Cariology and Prevention 2 Practice Test

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• Inadequate etching is a factor in loss of sealant retention.
• How long should sealant placement be delayed (except for high risk patients)?
• If decay has progressed into the tooth pulp, which treatment is indicated?
• What is required when a child has been referred to a dental home in 1st Look?
• What is the purpose of filler material in a sealant?
• What is a must-have when applying SDF under Medicaid 1st Look?
• Which statement best describes the difference between cervical burnout and root caries?
• During denture examination, after removing the dentures, which aspect should be assessed?
• A small radiolucent notch in enamel just apical to the contact area is most consistent with which lesion?
• What are the three possible colors of sealants?
• Hyposalivation leads to changes in plaque composition that favor which organisms?
• When does salivary flow increase?
• Which specialized hygiene aid is recommended for patients with compromised dexterity?
• Recurrent caries around a restoration on a radiograph is most accurately described as what?
• What most often results in sealant failure?
• What is the prevalence of osteonecrosis?
• What are typical resting and stimulated salivary flow rates?
• Which lifestyle factor is listed as a cause of reduced salivary flow due to decreased masticatory activity?
• Creasing of facial skin at the lip corners due to tooth loss and poorly fitting dentures is normally a pre-indicator of which condition?
• When are sealants indicated?
• The 1st Look program was developed by the agency in partnership with which groups?
• What percentage of saliva is water?
• Saliva provides minerals that help remineralization. Which minerals are these?
• What oral hygiene habit is recommended for the elderly?
• Aspiration of oral bacteria in bedridden and hospitalized patients is most commonly associated with which condition?
• Which condition is a contraindication for dental implants?
• True or false: a single toothbrush will clean pits & fissures very well.
• What is the most important function of saliva?
• True or False: The detection of recurrent caries around restorations is affected by the angulation of the central ray.
• Old dentures that have insufficient vertical height are commonly associated with which condition?
• Which statement best describes the relationship between coronal and root caries and pH effects on acid dissolution?
• What are the requirements for a child to qualify for the 1st Look program?
• Some dentists believe that a _____________ sealant is better because of a lower wear rate on occlusal surfaces.
• Which statement best describes the overall composition of saliva?
• Which factor, besides lesion location, influences the radiographic detection of recurrent caries around a restoration?
• Periodontitis differs from gingivitis in that it involves destruction of PDL and bone.
• When is the best time for sealant placement?
• After etching, which action is recommended to prepare for bonding?
• The term xerostomia is derived from Greek words xeros and stoma meaning?
• Which specialized hygiene aid may be used for patients unable to brush their own teeth or who cannot cooperate?
• Cobblestoning erythema of the palate is most often seen in which condition?
• For debatable reasoning: Which term describes enamel at the base of pits and fissures becoming porous from mineral loss?
• Dental sealants are typically made of what material?
• In childhood, studies show that individuals with a lower incidence of dental caries drank more of which beverage?
• Which of the following best describes the symptoms of root caries?
• Which type of sealants make the clinical evaluation of sealant retention much easier?
• Which caries type is commonly indicated by a radiolucent line beneath enamel on radiographs?
• Created as a result of the enamel at the base of the pits & fissures being porous because mineral has been lost. Which term describes this?
• Gum inflammation with no destruction of PDL or bone; symptoms include tenderness, erythema, and bleeding gums; treatment includes good oral hygiene with regular dental visits. This condition is called?
• What dental prosthetic is surgically placed into the jaw and crowned, and can be used to retain dentures in edentulous patients?
• What is an important component of any disease prevention program?
• Which statement about fluoride and saliva is correct?
• What radiographic pattern would you expect to see if an occlusal caries has advanced into dentin?
• Can sealants be placed on teeth with incipient caries?
• Which sugar alcohol is used in chewing gum to stimulate salivary flow?
• Which statement correctly distinguishes light-cured sealants from self-cured sealants?
• Which factor most strongly contributes to sealant failure?
• How can tooth loss, dentures, and decreased saliva alter diet?
• What is the primary purpose of pit and fissure sealants?
• What is the main way to differentiate proximal carious lesions from carious lesions of the root?
• Which radiographic sign is typically associated with early occlusal caries before dentin involvement?
• Which sealant color is most popular because it is easier to see during application and checks for retention?
• Which is NOT a consequence of hyposalivation?
• In 1st Look, how many times can D0145 be billed for children aged 6 months to 36 months?
• Which statement correctly describes acid dissolution in coronal caries according to the material?
• Which factor contributes to rapid progression of root caries in the elderly?
• Which condition associated with jaw changes may require denture adjustments?
• Which statement describes a non-risk factor for denture stomatitis?
• Which condition is described as rare in prevalence?
• Which of the following is a risk factor for denture stomatitis?
• Which caries type is usually detected earlier clinically than radiographically and shows early radiographic evidence as a thin radiolucent line beneath enamel?
• What are the consequences of extracting a tooth with root caries?
• Which of the following is a common cause of ulcerated mucosa from denture irritation?
• Which statement best describes the palpation of areas for oral problems in elderly?
• Which statement is true about oral care in nursing homes?
• How can you clean the occlusal surface before placing sealant?
• Which of the following is an advantage of using resin modified glass ionomer to treat root caries?
• What makes up about 1% of saliva?
• Which of the following is a clinician step to prevent oral disease?
• The concentration of saliva is influenced by which environmental factor?
• In 1st Look, to whom must providers refer high-risk patients?
• Which statement is true about filled versus unfilled sealants in terms of wear and microleakage?
• Which statement about sealant placement timing is correct?
• Which region is important to examine for mucosal changes and saliva when evaluating oral problems?
• Dry mucosa in the elderly interferes with denture retention and increases the risk of which condition?
• Thin layer of enamel is removed; debris, tooth pellicle & chemically inert crystallites are removed. Which term describes this?
• Which teeth have the most susceptible pit and fissures?
• Stroke may involve diminished salivary output. Which of the following best describes this consideration?
• Are sealants primary prevention?
• Extreme sensitivity to heat and cold in hyposalivation is especially evident if what is exposed?
• Which statement describes resting saliva?
• Which statement best describes the role of age in reduced salivary flow?
• Examination signs that a patient is experiencing xerostomia include which of the following?
• Which feature distinguishes recurrent caries near a restoration from a primary caries lesion radiographically?
• In addition to cleansing and antibacterial action, saliva provides a constant source of which minerals to support tooth mineral saturation?
• Dental implants can be used to retain dentures in edentulous patients. This statement is:
• What is the primary cause of failure of sealant retention?
• Which systemic disorder contributes to reduced salivary flow?
• When did the 1st Look program begin?
• What is the name of the radiographic artifact that appears in dentin between part of the root covered by alveolar bone and the enamel part of the crown, often mistaken for root caries?
• What are 1st Look providers able to bill for?
• If a radiograph shows a radiolucent area with diffuse margins beneath or adjacent to a restoration, what is the most likely diagnosis?
• Root caries in the dentin of the root may occur in patients with exposed root surfaces due to alveolar bone loss. What terms describe these lesions?
• Which drug class reduces salivary flow?
• What are the two types of removable dentures?
• A fixed bridge replaces one or more missing teeth and is connected to adjacent healthy teeth using a crown. What is this prosthesis called?
• If sealants are lost, are the teeth more susceptible to decay?
• In root caries, the surface layer may or may not be present.
• What should be provided for the patient during sealant procedures and used by operators when using an ultraviolet or light-cured resin?
• Pits & fissures are described as fossa & grooves that failed to fuse during development.
• The role of the patient 1st care coordinator in 1st Look is to assist in establishing what?
• Which action is a clinician-step to prevent oral disease in at-risk patients?
• Which statement about radiographic caries detection is supported by the material?
• What is a recommended approach to reduce denture-related mucosal irritation?
• One of the program’s goals is to refer children to what?
• What is the most common etiology of denture stomatitis?
• Which statement is true about removable dentures?
• Sealant materials are available as two different resins. What are they?
• Which area should you palpate to assess oral problems in an elderly person?
• Which option is NOT described as a method for cleaning occlusal surfaces before sealant placement?
• Which of the following is a cause of reduced salivary flow?
• Which statement is true about overnight denture use?
• Leukoplakias (white patches) & erythroplakias (red patches) are premalignant and may progress to elevated plaques that ulcerate.
• Which factor is not mentioned in the material as influencing caries incidence in children?
• Which of the following is a risk factor for denture stomatitis?
• Which habit is described as being used to cope with dry mouth due to decreased saliva?
• During examination, which issue should be checked specifically for damage to the denture structure?
• Which color option tends to be easiest to monitor during follow-up visits for sealant retention?
• Which foods are known to initiate remineralization of enamel when frequently used as between-meal snacks?
• How do root lesions appear on proximal surfaces in cervical areas on radiographs?
• How do recurrent or residual caries typically appear on a radiograph?
• In what case does a child never qualify for the 1st Look program?
• If an unexplained white lesion persists for more than 2 weeks, what action is recommended?
• True or false: filled & unfilled sealants penetrate the fissures equally well, and there is no difference in microleakage.
• Which action is listed as a goal of the 1st Look program?
• Which of the following is a sign of pain in nonverbal elderly individuals?
• Can a fixed bridge be removed?
• What are pits & fissures?
• Which of the following is a characteristic of coronal caries?
• A noninvasive means of preserving tooth structure & at the same time preventing dental decay
• When examining the elderly, you should examine face with the lips at ______.
• When placing a sealant, what do you do after etching?
• What is saliva mainly composed of?
• Which symptoms may a patient with osteonecrosis experience?
• Which statement about taste is associated with hyposalivation?
• What property does filler material primarily improve in a sealant?
• Which documentation items are required by the 1st Look program?
• Which lesions should be removed?
• Which statement is true about coronal caries surface layer?
• Which sealant type is supplied as a two-part system with a base and a catalyst that polymerizes when mixed?
• A non-healing lesion on the lip that is dry, scaly, or ulcerated is most commonly diagnosed as which cancer?
• Which of the following is NOT one of the five types of carious lesions?
• Who must be trained first before other staff members can participate in the 1st Look program?
• What causes a patient to feel a sensation of dryness in the mouth?
• Which statement correctly describes acid dissolution in root caries according to the material?
• Stroke-related oral problems may increase the risk of which conditions?
• What is considered a severe reduction in salivary flow caused by radiotherapy?
• What is a reported benefit of implementing oral hygiene protocols in nursing facilities and dependent care settings?
• How is hyposalivation diagnosed?
• Which of the following is a consequence of hyposalivation regarding periodontal health?
• Which of the following is a recommended patient step to prevent oral disease?
• Which practice is recommended when examining an elderly patient’s face?
• The radiographic appearance of an occlusal lesion that has progressed into the dentin is best described as which of the following?
• When does the flow rate of saliva virtually stop?
• Which statement correctly differentiates xerostomia from hyposalivation?
• True or False: Clearance of carbohydrates and microorganisms from the mouth to the digestive tract depends on salivary flow rate and site.
• Which term describes the subjective sensation of oral dryness?
• How many of the elderly have untreated tooth decay?
• Which restorative materials have a very high incidence of recurrent caries and restoration failure?
• Which substance interferes with glucosyltransferase activity and reduces plaque, with tannins in cocoa, coffee, and tea?
• Which item should you examine to assess symptoms suggestive of oral problems?
• In radiographic assessment for recurrent caries, which combination most accurately reflects the influencing factors?
• What is the recommended treatment for denture stomatitis?
• What is the most preferable material used to treat root caries after removal of decayed tooth structure?
• What is the caries-active period, when pit and fissure sealants are especially useful for selected patients?
• Which condition is NOT an indication for sealants?
• How does saliva change with reduced pH, reduced buffering capacity and altered electrolyte & protein content?
• Which description best captures a valid method to clean the occlusal surface before sealant placement?
• A two-part sealant system is often referred to as what?
• What oral changes may patients with osteoporosis experience?
• What radiographic feature best differentiates root caries from cervical burnout?
• Which teeth are most susceptible to pit and fissure decay?
• Which type of saliva increases during meals to aid digestion and lubrication?
• What percentage of elders actually visit the dentist?
• What term describes dentures that replace all teeth in an arch?
• When examining denture wearers, which issue should you assess after removing the dentures?
• Which surface is typically targeted by the occlusal caries type?
• For elderly patients, where should the brushing focus be to maximize plaque removal?
• To what area is a bridge connected when replacing a missing tooth?
• What is highly effective in preventing dental caries in the pit & fissures of the teeth, made of resin material, and must firmly adhere to the enamel surface to be effective?
• What accumulates in the narrow pits & fissures if no sealant has been placed?
• Which specialized hygiene aid is recommended for patients with hairy tongue?
• What is the role of dental sealants?
• Which code is used for the initial oral assessment under the 1st Look program?
• Pit and fissure surfaces compose 12.5% of tooth surfaces, yet account for what proportion of caries in children?
• Which statement best differentiates proximal caries from root caries?
• What should you do if etch or sealant make contact with the eyes?
• Which of the following is a potential oral health problem after a stroke?
• The 1st Look program targets children in which age range for eligibility?
• Which procedure may remove the last enamel overlying dentin in pits & fissures, leaving the tooth more susceptible?
• Which sealant type does not require mixing and hardens when exposed to a curing light?
• Root caries can be described using which terms?
• Where should sealants not be placed?
• Which statement best describes the radiographic appearance of recurrent caries?
• What is the term for reduced salivary secretion rate (distinct from xerostomia)?
• Which statement about oral care in elders in nursing homes is true?
• Which finding is commonly associated with denture stomatitis on examination?
• Which type of caries progresses rapidly in the elderly due to gingival recession exposing root surfaces?
• How should mucosa appear on examination?
• Prophylactic antibiotics are generally NOT recommended before dental procedures for which patient group?
• Cervical caries are usually located on which surfaces?
• What is essential for sealant to be effective?
• When does saliva have higher protein content, resulting in thicker saliva?
• What is produced by the major and minor salivary glands?
• Root caries most commonly develop due to what condition?
• Pit and fissure caries distribution in children is best described as which statement?
• In patients who have suffered a stroke, periodontal disease is more common and its treatment may reduce severity. Which statement best reflects this?
• What qualifications must a physician have to be considered a qualified 1st Look provider?
• Detection of recurrent caries on a radiograph depends on which factors?
• 90% of saliva is produced by how many pairs of major salivary glands?
• Tannins are found in which items according to the material?
• Xerostomia is best described as
• True or False: In the 1st Look program, varnish frequency is limited to 3 per calendar year, not to exceed 6 applications between 6 months & 36 months of age, with at least 90 days between applications.