Quiz Questions Flashcards
T/F
Hypersensitivity is easy to diagnose because the presenting symptoms are always the same as the etiologies
False
T/F
Management of hypersensitivity can be a challenge because there are numerous treatment approaches w/ varying degrees of efficacy
True
What are 4 stimuli that elicit a pain reaction in individuals w/ hypersensitivity?
Tactile
Thermal
Evaporative
Chemical
What type of lesions appears as a wedge-shaped cervical notch?
Abfraction
A patients is in your operatory for the first time. She has a negative medical history and her complete dental examination 6 months ago did not reveal any concerns. Before you begin checking her, she holds up her hand and tells you that two teeth (#24 and #25) have been driving her crazy the last month or so. The pain happens when she touches the gum line area of both teeth with her nail or a toothbrush. You notice a small hole in her tongue. Mrs. Smith said she had a tongue piercing that she recently removed because it bothered her. What is the most logical explanation for the potential sensitivity on teeth #24 and #25?
Metal jewelry from the tongue piercing
T/F
Hydrodynamic theory is the currently accepted explanation for transmission of stimuli from the outer surface of the dentin to the pulp
True
What are the identifying characteristics of dentin hypersensitivity?
- Sharp, short or transient pain of rapid onset
- Cessation of pain upon removal of stimuli
- Presentation as a chronic conditions w/ acute episodes
T/F
A differential diagnosis can rule out other causes of pain before treating for hypersensitivity
True
T/F
Skilled interviewing and diagnostics contribute to the differential diagnosis
True
Where should the dental office emergency kit be kept?
Should be kept separate from other office supplies and be clearly marked
T/F
Gingival recession is more prevalent with aging. However, dentinal hypersensitivity is not more prevalent with aging
True
Desensitizing agents that reduce depolarization of teh nerve cell membrane and transmission of teh nerve impulse. These agents are the only agents that are theorized to work by depolarization
Potassium salts
How wide should doorways be in order to accommodate a wheelchair?
32 inches
What do you need from the patient or guardian when using restraints for body stabalization?
Written consent
A patient who is unable to complete brushing and flossing on his or her own and depends on someone else to attend to his or her oral care would be classified as:
Low functioning
A self-care aid must have what characteristics?
Able to be disinfected
Durable
Replaceable
Inexpensive
T/F
An early morning appointment may be difficult for a patient who requires a long time for moring preparation such as a pt. with a spinal cord injury
True
T/F
The cooperation of the patient may decrease if basic routines are disturbed
True
To prevent startling a patient, introduce each procedure and sound by following the basic instruction rule:
Show, tell, do
Jim, a 14-year-old patient, presents to the dental office with his mother, complaining of bleeding gums and sensitivity. His mother reports on his medical history that he has muscular dystrophy and has had epilepsy since he was 3. A few years ago, he had to start using a wheelchair. He has difficulty bending his arm at the elbow and has limitations in raising his arms. The dental hygienist notes that Jim has moderate gingival overgrowth and generalized heavy biofilm accumulation. Jim’s mother states that she tries to help him brush his teeth, but he still wants to be as independent as possible and does not like to have help. She knows he probably cannot reach his back teeth by himself. She is also concerned that he may have several cavities because he eats a lot of candy when he is with his caregiver before and after school, but he does drink a lot of bottled water each day. What could be done to Jim’s toothbrush to enable him to brush more effectively?
Lengthen the handle of the brush
What are some barriers to accessing dental services for patients who are residence-bound?
- Lack of transportation
- High cost
- Negative attitudes of practitioners
- Patients health attitudes and beliefs
In preparing to provide care for a patient on a residential visit, the patients medica history should be reviewed when?
In advance of the appointment