction?
A) Fluoride
B) Calcium sodium phosphosilicate
C) Silver nitrate
D) Potassium nitrate
Fluorides, oxalates, sodium citrates, and calcium compounds that Precipitate calcium fluoride or other compounds to block exposed or open tubules are classified as:
A) Calcium phosphate technology
B) Protein precipitants
C) Nerve hyperpolarization
D) Tubule obtundants
D) Tubule obtundants
Which of the following stains may be removed by scaling or polishing. (Discolorations of the teeth and restorations occur in three general ways)
Select the Correct Answers
A) Contained within calculus and soft deposits
B) Adheres directly to the surfaces
C) Incorporated within the tooth structure or the restorative material.
A) Contained within calculus and soft deposits
B) Adheres directly to the surfaces
The significance of stains is primarily the appearance or cosmetic effect.
True
False
True
Thick deposits of stain conceivably can provide a rough surface on which dental biofilm can collect and irritate the adjacent gingiva.
True
False
True
__________ occur on the external surface of the tooth and may be removed by procedures of toothbrushing, scaling, and/or polishing.
A) Extrinsic
B) Exogenous
C) Intrinsic
D) Endodogenous
A) Extrinsic
__________ occur within the tooth substance and cannot be removed by techniques of scaling or polishing.
A) Exogenous
B) Extrinsic
C) Intrinsic
D) Endogenous
C) Intrinsic
_________ develop or originate from sources outside the tooth
A) Exogenous
B) Intrinsic
C) Endogenous
D) Extrinsic
A) Exogenous
Exogenous stains may be EXTRINSIC and stay on the outer surface of the tooth or INTRINSIC and become incorporated within the tooth structure.
True
False
True
stains develop or originate from within the tooth.
A) Endogenous
B) Intrinsic
C) Exogenous
D) Extrinsic
A) Endogenous
Endogenous stains are ALWAYS INTRINSIC and usually are discolorations of the dentin reflected through the enamel.
True
False
True
Which stain is more evident when personal oral care procedures are neglected and usually caused by dietary sources.
A) Tobacco
B) Brown
C) Reduces caries
D) Black-line
C) Green
D) Orange
E) Yellow
E) Yellow
This stain is frequently superimposed by soft yellow or gray debris (materia alba and food debris) and are usually cause by oral uncleanliness, chromogenic bacteria, and gingival hemorrhage.
A) Red
B) Green
C) Yellow
D) Black-line
E) Orange
F) Brown
B) Green
Stains That are More common in female patients, and Frequently found in clean mouths.
A) Yellow
B) Orange
C) Brown
D) Red
E) Green
F) Black-line
G) Tobacco
F) Black-line
Tobacco stains are PRIMARILY found in ____________, and most FREQUENTLY found in ____________.
A) Cervical third/interproximal surfaces
B) Cervical third/lingual surfaces
C) Cervical third/facial surfaces
B) Cervical third/lingual surfaces
Chlorhexidine and alexidine which are used in mouthrinses and are effective against biofilm formation causes what type of stain?
A) Yellow
B) Tobacco
C) Red and orange
D) Metallic
E) Green
F) Brown
G) Black-line
F) Brown
Stannous Fluoride, Pigmented Foods, Anti-Biofilm Agents, Betel Leaf ,Swimmer’s Stain are all __________ stains.
A) Yellow
B) Tobacco
C) Red and orange
D) Metallic
E) Green
F) Brown
G) Black-line
F) Brown
More frequently on anterior than on posterior teeth and usually cause by Chromogenic bacteria.
A) Yellow
B) Tobacco
C) Red and orange
D) Metallic
E) Green
F) Brown
G) Black-line
C) Red and orange
Pulpless or Traumatized Teet, Disturbances in Tooth Development, Drug-Induced Stains and Discolorations can all cause ______________.
A) Endogenous Intrinsic Stains
B) Exogenous Extrinsic Stains
C) Endogenous Extrinsic Stains
D) Exogenous Intrinsic Stains
A) Endogenous Intrinsic Stains
Amelogenesis imperfecta, Dentinogenesis imperfecta, enamel hypoplasia, dental fluorosis are _____________.
A) Endogenous Intrinsic Stains
B) Exogenous Extrinsic Stains
C) Endogenous Extrinsic Stains
D) Exogenous Intrinsic Stains
A) Endogenous Intrinsic Stains
Silver Amalgam and Copper Amalgam are examples of
A) Endogenous Intrinsic Stains
B) Exogenous Extrinsic Stains
C) Endogenous Extrinsic Stains
D) Exogenous Intrinsic Stains
D) Exogenous Intrinsic Stains
Polishing is a technique used to remove extrinsic and intrinsic stains from the enamel surface.
True
False
False
