Preventive - Final Exam Test Questions Flashcards

1
Q

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?

A

5% Sodium Fluoride Varnish

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2
Q

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?

A

1.23% Acidulated phosphate fluoride

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3
Q

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?

A

5% Sodium fluoride varnish

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4
Q

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?

A

2.0% Neutral sodium fluoride tray

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5
Q

Supra-gingival calculus is:

A

not site specific and is found throughout the mouth

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6
Q

An extrinsic stain that can be removed by a selective polishing procedure:

A

tobacco stain

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7
Q

This component of the periodontium connects the cementum covering the root of the tooth with the alveolar bone of the tooth socket:

A

peridontal ligament

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8
Q

The bacteria found in dental _________cause inflammation by producing enzymes and toxins that destroy periodontal tissues and lower host defenses

A

plaque biofilm

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9
Q

What is true of dental caries?

A

it is a communicable bacterial disease

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10
Q

During periodontal probing, which sulcus measurement is considered normal?

A

3mm

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11
Q

What is the primary contraindication to using a disclosing solution?

A

allergy

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12
Q

The most commonly used disclosing agent in a dental office is:

A

erythrosin

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13
Q

Which of the following factors does not influence the stiffnes of the toothbrush filament?

A

end rounding of the filaments

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14
Q

Mineralized plaque is better known as:

A

calculus

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15
Q

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?

A

gingivits

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16
Q

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?

A

improved brushing and flossing

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17
Q

Desensitizing agents disrupt pain transmission by all except:

A

encorage secondary cementum to be deposited

(It does by… occluding the dentin tubules, preventing stimuli from moving through the dentin tubule, preventing nerve depolarization)

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18
Q

Light stains on the tooth surface can be removed with which material?

A

superfine silex

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19
Q

When choosing an abrasive material for a polishing procedure, it is important to select:

A

the least abrasive action

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20
Q

the abrasive agent used during coronal polishing actually removes a small amount of…

A

the fluroride rich outer enamel layer

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21
Q

What are contraindications for coronal polishing?

A

-absence of extrinsic stain on teeth
-newly erupted teeth
-rampant caries

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22
Q

What type of professional topical fluoride has the potential to etch porcelain or composite resin restorations?

A

Aciduated Phosphate fluoride

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23
Q

Fluorosis may result from excessive fluoride consumed during which of the following

A

the mineralization stage of tooth development

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24
Q

Which of the following is not a post-eruptive benefit of fluoride?

A

causes the development of shallow grooves

Benefits are…
-inhibits demineralization
-interferes with the metabolism of bacteria
-enhances remineralization

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25
Q

The two basic forms of periodontal disease are:

A

gingivitis and periodontitis

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26
Q

Decay that develops rapidly and is widespread throughout the mouth is ?

A

rampant caries

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27
Q

The earliest stage of dental caries is

A

Incipient

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28
Q

What colour stain is usually found in children?

A

GREEN

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29
Q

Which of the following oral hygiene aids would be the most effective in the removal of plaque biofilm from the large embrasure spaces?

A

interproximal brush

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30
Q

Transient pain coming from exposed dentin which can not be explained is referred to as:

A

dentinal hypersensitivity

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31
Q

Which factor does NOT need to be considered when recommending a specific toothbrush technique for a patient?

A

patient’s systemic health status

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32
Q

If you grasp an instrument too tight what happens

A

Decrease in tactile sensitivity

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33
Q

what is the last 1-2mm of an instrument classified as?

A

working end

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34
Q

what instrument would be used to detect supragingival calculus, decay and tooth irregularities?

A

explorer

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35
Q

the bass tooth brushing method is recommened for patients with?

A

periodontal pockets

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36
Q

air polishing is contraindicated for patients with?

A

asthma
exposed dentin
Sodium restrictive dentin

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37
Q

abfractions may be caused by…

A

excessive clenching and grinding

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38
Q

in order to complete a Dental Assistant Plan for Treatment, what must be completed first?

A

Clincal observation, and all other assessments

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39
Q

what is the most important factor in prescribing fluoride?

A

risk factors

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40
Q

Which fluoride is not safe for composite resins, sealants and crowns?

A

Acidulated Phosphate Fluoride (APF)

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41
Q

Fluorisis is caused by…

A

too much fluoride intake prior to tooth eruption

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42
Q

if a child consumes an entire tube of fluoridated tooth paste, what should be done?

A

call 911 and induce vomitting

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43
Q

What is the optimum level of fluoride added to fluoridated drinking water?

A

0.70 mg/L

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44
Q

What theory explains dentinal hypersensitivity?

A

Hydrodynamic theory

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45
Q

What is a type 1 embrasure?

A

Fills the interproximal area under the contact

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46
Q

If a patient has a very large embrasure will a tooth pick work to help clean the area?

A

NO!

47
Q

A disclosing agent is used to determine…

A

areas of plaque bioflim

48
Q

why is it important to roll an instrument?

A

To maintain adaption to tooth surfaace

49
Q

Which method of brushing is best for an individual with braces?

A

Charters

50
Q

Removal of tooth structure, overheating the pulp, and bacteremia are all negative effects of which of the following?

A

Polishing

51
Q

Flurorisis may result from excessive fluoride consumed during which of the following?

A

The mineralization stage of tooth development

52
Q

Tooth abrasion is caused by…

A

Hard toothbrushing
Brushing with a hard bristle tooth brush
Toothpaste abrasiveness

53
Q

Which fluoride is recommended for patients under the age of 6?

A

Varnish - always recomended for children!!

54
Q

Post eruptive tooth fluoridation helps the tooth to become

A

more caries resistant

55
Q

What causes teeth to demineralize?

A

If plaque is left on the teeth

56
Q

Which of the following is not a post-eruptive benefit of fluoride?

A

Causes the development of shallow grooves

57
Q

If a patient is expereincing dentinal hypersensitivity, which of the following could be a contributinf factor?

A

There is a gap between the cementum and enamel

58
Q

Which of the following is not an indication for coronal polishing?

A

Endogenous instrinsic stain

59
Q

the contrindications of coronal polishing is/are

A

reduces fluoride rich layer of the enamel

60
Q

Coronal polishing done under..

A

Direct supervision of a licenced dentist

61
Q

Which of the following are contraindications for coronal polishing?

A

absense of extrinsic stains
rampant caries
allergies to ingredients in paste

62
Q

When performing coronal polishing the handpiece should be used at:

A

slow speed with light pressure

63
Q

Air powder polishing is used to remove..

A

supragingival calculus

64
Q

Benefits of fluoride

A

slows bacterial attachment and strengthens enamel

65
Q

What is fluoride

A

Mineral

66
Q

Fluoride helps..

A

strengthen teeth

67
Q

the ingestion of excessive amounts of fluoride can…?

A

cause fluorosis prior to tooth eruption (during mineralization stage)

68
Q

Fluorosis occurs when fluoride

A

is excessive

69
Q

Fluoride is an organic mineral - true or false?

A

True

70
Q

Plaque removal is recommended prior to placement of topical fluoride penetration of fluoride - true or false?

A

True - better absorption

71
Q

When would you re-evaluate the OHI methods given to the patient?

A

at their next recall appointment

72
Q

Oral hygiene instructions for ortho patient

A

brush and floss daily
check daily-broken/damaged wires, brackets or bands
rinse mouth to remove debris

73
Q

Genetics is not related to individual’s susceptibility to perdontitis, it has to do with their oral hygeiene habits - True or False?

A

False - genetics is related to periodontitis

74
Q

Floss holders are for patients who have issues with the manipulation of floss in the oral cavity such as..

A

patients with disabilities or dexterity issues
-young children who are not quite effective with their hands yet

75
Q

Mouth rinses are recommended as part of a personal oral self care program for children under 6 years of age - true or false?

A

False - they can swallow a mouth rinse

76
Q

The top portion of the tooth is called..

A

The Crown

77
Q

Brushing with fluoride helps prevent caries - true or false?

A

True

78
Q

You can have tooth decay and gum infection at the same time - true or false?

A

True

79
Q

Post erruptive tooth fluoridation helps the tooth to become

A

more caries resistant

80
Q

The Fones method is mostly recommended for..

A

Young children or patients with decreased dexterity

81
Q

The Modified Bass Method of brushing is mostly recommended for

A

Healthy individuals with good dexterity

82
Q

The Modified Stillman method of brushing is mostly recommended for..

A

patients with recession

83
Q

The body can repair infected gums if helped with daily brushing and flossing - True or False?

A

True

84
Q

Brushing and flossing daily is the best way to prevent dental disease - True or False?

A

True

85
Q

Which bacterial lives in our mouth that causes tooth decay and cavities?

A

Mutans streptococci

86
Q

Professionalism means to you..

A

adhere to the standards of Practice of CADA

87
Q

Complying with legal standards for chart entries includes which of the following:

A

Date of treatment
Patients Name
Procedures completed

88
Q

I can discuss Patient’s medical histories with anyone.. True or False?

A

FALSE

89
Q

It is critical for all IPC standards to be followed during patient care - true or false?

A

True

90
Q

If a patient uses a power toothbrush you do not have to recommeend a manual method - True or False

A

False

91
Q

It is important when recommending OH goals with a patient that they are

A

Realistic, Patient-Specific, Measurable, Scientific and evidence based

92
Q

The higher the plaque control score of a patient the better - True or False?

A

False

93
Q

This mineral is added to our water to help prevet tooth decay (cavities)

A

fluoride

94
Q

What is the substance that builds up on your teeth overtime without brushing?

A

Plaque

95
Q

Tooth decay, gum disease and orthodontic problems are common for children and youth - True or False?

A

True

96
Q

When completeing a comprehensive periodontal examination, there are ___ readings taken per tooth.

A

6

97
Q

If acid is left on a tooth for too long, it creates ….

A

A cavity

98
Q

Plaque causes

A

decalcification

99
Q

What type of deposit forms within minutes after erruption of the tooth or after the removal of hard and soft deposits?

A

Acquired pellicle

100
Q

Gingivitis is irreversible. Perdontal is reversible. True or False?

A

Both are false

101
Q

Bacteria on the teeth and inside the mouth

A

biolfilm

102
Q

What do bacteria do?

A

cause disease
release toxins
damage our blood cells
Destroy pathogens

103
Q

There are more bacteria in your mouth than people in the world - True or false?

A

True

104
Q

What type of bacteria is found in the mouth?

A

Lactobacllius
Staphylococcus
E.Coli

105
Q

Untreated gingivtis can lead to peridontal disease - True or False?

A

True

106
Q

There are about 1 billion bacteria in your mouth right now - true or false?

A

True

107
Q

The difference between gingivits and peridontitis is??

A

Peridontitis causes tissues damage and bone loss

108
Q

You can proceed with you CO before the Dentist or Hygienist has reviewed the Medical History - True or False

A

False

109
Q

What is contraindications for coronal polishing?

A

Absense of extrinsic stain
rampant caries
allergies to ingredients in paste

110
Q

The DA plan for treatment does not include current OH Methods

A

False

111
Q

The patient must consent to treatment prior to starting polishing - true or false?

A

True

112
Q

Gingivitis is..

A

reversible

113
Q
A