TEST 7 (ORTHO-PEDO) Flashcards
Incisors not be extracted because __________
A. Permanent incisors will not erupt
B. Gingiva will be swollen thus poor prognosis of the extraction site
C. Tendency to develop abnormally deep bite
D. Tendency of spacing in between tooth
C. Tendency to develop abnormally deep bite
By birth, the cranial height dimension has attained how many percentage of its adult status?
A. 55 %
B. 60 %
C. 65 %
D. 70 %
D. 70 %
NOTES:
Cranial length/depth- 60%
Cranial width- 65%
Cranial height- 70%
Why are rounded internal line angles desirable in the preparation of amalgam restorations in primary teeth?
A. They increase retention
B. They conserve tooth structure
C. They increase resistance
D. They decreases internal stresses in the restorative material
D. They decreases internal stresses in the restorative material
Class II elastics:
A. Maxillary canine to mandibular molar
B. Maxillary molar to mandibular canine
C. Maxillary canine to maxillary molar
D. Mandibular molar to maxillary canine
A. Maxillary canine to mandibular molar
NOTES:
Class I: INTRA
Maxillary canine to Maxillary Molar
Mandibular canine to Mandibular Molar
Class II: INTER
Maxillary canine to Mandibular molar
Class III: INTER
Mandibular canine to Maxillary molar
What rule of the pediatric dosage formula is by weight in lbs.?
A. Clark’s rule
B. Ivan’s rule
C. Baker’s rule
D. Young’s rule
A. Clark’s rule
NOTES:
Clark’s rule- weight in pounds
Young’s rule- age in years
A 4 year old child has severe, acute dental pain. So many teeth are carious that the determination of the offending tooth is difficult. The best diagnostic tool to be used is
A. Percussion
B. Radiographs
C. Electric pulp testing
D. The patient’s identification of the offending tooth
A. Percussion
“Leeway space” is _____.
A. The space between the permanent central incisors before eruption of the permanent
canines
B. The vertical space between the maxillary and mandibular central incisors during rest position
C. The difference between the sum of the mesial widths of the primary first and second molars and canines in a quadrant and the sum of the mesiodistal widths of the succedaneous premolars and canine
D. The space between the primary maxillary lateral incisors and canines
C. The difference between the sum of the mesial widths of the primary first and second molars and canines in a quadrant and the sum of the mesiodistal widths of the succedaneous premolars and canine
If the fluoride level in the drinking water is greater than 0.6 ppm at any age, no supplemental systemic fluoride is indicated.
If the patient is less than 12 months old, no supplemental systemic fluoride is indicated, whatever the water fluoride level.
A. The first statement is true and the second statement is true.
B. The first statement is true and the second statement is false.
C. The first statement is false and the second statement is true.
D. The first statement is false and the second statement is false.
B. The first statement is true and the second statement is false.
If the patient is less than 12 months old, no supplemental systemic fluoride is indicated, whatever the water fluoride level.❌
If the patient is less than 6 months old, no supplemental systemic fluoride is indicated, whatever the water fluoride level.
NOTES:
Rule of 6
No supplemental systemic fluoride is indicated when:
- Fluoride is >0.6 ppm
- Px is <6 months old
- Px is >16 years old
Your patient is 8 years old. Teeth #8 and #9 have approximately 50% of their crowns erupted. One month ago, the patient fell from a skateboard and hit teeth #8 and #9 on the sidewalk. The radiograph today shows open apices of these teeth, normal pdl, and no apparent periapical radiolucency. The patient has no reaction to electrical pulp tests. What is your treatment of choice?
A. Calcium hydroxide pulpotomy
B. Formocresol apexification technique
C. Calcium hydroxide apexification technique
D. Reappoint for exam and radiographs in 6 weeks
D. Reappoint for exam and radiographs in 6 weeks
NOTES:
EPT (++)
- incompletely erupted tooth
- ortho treatment
A tissue borne functional appliance which expands the arch by “padding” against cheeks and lips’ pressure on the teeth.
A. Herbst appliance
B. Activator
C. Bionator
D. Frankel
D. Frankel
What are the special requirements for dental care that must or may be needed when treating a child who has profound mental disability?
A. Mild to moderate sedation may be beneficial
B. Treat as normal child; mild sedation or nitrous oxide oxygen analgesia may be beneficial
C. Use restraints and positive reinforcement; general anesthesia may be indicated in cases of severe, generalized, dental decay
D. A & C
D. A & C
Point b is synonymous to:
A. Nasion
B. Subspinale
C. Sella turcica
D. Supramentale
D. Supramentale
NOTES:
Nasion- external junction of the nasofrontal suture in the median plane
Subspinale (POINT A) - deepest point of the curvature of the anterior maxilla between the ANS and the alveolar crest
Sella turcica- midpoint of the hypophyseal fossa; ovoid area of the sphenoid bone that contains the pituitary gland
Supramentale (POINT B)- most posterior point on the outer curveof the mandibular alveolar process between the alveolar crest and the bony chin
Which statement is true regarding invisalign treatment?
A. Aligners are worn 24 hours a day and taken off for eating, drinking, and oral hygiene.
B. Change set of new aligners every two weeks.
C. Focus is esthetic and functional alignment without utilization of complex orthodontic auxiliary treatments.
D. Treatment is focused on straight forward cases (20 aligners or less).
E. All of the above are true.
E. All of the above are true.
Why are implants not generally performed on a 12-year-old patient with congenitally missing lateral incisors?
A. The patient would likely not be able to tolerate the surgical procedure.
B. Waiting for the crowns is too much of an esthetic issue with most children that age.
C. The gingival tissue will recede as the child gets older.
D. The implants will appear to submerge as the child gets older.
D. The implants will appear to submerge as the child gets older.
NOTES:
Implants
- osteointegrated
- behaves as ankylosed teeth
Which of the following is usually the result of a severely crowded mandibular incisor?
A. Tooth size-arch length discrepancy
B. Mesial migration of teeth
C. Premature loss of primary teeth
D. Presence of supernumerary teeth
A. Tooth size-arch length discrepancy
The pulp tissue of primary teeth _____.
- In general, is smaller proportionately than permanent pulps in relation to tooth crown size.
- Is closer to the outer surface of the tooth than the permanent teeth.
- Follows the general surface contour of the crown.
- Has the mesial pulp horn closer to the surface than the distal pulp horn.
A. Only 1, 2, and 4 are correct.
B. Only 2, 3, and 4 are correct.
C. Only 1, 3, and 4 are correct.
D. 1, 2, 3, and 4 are correct
B. Only 2, 3, and 4 are correct
Indirect pulp capping procedures on primary molars are indicated when
A. Removal of decay has exposed the pulp
B. A tooth has a large, long-standing lesion with a history of continuous pain
C. The carious lesion has just penetrated the dentinoenamel junction
D. The carious lesion is suspected of producing an exposure of the pulp
D. The carious lesion is suspected of producing an exposure of the pulp
When deciduous teeth have been lost prematurely, it is most important to hold space for
A. An upper incisor
B. A lower bicuspid
C. A lower incisor
D. All of the above
B. A lower bicuspid; because late eruption USUALLY causes crowding
Frankfort horizontal is a reference plane constructed by joining which of the following landmarks?
A. Nasion and sella
B. Porion and sella
C. Porion and nasion
D. Porion and orbitale
D. Porion and orbitale
NOTES:
Frankfurt horizontal Plane- connects the lowest point of the orbit to the superior point if the external auditory meatus.
frankPOrt= Porion + Orbitale
The wrist–hand radiograph is used by orthodontists to predict the time of the pubertal growth spurt and thus jaw growth. What is examined in the wrist–hand radiograph?
A. Carpal bones of the wrist
B. Metacarpal bones of the hand
C. Phalanges of the fingers
D. All of the above
D. All of the above
An understanding of the development of human behavior requires a knowledge of the basic concepts of:
A. Generalization and facilitation
B. Dependence and independence
C. Maturation and learning
D. Masculinity and femininity
C. Maturation and learning
In cephalometric analysis of children with malocclusion, the angle ANB is frequently used. In patients with severe class ii malocclusion, this angle is
A. Greater than the norm
B. Less than the norm
C. Normal
D. Unrelated
A. Greater than the norm
NOTES:
ANB: Point A, Nasion, Point B
Class 1: 2
Class 2: >4
Class 3: <0
Which of the following is the best space maintainer?
A. Nance holding arch
B. Band and loop appliance
C. Pulpectomized primary molar
D. Fixed lingual arch
C. Pulpectomized primary molar
The purpose of a removable maxillary expansion appliance is to
A. Correct an anterior crossbite
B. Open the maxillary suture
C. Tip maxillary posterior teeth in a lateral direction
D. Move maxillary posterior teeth bodily in lateral direction
C. Tip maxillary posterior teeth in a lateral direction
NOTES:
Removable appliance
- do not cause bodily movement, ONLY TIPPING