Case B: Zack Ware

Which of the following would be the best recommendation for oral self-care for this patient? A. Power toothbrush B. Oral irrigation device C. Floss threader D. Sulcus brush E. Wooden wedge

A. Power toothbrush

Each of the following should be recommended for this patient EXCEPT one. Which one is the EXCEPTION? A. Sealants B. Fluoride varnish C. Enamel microabrasion D. Oral irrigation E. Dietary counseling

C. Enamel microabrasion

What is the most likely assessment of the white spots observed on the anterior teeth? A. Caries B. Remineralization C. Abrasion D. Fluorosis E. Wear facets

D. Fluorosis

For each finding visible on the radiographs, select the best option for the most likely interpretation. Description of radiographic finding ____1. Wide radiopacity superior to maxillary central incisors ____ 2. Radiolucency encircling the mandibular left third molar ____ 3. Small radiopaque object near the occlusal edge of the mandibular right first molar ____ 4. Radiopaque circle-shaped object near the external auditory meatus ____ 5. Faint radiopaque object superior to the mandibular left second premolar Most Likely Interpretation A. Dental sac B. Exfoliating primary molar C. Region of no radiation exposure D. Amalgam restoration E. Cephalostat ear rod

1. C. Region of no radiation exposure 2. A. Dental sac 3. D. Amalgam restoration 4. E. Cephalostat ear rod 5. B. Exfoliating primary molar

What is Angle's classification of malocclusion for this patient? A. Class I B. Class II, Division 1 C. Class II, Division 2 D. Class III

A. Class I

Which of the following is the most likely explanation for the appearance of the maxillary facial gingiva before orthodontic intervention? A. Erupting teeth B. Subgingival calculus C. Spit tobacco use D. Mouth breathing E. Carbohydrate drinks

A. Erupting teeth

All of this patient's permanent teeth are developing normally. This patient's arch space is adequate for the eruption of the permanent teeth. A. The first statement is true, the second statement is false. B. The first statement is false, the second statement is true. C. Both statements are true. D. Both statements are false.

A. The first statement is true, the second statement is false.

Each of the following will help obtain an accurate medical history and deal appropriately with conditions and concerns regarding this patient EXCEPT one. Which one is the EXCEPTION? A. This patient can give informed consent to undergo treatment. B. This patient's parent should be encouraged to complete his health history with her son and not for him. C. The dental hygienist should explain oral health findings and the care plan to both the patient and his parent. D. The dental hygienist should provide an opportunity for the patient to contribute to the health history alone, away from his parent. E. The health history of the adolescent patient is constantly changing and should be updated regularly.

A. This patient can give informed consent to undergo treatment.

It is highly likely that this patient will consume another sports drink immediately upon leaving the office following his fluoride treatment. Anticipating this, which of the following professionally applied fluoride treatments would be recommended? A. 2% NaF gel B. 5% NaF varnish C. 1.23% APF foam D. 1.23% APF aqueous solution E. 8% SnF aqueous solution

B. 5% NaF varnish

The radiopaque object visible at the patient's nasion on the cephalometric radiograph is used to align the A. Midsaggital plane B. Frankfort plane C. Occlusal plane D. Vertical planeE. Mandibular plane

B. Frankfort plane

The cephalometric radiograph was exposed on this patient to assess which one of the following? A. Periodontal status B. Growth and development C. Presence of caries D. Sinus cavity congestion E. Detection of precancerous lesions

B. Growth and development

Which of the following terms best describes this patient's facial profile? A. Mesognathic B. Retrognathic C. Prognathic D. Orthognathic

B. Retrognathic

Which of the following terms best describes the appearance of the maxillary facial gingiva before orthodontic intervention? A. Knifelike B. Rolled C. Cratered D. Clefting E. Blunted

B. Rolled

This patient is too young to get addicted to tobacco use. Adolescents may experiment with tobacco because of insecurity, rebelliousness, and identification with role models. A. The first statement is true, the second statement is false. B. The first statement is false, the second statement is true. C. Both statements are true. D. Both statements are false.

B. The first statement is false, the second statement is true.

Which of the following extrinsic stain removal polishing methods is indicated for this patient? A. Rubber cup B. Manual toothbrush C. Air-powder abrasive D. Porte polisher

C. Air-powder abrasive

The dental hygienist has a responsibility to report this patient's tobacco use to his mother. Reporting his tobacco use is a form of paternalism. A. The first statement is true, the second statement is false. B. The first statement is false, the second statement is true C. Both statements are true. D. Both statements are false

C. Both statements are true.

The primary mandibular left second molar will most likely be the next tooth exfoliated. The mandibular left second premolar will erupt into this position. A. The first statement is true, the second statement is false. B. The first statement is false, the second statement is true. C. Both statements are true. D. Both statements are false.

C. Both statements are true.

Each of these statements is accurate and can be used to assist this patient in making his decision to use spit tobacco EXCEPT one. Which one is the EXCEPTION? A. Highly addictive B. Contains nicotine C. Helps athletic performance D. Not a safe alternative to cigarettes E. Contributes to oral diseases

C. Helps athletic performance

Which of the following paired actions will most likely result in an increase in successful oral health education for this patient? A. Consult his mother to complete a dental history and determine her role in his oral home self-care. B. Assess the patient's oral conditions and document oral problems to show him a visual progression of his developing oral conditions. C. Investigate his personal interests to determine what motivates him and present him with a new oral hygiene aid. D. Determine his current self-care regimen and suggest he increase the time spent performing self-care techniques

C. Investigate his personal interests to determine what motivates him and present him with a new oral hygiene aid.

Which of the following criteria for an acceptable cast applies to this patient's finished casts? A. Mean occlusal planes are parallel to the bases. B. Posterior borders are at right angles to the bases. C. If stood on the posterior base, the casts would rest together naturally. D. Anterior border of the mandibular cast is cut arc-shaped. E. Proportions are two-thirds anatomic and one-third art

D. Anterior border of the mandibular cast is cut arc-shaped.

Which of the following is the most likely reason for the widened appearance of the pulp chambers of the mandibular canines visible on the panoramic radiograph? A. Internal resorption B. External resorption C. Cervical burnout D. Incomplete root formation E. Nocturnal bruxism

D. Incomplete root formation

Which of the following would be the most likely explanation for the nocturnal brux-ism reported by his mother? A. Stress of being teased by peers B. Uneven incisal edges of the anterior teeth C. Chewing bubble gum D. Occlusal interferences E. Retained primary teeth

D. Occlusal interferences

A mouthguard made of hard plastic thermoset resin is indicated for this patient because skateboarding increases his risk of oral injury. A. Both the statement and reason are correct and related. B. Both the statement and reason are correct but not related. C. The statement is correct but the reason is not. D. The statement is not correct but the reason is correct. E. Neither the statement nor reason is correct.

D. The statement is not correct but the reason is correct.

The radiopacities on the permanent mandibular first molars, visible on the panoramic radiograph, are most likely A. Carious lesions B. Enamel pearls C. Processor artifacts D. Orthodontic brackets E. Amalgam restorations

E. Amalgam restorations

Which of the following characteristics of development is relevant to this patient's age group and managing his preventive oral health self-care instruction? A. Incomplete development of a sense of logic will limit an explanation of the disease process. B. Continued dependence on his mother will necessitate parental influence to achieve optimal oral health self-care. C. A heightened sense of imagination may increase anxiety related to his lack of adequate self-care behaviors. D. Orientation to future possibilities will enhance acceptance of preventive regimens discussed today. E. An overriding sense of invincibility will promote a lack of concern for developing good oral health care habits now.

E. An overriding sense of invincibility will promote a lack of concern for developing good oral health care habits now.