Exam 2

Question 1

What is the “most important tool in dentistry”?

Answer 1

Communication

Question 2

Is providing information enough to change pt behavior?

Answer 2

NO

Question 3

What % of med litigation cases cited communication as the primary cause?

Answer 3

68% to 70%

Question 4

What are the two main roadblocks to good listening?

Answer 4

• office distractions

- bias

Question 5

Always ask patients about previous _____

Answer 5

dental experiences

Question 6

What are the three most common reasons people avoid the dentist?

Answer 6

1: Fear

2: cost
3: lack of providers

Question 7

6 Predictors of Dental Anxiety (in order)

Alpacas Can Slurp A Giant Albino

Answer 7

1. Attitude towards dentists
2. Check-up Frequency
3. Satisfaction with mouth
4. Avg # filled surfaces
5. Gender
6. Annual Income

Question 8

What are three good initial contact questions?

Answer 8

1. How long since last dental visit?
2. Past treatment? Talk about it.
3. Do you have any concerns?

Question 9

What are the 3 things to do to reduce anxiety in child pts?

Answer 9

1. Tell
2. Show
3. Do

Question 10

What are 4 cultural factors that can affect oral healthcare?

Answer 10

1. Eating habits and diet preferences
2. What healthy teeth and gums look like
3. Perception of time
4. Gender roles

Question 11

Health literacy is the ability of the pt to process and use med info. What is it associated with?

Answer 11

Education and race/ethnicity.

NOT assoc w/ age or gender

Question 12

What are Kleinman’s 8 Questions?

Answer 12

1. What caused problem?
2. Why/when did it start?
3. What do you think it does it you?
4. How severe is it? Long or short course?
5. What tx should you get?
6. What do you hope to get from tx?
7. Problems sickness has caused you?
8. What do you fear most about sickness?

Question 13

What are the 6 types of cements?

Zinc GRP

Answer 13

1. Zinc Phosphate
2. Zinc Oxide Eugenol
3. Zinc Polycarboxylate
4. Glass Ionomer
5. Resin-Modified Glass Ionomer
6. Provisional Cements

Question 14

Should a good cement be thick or thin?

Answer 14

Thin

Question 15

Is a good cement radiolucent or radiopaque?

Answer 15

Radiopaque

Question 16

What was the first cement?

Answer 16

Zinc Phosphate (Gold standard)

Question 17

Advantages of zinc phosphate?

Answer 17

• thin thickness
• low solubility (resists breakdown in mouth)
• low thermoconductivity
• long shelf life

Question 18

Disadvantages of zinc phosphate

Answer 18

• initial low pH
• no chemical adhesion/bond
• no antibacterial prop
• poor aesthetics
• long setting time
• exothermic

Question 19

What is the setting time of zinc phosphate cements?

Answer 19

2.5-8 mins

Question 20

What type of ZOE is used for temp crowns?

Answer 20

Type 1

Question 21

What is benefit of ZOE? What materials does it not work with?

Answer 21

• neutral pH (soothing to pulp)

- acrylic or composite (eugenol not compatible)

Question 22

What was first cement system with adhesive agent that bonded to enamel and dentin?

Answer 22

Zinc polycarboxylate

Question 23

What materials will polycarboxylate bond to?

Answer 23

Most alloys but NOT gold

Question 24

What zinc cement is used as a temporary crown cement in the clinic?

Answer 24

Polycarboxylate

Question 25

How long does ZOE last in the mouth?

Answer 25

6-12 mo

Question 26

What is another name for an acid-base cement?

Answer 26

Glass ionomer

Question 27

What is the thickness of glass ionomer cements?

Answer 27

thin

Question 28

What two aspects of glass ionomer cements seem contradictory?

Answer 28

- Moisture resistant (okay if there is a little moisture present at placement - Fairly soluble (can start to degrade in the mouth)

Question 29

Most important advantage of glass ionomer cements?

Answer 29

Fluoride release

Question 30

Are glass ionomers radiolucent or radiopaque?

Answer 30

Radiopaque

Question 31

What cement has multiple uses? What are 3?

Answer 31

Glass ionomer: - liner - luting agent - build-up material

Question 32

How does the addition of resin to glass ionomer change it's properties?

Answer 32

- less soluble | - lower early strength and moisture sensitive during setting

Question 33

How long is the normal working time for glass ionomer cements?

Answer 33

2-2.5 minutes

Question 34

Important detail needed in temp cements?

Answer 34

-easily removed from prep without harming tooth structure

Question 35

Why do you want eugenol in temp cements?

Answer 35

Antibacterial effect (but can have - effect on resins)

Question 36

How is ZONE different from ZOE?

Answer 36

ZONEs have carboxylic acids instead of eugenol. Have greater retention (RelyX Temp NE)

Question 37

4 things to consider when selecting temp cements?

Answer 37

1. How long? 2. How retentive? 3. What will permanent cement be? 4. Working in aesthetic zone?

Question 38

What is the bridge between the study of disease and the treatment of illness?

Answer 38

Diagnosis

Question 39

Why change the type of clinical examination?

Answer 39

-alters the amount of diagnostic information collected initially and the scope fo diagnostic decisions made by the clinician

Question 40

If pt has multiple complaints, how do you list them?

Answer 40

-In order of priority stated by patient

Question 41

Diagnostic casts are part of what kind of exam?

Answer 41

Comprehensive

Question 42

T or F: in a periodic exam, the dentist must confirm accuracy of prior data from previous dentist.

Answer 42

True

Question 43

What does SOAP stand for?

Answer 43

S-Subjective (what patient says) O-Objective (what you find) A-Analysis (diagnosis) P-Plan (recommended treatment)

Question 44

What is the purpose of a screening diagnosis?

Answer 44

- answer specific question about the pt | - obtain limited info needed to answer question w/o accepting comprehensive dx

Question 45

Difference between symptom and sign?

Answer 45

Symptom: bodily change perceptible to the pt Sign: body change perceptible to trained observer

Question 46

What is the most common symptom of face, mouth and neck area?

Answer 46

pain

Question 47

T or F: When assessing pt history, it should include the pt's physical limitations and cognitive status.

Answer 47

True

Question 48

The risk of developing Alzheimer's Disease is incr in pts _______.

Answer 48

-who are currently smoking

Question 49

T or F: Rheumatoid arthritis affects only joints, surrounding tissues, and connective tissue.

Answer 49

False: inflammation affects entire body, skin, muscles, GI, lungs, heart, eyes

Question 50

What condition increases risk of developing gout?

Answer 50

Chronic Heart Failure

Question 51

What med is associated with bruxism and TMD?

Answer 51

Antidepressants

Question 52

A diabetic with good control of BG should have an A1c below _______.

Answer 52

7%

Question 53

Shortness of breath along with swelling of lower extremities, stomach, veins, neck are signs of _____.

Answer 53

Heart Failure

Question 54

Should pts on Warfarin stop or alter their dose before most dental procedures?

Answer 54

No. TR is < or = 3.5

Question 55

What are the BP ranges? Normal, Elevated, HTN 1, HTN 2, Crisis?

Answer 55

``` Normal: <120/<80 Elevated 120-129/<80 HTN 1: 130-139/80-89 HTN 2: >140/>90 Crisis: >180/>120 ```

Question 56

MS is an immune _________ disease of the CNS.

Answer 56

mediated

Question 57

What is NOT a typical symptom of MS?

Answer 57

Hearing loss

Question 58

Is depression a common symptom of MS or Parkinson's?

Answer 58

MS

Question 59

Should pts with stroke history receive vasoconstrictors? If so how much?

Answer 59

Yes, but either Epi 1:1k or 1:2k and < or = 0.04 mg