tomorrow

Question 1

wedge or v shaped cervical lesion created by the stresses of lateral or eccentric tooth movement during occlusal function bruxing or parafunctional activity resulting in enamel microfractures

Answer 1

abfraction

Question 2

repeated rubbing of a tooth surface with a toothpick or wooden stick

Answer 2

burnishing

Question 3

transient pain arising from exposed dentin typically in responce to a stimululs which cannot be explained as arising from any other form of dental defect and subsides quickly when stimulus is removed

Answer 3

dental hypersensitivity

Question 4

currently accepted mechanism for pain impulse transmission to the pulp as a result of fluid movement

Answer 4

hydrodynamic theory

Question 5

dentin locate dbetween dentinal tubules

Answer 5

interubular dentin

Question 6

increased deposition of minerals into tubules that become more minerilizezd with increasing age resulting in thicker schlerotic dentin

Answer 6

intratubular or pertiublar dentin

Question 7

reduction of the resting potential of the nerve membrane so that a nerve impulse is fired

Answer 7

neural deopolarlization mechanism

Question 8

creates the nerve impulse

Answer 8

depolarilization

Question 9

restored

Answer 9

repolarized

Question 10

the passage of fluids and soloutions of lesser concentration through a selective membrane to one of greater solute concentration

Answer 10

osmosis

Question 11

open obstructed a patent dentin tubule allows fluid flow to signal pain many desentiizing agents work by decreasing the patentcy of the tubule

Answer 11

patent

Question 12

specific type of scientific expierment that is the gold standard for a clinical trial

Answer 12

Randomized clinical trials

Question 13

dentin that is secretely slowly over time after root formation to wall of the pulp from fluid flow with dentin tubules following a stimulus

Answer 13

secondary dentin

Question 14

has been referred to as grinding debris from instrumentation or other devices applied to tooth

Answer 14

smear layer

Question 15

a type of dentin formed along the pulpal wall or root canal as a protective mechanism in responce to trauma

Answer 15

tertiary reparitive dentin

Question 16

contact with tooth brush and other oral hygiene devises eating utensils dental instruments and frictionf from prosthetithc devices such as denture clasps

Answer 16

tactile

Question 17

temp change caused by hot and cold food and beverages

Answer 17

thermal

Question 18

deyhydration of oral fluids from high volume evacation or application of air to dry teeth during intraoral proceudres

Answer 18

evaporative

Question 19

alteration of pressure in dentin tubules through a selective membrane

Answer 19

osmotic

Question 20

in foods and bevarages such as citrus fruits, condiments spices wines

Answer 20

chemical

Question 21

portions of tooth covered by enamel on the crown and cementum on the root

Answer 21

dentin

Question 22

highly innervated with nerve cell fiber endings that extend just beyond the dentiopupal interface of the dentinal tubules

Answer 22

pulp

Question 23

nerve fiber endings extend just beyond the dentin pulpal junction and wind around the odontoblatsic processess

Answer 23

nerves react the same through neural depolarilization mechanism

Question 24

the sequence of gingival recession, loss of cementum or enamel, and subsequent dentin exposure can result in

Answer 24

hypersenstivity

Question 25

hypersensitivity may be a clinical outcome of

Answer 25

erosion

Question 26

erosion can occurs from

Answer 26

dietary acids

Question 27

dietary acid results in an immediate drop in oral ph after normal salivary neutralization a physiologic ph of

Answer 27

7 re establishes within minutes

Question 28

wedge shaped cervical lsion has a questionalble etiology lateral occlusal stresses or bruxing enamel rods chip away from cervical area of tooth

Answer 28

abfraction

Question 29

currently accpted explanation for transmission of stimuli from the outer surface of the dentin to pulp

Answer 29

hydrodynamic theory 1960s by brannstorm

Question 30

There are several mechanisms by which desensitization can occur naturally over time:

Answer 30

schlerosis of denitn secondary dentin smear layer calculus `

Question 31

a large malpractice cross survey found a prevalence of dentin hypersensitivity of

Answer 31

12.3 percent with an average of 3.5 hypersensitive teeth

Question 32

the highest prevalence occured in those

Answer 32

18-44 years of age

Question 33

gingival recession is more prevalent with

Answer 33

aging

Question 34

dentin hypersensitivity is not more prevalent with

Answer 34

aging

Question 35

hypersenst. occurs more in

Answer 35

women

Question 36

hyperse. has been reported to occur primarily at the cervical

Answer 36

1/3 of the facial surfaces of premolars and mqndiibular anterior teeth or on premolars and molars

Question 37

hyperse can manifest as

Answer 37

acute or chronic

Question 38

acute results from

Answer 38

anxiety

Question 39

chronic pain may result from

Answer 39

depression

Question 40

non noxious stimulant

Answer 40

cold water

Question 41

many types of dental pain can be intensifited by

Answer 41

thermal sweet sour

Question 42

chewing pain can be indiciative of

Answer 42

pulpal pathology

Question 43

pulpal pain is

Answer 43

severe intermittent throbbing

Question 44

diagnostic techniques and tests

Answer 44

visual assesment of tooth integrity palpation of etral and intraoral soft tissues evaluation of nasal congestion drainage and sinus ocsslusal examination

Question 45

two basic treatment goals

Answer 45

pain relief modification or elimanition of contributing factors

Question 46

allow sufficient time to elapse to evalutate effectiveness and reinfornce behavior changes

Answer 46

2-4 weeks

Question 47

2 ways agents measures disrupt the oain transmission

Answer 47

prevent nerve depolarilization that interrupts the neural trannsmission to the pulp prevent a stimulus from moving the tubul fluid by occlusion of dentin tubule orfices

Question 48

encourage habits that allow tubules to remain occluded or that occlude patent tubules

Answer 48

motivational interviewing approach educate the pateint that some products may take 2- 4 weeks to decrease senstivity

Question 49

are the only agents that are theorized to work by depolarization

Answer 49

potassium salts

Question 50

potatssium nitrate dentrifices containging flurloride

Answer 50

are widely used

Question 51

precipaate calcium flurlide crystals wit the

Answer 51

dentin tubule to decrease the lumen diameter create a barrier by precip caf2

Question 52

blocks open dental tubules

Answer 52

oxalates

Question 53

coagulates proteins and amino acids within the dentin tubule to decerease the dential utbule lumen diameter can be combined with hema as a resin creates calcium crystal

Answer 53

gluterahyde

Question 54

advocated for use sa caries control agent to reduce deminerilzation and increase reminerilization by releasing calcium and phosphate ions into saliva for deposition of tooth minteral

Answer 54

calcium phosphate technology

Question 55

theorizd to plug dentinal tubules with calcium and phosphate precipate enhances fluride

Answer 55

acp

Question 56

contains sodium and silica in addition to calcium and phosphurus deliveredin solid bio active glass particles that react in the presence of salva and water to release calcium and phosphate ions

Answer 56

CSP

Question 57

is a milk derived protien that stabalized acp and allows it to be released during acidic challenges

Answer 57

cpp acp

Question 58

devellope in an affort to create a calcium material that can co exist with fluride

Answer 58

TCP

Question 59

dentirfices are

Answer 59

5 percent in toothpastes

Question 60

they are avaiable in

Answer 60

5000 ppm fluride

Question 61

mouthrinses containing

Answer 61

.63 stannous fluride mouth rinses can be prescribed for daily use

Question 62

a tray delivery can be used to apply

Answer 62

2 percent netural sodium fluoride soloution

Question 63

dentin bonding agents may protec against further eriosin for

Answer 63

3 to 6 months

Question 64

tooth whitening thought to result from by products of

Answer 64

10 percenet carbamid 3 hydrogen peroxiide and 7 urea

Question 65

thermal mechanical evaproative osmotic chemical sens. sharp sudden transient pain clinical examination gingival recession and loss of tooth structure

Answer 65

dentinal hypersensitivity

Question 66

thermal sensit pain on pressure pain with sweets clinical ex rad ex

Answer 66

caries extending into dentin

Question 67

thermal sens severe throbbing pain pain on chewing clincal ex radi ex

Answer 67

pulpal caries

Question 68

therm sen pain on pressure clincical ex

Answer 68

fractured tooth

Question 69

therm sen pain on pressure dental history clincial ex occlus ex

Answer 69

recently placed restoration

Question 70

chem sens therm sen pain on pressure mobility occlusal ex

Answer 70

occlusal trauma

Question 71

severe throbbing pain thermal and electric pulp tests percussion

Answer 71

pulpitis

Question 72

``` non desc tooth pain nasal congesetion sinus pressure headache clinical ex rad ex ```

Answer 72

sinus infection

Question 73

sudden sharp stabbing pain on tooth to tooth contact exam for contact between restoration of dissimilar non precious metals

Answer 73

galvanic pain

Question 74

pain on chewing clinic ex inlcuding palaption for apical tenderness percussion

Answer 74

peridontal ligment inflammation

Question 75

cratered ares of enamel or dentin at cej in the shade of a wedge or v shaped tooth clinical ex occ ex

Answer 75

abrfraction