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

Sub-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 diet

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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!

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47
Q

A disclosing agent is used to determine…

A

areas of plaque bioflim

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48
Q

why is it important to roll an instrument?

A

To maintain adaption to tooth surfaace

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49
Q

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

A

Charters

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50
Q

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

A

Polishing

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51
Q

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

A

The mineralization stage of tooth development

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52
Q

Tooth abrasion is caused by…

A

Hard toothbrushing
Brushing with a hard bristle tooth brush
Toothpaste abrasiveness

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53
Q

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

A

Varnish - always recomended for children!!

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54
Q

Post eruptive tooth fluoridation helps the tooth to become

A

more caries resistant

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55
Q

What causes teeth to demineralize?

A

If plaque is left on the teeth

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56
Q

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

A

Causes the development of shallow grooves

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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

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58
Q

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

A

Endogenous instrinsic stain

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59
Q

the contrindications of coronal polishing is/are

A

reduces fluoride rich layer of the enamel

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60
Q

Coronal polishing done under..

A

Direct supervision of a licenced dentist

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61
Q

Which of the following are contraindications for coronal polishing?

A

absense of extrinsic stains
rampant caries
allergies to ingredients in paste

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62
Q

When performing coronal polishing the handpiece should be used at:

A

slow speed with light pressure

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63
Q

Air powder polishing is used to remove..

A

supragingival calculus

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64
Q

Benefits of fluoride

A

slows bacterial attachment and strengthens enamel

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65
Q

What is fluoride

A

Mineral

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66
Q

Fluoride helps..

A

strengthen teeth

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67
Q

the ingestion of excessive amounts of fluoride can…?

A

cause fluorosis prior to tooth eruption (during mineralization stage)

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68
Q

Fluorosis occurs when fluoride

A

is excessive

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69
Q

Fluoride is an organic mineral - true or false?

A

True

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70
Q

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

A

True - better absorption

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71
Q

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

A

at their next recall appointment

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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

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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

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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

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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

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76
Q

The top portion of the tooth is called..

A

The Crown

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77
Q

Brushing with fluoride helps prevent caries - true or false?

A

True

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78
Q

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

A

True

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79
Q

Post erruptive tooth fluoridation helps the tooth to become

A

more caries resistant

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80
Q

The Fones method is mostly recommended for..

A

Young children or patients with decreased dexterity

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81
Q

The Modified Bass Method of brushing is mostly recommended for

A

Healthy individuals with good dexterity

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82
Q

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

A

patients with recession

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83
Q

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

A

True

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84
Q

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

A

True

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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

Which bacteria are primarily involved in the formation of dental plaque?

A

Streptococcus mutans

114
Q

Which of the following practices is most effective in preventing the formation of dental plaque?

A

Brushing and flossing regularly

115
Q

Which tools are recommendedf or maintaining oral hygiene with braces?

A

interdental brushes

116
Q

Fluoride Varnish is recommended for children under 6 - true or false?

A

True

117
Q

Fluoride varnish should be avoided for those with nut allergy - true or false?

A

True

118
Q

Fluoride varnish can be used for dentinal hypersensitivity - true or false?

A

True

119
Q

Fluoride varnish is contraindicated for patients with ulcerative gingivitis. True or false?

A

True

120
Q

Which instrument is typically used for the removal of subgingival calculus?

A

Curette

121
Q

Which type of fluoride is recommended for patients with dentinal hypersensitvity?

A

5% Sodium fluoride varnish

122
Q

What is NOT a common symptom of gingivitis?

A

Tooth loss

123
Q

What is a common symptom of periodontitis?

A

Receding gums

124
Q

What is the proper operator seating position for exploring sextant 5 surfaces towards, and why might 12 o’clock be less effective in this situation?

A

The correct seating position for exploring sextant 5 surfaces towards is typically 8-9 o’clock (right-handed operator) or 3-4 o’clock (left-handed operator).

From 12 o’clock, visibility and access to surfaces towards in the anterior region are limited due to the alignment of the operator’s line of sight and the patient’s positioning. Adjusting to the correct position ensures better ergonomics, visualization, and instrument control for more effective exploration.

125
Q

What are the potential risks and impacts on treatment when the dental assistant does not use the Pure-Vac system during polishing?

A

Increased aerosol production: Polishing generates aerosols that may contain saliva, plaque, and bacteria, increasing risks to both the patient and operator.

Reduced visibility: Without suction, the polishing paste and debris can obscure the operator’s view, leading to incomplete or uneven polishing.

Patient discomfort: Accumulated saliva and polishing debris can cause gagging or discomfort.

Cross-contamination risk: Lack of effective aerosol management increases the likelihood of spreading contaminants within the clinical environment.

126
Q

Given the patient’s peanut allergy, what type of fluoride treatment would be safest and why?

A

Fluoride varnish: Use a varnish that is confirmed to be free of nut-based ingredients, as some fluoride varnishes may include resin from tree nuts. Alternative fluoride options: A fluoride gel, foam, or rinse that is nut-free can also be used. Carefully check product labels to ensure there are no allergenic ingredients.

127
Q

Which of the following is an effective oral hygiene technique?

A

Brushing teeth 2 x a day with fluoride toothpaste

128
Q

How does systemic health impact dental care?

A

Systemic health conditions can influence the progression of oral diseases.

129
Q

What is the first step in analyzing patient case studies?

A

Reviewing the patient’s medical health history

130
Q

What are the primary differences between gingivitis and periodontitis in terms of symptoms and progression?

A

Gingivitis is characterized by gum inflammation without bone loss, while periodontitis involves gum inflammation with bone loss and deeper pockets.

131
Q

Which of the following is a common symptom of gingivitis?

A

Redness

132
Q

Which of the following is a common symptom of periodontitis?

A

Receding gums

133
Q

What is the first step in the dental prophylaxis process?

A

Conducting a throughough patient assessment

134
Q

What is the primary goal of plaque and calculus removal during dental prophylaxis?

A

To eliminate buildup that can lead to gum disease and tooth decay.

135
Q

What is the recommended brushing technique to prevent gingivitis?

A

Brush at least twice a day for 2 minutes each time using the modified bass technique.

136
Q

What is a key difference between gingivitis and periodontitis?

A

Gingivitis is reversible with proper oral hygiene, while periodontitis causes irreversible damage to bone and tissues.

137
Q

Which feature of powered toothbrushes enhances oral hygiene?

A

Timer & Pressure Sensors

138
Q

Which tools are recommended for maintaining oral hygiene with braces?

A

Interdental brushes & floss threaders

139
Q

Which bacteria are primarily involved in the formation of dental plaque?

A

Streptococcus mutans

140
Q

Which of the following practices is most effective in preventing the formation of dental plaque?

A

brushing and flossing regularly

141
Q

The only nutrients that can make new cells and rebuild body tissues are:

A

proteins

142
Q

Only energy and no other nutrients are provided by:

A

empty calories

143
Q

Sticky sugary refined products are ____________ cariogenic than/as complex carbohydrates.

A

more

144
Q

Oral manifestations of bulimia include:

A

decalcification of enamel.

145
Q

The recommendation is that cholesterol be limited to less than:

A

250 mg/day.

146
Q

Which food group is at the bottom of the food pyramid?

A

grains

147
Q

Which antioxidant vitamin can help prevent cholesterol from oxidizing and damaging the arteries?

A

Vitamins C and E.

148
Q

Dietary fiber is also called:

A

roughage

149
Q

Which of the following foods are considered to be cariogenic?

A

Raisins
Crackers
Soft drinks

150
Q

Compounds in proteins used by the body to build and repair tissue are:

A

amino acids

151
Q

The role of the dental assistant in nutritional counseling includes:

A

Counseling patients about the prevention of tooth decay.

Counseling patients in orthodontic appliances about food choices.

Presurgical counseling regarding postsurgical food choices.

152
Q

Five categories of major nutrients are:

A

minerals, vitamins, fats, proteins, and carbohydrates.

153
Q

A well-balanced mixture of all eight essential amino acids is the definition of a(n):

A

complete protein.

154
Q

Swollen and bleeding gums, slow wound healing, fatigue, depression, and poor digestion can be the result of:

A

vitamin C deficiency.

155
Q

A major factor in determining the cariogenicity of a carbohydrate is:

A

how long it stays in the mouth?

156
Q

A good source for vitamin D is:

A

sunlight.

fish.

butter.

157
Q

Saliva flow serves which of the following functions.

A

Speeds the clearance of food from the mouth.

Delivers fluoride to the teeth.

Aids in remineralization of the teeth.

158
Q

As long as a food was grown without the use of pesticides, it can be considered organic. - t or F?

A

FALSE

159
Q

The adult patient learns most effectively when he or she:

A

feels safe and accepted.
is actively involved.
recognizes that he or she has a problem to be solved.

160
Q

The most effective way to remove plaque from proximal tooth surfaces is by:

A

interdental aids.

161
Q

After plaque has been thoroughly removed, it takes about __ hours for it to form again.

A

24

162
Q

Fluoridated toothpaste is a source of _________ fluorides.

A

Topical

163
Q

In water fluoridation, the ratio of fluoride to water is:

A

1 part per million.

164
Q

Excess systemic fluoride intake is:

A

excreted by the kidneys.

165
Q

Brushing instructions for a young child should include:

A

avoid swallowing fluoridated toothpaste.

166
Q

Prolonged exposure to excessive amounts of fluoride may cause:

A

dental fluorosis.

167
Q

Over-the-counter topical fluoride rinses are designed to be used:

A

daily.

168
Q

Which of the following is a useful technique in providing patient education?

A

Listen carefully to the patient.

Assess the patient’s motivations and needs.

Select the home care aids.

Keep the instructions simple.

169
Q

Ways to receive fluoride therapy include:

A

prescription strength fluorides that are applied in the dental office.

nonprescription strength over-the-counter products for at-home use.

consumption of fluoridated bottled or community water.

170
Q

All of the following statements about fluoride are true..

A

fluorides have been proved safe and effective when used as recommended.

chronic overexposure to fluoride can result in dental fluorosis.

acute overdosing of fluoride can result in poisoning or even death.

171
Q

Fluoride is a mineral - true or false?

A

True

172
Q

Which of the following artificial sweeteners is most effective in preventing decay?

A

Xylitol

173
Q

Which of the following statements is true regarding soft drinks?

A

Sugar in soda combines with bacteria in the mouth to form acid.

Diet or sugar-free soda contains its own acid.

Decay caused by soda tends to occur on smooth tooth surfaces.

174
Q

The method of toothbrushing useful for most people is the:

A

Bass or modified bass.

175
Q

Which of the following interdental cleaning aids can be used in hard-to-reach areas where gingival recession is present?

A

Perio-aid

176
Q

The major effect of fluoridated water in the prevention of dental caries is:

A

systemic & topical

177
Q

The most effective time to use a fluoridated mouth rinse is:

A

immediately after brushing and flossing.

178
Q

The recommended age at which fluoride supplementation should cease for children who do not live in an area with a fluoridated water source and who do not consume bottled water that contains fluoride is:

A

16.

179
Q

Which of the following statements is true of soft drinks?

A

A 64-ounce “big cup” contains more than five 12-ounce cans of soda.

Sodas have no nutritional value.

Sugar-free sodas can cause tooth decay.

180
Q

A toothbrush should be replaced:

A

when the bristles begin to splay outward and show signs of wear.

181
Q

The type of dental floss that works best is:

A

waxed.

unwaxed.

floss.

tape.

all of the options.

182
Q

Age-related dental changes may include which of the following?

A

Abrasion and attrition

183
Q

Dental sealants are used as a means of protecting the difficult-to-clean occlusal surfaces of the teeth from decay. T or F?

A

True

184
Q

The body, through the skin, kidneys, and feces, excretes excess systemic fluoride. True or False?

A

True

185
Q

Recovering alcoholics are advised to read the label and select a mouth rinse that does not contain alcohol. True or False?

A

True

186
Q

The Charter’s method of toothbrushing is best for cleaning artificial teeth and around orthodontic appliances. T or F?

A

True

187
Q

Acidulated phosphate fluoride is ideal for all patients. T or F?

A

False

188
Q

All bottled water contains fluoride. True or False?

A

False

189
Q

A fluoride needs assessment is not necessary when a patient has rampant caries. T or F?

A

False

190
Q

The primary cause of gingivitis and most forms of periodontal disease is:

A

BIOFiLM

191
Q

All of the following are currently known risk factors for periodontal disease EXCEPT:

A

fibromyalgia.

STRESS CAN CAUSE IT

192
Q

A gingival infection characterized by sudden onset of pain, crater-shaped interdental papillae, bleeding, and a foul odor is a description of:

A

necrotizing periodontal disease.

193
Q

Approximately _______% of the adult U.S. population have some form of periodontal disease

A

75

194
Q

Localized and generalized are two general groups of early-onset periodontitis. True or FAlse?

A

True

195
Q

Calculus ____________ be removed by brushing and other plaque control methods.

A

CANNOT

196
Q

Those structures that surround, support, and are attached to the teeth are called the:

A

periodontium

197
Q

Which of the following is/are implicated in causing periodontal diseases?

A

Plaque

Malocclusions

Systemic causes

Certain medications

198
Q

Gingivitis is not characterized by:

A

loss of bone.

IS characterized by… areas of redness, swelling, a tendency for the gingiva to bleed easily

199
Q

Which of the following is a sign or symptom of periodontal disease?

A

Bleeding gingiva while brushing or flossing

Loose or separating teeth

Pain or pressure when chewing

Pus around the teeth or gingiva

200
Q

Tooth structure considered as a structure of the periodontium is:

A

cementum

201
Q

A description of healthy gingiva could include all of the following…

A

Uniformly pale pink

Generalized dark brown pigmentation

Firm

Resilient

202
Q

The probing depth of a healthy gingival sulcus is:

A

0 to 4 mm from the cementoenamel junction.

203
Q

Bright red gingiva that bleeds on probing is a description of:

A

gingival inflammation.

204
Q

The outermost structure of the periodontium is:

A

gingiva.

205
Q

Periodontal diseases are infectious diseases and are the leading cause of tooth loss in adults. True or False?

A

True

206
Q

Improved daily oral hygiene practices will reverse gingivitis. True or False?

A

True

207
Q

All forms of periodontal diseases are related to changes in the types of bacteria in the oral cavity.

A

True

208
Q

Localized and generalized are two general groups of early-onset periodontitis.

A

True

209
Q

Patients with periodontal disease have a greater incidence of coronary heart disease. True or False?

A

True

210
Q
A