Exam 3 (Chs. 9-12) Flashcards
Which of the following represent short dentinal tubules located near the dentinoenamel junction within mature enamel?
a. Enamel tufts
b. Enamel lamellae
c. Enamel spindles
d. Enamel rods
c. Enamel spindles
Where are the taste buds located within the circumvallate lingual papillae on the dorsal surface of the tongue?
a. None are present within the epithelium.
b. Hundreds are surrounding the entire base.
c. The are on the lateral parts of structure.
d. A variable number can be found in the most superficial part.
b.Hundreds are surrounding the entire base.
Which of the following are noted as small, dark brushes with their bases near the dentinoenamel junction within mature enamel?
a. Enamel tufts
b. Enamel lamellae
c. Enamel spindles
d. Enamel rods
a.Enamel tufts
The mucogingival junction is absent from which of the following oral surfaces?
a. Buccal surface of the maxillary arch
b. Palatal surface of the maxillary arch
c. Facial surface of the mandibular arch
d. Lingual surface of the mandibular arch
b.Palatal surface of the maxillary arch
Which of the following will extend through the gingival epithelial cell membrane, recognizing the presence of the bacterial endotoxins so as to mobilize the inflammatory response?
a. Tonofilaments
b. Toll-like receptors
c. Lysosomes
d. Chromatin
b.Toll-like receptors
Where is the tonsillar tissue located in the oral cavity?
a. Epithelium
b. Lamina propria
c. Basement membrane
d. Submucosa
b. Lamina propria
* Tonsillar tissue - Nonencapsulated masses of lymphoid tissue.*
In what part of the erupted tooth is mature enamel noted?
a. Anatomical crown
b. Anatomical root
c. Both anatomical crown and clinical crown
d. Both anatomical root and clinical root
c.Both anatomical crown and clinical crown
Both the attached gingiva and buccal mucosa are mainly pinkish in color and
not reddish due to the:
a. vascularity of the lamina propria.
b. closeness to bone tissue.
c. decreased number of melanocytes.
d. increased thickness of the epithelial layers.
d.increased thickness of the epithelial layers
What stops the gently used periodontal probe when reading the depth of a
healthy gingival sulcus?
a. Col
b. Sulcular epithelium
c. Epithelial attachment
d. Attached gingiva
c. Epithelial attachment
Enamel can be lost by _____ , which is caused by increasing the tensile and compressive forces during tooth flexure, which possibly occurs during parafunctional habits with their occlusal loading.
a. abrasion
b. erosion
c. abfraction
d. attrition
c. abfraction
Hard tooth tissue loss from tensile and
compressive forces during tooth flexure.
From what structure does the lymph flow out of the lymph node?
a. Afferent vessel
b. Hilus
c. Efferent vessel
d. Lymphatic nodule
c.Efferent vessel = out
Afferent = in
Which of the following is not a prominent histologic characteristic of pocket epithelium?
a. Ulceration
b. Gingival hyperplasia
c. Smooth interface
d. Wrinkled papillary relief
c.Smooth interface
Which of the following statements concerning granulation tissue formation during the repair process in the oral mucosa is correct?
a. Has more fibers in the lamina propria
b. Has a decreased number of blood vessels
c. Appears as a hard, dark red dried scab
d. Is later replaced by firmer and paler scar tissue
d.Is later replaced by firmer and paler scar tissue
Which of the following statements concerning gingival crevicular fluid within a healthy gingival sulcus is correct?
a. Flow rate is fast
b. Contains white blood cells
c. Contains watery salivary components
d. Contains secretory IgA
b. Contains white blood cells
The sulcular epithelium that creates the gingival sulcus is of _____ type(s) of epithelium, with its cells tightly packed.
a. an orthokeratinized
b. a nonkeratinized
c. a parakeratinized
d. both nonkeratinized or parakeratinized
b.a nonkeratinized
Which of the following is not a usual way for erosion of enamel to occur?
a. Bulimia
b. Gastric reflux
c. Drinking carbonated drinks
d. Acid production by cariogenic bacteria
d. Acid production by cariogenic bacteria
Which of the following is an overgrowth of mainly the interproximal gingiva from the result of drugs (Phenytoin Sodium), certain antibiotics, & specific heart medications?
A. Hypertrophy
B. Gingival Recession
C. Gingival Hyperplasia
D. Periodontitis
Gingival Hyperplasia
The crystals in the enamel rod groups bend sinusoidally to the right or left at a slightly different angle than do adjacent groups, which is shown in the:
a. Tomes granular layer.
b. Hunter-Schreger bands.
c. lines of Retzius.
d. imbrication lines of von Ebner.
b.Hunter-Schreger bands.
Dentin forming cells?
(A) Ameloblasts
(B) Odontoblasts
(C) Outer cells (dental papilla)
(E) Preameloblast
Odontoblasts
What structure is responsible for root development?
(A) Cervical Loop
(B) Hertwig Epithelial Root Sheath
(C) Cementocytes
(D) Cementogenesis
Cervical Loop; most cervical part of enamel organ
What is one difference in the repair process of the oral mucosa as compared to that of the skin?
a. Dry scab is present.
b. Clot stays moist over time.
c. Inflammatory response is triggered.
d. Fibroblasts migrate to produce immature connective tissue.
b.Clot stays moist over time.
The reduction in the amount of glandular secretion noted in patients with xerostomia is called:
a. dysplasia.
b. hyposalivation.
c. cystic transformation.
d. ossification.
b.hyposalivation.
Which of the following occurs with the deposition of minerals into mature enamel?
a. Demineralization
b. Erosion
c. Remineralization
d. Abfraction
c. Remineralization
Which of the following areas of the oral cavity is categorized as a lining mucosa?
a. Attached gingiva
b. Hard palate
c. Ventral tongue surface
d. Dorsal tongue surface
Ventral tongue surface
lining mucosa = buccal mucosa, labial mucosa, alveolar
mucosa, as well as the oral mucosa lining theventral surface of the
tongue, floor of the mouth, and soft palate.
Microscopically lining mucosa associated with nonkeratinized
stratified squamous epithelium
Attached gingiva, hard palate, and dorsal tongue surface = masticatory
After the ameloblasts are finished with both enamel appositional growth and maturation, they become part of the:
a. odontoclast population.
b. Hertwig epithelial root sheath.
c. reduced enamel epithelium.
d. cervical loop.
c.reduced enamel epithelium.
Which of the following marks the periodontopathogens for destruction by white blood cells?
a. Basal striations
b. Cross-reactive protein
c. Myoepithelial cell
d. Thyroxine
b.Cross-reactive protein
Which of the following is an enamel loss that results from friction caused by excessive toothbrushing and abrasive toothpaste?
a. Abrasion
b. Erosion
c. Abfraction
d. Attrition
a. Abrasion
Enamel matrix is a(n) _____ product because ameloblasts are derived from the inner enamel epithelium of the enamel organ.
a. ectodermal
b. endodermal
c. mesodermal
d. neural crest cell
a.ectodermal = outer
Enamel matrix is produced by the _____ cells.
a. ameloblasts
b. odontoblasts
c. odontoclasts
d. cementoblasts
a.Ameloblasts
Which of the following is a projection of the basal or secretory end of each ameloblast that faces the dentinoenamel junction?
a. Enamel spindle
b. Tomes process
c. Tomes granular layer
d. Hunter-Schreger bands
b. Tomes process
Which of the following layers make up the bulk of nonkeratinized epithelium in the oral cavity?
a. Basal layer
b. Intermediate layer
c. Superficial layer
d. Prickle layer
b. Intermediate layer
Lymph from a particular tissue region drains directly into the:
a. primary nodes.
b. secondary nodes.
c. central nodes.
d. lymphatic nodules.
a.primary nodes.
In salivary glands, which of the following structures is composed of secretory epithelial cells?
a. Acinus
b. Capsule
c. Lobule
d. Excretory duct
a.Acinus
Acinus - group(s) of secretory cells of the salivary gland.
Of the various epithelia that make up the gingiva, which one does not normally keratinize?
a. Sulcular epithelium
b. Junctional epithelium
c. Both sulcular and junctional epithelia
d. Neither sulcular or junctional epithelia
c.Both sulcular and junctional epithelia
Which embryonic structure is specifically responsible for the
development of the root?
a. Stellate reticulum
b. Enamel organ
c. Stratum intermedium
d. Cervical loop
d. Cervical loop
The epithelial attachment refers to the internal basal lamina and the:
a. apical layer of junctional epithelium.
b. interface of junctional epithelium with the tooth.
c. hemidesmosomes of the suprabasal cells.
d. desmosomes of the prickle cell layer.
c.hemidesmosomes of the suprabasal cells.
Which of the following cell types are not renewable during the lifetime of the tooth?
a. Ameloblasts
b. Odontoblasts
c. Odontoclasts
d. Cementoblasts
a. Ameloblasts
Which of the following is considered part of the dentogingival junctional tissue within a healthy oral cavity?
a. Periodontal epithelium
b. Junctional epithelium
c. Sulcular epithelium
d. Both junctional and sulcular epithelia
d.Both junctional and sulcular epithelia
Which of the following salivary glands is unencapsulated?
a. Submandibular gland
b. Parotid gland
c. Sublingual gland
d. Both parotid and sublingual glands
c.Sublingual gland
ONLY UNENCAPSULATED GLAND
Which of the following can never be palpated during an
extraoral examination of a patient?
a. Thyroid gland
b. Lymph nodes
c. Parathyroid glands
d. Parotid gland
c. Parathyroid glands
Which is the second largest, encapsulated gland that
provides 65% of the total saliva?
A. parotid
B. sublingual
C. Bartholin’s duct
D. submandibular
D. submandibular
The function of the ______ is the taste sensation.
a. circumvallate
b. folate
c. fungiform
d. filiform
circumvallate = taste buds
Which of the following paranasal sinuses may be compromised with a periapical infection in a permanent maxillary molar?
a. Maxillary sinus
b. Frontal sinus
c. Sphenoidal sinus
d. Ethmoidal sinuses
a.Maxillary sinus
The outer cells of the dental papilla are induced to differentiate during
tooth development into:
a. pulp tissue.
b. preameloblasts.
c. odontoblasts.
d. cementoblasts.
c. odontoblasts.
Which of the following can occur with an excessive amount of systemic fluoride during tooth development?
a. Enamel caries
b. Enamel dysplasia
c. Enamel erosion
d. Enamel abfraction
b.Enamel dysplasia
or
dental fluorosis
Which of the following permanent teeth usually show the most attrition
of enamel over time?
a. First molars
b. Second molars
c. Third molars
d. All equally show attrition
a. First molars
In what direction is the migratory route of the cells as turnover takes place in the junctional epithelium?
a. Coronal direction
b. Apical direction
c. Parallel to the apical crest of bone
d. Perpendicular to the tooth surface
a.Coronal direction
What is a carious lesion invaded through enamel either by
pits and grooves or through smooth surface
Enamel Caries
enamel caries = is a process through which a cavity is created by demineralization or loss of minerals. This demineralization is
due to acid production by cariogenic bacteria and occurs to
enamel** when the **pH is less than 5.5
Where is the lingual tonsil located in the oral cavity?
a. Dorsal tongue surface
b. Lateral tongue surface
c. Walls of the nasopharynx
d. Between the faucial pillars
a. Dorsal tongue surface