Case A

Front 1

Describe perikymata, enamel hypoplasia, and fluorosis.

Back 1

1. Horizontal developmental lines seen on facial surface of anterior teeth and is not evident here.
2. Pitting in the enamel surface.
3. Appears as parchment-white spots, lines, or as white "snow capping" along incisal edges of anterior teeth.

Front 2

Name the normal vital signs for infants.

Back 2

• HR: 120-160
  
• BP: 74-100/50-70
• RR: 30-60

Front 3

Name the normal vital signs for toddlers.

Back 3

• HR: 90-140
• BP: 80-112/50-80
• RR: 30-60

Front 4

Name the normal vital signs for preschollers.

Back 4

• HR: 90-140
• BP: 80-110/50-78
• RR: 22-34

Front 5

Name the normal vital signs for school age.

Back 5

• HR: 75-100
• BP: 84-120/54-80
• RR: 18-30

Front 6

Name the normal vital signs for adolescents.

Back 6

• HR: 60-90
• BP: 94-140/62-88
• RR: 12-16

Front 7

What are the key points of vital signs (

Back 7

1. Call MD for order if temp is over 38.5C.
2. BP cuff should cover 2/3 of upper arm.
3. Take apical pulse on infants and toddlers for 60 seconds.
4. As child gets older, HR and RR decreases and BP increases.

Front 8

What are additional indicators for ID an aphthous ulcer?

Back 8

Red, erythematous halo surrounding a yellowish-white area of irritation and pain.

Front 9

1. How often does a fissured tongue occur in children?
   
2. A fissured tongue is considered a condition of...?

Back 9

1. Infrequently
2. Condition of aging

Front 10

1. What would lymphangioma manifest as?
2. What does lymphangioma appear as?

Back 10

1. Enlarged lymphoid aggregates.
2. Raised yellow-pink swelling frequently located on later posterior of tongue.

Front 11

What are possible side effects of Proventil HFA (brochodilator inhaler)?

Back 11

• Xerostomia
• Sore throat
• Taste changes
• Increased anxiety

Front 12

1. The incidence of melanin pigmentation varies due to...?
   
2. What other factors have been shown to increase melanin pigmentation?

Back 12

1. Genetics and race.
2. Children who live with smokers and antimalarial drugs.

Front 13

What structures will all appear radiolucent on a pano?

1. What structures will appear radiopaque on a pano?
   

Back 13

1. Incisive foramen, nasal fossae, median palatine suture.
2. Hard palate, nasal septum..

Front 14

What allows panos to use significantly lower dose of radiation to image teeth and supporting structures?

Back 14

Pairing of fast-speed film with intensifying screens.

Front 15

What will cause the anterior maxillary teeth to appear short than normal on a pano?

Back 15

Positioned outside of the focal trough.

Front 16

What will be the result if the vertical angulation of an x-ray is incorrect?

Back 16

May result in foreshortened or elongated image.

Front 17

What symptoms may indicate that an asthma attach is eminent?

Back 17

• Difficulty talking
• Stiffness that may be due to tightening neck muscles.

Front 18

What symptoms are present in a patient that is nervous about dental TX?

Back 18

• Increased pulse rate
  
• Dry mouth
• Shortness of breath

Front 19

What does chewing sugar-free gum after meals shown to do?

Back 19

Reduce levels of Streptococcus mutans and promote remineralization of potential carious lesions.

Will not remove microorganisms from tongue.

Front 20

When is hypnosis and biofeedback used?

Back 20

Management techniques generally used for adult dental phobic patients.

Front 21

What test is helpful in determining if it is okay to continue with dental hygiene treatment if a patient has uncontrolled bleeding?

Back 21

Recent prothrombin time.

Front 22

List the (7) bacteria that are associated with gingivitis.

Back 22

1. Prevotella oris
2. Fusobacterium nucleatum
3. Actinomyces naeslundii
4. Prevotella intermedia
5. Veillonella parvula
6. Actinomyces israelii
7. Streptococcus mitis
   

Front 23

1. What is Salmonella typhi associated with?
   
2. What is Bordetella pertusis associated with?
   

Back 23

1. Food poisoning
2. Whooping cough

Front 24

What are (3) contraindication of the ultrasonic scaler?

Back 24

1. Patients with asthma.
   
2. Children with large pulp chambers of primary teeth.
3. Newly erupted permanent teeth.

Front 25

When are mouth rinses with phenolic-related essential oils recommended for patients? Why?

Back 25

Gingivitis; due to ability to reduce bacterial biofilms.

Front 26

When are mouth rinses containing oxygenating agents recommended?

Back 26

1. Short-term TX of oral infections such as pericoronitis.

Front 27

Chlorhexidine gluconate has been shown to be effective at what?

Back 27

Reducing bacterial plaque and Mutans Streptococcus infections.

Front 28

What are adverse effects of Chlorhexidine gluconate?

Back 28

1. Irritation of soft tissues
2. Change in taste sensations.

Front 29

When is acidulated phosphate fluoride contraindicated?

Back 29

For use in patients that have xerostomia.

Front 30

Why has stannous fluoride lost popularity?

Back 30

Adverse effects: gingival sloughing, bitter taste, and teeth staining.

Front 31

What fluoride preparation is found in OTC dentifrice and is not used for professional applications?

Back 31

Sodium monofluorophosphate.

Front 32

What action is particularly detrimental to a patient who presents with xerostomia?

Back 32

Weakening of the fluoride-rich enamel surface by polishing.

Front 33

How long should patient's radiographs be retained by the practice?

Back 33

• Varies by law state to state, usually 7-10 years.
  
• Risk management strategy suggests keeping radiographs indefinitely because they can show progression of disease.