DH 102 FINAL CONCORDE

Quiz 1

A) Risk factors increase the patient's potential for diminished oral health status. B) Anticipatory guidance is an optional component of the care plan.

Statement A is true and statement B is false

The dental hygiene diagnosis is part of the process of care, involving the use of __________-based analysis of the assessment findings to determine the patient's of community's dental hygiene needs.

Evidence

The ASA physical status is a(n):

Systemic disease that limits activity but is not incapacitating

A judgement regarding the results (outcomes) expected to be achieved from oral treatment provided by the dental hygienist is called:

dental hygiene prognosis

Periodontal disease is a risk factor for which one of the following systemic conditions?

All of these are correct

Which of the following is a behavioral risk factor for dental caries?

Inadequate biofilm removal

Which of the following is the primary objective of the dental hygiene plan for periodontal therapy?

To restore and maintain health of the periodontal tissues

The procedure to present the care plan to the patient includes:

Proper terminology for patient understanding and face-to-face interaction.

Your patient Mrs. Sanchez, is in for her first prophylaxis appointment in 15 years. English is not her first language, and no one in the office speaks her language, so she has brought her 8-year-old son along to help translate. Mrs. Sanchez has several periodontally involved teeth and will need root planing and several appointments. Her son translates to Mrs. Sanchez that she will need to come in again. What type of consent has occurred?

implied consent

A) Using a review of systems approach while discussing the plan can help determine and respond to the patient's readiness to change health behaviors. B) A clinician with good verbal communication skills and the ability to build a trusting relationship can influence patient acceptance of treatment needs and compliance with recommendations.

False, True

Which of the following steps should be first in developing a care plan?

Determine goals based upon patient needs

Even when the patient's caries risk level is low, th explain includes all of the following, except:

Routine radiographs

Your patient Jimmy Smith, age 16, is in for his 6-month recare appointment. At Jimmy's last visit he had six areas of decay and very poor oral hygiene. Mrs. Smith has refused radiographs or fluoride for Jimmy because she thinks that they are not necessary. What must you have Mrs. Smith do?

Sign the informed refusal

All of the following are steps in a preventative care program except:

Create the setting

In creating a preventative care plan all of the following should be considered except

Gender

Which of the following is true concerning the readiness ruler?

It ca elicit change talk

reflective listening:

Is rephrasing the content that was relayed to you by the patient and adds meaning to what the patient has said

Learning occurs when individuals:

Acquires the knowledge or skills through study or instruction

The letter "A" in the acronym CAT in mobilizing change talk represents which of the following?

Action

The clinician comments, "You know you can quit smoking if you have something to assist with quitting. You mentioned using patches or medications in assisting?" This is an example of use of which of the following?

Mobilizing Change talk

Using the acronym PACE with MI, the "A" stands for which of the following?

Acceptance

Which of the following best indicates that an instrument is dull?

The cutting edge represents a round shiny surface

Which one of the following is not an accurate statement concerning testing instrument sharpening?

Use a metal quarter-inch rod, 3 inches long

Which of the following is not a consequence of using a dull instrument?

Decreased possibility of nicking tooth surface

When sharpening cruets, the visible angle at which the stone will be placed should be:

110 degrees

Quiz 2

The horizontal brushing method is not recommended for all of the following reasons except one. Which one is the exception?

This method allows greater coverage in a short amount of time.

Which of the following is not true about bacteremia?

Oral tissues usually have a smell, and thus tooth brushing is increased

Which of the following is not an accepted use of the toothbrush for oral healthcare?

Polishing of restorations

The most effective power toothbrush moves in an _______ motion.

Oscilating

Which of the following is the most widely accepted method of tooth brushing intended to remove dental biofilm adjacent to and directly beneath the gingival margin?

Bas method

Features of untaxed floss include?

Thinner than waxed floss

Power flowers remove ______ of interproximal biofilm.

48%

The Col area becomes deeper when:

Inflammation leads to edema

Planning patient interdental care begins with patient assessment, which provides all of the following information except:

motivation to perform the patient's oral care routine.

Mr. Larsen, a 52-year-old, has just moved into town and is new to this dental office. In completing initial oral assessments, Eric, the dental hygienist, noted straight line cuts on the anterior facial and lingual surfaces in the middle of the interdental gingiva. Mr. Larsen had periodontal probe depths from 1 to 3 mm, and his gingiva was stippled, pink, and firm. He also had moderate biofilm accumulations around his bridge in the lower left quadrant and minimal bleeding upon probing. Mr. Larsen reports brushing two or three times a day and flossing one to two times every day. When Eric asked him to demonstrate brushing and flossing, he noticed that Mr. Larsen used a 24-inch piece of floss and snapped it between the contact areas. He also noticed Mr. Larsen used a scrubbing technique when brushing. When Eric commented on his brushing and flossing technique, Mr. Larsen stated that he has always done it this way and no

Snaps floss through the contact area

True or False? Oxygenating agents alters bacterial cell membrane decreasing permeability.

False

All of the following statements concerning triclosan are true, except:

it is effective against both Gram-negative and Gram-positive viruses.

In a dentifrice, what is the function of the humectant?

Retains moisture

Which of the following agents is currently available in a dentifrice in the United States?

Tricoslan

Which of the following is not a type of therapeutic dentifrice?

Baking soda whitening dentrifice

All of the following patients would indicate the need for professional topical fluoride treatment except one. Which one is the exception?

Noe of these are correct

Which of the following enamel surfaces will absorb the most fluoride when exposed in the oral environment?

Demineralized enamel on the facial surface of #30

The maximum caries-inhibiting effect of fluoride is seen when there has been systemic exposure prior to tooth eruption and which of the following?

Frequent topical fluoride exposure throughout life

You have a cousin living in Tempe, Arizona. She told you that her community has recently begun adding fluoride to the community drinking water. What would be the optimum concentration in the water supply for your cousin?

0.7 ppm

Which of the following chemicals would most likely be used in community water fluoridation?

Hydrofluorosilicic acid

A light grasp in instrumentation during calculus removal is indicated for:

All of these are correct

Mrs. Carlson is in the process of initial therapy with the RDH. She has completed one quadrant of her nonsurgical periodontal therapy with the RDH. After scaling and root planing are completed, what type of instructions should be provided to Mrs. Carlson?

Personalized printed instructions should be provided.

Mrs. Carlson is in the process of initial therapy with the RDH. She has completed one quadrant of her nonsurgical periodontal therapy with the RDH. What occurs during the ongoing evaluation?

Observe and explore the teeth for complete removal of deposits and observe any gingival changes.

Mr. Herman presents to the dental office as a new patient. On completion of the initial exam, clinical findings reveal 4- to 5-mm probing depths in the posterior sextants, moderate subgingival calculus, and bleeding on probing, with gingival inflammation and generalized marginal redness. After having professional treatment with minocycline hydrochloride, Mr. Herman should be told which of the following?

Avoid touching the treated area.

Mr. Herman presents to the dental office as a new patient. On completion of the initial exam, clinical findings reveal 4- to 5-mm probing depths in the posterior sextants, moderate subgingival calculus, and bleeding on probing, with gingival inflammation and generalized marginal redness. All of the following are possible antimicrobial agents that can be used on Mr. Herman, except:

tetracydoxycyline chip

Quiz #3

Which of the following is an advantage of visible-light-cured sealants?

Increased working time

Which of the following is true for completion of the etching process?

Rinse thoroughly then dry

What item is used to check sealants for occlusal high spots after final curing?

Articulating paper

What is the method of choice for teeth isolation during sealant placement?

Rubber dam

What is the purpose of isolating the teeth being sealed?

To prevent the teeth from being contaminated with saliva

Which of the following is not considered a cleaning choice prior to sealant placement?

High-speed handpiece with prophy paste

When using a light-cured sealant material it is important to leave liquid sealant material in place for __________ seconds to allow for optimum penetration?

10

Which of the following is not an indication for sealant placement?

Proximal dental caries

Which of the following is not true about microscopic examination of pits and fissures after sealant application.

Cleaning agents assist sealant penetration to the bottom.

A) Cleaning the tooth with pumice prior to dental sealant placement is recommended. B) The narrow, long fissures are difficult to clean completely

Statement A is false and statement B is true.

Which of the following is not a criterion of an ideal sealant?

Be a thick, high-viscosity material

Which of the following is not true for sealant placement?

Mix sealant well to ensure a homogenous consistency

Over manipulation of sealant material produces:

air bubbles

The acid etchant used for preparing a tooth for pit and fissure sealants is usually which ingredient?

phosphoric acid

Which of the following is a purpose of a sealant?

To provide a physical barrier to seal off pits and fissures

Which type of sealant will need occlusal adjustment upon final curing?

filled

All of the following are included in pit-and-fissure anatomy, except:

long wide pits.

A) Some incipient carious lesions may be arrested with the application of pit and fissure sealants. B) An adult patient with xerostomia is contraindicated for sealant placement.

Statement A is true and statement B is false.

What is another name for the triangular saliva absorber placed over the parotid duct?

Bibulous pad

Which of the following is the definition of incipient caries?

Beginning caries limited to the enamel

A) Because topically applied fluorides protect smooth tooth surfaces more than occlusal surfaces, a method to reduce the incidence of occlusal dental caries is needed. B) The incidence of new pit-and-fissure caries can be lowered significantly by the application of adhesive sealants.

Both statements are true

Which of the following is the major reason for sealant failure?

salivary contamination

What are the three types of sealant currently available?

Filled, unfilled, and fluoride releasing

Which of the following is not a purpose of the acid etch step in preparing a tooth for sealant application?

To smooth the surface of the tooth enamel

The etching process causes the surface to appear:

caulky

Quiz #4

Implants may be indicated for patients who:

have an edentulous maxilla.

Which of the following is the correct statement regarding D2 bone classification?

Thick dense to porous cortical bone on crest and coarse trabecular bone within

Endosseous implants are made from what material?

Titanium

All of the following are characteristics of fibrous encapsulation, except:

Sharpey fibers

Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth. The dental hygienist recommends a professionally applied fluoride before Allison leaves the office. What type of fluoride should the dental hygienist use?

Neutral sodium fluoride

Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth. The description of the tissue around the implant indicates:

Peri-implant mucositis

Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth. Allison's implant seems to be:

An ailing implant

The risk for implant failure in smokers is:

greater than in nonsmokers.

A) Bone will resorb when teeth are removed. B) Dental implants preserve surrounding bone through function.

Both statements are true

All of the following make a patient a poor risk for dental implants, except:

beta blocker medication

While each patient has a personalized appointment interval, maintenance appointments during the first year after implant placement may be every:

1-2 months

Allison, a 21-year-old patient, returns for her routine maintenance visit. Allison has recently completed orthodontic treatment and had an implant placed in the area of #4, replacing a retained deciduous tooth. The implant was placed 6 months ago. The dental hygienist notes that the peri-implant tissue is red and inflamed. When probed, moderate bleeding occurs, but probe depths are normal. The dental hygienist takes a periapical radiograph of the implant site and, upon comparison to previous radiographs, sees that the bone level looks normal. The implant is not mobile. When questioned about her home care routine, Allison states that she brushes once a day and flosses when she remembers or when food gets caught in between her teeth. When probing around the implant, what should be used?

Plastic probe

Biofilm around the titanium abutment should be removed with which of the following?

dental floss

Mepivacaine's proprietary name is:

Carbocaine

Mr. Jones is a new patient to your dental practice. He has very sensitive teeth and grips the chair when you start to put the mirror in his mouth. You put the instruments down and talk calmly with Mr. Jones for a few minutes before you start the scaling. By building a trust relationship, you let him feel in control without the use of pharmacologic techniques. Which of the five pain control mechanisms best describes the technique you utilized?

Psychosedation methods (iatrosedation)

All of the following are criteria for drug selection of local anesthetics except one. Which one is the exception?

Preference of the dentist

Which of the following injections is used for tooth #4?

MSA

Which of the following topical anesthetics is the most widely used topical agent and has the potential to cause an allergic reaction?

Benzocaine

Which of the following may result in slow removal of the drug, ester, from the blood, resulting in toxicity?

Atypical plasma cholinesterase

Mr. Smith was in the office for scaling and root planing yesterday. The mandibular left quadrant was anesthetized with an amide anesthetic. He just called the office to complain that he cannot open his mouth very easily and his jaw is sore. What is the most common cause of this condition?

trismus

Which of the following is true of pain perception?

It is interpreted in the brain as pain.

Which of the following has the lowest risk of systemic toxicity?

Articaine

Mr. Jones is scheduled for scaling and root planing on the maxillary right quadrant. He currently has 4-mm pockets and very inflamed tissue. It appears as though he has an abscess on tooth #3. What effect would his dental conditions have on the use and effect of local anesthetics?

increase the dose as inflamed tissue has a low pH, which inhibits anesthetic

What is the purpose of the vasoconstrictor in a local anesthetic cartridge?

To increase the duration of the anesthetic effect

Mr. Jones is a 50-year-old male periodontal patient. He has been alternating scaling and root planing appointments every 3 months with your office and the periodontist. He has nitrous oxide sedation at each visit and says that it is the only way a hygienist can touch him. He suffers from stress-induced bronchial asthma and severe allergies. When you asked to review the medical history with him, he said that he had no changes other than an eye surgery last month. Mr. Jones's recent eye surgery a month ago required the use of intraocular gases; Perfluoropropane and sulfur hexafluoride. Would nitrous oxide be contraindicated for this appointment?

Yes, you need to wait due to use of the intraocular gas Perfluoropropane.