Dental Hygiene Board Review 2018

Average cost of water fluoridation in a community is?

$0.13-$5.48 per year, per person *most cost-effective and efficient

Developer:

(Elon and Hydroquinone) turns only exposed crystals to metallic silver (BLACK)

Cerebrovascular Accident (CVA):

(STOKE) 1. Supply of O2 to the brain is disrupted (ischemia) 2. Transient ischemic attack (TIA)- mini stroke 3. Risks: Hypertension, Cardiovascular disease, diabetes 4. May be taking warfarin (Coumadin)

Fixer:

(Sodium Thiosulfate) removes undeveloped (including unexposed) crystals

What are Lipids?

(fat) organic compounds composed of carbon, hydrogen, and oxygen

What is the nutritional deficiency and Diseases of Calcium?

(women are most likely to be at risk) 1. Rickets 2. Osteomalacia 3. Osteoporosis

What is primary herpes simplex virus (primary HSV)?

*mouth vesicles then ulcers 1. Typically occurs at a young age (1-5 years old) 2. Flu-like symptoms fever, lymphadenopathy, malaise 3. Erythema (redness) especially of gingiva (acute herpetic gingivostomatitis)

Nonprecious alloys contain base metals

- base metals are subject to tarnish and corrosion - may be allergenic (gingival inflammation) - base metals used in dentistry include: silver, copper, nickel, tin and zinc

Max. Permissible Dose (MPD) for occupational:

-5 rem/year (5000mrem) or 0.05 Sv/year -400 mrem/month or 4mSv/month -100 mrem/week or 1 mSv/week

Precious alloys contain noble metals

-Noble metals resist tarnish and corrosion Noble metals used in dentistry include: - gold, platinum and palladium

Digestion of Disaccharides?

-digested by enzymes (ase) 1. Sucrase breaks down sucrose into glucose and fructose 2. Lactase breaks down lactose into glucose and galactose 3. Maltase breaks down maltose into 2 molecules of glucose.

dental appointment considerations for diabetics?

-early appointments after breakfast and meds -have glucose gel available incase of emergency

what should be evaluated in a program?

-effectiveness -appropriate for target audience? -materials used for education and instruction -well planned and organized? -behavior and attitudes of learners -were objective met?* *requires base line data from needs assessment to measure progress

safe for implants:

-electric toothbrush -air polisher -titanium alloy scaler (but Teflon is preferred)

fluoride rinses

-for moderate to high risk pts. -pt with braces -xerostomia

self applied fluoride

-frequent, low concentrations to promote remin. -rinse: .05%, 225 ppm -dentifrices: 400-1500 ppm

microminerals

-iron -copper -iodine -zinc

actively acquired immunity:

-naturally active from infection -artificially active from vaccination -delayed, but long lasting

passive acquired immunity:

-naturally passive during pregnancy- IgG -artificially passive from an injection (gamma globulin) -immediate, short lived

The maximum amount of epinephrine that may be administered to a patient with cardiovascular disease is?

0.04mg

What is the optimal fluoride level?

0.7 ppm mg/L (All states)

Before January 2011 the optimal fluoride level was?

0.7- 1.2 ppm mg/L depending on the climate

Actinomyces?

1 Gram positive pleomorphic rods which form a large proportion of the oral microflora 2. They have been implicated in root caries

The maximum amount of radiation an occupationally exposed person may receive in one week is:

1 mSv

Conversion to Impulses:

1 seconds = 60 impulses of x-rays 1/4 second = 15 impulses of x-rays

Drug interactions vasoconstrictors:

1) Cimetidine 2) Non selective beta blockers 3) Tricyclic antidepressants 4) Cocaine

Enzymes used by bacteria for break down of oxygen products: 1) hydrogen peroxide 2) superoxide radical

1) catalase and peroxidase 2) superoxide dismutase

systemic effects of acute fluoride toxicity

1) hypocalcemia 2)hyperreflexia, convulsions, paresthesia 3) cardiac failure or respiratory failure

Microaerophilic bacteria?

1. "Aertolerant anaerobes"- can tolerate oxygen but produce energy via fermentation 2. Examples: a) Streptococcus b) Spirochetes c) Camphylobacter (implicated in pregnancy gingivitis)

What are Transseptal Fibers?

1. "Interdental ligament" 2. Extend interproximally over the alveolar crest 3. Hold teeth in interpromixal contact with each other

What is Kwashiorkor?

1. "evil spirit that infects the first child when second child is born (acute condition) 2. Severe protein deficiency 3. Begins at approx. 18 months to 2 years of age 4. Edema in legs, abdomen, and face 5. Child fails to grow and gain weight 6. Delayed eruption and hypoplasia of teeth

Sympathetic (SANS):

1. "flight or fight" 2. Emergency/crisis situations 3. Increase blood pressure through vasoconstriction* 4. Increase heart rate 5. Dilates bronchioles for improved breathing 6. Dilates pupils 7. Preganglionic neurotransmitter: Acetylcholine 8. Postganglionic neurotransmitter: Norepinephrine 9. Adrenergic drugs (sympathomimetic)

Parasympathetic (PANS):

1. "rest and digest" 2. Normal, resting activity 3. Increased blood flow to digestive organs 4. Accelerate peristalsis 5. Constricts bronchioles 6. Constricts pupils 7. Increase saliva flow 8. Acetylcholine in pre and postganglion 9. Cholinergic drugs: parasympathomimetics

What is Marasmus?

1. "to waste away" (chronic condition) [body's adaptation to starvation] 2. Inadequate food intake (protein and calories deficiency) over a long period of time 3. Common in children 6-18 months; impairs brain development and learning 4. Muscles, including heart, waste and weaken (no edema) skin and bones 5. Poor growth if any

What is Osteomalacia and what are the symptoms?

1. (Adults) calcium is taken from bones to make up for insufficient absorption in intestines. 2. Bowed legs, bent posture, and pain in the ribs, pelvis, and legs

What is Rickets and what are the symptoms

1. (Children) softening of bones due to failure to calcify normally. 2. Symptoms- bowed legs, enlarged head, joints, and rib cage, and deformed pelvis

Pagets Disease?

1. (Osteitis deformans) 2. Thickening and enlargement of the bones 3. Men 2:1 4. Cotton Wool radiopacities* 5. Inclrease alkaline phosphatase in blood and increase for osteosarcoma* (DENTURES DONT FIT ANYMORE)

What is Amalgam Tattoo?

1. (focal argyrosis) 2. Grey, Blue-black, flat lesion 3. Amalgam particles in soft tissue

Blood flow of the hear with Oxygenated blood?

1. (from lungs) pulmonary veins 2. Left atrium 3. Bicuspid (mitral) valve 4. Left ventricle 5. aorta (to body)

What is Cushing's Syndrome?

1. (hypercortisolism) 2. Caused from excess pituitary gland ACTH production 3. Weight gain, stretch marks, poor healing 4. Buffalo Hump- fat accumulation in the upper back 5. Moon face- fat accumulation in the face

What is a Redicular cyst?

1. (periapical cyst, apical periodontal cyst) 2. Apex of necrotic tooth 3. Well-circumscribed unilocular radiolucency

ACE Inhibitors:

1. -Pril medications 2. Block production of antiotensin II resulting in vasodilation 3. Adverse reaction includes altered taste (Dysgeusia), othostatic hypotension, dry cough 4. Enalapril (vasotec) 5. Lisinopril (Zestril, Prinivil)

Beta-adrenergic blockers:

1. -olol medications 2. Reduce blood pressure by decreasing cardiac output 3. Indernal (Propranolol) non-selective beta blocker 4. Tenormin (atenolol) selective beta blocker 5. Lopressor (metoprolol) selective beta blocker 6. Avoid epinephrine with non-selective beta blockers**

One cartridge of a vasoconstrictor includes how many mg's?

1. .018mg 2. Epinephrine is an example

Epinephrine for cardiac patients:

1. 0.04mg 2. 2 cartridges of anesthetic with Epi 1:100,000

Chlorhexidine Gluconate mechanism of action?

1. 0.12% approved for use in the United Sates 2. Bactericidal a) Active against a wide range of Gram-negative and Gram-positive microorganisms. b) Alters the bacterial cell wall so that lysis occurs (cell is destroyed) 3. High substantivity- rapidly adsorbed into the pellicle and teeth, and then slowly released, prolonging bactericidal effect

What percentage of patients has a hypersensitivity to aspirin?

1. 15% of patients experience allergic reactions to aspirin 2. Asthma patients at higher risk

Steps for a bonding agent?

1. 15-20 seconds etch 2. Rinse 3. Dry 4. Apply 5. air-thin 5. Polymerize (light cure)

Chronic Complications of Diabetes Mellitus?

1. 3 times more likely to get periodontal disease 2. Xerostomia, increase in decay 3. Loss of sight 4. Poor circulation 5. Loss of kidney function 6. Heart disease- most common cause of diabetes-related death*

Dry Heat Sterilization?

1. 340'F for 1 hour or 320'F for 2 hours 2. Recommended for metal instruments avoid paper 3. may damage rubber and plastic 4. NOT recommended for handpieces 5. Spores Test= Bacillus atrophaeus

One cartridge of the local anesthetic lidocaine drug includes how many mg's?

1. 36mg

Articaine (Septocaine):

1. 4% solution 2. Increase risk of paresthesia, especially with mandibular block 3. Medium duration

Cementum:

1. 50% mineralized (like bone) found on the root surface 2. Produced by cementoblasts located in the PDL 3. Thinnest at the cervical portion of the tooth, thickest at the apex 4. Acellular found at the CEJ; cellular at the apex

Dentin:

1. 70% mineralized, tubular structure, forms greatest bulk of tooth 2. Produced by odontoblasts from the dental papilla 3. Primary dentin is done before completion of the root 4. Secondary dentin develops after the tooth is in occlusion

What is Circumvallate papillae?

1. 8-12 in number (Mushroom like) largest 2. Contain taste buds & glands of Von Ebner (minor salivary glands, serous)

Enamel:

1. 96% mineralized, hardest tissue of the body 2. Produced by ameloblasts 3. Lines of Retzius are incremental lines from mineralization 4. Enamel spindles are ends of odontoblastic (live in dentinal tubules) process which cross the DEJ

Type 2 Diabetes Mellitus:

1. >90% of cases 2. Tends to occur later in life 3. Associated with being overweight 4. Oral hypoglycemic to control- Glucophage (Metaformin) and Glyburide (DiaBeta)

Xylitol

1. A 5-carbon sugar alcohol (polyol); sucrose is a 6 carbon sugar 2. Absorbed slowly and completely by the small intestines 3. Antimicrobial-S. mutans 4. doesn't increase blood glucose levels for diabetics

What is a Odontogenic cyst?

1. A cyst in which the lining of the lumen is derived from epithelium produced during tooth development 2. Epithelial rest of Serres: remnants of the dental lamina 3. Epithelial rest of Malassez: remnants of Hertwigs root sheath

ASA III Classifications:

1. A patient with moderate to severe systemic disease, but not incapacitating; may have drug concerns and requires special care will most likely require dental management modifications 2. Examples: Well controlled IDDM, Stage II hypertension, CHF (Congestive heart failure), AIDS, Chronis CODP

ASA IV Classifications:

1. A patient with severe systemic disease that incapacitating and life threatening; requires dental treatment modifications, often in a special facility 2. Examples: Severe CHF or COPD, Kidney or liver failure

What do you do after periodontal therapy:

1. A reevaluation appointment 4-6 weeks after therapy is necessary to determine effectiveness 2. The first factor to asses at this appointment is the degree of inflammation of the tissues

What does Phenobarbital used for and what does it cause?

1. AKA Barbiturate used in the management of epilepsy 2. Causes SEDATION

Diuretics:

1. AKA Water pills 2. Promote the excretion of sodium and water from the body- decreases fluid pressure 3. Thiazide diuretics include hydrochlorothiazide 4. Side effects of diuretics include Xerostomia and orthostatic hypotension

What does dilacerations mean?

1. Abnormal bend or curve in a tooth 2. Induced from trauma

What does Macrodont mean?

1. Abnormally large tooth (rare)

What does microdont mean?

1. Abnormally small tooth 2. Maxillary lateral incisors (peg laterals)

What are the Vitamin D Functions?

1. Absorption of calcium and phosphorus 2. Formation and mineralization of teeth and bones

Needs of assessment considerations include?

1. Access to care Issues 2. Ways to Observe Needs

Subgingival plaque:

1. Accumulates after supragingival plaque 2. Contains MORE motile, gram - anaerobic than supragingival plaque 3. There are also free-floating or loosely adherent plaque in the pocket/sulcus

What is Dental Plaque?

1. Accumulation of microbes on the surface of the teeth 2. Not readily removed by rinsing

Lactobacillus is?

1. Aciduric 2. Lexan-producing 3. Associated with deep carious lesions

Tetracycline is used in the treatment of?

1. Acne and penicillin resistant periodontal infection such as NUG

Examples of Periodontitis as a Manifestation of systemic disease are?

1. Acquired neutropenia 2. Leukemia

Aspartame?

1. Active ingredient in NutraSweet and Equal 2. Composed of amino acids, Phenylalanine and aspartic acid, and methanol 3. Not stable in heat therefore not suitable for cooking; used in beverages and chewing gum 4. Adverse effects- headaches, dizziness and seizures 5. Must carry PKU (phenylketonuria) warning

Acesulfame-K?

1. Active ingredient in Sunette and Sweet One 2. Stable in heat 3. chewing gums, nondairy creamers and gelatin puddings

Sucralose?

1. Active ingredient is Splenda 2. Stable in heat

Saccharin?

1. Active ingredient is Sweet'N Low 2. soft drinks and table sweeteners

Federal level is?

1. Acts on oral health problems of national pop (1 country) 2. Primarily within the jurisdiction of the Department of Health and Human Services (DHHS) (published Health people 2010)

What are some examples of Oral herpes medication?

1. Acyclovir (Zovirax) 2. Penciclovir (Denavir) 3. Valacyclovir (Valtrex) -clovir**

Endocrine Disorders include:

1. Addison's Disease (Primary adrenal insufficiency) 2. Cushing's Syndrome (Hypercortisolism) 3. Diabetes Mellitus 4. Thyroid Disease

What is Addison's Disease?

1. Adrenal cortical insufficiency 2. Pigmentation (bronzing) of skin and mucosa 3. hypoadrenocorticism*

Addison's Disease (Primary adrenal insufficiency):

1. Adrenal cortical insufficiency- too little steroid production 2. Diffuse pigmentation (Bronzing or Tinting) of the skin or mucosa

Characteristics of Ventolin (Albuterol)?

1. Adrenergic drug (beta-receptor agonist) 2. Bronchodilator (opens air passages) 3. Inhaler can be used for immediate relief of bronchospasm 4. May cause insomnia

What is a Nasal Decongestants?

1. Adrenergic drug that constricts blood vessels of the nasal mucosa

Cumulative effect:

1. Adverse reactions of the body to x-radiation never return exactly to original state therefore accumulating to some degree over lifetime

Facultative Anaerobes?

1. Aerobic- but CAN grow in the absence of oxygen by using fermentation 2. Examples: a) Staphylococcus (gram pos cocci) b) Listeria ( g pos rod) c) Actinomyces (g pos rod- root caries Alert!)

What does the route of drug administration affect and what are the two major groups.

1. Affects both the onset and duration 2. Enteral and parenteral

What are the behavior profiles of Bulimia?

1. Age of onset is typically 20-24 2. Weight is at or slightly above normal 3. Turns toward food for comfort 4. Aware behavior is abnormal 5. Low self esteem and impulsive

What is the function of vitamin K and what is its deficiency ?

1. Aids in the formation of blood clotting factor prothrombin and helps increase bone density 2. Hemorrhaging

Asthma:

1. Airway narrow, swell and produce extra mucous 2. May have difficulty breathing and hyperventilation 3. Signs: /unproductive cough, dyspnea, anxiety, wheezing, cyanosis

Common medications for asthma:

1. Albuterol (Ventolin)- Short acting bronchodilator 2. Salmeterol (Serevent)- long acting bronchodilator 3. Fluticasone (Flovent)- Corticosteroid, used long term 4. Advair- long acting bronchodilator + corticosteroid (Steriod inhalers cause increase risk for caries and Candida- rinse with water after inhaler use)

Mandibular injection Incisive?

1. All teeth anterior to mental foramen, buccal soft tissues of lower lip, chin buccal soft tissues from 1st premolar forward 2. 1/3-1/2 cart used 3. Contraindications: Inflammation or infection in area

Potentially risk with use of vasoconstrictors medical problems:

1. Allergy 2. Hyperthyroidism 3. Impaired liver or kidney function 4. Malignant hyperthermia 5. Methemoglobinemia 6. Heart failure, heart attack, recent heart surgery, hypertension 7. Hemophilia 8. Pregnancy

What are the three goals of periodontal surgery?

1. Allow easier cleaning for the patient ("cleansability") 2. Replace lost tissue 3. Gain new attachment

Qualities of bacteria staining?

1. Allows clinician to determine shape of organism (round,rod, etc) 2. Most useful microbiological staining technique is the gram staining. 3. Separates organisms into 2 groups. a) Gram + (stain purple/Blue) b) Gram - (stain pink/Red) 5. Different gram stains are a result of differences in CELL WALLS

Nonessential Amino Acids?

1. Also known as Dispensable 2. synthesized in liver of from diet 3. 11 are nonessential

Essential Amino Acids?

1. Also known as Indispensable 2. Body cannot synthesize; must obtain from diet 3. 9 are essential

Plaque Non-adherent:

1. Also known as PLANKTONIC plaque 2. Mostly motile rods and spirochetes 3. Increase during acute infection/inflammation 4. The oral hygiene aid most suited for removal of loose or non-adherent plaque is an oral irrigator

What are some Neurologic disorders?

1. Alzheimer's Disease 2. Attention Deficit Disorder (ADD/ADHD) 3. Autism 4. Bell's Palsy 5. Depression 6. Down syndrome 7. Epilepsy/Seizure Disorder 8. Mentally challenged 9. Multiple Sclerosis 10. Parkinson's Disease 11. Schizophrenia 12. Sensory Impairment

Inner enamel becomes _______ which produces enamel _____________ that will create ________________?

1. Ameloblasts 2. The outer enamel epithelium 3. Hertwig's Epithelial Root Sheath (HERS)

What are the two Hereditary alterations in tooth structures?

1. Amelogenesis Imperfecta 2. Dentinogenesis Imperfecta

What are the two major families of local anesthetic?

1. Amide 2. Esters

What are the four proteins?

1. Amino Acids 2. Complete Proteins 3. Incomplete Proteins 4. Complementary Proteins

Recommended drug regimens for premedication:

1. Amoxicillin 2000mg (2g) one hour prior to the procedure IF PEN/AMOX ALLERGY USE: 1. Cephalexin (Keflex) 2000mg (2g) one hour prior to procedure 2. Clindamycin 600mg one hour prior to procedure 3. Azithromycin or Clarithromycin 500mg one hour prior to procedure

Prophylactic oral antibiotic drug regimens for the heart if patient isn't allergic to penicillin:

1. Amoxicillin 2000mg (2grams) 30 mins to one hour before procedure for adult 2. Children 50mg/kg

What is Erythema multiforme?

1. An acute ulcerative condition of skin and mucous membrane 2. An immunologic response to foods, chemicals, drugs, or microbial infections 3. Recurrent HSV is a common trigger for recurrent EM 4. 50% have skin lesions: Bull;s eye or target lesions 5. Steve-Johnson syndrome (severe skin reaction triggered by a drug)

Scleroderma is?

1. An autoimmune disorder 2. Associated with RAYNAUDS PHENOMENON (tips of toes and fingers are cold and blue) and GENERALIZED widening of the periodontal ligament space*

Diabetes mellitus contributing to perio disease:

1. An increase risk of periodontal disease 2. Xerostomia and increased caries risk 3. Candidiasis 4. Delayed wound healing

What the effects of aspirin?

1. Analgesic (pain reducer) 2. Antipyretic (fever reducer) through action of hypothalamus 3. Anti-inflammatory 4. Anti-Platelet (blood thinning)

What are the effects of Ibuprofen?

1. Analgesic (pain reducer) 2. Antipyretic (fever reducer) 3. Anti-inflammatory

What are the effects of Acetaminophen?

1. Analgesic (pain reducer) 2. Antipyretic (fever reducer) 3. NOT ANTI-INFLAMMATORY

What are the effects of Narcotics/Opioid Drugs?

1. Analgesic (pain reducer) 2. Antitussive (cough suppressant) 3. Sedation 4. Euphoria (feeling of well being)

Common antihypertensive's and major side-effects:

1. Angiotensin converting enzyme (ACE) inhibitors (-prils)- postural hypotension, dry cough 2. Beta Blockers (-olols)- if non-selective, use vasoconstrictors with caution (Epi precaution) 3. Calcium channel blockers- Gingival hyperplasia, xerostomia 4. Diuretics (-thiazides)- postural hypotension, xerostomia

Oral Manifestation of HIV:

1. Angular cheilitis (Candida Albicans) 2. Aphthous-like ulcers 3. Candidiasis 4. Increased caries 5. Kaposi's Sarcoma 6. Linear gingival erythema 7. Lymphoma 8. Necrotizing ulcerative gingivitis (NUG) 9. Necrotizing ulcerative periodontitis (NUP) 10. Oral hairy leukoplakia (Epstein Barr virus) 11. Papilloma Lesions 12. Persistent lymphadenopathy 13. Recurrent herpetic infections 14. Xerostomia

What are the sources of Cobalamin (Cyanocobalamin [B12])?

1. Animal (organ meats) and fortified foods

What are the three eating disorders?

1. Anorexia Nervosa 2. Bulimia 3. Pica

What is the function of Vitamin E (Tocopherol)?

1. Antioxidant (Rare) and stimulate immune response

Blood flow from the heart to the head:?

1. Aorta 2. Right side: brachiocephalic artery, branching to the common carotid 3. Left side: common carotid

Topical:

1. Applied to a body surface: (skin, mucosa) 2. Most effective in no-keratinized areas 3. Used when local effect is desired 4. Topical drugs require an increase concentration of the drug 5. Contraindications in ulcerated, burned or abraded surfaces

Appointment modifications for Parkinson's Disease:

1. Appointment 2-3 hours after taking medications

Neotame?

1. Approved in 2002 by the FDA; blended with other sweeteners 2. No amino acids are absorbed, therefore does not need to carry PKU warning 3. Stable in heat

Conditions requiring premedication?

1. Artificial heart valve 2. History of infective endocarditis 3. Specific congenital heart defect a) unrepair or incomplete repair of cyanotic heart disease b) Heart defect repair with prosthetic patch or device 4. Cardiac transplant with valve problems 5. Renal dialysis shunt 6. Ventriculoatrial hydrocephalic shunt (NOT STENT!)

What are the 5 "A's" the hygienist should provide for Tobacco smokers?

1. Ask: Do you smoke? 2. Advise: Importance of quitting 3. Assess: Level of readiness to quit 4. Assist: Let me know when you are ready 5. Arrange: Set quit date for one week from now; arrange for follow-up

What are the Analgesic drugs?

1. Aspirin 2. Acetaminophen 3. Ibuprofen 4. Narcotics/Opioid drugs

What are the intentional torts?

1. Assault 2. Battery 3. Deceit and misrepresentation 4. Defamation 5. Invasion of property (patients BODY is the property)

What is PSR (Periodontal Screening and Recording)?

1. Assess Periodontal Health 2. Requires a special probe (WHO probe) 3. Useful in preliminary screening technique and for use in large populations

What is the function of Folate (Folacin , Folic Acid)?

1. Assist in forming DNA and RNA. 2. RBC Formation

Endotoxins:

1. Associated with GRAM - bacteria 2. Stimulates osteoclasts 3. Inhibits fibroblasts and may harm neutrophils (PMN's)

Diseases treated with respiratory drugs include:

1. Asthma 2. COPD 3. Upper respiratory tract infections

What are some Respiratory disorders:

1. Asthma 2. Chronic Obstruction Pulmonary Disease (COPD) 3. Cystic Fibrosis 4. Tuberculosis (TB)

Do Not use Epinephrine with what conditions:

1. Asthma 2. Hyperthyroidism 3. Cocaine/Methamphetamine use

leukotrienes are inhibited by?

1. Asthma drugs, such as Singulair (montelukast)

Epilepsy/Seizure disorder:

1. At least 2 unprovoked seizures required for an epilepsy diagnosis 2. Can be categorized by the type of seizure activity a) Petit mal: Mild b) Grand mal: Severe c) Status Epilipticus: continuous convulsion lasting >5mins

What are examples of Anticholinergic drugs?

1. Atropine 2. Imodium 3. Scopolamine 4. Dramamine

Bruxism is a pathologic manifestation of what condition?

1. Attrition

What are the five non-carious loss of tooth structures?

1. Attrition 2. Bruxism 3. Erosion 4. Abrasion 5. Abfraction

Scleroderma (Systemic sclerosis):

1. Autoimmune disorder causing overproduction of collagen 2. Porcelain doll appearance 3. Raynaud's Phenomenon: Episodic vasoconstriction of digits, white discoloration, related to cold 4. Oral finding: Widening of PDL space all teeth

Crohn's Disease:

1. Autoimmune form of inflammation bowel disease 2. Chronic inflammatory disorder of the large/small intestine 3. Abdominal cramping, fever, fatigue, loss of appetite, diarrhea, weight loss 4. May involve any part of GI from MOUTH to ANUS 5. Aphthous-like ulcers

The nerves are affected by local anesthetic in this order:

1. Autonomic 2. Temperature 3. Pain 4. Touch/pressure 5. Vibration 6. Motor (LAST) (Function is regained in reverse order)

What is Mean?

1. Average Score 2. Most Common measure of Central Tendency*** 3. add up all # and divide by amount of #

Appointment modifications for Cerebral Palsy:

1. Avoid injury by utilizing fulcrum

Prilocaine (Citanest):

1. Avoid prilocaine in patients with anemia and patients taking acetaminophen * 2. Medium duration

Antibody -mediated (Humoral) Immunity

1. B-Cells*** 2. Defense against infection (opsonizes bacteria, neutralizes toxins and viruses) 3. Allergic response (Ex: hay fever) 4. Autoimmunity

Tuberculosis (TB):

1. Bacteria (mycobacteria) spread through airborne transmission (cough, sneeze, spit)

Macrolide Antibiotics are?

1. Bacteriostatic drugs 2. May be used for premedication in dentistry

Host defense In natural immunity include?

1. Barriers (skin, mucosa membranes) 2. Certain cells (natural killer cells) 3. Phagocytosis 4. Inflammation 5. Certain protein (Complement)

What are the three cancers of the skin?

1. Basal Cell Carcinoma- sun exposed skin 2. Squamous cell carcinoma- sun exposed skin 3. Melanoma- pigmented tumor

What are the energy needs of the body (evaluate)

1. Basal Metabolism Rate (BMR) 2. Degree of physical activity 3. Specific Dynamic Activity (SDA)

Infrabony pocket formation is?

1. Base of the pocket is BELOW (apical to) the alveolar crest 2. Treated with regenerative procedures

Toothbrush methods?

1. Bass- angle bristles 45 degrees towards gingival 1/3, placing bristles into the sulcus 2. Stillman- angle bristles 45 degrees towards apex with 1/2 of bristles place on tooth, the other half on the gingiva. 3) Charters- bristles 45 degrees toward Occ, move bristles in rotary motion (ortho pt.)

What are some Antianxiety Drugs?

1. Benzodiazepines 2. Nitrous oxide/Oxygen sedation

What is the Nutritional Deficiency and Disease of Thiamine (B1) Vitamin?

1. Beri Beri (I can't, I can't)- damages nervous and cardiovascular systems?

What are the three groups in order from there ability to hemolyse Red blood cells (RBCs)

1. Beta-hemolytic streptococcus (complete lyse RBCs)** 2. Alpha-hemolytic streptococcus (partially lyse RBCs) 3. Gamma-hemolytic streptococcus (unable to lyse RBCs)

What is Mumps (Epidemic parotitis)?

1. Bilateral parotid enlargement 2. Inflammation of parotid

About Implants and what they are?

1. Biocompatible titanium alloy prosthesis used to replace missing teeth 2. Prosthesis may be cylindrical or blade 3. Implants are endosteal (within bone)

What is Lithium (antidepressant) used to treat?

1. Bipolar Disorder

Systemic Environmental hypoplasia of teeth include?

1. Birth related trauma 2. Malnutrition (hypocalcemia- low calcium levels in blood) 3. Chemicals (fluorosis: >0.7ppm of fluoride in drinking water) 4. Systemic infection (congenital syphilis: Hutchinsons incisors & mulberry molars) 5. Idiopathic

Types of Extrinsic stain?

1. Black-Line 2. Bluish-green 3. Brown 4. Dark-brown and black 5. Orange 6. Yellow-brown and brown 7. Green

Density means what and is affected by what?

1. Blackness 2. mA, Exposure time, kVp, Filtration decreases, and distance decrease 3. More photons = more density

What are the two types of Experimental Blindness? (under Experimental studies)

1. Blindness (researcher remains uniformed; prevent bias) 2. Double blind (neither the researcher nor the subjects know who is receiving treatment; BEST way to avoid bias**

Histamine blocking agents:

1. Block H2 histamine receptors, Which reduces acid secretion 2. Examples: Tagamet (Cimetidine) and Pepcid (Famotidine)

Diphenhydramine (Benadryl) works by doing what?

1. Blocking histamine receptors in the body

What are the four stages of fibrous repair?

1. Blood clotting 2. Wound cleansing 3. Tissue rebuilding 4. Wound remodeling

What vitamin E toxicity interfere with?

1. Blood coagulation (clotting) a function of vitamin K 2. gingival bleeding (increased with aspirin)

Anticoagulant therapy characteristics:

1. Blood thinners are used prevent stroke and heart attack, especially after initial stroke or MI 2. Therapy attempts to reduce "intravascular clotting) 3. Patients taking these drugs are at increased risk of gingival hemorrhage

Galactose (component of milk sugar)

1. Body convert glucose to galactose in mammary tissue during lactation; makes lactose in breast milk. *lactate

What are the Landmarks on the Mandible?

1. Body= Horizontal portion 2. Angle=Junction of body and ramus 3. Ramus= Vertical portion 4. Condyle=Allows the jaw to rotate 5. Coronoid process= muscle attachment 6. Retro-molar Triangle= soft tissue landmark, behind lower molars 7. Alveolar Process= Bony housing, support the teeth 8. Mental Foramen= mental nerve opening 9. External Oblique Ridge= Radiographic landmark, outside on body 10. Mandibular Foramen= Inferior Alveolar Nerve opening 11. Internal Oblique Ridge= Radiographic landmark, inside on body 12. Genial Tubercles= Muscle attachment, genioglossus muscle.

What are the adverse effects HIV/AIDS medication?

1. Bone marrow depression- Leading to anemia and thrombocytopenia (lack of blood clotting ability) 3. This results in oral effects of bleeding gingiva and oral ulcers

Palatal Torus?

1. Bony, Radiopaque mass midline hard palate 2. Female 2:1

Mandibular Tori?

1. Bony, bilateral, radiopaque mass lingual mandible 2. Females 2:1

Appointment modifications for Asthma:

1. Bring "rescue" inhaler (Albuterol) 2. Do NOT use aspirin (can precipitate attacks) 3. Do NOT use air polisher or ultrasonic scaler (impairs breathing) 4. Do NOT give anesthesia with epinephrine or Levonordefrin (Bisulfides can precipitate attacks) 5. Nitrous oxide is recommended

What does Goals mean?

1. Broad-based statement of desired outcome of a program

Ling acting Amide drugs:

1. Bupivicaine .5% 2. Etidocaine

What are some RX quit aids for tobacco users?

1. Buproprion (Zyban)- antidepressant (xerostomia, use epinephrine with caution) 2. Chantix- nicotine agonist (xerostomia)

The Parenteral drug route is?

1. Bypasses the GI tract 2. IV, IM, SQ, intradermal 3. Inhalation, topical, sublingual

Adverse effects of Adrenergic drugs?

1. CNS (anxiety, fear, tremor, headache) 2. Cardiac arrhythmia 3. Hypertension 4. Xerostomia

Methamphetamine (Crystal meth, meth, glass, ice, poor mans cocaine):

1. CNS stimulant 2. Parkinsonian features

What are the Contraindications for Nitrous oxide/ Oxygen sedation?

1. COPD 2. Upper respiratory tract infection or stuffy nose 3. Pregnancy (especially 1st trimester)(Tarategen Birth defect) 4. Emotional or behavioral instability 5. Communication barriers 6. Abuse potential

What is a Sialolithiasis (Salivary stone)?

1. Calcification within gland or duct 2. Whartons (submandibular) duct most common site 3. Swelling when eating with partial obstruction

What are the two macrominerals?

1. Calcium 2. Sodium

Lactobacillus?

1. Can derive lactic acid from glucose which creates an acidic environment (considered ACIDURIC***) 2. Produces LEXAN 3**** Lactobacillus are associated with advanced carious lesions DEEP in enamel AND are aciduric****

Candida Albicans Characteristics?

1. Can invade tissue of individual's with impaired resistance (immunosuppressed) 2. Can cause candidiasis in debilitated individuals 3. Systemic infections of candida may involve a) Lungs b) Kidneys c) Heart d) Esophagus****

Leukemia:

1. Cancer of white blood cells 2. May cause aplastic anemia (No cells) (crowds out other blood elements- RBC, WBC, Platelets) 3. Possible gingival enlargement from leukemic infiltrates (boggy, edematous)

Stage III Perio- Established lesion:

1. Capillary proliferation (overgrowth) causes erythema (redness) 2. Gingival enlargement may increase probing depths 3. Plasma cells become prominent 2-3 weeks

What is the active ingredient in Vital bleach?

1. Carbamide peroxide, or hydrogen peroxide a) Carbamide peroxide breaks down into hydrogen peroxide and urea.

The six classes of nutrients include:

1. Carbohydrates 2. Proteins 3. Lipids 4. Vitamins 5. Minerals 6. Water

Epinephrine Drug interactions:

1. Cardiac Glycosides (Digoxin/Lanoxin) 2. Non-selective beta blockers (Antihypertensive) 3. Tricyclic antidepressant 4. Buproprion (Zyban) Smoking aid

Checking a pulse in a emergency for an adult= and a child = what?

1. Carotid 2. Brachial

Experimental Studies?

1. Carries out under controlled setting (laboratory) 2. Uses control groups (treatment is withheld; Placebo) and treatment groups (receives treatment)

Sickle cell disease:

1. Carry both of the autosomal recessive genes (both parents have to carry the trait for you to have the disease)

What is Saturated fatty acids?

1. Carry maximum number of hydrogen atoms (hydrogenation) 2. Increased serum cholesterol levels 3. Source include; beef, lard, and animal fats

Sickle cell trait:

1. Carry one of the autosomal recessive genes 2. No symptoms

What does Serotonin Reuptake Inhibitors (SRI's) do and what are some examples?

1. Cause CNS stimulation and Xerostomia 2. Prozac (fluoxetine) 3. Zoloft (sertraline)

What does leukotrienes do?

1. Cause bronchoconstriction, cellular infiltration, cytokine release and inflammation 2. leukotrienes= Lungs (from mast cells) 3. inhibited by asthma drugs, like Singulair (montelukasat)

What does Prostaglandins do?

1. Cause swelling, pain and inflammation (Prostaglandin= Pain) 2. They are inhibited by NSAIDs (ibuprofen) and aspirin

What is Kaposi's sarcoma?

1. Caused by HHV-8 (Kaposi's sarcoma herpes virus) 2. Vascular neoplasm 3. Multiple bluish-purple mascules and plaques 4. Seen with HIV infection

What causes recession?

1. Caused by age, plaque, iatrogenic (dental treatment), tooth malposition, occlusion, frenum pull, trauma, inadequate attachment, improper flossing techniques

What is Herpangina?

1. Caused by coxsackie virus (NOT HERPES VIRUS)!!!!!! 2. vesicles/ ulcers in the posterior oral cavity

What is hand-Foot&mouth disease?

1. Caused by coxsackie virus 2. Ulcers of mouth, hands, and feet and flu like symptoms

What is battery?

1. Causing bodily harm Ex- (Placing sealants on a child's teeth without parental consent or taking radiographs without permission)

What are some examples of Cephalosporin?

1. Cephalexin (Keflex) 2. Cefaclor (ceclor) 3. Cefuroxime (Ceftin)

Prophylactic oral antibiotic drug regimens for the Joint Replacement if patient is allergic to penicillin:

1. Cephalexin 2000mg (2grams) one hour before procedure 2. Cephradine 2000mg (2grams) one hour before procedure

Prophylactic oral antibiotic drug regimens for the heart if patient is allergic to penicillin:

1. Cephalexin, cephalosporin 2. Clindamycin 3. Azithromycin 4. Clarithromycin

What are some Musculoskeletal disorder?

1. Cerebral Palsy 2. Muscular Dystrophy 3. Scoliosis 4. Spinal Cord Injury

Appointment modifications for cystic fibrosis:

1. Chair semi-upright to facilitate breathing 2. Do NOT use: nitrous, air polisher, ultrasonic scaler, rubber dam

What is Angina Pectoris and some characteristics:

1. Chest pain from lack of O2 (ischemia) 2. Crushing, pressure, or squeezing 3. Mat radiate to arm, shoulder, neck, and mandible 4. May last 5-15mins

What is Varicella-zoster virus?

1. Chickenpox- erythema, vesicles, pustules, crusted lesions 2. Shingles in adults (unilateral erythema, vesicles, ulcers, and pain

Power-assisted toothbrush indications for use?

1. Children 2. Physically and mentally challenged 3. Elderly 4. Arthritic patients 5. poorly motivated individuals 6. Implant care

Types of Disinfectant agents?

1. Chlorine-Based compounds- corrosive to metals strong odor. 2. Iodophers- can discolor some surfaces yellow. 3. Phenols (water or alcohol based)- leave a film or residue on surface. 4. Quaternary compounds- not corrosive but has lower kill spectrum; limited efficacy.

Down Syndrome (Trisomy 21):

1. Chromosomal abnormality 2. Fissured tongue, Macroglossia, Mouth breathing, hypodontia 3. Periodontal disease, decrease caries

Multiple Sclerosis:

1. Chronic degenerative autoimmune disease of CNS, myelin sheaths attacked 2. Young adult women (20-40 years old) 3. Heat sensitive: Exacerbates symptoms 4. Fatigue, leg stiffness, tremor, slurring speech 5. Difficulty swallowing

Parkinson's Disease:

1. Chronic, Progressive disease of neurons that produce dopamine 2. Causes slow movement, tremors, rigid muscles 3. Shuffling, slow gait (bradykinesia), slurred speech, postural instability, dementia, stiffness and rigidity of joints 4. Blank, expressionless face, staring, unblinking eyes, excessive salivation/drooling

Pre-eruptive (systemic) Fluoride characteristics?

1. Circulates in the blood and is incorporated into the enamel of developing teeth. 2. Rapidly adsorbed in stomach and small intestines 3. The amount that is not used is excreted through the kidneys

What are the legal issues in the D.H code of ethics?

1. Civil Offenses (lawsuits) 2. Civil Law- Contracts 3. Civil Law- Torts

What are some gingival contours?

1. Clefted 2. Bulbous 3. Festoon 4. Recession 5. Enlargement

Clinical Assessment of the periodontium include:

1. Clinical attachment loss (CAL) 2. Width of attached gingiva 3. Pockets/sulcus depths 4. Occlusal trauma/ wear patterns 5. Position of teeth, edentulous areas 6. Furcarions 7. Radiographs 8. Tooth mobility 9. Restorations status 10. Proximal contacts

Stage II Perio- Early lesion or Gingivitis:

1. Clinical sign of gingivitis appear 2. White blood cell (leukocyte) infiltration into connective tissue 3. Rete pegs develop in sulcular lining 4. Collagen destruction (by collagenase) 5. Bleeding occurs due to ulcerated sulcular lining 6. PMNs found in sulcus 4-7 days

What is the function of Thiamine (B1) Vitamin?

1. Coenzyme needed for nerve function 2. energy metabolism

What is herpes labialis?

1. Cold sore, fever blister 2. Recurrent lesions of HSV on the lips 3. Prodromal symptoms- burning, tingling, itching, or erythema before a lesion

Uses for Epidemiology include?

1. Collecting data to describe normal biological processes. 2. Understanding the natural history of a disease process 3. Measuring the distribution of a disease in a given population 4. identifying determinants of disease 5. testing hypotheses for prevention and control of a disease through studies. 6. Planning and evaluating health care services

What are the step for planning a Community program?

1. Collection of preliminary information 2. Establishment of priorities 3. Determine goals and objectives*** 4. Consulting and coordinating activities 5. Drafting a plan

What are the characteristics of Nitrous oxide/Oxygen sedation?

1. Colorless, odorless gas used for conscious sedation and anxiety reduction 2. CNS is the major system affected 3. Works by raising the pain threshold 4. Not metabolized in the body- lungs 5. Overdose may cause nausea and vomiting 6. Nitrous- blue, oxygen- green

Alcohol Addiction:

1. Compulsive and uncontrolled consumption of alcoholic beverages 2. Pancreatitis 3. May have poor nutrition 4. Severe liver damage could lead to increase bleeding (oral petechiae)

What is Formative?

1. Conducted DURING the program; making sure audience is engaged. -allows for adjustments to be made

Biological Indicators (Spores Test)?

1. Conducted weekly 2. Determines if sterilization cycle is reached proper temp, time, and pressure to kill ALL microorganisms.

T-Cells

1. Constitute 65-80% of lymphocytes 2. T lymphocytes arise in the bone marrow and eventually migrate to the thymus to mature 3. During the maturation phase, T cells develop specific receptors that allow then to differentiate (something referred to as "sensitization")

What is Monounsaturated fatty acids?

1. Contain a point of unsaturated linkage (double bond) with no hydrogen atoms 2. Viscous in form 3. Maintain serum cholesterol levels 4. Sources include canola and olive oils

What is Polyunsaturated fatty acids?

1. Contain two more points of unsaturated (double bond) 2. Liquid in consistency 3. Decrease serum cholesterol levels (LDL) 4. Source includes vegetable oils

What are the properties of Sodium?

1. Contributes to high blood pressure which can lead to heart disease and stroke 2.hypertension is not caused by excess sodium, but aggravates it.

International level is?

1. Coordinates programs for underdeveloped nations 2. World Health Organization (WHO) is prime example 3. IFDH- international federation of Dental Hygienist

Increased pocket/probing depths can occur from two possibilities:

1. Coronal movement of the gingival margin a) "Pseudopockets" due to inflammation and swelling 2. Deepening of the sulcus/pocket a) due to loss of tissue attachment to the tooth b) Apical migration of the juncitonal epithelium

During dental prophylaxis a patient experiences (1) a sudden loss of breath, (2) labored breathing (3) cold, clammy skin and (4) pain radiating to the left shoulder and arm. What is most likely occurred?

1. Coronary Occlusion

What is Antitussives?

1. Cough suppressant drugs 2. May be opioids or related drugs

Examples of Anticoagulant therapy drugs:

1. Coumadin (Warfarin) 2. Plavix 3. Aspirin 4. Heparin- Administered to hospitalized patients, administered through injection

What medications cause Gingival Bleeding?

1. Coumadin (Warfarin)- Anticoagulant 2. Plavix (Clopidogrel)- Anticoagulant 3. Aspirin- analgesic and blood thinner (Aspirin is CONTRAINDICATED in patients taking Coumadin!)

What are some contraindications with the use of aspirin?

1. Coumadin (warfarin) use (effects blood clotting) 2. Gastric ulcers (Gi irritation)

Radiographs of a healthy gingiva include:

1. Crest of the alveolar bone should be 1-2mm apical to the CEJ 2. Contour of the alveolar bone should follow the contour of the CEJ 3. Distinct radiopaque lamina dura should be present 4. PDL space should be visible and uniform in width

Gastrointestinal/Kidney/Liver Disorders:

1. Crohn's Disease 2. Chronic Renal Failure 3. Hepatitis

Root formation begins after _____ is complete and ends ______ years after eruption?

1. Crown 2. 1-4

What is a Dentigerous cyst (follicular cyst)?

1. Cysts around the crown of an impacted tooth 2. Mandibular 3rd molars, maxillary canines 3. Unilocular radiolucency

What type of index's fall under Dental caries Indices?

1. DMFT/DMFS (Decayed, Missing, Filled TEETH/Decayed, Missing, Filled SURFACES) 2. deft (decayed, need for extraction, filled teeth) 3. dft/dfs (decayed, filled teeth/ decayed, filled surfaces) 4. RCI (Root Caries Index) 5. CAMBRA (Caries Management by Risk Assessment)

Tetracycline shouldn't be taken with What? and Why?

1. Dairy products 2. Antacids or iron 3. Because they will bind with tetracycline

What are the sources of calcium?

1. Dairy products, broccoli, and soy sources

What is Defamation and what are the two ways of this?

1. Damaging a persons reputation 2. Libel- WRITTEN defamation (L=Library) 3. Slander- Verbal defamation (S=SPOKEN)

What is Autonomy?

1. Deals with PATIENT (self determination) 2. Patient have the right to informed consent and full disclosure of treatment so they can make informed choices about their care 3. Right to privacy; freedom of choice

What is Nonmaleficence?

1. Deals with the PRACTIONER (Do No Harm) 2. Provides everyone that protect all patients from harm Ex- providing protective eyewear to the patient

What does Dens Invaginatus (Dens in dente)?

1. Deep surface invagination of the crown or root that is lined by enamel 2. Maxillary lateral incisors most common also most common to have a lingual pit.

Fetal Alcohol Syndrome (FAS):

1. Defects in a fetus from high levels alcohol consumption during pregnancy 2. Physical deformities, mentally challenged, learning disorders, vision difficulties, behavioral problems 3, Oral findings: U-shaped or cleft palate, gingivitis, abnormal tooth eruption, tooth malformation

What is the Deficiency of a Water-Soluble Vitamin?

1. Deficiency of these vitamins affect the mouth (Cheilosis and glossitis)

What are the reasons for a needs assessment?

1. Defines extent and severity of problems 2. Identifies causes of problems 3. Provides a profile of community 4. Collects Baseline Data******

Appointment modifications for Methamphetamine (Crystal meth, meth, glass, ice, poor mans cocaine):

1. Delay treatment for 24 hours after use 2. Possible unsafe interactions with Epinephrine

Effector functions of T-cells:

1. Delayed hypersensitivity 2. Cytotoxicity a) Graft rejection*

Considerations to evaluate before use of an ultrasonic scaler? (oral conditions)

1. Demineralized areas 2. exposed dentinal surfaces 3. titanium implants 4. those with communicable dieases (TB) or respiratory conditions (cystic fibrosis, asthma, emphysema) 5. difficulty swallowing 6. susceptible of infections (immunosuppression from disease, organ transplant, chemotherapy. 7. Restorations 8. Dentures

Plaque adherent:

1. Densely interconnected 2. non-motile bacteria 3. May mineralize and become CALCULUS

What are the common Dental Indices (index)?

1. Dental Caries Indices 2. Gingivitis Indices 3. Periodontal Indices 4. Oral Hygiene Indices

What are the functions of lipids?

1. Provide concentrated source of energy--9 Kilocalories/Gram 2. Carry fat-soluble Vitamin A,D,E, and K 3. Provide satiety (fullness) 4. Provide flavor and texture to foods 5. Insulation to maintain body temp and protect organs

Glycogen?

1. Provides 12 to 24 hours of stored* energy (glycogenesis) a) In liver, it regulates blood sugar for the brain b) In muscle, it serves as an energy source for muscle contraction

State level is?

1. Provides consultation to local departments

Carbohydrates Functions?

1. Provides energy (4 Kilocalories/gram) 2. Fuels brain and RBC's 3. Spares proteins- protein can supply energy; main function is to build tissue and replace cells 4. Aids in the oxidation (burning) of fats to prevent ketosis 5. Provides fibers for normal peristalsis

What are the 4 Types of Candida Albicans?

1. Pseudomembranous candidiasis (thrush) 2. Erythematous candidiasis (Red areas) 3. Central papillary atrophy (median rhomboid glossitis) 4. Angular chelitis

What is Chronic hyperplastic pulpitis?

1. Pulp polyp, pulp granuloma 2. non painful exophytic lesion in carious teeth in children 3. treat: endodontics or extraction

Clinical findings for NUG and NUP?

1. Punched out Papillae (NUG) 2. Pseudomembrane 3. Fetid BAD odor 4. Pain and severe inflammation

What are the qualities of Silicone Rubber?

1. Putty-like, rarely used

What is the active ingredient in tarter control formula toothpaste?

1. Pyrophosphate a) leading cause of dental hypersensitivity

What is Gingivitis?

1. REVERSIBLE inflammation of the gingiva 2. Directly related to the accumulation of plaque 3. results in ulceration of the sulcus causing bleeding

What is Physiologic pigmentation?

1. Racial pigmentation or normal pigmentation 2. Dark skin individuals

Checking a pulse in a nonemergency situation for an adult= and a child=?

1. Radial 2. Brachial

What is a residual cyst?

1. Radicular cyst that was left behind

Inhalation:

1. Rapid delivery across large surface area of respiratory mucosa 2. Asthma inhalers and nitrous oxide/oxygen sedation

Biological sensitivity to radiation:

1. Rapid turnover or mitosis rate of cells increase tissue damage 2. Undifferentiated cells have increased damage (tumor or stem cells)

Qualities of Disinfectants?

1. Rapid, broad-spectrum antimicrobial 2. Odorless, easy to use, fast acting, economical 3. Environmental and surface compatible 4. Residual effect 5. Non toxic to touch or inhalation 6. EPA registered 7. Cleans and disinfects.

What is the Center for Disease Control (CDC)?

1. Recommends infection control protocol and conducts research to determine how diseases are transmitted. 2. Provides guidelines for disease prevention and disease transmission

What is herpes whitlow?

1. Recurrent HSV on finger

What is Central papillary atrophy (median rhomboid glossitis)?

1. Red, atrophic area, midline dorsal tongue 2. Often seen in immunosuppressed individuals

Calcium Channel Blockers:

1. Reduce blood pressure by causing systemic vasodilation 2. Gingival enlargement and xerostomia 3. Nifedipine (Procardia, Adalat) 4. Verapamil (Calan, Isoptin) 5. Amlodipine (Norvasc) 6. Diltiazem (Cardizem)

What is the recommendation for Sodium?

1. Reduce sodium intake and increase the use of spices when cooking

What is p-value (probability values)?***

1. Refers to the probability that a condition or circumstance would happen just by chance without experimental intervention.

Reversible pulpitis is?

1. Related to HYPEREMIA of the pulp 2. Mild inflammation from deep restoration 3. Pain improves with the deposition of reparative-dentin after the restoration is placed

What are the qualities of Polyether Rubber?

1. Relatively rigid, good tissue detail 2. Unstable in presence of moisture (will distort if left wet)

What is a Gingivectomy?

1. Removes soft tissue 2. Treatment for gingival hyperplasia and pseudopockets

High Radiation sensitivity includes:

1. Reproductive tissues (#1*) 2. Lymphoid tissue 3. Bone marrow (Hematopoetic) 4. Intestines 5. Mucous membrane

Osseous surgery:

1. Requires a gingival flap (incision) (mucogingival flap) 2. Bone recontoured (osteoplasty) 3. Bone removal (osteoectomy) 4. Sutures are required 5. Sutures maybe bioabsorbable (gut) or non-absorbable (silk)

Appointment modifications for HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome):

1. Respect, kindness, and compassion 2. Standard precautions (treat everyone the same) 3. Avoid creation of aerosols ONLY for patient protection 4. Treat infections as needed 5. MD consult (CD4 count, viral load) 6. Shorten recall intervals (3-months)

What are the adverse effects for Narcotics/Opioid drugs?

1. Respiratory depression/Sedation 2. Nausea/Vomiting (emesis) 3. Constipation 4. Addiction

What is Occupational Safety and Health Administration (OSHA)?

1. Responsible for developing universal/standard precautions protocols for EMPLOYEES to prevent them from contracting disease through blood and/or other body fluids a) Protects the EMPLOYEE (worker) b) Pertains to clinics and facilities c) Includes Blood-Born Pathogens and MSDS

Sources of Vitamin A?

1. Retinols (Preformed Vitamin A)- Animal foods such as liver, fish, and fortified milk 2. Carotenoids (vitamin precursors)- source includes orange-yellow and dark green vegetables and fruits

What is GI (gingival Index)?

1. Reversible 2. Based on severity of inflammation

What are the general categories of indices?

1. Reversible 2. Irreversible 3. Simple 4. Cumulative

What is PHP (Patient Hygiene Performance)

1. Reversible 2. Measures plaque after toothbrushing (Assesses patients skills)

What is VMI (Volpe-Manhold Index)?

1. Reversible 2. Used to test agents for plaque control and calculus inhibition 3. scores calculus formation after cleaning and recommending a product

What is SBI (Sulcular Bleeding Index)?

1. Reversible 2. detects EARLY signs of gingivitis 3. determined by flossing

What is PII (Plaque Index)?

1. Reversible 2. developed by Silness and Loe 3. used in conjunction with the Gingival Index 4. Scores plaque according to its thickness at the gingival margin

LIst the two Aqueous (water-Solube or hydrophilic) Hydrocolloids?

1. Reversible hydrocolloid (agar) 2. Irreversible hydrocolloid (alginate) a) both require a quick snap to remove

What are the nutritional deficiency's and Diseases for Vitamin D?

1. Rickets- (Children) softening of bones due to failure to calcify normally. 2. Osteomalacia- (Adults) calcium is taken from bones to make up for insufficient absorption in intestines. 3. Osteoporosis 4. Colon cancer

What two drugs are most likely used only for prevention of TB?

1. Rifampin 2. Isoniazid

What are some Anitbiotics that are used to treat tuberculosis?

1. Rifampin 2. Isoniazid 3. Pyrazinamide 4. Ethambutol (RIPE- All four of these are used together to treat active TB)

What antimicrobial mouth rinse would you recommend to a patient that has cancer w/ oral mucositis?

1. Rinse with baking soda or saline solution followed by plain water rinses NO alcohol!

What antimicrobial mouth rinse would you recommend to a patient that has acute periodontal conditions?

1. Rinse with warm water or weak saline solution 2. Recommend Chlorhexidine 2x/daily

What are the movements of the Temporomandibular joint?

1. Rotation: condyle rotates in the fossa 2. Translation: condyle slides forward along the articular fossa to the articular eminence (disc moves with condyle in health) 3. Trismus: hypomobility from trauma, disease, bruxism

Most common viridans organisms are?

1. S. Mutans **** Caries**** 2. S. sobrinus *(caries)* 3. S. mitis (endocarditis) 4. S. sanguis (plaque colonization and endocarditis) 5. S. salivarius ***(colonizes oral tissue)***

Oral route of administration:

1. Safest, least expensive and most convenient 2. Absorption in Small intestines 3. Less predictable blood level 4. Inactivation by acid, enzymes or first pass effect (by the liver)

SLOB RULE:

1. Same Lingual 2. Opposite Buccal 3. Lingual objects move in same direction as the tube head 4. Buccal objects move in the opposite direction as the tube head

What are the four lipid types?

1. Saturated fatty acid 2. Monounsaturated fatty acids 3. Polyunsaturated fatty acids 4. Essential (polyunsaturated fatty acids

Contributing factors for the development and progression of periodontal disease nutritional concerns:

1. Scurvy- a vitamin C deficiency, Vitamin C is necessary for collagen production and wound healing 2. Kwashiorkor- A protein deficiency, proteins are necessary for a healthy periodontium

What is the Nutritional Deficiency and Diseases of Vitamin C (Ascorbic Avid)?

1. Scurvy- ruptured blood vessels; swollen and bleeding gingiva; delayed wound healing

What is included when consulting and coordinating activities?

1. Secure an appropriate facility where the program will be carried out 2. Make sure the necessary manpower is in place 3. Coordinate plan of action between those involved with the program

What are the side effects of Diphenhydramine (Benadryl)

1. Sedation 2. Xerostomia

What does Tricyclic antidepressant cause?

1. Sedation and Xerostomia

Amount of fluoride ingested: greater than 15mg/kg (lethal dose)

1. Seek medical treatment 2. Induce vomiting 3. Cardiac monitoring

What is Systematic sample?

1. Select every "nth" (number) to participate 2. Ex. (Count off by 6 and then form groups based on like numbers)

What is stratified sample?

1. Selecting an element according to certain subgroups (layered)

What is the properties of Riboflavin (B2)?

1. Sensitive to light

Signs and symptoms of occlusal trauma is?

1. Sensitivity 2. Wear facets 3. Tooth migration 4. Increased tooth mobility 5. Widening of the PDL space on a radiograph

What are the three Antidepressants?

1. Serotonin Reuptake Inhibitors (SRI's) 2. Lithium 3. Tricyclic antidepressant

Papillon-LaFevre syndrome causes?

1. Severe periodontal destruction and premature tooth loss 2. Hyperkeratosis of the palms of hands and soles of feet

Mepivicaine (Carbocaine):

1. Short duration -30 min 2. Comes with vasoconstrictor or as plain solution

What are the characteristics of a Benzodiazepine?

1. Short term treatment of anxiety and insomnia 2. CNS depression and sedation 3. Anxiety reduction and sedation 4. Anticonvulsant 5. Muscle relaxant 6. NOT ANALGESIC (Used in dentistry to reduce patient anxiety) (Used in dentistry to treat TMJ disorder)

Appointment modifications for Autism:

1. Short, frequent appointments in a calm environment 2. Positive reinforcement 3. No eye contact

Appointment modifications for Spinal injury?

1. Short, morning appointments 2. Ask patient if they can transfer by themselves

Fibers?

1. Should consume 20-35 grams/day 2. Dietary (insoluble)- Cellulose/Hemicellulose a) Increases peristalsis=poop! b) indigestible carbs 3. Functional(soluble) a) Added to foods and dissolves in water (soluble) to for a gel b) source- apples, citrus fruits, berries 4. Total fiber- Sum of dietary and functional fibers

What are some adverse drug reactions:

1. Side effects 2. Toxic effects 3. Allergy 4. Idiosyncrasy 5. Teratogenic effects 6. Local effects 7. Drug interactions

Staphylococcus Aureus qualities?

1. Significant exotoxins are coagulase (clot formation) and hyaluronidase (spreading factor) 2. Major producer of proteins called leukocidins which destroyed phagocytes, making up much of the material of pus!

Characteristics of an ideal index?

1. Simple 2. Valid-true 3. Reliable 4. Clear 5. Sensitive-find small shifts (mm not inch) 6. Quantifiable- # 7. Objective-facts 8. Accepted

Monosaccharides?

1. Single sugar a) Glucose (Blood sugar/Dextrose) b) Fructose (levulose/ fruit sugar) c) Galactose (component of milk sugar)

Chronic Fluoride Toxicity results in?

1. Skeletal fluorosis- long term exposure (10+ years) water containing 8-10ppm fluoride 2. Dental Fluorosis- Hypomineralization; excessive ingestion during amelogenesis (tooth development). white opacities

What is Air Polishing?

1. Slurry formed by forced air, water and powder (sodium bicarbonate, Aluminum trihydroxide - sodium free)

What produces the sharpest image with the least magnifications:

1. Small focal spot 2. Short object-to-film distance (OFD) 3. Large target-to-film distance (TFD) or (SFD) 4. Film and tooth parallel 5. Beam perpendicular to film

What is the major risk factor for squamous cell carcinoma?

1. Smoking and alcohol consumption 2. HPV is also risk factor.

Tobacco Smoking:

1. Smoking is the #1 cause of preventable disease/death 2. Increase risk periodontal disease (decrease vascularity)

What are some Gastrointestinal (GI) Drugs?

1. Sodium Bicarbonate 2. Proton-Pump inhibitors 3. Histamine Blocking agents

Water fluoride is composed of what compounds?

1. Sodium Fluoride 2. Sodium silicofluoride 3. Hydrofluorosilicic acid

Contraindications for use of an Air polisher?

1. Sodium restricted diets (hypertension) can use sodium free formula (aluminum trihydroxide) 2. spongy gingiva 3. respiratory conditions 4. exposed root surfaces 5. immunocompromised patients 6. pts taking potassium, anti-diuretics, or steroid therapy*

What is a Nasolabial cyst (Nasolacrimal cyst)?

1. Soft tissue cyst 2. Often lifts ala (wing) of nose

What is Judgment sample?

1. Someone familiar with the population selects the sample 2. HIGH chance of BIAS**

What does Objective mean?

1. Specific statements describing the steps that must be taken to achieve the overall goal; MUST BE MEASURABLE!

Morphology of bacteria 1. Cocci= 2. Bacilli= 3. Spiral forms= 4. Pleomorphic= 5. Appendage bacteria = 6. Filamentous bacteria

1. Spherical 2. Rods 3. Comma-shaped, S-shaped, or spiral shaped 4. Lacking distinct shape 5. Arms and legs 6. Has hair

Factors about streptococcus?

1. Spherical gram positive cocci usually arranged in chains or pairs 2. All streptococcus are catalase negative

Streptococcus Salivarius is a?

1. Spherical, gram positive bacteria which colonize the mouth and URT of humans a few hours after birth! 2. ASSOCIATED WITH THE TONGUE!***

What are the oral manifestations for Bulimia?

1. Dental Erosion (perimolysis) found on lingual surfaces of maxillary teeth due to constant exposure to acid 2. Erosion (restorative)- restorations appear 'raised' from adjacent teeth 3. Thermal sensitivity 4. Enlarged parotid glands can occur unilaterally or bilaterally 5. Cheilosis associated with loss of moisture and protective qualities of saliva 6. Pharyngeal tears and erythema of the palate, pharynx, and posterior tongue can result from use of objects or fingers to induce gagging/regurgitation

What are the most common dental cases that lawsuits arise?

1. Dental Injections 2. Adverse drug reactions 3. Failure to diagnose

Bonding Agents are?

1. Dental Resins (BIS-GMA)\ or Urethane dimethacrylate) which establish micromechanical retention 2. created by conditioning with phosphoric acid (etching)

What are the three main types of Viridans (alpha-hemolytic strep) infections?

1. Dental infections 2. Endocarditis 3. Abscesses 4. cellulitis 5. Pneumonia

What are the two types of Variables?

1. Dependent Variable 2. Independent Variable

What is measures of Dispersion and what are the two measures of dispersion?

1. Describes how WIDE the scores are around a central point. 2. Range and Standard Deviation

types of epidemiological studies?

1. Descriptive 2. Analytical 3. Experimental

Correlation Co-efficient does what and what are the two correlations?

1. Determines the strength of relationship between two variables -cause and effect 3. Given a number between +1.0 and -1.0 (Tip: The closer the correlation co-efficient is to either +1.0 and -1.0 the STRONGER the correlation***) 4. Positive and Negative correlation

Unhealthy gingival features?

1. Spongy, Swollen 2. Red, bleeds upon probing 3. Bulbous, festooned 4. Recession. hyperplastic 5. deep pockets or probing depths

What do you need to do when drafting a plan?

1. Develop a lesson plan and implementation strategy 2. Choose activities or procedures that have been successful in the PAST!!! No need to re-invent the wheel..

What is CPITN (Community Periodontal Index of treatment Needs)?

1. Developed by WHO 2. Determines periodontal NEEDS versus periodontal STATUS 3. Requires special probe (WHO probe)

Autism:

1. Developmental CNS disability that affects brain function 2. Avoid eye contact 3. Self-abusive behavior with intraoral trauma 4. Possible increase caries due to rewards (candy) for behavior modification

Attention Deficit Disorder (ADD/ADHD):

1. Developmental and behavioral disorder 2. Short attention span 3. Often with hyperactivity, inattentive, talkative 4. Deficient in short term memory 5. Common medications: Ritalin and Adderall

What are the features of an Acute gingivitis?

1. Develops rapidly 2. Obvious inflammation 3. May be painful 4. Neutrophil is the most prevalent cell

What are the features of a Chronic Gingivitis?

1. Develops slowly 2. May appear normal 3. Not usually painful

What are some examples of Benzodiazepines?

1. Diazepam (Valium) 2. Lorazepam (Ativan) 3. Alprazolam (Xanax)

Measles?

1. Spread via nasopharyngeal secretions 2. CAN CROSS PLACENTAL BARRIER!!!**** 3. Koplik's spots are small, red-based lesions with blue centers in the mouth.

What is the most common form of oral cancer?

1. Squamous cell carcinoma (Epidermoid carcinoma)

Indications for use of an Air polisher?

1. Stain and biofilm removal 2. root detoxification 3. sealant preparation 4. Soft debris removal around ortho appliances

Polysaccharides (complex)?

1. Starch 2. Glycogen 3. Fibers *made of more than 10 sugar units (poly=many)

What does the intrinsic muscle do for the tongue?

1. Start and end within the tongue 2. Determine the shape of the tongue 3. Superior and inferior longitudinalis, transverse and vertical groups

What are the steps to do a community program?

1. Step 1: needs assessment 2. Step 2: Planning a community project 3. Step 3: Implementation of community program 4. Step 4: Program Evaluation

What are the muscles of the neck?

1. Sternocleidomastoid 2. Trapezius

Cocaine (Blow, coke, crack, rock):

1. Stimulant, anesthetic and vasoconstrictor 2. Dilated pupils 3. Oral findings: xerostomia, caries, brusxism

What are the three gingival surface tissue textures?

1. Stippled 2. Edematous 3. Fibrotic

What are the sources of Vitamin C (Ascorbic Avid)?

1. Strawberries, broccoli, cantaloupe, citrus fruit, potatoes, and tomatoes

Partially due to their ability to adhere to pharyngeal epithelium, Group A streptococcal can cause:

1. Streptococcal pharyngitis (strep throat) 2. pyogenic infections 3. Tonsillitis 4. Scarlet fever - strawberry tongue

What are the Early/Healthy bacteria species?

1. Streptococcus: S. Mitis, S. Oralis, S. Sanguis, and S. Mutans (gram + bacteria, Healthy) 2. Actinomyces: A. Viscous (gram + bacteria, early colonizer)

Appointment modifications for Cushing's Syndrome (Hypercortisolism):

1. Stress Reduction protocol 2. Extra steroids for stressful situations (dental appt) MD consult

Appointment modifications for Diabetes:

1. Stress reduction 2. Avoid tissue laceration (poor healing) 3. Nutritional counseling and/or referral to dietitian 4. Home fluoride 5. Xerostomia protocol

Appointment modification for Angina Pectoris:

1. Stress reduction 2. Limit Epi 3. Possible nitroglycerin premedication (relaxes blood vessels, increase blood and O2 to heart while reducing cardiac workload)

Appointment modifications for Cardiac Arrythmias:

1. Stress reduction 2. No Epi 3. Do NOT treat if uncontrolled

Appointment modifications for Cardiovascular Disease:

1. Stress reduction 2. Frequent maintenance appointments 3. Chair position- may not tolerate supine position 4. May need to limit epinephrine** (0.04mg (2 carps 1:100,000 solution)) (Careful with retraction cord) 5. Xerostomia- related medications 6. If condition is uncontrolled, postpone treatment- refer to MD if undiagnosed chest pain

Patients with hypertension has a higher potential for what conditions:

1. Stroke 2. MI 3. Renal failure

What condition may increase plaque retention?

1. Subgingival restorations 2. Faulty crown matgins 3. Unreplaced missing first molars

If angina attack during appointment you should administer:

1. Sublingual nitroglycerin tablets 2. One tablet ever 5 mins, max 3 tablets in 15 mins 3. Give only if systolic BP is > 100 4. If pain continues activate EMS

What are the three major pairs of the salivary glands?

1. Submandibular gland 2. Sublingual gland 3. Parotid gland

Alternative Sweeteners?

1. Sugar alcohol- Nutritive sweeteners; carbohydrate-like, sugar-like compounds that provide calories; do not promote tooth decay because they metabolize at a slower rate; not readily absorbed by small intestine, can cause diarrhea. 20g or more (less than 20 for diabetics) a) Sorbitol b) Mannitol c) Xylitol

What are the types of Evaluations of a program?

1. Summative 2. Formative

What are the sources of Vitamin D?

1. Sunlight- body makes its own vitamin D through exposure to sunlight (90%) 2. Fortified milk- human milk has no vitamin D 3. Fish liver Oils

Blood flow of the heart with Deoxygenated blood?

1. Superior and inferior Vena Cavae (from body) 2. Right atrium 3. Tricuspid valve 4. Right ventricle 5. Pulmonary artery (to lungs)

Periodontal Ligament:

1. Suspensatory ligament attaching tooth to alveolar socket 2. Composed of dense collagen and fibroblasts 3. Attached to cementum by Sharpey's fibers 4. Oblique fibers most numerous (resist intrusive and rotational forces)

Fructose (levulose/ Fruit sugar)

1. Sweetest monosaccharide- found in fruits

What are the two forms of Autonomic nervous system?

1. Sympathetic (SANS) 2. Parasympathetic (PANS)

Sodium Bicarbonate:

1. Systemic Antacid 2. May be contraindicated in cardiovascular patients due to Sodium Content

Cell-Mediated Immunity

1. T-Cells**** 2. Defense against infections (especially Mycobacterium tuberculosis, Viral*** and Fungal***) 3. Allergic Response (ex: poison oak) 4. Graft and tumor rejections 5. REGULATION of antibody response

What are the qualities of Vinylpolysiloxane?

1. Tasteless, Odorless 2. Stable, strong, accurate 3. Capable of multiple pours

What are the Principles of Teaching?

1. Teach the way skills are to be used- hands on 2. Establish goals and objectives 3. plan an evaluation (evaluation needs to be ONGOING)

What is Primary Services?

1. Techniques are designed to prevent, reverse, or arrest a disease process 2. Ex: Mechanical plaque removal, dietary restriction of sucrose, and fluoride treatments. 3. Involves preventive therapies

Appointment modifications for mentally challenged

1. Tell, Show, Do 2. Involve caregiver

What are the Temporomandibular Joint parts are?

1. Temporal bone 2. Mandible: Condyle 3. Articular disc 4. Capsule

What are the muscles of mastication?

1. Temporalis 2. Masseter 3. Medial Pterygoid 5. Lateral Pterygoid

Analytical Studies?

1. Tests hypotheses to establish CAUSE 2. 3 types of ____ studies: (depending on time) -RETROspective -PROSPECTive -LONGitudinal

What is the treatment for Bulimia?

1. Dietary- establish regular eating patterns a) sodium fluoride rinses to aid with remineralization b) sodium bicarbonate (baking soda) rinses help neutralize acids caused from vomiting c) chewing sugar-free gum to stimulate saliva flow (don't brush 1 hour after vomiting due to acid being brushed over all surfaces of teeth)

What is Range?

1. Difference between high and low score. Subtract smallest from the largest. 2. Affected by extremely high or low scores

What are some examples of Cardiac Glycosides?

1. Digitalis 2. Lanoxin (Digoxin)

What medications cause Gingival Hyperplasia/overgrowth?

1. Dilantin (Phenytoin) Anticonvulsant to treat epilepsy 2. Procardia (Nifedipine and other CCBs) Calcium channel blockers to treat hypertension 3. Cyclosporin (used to prevent rejection in organ transplants)

What are some anticonvulsant drugs?

1. Dilantin (phenytoin) 2. Phenobarbital 3. Carbamazepine (tegretol)

What is Varicosities (varix, varices)?

1. Dilated superficial veins (under tongue) 2. Prominent on ventral tongue (lingual varices)

What is an Antihistamine drug?

1. Diphenhydramine (Benadryl)- mild allergic reactions

Digital Radiography:

1. Direct (CCD) vs indirect (PSP Photo-Stimulant-Phosphor) 2. Digital requires less radiation 3. Film has higher resolution than digital

What are some ways to conduct a needs assessment?

1. Direct observation (time consuming, not cost effective, requires manpower 2. Interview (not time consuming or cost effective, not recommended for large groups) 3. Questionnaire (good for large populations must be understandable for the target population) 4. Survey (Best choice for large populations) 5. epidemiology survey (researched based) 6. Records, documents, charts (access dependent, time consuming)

Local level is?

1. Directly administers county and city programs 2. Initiates dental health legislative measures (such as fluoridation)

Examples of Hypertension medications?

1. Diuretics 2. Beta Adrenergic blocking agents 3. Calcium channel blockers 4. ACE Inhibitors

What medications cause Xerostomia?

1. Diuretics (water pills) to treat hypertension 2. Calcium channel blockers to treat hypertension 3. Antihistamines

What is Median?

1. Divides the distribution of scores into two equal parts 2. Locate midpoint- 50% of # are above the ____, 50% are below.

Gram positive Cocci factors?

1. Do NOT form spores 2. Non-mobile****

Appointment modifications for TB:

1. Do NOT treat if active disease 2. TB drugs may lead to hepatotoxicity- avoid drugs metabolized in liver (acetaminophen!)

Respiratory appointment modifications:

1. Do NOT use air polisher as it can impair breathing 2. Do NOT use nitrous (the exception is asthma)

Appointment modifications for Alcohol Addictions:

1. Do NOT use narcotics, sedatives, nitrous, or alcohol-containing medications 2. Avoid drugs metabolized in liver- Acetaminophen!

Appointment modifications for sensory impairment?

1. Do NOT wear mask when talking 2. Face the patient when talking 3. Speak in a normal tone of voice (do NOT shout)

What is the best way to avoid lawsuits?

1. Documentation 2. Charting 3. Communication

Disaccharides?

1. Double Sugars; Made up of two monosaccharides a) Sucrose (table Sugar) b) Lactose (milk sugar) c) Maltose (plant sugar)

What does the Superficial temporal vein do?

1. Drains areas supplied by maxillary and superficial temporal arteries 2. Superficial temporal vein and maxillary vein are from the retromandibular vein

What does the Internal Jugular vein do?

1. Drains brain, facial vein, and superficial temporal vein (facial v. also empties in cavernous sinus) 2. Runs with the carotid artery

What does the facial vein do?

1. Drains facial structures (nose, lips, eyes, submental and submandibular areas)

Where does the Deep cervical nodes drain?

1. Drains the submandibular node, 3rd molars and the wall of the throat (including the retropharyngeal nodes) 2. structures of the oropharynx, drained by superior deep cervical nodes 3. Superior deep cervical nodes drained by the inferior deep cervical nodes

What does the Pterygoid plexus do?

1. Drains to form the maxillary vein 2. Structure that drain into the plexus include the teeth, muscles of mastication, buccinator, nose, and palate 3. This plexus may be pierced through improper angulation of the needle during the administration of a PSA block. Hematoma may develop as a result.

What are the characteristics of Anorexia Nervosa?

1. Dramatic weight loss; 20%-40% below desirable body weight 2. Excessive exercise 3. Aversion to food and altered eating habits; eat 300-600 kcal/day 4. Amenorrhea-absence of menstrual cycle due to hormonal changes 5. Lanugo (Hirsutism) fine, soft hair (unusual hair growth to keep them warm) 6. Decrease heart rate caused by slowing of metabolism

What is a Expectorants?

1. Drugs that promote the removal of exudate and mucus from airways

Xerostomia?

1. Dry mouth 2. Etiology: Drugs, head and neck radioation, Sjogren syndrome 3 AGING DOES NOT CAUSE DRY MOUTH!!!

Desirable features of Amalgam is?

1. Durable 2. Similar compressive strength to enamel 3. Relatively inexpensive

Tetracycline shouldn't be used when? And why?

1. During pregnancy or Early childhood 2. Due to tooth discoloration

Mesoderm underlies ______ and is separated by a __________?

1. Ectoderm 2. a basement membrane

Local Effect:

1. Effects occurring at the site of administration Ex: pain or irritation at an injection site

What is an examples of Tricyclic Antidepressants?

1. Elavil (amitriptyline)

Cardiac Arrythmias:

1. Electrical impulses that coordinate heartbeat do not work properly 2. SA node= pace maker, AV node= pace setter 3. fluttering in chest, Tachycardia (fast beat) or Bradycardia (slow beat)

What is hairy tongue?

1. Elongation of the filiform papillae 2. Heavy smoking, antibiotic therapy, poor oral hygiene

What are the two types of Chronic Obstruction Pulmonary Disease (COPD):

1. Emphysema (Pink puffers) 2. Chronic Bronchitis (Blue bloaters)

What is goiter?

1. Enlargement of the thyroid gland 2. Should be referred to MD 3. May be from Graves disease or lack of iodine

Skin, Joints and Connective tissue disorders:

1. Epidermolysis Bullosa 2. Arthritis 3. Marfan Syndrome 4. Scleroderma (Systemic Sclerosis)

Do Not use what with patient taking Tricyclic antidepressants?

1. Epinephrine

What are some examples of vasoconstrictors and what is the dosages?

1. Epinephrine 2. Levonordefrin 3. .2mg in a healthy patient 3. .04mg in a medically compromised patient (about 2 cartridges)

Emergency drugs include?

1. Epinephrine- Anaphylaxis/ severe allergic reactions 2. Diphenhydromine (Benadryl) mild moderate allergic reactions 3. Hydrocortisone Adrenal crisis 4. Albuterol (Ventolin) asthma and respiratory distress 5. Nitroglycerin (Nitrostat) chest pain 6. Oral Carbohydrates/glucose Diabetics complications/ hypoglycemia 7. Diazapam (Valium) Management of seizure 8. Ammonia inhalant syncope/ respiratory depression 9. Naloxone (Narcan) Opioid overdose 10. Oxygen EXCEPT hyperventilation and COPD

What are some inflammatory soft tissue lesions?

1. Epulis Fissuratum 2. Papillary Hyperplasia of the palate 3. Pyogenic granuloma 4. Chronic hyperplastic pulpitis (pulp polyp, pulp granuloma) 5. Peripheral giant cell granuloma 6. Gingival hyperplasia

What are some radiation effects from treatment of squamous cell carcinoma?

1. Erythema (redness of skin), xerostomia, radiation caries, osteoradionecrosis

What is geographic tongue?

1. Erythema migrans, benign migratory glossitis 2. loss of filiform papilla

What are some Blistering Diseases?

1. Erythema multiforme 2. Chronic discoid (cutaneous) lupus erythematosis 3. Lichen planus

Examples of Macrolide Antibiotics is?

1. Erythromycin 2. Azithromycin (Zithromax) 3. Clarithromycin (Biaxin)

What are the two Amino Acids?

1. Essential (Indispensable) Amino Acids 2. Nonessential (Dispensable) Amino Acids

What is the function of Riboflavin (B2) Vitamin?

1. Essential for growth, repair and production of RBC's; prevents cheilosis, glossitis and anemia

Estrogen Characteristics:

1. Estrogen is a steroid hormone 2. used for Contraception, Menopause therapy and Menstrual disturbances

Three of the six bones which comprise the orbit include?

1. Ethmoid, Sphenoid, Zygoma

What is infectious mononucleosis?

1. Etiology: Epstein-Barr virus (EBV) 2. Palate Petechiae, lymphadenopathy, pharyngitis, enlarged spleen

What is hairy oral leukoplakia?

1. Etiology: Epstein-Barr virus (EBV) 2. White, furrowed lines on lateral surface of tongue (cant wipe off) 3. May be 1st manifestation of HIV infection

Extrinisic Stain?

1. Exogenous- Removeable, 2. Causes include; certain bacteria, food, beverages and tobacco.

What all can you use to detect calculus?

1. Explorer- 11/12 and pigtail for posterior, Orban-type for anteriors and cervical 1/3's of posterior teeth. 2. Dry teeth with compressed air 3. Radiographs

What are Apical fibers?

1. Extend from apical area of the tooth to base of the tooth socket. 2. Resist "extrusive" forces 3. Prevents the tooth from being lifted out of the bony socket

What is pyogenic granuloma?

1. Exuberant tissue response to local irritation or trauma 2. Vascular appearance 3. Most common in kids and young adults on gingiva 4. Hormonal influence- aggravated plaque response 5. "pregnancy tumor" often seen during pregnancy

Periodontitis associated with genetic disorders are:?

1. Familial and cyclic neutropenia (Neutropenia- a lack deficiency of neutrophils (PMNs) 2. Down syndrome (NO increase in caries) 3. Papillon-LaFevre syndrome 4. Chediak-Higashi syndrome 5. Aggressive periodontitis

What does Hypodontia mean?

1. Fewer than normal teeth 2. Syndrome with hypodontia is ectodermal dysplasia

What is Fungiform Papillae?

1. Fewer, larger (appear as red bumps), contain taste buds

What are the 5 cells of the PDL?

1. Fibroblasts 2. Osteoblasts 3. Osteoclasts 4. Cementoblasts 5. Cementoclasts

Tissue Rebuilding:

1. Fibroblasts synthesize/deposit fibronectin, collagen and proteoglycans 2. Granulation tissue is formed, and is highly cellular and vascular

What are the two connective tissue lesions?

1. Fibroma 2. Papilloma

What is Epulis Fissuratum?

1. Fibroma around denture flange, especially poor fitting dentures

What is the articular disc and what does it do?

1. Fibrous pad of dense collagen tissue 2. Prevents bone to bone contact 3.divides joint into upper and lower synovial cavities

What are the four papillae on the tongue?

1. Filiform 2. Fungiform 3. Foliate 4. Circumvallate

Healthy gingiva features?

1. Firm and stippled 2. Light pink (coral pink) 3. Fills interproximal space, knife-edge 4. Gingival margin on enamel 5. 1-3mm gingival sulcus

Clindamycin:

1. First alternative for premedication if patient is allergic to amoxicillin 2. Use limited due to rare adverse reaction called Pseudomembranous colitis (600mg 1 hour prior to appointment)

What is Angular chelitis?

1. Fissured areas at corner of the mouth 2. Can see similar appearance with severe Riboflavon (Vitamin B2) deficiency 3. Treatment: Topical Nystatin, clotrimazole,,, Systemic: Ketoconazole, Fluconazole (diflucan)

What is Melanotic macule?

1. Flat, brown lesion 2. Lower lip, intraoral

What are some Corticosteriods and what are they used for?

1. Fluticasone (Flovent) 2. Triamcinolone acetonide (Azmacort) 3. Budesonide (Pulmicort) 4. Used long term to prevent asthma attacks 5. Not used for immediate relief

Condensing Osteitis?

1. Focal Sclerosing osteomyelitis 2. Radiopaque lesion at apex of inflamed or necrotic tooth

What is Foliate papillae?

1. Folds of tissue at the posterior, lateral border (side of tongue) 2. Contain taste buds

The frontal process includes?

1. Forehead and frontal bone 2. Medial nasal process (center and tip of nose, nasal septum, philtrum) 3. Lateral nasal process (sides of nose, infraorbital area)

What is the function of Calcium?

1. Forms and maintains bones and teeth 2. Coagulates blood (vitamin D helps absorb calcium)

What are Interradicular fibers?

1. Found ONLY in multi-rooted teeth 2. Located in tooth furcations 3. Stabilizes tooth root

What are the Nutritional Deficiency's and Diseases of Cobalamin (Cyanocobalamin B12)?

1. Found in strict vegetarians; pernicious anemia-weakness, sore tongue, and apathy

What are the Bones of the cranium?

1. Frontal (roof of the orbit) 2. Parietal* 3. Occipital 4. Temporal* 5. Sphenoid (posterior wall of the orbit) 6. Ethmoid (medial wall of the orbit) *= Bialteral bones

Most structures of the oral cavity develop from two embryonic processes which are?

1. Frontal Process 2. 1st Brachial Arch

What is fissured tongue?

1. Furrowed tongue, scrotal tongue 2. Fissures and grooves on dorsal tongue surface

What type of Index's fall under Gingivitis Indices?

1. GI (Gingival Index) 2. SBI (Sulcular Bleeding Index)

What are the some tongue lesions?

1. Geographic tongue 2. Ankyloglossia (tongue tied) 3. Hairy Tongue 4. Fissured tongue 5. Down syndrome

What are some abscesses of the periodontium?

1. Gingival abscess 2. Periodontal Abscess 3. Pericoronal abscess 4. Periapical Abscess

Periodontal disease classifications and NOT case type:

1. Gingival disease 2. Chronic periodontitis 3. Aggressive periodontitis 4. Periodontitis as a manifestation of systemic disease 5. Periodontitis Associated with genetic disorders 6. Necrotizing periodontal disease 7. Abscesses of the periodontium 8. Periodontics Associated with Endodontics leasions 9. Development or acquired deformities and other conditions

Oral Side effects of drugs?

1. Gingival hyperplasia/ overgrowth 2. Gingival bleeding 3. Xerostomia

What is the drug of choice for NUG and NUP, also why?

1. Tetracycline 2. Because it concentrates in gingival crevicular fluid

What is Mode?

1. The MOST frequently occurring score 2. the PEAK of the graph

Width of the attached gingiva:

1. The attached gingiva is connected to the tooth cementum and the periosteum of the alveolar bone 2. Widest is the anterior teeth (max: 3.5-4.5mm Mand: 3.3-3.9) 3. Narrowest is premolar areas (1.8-1.9mm)

The initiation (bud stage):

1. The dental lamina (ectodermal thickening) grows into the underlying mesenchymal (connective) tissue at 20 places to form the primary teeth

Ionization:

1. The ejection of an electron from an atom 2. Produce charged ion pairs or free radicals

The differentiation (Bell Stage):

1. The enamel organ develop develops four distinct layers: a) outer enamel epithelium b) stellate reticulum c) stratum intermedium d) inner enamel epithelium

What is the SinoAtrial Node or Sa?

1. The hearts natural pacemaker, its located in the right atrial wall (upper right chamber of the heart)

What is independent variable?

1. The intervention (action) 2. TIP- 'In" is in BOTH INdependent and Intervention 3. manipulated to produce a response to the dependent variable

What is the lymphatic system and what does it do?

1. The lymphatic system is a network of tiny channels and nodes 2. It helps the venous circulation return interstitial fluid to the bloodstream from the tissues of the body, and plays a key role in our immune system.

What does the temporal bone include?

1. The mastoid process 2. the styloid process 3. The articular fossa and eminence 4. the stylomastoid foramen (VII) 5. The petrous portion (housing hearing component)

What is dependent variable?

1. The outcome of interest 2. Should change in response to some intervention (improve a situation, taking action) 3. HINT- DEPENDent variable DEPENDs on the independent variable.

Potency:

1. The pharmacological activity of a drug, related to DOSE 2. The amount of drug necessary to produce an effect 3. Potency is GREATER when dose is SMALLER

Localized tooth related factors that may increase the risk of developing plaque induced gingivitis and periodontitis or exacerbate (make worse) these conditions:

1. Gingival recession 2. Lack of attached gingiva 3. Frenum position and "pull" 4. Enlarged/excessive gingiva 5. Occlusal trauma

What is Consolidated Omnibus Budget Reconciliation Act (COBRA)?

1. Gives individuals the right to keep the group health insurance benefit for 18 months after they leave the practice.

What are the three Non-Odontogenic cyst?

1. Globulomaxillary cyst 2. Nasopalatine duct cyst (incisive canal cyst) 3. Nasolabial cyst (Nasolacrimal cyst)

Plaque formation steps?

1. Glycoproteins from saliva are adsorbed to the tooth surface, forming the acquired pellicle 2. Bacteria adhere (attach) to the acquired pellicle 3. Bacteria multiply to form colonies on the tooth, creating a biofilm 4. As plaque grows, bacteria detach from the biofilm and become "planktonic" bacteria (free) 5. Later, calculus forms from the mineralized plaque biofilm

Most other disease-causing bacteria are?

1. Gram negative rods or gram negative pleomorphic microbes.

Wound remodeling:

1. Granulation tissue is eventually remodeled into a scar, composed of dense collagen interspersed with cells and blood vessels

Hyperthyroidism:

1. Graves disease: Autoimmune disorder 2. Goiter, tachycardia, nervousness, heat intolerant (profuse sweating, moist skin), Exophthalmos (Proptosis) bug eyed,

What are the Sphenoid Bone Landmarks?

1. Greater and Lesser Wings 2. Medial and Lateral Pterygoid Plates (origin of medial and lateral pterygoid muscles) 3. Hamulus (projects from medial pterygoid plate)

What does Anaerobic mean?

1. Grow in the absence of oxygen 2. Are found in the periodontal pockets and gingival sulcus

Medium Radiation Sensitivity includes:

1. Growing cartilage 2. Growing bone 3. Salivary glands 4. Fine blood vessels 5. Lungs 6. Kidneys 7. Liver

Lag Phase?

1. Growth is SLOW at first as bacteria acclimate to their environment 2. ** Cellular metabolic activity was NOT increased during the LAG PHASE**

Logarithmic ("Exponential") Phase?

1. Growth occurs "exponentially" (very rapidly) 2. Microorganisms are most prone to breakdown by antimicrobial agents!!!!*****

What are some regenerative procedure?

1. Guided tissue regeneration (GTR) 2. Osseous grafts 3. Soft tissue grafts

Diphenhydramine (Benadryl) has two histamine receptor blockers in it what are they?

1. H1 receptor (cause vasodilation, bronchoconstriction, pain and itching when stimulated) 2. H2 receptors (cause gastric acid secretion when stimulated

Obligate Anaerobes?

1. HATE OXYGEN 2. Examples: a) Prevotella- preg. gingivitis, cellulitis, NUG/NUP b) Porphyromonas gingivitis- produces collagenase to destroy collagen.

Examples of DNA Viruses:

1. HEP B* 2.Human Papilloma Virus (HPV) 3. Herpes simples 1 and 2 4. Varicella-Zoster 5. CMV 6. Epstein-Barr Virus 7. Smallpox

Hematopoietic Diseases:

1. HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome) 2. Leukemia 3. Sickle Cell Anemia

What is Bruxism?

1. Habitual grinding of the teeth (attrition)

About DNA Viruses?

1. Has both positive and negative strands 2. Cannot be translated into proteins until it is transcribed into mRNA

Procedures in Private Practice?

1. Health History and Examination 2. Diagnosis 3. Treatment Planning 4. Treatment 5. Payment 6. Evaluation

Coronary Bypass Surgery (Coronary artery bypass graft, CABG):

1. Healthy blood vessels from leg, arm, or chest are grafted to the coronary arteries to bypass blood around diseased or blocked coronary vessels 2. How long since surgery/ how are they feeling

Congenital Heart Failure:

1. Heart cannot pump enough blood to meet the body's needs 2. Pulmonary congestion 3. Peripheral edema (swelling) because of inadequate venous return from decrease cardiac output 4. Epi precaution 5. If taking cardiac glycosides (digoxin/Lanoxin) = increase gag reflex and limit epi

Hypersensitivity reaction Type IV Delayed?

1. Helper T cells are sensitized by antigens 2. inflammation attracts macrophages leading to antigen destruction 3.Cell Mediated!- 48-72 hour response delay 4. Example: Tuberculin skin test, contact dermatitis

What are the two types of hepatitis that are through Fecal/Oral (poor hygiene) and is there a vaccine?

1. Hep A (Yes) 2. Hep E (No)

What are the three types of Hepatitis that is through Blood/Body fluid (IV drugs, Sex, Needle sticks, Perinatal) and do they have vaccines?

1. Hep B (Yes) 2. Hep C (No) 3. Hep D (Hep B vaccine)

What Hepatitis can you get only if you have Hepatitis B?

1. Hep D

Examples of RNA Viruses:

1. Hepatitis A, C, D, E 2. Rhino Virus (common cold) 3. Influenza virus (FLU) 4. Mumps 5. Measles 6. Rabies 7. HIV*****

Epidermolysis Bullosa:

1. Hereditary blistering disorder 2. Slight rubbing or irritation causes large bullae

Sickle cell Anemia:

1. Hereditary blood disorder 2. Hemoglobin defect that causes red blood cells to become sickle-shaped (crescent moons) and can occlude small vessels

Marfan Syndrome:

1. Hereditary condition of connective tissue, joints and skeletal tissues 2. Tall, joint laxity, arachnodactyly (long and slender fingers) 3. May have congenital heart defect

What is dentinogenesis imperfect?

1. Hereditary defect of dentin 2. Obliderated pulp chambers and canals 3, Associated with osteogenesis imperfect (brittle bone disease) 4. opalescent dentin

What are some Viral Ulcerative lesions?

1. Herpes Viruses a) Herpes simplex virus 1 (HSV-1) oral herpes b) Herpes simples virus 2 (HSV-2) genital herpes c) Varicella-zoster virus (VZV) chickenpox & shingles d) Epstein-Barr Virus (EBV) mono, oral hairy leukoplakia, Burkitt's lymphoma e) Human herpes virus 8 (HHV-8) Kaposi sarcoma herpes virus 2. Primary herpes simplex virus 3. Herpes labialis (cold sore, fever blister) 4. Recurrent intraoral HSV 5. Herpetic Whitlow 6. Varicella-zoster virus 7. Infectious mononucleosis 8. Oral hairy leukoplakia 9. Kaposi's sarcoma 10. Herpangina 11. Hand-foot&mouth disease

What are complete proteins?

1. High Quality 2. Foods that contain all 9 essential amino acids in sufficient amounts 3. Sources include animal sources (fish, meat, eggs, cheese, milk) and SOYBEANS

What is schedule II drugs?

1. High abuse potential, written prescription with signature only, NO refills Ex: morphine, codeine alone, amphetamines, oxycodone and Vicodin (combo acetametaphen and codeine)

Gram - Cell wall qualities?

1. High lipid content 2. Has porin channel 3. Outer cell membrane contains ENDOTOXINS (LIPID A) 4. Block diffusion of substances that attack cell walls such as penicillin's and lysozyme

Levels of surface disinfectants?

1. High- used in surgical areas 2. Intermediate- used in dental offices; must kill TB organisms. 3. Low- generally used at home; not acceptable for use in a dental office.

General Considerations for Cardiovascular Disease:

1. History and severity of the disease 2. Evaluate functional status/extent of limitations 3. If surgery: Date/type 4. Review medications- may be taking anti-platelet (aspirin) or anti-coagulant (warfarin/Coumadin) 5. MD consult may be needed

Pregnancy:

1. Hormonal changes, nausea, fetal sensitivity to drugs 2. Oral findings: Pregnancy gingivitis, pyogentic granuloma (pregnancy tumor)

Hyoid muscles originate from the _______ and are important for what?

1. Hyoid bone 2. Chewing, swallowing, and speaking 3. They comprise the floor of the mouth

Sign and symptoms of Diabetes Mellitus?

1. Hyperglycemia- abnormally high blood glucose concentration 2. Acetone breath- fruity odor on breath (as a result of ketosis) 3. Ketonemia- Ketones in blood 4. Ketonuria- Ketones in urine 5. Polydipsia- Increased thirst 6. Polyuria- Frequent urination 7. Polyphagia- Increased appetite due to need for energy

What is Linea Alba?

1. Hyperkeratotic line of buccal mucosa along plane of occlusion

What are the two thyroid diseases?

1. Hyperthyroidism 2. Hypothyroidism

Appointment modifications for Thyroid disease?

1. Hyperthyroidism: NO EPINEPHRINE

The etiology of Myxedema is?

1. Hyposecretion of the thyroid gland

Hypothyroidism:

1. Hypotension, bradycardia, dry skin, cold intolerance, obesity, delayed tooth eruption. 2. Cretinism: early onset (children); mental/physical retardation, macroglossia, delayed tooth eruption. 3. Myxedema: Adult onset, long-term undiagnosed hypothyroidism

G.V. Black Classification for Caries and Restorations?

1. I- ALL Pits and fissures 2. II- Posterior Proximal 3. III- Anterior Proximal; does NOT involve the incisal edge. 4. IV- Anterior Proximal; involves incisal edge. 5. V- Facial and Lingual Cervical third (gingival). (root caries) 6. VI- Cusp tips and/or incisal edge

Furcation Classifications?

1. I= Early evidence of bone loss; instrument can enter the depression leading to the furcation. 2. II= Moderate bone loss; instrument can enter furcation, but can NOT pass between the roots 3. III= severe bone loss; instrument can pass between roots 4. IV= Same as class III, but with evidence of recession.

What are the three objectives of periodontal therapy?

1. Identify the disease 2. Control inflammation 3. Deal with defects resulting from the disease

Distribution:

1. The process by which a drug leaves the blood stream and enters the body systems 2. Drugs are distributed to organs with highest blood flow 3. Oral dose to the liver, sublingual dose to the heart 4. Drugs may be bound to protein in the blood, especially plasma albumin

Elimination:

1. The removal of the drug from the body 2. Drug elimination terminates drug effect 3. KIDNEY is the most important organ (renal excretion) 4. Other routes include: liver, lungs, bile, GI, sweat, saliva and crevicular fluid.

What is the role and function of mRNA?

1. The role of mRNA is to move the information contained in DNA to the cells cytoplasm where protein synthesis and viral replication takes place 2.TRANSLATION*- decoding mRNA 3. TRANSCRIPTION is from DNA to mRNA**

Electromagnetic Family:

1. The shorter the groups wavelength the stronger the energy 2. KEY: x-rays produce ionization others do not

Epidemiology refers to?

1. The study of causes, patterns, and determinates of disease in populations 2. collects data on disease to understand and compare the distribution. 3. does testing to prevent/control disease

What are the 12 Cranial Nerves?

I - (Olfactory) 1 II - (Optic) 2 III - (Oculomotor) 3 IV - (Trochlear) 4 V - (Trigeminal) 5 VI - (Abducans) 6 VII - (Facial) 7 VIII - (Auditory or Vestibulocochlear) 8 IX - (Glossopharengeal) 9 X - (Vagus) 10 XI - (Spinal Accessory) 11 XII - ( Hypoglossal) 12

Antihypersensitivity= (active ingredient in dentifrices)

Potassium nitrate, strontium chloiride, sodium citrate.

What bacteria is associated with periodontal disease, also gram - anaerobe and MOST often associated with inflammation during pregnancy?

Prevotella intermedia (p. intermedia)

Tooth with the most unique anatomy?

Primary first mandibular molar

Diapidesis Definition:

Process by which neutrophils squeeze between endothelial cells in the vessel walls

What is the function of Osteoblasts?

Production of bone

What is the function of Cementoblasts?

Production of cementum

What is the function of Vitamin C (Ascorbic Acid)?

Promotes synthesis of protein collagen (connective tissue); acts as an antioxidant (wound healing)

What is Beneficence?

Promoting the well being of individuals and the public (do good) Ex- doing dental screenings

What is the best way to avoid a dental lawsuit?

Proper documentation

Amino Acids make up _____?

Protein

Tater control= (active ingredient in dentifrices)

Pyrophosphate

what is the leading cause of dental hypersensitivity?

Pyrophosphate in tartar control toothpaste

A leading cause of dentinal hypersensitivity is due to the incorporation of what ingredient in toothpaste?

Pyrophosphates

What is the most common side effect/Allergy sign for penicillin?

RASH

x-ray absorbed dose in skin is measured in:

Rad/ Gray

Composite restorations may appear:

Radiopaque and radiolucent both possible

What does establishment of priorities mean?

Rank the needs of the target population

Children are more sensitive to radiation due to:

Rapid cell mitosis associated with child's growth

What antimicrobial mouth rinse would you recommend to a patient that has an alcohol condition?

Recommend non-alcohol containing mouth rinses

What antimicrobial mouth rinse would you recommend to a patient that uses tobacco?

Recommend non-alcoholic mouth rinses.

Erythema is?

Redness associated with inflammation

Tobacco use affects the periodontium by:

Reduce blood supply to the tissue

Intensifying screens:

Reduce the amount of radiation

Silver amalgam alloys contain copper to:

Reduce the rate of corrosion

Collimation:

Reduces scatter, No larger than 2.75 inches

Longitudinal Study?

Refers to ANY type of study that is LONG-TERM

In the emergency treatment of angina pectoris, the mechanism of action of nitroglycerin is:

Relaxation of vascular smooth muscles

measurement of dose equivalent in humans:

Rem/ Sievert

What is the function of OSteoclasts?

Resorption (break down ) of bone

What is the function of Cementoclasts?

Resorption (break down) of cementum

What does the Lysosomes do?

Responsible for phagocytosis and digestion

Remnants of the dental lamina are known as?

Rest of Serres

Class 2 Occlusion

Retrognathic -Molar relationship= Buccal groove of the Mandibular first molar is Distal to the Mesiobuccal cusp of the Maxillary first molar. -Canine Relationship= Distal portion of the Maxillary canine is Mesial to the Mesial portion of the Mandibular canine.

Adverse effects of cholinergic meds (SLUD)

S-salivation L-lacrimation U-urination D-defecation (increases fluid for "rest and digest")

Some of the viridans group of dental infections is?

S.mutans which can bind teeth by producing dextran polysaccharides in the presence of sucrose; also known as glycans can produce acid and dental caries***

Safely tolerated dose?

STD= one fourth of CLD. (get sick)

Bonding failures commonly due to contamination by _____?

Saliva or oils a) If contamination at any step of the process occurs, RE-ETCH

The acquired pellicle is formed by?

Salivary glycoproteins

Quaternary Ammonium Compounds (Cetylpyridinium Chloride)

Scope, Cepacol, Crest, Pro-Health Rinse -staining, burning, increased supra cal formation

What adverse reaction is commonly associated with opioid analgesics?

Sedation

What is Lopressor (metoprolol)?

Selective beta blocker to treat hypertension -blocks only beta 1, causing fewer side effects (adrenergic blocking drug)

What is Tenormin (atenolol)?

Selective beta blocker to treat hypertension (adrenergic blocking drug)

What is Anorexia Nervosa?

Self starvation due to a distorted body image of being overweight

Film emulsion

Silver halide (Bromide) crystals on both sides of film

Cephalosporin's action is?

Similar to penicillin

What does Gemination (twinning) mean?

Single enlarged tooth in which the tooth count is normal

Spinal injury C-6 Functional level is?

Sit, eat with devices, shoulder/biceps/partial wrist

Rhabdomyo-

Skeletal muscle

Rhabdomyosarcoma?

Skeletal muscle Malignant neoplasm

Rhabdomyoma?

Skeletal muscle neoplasm

Creep refers to?

Slow dimensional change caused by compression

What organ plays the greatest role in absorption of orally-administered medications?

Small intestines

Amino acids are the ?

Smallest Unit of PROTEIN!

Leiomyo-

Smooth muscle

Leiomyosarcoma?

Smooth muscle Malignant neoplasm

Leiomyoma?

Smooth muscle neoplasm

________ ______ is a buffer in saliva?

Sodium Bicarbonate

Appointment modifications for Geriatric patients:

Special care for fragility of skin and bones

Treponema denticola (t. denticola) is a _________ bacteria?

Spirochete

causative organism for syphilis and Lyme disease and assosiacted with NUG/NUP?

Spirochetes -T. denticola for NUG/NUP

what bacteria are associated with NUG and NUP?

Spirochetes Treponema denticola, Prevotella intermedia, Porphyromonas gingivalis and Fusobacteria

What bacteria is often associated with NUG/NUP?

Spirochetes: Spiral-shaped bacteria

Hyaluronidase is referred to as the?

Spreading factor and that is necessary for invading tissue during spread of infection

What is an important Staphylococcus pathogen is?

Staphylococcus aureus**

What does Clefted gingival contour mean?

Stillman's cleft indicated by vertical loss of tissue, caused by improper flossing

What does Glyburide (Micronase, Diabeta) Do?

Stimulate the release of insulin from the b-cells of the pancreas

Endotoxins:

Stimulated osteoclast activity

The ducks of salivary glands are lined by what?

Stratified cuboidal epithelial cells

The oral mucosa is composed of?

Stratified squamous epithelial layer

The most important type of bacteria on the dorsum of the tongue and other soft tissues in a mouth is?

Streptococci

What is the causative organism for scarlet fever and rheumatic fever?

Streptococcus

What bacteria species is NOT associated with chronic periodontitis?

Streptococcus mutans

What administration is best during an acute angina episode?

Sublingually administration

Whartons duct empties the?

Submandibular salivary glands

The primary lymphatic node which drains the lower incisors, tip of tongue, midline of the lip, chin, and floor of the mouth is the?

Submental node

Nutrients definition?

Substances obtained from food and used by the body to promote growth, maintenance, or repair.

S. Mutans metabolizes what?

Sucrose to lactic acid which creates an acidic environment which can demineralize enamel

Streptococcus mutans process what?

Sugar

The _________ is the V-shaped line separating the anterior 2/3 and posterior 1/3 of the tongue.

Sulcus terminalis

What common emergency situation is characterized by dizziness, paleness, cold sweats, and decreased blood pressure?

Syncope

What is the medication to treat hypothyroidism?

Synthroid (levothyroxine): synthetic thyroid hormone replacement therapy

Prehypertension BP range is:

Systolic- 120-139 Diastolic- 80-89

Stage 1 hypertension range is:

Systolic- 140-159 Diastolic- 90-99

Normal BP Range is:

Systolic- <120 Diastolic- <80

Stage 2 hypertension range is:

Systolic- >160 Diastolic- >100

Openbite?

Teeth not in occlusion between the Maxillary and Mandibular teeth or arch.

Appointment modifications for Fetal Alcohol Syndrome:

Tell, Show, Do

What is Veracity?

Telling the truth and expecting it of others (trustfulness; integrity, determination)

The articular fossa is provided by what bone?

Temporal

What medications is NOT associated with gingival hyperplasia as an adverse effect?

Tenormin (Atenolol)

Controlled substance act is administered by?

The DEA

What cranial nerve does muscles of facial expression innervate?

The Facial Nerve (VII)

Periodontal ligament is (PDL)?

The PDL is a connective tissue complex made up of fiber bundles and cells

Sensitivity definition?

The ability of a test to correctly identify the PRESENCE of a disease (TIP: "EN" is found in both sENsitivity and presENce

Specificity definition?

The ability of a test to identify the ABSENCE of a disease. (Tip: "EN" is ABSENT in "specificity"

Resistance means:

The ability of an organism to be unaffected by an antimicrobial drug

Fluoride has Substantivity which means what?

The ability to bind to pellicle, plaque, and tooth surface and be released over a period of time with retention of potency.

Ductility refers to?

The ability to undergo change of form without breaking

Middle refers to?

The bicuspids (premolars)

Alveolar refers to?

The bony processes which support the teeth

Metabolism:

The breaking down of a drug for its removal from the body 2. Also known as biotransformation 3. LIVER is the most important site for metabolism of drugs

Rough endoplasmic reticulum is?

The cellular site for protein synthesis

Cohesion refers to?

The chemical attraction between LIKE molecules

Adhesion refers to?

The chemical attraction between UNLIKE molecules

What effect do beta-hemolytic streptococcal organisms have on red blood cells?

The completely lyse red blood cells

The Proliferation (cap stage):

The enamel organ develops from the dental lamina, and will produce enamel. 2. The dental papilla arises from specialized connective tissue (ectomesenchyme) and produces pulp and dentin. 3. (Dental Papilla= Dentin and Pulp) 4. The dental sac surrounds the developing tooth, becomes cementum, the PDL and alveolar bone. (PAC = SAC) (Dental Sac Turns into PDL, Cementum, and alveolar bone)

proportional limit refers to?

The force at which a material cannot return to its original shape

Tensile strength refers to?

The force needed to stretch a material to the point of fracture

What is the cell?

The functional unit of the body

Anterior refers to?

The incisors and cuspids (front)

The opaque structure surrounding a tooth root is?

The lamina Dura (the outline of the alveolar bone)

A drug duration is?

The length of time that a drug has an effect

Polymerization refers to?

The linking, branching, or cross-linking of smaller molecules.

Inferior refers to?

The mandible (below)

Superior refers to?

The maxilla (above)

The coronoid process is most likely to be seen in what intraoral radiographic projection:

The maxillary molar periapical

Posterior refers to?

The molars (back)

Chemotaxis Definition:

The movement of cells to the site of inflammation

What does it mean when stated Secondary nodes?

The next set of nodes affected by a disease process

If an Opaque artifact obscures the visualization of the anterior teeth, what is the most likely causative positioning error?

The patients spine was angled forward

Gelation refers to?

The process of gelling (solidification by cold)

Spectrum means:

The range of activity of a drug (narrow or broad)

Hypertension (High blood pressure) is also known as?

The silent killer

Pharmacokinetics:

The study of how a drug enters the body, circulates in the body, and leaves the body

Periodontology is?

The study of the diagnosis, treatment and prevention of disease affecting the periodontium

What does it mean when stated Tertiary nodes?

The third nodal set affected by a disease process

Onset:

The time is takes for the drug to have an effect

What is a Positive correlation?

The value of X increases, the Value of Y increases and if X decrease, Y decreased (reflect a DIRECT Association between the variables) -more studying equals better score

Arachidonic acid is produced when?

There is a tissue injury (perio disease)

What do Anticholinergic drugs do?

These drugs block the parasympathetic nervous system

The temporalis, medial pterygoid, and masseter muscles all do what for the mouth?

They close the mouth (elevate the mandible)

The primary benefit of using noble metals in restorative allows is?

They resist tarnish and corrosion

What tooth is most likely to be impacted?

Third molars

Abbreviation TID stands for?

Three times a day

Pseudomembranous Candidiasis

Thrush*, white plaques that wipe off

Latent period:

Time between x-ray exposure and maximum damage observed (symptoms - somatic)

Final polishing of amalgams in the mouth is what material?

Tin oxide

What does the V1 Ophthalmic trigeminal nerve include?

Tip of nose (nasociliary), eyes (lacrimal), and forehead (frontal)

D.H Code of Ethics purpose?

To achieve high levels of ethical consciousness, decision making and practice by members of a profession.

What is Timoptic (timolol)?

To treat glaucoma (adrenergic blocking drug)

APF (acFDFidulated phosphate fluoride)

Tray or painting application, Avoid use on colored restorations and porcelain- acid in the fluoride etches the glass component in the restoration causing surface roughness or pitting over time. -1.23% 12,300 ppm

What are Gastrointestinal (GI) Drugs used for?

Treatment of gastric ulcers and GERD (Gastroesophageal Reflux Disease)

Nystatin (mycostatin) is a antifuncal medication for what?

Treatment of oral candidiasis (oral dose is 5ml QID for 2 weeks)

Antibacterial= (active ingredient in dentifrices)

Triclosan

The radiographic location of the zygomatic arch relative to the other dental structures may be influenced by the beam angulation. (t or f)

True

A permanent tooth that displays hypoplasia caused by trauma or infection during development has been termed:

Tuners Hypoplasia

Abbreviation BID stands for?

Twice a day

To check for tooth mobility what do you use?

Two instruments with hard handles (NOT FINGERS!)

A furcation that in which the probe goes entirely through the opening is?

Type 3 furcation

Two dental hygienists employed in the same private practice volunteered to perform oral cancer screenings at a community health fair. The hygienists were told that they would likely screen between 500-800 individuals. While gloves and masks would be provided, the hygienists were asked to supply any other equipment they would require. Comparing the cost of disposable mirrors to tongue depressors, the hygienists elected to use tongue depressors and flashlights for screening. What type of examination method does this represent?

Type IV

A 53 year old female walks into your office and is worried about halitosis. She states that she gargles with mouth rinse three times a day but does not brush because she "thinks it might stir up the stinky bugs". At what stage of learning is this patient in?

Unawareness

What does Concrescence mean?

Union of teeth by cementum (CC)

Appointment modifications for Epidermolysis Bullosa:

Use pillows and/or blankets in dental chair for cushion

What is the use for Atropine?

Used to decrease saliva flow for dental procedures (anticholinergic drug)

What is the use for Imodium?

Used to treat diarrhea (anticholinergic drug)

What is ANOVA (Analysis of Variance)?

Used when comparing the statistical difference between THREE or more mean scores (TIP: there are more than three letters in ANOVA)

The best dental was to modify an impression tray is?

Utility wax

Overbite?

Verticle overlap of the Maxillary incisors to the Mandibular incisors- slight, moderate, severe

Pulp:

Vital, sensory, responsive portion of the tooth, contains: Blood vessels, nerve fibers, fibroblasts, odontoblasts, histiocytes, pulp stones

Voltage:

Volts (kVp) the speed or force of the moving electrons toward the (+) charge

What is degree of physical activity?

Voluntary component of energy (Varies; sedentary to strenuous activity)

Pavementing Definition:

WBCs line the wall of the vessels

Barriers:

Wall is mandatory if operator cannot stand at least 6 feet from the scatter source. Walls do not necessarily require lead lining

Therapeutic range:

Where the dose is increasing sharply (effective dose)

The primary international organization devoted to health issues is the ?

World Health Organization (WHO)

Is penicillin Safe for Pregnant women?

Yes

Endemic refers to?

a disease that occurs regularly in a population as a matter of course. (ex: hay fever, AKA sinuses)

Validity definition?

a study measures the variable it is design to measure. -Does the test measure what it claims to be measuring?

What is a Odontogenic Tumor?

a tumor (almost always benign) derived from elements of tooth development

Zinc-oxide /eugenol cement

a) Commonly used for temporary cementation b) orange solvent typically used to clean ZOE-contaminated instruments c) Do not require a protective varnish or cavity liner

Which of the following is OSHA not responsible for? a) employer b) employee c) clinics and faculties d) Material Safety and Data Sheets

a) Employer

Zinc Phosphate cement

a) Exothermic (produce heat) reaction on mixing (use cool glass slab) b) Mechanical interlock between tooth and casting -pulp protection needed*

Funding/ resources for program planning

a) Medicare (health care for elderly) b) Medicaid (health insurance for the poor) c) COBRA (employees coverage for 18m after layoff) d) Block grants (lump sum of money given use at their discretion to meet a need) e) Line item grant (Specifies where the money is to go

Steps in pits and fissure sealants?

a) Pumice, rinse, isolate, etch, rinse, dry, apply, remove excess, polymerize b) re-etch if enamel lacks "frosty" appearance

Symptoms of Hypoglycemia are?

a) Shakiness b) dizziness c) Sweating d) headaches e) Irritability f) hunger g) lightheadedness h) palpitations (NOT lowered heart rate)

Glass ionomer cement

a) binds to dentin b) releases fluoride c) Coefficient of thermal expansion approximates tooth structure d) can be used as a Class V restorative material

Hybrid cement

a) resin-modified glass ionomers b) seals dentin effectively to minimize sensitivity c) Releases fluoride (glass ionomer)

Resin cement

a) tooth colored esthetic restorations like porcelain laminate veneers and tooth colored inlays, onlays, or crowns and clear ortho brackets

All the following characteristics are associated with a gram negative cell wall structure EXCEPT one. Which characteristic is the EXCEPTION? a) Two layers b) high lipid content c) Periplasmic space d) contains endotoxis

a) two layers

associated with root caries?

actinomyces (gram pos rod)

Doxazosin (Cardura)

alpha blocker used to treat hypertension (adrenergic blocking drug)

Idiosyncrasy:

an abnormal drug response that is usually genetically determined

What is an Implied contract?

an agreement made through inference by sign, inaction, or silence

What is Phosphoric Acid?

an etch application that increases enamel and dentin surface area

Pandemic refers to?

an outbreak of disease over a wide geographical area; often worldwide. (ex: Ebola Scare)

Epidemic refers to?

an unexpectedly large number of cases of disease in a population at a particular place and time.

chin too far anterior on a PAN:

anterior teeth are blurred and thin (anorexic= A)

chin too far posterior on a PAN:

anterior teeth look blurred and wide (pudgy=P)

Hepatitis B vaccine leads to:

artificial (made up) acquired (nurses give) active (body makes) immunity -vaccine is recombinant (lab made) Hep B surface antigen

Abbreviation UD stands for?

as directed

Abbreviation PRN stands for?

as needed or if required

Abbreviation HS stands for?

at bedtime

What assessment finding indicates that a patients periodontal disease is progressing?

attachment loss increases over time

What is Sjogren syndrome?

autoimmune disease with dry eyes, mouth from inflammation

All of the following are true about informed consent EXCEPT one. Which one is the EXCEPTION? a) prognosis b) cost of procedure c) Alternatives to procedure d) benefits/risks of procedure e) presented in understandable language

b) cost of procedure

The purpose of a Professional Code of Ethics includes all of the following EXCEPT one. Which one is the EXCEPTION? a) to achieve high levels of practice b) to achieve high levels of integrity c) to achieve high levels of decision making d) to achieve high levels of ethical consciousness

b) to achieve high levels of integrity

causative organism for anthrax and food poisoning?

bacillus (gram pos rod)

most non-metal restorative material (sealants, composites, cements, bases, liners, gutta percha) have been made partially radiopaque by adding ____ or _____.

barium or strontium

Why shouldn't Glutaraldehydes be used as a surface disinfectant?

because the toxic effects of fumes; also corrosive. OSHA regulates glutaraldehydes.

digestion of proteins?

begins in the stomach

adverse reactions of anticholinergic drugs?

blurred vision, bladder retention constipation, dry mouth

Hyaluronidase:

breaks down extracellular matrix, allowing bacteria to detach "spreading factor"

Abbreviation PO stands for?

by mouth

What does Facultative anaerobic mean?

can grow in the presence or absence of oxygen

Teratogenic effect:

causal relationship between the drug use of a mother and congenital abnormalities (congenital defect)

Secondary hypertension:

caused by an underlying condition (pregnancy, kidney failure, medications, illegal drugs, etc)

External Indicators do what?

change color only to indicate instruments have been heat processed. Sterilization is NOT guaranteed.

Orange stain is?

chromogenic bacteria in plaque, poor oral hygiene, located on anterior teeth

What is Pica Characteristics?

consumes non-nutritive substances (soil, paper, coal, paint chips) or has an abnormal appetite for some things that may be considered foods (raw potatoes, ice cubes, flour)

causative organism for diphtheria (whooping cough)

corynebacterium (gram pos rod)

Which of the following examples of the Core Values in the Dental Hygiene Code of Ethics deals with the practitioner? a) Autonomy b) Beneficence c) Societal Trust d) Non-maleficence

d) Non-maleficence

Each of the following is affected by saliva EXCEPT one. Which on is the EXCEPTION? a) Swallowing b) Dental caries c) Oral microflora d) Protein digestion e) Carbohydrate breakdown

d) Protein digestions

Side effects:

dose-related reaction that is NOT a part of the desired therapeutic action

Where does the submental nodes drain fluid?

drains from the mandibular incisors, tip of tongue, midline of lip, chin and floor of mouth

Abbreviation GT stands for?

drop

How often does an office have to provide a copy of the HIPPA policy?

every 3 years

Abbreviation QD stands for?

everyday

chin too low on a PAN:

exaggerated smile; condyles off top of image :) "jack o lantern"

EPA mandates defluoridation of community water at what level?

exceeds 4 mg F/L of water

Rapid bone loss/pocket formation may result from?

excessive occlusal force on a tooth that has bone/attachment loss previously (secondary occlusal trauma)

Forshortening

excessive vertical angulation, tooth is shortened

What is Sharpey's?

fibers bundles that are attached and embedded in cementum and bone

the greatest cause of harmful human radiation effects in dental radiology involves:

formation of free radicals of water

Pallor is?

gingiva is lighter than normal, associated with anemia, leukemia, fibrotic tissues etc

Black-Line Stain is?

gram-positive bacteria; located on cervical 1/3 of facials and lingual

Coefficient of thermal expansion refers to?

how one material reacts to temperature extremes in relation to another.

Descriptive Statistics

how to describe a group of numbers

Gram positive cocci require _______ to invade tissue and infect host.

hyaluronidase "spreading factor"- enzyme that destroys collegen

What is granulation tissue?

immature tissue with many capillaries (neovascularization) and fibroblasts

Abbreviation STAT stands for?

immediately

Sodium fluoride

in tray 4 mins, no eating drinking smoking for 30 mins (used in presence of tooth colored and porcelain restorations) -2% 9,050 ppm

Arachidonic acid is metabolized to produce what?

inflammation mediators- prostaglandins and leukotrienes

What is Ventolin (albuterol) use for?

inhaler to treat asthma (bronchodilator)

Bluish-green stain is?

inhaling metallic dust, most likely for occupational exposure.

Secondary occlusal trauma is?

injury as the result of force applied to a tooth that has previously experienced bone or attachment loss

Gingival Abscess results in?

injury to or infection of the surface gingival tissue

elongation

insufficient vertical angulation, teeth look long

What is a Wedge Stimulator?

interdental areas with exposed root surfaces (recession)

Virus mRNA:

invades a host cell, if "hijacks" the cells protein- making apparatus in order to self-replicate.

Coxsackie Virus?

is causative organism for herpangina (NOT HERPES VIRUS)

What is Standard Deviation?

is the MOST commonly used method of dispersion in oral hygiene research and reflects the range. The bigger the range or standard deviation the wider the distribution curve.

why wait 30 minutes after brushing to rinse with CHX?

it is inactivated by sodium lauryl sulfate in toothpaste.

Fluconazole and Ketoconazole is used for?

it is used SYSTEMICALLY to treat oral candidiasis

One of the benefits of using glass ionomer cements is that?

it releases fluoride

associated with advanced caries, produce lactic acid and lexans?

lactobacillus (gram pos rod)

causative organism for meningitis and sepsis?

listeria (gram pos rod)

what is the extracellular matrix?

makes up the bulk of plaque that hold the bacteria together, exchanges nutrients, and removes waste

alloy in amalgam?

mercury, silver, copper, tin, zinc

What does Cholinergic drugs do?

mimics the parasympathetic nervous system

What does Oligodontia mean?

missing 6 teeth or more

mobility 2

moderate horizontal mobility greater than 1 mm- no vertical displacement

What is a negative skew?

more scores fall in the higher range, so the curve will have a negative skew when plotted

What is a positive skew?

more scores fall in the lower range, so the curve will have a positive skew when plotted

What does the V3 Mandibular trigeminal nerve include?

muscles of mastication (motor) and lower teeth (sensory)

Where can the Pterygoid plexus be found?

near the pterygoid muscles, maxillary tuberosity and sphenoid bone

What is Inderal (propranolol)?

non-selective beta blocker to treat hypertension -blocks both beta 1 and 2, causing more adverse reactions (adrenergic blocking drug)

prospective study

observe people with risk factors of the disease to see if they develop it in the future.

First pass effect:

occurs when orally-administered drugs initially pass through the hepaticportal circulation (liver), which reduces the amount of effect drug

What is a Tufted brushes used for?

open proximal surfaces, hard to access areas, fixed prosthesis

Pregnancy gingivitis is most closely associated with?

p. intermedia and c. rectus

Model base is trimmed __________ to midline between central incisors.

perpendicular

used for making temporary restorations for crown and bridges:

polymethylmethacrylate

Brown Stain is?

poor oral hygiene and/or drinking dark colored beverages, tea, coffee, fruit juices, and red wine.

Green stain is?

poor oral hygiene, chromogenic bacteria, fungi, and gingival hemorrhage.

what is a random sample?

population has an equal chance of being selected- reduces bias

Polycarboxylate cement

powder mixed with polyacrylic acid

associated with pregnancy gingivitis, cellulitis, and NUP/NUG?

prevotella (gram neg rods)

Demineralization?

process occurs when the PH drops below 4.5 to 5.5 for Enamel and 6.0 to 6.7 for cementum-- known as "critical pH levels"

Absorption:

1. The transfer of a drug from the site of administration to the blood stream 2. IV administration drugs bypass this step 3, Lipid soluble drugs move across most biological membranes by diffusion, and may bypass the blood-brain barrier 4. SMALL INTESTINES is most important for absorption of oral drugs

What is a Negative correlation?

1. The values of X increase, the Value of Y decreases 2. Predicts an opposite score on the other scale

If a PPD (Purified Protein Derivative), Mantoux Skin test, TB skin test and Tuberculin skin test is positive that means?

1. There has been exposure to TB- Does NOT mean active infection (Chest X-ray/Sputum for active TB) 2. Anti-TB drugs (Isoniazid)

Characteristics of Bisphosphonate Drugs:

1. These drugs are used to treat cancer, often administration through IV 2. Treat Osteoporosis (Fosamax oral med) 3. Associated with Osteonecrosis of the jaws 4. May result in impaired wound healing after surgery or other invasive treatment 5. The risk remains for many years after administration

What are the 9 water-soluble vitamins?

1. Thiamine (B1) 2. Riboflavin (B2) 3. Niacin (B3) 4. Pantothenic Acid 5. Biotin 6. Pyridoxine (B6) 7. Folate (B9) 8. Cobalamin (B12) 9. Vitamin C (Ascorbic Acid)

What is a capsule?

1. Thick, fibrous tissue surrounding joint 2. inner lining secrets synovial fluid (lubricates joint)

What is assault?

1. Threatening bodily harm Ex- (A person raising his hand to threaten to hit someone but doesn't actually do it)

What are the infrahyoid muscles (below the hyoid bone)?

1. Thyrohyoid* 2. Sternothyroid* 3. Sternohyoid 4. Omohyoid (*common junction, thyroid area*) (Stabilize the hyoid bone)

What does healing dynamics mean?

1. Tissue repair generally involves fibrous repair through the formation of granulation (early tissue formation) tissue.

Veins carry blood ______ the heart and Arteries carry blood ______ the heart?

1. To 2. Away from

What Pilocarpine used for?

1. To increase saliva flow in patients wit Sjogren's syndrome. 2. can also be used to treat glaucoma

Class 3 occlusion

prognathic -Molar Relationship= Buccal groove of the Mandibular first molar is Mesial to the Mesiobuccal cusp of the Maxillary first molar. -Canine Relationship= Mesial portion of the Maxillary canine is distal to the distal surface of the Mandibular canine.

CAMBRA (Caries Management by risk assessment)

1. Identifying the cause of disease through the assessment of risk factors for each individual patient and then managing those risk factors through behavioral, chemical, and minimally invasive procedures 2. This form lists 24 factors 3. easily divide patients into category of low, moderate, high or extreme risk. This is helping each patient prevent caries and manage existing issues.

Scoliosis:

1. Idiopathic, congenital, genetic, or neuromuscular-related 2. Spine is curved: C or S shaped

Osteoarthritis:

progressive cartilage degeneration and loss of cushioning

What does the Filaments and Tubules do?

provide structural support

Immune system qualities?

1. Immunity is less than optimal at either end of life 2. Main function is to prevent or limit infections by microorganisms 3. Protection is provided by 2 systems a) Cell-mediated Immunity b) Antibody-mediated (humoral) Immunity

Antibodies

1. Immunoglobulin's that react specifically with antigen 2. Gamma globulins 3. 5 Classes: IgG, IgM, IgA, IgD and IgE

What are some Civil law contracts?

1. Implied 2. Expressed (Involves PRACTITIONER and PATIENT)

Contraindications to implant placement include?

1. Inadequate bone 2. Uncontrolled periodontal disease 3. History of bisphosphonate therapy

Contra-indications to implant placement are?

1. Inadequate bone 2. Uncontrolled periodontal disease 3. smoking 4. infection 5. Bisphosphonates

Diabetes Mellitus:

1. Inadequate production of insulin by pancreas or body cells do not respond to insulin 2. Oral findings: periodontal disease, caries, Candidiasis, poor healing, oral burning 3. Two types: Type 1 and Type 2

How do you prevent orthostatic hypotension in pregnant women?

put a pillow under right hip to avoid it

What is Phenylketonuria (PKU) and what should be avoided in the diet if a patient has PKU?

1. Inborn error of metabolism 2. Liver cannot metabolize essential amino acid phenylalanine into nonessential amino acid. 3. Must restrict phenylalanine in the diet (need just enough to support normal growth); avoid aspartame (NutraSweet/Equal)

Dietary fluoride supplements

recommended for children with no access to fluoride -not for pregnant women because it passes through placenta

Erythematous Candidiasis

red ulcerative lesions

Rectangular collimator:

reduces the area of patients skin surface exposed by 50% to 65% over round

What are Horizontal fibers?

resist horizontal and tilting forces

Viscosity refers to?

resistance to flow

Class 2 Division 1 occlusion

retrude mandible with one or more Anterior teeth Protrude facially.

What are fat-soluble Vitamins and what vitamins are included?

1. Include A,D,E and K 2. Soluble in fats and fat solvents 3. Stored in liver and fatty tissues 4. Not readily excreted and therefore can build up to toxic levels

What are Water-Soluble Vitamins and what is the main function?

1. Include all B and C Vitamins 2. Easily absorbed and excreted; therefore it is unlikely to reach toxic levels 3. Main function: energy metabolism and blood formation (hemopoiesis)

Class 2 Division 2 occlusion

retrude mandible with one or more Maxillary Anterior teeth inclined Lingual.

What is the treatment for Anorexia Nervosa?

1. Increase food intake to raise metabolic rate back to normal 2. therapist determines underlying issues for eating disorder 3. About half of those who survive recover within 6 years

chin too high on a PAN:

reverse curve of occlusion, condyles off the side of the image :(

What is gingival hyperplasia?

1. Increase in number of cells 2. Most related to medications 3. Phenytoin (Dilantin): Seizure medication 4. Calcium channel blockers (Procardia or nefedipine): hypertension medication 5. Cycosporine: transplant medication

Events occurring as periodontal disease progresses:

1. Increased probing depths 2. Increased attachment loss 3. Increased bone resorption

What is Tinnitus?

ringing in the ears (high doses of aspirin)

What are some examples of Adrenergic-Blocking drugs?

1. Inderal (propranolol) 2. Tenormin (atenolol) 3. Lopressor (metoprolol) 4. Timoptic (timolol) 5. doxazosin (cardura)

Amount of fluoride ingested: greater than 5mg/kg (toxic dose)

1. Induce vomiting 2. Administer fluoride-binging agent 3. Seek medical treatment

Tender and/or enlarged lymph nodes can indicates what?

1. Infection and/or malignancy

HIV/AIDS (Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome):

1. Infectious disease from human Immunodeficiency Virus 2. Reduced CD4 helper T-Lymphocyte count and function

Fetal pressure on the __________ could cause ________.

1. Inferior vena cava 2. Orthostatic hypotension

X-ray ionization in air is measured in:

roentgens (coulomb/Kg)

extra-orally gold may be polished with

rouge

nutrients for supragingival calculus?

saliva

Pericoronal Abscess develops in?

1. Inflamed dental follicular tissue, overlying the crown of a partially erupted tooth (most often mandibular third molars)

mobility 3

severe mobility with horizontal and vertical movement

Chronic Bronchitis (Blue Bloater):

1. Inflammation of lining of bronchial tubes which narrows airways 2. Heavy mucous/phlegm 3. Wet cough 4. Cyanosis (Blue) and increased lung volume (Bloaters)

Hepatitis:

1. Inflammation of the liver 2. Abnormal bleeding, jaundice

What is tetracycline staining?

1. Ingestion of tetracycline during tooth development 2. Endogenous or intrinsic stain

Cystic Fibrosis:

1. Inherited disorder of exocrine glands (Glands that go to surface- tears, seat, saliva, digestive juices) 2. Secretions become thick and sticky

Proton-Pump inhibitors:

1. Inhibit gastric acid secretion 2. Used to treat gastric ulcers and GERD 3. Examples: Prilosec (Omeprazole) and Prevacid (Lansoprazole)

Oral herpes medications do what?

1. Inhibit the DNA synthesis (because its a DNA virus)

Digestion of Polysaccharides (starch)?

1. Initial digestion begins in the mouth* with enzyme salivary amylase (breaks down into maltose) 2. Continues in small intestines with release of enzyme pancreatic amylase.

Primary herpes characteristics:

1. Initial infection with herpes simplex virus (6 months to 6 years) with 1 week incubation 2. Characterized by fever, malaise (don't feel good), lymphadenopathy, followed by painful, erythematous, swollen gingival and multiple vesicles. 3. Vesicles ulcerate, crust over and heal within 10-14 days

What are the 3 stages of tooth formation?

1. Initiation (bud stage) START! 2. Proliferation (cap stage) GROWS! 3. Differentiation (bell stage) SPECIALIZES!

Intradermal:

1. Injection into epidermis 2. Tuberculin skin test (TB)

What are the 6 waxes used in dentistry and there uses?

1. Inlay and casting waxes- used for cast restorative patterns 2. Baseplate waxes- useful in removable prosthetic procedures 3. Bite registration wax- useful to obtain occlusal records (low melting point) 4. Boxing wax- used in pouring models 5. Sticky wax- becomes sticky when heated, used to attach models (labs) 6. Utility wax- Used to modify the shape of impression trays and cushion braces.

What does Festoon mean?

1. Inner tube-like swelling at gingival margins, due to inflammation and increased cell number

Medications to treat/manage diabetes mellitus are?

1. Insulin 2. Oral hypoglycemic drugs

Type 1 Diabetes Mellitus:

1. Insulin Dependent 2. Previously called juvenile diabetes 3. Usually diagnosed in children/young adults

Type 1 Diabetes Mellitus?

1. Insulin dependent (IDDM) a) diabetes mellitus case- 5%-10% b) primarily in children and young adults- usually between 10-14 c) islets of Langerhans in pancreas cannot synthesize insulin d) caused by viral infection or genetics e) weight loss within increased appetite

Examples of Autoimmune Disorders?

1. Insulin-resistant diabetes 2. Myasthemia gravis 3. Grave's disease (hyperthyroidism) 4. Systemic lupus erythematosus 5. Rheumatoid arthritis 6. Scleroderma***** (disrupts collagen no facial expression)

What are the two Civil law torts?

1. Intentional tort 2. Unintentional tort

Additional Oral Physiotherapy Aids?

1. Interdental brushes 2. Tufted brush 3. Toothpick holder (perio aid) 4. Wedge Stimulator 5. Floss holder 6. Tufted floss 7. Oral irrigator

What are the adverse effects of ibuprofen?

1. Interferes with clotting 2. GI irritation

What are the adverse effects of aspirin?

1. Interferes with clotting 2. GI irritation 3. Hypersensitivity 4. Association with Reye's syndrome 5. Tinnitus

The medial pterygoid is _____ and the masseter is _______?

1. Internal 2. External

Hertwigs Epithelial root sheath (HERS) which his develops form the _______ and _________ it helps determine outline of the ______ and ______?

1. Internal Enamel Epithelium 2. External Enamel Epithelium 3. Root 4. Dissolves

What are the Veins of the head and neck?

1. Internal Jugular Vein 2. Facial Vein 3. Pterygoid plexus 4. Superficial temporal vein 5. Common facial vein 6. Cavernous sinus

What are the right and left common carotids branches are?

1. Internal carotid: skull, eye, brain 2. External carotid: everything else (teeth, muscles of mastication, tongue, face, lips)

What are the four governmental levels of community dental health?

1. International 2. Federal 3. State 4. Local

What are the two Reliability Examiners?

1. Intraexaminer reliability 2. Interexaminer reliability

What are the properties of Cobalamin (Cyanocobalamin [B12])?

1. Intrinsic factor- protein made in stomach; needed for absorption of B12 2. Extrinsic factor-must be obtained through food

The tongue contains two types of muscles what are they?

1. Intrinsic muscles 2. Extrinsic muscles

Specificity of Immune Response

1. Involves recognition, activation and response 2. May be natural (innate) or acquired (adaptive)

What is tertiary services?

1. Involves replacing lost tissues in order to rehabilitate oral structures Ex: implants and bridges

What is PI (Periodontal Index)?

1. Irreversible 2. Looks at surrounding tissue 3. No clinical attachment loss is included-- LIMITATION**

DMFT/DMFS (Decayed, Missing, Filled TEETH/ Decayed, Missing, Filled SURFACES) is?

1. Irreversible 2. Measures PAST and PRESENT caries experience in populations with adult dentitions.

dft/dfs (decayed, filled teeth/decayed, filled surfaces) is?

1. Irreversible 2. Measures observable caries experience in deciduous teeth

RCI (root caries index) is?

1. Irreversible 2. Requires recession!!! (only takes into consideration areas of root exposure)

deft (decayed, need extraction, filled teeth) is?

1. Irreversible 2. deciduous teeth 3. Does not take into account teeth that have been extracted or exfoliated due to past caries experience**

What is a Fibroma?

1. Irritation fibroma, traumatic fibroma 2. Smooth, pink, firm, elevated module 3. Most common tumor of the oral cavity

Cocaine:

1. Is an CNS stimulant 2. Causes vasoconstriction and dilation of pupils 3. Crack-cocaine abusers often present to the office with active dental decay

_____ in amalgam is suseptible to corrosion. -copper added to minimize corrosion (gamma II)

silver

What is the Endoplasmic reticulum?

site of cellular protein synthesis

The palate develops between what weeks?

six to twelve weeks (from the fusion of the globular process with the left and right palatal shelves. 1st trimester

The upper lip is completed within what weeks?

sixth to eighth week -formed with the fusion of the medical nasal process and right and left maxillary processes

mobility 1

slight horizontal mobility

gold foil:

small, gold, gum-line, anterior

primary ingredient in denture cleaners:

sodium bicarbonate

Acute Fluoride Toxicity symptoms?

start 30 mins from ingestion can last 24 hours. Gastrointestinal symptoms- fluoride in the stomach reacts with hydrochloric acid to form hydrofluoric acid causing irritation to the stomach lining resulting in: 1. Nausea, Vomiting (emesis), diarrhea 2. Abdominal pain 3. Increased salivation and thirst

What is a t-test?

statistical measure, the difference between TWO mean scores (TIP: "t" stands for two)

What does the nucleus do?

stores DNA and directs all cellular activities

What is the treatment for squamous cell carcinoma?

surgery, chemotherapy, radiation, combination

Abbreviation TAB stands for?

tablet

_____ has anti-collagenase properties and is effective in NSPT.

tetracycline (periostat)

Incidence refers to?

the annual diagnosis rate or the number of new cases of particular disease diagnosed each year. (Example: Flu)

Prevalence refers to?

the estimated population of people who are managing a disease at any given time. (Example: Diabetes)

Duration:

the length of time that a drug has an effect

When attempting to localize a foreign object relative to the dental structures:

the lingual object moves the same direction (mesial or distal) as the tubehead SLOB rule

Reliability definition?

the method of measurement CONSISTENTLY the same

T-Cytotoxic cells are ?

the only T Cells that can DIRECTLY attack and kill diseased cells- including cancer cells -CD8-T cell

What does the V2 Maxillary trigeminal nerve include?

the upper teeth, nose, palate, mouth, cheek, and temporal region

used to fabricate athletic mouthgaurds:

thermoplastic polymer

The development of the face begins about what week?

third

Tooth which most often fails to develop?

third molar or maxillary lateral

Who is recommended to us a floss holder?

those who are physically challenged and caregivers

Where does the V2 Maxillary trigeminal nerve leave the skull?

through the Foramen Rotundum of the Sphenoid Bone

Where does the V1 Ophthalmic trigeminal nerve leave the skull?

through the Superior Orbital Fissure of the Sphenoid Bone

intra-orally, gold may be polished with____.

tin oxide

What is the use for Dramamine?

to treat motion sickness (anticholinergic drug)

What is the use for Scopolamine?

to treat motion sickness (anticholinergic drug)

What is Dopamine used for?

to treat shock, low blood pressure and Parkinson's

Dark Brown and black stain is?

tobacco use

The primary function of mRNA is?

translation

What amino acid can be converted into Niacin (B3) equivalent?

tryptophan

Stannous Fluoride

unstable solution, unpleasant taste, stains demineralized areas and margins of tooth colored restorations due to the tin ion, causes possible gingival sloughing -8% 19,360 ppm

What is a guided tissue regeneration (GTR)?

uses barrier membrane to block migration of epithelial cells while fixing an infra body pocket

What is the cytoplasm?

watery gel enclosed by the membrane

Antagonism:

when a combination of two antibiotics produce LESS effect than either agent alone

Maximum response:

where the curve plateaus (flatten out)

what is a fenestration?

window like opening in bone covering a tooth root

When plotted on a normal curve where does the majority of scores fall within? (standard Deviation)

within +1 and -1

greatest uptake of topical fluoride is when?

within the first minute of application

Characteristics of Prednisone:

1. Is an intermediate- acting steroid (glucocorticoid) 2. Used in the treatment of autoimmune and inflammatory disorder, Addisons Disease and allergy 3. Reduces the body's inflammatory response and suppresses immunity 4. Increase the risk of infection and delays healing 5. Patients taking prednisone may be at the risk of adrenal crisis during times of stress

Heroin:

1. Is an opioid drug causing CNS and respiratory depression 2. Cause sedation and "pinpoint" pupils

Arthritis:

1. Joint inflammation that causes pain, stiffness, limited mobility 2. Osteoarthritis: progressive cartilage degeneration and loss of cushioning 3. Rheumatoid arthritis: Chronic autoimmune condition: Rheumatoid nodules

May require premedication (CONTROVERSY- consult with orthopedic surgeon or physician)?

1. Joint replacement less than 2 years ago 2. Previous prosthetic joint infection 3. Multiple joint replacement 4. Immunocompromised patients (IV drug users, uncontrolled diabetes, patients with AIDS)

The masticatory mucosal tissues is?

1. Keratinized and protects the gingiva and hard palate. 2. The keratinization of the attached gingiva ends at the free gingival margin

How to distinguish Herpes from Aphthous ulcers. Herpes are:

1. Keratinized mucosa 2. Vesicles first, then ulcers 3. recurrent TX: antiviral drugs Treatment: acyclovir (Zovirax)

What is Filiform papillae?

1. Keratinized papillae protect the tongue, but contain no taste buds* 2. Most numerous papillae 3. Elongation known as "hairy tongue" 4. random pattern change is geographic tongue

Natural Killer (NK) cells

1. Kill viruses and tumor infected cells 2. Non-specific 3. Kill without antibody 4. Lymphocyte

Bupivicaine (Marcaine):

1. LONGEST DURATION

Growth Phases of bacteria?

1. Lag Phase 2. Logarithmic ("exponential") phase 3. Stationary phase 4. Death Phase

Radiographs of a diseased or periodontitis gingiva?

1. Lamina dura becomes less distinct 2. May see loss of bone in furcation areas 3.Bone loss may be horizontal or verticle 4. Horizontal bone loss indicated 2mm (+) reduction in bone height from CEJ 5. Vertical bone loss is "angular" 6. Best evaluated on bitewing radiographs

What does taurodontism (Bulls teeth) mean?

1. Large pulp chamber with furcation close to the apex 2. Common in down syndrome

The maxillary process includes?

1. Lateral palatine process (palatal shelves) 2. Upper parts of cheek 3. Sides of upper lip *1st branchial arch

Where does the V3 Mandibular trigeminal nerve leave and enter the skull?

1. Leaves through the Foramen Ovale of the Sphenoid Bone 2. Enters the mandible through the mandibular Foramen

What are some examples of Amides?

1. Lidocaine 2. Mepivicaine 3. Prilocaine 4. Bupivicaine 5. Articaine

Short acting Amide drugs:

1. Lidocaine 2% 2. Mepivacaine 2-3% 3. Prilocaine 4% 4. Articaine 4%

High Cholesterol Drugs are used for?

1. Limit the synthesis of cholesterol in the body (controls high cholesterol) 2. Decrease Triglyceride levels as well

Contributing factors for the development and progression of periodontal disease in patients who are HIV + may present with:

1. Linear gingival erythema (LGE): band of redness of the marginal gingiva 2. Necrotizing ulcerative periodontitis: necrosis of gingiva and alveolar bone 3. Aphthous ulcers 4. Kaposi's sarcoma: malignancy of vessels, present as a blue/purple macule

Examples of High Cholesterol Drugs?

1. Lipitor (Atrovastatin) 2. Mevacor (Lovastatin) 3. Zocor (Simvastatin) 4. Crestor (Rosuvastatin)

Local Environmental hypoplasia of teeth include?

1. Local infection or trauma 2. Turners hypoplasia or tooth: enamel defect of permanent tooth from infection in 1 tooth 3. Electrical burn, irradiation

Blood clotting:

1. Local tissue injury results in hemorrhage from damaged blood vessels 2. The initial clot is composed of fibrin, fibronectin and platelets 3. The clot fills the wound, serving as a scaffolding for PMN's and macrophages

Clostridium tetani causes?

1. Lock jaw or tetanus; normally inhabits superficial layers of soil------SPORES ARE GENERALLY "DUST BORN"****

What is Peripheral giant cell granuloma?

1. Looks clinically similar to pyogenic granuloma 2. Multinucleated giant cell present 3. usually more blue/purple color

What are incomplete Proteins?

1. Low Quality 2. lack one or more essential amino acids (plant proteins)

Hypoglycemia?

1. Low blood glucose levels ( remember, the brain is fueled entirely by glucose)- less that 70 mg/dl

The mandibular process includes?

1. Lower jaw 2. Lower parts of the face and lower lip 3. Anterior 2/3 of the tongue

What is a Mucocele?

1. Lower lip most common site 2. Bluish/pink fluid-filled nodule 3. Caused by traumatic severance of salivary gland duct 4. treatment: excision

What is the lymphatic system composed of?

1. Lymphocytes derived from stem cells in the bone marrow (T cells are in lymph nodes)

Appointment modifications of Leukemia:

1. MD consult- platelet count (>50,000 for surgical procedure)

Appointment modifications for Chronic Renal Failure:

1. MD consultant- possible premedication if AV fistula/shunt or kidney transplant 2. Avoid blood pressure cuff in arm with shunt 3. If on dialysis: Increase risk of hepatitis B/C, HIV 4. Best time for appointment: DAY AFTER DIALYSIS

Polymorphonuclear Neutophils (PMNs)

1. MOST NUMEROUS WBC (40-75%)** 2. first line of defense** for phagocytosis 3. Migrate in response to chemotactic factor (diapedesis)

What are Oblique fibers?

1. MOST NUMEROUS type of fibers 2. Resists "intrusive" or "vertical" masticatory forces 3. Prevents the tooth from being "jammed" into the bony socket

IV (intravascular):

1. MOST RADIP drug response, best for emergency situations 2. More predictable blood levels 3. Absorption phase bypasses 4. Disadvantages: phlebitis (inflammation of blood vessel), irretrievability and allergy

Wound cleaning:

1. Macrophages ingest debris and degrade the clot (phagocytosis) 2. PMNs attack bacteria 3. New capillaries and fibroblasts move in as debris is removed

Maltose (plant sugar)?

1. Made up of 2 glucose molecules 2. Appears whenever starch (polysaccharides) is broken down 3. found in beer and malt drinks

Sucrose (table sugar)?

1. Made up of glucose and fructose

Lactose (milk Sugar)?

1. Made up of glucose and galactose

Cells of the immune system

1. Made up of leukocytes a) Granulocytes (Neutrophils, eosinophils, basophils) b) Lymphocytes (T-Cells, B-Cells, natural killer cells) c) Monocytes (precursor to macrophage) d) Dendritic cells (antigen presenting cells; APC) 2. Produced in the bone marrow

Glucose (blood sugar/Dextrose)?

1. Main fuel for brain and needed for WBCs and RBCs 2. most abundant carb in nature 3. found in fruits and veggies

Immunoglobulin class IgA?

1. Main immunoglobulin in Saliva*** 2. prevents attachment of antigens to mucous membranes (prevents Adhesion)

What is Human Insurance Portability and Accountability Act (HIPPA)?

1. Maintain patient confidentiality 2. All health care entitles that ELECTRONICALLY process, store, transmits or receives medical

Congenital Heart Disease:

1. Malformations of heart present at birth 2. May have cyanosis (bluish discoloration) and Pulmonary edema

Carcinoma?

1. Malignant neoplasm of epithelial tissue

Sarcoma?

1. Malignant neoplasm of mesenchymal tissue (muscle, bone, connective tissue, etc)

Tooth which frequently has a fifth cusp?

1. Mandibular first molar 2. Maxillary first molar (cusp of carabelli)

The temporal bone includes?

1. Mandibular fossa, glenoid fossa, or articular fossa (all terms are the same structure)

Mandibular injections IA/Lingual?

1. Mandibular molars, premolars, canines, incisors, facial soft tissue if 2nd premolar to central incisor. 2. 3/4 cart used 3. Contraindications: infection in area or acute inflammation, patients who may bite their lip or tongue

What are the two Protein-energy (calorie) Malnutrition (PCM)?

1. Marasmus 2. Kwashiorkor

The oral mucosa includes what tissues?

1. Masticatory 2. Lining 3. Specialized mucosa

What are the bones of the Face?

1. Maxilla (medial floor of the orbit)* 2. Mandible 3. Zygomatic (lateral wall and floor of the orbit)* 4. Palatine* 5. Nasal* 6. Vomer 7. Inferior nasal conchae* 8. Lacrimal (the most medial bone of the orbit)* *= Bilateral Bones

Maxillary injection ASA?

1. Maxillary centrals, lateral, canines, facial soft tissue of maxillary centrals, laterals, and canines 2. 1/3rd cart used 4. Contraindications: when hemostasis is needed, and when only one or two teeth needed to be anesthetized

Maxillary Injections PSA? (27 short)

1. Maxillary molars except MB root of 1st permanent molar, facial soft tissue of molars 2. 1/2-3/4 cart. used 3. Contraindications: when risk of hemorrhage is too great (hemophiliac)

Maxillary injection MSA?

1. Maxillary premolars/ MB root of 1st permanent molar, facial soft tissues of premolars and MB root of #3 2. 1/3-1/2 cart used 3. Contraindications: infection or inflammation in area

what does it mean when stated a "blistering disease"?

1. May be termed vesiculobullous disease 2. Autoimmune disorder (body attacks itself) 3. treat: steroids

Appointment modifications for Epilepsy/Seizure disorder:

1. May have aura prior to seizure (a sensation) 2. Do NOT sit up during seizure 3. Do NOT place tongue blade between teeth 4. Anticonvulsant phenytoin (Dilantin) can induce gingival hyperplasia

Concerns for Estrogenuse?

1. May increase (Exacerbate) gingival inflammation 2. Nausea and vomiting possible side effects 3. May promote endometrial cancer and breast cancer

Appointment modifications for Congenital Heart Disease:

1. May need antibiotic premed 2. Do NOT use nitrous- possible pulmonary congestion

Appointment modifications for down syndrome (trisomy 21):

1. May need antibiotic premedication for heart defects 2. Tell, show , do

The Geriatric patient:

1. May see conditions that mimic dementia, such as depression, hearing loss, malnutrition, dehydration 2. Oral finding: Xerostomia from medications, Increase risk oral cancer, caries, periodontal disease, attrition, abrasion, enamel discoloration, cracked teeth

What is Basal Metabolism Rate (BMR)?

1. Measure of energy needed to maintain life at rest (Breathing, heart beating, circulation, muscle tone, and body temp)

What does PPD (Purified Protein Derivative), Mantoux Skin test, TB skin test and Tuberculin skin test do?

1. Measure of exposure to TB 2. Type Iv hypersensitivity reaction- delayed, read 48-72 hours after PPD administered

How do you measure CAL with gingival enlargement/ hyperplasia?

1. Measure the pocket depth first 2. next, measure how much enlargement is present from CEJ 3. Subtract the amount of enlargement from the pocket depth

What is a Cumulative index (indices)?

1. Measures all the evidence of a condition (both past and present)

What is a reversible index (indices)?

1. Measures condition that can be resolved or reversed 2. gingivitis indices (index) is an example

What is a irreversible index (indices)?

1. Measures cumulative conditions that CANNOT be resolved. 2. Caries and periodontal disease indices are example

Clinic attachment loss (CAL) characteristics:

1. Measures from the CEJ to the base of the pocket 2. CAL is the best indicator of damage to the periodontium 3. An increase in CAL means that there is disease progression

What is Frequency of Distribution and what are the three main methods?

1. Measures how often each score occurs 2. Ungrouped, Cumulative, or Grouped

What is a simple index (indices)?

1. Measures the presence or absence of a disease

What are the sources of Niacin (B3)?

1. Meat, Fish, Enriched grains, and green leafy vegetables, legumes, yogurt

Valve replacement:

1. Mechanical or tissue replacement of heart valve 2. If mechanical valve, patient will be talking Warfarin (Coumadin)

Immunoglobulin Class IgE?

1. Mediates anaphylactic hypersensitivity by binding to mast cells and basophils

Depression:

1. Medical illness that causes persistent sadness, loss of interest and physical symptoms 2. Insomnia, decrease ability to make decisions, various pain response 3. Xerostomia from mediccations 4. Compliance problems- little interest in oral health

What are the Nutritional Deficiency's and Diseases of Folate (Folacin, Folic Acid)?

1. Megaloblastic anemia 2. Glossitis 3. Diarrhea 4. Birth Defects (spina bifada)

The cells components include?

1. Membrane 2. Cytoplasm 3. Nucleus 4. Endoplasmic Reticulum (Ribosome-filled membrane network) (RER) Rough ER 5. Golgi Bodies 6. Mitochondria 7. Lysosomes 8. Filaments and tubules

Schizophrenia:

1. Mental Disorder 2. Disordered thinking, inappropriate emotional responses, hallucinations, delusions, bizarre behavior

What root of what molar is the widest and strongest?

1. Mesial root 2. Mandibular first molar

In the Stomodeum, the embryonic ectoderm stimulates the ________ to differentiate into ___________.

1. Mesoderm 2. Ectomesenchyme

What are the qualities of Polysulfide Rubber?

1. Messy 2. Smelly 3. Must be poured same day 4. Longest working time

Diabetes Mellitus?

1. Metabolic disorder- high blood glucose due to insufficient or ineffective insulin 2. Normal glucose levels are between 70-125 mg/dl)

Ester Characteristics?

1. Metabolized in the blood plasma 2. Relatively high allergy potential 3. Not used as injection 4. Benzocaine 20% TOPICAL 5. Novicaine (NO I)

Amide Characteristics?

1. Metabolized in the liver 2. Very low allergy potential 3. "I-caines" -lidocaine, procaine, bupivicaine, articaine

What are some oral hypoglycemic drugs?

1. Metformin (Glucophage) 2. Glyburide (Micronase, Diabeta)

MRSA is?

1. Methicillin Resistant Staphylococcus Aureus 2. ***MRSA is the MOST drug resistant disease-causing organism*** 3. ***Vancomycin and Bactrim are often the first antibiotic used in treatment of MRSA***

Appointment modifications for ADD/ADHD:

1. Mid morning appointments (after eating, and medications) 2. Tell, show, do

Appointment modifications for Arthritis:

1. Mid-morning appointments 2. Short appointments, especially if TMJ issues 3. Position chair for comfort 4. Hygiene aids (electric toothbrush)

Periapical Cemental Dysplasia (periapical cement-osseous dysplasia, False Cementoma)?

1. Middle age black females 2. Lower anterior teeth 3. Involved teeth are vital No-Treatment 4. starts radiolucent and becomes more radiopaque

What are the sources of Riboflavin (B2) Vitamin?

1. Milk, green leafy vegetables, nuts, enriched grains, eggs, poultry, fish, and legumes

What is Leukoedema?

1. Milky white lesions of buccal mucosa that disappear when stretched

Gypsum Products and qualities?

1. Mineral, Calcium Sulfate di-hydrate 2. heated to refine material, which drives off some of the water, resulting in either: a) Alpha-calcium sulfate hemi-hydrate (stone) b) Beta-calcium sulfate hemi-hydrate (plaster) 3. The more water needed the greater the setting expansion and lower the compressive strength of the final product

Steam Sterilization?

1. Minimum sterilization parameters 250'F with 15 to 20 lbs per square inch (psi) for 30 mins. 2. Corrodes non-stainless (carbon) steel instruments 3. Dulls instruments and burs 4. Ok for SOME plastics; cotton rolls/gauze (cloth goods) 5. Paper packets come out wet and tear. 6. Spore Test= Geobacillus stearothermophilus

The leading cause of implant failure is ?

1. Mobility a) lack of osseo-integration, or inadequate bone

Appointment modification for Hypertension patients?

1. Monitor vital signs 2. Stress reduction (nitrous oxide recommended) 3. Xerostomia (medication- related) protocol 4. Limit epinephrine 5. Risk of postural hypotension- slowly raise chair 6. Do NOT use air polisher if power has sodium 7. Do NOT treat if uncontrolled (BP: >180/110, defer elective treatment >210/120, refer for immediate medical evaluation

What fatty acid maintain serum cholesterol level?

1. Monounsaturated

Examples of Narcotics/Opioid Drugs?

1. Morphine 2. Tylenol #3 (Acetaminophen and codeine) 3. Demerol (meperidine) and Dilaudid (hydromorphone ) 4. Vicodin

Bacteria are grouped according to their ______ and _______ differences?

1. Morphological 2. Metabolic

What is Calcium?

1. Most abundant mineral in body (all cells need calcium)

Autoimmune Disorder Characteristics?

1. Most are antibody mediated 2. Genetic predisposition is common 3. Much more common in females 4. Increased incidence with age

Hypoglycemia (Insulin shock):

1. Most common adverse event 2. Caused by taking too much medication, failing to eat, heavy exercise or emotional factors 3. Symptoms occur suddenly 4. Confusion, anxiety, headache, tachycardia, moist clammy skin, sweating, shakiness, visual problems 5. Administer sugar (Glucose), revival is prompt

What are Fibroblasts?

1. Most common cell of PDL: Collagen synthesis and fiber production 2. Primary cell of the PDL

What is Candida Albicans?

1. Most common fungal infection 2. Local factors: xerostomia, complete dentures/RPD's, steroid inhalers 3. Systemic factors: antibiotic therapy, HIV+, uncontrolled diabetes

Recurrent herpes (cold sore fever blister) characteristics:

1. Most common is herpes labialis, on vermilion border of the lips 2. My be brought on by sun, stress, fever, menstruation, or unknown

Odontoma?

1. Most common odotogenic tumor 2. Composed of enamel and dentin and can look like little teeth

Benign mixed tumore (Pleomorphic adenoma)?

1. Most common tumor of the salivary glands 2. Parotid gland most common location 3. Hard palate (posterior) most common intraoral location

Fungi characteristics?

1. Most fungi are obligate aerobes 2. Normal flora of skin and mucous membranes suppress fungi 3. EUKARYOTIC organisms 4. antibiotic resistant- needs anitfungal.

Diet counseling?

1. Motivation 2. Diet Survey 3. Exposures

What are the Principles of Learning?

1. Motivational Factors--- External motivation (promise of a reward) or Internal motivation (change as a result of self awareness; BETTER predictor of behavior change) 2. Learning only progresses as far as learning wants

What are some causes of gingival enlargement other than medication induced?

1. Mouthbreathing 2. Periodontal inflammation 3. Genetic/hereditary factors 4. Systemic conditions including: leukemia, and hormonal imbalance

AC Electricity:

1. Movement of electrons (-) along a wire toward a (+) charge which changes direction 60 times per second (impulse)

What are the lesions of the Salivary Glands?

1. Mucocele 2. Ranula 3. Sialolithiasis (Salivary stones) 4. Benign mixed tumor (Pleomorphic adenoma) 5. Mumps

What is a Ranula?

1. Mucocele of the floor of the mouth 2. Obstruction of Whartons duct (submandibular salivary gland duct)

What is Chronic discoid (cutaneous) Lupus erythematosis?

1. Mucosa and skin ulcerations 2. "butterfly" rash

What is a Odontogenic keratocyst (OKC)?

1. Multilocular radiolucency 2. Usually posterior mandible 3. High recurrence rate 4. can be associated with Basal Cell Carcinoma

Florid Cemento-osseous dysplasia?

1. Multiple quads 4 Quads= bilateral and systemic involvement 2. Middle age black females

Dental waxes qualities?

1. Multiple use, comprised primarily of paraffin 2. Modified by beeswax, carnauba, rosin, and colorants

What is Essential (polyunsaturated) fatty acids?

1. Must be obtained for diet 2. Include a) Linoleic fatty acids b) Linolenic fatty acids

Viruses Unique characteristics?

1. Must have a host cell for energy and replication 2. Composed of protein core (capsid) surrounding genetic material (DNA or RNA) 3. outer lipid bilayer (envelope) or may be naked 4. A complete virus particle called a virion 5. Helical or "icosahedral" (a symmetrical structure with 20 faces) in shape

The causative organisms for tuberculosis is a bacteria called?

1. Mycobacteria

The two organisms that can not be stained by gram positive staining are?

1. Mycobacteria TB (require acid-fast stain) 2. Spirochetes (require dark field microscopy)

Stage I Perio- initial lesions:

1. NO clinical changes 2. Vasodilation (opening up) of small capillaries 3. Increased number of white blood cells (PMNs/Neutrophils) 4. Increased flow of gingival fluid 2-4 days

Appointment modifications for Heroin Addictions:

1. Narcan (opioid antagonist, reverse effects) to treat overdose (should be in your emergency kit) 2. Do NOT give opioid analgesics 3. Increase risk infective endocarditis, HIV, viral hepatitis if injection drug use

Medications used to treat upper respiratory tract infections?

1. Nasal decongestants 2. Expectorants 3. Antitussives

What is Myocardial Infarction (MI, Heart attack) and what are the symptoms of acute MI:

1. Necrosis of heart muscles from prolonged ischemia (lack of O2 due to decrease flood flow) 2. Pain, nausea, diaphoresis (sweating), dyspnea (shortness of breath), weakness

What are the two Necrotizing Periodontal Diseases?

1. Necrotizing Ulcerative Periodontitis (NUP) 2. Necrotizing Ulcerative Gingivitis (NUG)

Access to Care issues Includes?

1. Need: Type of care needed (Ex: one dental office accepting Medicaid patients in a town of 65,000) 2. Demand: Type of care desired (Ex: whitening versus restorative procedures) 3. Utilization: actual use of services available by the public 4. Barriers: obstacles which interfere with care (Ex: lack of financial funding for low cost dental services)

What is the function of Niacin (B3) Vitamin?

1. Needed for RNA and DNA synthesis and energy Metabolism

Procedures in Community Health Practice?

1. Needs Assessment 2. Data Analysis 3. Program Planning 4. Program Operation 5. Funding 6. Appraisal or Evaluation

What are the Unintentional torts, what does it include and what is an example?

1. Negligence 2. Includes= Standard of Care and Duty 3. Ex- ( Breaking an instrument tip in the periodontal pocket and not telling the patient.

-Oma?

1. Neoplasm- growth- benign

Low radiation sensitivity includes:

1. Nerve tissue (#1 low) 2. Skeletal muscles 3. Heart 4. Optic lens 5. Mature bone 6. Mature cartilage

What are some white lesions?

1. Nicotinic Stomatitis (smokers palate) 2. Leukoedema 3. Linea Alba 4. Candida Albicans a) Pseudomembranous candidiasis (thrush) b) Erythematous candidiasis c) central papillary atrophy (median rhomboid glossitis) d) Angular chelitis

Appointment modification for Cerebrovascular Accident?

1. No elective treatment got 6 months 2. Stress reduction 3. Limit Epi 4. Avoid sensory overload 5. Chair position modifications and assistance for patient transfer 6. Modify home care devices (depends on functional ability)

Mandibular injection Mental?

1. No teeth anesthetized buccal soft tissues of lower lip, chin and buccal soft tissues from 1st premolars forward 2. 1/3 cart used 3. Contraindications: inflammation or infection is area

Mandibular injection Buccal?

1. No teeth anesthetized, facial soft tissue of mandibular molars to 1st premolars 2. 1/8 cart used 3. Contraindications: infections or inflammation in area

Maxillary Injection NP (Nasal Palatine)?

1. No teeth anesthetized, lingual soft tissue of maxillary from incisor to canine 2. <1/4 cart used 3. Contraindications: Inflammation or infection in area

Maxillary injection GP (greater palatine)?

1. No teeth anesthetized, lingual soft tissues of maxillary molar to canine 2. <1/4 cart used 3. Contraindications: Inflammation or infection in area

Important characteristics of staphylococcus

1. Non-mobile 2. Non-spore forming 3. Spherical gram + cocci arranged is grapelike clusters 4. cause pus and abscess formation

Natural Immunity

1. Non-specific 2. NOT acquired from previous antigen exposure 3. Does NOT improved or remembered after exposure 4. aided by barriers( skin, mucous mem.), natural killer cells, phagocytosis, inflamm., protiens.

Type 2 Diabetes Mellitus?

1. Noninsuline dependent (NIDDM) a) Most common type of diabetes- approximately 90% b) people over 40 and is associated with obesity c) insufficient insulin or improper use d) weight gain with increased appetite

How to distinguish Herpes from Aphthous ulcers. Aphthous ulcers are:

1. Nonkeratinized mucosa 2. NO vesicles 3. Recurrent 4. TX: Topical steroids and anti-inflammatory drugs

Artificial Sweeteners?

1. Nonnutritive sweetners; non-carbohydrate and non-caloric. FDA approved the following: a) Saccharin b) Aspartame c) Acesulfame-K d) Sucralose e) Neotame

Hyperglycemia (Diabetic coma):

1. Too little insulin 2. Caused by too much sugar, not taking medications, stress, or infection 3. Symptoms occur more slowly 4. Drowsiness, confusion, deep rapid breathing, polydipsia (increased thirst), polyuria (Increased urination), polyphagia (Increased hunger) dehydration, fever, dry flushed skin, sweet/fruity odor to breath 5. Activate EMS, give fluids, keep warm

What are the functions of the Periodontal Ligament (PDL)?

1. Tooth anchorage (attaches teeth to bone) 2. Transmits occlusal forces to the bone and resists impact of these forces 3. Supplies nutrients to periodontal structures 4. Sensory functions include touch, pressure and pain 5. Acts as a shock absorber for the teeth, nerves and blood vessels (All PDL fibers attach to the tooth's cementum

Liners are and include what?

1. Used to seal dentin or medicate the dental pulp 2. Includes: a) Calcium hydroxide (stimulates reparative dentin formation) b) Zinc-oxide/eugenol (smoothes the pulp, oil, NOT with composite c) Resin-modified glass ionomer ( seals tubules and releases fluoride)

Metronidazole (Flagyl):

1. Used to treat anaerobic infections 2. used to treat ANUG and periodontal infections 3.DO NOT USED ALCOHOL (antabuse effect will be nauseous)

What are Adrenergic-Blocking drugs used for?

1. Used to treat cardiac arrhythmia, hypertension, angina pectoris, glaucoma, myocardial infarction 2. May block alpha, beta-1 and beta-2 adrenergic receptors

Characteristics of Insulin?

1. Used to treat type 1 ("insulin-dependent" diabetes) 2. Administrated by subcutaneous injection 3. Hypoglycemia is the most common side effect

Avoid overhang formation by?

1. Using a properly placed band and wedges 2. Detect overhang with explorer

What are the behavior profiles of Anorexia Nervosa?

1. Usually female; after puberty 2. Highest rate of occurrence ages of 15 and 19 3. Competitive/obsessive behavior 4. Rigid relationship with over-protective parents (cause) 5. Fear of gaining weight

Cerebral Palsy:

1. Usually from lack of O2 during birth 2. NOT a disease and NOT contagious 3. Involuntary movements and muscle spasms 4. Inability to swallow (drooling), tongue thrusting, mouth breathing, bruxism, increased gag relex

Cushing's Syndrome (Hypercortisolism):

1. Usually from prescribed corticosteroid therapy 2. Is caused from excess pituitary gland adrenocorticotropic hormone (ACTH) production 3. "Moon facies"- fat accumulation in the face 4. "Buffalo hump"- fat accumulation in the upper back

Ameloblastoma?

1. Usually multilocular radiolucency (soap bubble) 2. Usually posterior mandible 3. High recurrent rate

What is a lateral periodontal cyst?

1. Usually unilocular radiolucency between roots of mandibular premolars 2. Cannot probe as it is a cyst in the bone

Four cranial nerves providing innervation to the tongue include?

1. V, VII, IX and XII

What are the three major Trigeminal nerve branches?

1. V1 Ophthalmic (sensory) 2. V2 Maxillary (sensory) 3. V3 Mandibular (both sensory and motor)

Porphyromonas gingivalis?

1. VERY IMPORTANT PATHOGEN FOR PERIODONTAL DISEASE**** 2. Produces COLLAGENASE (an enzyme capable of breaking down collagen in connective tissue and periodontal attachment apparatus); tetracycline's (like doxycycline) have anti-collagenase properties making them ideal treatment options in the treatment of periodontal diseases

With Congestive heart failure what local anesthetic should you use with caution?

1. Vasoconstrictor (Epinephrine) .04 mil (2cart)

What does Nitroglycerin do?

1. Vasodilator, opening up vessels to increase blood supply to the heart 2. Smooth muscle relaxant

What are complementary Proteins?

1. Vegans 2. Need to combine two or more proteins to compensate for deficiencies in amino acids content 3. Use of whole grains is important

What are the sources of Vitamin E?

1. Vegetable oils (corn and safflower oils) green leafy vegetables and whole grains. (Found in many foods including polyunsaturated vegetable oils)

What are some medications used to treat asthma?

1. Ventolin (albuterol) 2. Corticosteriod 3. Combination drug: Advair Diskus (combines a corticosteroid and a bronchodilator 4. Theophylline- avoid w/ erythromycin* 5. Long lasting bronchodilators (Salmeterol (Serevent)

What are some examples of Adrenergic drugs:

1. Ventolin (albuterol) 2. Epinephrine 3. Dopamine

What are the Core Values of the code of ethics?

1. Veracity 2. Autonomy 3. Beneficence 4. Nonmaleficence 5. Confidentiality 6. Societal Trust 7. Justice

What are the two Sensory impairment disorders?

1. Visual Impairment: Assess degree of impairment and dependency on caregiver 2. Hearing Impairment: Assess degree of impairment

What are the characteristics of Bulimia?

1. Vomits at least 2 times per week 2. Eats 15,000 or more calories in a binge 3. Calluses on knuckles due to digital purging (vomiting) 4. Often clinically depressed

Gram + Cell Wall Qualities?

1. Vulnerable to penicillin's and lysozyme 2. Low lipid content 3. NO porin channel 4. NO ENDOTOXINS

Appointment modifications for Coronary Bypass Surgery (Coronary artery bypass graft, CABG):

1. Wait 6 weeks for elective treatment 2. No antibiotic premedication needed

Pre-Eruptive (systemic) Fluoride Examples?

1. Water Fluoridation 2. Dietary Fluoride Supplements 3. Foods

Local anesthetic medications are ______ based and work poorly in __________ tissues?

1. Weak 2. Inflamed

What is a Variable?

1. What is being observed or measured

Neutrophils Definition:

1. White blood cells significant to development and progression of disease 2. Most prevalent cell in acute inflammation 3. Most active cell in the periodontal pocket 4. Main function is phagocytosis (engulfing and digesting of foreign bodies)

What is Pseudomembranous candidiasis (thrush)?

1. White plaque that wipe off; suppressed immune system

What is Nicotinic Stomatitis?

1. White, hyperkeratotic, coarse, nodular, wrinkled appearance to hard palate in smokers 2. Scattered red dots inflamed minor salivary glands 3. Not precancerous

What is Lichen Planus?

1. Wickham's striae: fine, lace-like network of white lines 2. Reticular type- lace-like 3. Erosive type- blister and ulceration

What does Dilantin (phenytoin) do and what do you see occur in 50% of patients?

1. Works by depressing the CNS to decrease seizures in patients with Epilepsy 2. Gingival hyperplasia (enlargement)

What is a Civil offense?

1. Wrongful offense against a PERSON 2. Satisfaction is sought (usually money)

What are the innervations of the tongue?

1. XII (motor nerve to muscles, except palatoglossus) Hypoglossal 2. V3 (sensory to anterior 2/3) (mandibular division, trigeminal) 3. VII (taste to anterior2/3) (Chorda tympani) Facial nerve 4. IX (taste, sensory to posterior 1/3) glossophyrengeal

considerations for use of a rubber cup?

1. Xerostomia 2. Demineralized areas or decay 3. tooth sensitivity 4. newly erupted teeth 5. severe gingivitis 6. lack of extrinsic stain or plaque 7. exposed root surfaces 8. respiratory conditions (asthma, emphysema, cystic fibrosis)

Contributing factors for the development and progression of periodontal disease in cancer patients may present with:

1. Xerostomia 2. Mucositis: inflammation of oral tissues 3. Dysgeusia: loss of taste or altered taste 4. Increased risk of fungal and viral infections

Examples of HIV/AIDS medications?

1. Zidovudine (Retrovir, AZT) 2. Didanosine (Videx, ddI) 3. Zalcitabine (ddC)

The two statistics (prevalence and incidence) can differ in a way such as?

1. a short-lived disease like flu can have high annual incidence but low prevalence 2. While a life-long disease like diabetes has a low annual incidence but high prevalence

Factors Beta-hemolytic streptococcus?

1. able to destroy cell walls using hemolysins 2. resistant to phagocytosis 3. Group A can attach to pharyngeal epithelium and cause illness.

Hypersensitivity reaction Type III Immune Complex?

1. accumulation of antibody-antigen complex causes inflammation* which attracts neutrophils. 2. lysosomal enzymes released by neutrophils lead to tissue distruction 3. antibody: IgG and IgM -ex: rheumatoid arthritis, lupus erythematosus, serum sickness

Modification of working time for gypsum products?

1. add potassium sulfate to accelerate set 2. Mix with warm (not hot) water to accelerate set 3. Add borax to slow set

Acquired Immunity Characteristics?

1. after exposure to anitgen 2. Improves with repeated exposure 3. Mediated by antibodies and t-cells 4. Long-term memory by t-cells 5. Can be passive or active

Lidocaine (Xylocaine):

1. also available in topical 2. Safe in pregnancy 3. Medium duration 4. MRD: 3mg/pound, up to a maximum of 500mg

What are some characteristics of the mouth with down syndrome?

1. altered immune system 2. Fissired tongue 3. Macroglossia (acromegaly- excess growth hormone) 4. Mouth breathing 5. Periodontal disease 6. Decrease caries

Hypersensitivity reaction Type II Cytotoxic?

1. antibody attacks antigen leading to complement- mediated lysis 2. Primary antibody: IgG and IgM 3. ex: hemolytic anemia, thrombocytopenia

T cells regulate:

1. antibody production (Ig__) 2. Cell-mediated immunity 3. Suppression of certain immune responses

Exotoxins:

1. bacterial waste products that cause direct tissue injury 2. Examples include hydrogen sulfite, uric acid and fatty acid

Environmental Hypoplasia of teeth:

1. can affect primary or permanent teeth 2. Site of defect based on stage of tooth development 3. systemic or local

About RNA Viruses?

1. can be SIMILAR to host's mRNA (referred to as positive strand) 2. or a template for production of mRNA (negative strand RNA) 3. RNA viruses must provide RNA dependent polymerases (replicase and transcriptase) because host cells cannot replicate RNA

Packaging materials?

1. cassettes and wrap 2. Plastic/paper pouches. 3. Nylon clear tubing 4. paper

Varicella-Zoster virus (VZV)?

1. causes chickenpox-- and herpes zoster (shingles)

What are the deficiencies of Riboflavin (B2) Vitamin?

1. cheilosis, glossitis, Fatigue and anemia

Case-Control or "Retrospective" studies?

1. compares one group of subjects who already have a certain health outcome (the case) and compare them to similar group of people who do not have the outcome (the controls) 2. these studies are not ideal in many instances because they gather info from the past and has the potential for inaccuracy and bias.

Descriptive studies (correlational or observational) definition?

1. describes an epidemic 2. Determines WHO is getting the disease and WHERE and WHEN the disease is occurring**

Where does the submandibular node drain?

1. drains the submental nodes and remaining teeth (not man. incisors) 2. May (or may not) include 3rd molars

What is Bulimia?

1. episodes of binge eating followed by purging (vomiting, laxatives, purgatives or diuretic abuse) tp prevent weight gain

Small, unmyelinated fibers affected ________, large myelinated fibers affected ________.

1. first 2. last

Autonomic nervous system does what and what does it control?

1. functions without conscious effort 2. Controls BP, pulse, respiration, body temp, salivary gland secretion.

What is Edematous gingival surface tissue texture?

1. glossy appearance due to increased fluid 2. Edema is the result of VASODILATION of the peripheral circulation

What are the sources of Vitamin K?

1. green leafy vegetables and synthesized by the intestines

What is the function of Cobalamin (Cyanocobalamin B12)?

1. helps build tissue, maintain nerve cells and essential for RBC development; also needed for folate metabolism*

Nicotine replacement therapy

1. helps stop smoking 2. supplies a low dose of nicotine without toxins to reduce carvings 3. come in gum, inhalers, lozenges, nasal spray, patch 4. Zyban (bupropion) and Chantix (varenicline)

What is included when collection of preliminary information?

1. identify policies, leaders/decision makers 2. Attitudes toward oral health issues by community leaders 3. Funding and resources**

Alpha-hemolytic streptococcus?

1. includes Viridans- causes green tint when cultured 2. Normal inhabitants of nasopharynx and gingival crevices*****

Periapical Abscess results from?

1. infection of the tooth pulp 2. Secondary to deep dental caries 3. Diagnosis often requires a periapical radiograph

Periodontitis is?

1. inflammation of the periodontal tissue, and loss of connective tissue attachment to the tooth 2. Characterized by bone resorption that usually progresses slowly and horizontally 3. Apical downward migration of the junctional epithelium 4. Is documented by clinical attachment loss (CAL) over time

Chediak-Higashi syndrome causes?

1. inherited disease of the immune and nervous systems 2. Impairment of neutrophils

What is PDI (Periodontal Disease Index)?

1. irreversible (CAL) and reversible (gingival) 2. measures prevalence and severity

Methamphetamine:

1. is a CNS stimulant 2. Associated with brain damage and severe oral effects 3. Males aged 19-40 most commonly affected group 4. Abusers present rampant caries, xerostomia, and soda consumption

What is Rheumatic fever?

1. it is an inflammatory disease that may develop after an infection with streptococcus bacteria (such as strep throat or scarlet fever)

What two things affect Penetration (Quality)

1. kVp 2. Filtration

what are alveolar crest fibers?

1. located apical to the junctional epithelium 2. resist tilting and horizontal forces

How to measure the CAL?

1. measure the pocket depth first 2. next, measure how much recession is present 3. then, add these two numbers together

Death Phase?

1. microbes die off

Chemical Sterilization?

1. minimum temp.- 273'F for 20 minutes with a pressure of kPa/25 psi. 2. Ventilation is necessary 3. May damage rubber and plastic items 4. Spores test= Geobacillus stearothermophilus.

What are the suprahyoid muscles (above the hyoid bone)?

1. mylohyoid (make up the floor of the mouth) 2. geniohyoid 3. digastric (from mastoid to man) 4. stylohyoid (open the mouth) depress the mandible

What are the properties of Vitamin C (Ascorbic Avid)?

1. no extensive storage; smokers have an increased need (140mg)

The lining mucosal tissue is?

1. not keratinized and includes the alveolar, vestibular, and buccal mucosa as well as the floor of the mouth

Stationary Phase?

1. nutrients are used up and waste products build up.

Drug interaction:

1. occur when the effect of one drug is altered by another drug 2. May result in toxicity OR lack of effectiveness of the drug

fungi growth is generally __1____, and accelerated when the immmune system is __2___ or noraml flora is reduced through __3___.

1. opportunistic 2. depressed (immunocomprimised) 3. antibiotic therapy

Carbohydrates?

1. organic compound made up of carbon, hydrogen, and oxygen. 2. Provide most abundant energy 3. Yield 4 Kilocalories/gram 4. includes Monosaccharides, disaccharides, and complex polysaccharides

Plaque retentive zones include?

1. pits and fissures 2. irregular tooth surfaces 3. interproximal areas

B cells important functions?

1. plasma cells and produce antibodies in bone marrow**** 2. Are antigen-presenting cells (APCs) 3. memory cells

Immunoglobulin Class IgM?

1. primary responder to encounter with new antigen* (early bird= early Morning) 2. IgM IS THE LARGEST ANTIBODY** 10 binding sites

Immunoglobulin Class IgD?

1. protects respiratory system from foreign bodies 2. tells mast cells and basophils to produce antimicrobial agents

IM (intramuscular):

1. provides sustained effect 2. Absorption due to high blood flow in skeletal muscles 3. Massaging muscles will increase the drugs absorption 4. Deltoid or gluteal muscles common injection sites

Dendritic cells:

1. regulator of the immune system 2. antigen presenting (APC) 3. capable of activating T cells and B cells

Indicators for rubber cup polishing?

1. removes extrinsic stain that doesn't remove by handscaling or with toothbrush and toothpaste 2. always instrument prior to polishing

What does Aerobic mean?

1. require oxygen to grow 2. Are NOT found in periodontal pockets

Obligate Aerobes?

1. require oxygen! 2. produce catalase, peroxidase, superoxide dismutase 3. Uses Krebs cycle and glycolysis for energy 4. Examples of obligate aerobes: a) Neisseria (gram - cocci) b) Pseudomonas c) Mycobacterium

Hypersensitivity reaction Type I Anaphylactic (immediate)?

1. requires previous exposure to antigen- can lead to death. 2. mediated by IgE which releases histamine from mast cells and basophils

What is OHI-S (simplified oral hygiene Index)?

1. reversible 2. measures oral hygiene status by amount of debris and calculus

What is Convenience sample?

1. sample group is chosen based solely on convenience

Histopathology of periodontal lesions are:

1. stage I = initial lesion (2-4 days) 2. Stage II = Early lesion (4-7 days) 3. Stage III = Established lesion (2-3 weeks) 4. Stage IV = Advanced lesion (3 weeks + to years)

Considerations for us of Chlorhexidine?

1. stains teeth, tongue, and tooth colored restorations (most common side effect) 2. Alters taste sensation (dysgeusia) including bitter taste 3.can irritate or burn mucosa 4. Increases (slight) supragingival calculus formation due to the dead bacteria that remains.

What are the three tests used in Inferential Statistics?

1. t-test 2. ANOVA (Analysis of Variance) 3. p-value

What is measures of Central Tendency and what are the three measurements?

1. the center of distribution is plotted out on an x-y graph. X=Horizontal Y=Vertical 2. Mean, Median, Mode

What is Epinephrine used for?

1. to treat anaphylactic reactions 2. used in local anesthetic solutions as vasoconstrictor 3. Used in cardiac arrest to stimulate heart muscles

What is Ankyloglossia?

1. tongue tied 2. thick lingual frenum resulting in limitation of tongue movement

steps of immune system for perio:

1. transient vasoconstriction 2. vasodilation 3. hyperemia- excess of blood 4. margination-WBCs move to vessel walls 5. pavementing- WBCs line the vessel wall 6. diapidesis- neutrophils squeeze between cell in vessel wall 7. emigration- cells move into tissue 8. chemotaxis- cells move to inflammation

What are the qualities of Reversible Hydrocolloid (agar)?

1. undergoes a physical reaction only 2. Sol- gel state is temperature dependent 3. Solidification by cold called gelation 4. Susceptible to imbition (getting bigger) and syneresis (Shrinking) 5. Must be poured immediately

Subcutaneous:

1. used to admin. Protein products 2. Insulin is administered subcutaneous- it is inactivated by GI acid/enzymes 3. Local anesthesia in dentistry 4. Side effects: sterile abscess or hematoma

Appointment modification for MI:

1. wait 6 months for elective treatment 2. Stress reduction 3. Monitor vital signs 4. May need oxygen 5. May want to use nitrous (for the stress reduction and supplemental O2) 6. Limit Epi

The two primary federal organizations concerned with health problems in the U.S are the?

1.Department of Health and Human Services (DHHS) 2. Centers for Disease Control and Prevention (CDC)

Aluminum Filtration:

1.Removes softer (weaker) dangerous photons 2.quantity and quality= effects penetration

Periodontal Abscess results when?

1.infection spread deep into pocket, and drainage is blocked 2. May develop after periodontal debridement

Epstein-Barr Virus?

1.member of the herpes virus (causative organism for ____) family the most common human viruses 2. causative organism for infectious mononucleosis and oral hairy leukoplakia 4. May also be implicated in malignancies such as Nasopharyngeal carcinoma and Burkitt's lymphoma.

MPD for non-occupational:

1/10 of occupational= 0.5 rem/year or 0.005 Sv/year

Permanent Maxillary 1st bicuspids erupt between age?

10-11 years

Permanent Mandibular 1st bicuspids erupt between age?

10-12 years

Permanent Maxillary 2nd bicuspids erupt between age?

10-12 years

Primary Mandibular Lateral Incisors erupt between age?

10-16 months

Permanent Mandibular 2nd bicuspids erupt between age?

11-12 years

Permanent Maxillary cuspids erupt between age?

11-12 years

Permanent Mandibular 2nd molars erupt between age?

11-13 years

Permanent Maxillary 2nd molars erupt between age?

12-13 years

Primary Maxillary First Molars erupt between age?

13-19 months

Dairy Requirements and nutritional source of carbohydrates is?

130 grams per day

Primary Mandibular First molars erupt between age?

14-18 months

Primary Maxillary Cuspids erupt between age?

16-22 months

Permanent Mandibular and Maxillary 3rd molars erupt between age?

17-21

Primary Mandibular Cuspids erupt between age?

17-23 months

COBRA (Consolidated Omnibus Budget Reconciliation Act) gives individuals the right to keep group health insurance benefits for?

18 months

What is the main reason to use regenerative procedure?

1to treat infrabony defects

What does Dehiscence mean?

2. Oval shaped root exposure apical to the CEJ 3. Includes gingival recession, alveolar bone loss and root exposure

Primary Mandibular second molars erupt between age?

23-31 months

Primary Maxillary Second molars erupt between age?

25-33 months

The posterior (1/3) tongue and hyoid bone develop from what brachial arches?

2nd (hyoid) and 3rd brachial arch

Gonadal exposure for the average complete mouth series equals to:

3 days to one week of normal background whole body radiation

Development of the face begins at week ?

3 with the formation of the primitive oral cavity, or stomodeum, which is lined by ectoderm

Ramjford teeth

3, 9, 12, 19, 25, 28

If distance is doubled or halved, the original energy changes by a factor of?

4

critical pH for enamel?

4.5-5.5

Sodium fluoride varnish

5% NaF (22,600ppm) Retain 24-48 hours relseased -used for desensitizing of roots and caries -14% more effective in caries reduction than gels -less fluoride ingestion for small kids

Primary Mandibular Central Incisors erupt between ages?

6-10 months

Permanent Mandibular Central Incisors erupts between age?

6-7 years

Permanent Mandibular first molar erupts between age?

6-7 years

Permanent Maxillary first molar erupts between age?

6-7 years

critical pH for cementum?

6.0-6.7

Permanent Mandibular lateral incisors erupt between age?

7-8 years

Permanent Maxillary Central Incisors erupts between age?

7-8 years

Primary Maxillary Central Incisors erupt between age?

8-12 months

Permanent Maxillary lateral incisors erupt between age?

8-9 years

Permanent Mandibular cuspids erupt between age?

9-10 years

Primary Maxillary Lateral Incisors erupt between age?

9-13 months

What are the Fat Soluble Vitamins?

A - ALL D - Dieters E - Eat K - Kilocalories

The radiographic mode which is most accurately and sharply depicts the height of the crest of the alveolar bone is:

A bitewing radiograph

Synergism means:

A combination of two antibiotics produces GREATER effects that would be expected if their individual actions were added

What is orthostatic hypotension?

A drop in blood pressure due to a sudden change of posture.

Log dose-effect curve:

A graph of the relationship between dose of a drug and the response

What is glaucoma?

A group of eye conditions that can cause blindness

Elasticity refers to?

A material's ability to recover its initial shape after undergoing a force

Malleability refers to?

A material's capacity to be shaped by force or pressure

ASA I Classifications:

A normal, healthy patient, no apparent diseases is evident, requires no dental management modifications

What is Reye Syndrome?

A potentially severe reaction in children with either chicken pox of influenza. -may result in liver toxicity or brain damage Avoid Aspirin in children (acetaminophen is drug of choice)

What is the Cavernous sinus?

A sinus containing venous blood located on each side of the body of the sphenoid bone, near the base of the brain, behind the bridge of the nose

Amperes:

AMPS (mA) describe the number of electrons flowing

Lead Apron:

Absorbs 90% of the scatter that would have reached the reproductive tissues. Lead equivalent of 0.25mm

Imbibition refers to?

Absorption of a solvent by a gel

What does ADME stand for?

Absorption, Distribution, Metabolism, Elimination

What Analgesic drug is the drug of choice for children, patient on an anticoagulant (Coumadin) or Ulcers is ___________?

Acetaminophen

What Analgesic drug is the drug of choice for post-operative pain after periodontal treatment?

Acetaminophen

A patient presents with a recent bood work-up indicating a positive titer for HBeAg. What is their disease status.

Active hepatitis B

To slow the set of gypsum and gain more working time in pouring a model, a person would?

Add borax to the mix

Amounts of fluoride ingested: less that 5mg/kg

Administer fluoride-binding agents ex- something with calcium like milk

Abbreviation PC stands for?

After meals

What bacteria is a gram - rod-shaped bacteria associated with aggressive periodontal disease?

Aggregatibacter actinimycetemcomitans (renamed from Actinobacillus actinimycetemcomitans)

Tuberculosis is acquired via ?

Airborne transmission

Inferential statistics?

Allows one to generalize (infer) findings from the sample study to a larger population

Stone, Type III Gypsum = ?

Alpha-calcium sulfate hemi-hydrate

Diestone, Type IV Gypsum = ?

Alpha-calcium sulfate hemi-hydrate that contains additives to make more durable and wear resistant (also called improved stone)

Prophylactic oral antibiotic drug regimens for the Joint replacement if patient isn't allergic to penicillin:

Amoxicillin 2000mg (2grams) one hour before procedure

When curves are not uniform graphs demonstrate what?

An asymmetrical appearance it is said to be skewed.

Galvanism refers to?

An electrical current generated by dissimilar metals in an acidic environment. (amalgam and gold contact)

Composite refers to as? (high viscosity)

An esthetic restorative material composed of a bonging agent and tooth-colored filler particles of various sizes. a) Most common filler particles: silicates, quartz, or glass. b) Barium or strontium usually added for radiopacity

Avoid adrenergic drugs with:

Angina, uncontrolled hypertension, uncontrolled hyperthyroidism

Appointment modifications for Valve replacement:

Antibiotic Premedication!!!!!

Appointment modifications for Marfan Syndrome:

Antibiotic premedication if heart defects

Drugs used to control high cholesterol are known as?

Antihyperlipidemics

Penumbra means?

Area of unsharpness

Data Matrix does what?

Arranges data scores from lowest to highest measurements.

ALARA Principle:

As Low As Reasonably Achievable

What is NOT a Component of Vitamin B Complex?

Ascorbic Acid

What is the best way to reduce the risk of systemic toxicity?

Aspiration

What drug should be avoided in asthma patients?

Aspirin (up to 20% of asthmatics are allergic to aspirin)

Where is the Center of Disease Control (CDC) located?

Atlanta GA

What Core Values states that patients have a right to privacy and freedom of choice?

Autonomy

What bacteria is the most common type found in periodontal disease?

Bacilli: Rod-shaped bacteria

Fluoride interferes with_____?

Bacterial metabolism

In high concentrations (professional application) fluoride is _______?

Bactericidal (destructive to bacteria)

Penicillin is?

Bactericidal= Destroys the bacterial cell wall

In low concentrations (daily at home application) fluoride is ________?

Bacteriostatic (inhibits growth or multiplication of bacteria) most effective*

Pits and fissure sealants are?

Barrier used to protect the occlusal surface of teeth from bacterial assault by sealing anatomically unprotected tooth structure with resin

The DEJ develops from the ___________?

Basement membrane

The dentino-enamel junction (DEJ) will derive from the?

Basement membrane

Placing sealants on a child's teeth without getting parental consent is and example of?

Battery

Abbreviation AC stands for?

Before meals

Evaluation must be continuous from the ______ of the program?

Beginning (from start to finish) (it is necessary to have baseline data from the needs assessment to determine a groups progress***)

Providing dental screenings would be an example of which Core Value?

Beneficence

Plaster, Type II Gypsum = ?

Beta-calcium sulfate hemi-hydrate

What is the most common site for supernumerary tooth?

Between the maxillary central incisors

What is the cause of Pica?

Biochemical or iron/zinc deficiency

Plaque is a ______ bacteria forming on the tooth surface?

Biofilm

BIS-GMA stands for?

Bisphenol a-glycidyl methacrylate

Narcotics/Opioid drugs do what?

Block pain receptors in the brain

What is the mechanism for action for local anesthetic?

Block peripheral nerve conduction by decreasing the sodium ion permeability of the nerve membrane. They "inhibit the influx of sodium ions" by blocking sodium channels in the neuron membrane.

Cyanosis is?

Bluish, highly vascular often found around crowns

What does Bulbous mean?

Blunted

Osteo-

Bone

Osteosarcoma?

Bone Malignant neoplasm

Osteoma?

Bone neoplasm

Exostosis definition?

Bony protuberance- usually bilateral

Dentist "owns paper on which records are printed, patients "own" information. It is ok for the dentist to charge a reasonable fee to transfer records, even if there is a balance due on the account. (True or False)

Both Statements are true!

Demineralization of enamel occurs when the pH of enamel drops below 4.5-5.5. This is know as the "critical pH level. (True or False)

Both statements are true

Bacterial organisms capable of producing catalase are able to?

Break down hydrogen peroxide

Tetracycline's is?

Broad Spectrum, bacteriostatic antibiotics that inhibit bacterial protein synthesis

In the maxillary, the nerve that innervates the pulp also innervates the?

Buccal Gingival

Iron Deficiency causes what?

Burning tongue Remember if you IRON your tongue it will BURN!

When writing a prescription "PO" is an abbreviation for?

By mouth

What vitamin promotes the synthesis of collagen?

C

Each of the following drugs may result in an increased amount of bleeding during scaling and root planing except one. Which one is the EXCEPTION? A. Aspirin B. Warfarin C. Acetaminophen D. Heparin

C. Acetaminophen

Antibiotic prophylaxis is recommended for each of the following conditions EXCEPT one. Which one it the EXCEPTIOM? A) Heart Valve Prosthesis B) Congenital cardiac malformations C) Previous coronary artery bypass graft D) Cardiac transplant with valvular dysfunction

C. Previous coronary artery bypass graft

Certainly lethal does?

CLD- amount of a drug likely to cause death if not intercepted by antidotal agents.

Epinephrine is not contraindicated in a patient with?

CONTOLLED hypertension (limited)

The liner most commonly used to stimulate the development of secondary dentin in the event of pulp exposure is:?

Calcium hydroxide

Weight control means?

Calories from food should equal energy needs for body

What bacteria is associated with periodontal disease, also gram - and is a facultative anaerobe associated with inflammation during pregnancy?

Campylobacter rectus (c. rectus)

A material that is highly ductile:

Can undergo a change of form without breaking

What drugs are the main family of drugs to treat CHF (Congestive heart failure)?

Cardiac Glycosides

Chondro-

Cartilage

Chondrosarcoma?

Cartilage Malignant neoplasm

Chondroma?

Cartilage neoplasm

Epstein-Barr is?

Causative for mononucleosis

Emigration Definition:

Cells move into the tissues from the blood vessels

Mitochondria are involved with ?

Cellular respiration

Sharpeys fibers are found in?

Cementum and alveolar bone

What is the Mitochondria?

Center of energy production (ATP energy) respiration. (power house)

Methods of sterilization?

Chemical, Dry Heat, and Steam.

Movement of cells to the site of inflammation is known as _______?

Chemotaxis

What antimicrobial mouth rinse would you recommend a plaque-induced gingivitis, slight to moderate chronic periodontitis, NUG/NUP and periodontal maintenance?

Chlorhexidine 2x/day

Yellow-brown and brown stain is?

Chlorhexidine use or stannous fluoride; Stannous fluoride results from the reaction of the tin ion in the fluoride

Rheumatoid arthritis:

Chronic autoimmune condition: Rheumatoid nodules

Most gingivitis is?

Chronic plaque associated gingivitis

"non-sedating" antihistamines

Claritin (loratadine) and Zyrtec (cetirizine)

What information is included in the population profile?

1. Number of individuals who will be part of the program 2. Geographical distribution of the target population 3. Rate of growth in the community 4. Degree of urbanization 5. Ethnic and language profile 6. Nutritional status 7. Standard of living 8. Amount and type of community services and utilities available 9. Profile of school system (private versus public) 10. General health profile (including drug abuse pattern)

Distance:

1. Number of photons decrease as beam spreads (increased distance) 2. Decrease density 3. Quantity

Exposure Times:

1. Number of photons increase 2. Increase density 3. Quantity

Milliamps (mA):

1. Number of photons increase 2. Increase density 3. Quantity

Kilovolt Peak (kVp):

1. Number of photons increase 2. Increase penetration- shorter wavelengths 3. Quantity and Quality 4. Long scale (many grays) 5. Low visual contrast

According to G.V black's classification of restorations, an anterior proximal filling would be?

Class III

causative organism for tetanus, botulism, gangrene, food poisoning and antibiotic-resistant pseudomembranous colitis?

Clostridium (gram pos rod)

What bacteria if found in early plaque formation?

Cocci: Round spherical-shaped bacteria

What drug is most commonly used in dentistry, in combination with acetaminophen is?

Codeine

NArcan (Naloxone):

Combines with endorphin receptors in the CNS, reversing the effects of opioid drugs

What is type I Examination method?

Comprehensive examination using mouth mirror, explorer, lighting, radiographs, study models, and any other diagnostic test. Not practical for most community programs due to cost -1st because it has it all!

What does the buccinator do?

Compresses the cheek -enlarged with bruxism O- pterygomandibular raphe I- muscles of the lip

Fibro-

Connective tissue

Fibrosarcoma?

Connective tissue Malignant neoplasm

Fibroma?

Connective tissue neoplasm

What is Interexaminer reliability?

Consistent performance BETWEEN DIFFERENT examiners (INCREASED calibration)

What is Intraexaminer reliability?

Consistent performance by the SAME evaluator

Syneresis refers to?

Contraction of a gel due to the loss of a solvent

What does the Cell membrane do?

Controls the passage of materials into and out of the cell

Hydroxyapetite is?

Crystalized calcium phosphate

End-to-End?

Cusp-to-cusp relationship of Posterior teeth.

What vitamin is essential for the absorption of calcium and phosphorus?

D

Each of the following is a sign or symptom of diabetes mellitus EXCEPT one. Which one is the EXCEPTION? a) Ketonemia b) Acetone Breath c) Hyperglycemia d) Decreased appetite

D) Decreased Appetite

Sucrose is the only sugar metabolized into:?

DEXTRANS - which allows the S. mutans to adhere to the tooth and add to the volume of plaque.

Ungrouped score is?

Data is presented in ascending or descending order along with the frequency of each score.

Appointment modifications for Cocaine:

Delay treatment for 24 hours after use Avoid Epinephrine for at least 24 hours after use

Dentin and Pulp arise from the ________?

Dental Papilla Remember: both start with D & P

Factors about Endocarditis?

Dental manipulations can release viridans into the bloodstream where they implant on the endocardial surface of the heart (damaging heart valves)

A radiograph shows an unerupted mandibular third molar with a 3cm pericoronal radiolucency. The most likely diagnosis is:

Dentigerous cyst

Penicillin's mechanism of actions is:

Destroys the bacteria cell wall

Glucose is also know as?

Dextrose

Glucose is also known as?

Dextrose

What is the most common used drug to treat mild allergic reactions?

Diphenhydramine (Benadryl)

Collagenase:

Directly breaks down connective tissue

Protease:

Directly breaks down tissues

What is abandonment?

Dismissal of patient without ample and proper notice (patient)

What is an oral irrigator?

Disrupts adherent plaque and flushes debris and food particles around ortho appliances.

Maxillary first molar oblique ridge runs from?

Distobuccal cusp to mesiolingual cusp

What is a contraindication for Pilocarpine drug?

Do not use these with asthma, ulcers and cardiac disease

What Vitamin can interfere with the function of vitamin K?

E

When Data is plotted using a NORMAL curve, the mean, median, and mode are what?

EQUAL A Normal Curve is also called (Bell or Gaussian)

Enamel derives from _______?

Ectoderm

What is the order of Enamel formation?

Ectoderm/Dental Lamina---- Enamel Organ---- Inner Enamel Epithelium---- Ameloblasts---- Enamel

Dentin and pulp derive from?

Ectomesenchyme

What does Adrenergic drugs do?

Effects mimic the sympathetic nervous system

Intrinsic Stain?

Endogenous- not removable, Causes- pulpal necrosis, internal resorption, excessive systemic fluoride and/or tetracycline use during tooth development.

What is Specific Dynamic Activity (SDA)?

Energy required to digest and absorb food

What does Fusion mean?

Enlarged tooth in which the tooth count revels a missing tooth

What agency monitors the concentration level in community drinking water?

Environmental Protective Agency (EPA)

What is a cyst?

Epithelial lined pathologic cavity

Contributing factors for the development and progression of periodontal disease blood cell dyscrasias which are?

Erythroblastic anemia, cyclic neutropenia, radiation therapy and acute monocytic leukemia can all affect periodontal tissues

Diet Survey?

Evaluate: a) Frequently of intake (MOST important)- worse times are between meals b) consistency of food (physical form) c) amount of sugar added to foods d) total intake Remember lactic acid attack begins within the first min of exposure

Abbreviation Q3H stands for?

Every three hours

What is type III Examination method?

Examination using mouth mirror and lighting ONLY

What is type IV Examination method?

Examination using tongue depressor and lighting ONLY

Hyperemia Definition:

Excess of blood in the vessels in the tissue

Primary occlusal trauma is?

Excessive force on a tooth with normal bone support

Discolored film:

Exhausted fixer or poor replenishment -after time, problem is poor wash

The salivary glands are what?

Exocrine glands (they have ducts) -they moisten the mouth, clean teeth, lubricates, buffer pH

What is a Toothpick holder (perio aid) used for?

Exposed call IV furcation's, Interdental Cleaning, Gingival margins above ortho appliances.

Appointment modifications of Addison's Disease (Primary adrenal insufficiency):

Extra steroids for stressful situations (dental appointments)- MD consult

Chronic Renal Failure:

Failure of the kidney to preform essential functions

Polymerization typically activated by____?

Fiber-optic light a) Light-activated polymerization allows flexible working time. b) Polymerization initiators: benzoyl peroxide or a tertiary amine

_____ are the primary cell in the periodontal ligament?

Fibroblasts

Hairy tongue is characterized by hyperplasia of what papillae?

Filiform

The keratinized papillae of the tongue are?

Filiform

What does it mean when stated Primary nodes?

First node affected by a disease process

Caries= (active ingredient in dentifrices)

Fluoride

What agency sets concentration levels in bottled water?

Food and Drug Agency (FDA)

The ________ is found at the center or point of the sulcus terminalis and is the site of the embryonic origin of the thyroid gland?

Foramen caecum

Abbreviation QID stands for?

Four times a day

Cumulative Score is?

Frequency of occurrence of scores up to and including any given value in the data. ex: how many students made an 80 or above?

What bacterial plays a critical role in biofilm formation and is an anaerobic, gram - rod-shaped bacteria?

Fusobacterium nucleatum (f. nucleatum)

nutrients for subgingival calculus?

GCF and inflammatory exudate

Population Profile means?

Gathering information about the general public

Tetracycline concentrates in _________________ ?

Gingival crevicular fluid

What does Hypertrophy mean?

Gingival enlargement die to an increase in cell SIZE- because you want a big trophy

What does hyperplasia mean?

Gingival enlargement due to an increase in cell NUMBERS

The most common surgical procedure to reduce pocket depths is?

Gingivectomy

Adenoma?

Gland neoplasm

Adenocarcinoma?

Glands Malignant neoplasm

Adeno-

Glandular (glands are epithelial)

Three developmental processes must fuses to create the upper lip. They are?

Globular and the left and right maxillary processes

Sucrose is hydrolyzed into?

Glucose and fructose

use on mesial surfaces of posterior teeth?

Gracey 11/12 and 15/16

used on distal surfaces on posterior teeth?

Gracey 13/14 and 17/18

Dental plaque biofilm associated with severe periodontitis is characterized by?

Gram negative bacteria

Most disease causing organisms are?

Gram negative rod or gram negative pleomorphic

Chronic Obstruction Pulmonary Disease (COPD):

Group of lung diseases that block airflow and make breathing difficult

Grouped score is?

Grouping variables into consecutive intervals. (Grading 91-96, 88-89 etc)

What represents the serum marker for HIV infections?

HIV antibody

Predisposing factors of aphthous ulcers:

HIV infections, nutritional deficiencies (iron, folic acid, vitamin B) smoking cessation, reaction to sodium laurel sulfate

What are the adverse effects of Acetaminophen?

Hepatotoxicity and liver necrosis at high doses/overdose

What is Amelogenesis imperfect?

Hereditary defect of enamel formation -discolored, pitted or grooved teeth

What is schedule I drugs?

High abuse potential, no accepted medical use Ex: heroin and LSD

Overjet?

Horizontal distance between the lingual of the Maxillary anterior incisors and the facial of the mandibular anterior incisors.

Prevotella is Most associated with?

Hormonal (Pregnancy) gingivitis, facial cellulitis, and NUP/NUG

Exposure?

How many exposures to fermentable carbohydrates.

B cells are involved in the ?

Humoral immune response (cell-mediated: using immune system cells)

Most common mechanism of damage (radiation) in humans:

Hydrolysis, free radicals of water

Allergy:

Hypersensitivity response to a drug NOT dose related

Appointment modifications for pregnancy:

1. Nutritional counseling 2. Provide elective care in 2nd trimester 3. Position on left side with pillow to elevate right hip 4. Do NOT give fluoride supplement (fluoride rinses OK) 5. No not use nitrous

What are some Antifungal Medications?

1. Nystatin (mycostatin) 2. Clotrimazole (Mycelex) 3. Fluconazole (Diflucan)

What type of Index fall under Oral Hygiene Indices?

1. OHI-S (Simplified Oral Hygiene Index) 2. PII (Plaque Index) 3. PHP (Patient Hygiene Performance) 4. VMI (Volpe-Manhold Index)

Immunoglobulin Class IgG?

1. ONLY ANTIBODY TO CROSS PLACENTA!!!!******** 2. primary responder to a previously encountered antigen 3. most abundant antibody*

What are some of the Regulatory Compliances (agency's)?

1. Occupational Safety and Health Administration (OSHA) 2. Health Insurance Portability and Accountability Act (HIPPA) 3. Center for Disease Control (CDC) 4. Consolidated Omnibus Budget Reconciliation Act (COBRA)

What is a Primordial cyst?

1. Occur in place of a tooth 2. Unilocular radiolucency

What is recurrent intraoral HSV?

1. Occurs only on bound-down keratinized mucosa (hard palate and attached gingiva) 2. immunocompromised patients 3. vesicles rarely seen

What are some cysts of the oral cavity?

1. Odontogenic cysts 2. Radicular cyst 3. Residual cyst 4. Dentigerous cyst 5. Primordial cyst 6. Odontogenic keratocyst (OKC) 7. Lateral periodontal cyst 8. Non-odontogenic cyst

What is some characteristics of squamous cell carcinoma?

1. Often starts off as leukoplakia 2. Dysplasia (premalignant lesion) and carcinoma in situ 3. Lateral tongue, floor of mouth most common site 4. Metastasizes first to cervical lymph nodes

What is Linolenic fatty acids?

1. Omega-3 (9 letters in linolenic- 3 and 9) 2. Sources include fish, such as mackerel, tuna, and salmon and certain plants oil such as canola, olive and peanut

What are Linoleic fatty acids?

1. Omega-6 (8 letters in linoleic- 8 and 6 are even #) 2. Sources include vegetable oils, such as sunflower and safflower

Half-life:

1. One measure of duration 2. The amount of time necessary for a drug to fall to 1/2 of its original blood level

2 important mechanisms for treating asthma:

1. Open air way (bronchodilator) 2. reduce inflammation (corticosteroid)

Ultrasonic Magnetostrictive?

1. Operates at 18,000 to 45,000 cycles per second (cps) 2. stack of metal strips in insert to convert energy from handpiece to tip. 3. Produces elliptical or orbital strokes. 4. All side of tip are active, most active is the point

Sonic Scaler?

1. Operates at 2,500 to 7,000 cps 2. uses compressed air to create vibrations 3. produces elliptical or orbital strokes 4. All sides of tip are active

Ultrasonic Piezoelectric?

1. Operates at 25,000 to 50,000 cps 2. Uses ceramic rod to produce mechanical vibrations 3. Produces linear strokes 4. lateral sides of tip are most active

Heroin Addictions:

1. Opioid 2. Snorted, smoked, injected 3. Symptoms; drowsiness, decrease respiratory rate, bradycardia, hypothermia 4. Pinpoint pupils 5. Methadone used to treat withdrawal and dependence

Narcan (naloxone):

1. Opioid antagonist that reverses the effects of opioid drugs 2. Used to treat opioid overdose (heroin) 3. Found in dental emergency kits

Nystatin (mycostatin) is a antifuncal medication for what and what is the dosage given?

1. Oral Candidiasis 2. Oral dose is 5ml QID for 2 weeks

Theophylline is used for what and what is the drug interaction?

1. Oral medication used to treat asthma, emphysema and chronic bronchitis 2. Erythromycin can cause toxicity

What is a Papilloma?

1. Oral papilloma, Squamous papilloma 2. Pedunculated (on a stalk) wart-like, soft lesion 3. Caused by human papilloma virus (HPV) 4. HPV also causes cutaneous or skin warts, genital warts, cervical cancer, and is a risk factor for oral cancer

What is Fordyce's granules?

1. Oral sebaceous oil glands 2. Small, bilateral, yellow nodules of buccal mucosa and vermillion after puberty

muscles of facial expression:

1. Orbicularis iris (pucker) 2. Orbicularis oculi (squint) 3. levator labii superioris ( lift upper lip) 4. levator labii superioris aleque nasi (lift upper lip, flare nostrils) 5. Depressor angel oris (pulls down corners of mouth) 6. depressor labii inferioris (pulls down lower lip) 7. mentalis (pout, hyperactivity makes lower lip hard to retract) 8. platysma (neck webbing) 9. buccinator (compress the cheeks for chewing)

Proteins are?

1. Organic compounds made up of amino acids 2. Contain the elements carbon, hydrogen, oxygen, and nitrogen (and sometimes sulfur) 3. Main function is to repair/build tissues/cells* 4. Yield 4 kilocalories/gram

What are Vitamins?

1. Organic nutrients needed by the body in small quantities 2. Fat-soluble vitamins 3. Water-soluble vitamins

What does the extrinsic muscles do for the tongue?

1. Originate elsewhere and insert into the tongue 2. Control the position of the tongue 3. Hyoglossus, styloglossus, and genioglossus 4. Palatoglossus (innervated by X, XI)

Material selection dependent upon strength and dimensional accuracy desired. What are some of the models and what is the material used for each?

1. Orthodontic models: plaster (easy to polish) 2. Study models/working models: stone (more accurate and wear resistant) 3. Crown and bridge die or model: improved stone or Diestone.

What is Summative?

1. Outcome evaluation; measures impact of program/teaching

What is a Nasopalatine duct syst (Incisive canal cyst)?

1. Oval Radiolucency od midline anterior maxilla 2. May appear "heart-shaped" due to anterior nasal spine

Emphysema (Pink Puffers):

1. Over inflation of alveoli/air sacs which impairs airflow out of the lungs 2. Increase respiratory rate (puffers) but good oxygenation (Pink) 3. Dry cough

What type of Index's fall under Periodontal Indices?

1. PDI (Periodontal Disease Index) 2. PI (Periodontal Index) 3. PSR (Periodontal Screening and Recording) 4. CPITN (Community Periodontal Index of Treatment Needs)

What are Tuberculosis (TB) skin tests:

1. PPD (Purified Protein Derivative) 2. Mantoux Skin Test 3. TB skin test 4. Tuberculin Skin Test (All same test different term)

What is a traumatic ulcers?

1. Painful ulcers at site of trauma

Aphthous ulcers (canker sores) characteristics:

1. Painful yellow/white ulcers surrounded by an erythematous halo, usually caused by stress 2. treat: steroids, topical anesthetics

What is a Aphthous ulceration?

1. Painful, recurring, well-circumscribed ulcer with red halo 2. Only on movable mucosa 3. Stress is the most commonly reported cause 4. Decrease incidence in smokers

What are some Bone lesions?

1. Palatal Torus 2. Mandibular tori 3. Condensing osteitis 4. Periapical Cemental dysplasia (Periapical cement-osseous dysplasia, False cementoma) 5. Florid Cemento-osseous dysplasia 6. Pagets Diseases (Osteitis deformans)

What is Papillary Hyperplasia of the palate (pseudopapillomatosis)?

1. Papillary lesion under maxillary denture especially if denture is never removed 2. cobblestone appearance

What are the lymph node groups?

1. Parotid Nodes 2. Buccal Nodes 3. Occipital Nodes 4. Superficial cervical Nodes 5. Anterior cervical Nodes 6. Submental Nodes 7. Submandibular Nodes 8. Deep cervical Nodes (superior and inferior)

What is Erosion?

1. Pathologic loss of tooth structure due to a chemical process 2. Chronic vomiting, bulimia, acidic foods

What is Abfraction?

1. Pathologic loss of tooth structure from flexure during mastication 2. Wedge shaped defects to the cervical area

ASA II Classifications:

1. Patient with mild systemic diseases, may or may not need dental management modifications 2. Examples of conditions: Wellcontrolled NIDDM, Asthma, Epilepsy, Stage I hypertension, healthy pregnancy

What are the contraindications for Ibuprofen?

1. Patients with gastric ulcers 2. Can decrease the effect of many drugs like ACE inhibitors, aspirin, beta blockers, steroids, loop diuretics, and LITHIUM

What are the Nutritional Deficiency's and Diseases of Niacin (B3) Vitamin?

1. Pellagra, (4 D's- Dementia, Diarrhea, Dermatitis, and Death)

Supragingival plaque:

1. Pellicle formation is derived from salivary glycoproteins 2. This pellicle is a sticky matrix that allows for bacterial attachment to the tooth 3. Attachment begins mostly with gram + cocci 4. As plaque matures more facultative anaerobic bacteria are present

What are some examples of Penicillin?

1. Penicillin VK and Penicillin G (VK is preferred) 2. Amoxicillin, Ampicillin 3. Augmentin (Amoxicillin and Clavulanic acid)

What does it mean when it states "through the eyes of the TARGET POPULATION"?

1. Perceived needs or wants (what they want not need) 2. Opinion 3. Subjective Ex: The study participants want whitening versus restorative procedures

What are the six constructs of the HBM ( Health Belief Model)?

1. Perceived susceptibility to disease 2. Perceived severity of disease 3. Perceived benefits on new behavior 4. Perceived barriers 5. Cue to action-make a change 6. Self-efficacy- believe they can change?

Smokers are at an increased risk of developing _________, due to ___________, but are NOT at an increased risk of developing ________.

1. Periodontal disease 2. Vasoconstriction 3. Caries

Mentally Challenged:

1. Periodontal disease and caries, especially if institutionalized 2. Bruxing, mouth breathing, tongue thrusting

What are the tissues of the periodontium?

1. Periodontal ligament 2. Gingiva 3. Cementum 4. Alveolar bone

Macrophages (monocytes) have 3 main functions?

1. Phagocytosis 2. Antigen transportation and presentation of Tcells 3. Cytokine production

What are some protein deficiency and diseases?

1. Phenylketonuria (PKU) 2. Protein-energy (calorie) Malnutrition (PCM) a) Marasmus b) Kwashiorkor

What are some drugs that cause Gingival Enlargement?

1. Phenytoin (Dilantin)- Anticonvulsant 50% have hyperplasia 2. Nifedipine (Procardiac) Antihypertensive calcium channel blocker 3. Cyclosporin- immunosuppressive drug 30% have hyperplasia

What are some pigmented lesions?

1. Physiologic pigmentation- melanin pigment 2. Melanotic macule (oral focal membrane, oral freckle) 3. Amalgam Tattoo (focal argyrosis) 4. Fordyce's granules 5. Addison's disease 6. Cushing's syndrome

What is internal resorption?

1. Pink tooth of Mummery 2. May occur after tooth trauma 3. If in pulp chamber tooth may look pink 4. Treatment: endodontic therapy before perforation into periodontal membrane

The Enteral drug route is?

1. Placed directly into the GI tract 2. Oral route 3. Rectal route

Starch?

1. Plant storage form of glucose (amylase and amylopectin) 2. Nutritionally most important carbohydrate* 3. Stores energy 4. Digestible/breaks down at a slow rate

It is the combination of _______and _______ that lead to Dental Caries?

1. Plaque 2. Acid

Causes/ local etiology of gingivitis are?

1. Plaque 2. Calculus 3. Irritating restorations: poorly fitted crowns, overhang 4. Food impaction: open contacts

Gingival diseases are induced by plaque and non plague what are the differences between the two?

1. Plaque induced- dental plaque (bacteria) only can modified by systemic factors, nutrition and medications 2. Non-plaque induced- viruses, fungus, genetic or systemic conditions. May also result from trauma, foreign body reactions, or open contacts

What instruments do you use when scaling implants?

1. Plastic 2. Nylon 3. Graphite or gold-tipped

What are the 3 P's of Diabetes?

1. PolyUREA= Much urination 2. PolyDipsea= Much thirst 3. PolyPHAGIA= Much eating

List the four Non-aqueous (water-insoluble or hydrophobic) Elastomers?

1. Polysulfide rubber 2. Polyether rubber 3. Silicone rubber 4. Vinylpolysiloxane

Rectal route of administration:

1. Poor patient acceptance 2. Suppositories, creams, enema 3. Used if patient is vomiting or unconscious 4. poor and irregular absorption rectally

What are the sources of Thiamine (B1) Vitamin?

1. Pork, enriched whole grains, fortified foods-milk, legumes, nuts, and peas

What are the Bacteria species associated with disease?

1. Porphyromonas gingivalis (P. gingivalis) 2. Fusobacterium nucleatum (F. nucleatum) 3. Campylobacter rectus (C. rectus) 4. Prevotella intermedia (P. intermedia) 5. Aggregatibacter actinomycetemcomiytans (A. actinomycetemcomiytans )

Appointment modification for Sickle cell Anemia:

1. Possible antibiotic premedication to prevent infection 2. Stress reduction protocol

What is the active ingredients in desensitizing toothpaste?

1. Potassium nitrate, sodium citrate, or strontium chloride

Contributing factors for the development and progression of periodontal disease Hormonal effects:

1. Pregnancy gingivitis (prevotella intermedia and Camphylobacter rectus) 2. MEdications, puberty, menstruation, and menopause affect periodontal tissues

Examples of Estrogen:

1. Premarin (conjugated estrogen) 2. Estraderm (Estradiol Transdermal)

Clinical uses for chlorhexidine gluconate (CHX)?

1. Preprocedural rinse 2. Decrease supragingival bacterial plaque formation inhibit development of gingivitis 3. Short-term adjunctive therapy following surgical treatment 4. Implants 5. Patient with high risk for caries 6. high risk pts.- supress Strep. mutans

What is the qualities of an informed consent?

1. Presented in understandable languages 2. Nature and need of procedure 3. Benefits/risks of procedure 4. Prognosis 5. Alternatives to procedure 6. Patient is allowed to ask questions

What are the vitamin A Functions?

1. Prevent night blindness 2. Maintain bone health and immune function

Coumadin (Warfarin) does what?

1. Prevents the formation of the active form of Vitamin K 2. Aspirin increases the bleeding of patients taking Coumadin 3. Antibiotics may increase the effects of Coumadin

Occlusal Trauma has two type what are they?

1. Primary Occlusal Trauma 2. Secondary Occlusal Trauma

Non-plaque induced gingival diseases, examples include:

1. Primary herpes 2. Recurrent herpes (cold sores, fever blister) 3. Aphthous ulcers (canker sores)

T Helper Cells

1. Produce cytokines that stimulate macrophages, NK cells, dendritic cells, and other t cells 2. turn B-Cells on so they can make antibodies (Ig__)-Which circulate and bind to antigens 3. move to site of infection, trauma, inflammation -CD4-T cell

The Sublingual gland:

1. Produces 10% of total saliva 2. Ducts of Rivinus (8-20) empty under the tongue, Open at the sunlingual fold (bartholins duct) 3. Mixed secretion (mostly mucous) 4. Located in floor of mouth near midline 5. Parasympathetic innervation by cranial nerve VII

The Parotid gland:

1. Produces 25% of total saliva 2. Stenson's duct empties opposite the maxillary molars 3. Serous secretion only (contains amylase to break down starches) 4. Located in front of and below the ears 5. Parasympathetic innervation by cranial nerve IX

The submandibular gland:

1. Produces 65% of total saliva 2. Whartons duct empties under the tongue 3. Mixed secretion (mostly serous) 4. Located near the angle/body of the mandible (staphne's defect) 5. Parasympathetic innervation by cranial nerve VII

Alzheimer's Disease:

1. Progressive irreversible brain disorder, characterized by behavioral change, cognitive disturbances and confusion 2. Brain composition changes: Amyloid plaques, neurofibrillary tangles, loss of cortical neurons

Muscular Dystrophy:

1. Progressive, chronic disease causing muscle atrophy (degeneration of tissue) 2. Onset usually 20-40 3. Mouth breathing

Vasoconstrictors in local anesthetic solutions do what?

1. Prolong and increase the depth of anesthesia 2. Delay absorption, decrease toxicity 3. Decrease hemorrhage

Appointment modifications for Muscular Dystrophy?

1. Protect airway 2. Powered oral hygiene devices

Appointment modifications for Bell's Palsy:

1. Protect eye 2. Emphasize home care on affected side

Tooth most likely to exhibit lingual caries?

Maxillary lateral incisors

Tooth most often affected by microdontia?

Maxillary lateral incisors

Crossbite?

Maxillary teeth are positioned lingual to or totally facial to mandibular teeth.

Efficacy:

Maximum response of a drug, REGARDLESS OF THE DOSE

In a panoramic radiographic image, the hyoid bone may be superimposed:

May be projected on either (upon the mandibular bone or below the mandibular bone)

Good Example of complete protein include:

Meat, Eggs and cheese

Class 1 occlusion

Mesognathic -Molar Relationship= Mesiobuccal cusp of the Maxillary first molar is positioned in the buccal groove of the Mandibular first molar. -Canine Relationship= Maxillary canine occludes with the Distal half of the Mandibular canine and the Mesial half of the first premolar.

Midline Shift (deviation)?

Midline of Maxillary central incisors does NOT align with midline of Mandibular central incisors

Calculus?

Mineralized plaque; provides an irritant for the gingiva

Spinal injury C-5 functional level is?

Minimal functioning, partial shoulder/biceps (Need help)

What is schedule III drugs?

Moderate abuse potential, may phone in, 5 Rx in 6 months Ex: Tylenol #3 (combination of acetaminophen and codeine)

Candida Albicans is the?

Most common fungus encountered in the dental setting. -a component of normal oral flora- also in digestive, respiratory, and urogenital tracts.

Film Speed:

Most effective method of protection -each group is 2x faster than previous and requires 1/2 as much radiation

A Short scale of contrast means?

Mostly blacks and whites (high visual contrast) results from less kVp and Aluminum (less steps)

What is a characteristic of the progression of periodontal disease?

Motile organisms

Motivation?

Motivate the patient by: a) Involving him/her in the decision making process b) allowing him/her to choose what should be eliminated from the diet c) Allowing him/her to be accountable for changing own behavior

________ is the most contraindication when patient is taking Lithium?

Motrin

Margination Definition:

Movement of WBCs to the periphery of vessel walls

Aluminum Filtration?

Must have at least 1.5mm of total aluminum filtration for up to and including 70 kVp. Requires 2.5mm above 70 kVp

Lithium has a drug interaction with _______________?

NSAIDs

What do you use to assess a furcation?

Nabers Probe (always evaluate furcation BEFORE recommending oral physiotherapy aids)

The FIRST step in planning a program is to conduct a What?

Needs assessment

Spinal Injury C-4 Functional level is?

Needs ventilation (Need help)

causative organism for meningitis and gonorrhea

Neisseria (gram neg cocci)

Neuro-

Nerve

Neurosarcoma?

Nerve Malignant neoplasm

Neuroma?

Nerve neoplasm

What is the drug of choice for Angina pectoris/ Chest pain?

Nitroglycerin

The Statute of Limitations for dental lawsuits is? (time)

No definitive time

Primary (essential) hypertension:

No identifiable cause, develops over years

What does Anadontia mean?

No teeth

When can you terminate a patient?

Non-compliant and failure to pay (practitioner)

What is the hyoid bone?

Nonarticulated horseshoe shaped bone in the midline; inferior to the mandible

Acetaminophen:

Nonopiod, Brand name Tylenol

Ibuprofen:

Nonopiod, NSAID, brand name= Motrin, Advil

Aspirin:

Nonopioid, Mechanism of action is the inhibition of prostaglandin synthesis

Quantity of the beam:

Number of X-rays (controlled by mA)

The Temporalis Origin (O), Insertion (I) movable part, and Function (F) includes?

O= Temporal fossa (temple) I= coronoid process (and the mandible posterior to third molars) F= retract and elevate the mandible

The Masseter Origin (O), Insertion (I) movable part, and Function (F) includes?

O= Zygomatic arch (cheekbone) I= outer surface of the mandible (and angle of the mandible) F= elevate the mandible

The Lateral Pterygoid Origin (O), Insertion (I) movable part, and Function (F) includes?

O= lateral surface of the lateral pterygoid plate (sphenoid bone) and infratemporal surface of the sphenoid bone I= TMJ disc and neck of the mandible condyle F= protrude and/or depress the mandible, and allow side to side (lateral) shift of the mandible

The Medial Pterygoid Origin (O), Insertion (I) movable part, and Function (F) includes?

O= medial surface of the lateral pterygoid plate (sphenoid bone) and maxillary tuberosity I= inner surface of the angle of the mandible F= elevate and protrude the mandible

The Trapezius Origin (O), Insertion (I) movable part, and Function (F) includes?

O= occipital and vertebral bones I= scapula (shoulder blade) and clavicle (collarbone) F= rotate and elevate the shoulder (innervation= accessory nerve, XI)

The Sternocleidomastoid Origin (O), Insertion (I) movable part, and Function (F) includes?

O= sternum (breastbone) and clavicle (collarbone) I= mastoid process of the temporal bone F=tilts and rotates the head (innervation= accessory nerve, XI)

How often does the HIPPA form need to be signed?

ONE TIME... UNLESS... Changes are made (patient wishes to add or remove and individual for previous form) or the government makes changes to the HIPPA form

Suprabony pocket formation is?

Occur ABOVE (coronal to) the alveolar crest bone

Toxic effect:

Occurs when the desired effect is excessive (also dose related- too much)

A patient's earring may appear:

On the contralateral posterior side of the image

What is an Interdental brushes used for?

Open embrasures, Exposed class IV furcation's, Orthodontic appliances, fixed prostheses, and implants

The lateral pterygoid does what for the mouth?

Opens the mouth (with the hyoid muscle)

What is an Expressed contract?

Oral or written agreement

Frequency of films:

Ordered on an individual basis after a historical and clinical examination of the patient

associated with perio disease and connective tissue destruction through production of collagenase (destroys PDL)?

P. gingivalis (gram neg rods)

What does the Golgi Bodies do?

Packages cellular protein product for secretion

What does Analgesic mean?

Pain medication, Pain reliever

Cranial nerve XII (hypoglossal) provides motor innervation to all the muscles of the tongue except?

Palatoglossus

The specialized mucosa refers to the ?

Papillae of the tongue

The flow of saliva is stimulated by the ___________ ?

Parasympathetic nervous system

Microleakage (percolation) refers to?

Passage of oral fluid/bacteria into and out of tooth structure due to marginal gap or failure of marginal (restorative) seal

Porphyromonas gingivalis are?

Pathogenis bacillus bacteria that are prevalent in many chronic periodontal diseases

What is Abrasion?

Pathologic loss of tooth structure from a mechanical process

Quality of the beam:

Penetrating nature/power (controlled by kvp)

What drug it the most common antibiotic likely to produce an anaphylactic allergic reaction?

Penicillin

What is the most common antibiotic prescribed in dentistry?

Penicillin

S. mutans is NOT associated with what?

Periodontal disease

Spinal injury C-7 functional level is?

Personal self-care wit devices, shoulder/biceps/wrist/partial hand

Spinal injury C8-T1 functional level is?

Personal self-care, wheel chair transfer

Aspartame should NOT be consumed by individuals with?

Phenylketonuria

What is Attrition?

Physiologic loss of tooth structure from tooth to tooth contact

What are some examples of Cholinergic drugs?

Pilocarpine

What is the major etiology factor (cause) in the initiation and progression of inflammatory periodontal diseases?

Plaque

Antibodies are from?

Plasma cells (B cells)

Tufted floss can be used under what?

Pontics of bridges or orthodontic appliances

What bacteria is the most common/most important periodontal pathogen and is an anaerobic, gram - rod shaped bacteria?

Porphyromonas gingivalis (p. gingivalis)

Tooth with tendency to have divergent roots?

Maxillary first molar

Most often missed mesial coronal and root concavity is?

Maxillary first premolar

During Children's Dental Health Month, four hygienists volunteered to go into two elementary schools in Lewiston, Idaho and provide toothbrushes for all of the first grade students. At the first school the hygienists demonstrated correct tooth brushing techniques to the first grade teachers and students. Students were encouraged to brush their teeth daily after lunch. At the second school, tooth brushes were provided but no tooth brushing instructions was given. At the end of two weeks, a plaque index was taken on all of the first graders at both school. What is the independent Variable? What is the dependent variable?

1. Tooth brushing 2. Plaque index

Factors that affect the prognosis after treatment is:

1. Tooth mobility 2. Endodontic status (deep restorations, deep caries) 3. Characteristics of the periodontal defect a) depth of pockets, width of defect b) the more bony walls present, the BETTER the prognosis c) A 3-wall defect has a better prognosis than 1-wall defect

Stage IV Perio- advanced lesion:

1. Transition from gingivitis to periodontitis 2. Irreversible 3. Junctional epithelium detaches from root surface and migrates apically 4. Osteoclasts and bone loss

What are the 6 fiber groups?

1. Transseptal tibers 2. Alveolar crest fibers 3. Oblique fibers 4. Horizontal fibers 5. Apical Fibers 6. Interradicular fibers

What are the two Ulcerative lesions?

1. Traumatic ulcer 2. Aphthous ulcer

What is Carbamazepine (Tegretol) use for?

1. Treat partial seizures 2. May also be used in dentistry to treat trigeminal neuralgia*

Appointment modifications for Chronic Obstruction Pulmonary Disease (COPD):

1. Treat patient sitting up 2. May need O2 3. Do NOT use: nitrous, air polish, ultrasonic scaler, rubber dam 4. Increase risk oral cancer if long-term smoking history

Appointment modifications for Congenital heart failure:

1. Treat sitting up or semi-recline (pulmonary edema) 2. Do NOT use air polisher or ultrasonic scaler 3. Do NOT treat if uncontrolled

What is secondary services?

1. Treating or controlling a disease or condition after it occurs Ex: periodontal therapy

What does Antiviral medications do?

1. Treatment of herpes 2. Treatment of HIV/AIDS

Prolonged exposure to Nitrous Oxide/ Oxygen sedation may lead to what?

1. Tremors and other neurological symptoms 2. Spontaneous abortion/miscarriage 3. Numbness and tingling in the extremities

What bacteria is associated with NUG/NUP?

1. Treponema denticola (t. denticola) 2. Prevotella intermedia (p. intermedia) 3. Porphyromonas gingivalis (p. gingivalis) 4. Fusobacterium

What is the active ingredient in gum care toothpastes?

1. Triclosan (antimicrobial agent)

Hyoid Muscles innervate through what cranial nerves?

1. Trigeminal Nerve (V) H-Y-O-I-D (5 letters 5th cranial nerve) 2. Facial Nerve (VII) M-U-S-C-L-E-S (7 letters 7th cranial nerve)

What does it mean when it states "through the eyes of the PLANNER"?

1. True needs based on health issues 2. Objective

What are the four types of examination methods?

1. Type I- complete 2. Type II- limited 3. Type III**- mirror and light 4. Type IV**-tongue depressor and light

What are the 4 types of hypersensitivity reactions?

1. Type I-- Anaphylactic (immediate) 2. Type II-- Cytotoxic 3. Type III-- Immune Complex 4. Type IV-- Delayed

Classifications of viruses is based on:

1. Type and structure of viral nucleic acid (RNA or DNA- NEVER BOTH)*****

Undesirable features of Amalgam is?

1. Unattractive 2. High thermal conductivity 3. Dimensionally unstable (creep) 4. Delayed expansion if contaminated by saliva 5. Requires tooth support 6. Fracturable by excessive occlusion 7. Susceptible to galvanism when new

What are the stages of Learning? The learning ladder!

1. Unawareness 2. Awareness- knows but lacks meaning 3. Self-interest 4. Involvement 5. Action 6. Habit (TIP: Ugly, Apes, Sit, In, A, Hut!)

What are the qualities of irreversible Hydrocolloid (alginate)?

1. Undergoes a chemical reaction 2. Not temperature dependent, but setting can be delayed by cold water or accelerated by warm water 3. popular choice for study models 4. susceptible to imbibition and syneresis (expanding and shrinking)

Bell's Palsy:

1. Unilateral facial paralysis (7th cranial nerve) 2. Etiology: Viral, pregnancy, idiopathic 3. Face "droops" smile is one sided, eyes resist closing, drooling 4. Usually temporary

What is a Globulomaxillary cyst?

1. Unilocular radiolucency 2. Between maxillary lateral incisors and canine

Appointment modifications for depression:

1. Use positive reinforcement and compassion 2. Avoid guilt techniques 3. Encourage a regular exercise program 4. If taking tricyclic antidepressants, avoid vasoconstrictors

Periodontal dressings:

1. Used for comfort, protection, and to maintain tissue contour 2. rarely used 3. periodontal dressing containing eugenol are irritating to tissues 4. White patches 5. Periodontal dressings do NOT prevent build up

Methadone:

1. Used in the treatment of narcotic dependence and withdraw 2. Taken once daily, it suppresses the need for narcotics for 24-36 hours

Cements are and includes?

1. Used to affix a restoration to tooth structure, or as a base. a) Zinc Phosphate b) Polycarboxylate c) Glass ionomer d) Resin e) Hybrid f) Zinc-oxide/eugenol

Casting Alloys qualities and uses?

1. Used to fabricate inlays, onlays, crowns and bridges 2. Properties determined by components

Bases are and includes?

1. Used to provide thermal insulation or mechanical protection for the dental pulp 2. Includes: all cements, because cements are poor thermal conductors, and have adequate compressive strength. Types of bases include: Zinc Phosphate, Zinc (IRM) and Glass ionomer.

What type of nerves are the 12 Cranial Nerves? (Sensory, Motor or Both? List all 12 and their Type?

I - Sensory (Sense of smell) II - Sensory (Sense of sight) III - Motor (Eye Muscles, Pupil, Lens) IV - Motor (Eye Muscles) V - Both (Ophthalmic, Maxillary, & Mandibular divisions) VI - Motor (eye muscles) VII - Both (Muscle of facial expression, Taste (anterior 2/3 of tongue) Sublingual and Submandibular salivary glands) VIII - Sensory (Sense of balance and hearing aka (Auriculotemporal) IX - Both (posterior 1/3 of tongue, parotid gland) X - Both (smooth muscles and gland of the body, cardiac muscle) XI - Motor (Trapezius, Sternocleidomastoid, pharynx, and larynx) XII- Motor (Muscle of the tongue (EXCEPT palatoglossus, X, XI)

What are the signs of infection?

I- Increased pulse and respiration N- Nodes are enlarged F- Function is impaired E- Erythema, edema, exudate C- Complaints of discomfort or pain T- Temperature (systemic, local or both)

What antibody is the ONLY antibody to cross the placenta barrier?

IgG

Anti-HBsAg=

Immune (took vaccine or previous infection)

Edge-to-Edge?

Incisal edge to inciasal edge of the Maxillary anterior to Mandibular anterior teeth

The nasopalatine nerve passes through the incisive foramen under the ?

Incisive papilla

What is fibrotic gingival surface tissue texture?

Increase in cellular and fibrous components, may present with PALLOR, firm

What does Metformin Do?

Increases the body's sensitivity to insulin

Cardiac glycosides do what?

Increases the force and strength of heart contraction (positive inotropic effect)

Fetal pressure on what structure can cause orthostatic hypotension?

Inferior Vena Cava

Bacteriostatic means?

Inhibit the growth or multiplication of bacteria

During an emergency, which route of drug administration will result in the fastest onset of a drug action?

Intravenous Dose (IV)

What is the mechanism of action for Ibuprofen?

Is inhibition of prostaglandin synthesis (similar to aspirin)

Nystatin and Clotrimazole is used for what?

It is used TOPICALLY to treat oral candidiasis

10% of patients that are allergic to penicillin are also allergic to?

Keflex (cross-Allergenicity)

Bactericidal means?

Kills bacteria

Abbreviation SIG stands for?

Label, or instructions for use

Many other sugars such as glucose, fructose, lactose can be digested by S. mutans but the end product is?

Lactic Acid (not dextrans)

The muscle of mastication most responsible for protrusion of the jaw are?

Lateral Pterygoids

What is the most common location for AIDS-related "oral hairy leukoplakia"?

Lateral border of the tongue

Long vs Short cone:

Less volume of tissue is irradiated if long cone is used

What is the most common Amide used?

Lidocaine (2% lidocaine with Epinephrine 1:100,000)

What is type II Examination method?

Limited examination including mouth mirror, explorer, light, and limited radiographs; access to radiology equipment limits use in community programs

What is the blood supply to the tongue?

Lingual artery

Essential oil moutrinses

Listerine* -burning sensation is common -slight extrinsic stain -not for recovering alcoholics

Any type of study that is conducted over a long period of time is classified as a ?

Longitudinal Study

What is schedule IV drugs?

Lower abuse potential, may phone in, five Rx in six months Ex: Valium (diazepam) and Darvon

The most common location for a mucocele is the?

Lower lip

What is schedule V drugs?

Lowest abuse potential, some may be available OTC Ex: Codeine-containing cough medications (not OTC)

Define Macrominerals?

Major minerals present in the amount greater than 5 grams in the body

Remnants of HERS is known as?

Malassez

Leukemia?

Malignancy of leukocytes (White Blood Cells)

Lymphoma?

Malignancy of lymph tissues or nodes

Melanoma is?

Malignancy of melanocytes

Multiple Myeloma?

Malignancy of plasma cells a) Bone pain b) "punched out" Radiolucencies c) Bence-Jones proteins*-immunoglobulins in urine

Cuspid with occasionally bifurcated root (facial- lingual)?

Mandibular

What is the innervation of the muscles of mastication?

Mandibular Division of the Trigeminal Nerve (V3)

Tooth most likely to have a root with two canals?

Mandibular first molar (mesial root)

Non-functional lingual cusp?

Mandibular first premolar

Premolar which commonly has three cusp?

Mandibular second

A Long scale of contrast means?

Many shades of gray (low visual contrast) Results from more kVp and Aluminum (more steps)

Tooth with the longest root?

Maxillary Canine

What is the muscle of mastication blood supply?

Maxillary artery (branch of the external carotid artery)

Premolar most often having two roots?

Maxillary first