問題一覧
1
bacteria attachment zones can be defined into distinct areas, select the most appropriate response?
tooth attached, tissue attached and unattached
2
bacteria that have a double cell membrane and do not stain purple with crystal violet are called ?
anaerobic
3
which structure of a biofilm facilitates the movement of nutrients to the bacteria ?
fluid channels
4
calculus is considered a risk because?
the surface of calculus is irregular and provides a place for bacteria to grow undisturbed
5
the composition of dental calculus consists of organic and inorganic substances
true
6
select red appropriate statement of how hemidosomes?
a cell junction that connects the epithelial cells to the basal lamina
7
what is the name of the epithelium that forms the bases of the sulcus and joins the gingiva to the tooth
junctional epithelium
8
connective tissue comprises a gel like substance, fibres and few cells
true
9
what % of halitosis cases originate from the oral cavity
90
10
Genuine halitosis can be sub-divided into
physiologic and pathologic
11
Halitophobia can be described as
A fear of others noticing an individual has oral malodour
12
A more recent revised aetiological classification has been proposed which further divides pathological halitosis into how many types?
6
13
The gold standard measure of halitosis is
Organoleptic measurements
14
Which of the following are potential oral causes of halitosis?
Xerostomia, ANUG, Dry Socket, Orthodontic Appliance
15
Which of the following are potential non-oral/other causes of halitosis?
Diabetic Ketoacidosis, Alcohol, Gastric Reflux, SinusitisSinusitis
16
How can halitosis be managed by the dental hygienist/dental therapist?
OHI, fluoride varnish , pmpr , smoking and alcohol sessation , diet advice , chlorohexadine mouthwash , xerostomia advice
17
What are the main compounds responsible for intra-oral halitosis?
volatile sulphur compounds
18
When should the dental hygienist/dental therapist consider an onward referral for halitosis ?
sucpicious lesion, halitophobia, halitosis persists after addressing intra oral issues
19
A cumulative BEWE score of 18 for a patient means:
There is more than 50% tooth wear in each sextant
20
Clinical signs of dental erosion include
Scooped out lesions on the occlusal surfaces of the first permanent molars, Labial surface lesions on the maxillary incisors
21
Dental abrasion is tooth wear resulting from:
Frequent exposure to objects/factors other than teeth or acids
22
Dentine hypersensitivity symptoms:
May be a sign of active tooth wear if dentine is exposed
23
In preventing dental erosion, dietary advice should include:
Limiting acid consumption to three or less times per day
24
In the BEWE, a sextant score of 2 is given for:
A sextant where there is less than 50% loss of tooth structure
25
In the BEWE, a sextant score of 3 is given for:
A sextant where there is more than 50% loss of tooth structure
26
Select the incorrect statement:
Tooth wear is reversible
27
The BEWE acronym stands for;
Basic Erosive Wear Examination
28
The critical pH of enamel:
Reduces when fluoride is incorporated in the structure of enamel
29
The main purpose of the BEWE tool is:
To screen for signs of tooth wear
30
The prevalence of tooth wear is significantly associated with agE. This means that:
As people age, they are more likely to experience tooth wear
31
Tooth wear where the dominant aietioloical factor is tooth-tooth contact is called:
Dental attrition
32
When assessing a patients’ risk of tooth wear, it is essential to consider
The rate and severity of wear compared to the patients’ age
33
When dentine is exposed, the minimum BEWE score for the sextant would be:
2
34
Where there are no signs of tooth wear in a sextant, the BEWE score would be:
0
35
Which salivary factor enhances the protection of the teeth against tooth wear:
Buffering action of stimulated saliva that neutralises oral acids
36
Which salivary factors can pre-dispose a patient to tooth wear?
Reduced quantity and quality of saliva limiting protective potential
37
Which statement best describes dental erosion:
Dental erosion is the irreversible loss of hard tissue due to chemical process of acid dissolution
38
Which Cranial bone houses the Foramen Magnum
occipital bone
39
How many bones make up the Neurocranium
8 bones
40
If you are suffering with a headache which cranial bones might you be rubbing/massaging
temporal bones
41
The cranial cavity is made of flat and irregular bones
true
42
Which of the following groups of bones are flat bones
Occipital Parietal, Frontal
43
The Infratemporal fossa serves as a passageway for what important structure
mandibular branch of the trigeminal nerve
44
Which best describes the Ethmoid Bone
Its is situated in the paranasal sinuses
45
crista Galli are a feature of which bone
Ethmoid bone
46
Where would you find the Foramen Ovale, and what important structure passes through this
middle cranial fossa
47
Which of the following are NOT sutures marks associated with the cranium
Squeamish, Sagittarius
48
The Sphenoid bone is one of the 7 bones that form the orbit
true
49
Which of the following is NOT a paired bone
mandible
50
Which bone is anterior to the temporal bone
sphenoid
51
Which bone is anterior to the temporal1 mark bone
Inside the nasal cavity
52
The Hyoid bone is connected to what via ligaments
Posterior portion of the mandible
53
The Hyoid bone is involved in all the 1 mark following except
Allowing head to pivot
54
What bone is the most fragile bone of1 mark the skull
lacrimal bone
55
bacterial location in the initial lesion is
supragingivally
56
gingival Cervicular fluid increases as the initial, early, established and advanced lesion progresses
true
57
A well-organized community of bacteria that adheres to surfaces and is embedded in an extracellular slime layer is termed:
Biofilm
58
Bacteria that have a double cell membranes and that do not stain purple with crystal violet are called
anaerobic
59
Microbial plaque is considered the primary cause of periodontal disease
true
60
Plaque biofilms are best removed by using mouthwash and adjustive chemical agentsPlaque biofilms are best removed by using mouthwash and adjustive chemical agents
false
61
The term biofilm can be defined as a complex dynamic microbial community embedded within extracellular matrix
true
62
The term biofilm can be defined as a simple dynamic microbial community embedded within extracellular matrix
false
63
Which of the following would be most effective in controlling the bacteria in a dental plaque biofilm?Which of the following would be most effective in controlling the bacteria in a dental plaque biofilm?
toothbrush and floss
64
Which structure of a biofilm facilitates the movement of nutrients to the bacteria?
Fluid channels
65
A more recent revised aetiological classification has been proposed which further divides pathological halitosis into how many types?
6
66
How can halitosis be managed by the dental hygienist/dental therapist?
Treatment of periodontal condition, Oral hygiene instruction, Xerostomia advice, diet advice, Smoking and alcohol cessation
67
The gold standard measure of halitosis is
Organoleptic measurements
68
A patient with a thin gingival biotype will have
Delicate gingival tissue, translucent in appearance with a minimal zone of attached gingiva
69
Gingival recession can be seen in the following patients
In rapid orthodontic movement in adults.
70
Patients with gingival recession frequently complain of sensitive teeth
true
71
The relevant anatomical landmarks when measuring recession include from the cemento-enamel junction (CEJ) to the base of the periodontal pocket
false
72
Describe in detail 5 inflammatory causative associated with gingival recession
gingival biotipe, periodontal disease, smoking, poor marginal fit of restoration, orthodontic movement
73
Describe in detail 5 mechanical causative factors associated with gingival recession
toothbrush trauma, traumatic incisor relationship, trauma from foreign body, abnormal frenal attachment, iatrogenic damage
74
Describe in detail the impact of gingival recession on the patient 7 marks
aesthetic considerations, can cause root caries, food trapping, plaque stagnation, confidence, speaking, comfort
75
What are the relevant anatomical landmarks when measuring recession ?
from cemento enamel junction to the gingival margin
76
What do you understand by the term Loss of Attachment (LOA) and how is it measured?
term used to assess current periodontal status and the possible historical tissue loss. it is a combination of recession and probing depth combined
77
what is meant by the term thin gingival biotype?
gingival tissue tends to be delicate and almost translucent in appearance. tissue appears friable with a minimal zone of attached gingiva
78
What is a gingival veneer and when would it be clinically indicated ?
removable acrylic facing that improves the aesthetic appearance of a patient with advanced and generalised recession
79
What is shown in the picture above and when would something like this be indicated?
gingival Vaneer - removable acrylic facing used for patients with aesthetic concerns of their generalised and advanced recession
80
Why do patients with gingival recession frequently complain of sensitive teeth?
uncovers root surface Dentine creating hypersensitivity for the patient
81
Calculus is considered a risk factor because:Calculus is considered a risk factor because:
The surface of calculus is irregular and provides a place for bacteria to grow undisturbed
82
Dental calculus is mineralised petrified dental plaque and does not directly cause to progression of periodontal disease
true
83
Kate attends the dental surgery presenting complaining that she always forms calculus on her lower anterior linguals and upper buccal molars. You reassured Kate with the following information (Select the most appropriate answer) Question 3
Kate is more at risk for forming calculus in these areas as they are located near salivary glands
84
Methods of calculus detection are:
Radiographs, vision, probing
85
Sam has had several crowns and implants fitted seven months ago. He has only attended the dental hygiene appointment for the first time since the prosthesis were fitted. (Select the most appropriate answer)
Sam is at risk of plaque and calculus growth on his prosthetic appliances and must attend dental hygiene appointments regularly
86
Supra and sub gingival calculus both derive their minerals from saliva
false
87
The composition of dental calculus consists of organic & inorganic substances
true
88
The composition of inorganic material in dental calculus is 10-30%
false
89
Which of the following is NOT a mechanism for attachment of calculus to a tooth surface?
Attachment to the blood clots that can form on the tooth
90
the action of which muscle is to compress and protrude the lips?
Orbicularis Oris
91
The Depressor Anguli Oris originates beneath the angle of the mandible, and inserts into the corner of the mouthThe Depressor Anguli Oris originates beneath the angle of the mandible, and inserts into the corner of the mouth
true
92
The Levator Labii Superioris originates from the canine fossa and elevates the corner of the mouth
False
93
Which muscle is innervated by the cervical branch of the facial nerve? Question 4
Platysma
94
Which muscle is supplied by the masseteric nerve?
Masseter
95
Which muscle is supplied by the temporal branch of the facial nerve
OccipitofrontalisOccipitofrontalis
96
Which muscle of facial expression is being described: originates from the bridge of the nose, supplied by the temporal artery and pulls the eyebrows medially?
Corrugator
97
Which muscle of mastication is being described: fan shaped muscle, inserts into the coronoid process and ramus of the mandible, elevates the mandible, supplied by the deep temporal nerve
Temporalis
98
Which muscle of mastication is being described: short thick muscles originating from 2 heads, upper head originates from the greater wing of the sphenoid bone, inserts into the pterygoid fovea, opens and protrudes the mouth.
Lateral Pterygoid
99
Which of these is not a movement of the mandible?
Abduction
100
At what age do the first permanent molars calcify?
Birth/just before