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PreClinic: Wilkins Chapters 18-20, 24-25

Terms in this set (50)

Signs of health in the gingiva include all of the following EXCEPT:
Bleeding on probing
A. Factors that influence color are vascular supply, thickness of epithelium, and degree of keratinization. B. Chronic inflammation appears as a dark red, bluish red, magenta, or deep blue.
A. True/ B. True
A. Gingivitis occurs frequently in children but is usually reversible without having permanent damage. B. Periodontal disease cannot occur in children.
A. True/ B. False
A. Junctional epithelium is a cuff-like band of stratified squamous epithelium that is continuous with the sulcular epithelium and completely encircles the tooth. B. The junctional epithelium or attachment epithelium provides a seal at the base fo the sulcus.
A. True/ B. True
A. Apical fibers extend from the root apex to adjacent surrounding bone to resist vertical forces. B. Interradicular fibers extend from the cementum in the middle of each root to adjacent alveolar bone to resist tipping of the tooth.
A. True/ B. False
A. The free gingival groove is a shallow linear groove that demarcates the free from the attached gingiva. B. In the absence of inflammation and pocket formation, the gingival groove runs somewhat parallel with and about 0.5-1.5 mm from the gingival margin.
A. True/ B. True
Gingival crevicular fluid is:
Serum-like fluid that seeps from the connective tissue through the epithelial lining of the sulcus or pocket.
Which of the following statements best describes alveolar mucosa?
Movable tissue, smooth, shiny surface with nonkeratinized, thin epithelium.
A. Disease changes do not produce alterations in color, size, position, shape, consistency, surface texture, bleeding readiness, and exudate production. B. Biofilm is involved in the changes that take place in the gingival tissues during the transition from health to disease.
A. False/ B. True
The function of cementum is to:
Seal the tubules of the root dentin and provide attachment for the periodontal fiber groups.
All of the following are used to determine the initial diagnosis and case type of a patient EXCEPT:
Biopsy
An early lesion is described as all of the following EXCEPT:
Occurs within 2-4 days from bacterial accumulation.
A. The connective tissue fibers below the junctional epithelium are destroyed in an advanced lesion. B. The epithelium migrates along the root surface in an initial lesion.
A. True/ B. False
A. A pocket is a healthy sulcus. B. A pocket has an inner and outer wall of the free gingiva.
A. False/ B. True
A. A periodontal pocket is a pocket formed by gingival enlargement without apical migration of the junctional epithelium. B. A gingival pocket is a pocket formed as a result of disease or degeneration that caused the junctional epithelium to migrate along the cementum.
A. False/ B. False
A sulcus or a pocket has a gingival side and a tooth side. The gingival side is:
Sulcular epithelium
Which of the following acts as a barrier to keep infection out?
Junctional epithelium
A factor that lends assistance to, supplements, or adds to a condition or disease is a(n):
Contributing factor
The following medications induce gingival enlargement EXCEPT:
Synthroid
A. Smokers have increased bone loss. B. An association between periodontal disease and all forms of tobacco has not been established.
A. True/ B. False
Which of the following is not one of the types of mirror surfaces commonly used?
Convex
Why would a dental hygienist with an air syringe dry supragingival calculus?
To facilitate exploring and scaling.
A. A probe is a slender instrument with a rough, pointed tip designed for examination of the depth and topography of a gingival sulcus or periodontal pocket. B. A probe has three parts: the handle, the angled shank, and the working end.
A. False/ B. True
A pocket is:
Diseased gingival sulcus.
Where is the measurement of the probing depth made?
From the gingival margin to the attached periodontal tissue.
A. With molars and premolars, the probe is oriented at the distal line angle for both facial and lingual application. B. With anterior teeth, the initial insertion may be at the distal line angle or from the mid-line of the facial or lingual surfaces.
A. True/ B. True
The clinical attachment level refers to:
Position of the periodontal attached tissues at the base of a sulcus.
All of the following are types of explorers EXCEPT:
H 6/7
A. Supragingival calculus is most commonly found on the facial surfaces of the mandibular anterior teeth and lingual surfaces of the maxillary first and second molars. B. Subgingival calculus is typically not localized.
A. False/ B. False
A. The periodontal ligament is connective tissue and appear radiopaque in a radiograph. B. Early furcation involvement may appear as a small radiolucnet black area.
A. False/ B. True
Your patient Mr. Todd has come into the office for his 6-month recare appointment. Mr. Todd tells you that he has had a constant toothache around #3 and that it seems to be getting worse. Mr. Todd is not due for radiographs and is anxious for you to start because he has a lot of stain on his front teeth. Mr. Todd explains to you that he no longer has insurance and hopes the prophylaxis won't cost him to much. The chief complaint is:
Mr. Todd's toothache.
All of the following are components of the dental hygiene process of care EXCEPT:
Dental Diagnosis
Which of the following is true of dental hygiene diagnostic statements?
They reflect the expected outcomes of dental hygiene interventions.
A risk factor for caries is:
Poor oral hygiene.
The dental hygiene diagnosis serves which function?
Identify patient needs that can be met by implementing treatment and education interventions that are within the scope of dental hygiene practice.
Which one of the following is NOT a risk factor for dental caries?
Bleeding on probing.
Which one of the following is not a risk factor for oral cancer?
Calculus
What is the purpose of tissue conditioning?
Both B and C (Gingival healing and to minimize bleeding)
What is the purpose of having the patient perform a preprocedural antimicrobial rinse?
To lower the bacterial count in aerosols.
Which one of the following is not a risk factor for periodontal disease?
Frequent use of cariogenic foods.
Which of the following is the primary objective of the dental hygiene plan for periodontal treatment?
Restore and maintain health of the periodontal tissues.
Which one of the following steps should be first in developing a care plan?
Determine goals based upon patient needs.
Informed consent carries which characteristic?
Addresses risks of doing or not doing procedures.
Informed refusal:
Is documented in patient record.
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.
The dental hygiene care plan includes all of the following EXCEPT:
Economic considerations for services.
Dental hygiene care plan is part of which phase of the total dental treatment plan?
Both B and C (Phase I therapy and Phase IV maintenance)
Explaining the plan to the patient serves which function?
All of the above
The procedure to present the care plan to the patient includes:
Both A and B (Proper terminology for patient understanding and Face-to-Face interaction)
The care plan for a 50-year-old smoker 1.5 packs of cigarettes/day with a white patch on lateral border of tongue would include which service(s)?
All of the above
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