DH Education & Prevention Chapter 35 Quiz

Delayed wound healing can be caused by what vitamin and mineral deficiency?

Riboflavin, zinc, vitamin A, and vitamin C

Which statement gives the best example of how to elicit information from the patient?

Tell me what was the first thing you ate today

Severe deficiencies are rare in developed countries. Nutritional deficiencies cause periodontal disease.

The first statement is true and the second statement is false.

Clinical evaluation includes identification of abnormalities in any of the following except _________.

Voice

Which sugar substitute can promote remineralization?

Xylitol

All of the following are possible barriers to successful counseling except:

agreeable to change

The purpose of a dietary assessment includes all of the following except:

analyze the diet to prevent obesity.

Dietary counseling should take place:

apart from the clinical treatment room.

In analyzing a food diary, firm and fibrous foods include:

broccoli and carrots.

All of the following helps lower the risk of caries except:

use slowly dissolving items

For how many days should a patient fill out the dietary analysis recording form?

3 to 7 days, including a weekend day

What pH level is the critical level for demineralization of enamel?

Below 5.5

Cariogenic foods consumed after brushing and flossing before bedtime are not cleared readily because salivary flow decreases during sleep. Cariogenic liquids are removed from the teeth in relatively less time than are solids.

Both are true.

Case Study 1 Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and examination. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily. Reference: Ref 35-1 Open and read the attached case to answer the following question. What food can be eaten after sweets to prevent the decrease in pH and production of acids?

Cheese

Case Study 1 Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and examination. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily. Reference: Ref 35-1 Open and read the attached case to answer the following question. Angular cheilosis can be a sign of what nutrient deficiency?

Folate

Case Study 1 Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and examination. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily. Reference: Ref 35-1 Open and read the attached case to answer the following question. Nancy is only eating nutrients from the grains and dairy groups on the MyPlate food diagram. What other groups should she be eating from?

Fruits, vegetables, and protein

Case Study 1 Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and examination. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily. Reference: Ref 35-1 Open and read the attached case to answer the following question. Until her partial can be repaired, what can Nancy do to prevent caries?

Rinse vigorously with fluoridated water after eating cariogenic food

What type of food can encourage biofilm accumulation?

Soft, sticky

What are Recommended Dietary Allowances (RDAs)?

Standards reflecting adequate nutrient intake for healthy individuals

Which group has the highest rate of periodontal disease?

Younger obese patients

The term cariogenic means:

foods that lower the pH and are conducive to dental caries.

The MyPlate Food Guidelines developed by the USDA provide information on all of the following except:

four food groups.

At the follow-up visit the patient's diary is evaluated for all of the following except:

oral habits related to nutrition

Cariogenic foods listed in the dietary analysis recording form should be categorized as:

solid, liquid, or slowly dissolving.

Case Study 1 Nancy, a 67-year-old woman, comes into the dental office for a routine prophylaxis and examination. She has not been seen in the office for just over 1 year and states that she has had her grandchildren staying with her, which has made it hard for her to make an appointment. Nancy has 12 teeth present in her mouth and states that she has not been wearing her partials because they do not fit very well. The hygienist notes that she has angular cheilosis and heavy biofilm accumulation. Upon further questioning, Nancy reveals that it is hard for her to chew without her partials so she has been eating a soft diet. The dental hygienist decides to complete a dietary assessment with Nancy. When she returns the 3-day record it is evident that Nancy is primarily eating breads, cakes, soups, ice cream, and yogurt since she has trouble chewing. Nancy has also indicated drinking five cans of soda daily. Reference: Ref 35-1 Open and read the attached case to answer the following question. Nancy states that she drinks soda all day in order to keep up with her grandchildren; this is a problem because:

the teeth are exposed to a cariogenic liquid for a long period of time.