7. Dental Hygiene Prometric Exam, CSCE, CSCE, 2 Dental Hygiene Prometric 2, Computer Simulated Dental Hygiene Exam, Dental Hygiene Prometric Exam CDCA, Dental Hygiene Computer Simulated Case Test

What is an oral side effect of Prozac?

xerostomia

How do steroids effect wound healing?

causes delayed wound healing

What should be done with a patient with a previous history of high blood pressure and comes in for their appointment with reading of 160/116?

refer the patient to their physician immediately

Premedication regimine

2g Amoxicillin

600 mg Clindamycin

Patient comes in for appointment who needs premed, and they took 300 mg 1 hour prior to their appointment. What would you do?

administer another 300 mg and wait 1 hr prior to treatment (because their clindamycin premed is 600mg 1hr prior to treatment)

What is a PAN used for?

- look at location of 3rd molars

- impactions

- pathology

- NOT FOR BONE LOSS

Items containing fluoride?

- tea

- pork

- fish

What type of water does not contain fluoride?

well water

Know the papilla of the tongue

- filiform (most numerous, very small)

- fungiform (mushroom shape, contain taste buds)

- circumvallate (larger mushroom shaped, contain taste buds, on anterior side of sulcus terminalis)

- foliate (leaf shaped, lateral border of tongue)

What is hairy tongue caused by?

elongation of the filiform papillae

Delayed eruption may be caused by

delayed exfoliation

Identify mandibular canal radiographically

radiolucent, long dark area outlined with dense cortical bone, located above or parallel to the inferior border of the mandible

What is thickened lamina dura caused by? is this appearance normal?

- caused by trauma

- not normal

Know film errors

- elongation: too little vertical angulation

- foreshortening: too much vertical angulation

- cone cut: PID not aligned with censor

- overlap: incorrect horizontal angulation

Identify median rhomboid glossitis

rhombus shaped, central denuded area of the tongue with red appearance

What is the treatment for black hair tongue?

brush it

What is a vitality test used for?

testing to see if the pulp is vital or not (applying cold air on cotton swap and pushing it against the tooth; if the pulp is vital it hurts, if its necrotic you would not feel anything)

What are Hutchinson's incisors caused by?

Syphillis, NOT biting on bobby pins

Identify lingual varicosities.. are they normal?

yes they're normal

How long should ultrasonic units be flushed?

20 seconds

What provides proof of sterilization? Spore test or autoclave tape?

Spore test

What does autoclave tape tell you?

that it has reached proper temperature

Hep B vaccination also protects you from?

Hep D

What can chlorhexidine cause?

staining, increased calculus deposits

What instrument should you use to work on mandibular anterior gingiva?

- 1/2 gracey

- columbia

- sickle ultrasonic

What drug causes bleeding?

Aspirin

What does the 2nd premolar replace?

the 2nd deciduous molar

What would you do for fordyce granules?

leave alone; normal

is a bifurcated maxillary canine normal?

yes

What would you do for lingual erosion?

rinse with sodium bicarbonate

Stannous fluoride is not found in which of the following? tea, pork, well water, or fish?

well water

Which is the only root that would be incomplete at age 15?

the second molar

Presents with a firm lesion on the ventral surface of the tongue? ranula, benign, or malignant?

?

what is the panorex best used for?

position of 3rd molars

What is wrong with the PANO picture?

patient should not have on a thyroid collar when taking a PAN

What can prednisone cause?

delayed wound healing

How old is a patient with 2nd premolar, 1st molar, and 2nd molars are unerupted?

11 years old

Does ankylosis of the tongue result in nutrition issues?

no

What would recession to the apex of #24-25 be a result of?

AIDS

Exaggerated gingival enlargement could be the result of what?

uncontrolled diabetes

What degree should the shank of the instrument be when scaling subgingivally?

70 degrees

What should be done with safety glasses after each patient?

washed

Does lingual candidiasis of lateral tongue wipe off?

yes

What does leukoedema look like?

white spot of buccal mucosa disappears when the cheek is stretched

What type of drug is Procardia?

calcium channel blocker

What is procardia used for?

for high blood pressure

What does procardia cause intraorally?

gingival enlargement

What would mandibular anterior, facial, bright pink and enlarged gingiva indicate?

pregnancy gingivitis

Are bifurcated mandibular premolars normal?

yes

What drink can cause facial erosion?

fruit juice

What does median rhomboid glossitis look like?

red lump in center of posterior portion of tongue

What is the treatment for median rhomboid glossitis?

antifungals

Know what cross bite looks like

...

Know classes of occlusion

Class I: mesiobuccal cusp of maxillary first molar occludes with buccal groove of mandibular first molar

Class II: buccal groove of mandibular first molar is distal to the mesiobuccal cusp of maxillary fits molar

Class III: buccal groove of mandibular first molar is mesial to the mesiobuccal cusp of maxillary first molar

Why would there be a white triangle covering all the mandibular anteriors and chin on a PAN?

If the mouth looks smiley then the chin was too low, if the mouth looked frowning then the chin was too high

FDA regulates

fluoride content in bottled water

medications that cause increased bleeding?

anticoagulants (warfarin, heparin), antiplatelets (aspirin, plavix), blood modifiers (xarelto, eliquis, pradaxa)

medications that cause gingival hyperplasia?

- anti-seizure: Dilantin

- calcium channel blockers: Norvask, Procardia (used to control BP)

- Cyclosporine (used an immunosuppressant)

Determine age of patient by teeth present

...

Determine which tooth is present in mixed dentition

...

distinguishing between between leukoplakia and candida?

candida wipes off but leukoplakia doesn't

clinical pictures of fluorosis, abrasion, pyogenic granuloma, redness on palate, what are some likely causes?

ill-fitting denture, tobacco, stain, linea alba

a patient on an anti-hypertensive is most likely to experience what problem in the dental chair?

orthostatic hypotension

what causes a diastema?

genetics

x-ray pit falls

- patient moves

- cone moves

- film moves

aspirin burn

- chemical injury

- white plaque lesion

- can be wiped off

- leaving a bleeding raw base

- will heal once chemical is removed

amelogenesis imperfecta

- enamel is found to be defective

- discolorations, pitting, thinner enamel, "flakes off"

- etiology: genetics

- defect in the mineralization, deposition, and hardening of enamel layers

mucogingival junction

- sharply defined scalloped junction between pinker attached gingiva and redder alveolar mucosa

enamel projection (enamel pearl)

- misplaced ameloblasts migrate to the root area

- produces enamel pearl on CEJ or furcation area

pyogenic granuloma

- benign

- tissue response to trauma, local irritation, hormonal changes

- appear in pregnancy due to increase in hormones

- puberty and pregnancy

- composed of hyper plastic granulation tissue

etiology of diastema?

genetic

when do maxillary centrals erupt?

7-8

when do mandibular centrals erupt?

6-7

when do maxillary laterals erupt?

8-9

when do mandibular laterals erupt?

7-8

when do maxillary canines erupt?

11-12

when do mandibular canines erupt?

9-10

when do maxillary first premolars erupt?

10-11

when do mandibular first premolars erupt?

10-12

when do maxillary second premolars erupt?

10-12

when do mandibular second premolars erupt?

11-12

when do maxillary first molars erupt?

6-7

when do mandibular first molars erupt?

6-7

when do maxillary second molars erupt?

12-13

when do mandibular second molars erupt?

11-13

when do maxillary third molars erupt?

17-21

when do mandibular third molars erupt?

17- 21

How much fluoride supplementation should be given to a 6 month old or younger?

none

How much fluoride supplementation should be given to a 6 month old - 3 year old in a community with less than 0.3 ppm in their water?

.25mg/day

How much fluoride supplementation should be given to a 6 month old - 3 year old in a community with 0.3-0.6 ppm in their water?

none

How much fluoride supplementation should be given to a 6 month old - 3 year old in a community with more than 0.6 ppm in their water?

none

How much fluoride supplementation should be given to a 3-6 year old in a community with less than 0.3 ppm in their water?

0.50 mg/day

How much fluoride supplementation should be given to a 3-6 year old in a community with 0.3-.0.6 ppm in their water?

0.25 mg/day

How much fluoride supplementation should be given to a 3-6 year old in a community with more than 0.6 ppm in their water?

none

How much fluoride supplementation should be given to a 6-16 year old in a community with less than 0.3 ppm in their water?

1 mg/day

How much fluoride supplementation should be given to a 6-16 year old in a community with 0.3-0.6 ppm in their water?

0.25 mg/day

How much fluoride supplementation should be given to a 6-16 year old in a community with more than 0.6 ppm in their water?

none

complication with high blood pressure medications?

orthostatic hypotension

dental caries and relation most with diet?

frequency

advantage of digital x-rays?

reduce exposure