Wilkins chapter 26

1. Which of the following is not an accepted use of the toothbrush for oral health care?

a) Biofilm removal

b) Application of treatment or preventive agents

c) Polishing of restorations

d) Halitosis control

e) Sanitation of the oral cavity

C

2. Evidence points to toothbrush origins around 3500 BC. Where did the toothbrush originate?

a) China

b) Babylonia

c) Africa

d) Turkey

e) None of these are correct.

B

3. Who was issued the first patent for a toothbrush in the United States around the middle of the 19th century?

a) Pierre

b) William Addis

c) Lawrence Koecker

d) H. N. Wadsworth

e) Ebert Papyrus

D

4. A) The use of nylon for toothbrush bristles began in 1938. B) World War I complications prevented Australian export of wild boar bristles so synthetic materials were substituted.

a) Statement A is true and statement B is false.

b) Statement A is false and statement B is true.

c) Both statements are true.

d) Both statements are false.

A

5. Which of the following characteristics would be least desirable in a toothbrush? a) Conforms to individual patient in size, shape, and texture

b) Readily cleaned and aerated; impervious to moisture

c) Bristle or filament height of 21 mm

d) End-rounded filaments

e) Durable and inexpensive

C

6. When making suggestions regarding toothbrush selection, the dental hygienist should consider all of the following, except:

a) the ability of the patient to use the toothbrush.

b) the status of the gingival or periodontal health.

c) bleeding of the gingiva during brushing.

d) positioning of the teeth

. e) personal preferences of the patient.

C

7. The sequence in brushing for any method used should:

a) ensure complete coverage for each tooth surface.

b) begin in the anterior region of the oral cavity and work posterior.

c) begin in the same place each time you brush.

d) ensure that you brush the areas that are easiest first.

e) It is not necessary to worry about any particular sequence.

A

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

a) Roll technique

b) Bass method

c) Charters method

d) Stillman method

e) Fones technique

B

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

a) This method bears pressure on teeth that are most facially inclined or prominent.

b) With use of an abrasive dentifrice, this method may produce tooth abrasion.

c) This method does not allow access to the interdental areas.

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

D

10. Which of the following is not true regarding power toothbrushes?

a) Current power brushes move in speeds and motions that cannot be duplicated by manual brushes. effective than manual brushes. designs and features.

b) Research has consistently shown that power brushes are more

c) Power brushes have evolved through time due to improved

d) Power brushes are evaluated by the ADA Council on Scientific Affairs.

e) Power brushes do not offer a great variety in the manner in which the bristles/head moves.

E

11. A patient has asked you for advice in using a particular model of power toothbrush given to her as a gift. You have never heard of this type of power with the doctor for restorative work the following week. What should you recommend to this toothbrush. She has an appointment patient?

a) Tell the patient to go ahead and give the brush a try and let you know if she likes it.

b) Try to provide a demonstration of the brushing technique on a model with a regular brush.

c) Tell the patient that you do not recommend this brush because you have never heard of it.

d) Ask the patient to bring the brush in at her next visit and research the manufacturers' instructions prior to her return.

e) Tell the patient to return the gift and buy the brush your employer sells in his office.

D

12. Which of the following would be the least desirable reason for using the occlusal brushing technique?

a) Loosen biofilm microorganisms packed in pits and fissures.

b) Remove biofilm deposits from occlusal surfaces of teeth out of occlusion.

c) Remove biofilm deposits from the margins of restorations.

d) Remove biofilm deposits from the maxillary tuberosity.

e) Clean pits and fissures to prepare for sealants.

D

13. Which of the following is not an effect of cleaning the tongue?

a) It retards dental biofilm formation.

b) It contributes to overall oral cleanliness.

c) It contributes to increased xerostomia. d) It reduces the number of microorganisms.

e) It reduces the potential for halitosis.

C

14. When is toothbrush damage most likely to occur?

a) After the removal of wisdom teeth

b) After the placement of a new restoration

c) After the initial instruction in a new method of brushing

d) After the patient becomes concerned with the color of his or her teeth

e) After the purchase of a new toothbrush

C

15. Which of the following is generally not a recommendation you would give to a patient experiencing toothbrush abrasion?

a) Change or correct the tooth brushing procedure.

b) Recommend a less abrasive dentifrice.

c) Suggest that the patient spend a longer time brushing his or her teeth.

d) Advise use of a specific brush with end-rounded filaments.

e) Explain the problem to the patient to ensure full cooperation. Toothbrushing

C

16. Which of the following is not a suggestion to tell your patients regarding the care of toothbrushes?

a) Replace your brush frequently, at least every 2 to 3 months.

b) Replace your brush before the filaments become splayed or frayed.

c) If you have a known infection, replace or disinfect your brush.

d) Use only one brush for home and work to prevent cross-contamination.

e) Brushes should be kept in open air with head in an upright position.

D

17. Microorganisms saliva are typically the same as those in the:

a) sulcus.

b) buccomucosal folds.

c) teeth.

d) tongue

D

18. The tongue cleaner is pressed over the tongue with a:

a) heavy and firm stroke.

b) light and soft stroke.

c) light and firm stroke.

d) heavy and light stoke.

C

19. Traumatic toothbrush lesions are frequently found:

a) over molars.

b) over canines and premolars.

c) around the anterior frenum.

d) around the mandibular frenum.

B

20. Which of the following is not true about bacteremia?

a) There is no clear association with infective endocarditis.

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

c) Incidence is higher in patients with gingival inflammation.

d) All of these are correct.

B

21. Most current toothbrushes have __filaments.

a) natural

b) polyester

c) boar

d) nylon

D

22. The most effective power toothbrush moves in a(n) motion.

a) oscillating b) side-to-side

c) orbital d) All of these are correct.

A