Preventive - Final Exam Test Questions Flashcards
Lamia Chen has come in because she is experiencing pain when eatingor drinking anything cold. The dentist has indicated that there is 2mm of recession on 3.1 and 4.1 facial. What type of fluoride would you recommend?
5% Sodium Fluoride Varnish
Julie Grooves is 23 years old and has never had any restorations but the dentist has noticed some new interproximal decay. What type of fluoride would you recommend?
1.23% Acidulated phosphate fluoride
Kevin Patel is 5 years old and at high risk for dental caries due to high amounts of dental plaque biofilm present. Kevin also frequently consumes foods and beverages high in fermentable carbohydrates. What type of fluoride would you recommend?
5% Sodium fluoride varnish
James Basil has many restorations in his mouth. He tells you at the
beginning of the appointment that he is attending a graduation ceremony after this appointment. He asks if you could please make sure his smile looks good at the end of this appointment. What fluoride would you recommend?
2.0% Neutral sodium fluoride tray
Sub-gingival calculus is:
not site specific and is found throughout the mouth
An extrinsic stain that can be removed by a selective polishing procedure:
tobacco stain
This component of the periodontium connects the cementum covering the root of the tooth with the alveolar bone of the tooth socket:
peridontal ligament
The bacteria found in dental _________cause inflammation by producing enzymes and toxins that destroy periodontal tissues and lower host defenses
plaque biofilm
What is true of dental caries?
it is a communicable bacterial disease
During periodontal probing, which sulcus measurement is considered normal?
3mm
What is the primary contraindication to using a disclosing solution?
allergy
The most commonly used disclosing agent in a dental office is:
erythrosin
Which of the following factors does not influence the stiffnes of the toothbrush filament?
end rounding of the filaments
Mineralized plaque is better known as:
calculus
Craig has noticed a little blood on his toothbrush and in the sink while he is brushing his teeth, along with increased inflammation. He related this to his dentist and, after a thorough exam was told that he had no bone loss or deeper than normal probed sulcus depth. Based on his dental examination what condition does Craig exhibit?
gingivits
Mr. Hooper has just been diagnosed with gingivitis by the dentist and asks you what he can do to revers this condition. Which of the following would be a helpful step in returning his gingiva to good health?
improved brushing and flossing
Desensitizing agents disrupt pain transmission by all except:
encorage secondary cementum to be deposited
(It does by… occluding the dentin tubules, preventing stimuli from moving through the dentin tubule, preventing nerve depolarization)
Light stains on the tooth surface can be removed with which material?
superfine silex
When choosing an abrasive material for a polishing procedure, it is important to select:
the least abrasive action
the abrasive agent used during coronal polishing actually removes a small amount of…
the fluroride rich outer enamel layer
What are contraindications for coronal polishing?
-absence of extrinsic stain on teeth
-newly erupted teeth
-rampant caries
What type of professional topical fluoride has the potential to etch porcelain or composite resin restorations?
Aciduated Phosphate fluoride
Fluorosis may result from excessive fluoride consumed during which of the following
the mineralization stage of tooth development
Which of the following is not a post-eruptive benefit of fluoride?
causes the development of shallow grooves
Benefits are…
-inhibits demineralization
-interferes with the metabolism of bacteria
-enhances remineralization
The two basic forms of periodontal disease are:
gingivitis and periodontitis
Decay that develops rapidly and is widespread throughout the mouth is ?
rampant caries
The earliest stage of dental caries is
Incipient
What colour stain is usually found in children?
GREEN
Which of the following oral hygiene aids would be the most effective in the removal of plaque biofilm from the large embrasure spaces?
interproximal brush
Transient pain coming from exposed dentin which can not be explained is referred to as:
dentinal hypersensitivity
Which factor does NOT need to be considered when recommending a specific toothbrush technique for a patient?
patient’s systemic health status
If you grasp an instrument too tight what happens
Decrease in tactile sensitivity
what is the last 1-2mm of an instrument classified as?
working end
what instrument would be used to detect supragingival calculus, decay and tooth irregularities?
explorer
the bass tooth brushing method is recommened for patients with?
periodontal pockets
air polishing is contraindicated for patients with?
asthma
exposed dentin
Sodium restrictive diet
abfractions may be caused by…
excessive clenching and grinding
in order to complete a Dental Assistant Plan for Treatment, what must be completed first?
Clincal observation, and all other assessments
what is the most important factor in prescribing fluoride?
risk factors
Which fluoride is not safe for composite resins, sealants and crowns?
Acidulated Phosphate Fluoride (APF)
Fluorisis is caused by…
too much fluoride intake prior to tooth eruption
if a child consumes an entire tube of fluoridated tooth paste, what should be done?
call 911 and induce vomitting
What is the optimum level of fluoride added to fluoridated drinking water?
0.70 mg/L
What theory explains dentinal hypersensitivity?
Hydrodynamic theory
What is a type 1 embrasure?
Fills the interproximal area under the contact
If a patient has a very large embrasure will a tooth pick work to help clean the area?
NO!
A disclosing agent is used to determine…
areas of plaque bioflim
why is it important to roll an instrument?
To maintain adaption to tooth surfaace
Which method of brushing is best for an individual with braces?
Charters
Removal of tooth structure, overheating the pulp, and bacteremia are all negative effects of which of the following?
Polishing
Flurorisis may result from excessive fluoride consumed during which of the following?
The mineralization stage of tooth development
Tooth abrasion is caused by…
Hard toothbrushing
Brushing with a hard bristle tooth brush
Toothpaste abrasiveness
Which fluoride is recommended for patients under the age of 6?
Varnish - always recomended for children!!
Post eruptive tooth fluoridation helps the tooth to become
more caries resistant
What causes teeth to demineralize?
If plaque is left on the teeth
Which of the following is not a post-eruptive benefit of fluoride?
Causes the development of shallow grooves
If a patient is expereincing dentinal hypersensitivity, which of the following could be a contributinf factor?
There is a gap between the cementum and enamel
Which of the following is not an indication for coronal polishing?
Endogenous instrinsic stain
the contrindications of coronal polishing is/are
reduces fluoride rich layer of the enamel
Coronal polishing done under..
Direct supervision of a licenced dentist
Which of the following are contraindications for coronal polishing?
absense of extrinsic stains
rampant caries
allergies to ingredients in paste
When performing coronal polishing the handpiece should be used at:
slow speed with light pressure
Air powder polishing is used to remove..
supragingival calculus
Benefits of fluoride
slows bacterial attachment and strengthens enamel
What is fluoride
Mineral
Fluoride helps..
strengthen teeth
the ingestion of excessive amounts of fluoride can…?
cause fluorosis prior to tooth eruption (during mineralization stage)
Fluorosis occurs when fluoride
is excessive
Fluoride is an organic mineral - true or false?
True
Plaque removal is recommended prior to placement of topical fluoride penetration of fluoride - true or false?
True - better absorption
When would you re-evaluate the OHI methods given to the patient?
at their next recall appointment
Oral hygiene instructions for ortho patient
brush and floss daily
check daily-broken/damaged wires, brackets or bands
rinse mouth to remove debris
Genetics is not related to individual’s susceptibility to perdontitis, it has to do with their oral hygeiene habits - True or False?
False - genetics is related to periodontitis
Floss holders are for patients who have issues with the manipulation of floss in the oral cavity such as..
patients with disabilities or dexterity issues
-young children who are not quite effective with their hands yet
Mouth rinses are recommended as part of a personal oral self care program for children under 6 years of age - true or false?
False - they can swallow a mouth rinse
The top portion of the tooth is called..
The Crown
Brushing with fluoride helps prevent caries - true or false?
True
You can have tooth decay and gum infection at the same time - true or false?
True
Post erruptive tooth fluoridation helps the tooth to become
more caries resistant
The Fones method is mostly recommended for..
Young children or patients with decreased dexterity
The Modified Bass Method of brushing is mostly recommended for
Healthy individuals with good dexterity
The Modified Stillman method of brushing is mostly recommended for..
patients with recession
The body can repair infected gums if helped with daily brushing and flossing - True or False?
True
Brushing and flossing daily is the best way to prevent dental disease - True or False?
True