Final Study Guide Flashcards
The practice of pediatric dentistry for the child patient includes measures that are:
Preventative
Restorative
Corrective
Nutritional
To provide a favorable environment for the apprehensive child patient, the child’s appointment should be:
After nap time or early in the morning
Objective fears are hindrance when treating a child patient because they are:
real
Preformed stainless steel crowns are indicated for teeth that are
Badly decayed
Fractured
Malformed
In a vital pulpotomy, _______ is/are applied over the calcium hydroxide
Zinc-oxide eugenol cement
Which instruments are used to remove pupal debris from canals?
Broachers
Which instrument would be used to enlarge, shape, and smooth the pulp canal?
Files
Non-specific chemicals such as formocresol and or sodium hypochlorite are used for ____ and are applied into the tooth with ____
Irrigating the canal- syringes
Which of the following refers to necrotic pulp?
Non-vital
A pulpotomy involves:
Removal of the pulp chamber only
The tooth that is discolored (darkened) following endo. Treatment may be:
Bleached
An opening on the mucosa that provides drainage from a site of injection is called:
Fistula
Intracanal instruments and materials can be sterilized during the endodontic procedure by:
(The answer should be glass bead sterilizer)
Placing in a hot bead/salt sterilization prior to use
Radiographs are an essential part of endodontic treatment because
Teeth may be maloccluded
Tooth involved may be vital
Accurate measurement of the canal must be made
Which of the following are separators used to separate teeth prior to orthodontic banding:
Elastics
Steel spring wire
Brass wire
Which of the following classification of malocclusion describes the protruding mandible?
Mesioocclusion
Which of the following orthodontic tasks may be delegated to a dental hygienist?
Alginate impression for study casts
Placing head gear
Removing excess cement supra and subgingivally
Placing and removing arch wires and ligature wires
_____ is when bone cells disappear b/c it tension (pressure) is applied to a tooth/teeth… think cellulary
Osteoclastic process
The metabolic process that causes osteoblasts to be generated within a space around a tooth is known as:
deposition
Pedodontics is the speciality devoted to which of the following?
Preventative treatment of individuals from birth through stages of mixed and perm dentition
The principle ingredient of reversible hydrocolloid is:
agar
When converting from sol to a gel, a reversible hydrocolloid undergoes what type of reaction?
chemical
If left in water, an alginate impression may swell and will undergo what process?
imbibition
What do you do first if you suspect a patient has swallowed a toxic amount of fluoride?
Have them consume calcium binding agent, water, or milk
When a restorative or endodontic procedure is performed, the rubber dam is used to:
Isolate the tooth
Prevent chemicals from entering the oral cavity
A ___ is an artificial wall used to replace and restore normal contour of a prepared tooth while the restorative material is being placed.
matrix band
The matrix band extends approx. ___ to __ beyond the gingival margin of a prep.
1mm to 1.5mm
The final step in an amalgam procedure is:
Carving anatomic detail
A wedge is sometimes used to:
Stabilize the band
The smaller circumference of a matrix band goes toward:
Gingiva
T/F: The tofflemire retainer and matrix bands are removed from a tooth as one unit
False
T/F: A tofflemire retainer and band are always necessary in the restoration of a class I cavity
False
If your patient has a history of asthma, you will:
Keep their inhaler out during treatment
____ is added to small quantities to local anesthetic solutions to increase the duration of the anesthetic effect.
Epinephrine - VASOCONSTRICTOR
Nitrous oxide and oxygen can be used during procedures to induce:
General anesthesia
Conscious sedation
Local anesthesia
Epinephrine is an
vasoconstrictor
The nitrous oxide canister is ____ and the oxygen is ____ color :
Blue-green
____ anesthetics are used for their ability to only penetrate the oral mucosa and depend upon diffusion to be effective:
Topical
_____ types of local anesthic agents are more likely to cause an allergic reaction:
Ester
An anesthetic carpule contains approx.
1.8 cc
Local anesthesia with epinephrine may be contraindicated for patients with a history of:
Heart disease
Hypertension
To operate on the maxillary second and third molars the dentist would anesthetize the ___ nerve
PSA
In order to replace a minor chipped restoration on a mand anterior, the dentist would most likely would give a :
Mandibular infiltration injection
Most commonly the short needle is used for block anesthesia and long needle for infiltration anesthesia
true
LONG NEEDLE = ~32MM - INFILTRATION
SHORT NEEDLE = ~20MM - BLOCKS
Because of its accessibility the ____ artery is most commonly used for determining the pulse rate
radial
_____ rate usually increases with pain, fever, or excitement. The normal adult rate averages between 16 and 20
respiration
Ingestion of stimulants and or depressants will most importantly effect the
BP
A dental assistant who provides direct patient care is not protected by the doctrine “respondant superior” (let the master answer) therefore he/she protect themselves by:
Carrying malpractice insurance
A hygienist or assistant who performs “expanded functions” that are not legal in the state in which he/she practices:
Considered guilty of criminal act
Considered guilty of the unlicensed practice of dentistry
A patient has a carious lesion on the distal surface of tooth 30 and the mesial surface of tooth 31. The patient has class ____ cavities and needs ___ restorations
2- M and D
Which of the following is NOT normal or ideal occlusion?
Maxillary anterior teeth are slightly prominent and the jaw is long
Fixed bridges can be fabricated
Entirely of gold
Combination of gold and porcelain facings
Porcelain facing to metal
The function of the preliminary impression in full denture construction is to:
Construct a custom tray to be used to make denture
The adaption by patients to wearing full mandibular dentures will depend upon the:
Age of the patient
Number of sore spots after two days
Patients desires to wear dentures
How many times they have the dentures adjusted
The middle superior alveolar branch of the infra-orbital nerve supplies:
The premolars and mesiobuccal root of the 1st molar
Which is the only emergency for which oxygen is not usually recommended
hyperventilation
All of the following oral signs are usually present in a patient with a history of seizure disorders except:
all are correct
If a patient with a history of toxic reaction to injection of local anesthetic, which of the following would cause the least allergic reaction
Mepivacaine (carbocaine)
Nitrous oxide analgesia is NOT recommended for:
pregnant women
mouth breathers
The following symptoms may be noticed by the patient who has been administered the correct amount of nitrous oxide:
Tingling in the extremities
Floating
Dreaminess
Relaxation, euphoria
Orthodontics is the practice of
Studying the growth and development of the primary and permanent dentition
Development of the skull, facial and oral structures
Studying the swallowing and breathing patterns
Preventative and corrective techniques to promote normal occlusions
To provide a longer work time for setting of the cement in the banding process, what procedure is followed?
Use a cold glass slab
A tongue thrust or thumb sucking habit persisting past age of mixed dentition usually results in
open bite
A person who has a fixed bridge should not be taught the following during home care
Floss holder
Percussion is a term related to
Testing the vitality of a tooth
Testing the mobility of a tooth
Gently tapping a tooth
T/F: A smear biopsy is when the entire lesion is removed
false
The most accurate means for assessing the location and extent of bone loss is by
radiographs
A pedodontic space maintainer is a fixed or removable device that
Maintains space until permanent teeth erupt
One of the most successful methods used to create a good patient from child difficult to treat is to
Use a reward system for good behavior
In order to achieve retention of a restorative material within a cavity preparation, the operator would:
create an undercut
The resorption of the roots of primary teeth is the normal process of preparing those teeth for
exfoliation
Which of the following procedures involves the removal of epithelial lining, granulation tissue and or damaged tissues of a perio pocket?
Subgingival curettage
Probing measurements are recorded at what number of points around each tooth
Six
The most significant diagnostic sign of gingival inflammation is
Bleeding
A surgical procedure to remove disease gingiva thereby reducing perio pockets is
Gingivectomy
A surgical procedure to remove tissue from a donor site and suture in place at a receiver site is
Soft tissue graft
The surgical reshaping of the bone is
Osteoplasty
A combination of the following will most effectively remove plaque
Brushing and flossing
Which of the following would not be true for an undermixed amalgam?
It has greater strength than normal
Cavity varnish is used to
Seal dentinal tubules
Which of the following material would provide substantial thermal protection for the pulp?
Thin cavity liner or base
Case Study: What disease might this patient have?
Hepatitis
Case Study: The best choice of treatment at appointment
use universal precautions and continue treatment
one of the most important human barriers for protection from diseases for the dental hygienist is
Intact skin
On a fixed (cemented) bridge, the pontic tooth is
The missing tooth
The new guideline for chest compressions and rescue breaths while preforming CPR should be:
30:2
Ethical dilemma is:
Two ethical principles are in conflict and regardless of decision and ethical principle will be violated
If a dental hygienist does not follow the code of ethics, he/she will
Loose his/her license
Loose respect from colleagues and clients
Be placed on probation
The maximum pressure exerted against the walls of a blood vessel is called
Systolic pressure
A mesial cavity in a mandibular right second premolar is classified as
Class II
Which of the following dental aids would be best in an interdental area with a slight space
Proxibrush
Which of the following dental aids would be most beneficial for a patient with dexterity issues
Floss holder
For an ASA injection should be place at the apex of the
Max canine
T or F: There has been a recent change in the blood pressure guideline for adults, 120- 129 over <80 is considered hypertension stage 1
(F) - 130-139
The most frequently used medicaments for irrigation in root canal therapy are:
Hydrogen peroxide
Sodium hypochlorite
