Final Study Guide Flashcards by Faye Sitron

The practice of pediatric dentistry for the child patient includes measures that are:

Preventative
Restorative
Corrective
Nutritional

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To provide a favorable environment for the apprehensive child patient, the child’s appointment should be:

After nap time or early in the morning

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Objective fears are hindrance when treating a child patient because they are:

real

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Preformed stainless steel crowns are indicated for teeth that are

Badly decayed
Fractured
Malformed

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In a vital pulpotomy, _______ is/are applied over the calcium hydroxide

Zinc-oxide eugenol cement

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Which instruments are used to remove pupal debris from canals?

Broachers

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Which instrument would be used to enlarge, shape, and smooth the pulp canal?

Files

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Non-specific chemicals such as formocresol and or sodium hypochlorite are used for ____ and are applied into the tooth with ____

Irrigating the canal- syringes

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Which of the following refers to necrotic pulp?

Non-vital

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A pulpotomy involves:

Removal of the pulp chamber only

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The tooth that is discolored (darkened) following endo. Treatment may be:

Bleached

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An opening on the mucosa that provides drainage from a site of injection is called:

Fistula

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Intracanal instruments and materials can be sterilized during the endodontic procedure by:

(The answer should be glass bead sterilizer)

Placing in a hot bead/salt sterilization prior to use

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Radiographs are an essential part of endodontic treatment because

Teeth may be maloccluded
Tooth involved may be vital
Accurate measurement of the canal must be made

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Which of the following are separators used to separate teeth prior to orthodontic banding:

Elastics
Steel spring wire
Brass wire

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Which of the following classification of malocclusion describes the protruding mandible?

Mesioocclusion

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Which of the following orthodontic tasks may be delegated to a dental hygienist?

Alginate impression for study casts
Placing head gear
Removing excess cement supra and subgingivally
Placing and removing arch wires and ligature wires

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_____ is when bone cells disappear b/c it tension (pressure) is applied to a tooth/teeth… think cellulary

Osteoclastic process

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The metabolic process that causes osteoblasts to be generated within a space around a tooth is known as:

deposition

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Pedodontics is the speciality devoted to which of the following?

Preventative treatment of individuals from birth through stages of mixed and perm dentition

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The principle ingredient of reversible hydrocolloid is:

agar

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When converting from sol to a gel, a reversible hydrocolloid undergoes what type of reaction?

chemical

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If left in water, an alginate impression may swell and will undergo what process?

imbibition

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What do you do first if you suspect a patient has swallowed a toxic amount of fluoride?

Have them consume calcium binding agent, water, or milk

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When a restorative or endodontic procedure is performed, the rubber dam is used to:

Isolate the tooth | Prevent chemicals from entering the oral cavity

A ___ is an artificial wall used to replace and restore normal contour of a prepared tooth while the restorative material is being placed.

matrix band

The matrix band extends approx. ___ to __ beyond the gingival margin of a prep.

1mm to 1.5mm

The final step in an amalgam procedure is:

Carving anatomic detail

A wedge is sometimes used to:

Stabilize the band

The smaller circumference of a matrix band goes toward:

Gingiva

T/F: The tofflemire retainer and matrix bands are removed from a tooth as one unit

False

T/F: A tofflemire retainer and band are always necessary in the restoration of a class I cavity

False

If your patient has a history of asthma, you will:

Keep their inhaler out during treatment

____ is added to small quantities to local anesthetic solutions to increase the duration of the anesthetic effect.

Epinephrine - VASOCONSTRICTOR

Nitrous oxide and oxygen can be used during procedures to induce:

General anesthesia Conscious sedation Local anesthesia

Epinephrine is an

vasoconstrictor

The nitrous oxide canister is ____ and the oxygen is ____ color :

Blue-green

____ anesthetics are used for their ability to only penetrate the oral mucosa and depend upon diffusion to be effective:

Topical

_____ types of local anesthic agents are more likely to cause an allergic reaction:

Ester

An anesthetic carpule contains approx.

1.8 cc

Local anesthesia with epinephrine may be contraindicated for patients with a history of:

Heart disease | Hypertension

To operate on the maxillary second and third molars the dentist would anesthetize the ___ nerve

PSA

In order to replace a minor chipped restoration on a mand anterior, the dentist would most likely would give a :

Mandibular infiltration injection

Most commonly the short needle is used for block anesthesia and long needle for infiltration anesthesia

true LONG NEEDLE = ~32MM - INFILTRATION SHORT NEEDLE = ~20MM - BLOCKS

Because of its accessibility the ____ artery is most commonly used for determining the pulse rate

radial

_____ rate usually increases with pain, fever, or excitement. The normal adult rate averages between 16 and 20

respiration

Ingestion of stimulants and or depressants will most importantly effect the

A dental assistant who provides direct patient care is not protected by the doctrine “respondant superior” (let the master answer) therefore he/she protect themselves by:

Carrying malpractice insurance

A hygienist or assistant who performs “expanded functions” that are not legal in the state in which he/she practices:

Considered guilty of criminal act | Considered guilty of the unlicensed practice of dentistry

A patient has a carious lesion on the distal surface of tooth 30 and the mesial surface of tooth 31. The patient has class ____ cavities and needs ___ restorations

2- M and D

Which of the following is NOT normal or ideal occlusion?

Maxillary anterior teeth are slightly prominent and the jaw is long

Fixed bridges can be fabricated

Entirely of gold Combination of gold and porcelain facings Porcelain facing to metal

The function of the preliminary impression in full denture construction is to:

Construct a custom tray to be used to make denture

The adaption by patients to wearing full mandibular dentures will depend upon the:

Age of the patient Number of sore spots after two days Patients desires to wear dentures How many times they have the dentures adjusted

The middle superior alveolar branch of the infra-orbital nerve supplies:

The premolars and mesiobuccal root of the 1st molar

Which is the only emergency for which oxygen is not usually recommended

hyperventilation

All of the following oral signs are usually present in a patient with a history of seizure disorders except:

all are correct

If a patient with a history of toxic reaction to injection of local anesthetic, which of the following would cause the least allergic reaction

Mepivacaine (carbocaine)

Nitrous oxide analgesia is NOT recommended for:

pregnant women | mouth breathers

The following symptoms may be noticed by the patient who has been administered the correct amount of nitrous oxide:

Tingling in the extremities Floating Dreaminess Relaxation, euphoria

Orthodontics is the practice of

Studying the growth and development of the primary and permanent dentition Development of the skull, facial and oral structures Studying the swallowing and breathing patterns Preventative and corrective techniques to promote normal occlusions

To provide a longer work time for setting of the cement in the banding process, what procedure is followed?

Use a cold glass slab

A tongue thrust or thumb sucking habit persisting past age of mixed dentition usually results in

open bite

A person who has a fixed bridge should not be taught the following during home care

Floss holder

Percussion is a term related to

Testing the vitality of a tooth Testing the mobility of a tooth Gently tapping a tooth

T/F: A smear biopsy is when the entire lesion is removed

false

The most accurate means for assessing the location and extent of bone loss is by

radiographs

A pedodontic space maintainer is a fixed or removable device that

Maintains space until permanent teeth erupt

One of the most successful methods used to create a good patient from child difficult to treat is to

Use a reward system for good behavior

In order to achieve retention of a restorative material within a cavity preparation, the operator would:

create an undercut

The resorption of the roots of primary teeth is the normal process of preparing those teeth for

exfoliation

Which of the following procedures involves the removal of epithelial lining, granulation tissue and or damaged tissues of a perio pocket?

Subgingival curettage

Probing measurements are recorded at what number of points around each tooth

Six

The most significant diagnostic sign of gingival inflammation is

Bleeding

A surgical procedure to remove disease gingiva thereby reducing perio pockets is

Gingivectomy

A surgical procedure to remove tissue from a donor site and suture in place at a receiver site is

Soft tissue graft

The surgical reshaping of the bone is

Osteoplasty

A combination of the following will most effectively remove plaque

Brushing and flossing

Which of the following would not be true for an undermixed amalgam?

It has greater strength than normal

Cavity varnish is used to

Seal dentinal tubules

Which of the following material would provide substantial thermal protection for the pulp?

Thin cavity liner or base

Case Study: What disease might this patient have?

Hepatitis

Case Study: The best choice of treatment at appointment

use universal precautions and continue treatment

one of the most important human barriers for protection from diseases for the dental hygienist is

Intact skin

On a fixed (cemented) bridge, the pontic tooth is

The missing tooth

The new guideline for chest compressions and rescue breaths while preforming CPR should be:

30:2

Ethical dilemma is:

Two ethical principles are in conflict and regardless of decision and ethical principle will be violated

If a dental hygienist does not follow the code of ethics, he/she will

Loose his/her license Loose respect from colleagues and clients Be placed on probation

The maximum pressure exerted against the walls of a blood vessel is called

Systolic pressure

A mesial cavity in a mandibular right second premolar is classified as

Class II

Which of the following dental aids would be best in an interdental area with a slight space

Proxibrush

Which of the following dental aids would be most beneficial for a patient with dexterity issues

Floss holder

For an ASA injection should be place at the apex of the

Max canine

T or F: There has been a recent change in the blood pressure guideline for adults, 120- 129 over <80 is considered hypertension stage 1

(F) - 130-139

The most frequently used medicaments for irrigation in root canal therapy are:

Hydrogen peroxide | Sodium hypochlorite