Preventive Oral Health Care Study Guide Questions
Course Introduction
Preventive Oral Health Care focuses on the principles and practices involved in maintaining optimal oral health and preventing dental diseases. The course covers topics such as oral hygiene methods, the role of nutrition in oral health, the use of fluorides and sealants, patient education strategies, risk assessment, and behavioral interventions. Students will also explore community-based prevention programs and current guidelines for disease prevention and promotion of oral health across various populations. Emphasis is placed on evidence-based approaches and the development of effective communication skills for motivating patients toward the adoption of healthy oral hygiene habits.
Recommended Textbook
Primary Preventive Dentistry 8th Edition by Norman O. Harris
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276 Verified Questions
276 Flashcards
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Chapter 1: Introduction to Primary Preventive Dentistry
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Q1) Which of the following are aspects of primary prevention?
A)Professional oral assessment
B)Patient's plaque control
C)Community water fluoridation
D)All of the above
Answer: D
Q2) Which scale defines a continuum from a state of health to a state of illness and death?
A)Health scale
B)Wellness scale
C)Illness scale
D)Injury scale
Answer: B
Q3) Which of the following is NOT an example of primary prevention?
A)Oral evaluation
B)Dental prophylaxis
C)Periodontal debridement
D)Xylitol
Answer: C
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Page 3
Chapter 2: Cultural Health Influences
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Q1) Which of the following is NOT one of the skill areas assessed in the Cross-Cultural Adaptability Inventory (CCAI)?
A)Emotional resilience
B)Flexibility/openness
C)Nonjudgmental
D)Personal acuity
Answer: C
Q2) Which is the BEST way to pursue cultural competency for a lifetime?
A)Legal school
B)Continuing education
C)Understanding one's self
D)Competency education
Answer: B
Q3) Which of the following is projected to have to slowest population growth through the year 2050?
A)Hispanic
B)White,non-Hispanic
C)Asian
D)Black Answer: B
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Chapter 3: Dental Hygiene Science
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Q1) What phase of the dental hygiene process involves determining dental hygiene therapy and the establishment of realistic patient goals?
A)Implementation phase
B)Planning phase
C)Treatment phase
D)Assessment phase
Answer: B
Q2) Approximately how much time do the authors allow for the diagnosis,planning,and implementation of dental hygiene treatment?
A)10
B)15
C)30
D)40
Answer: C
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Chapter 4: Dental Plaque Biofilm
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Q1) In dental plaque metabolism,after the microorganism is exposed to sucrose,they produce:
A)Acid
B)Intracellular polysaccharides
C)Extracellular polysaccharides
D)All of the above
Q2) Supragingival calculus is 60% mineralized,subgingival calculus is 30% mineralized.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q3) The primary colonizers in dental plaque biofilm tend to be cocci.They also tend to be aerobic.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
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6
Chapter 5: Carious Lesions
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Q1) Which of the following is tooth enamel composed of?
A)Enamel junctions
B)Dentin
C)Enamel rods
D)Dentinal tubules
Q2) Though food types are important in producing a cariogenic (low pH)environment,frequent in-between-meal snacks and drinks can maintain a low pH environment throughout the day,which shifts the demineralization/remineralization continuum toward caries formation.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q3) The acronym CAMBRA stands for: k.
A)Caries Management by Risk Assessment
B)Caries Management by Reducing Acid l.
C)Caries Management by Restorative Adjuncts
D)Caries Management by Restoration and Assessment
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Chapter 6: Periodontal Diseases
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Q1) For each millimeter of apical migration of sulcular epithelial attachment,there is also one millimeter of periodontal fibers lost.This migration of junctional epithelium and clinical attachment loss is the hallmark sign for diagnosing periodontitis.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
Q2) Which of the following is NOT a function of gingival crevicular fluid?
A)Clears bacteria from sulcus
B)Vehicle for leukocytes
C)First line of defense against periodontal pathogens
D)Indicator of healthy sulcus
Q3) Gingival crevicular fluid is an exudate.It contains many cells and proteins.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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Chapter 7: Oral Cancer
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Q1) Which of the following is the ONLY definitive method available for diagnosing oral carcinoma?
A)Surgical biopsy
B)Chemiluminescence
C)MRI
D)Exam by dental professional
Q2) Performing oral cancer screenings annually on all patients is the current standard of care in dentistry.A visual exam of all tissues is sufficient to meet this requirement.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
Q3) How long after initial detection of a lump or lesion should a patient be sent by a dental professional for a reevaluation?
A)14 days
B)60 days
C)6 months
D)1 year
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Chapter 8: Dental Trauma
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Q1) Tap water is the favored storage media for an avulsed tooth because of its low osmolality.
A)Both the statement and the reason are true.
B)Both the statement and the reason are false.
C)Statement is true but reason is false.
D)Statement is false but reason is true.
Q2) Which segments of the population should be educated regarding the proper handling of an avulsed tooth?
A)Teachers
B)School nurses
C)Parents
D)All of the above
Q3) Oral pain after trauma as a result of temperature change is consistent with pulpal inflammation.Pain related to occlusion may mean that a tooth has been displaced or that swelling of the periodontal or supporting tissue has occurred.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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Page 10
Chapter 9: Host Defense Mechanisms in the Oral Cavity
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Q1) Which is NOT a protective function of saliva?
A)Lubrication
B)Buffering demineralization
C)Flushing/rinsing
D)Remineralization of tooth structures
E)All of the above are functions of saliva
Q2) Humoral immunity is carried out by T cells from the thymus.Cellular immunity is carried out by the B cells from the bone marrow.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q3) Which bacteria are responsible for caries formation?
A)Streptococcus oralis
B)Streptococcus mutans
C)Lactobacillus
D)Both A and B
E)Both B and C
F)All of the above
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Chapter 10: Toothbrushes and Toothbrushing Methods
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Sample Questions
Q1) Powered toothbrushes can be beneficial for a variety of reasons.Which of the following is NOT one of these reasons?
A)These brushes have been found helpful for parents who brush their children's teeth.
B)These brushes are generally least expensive than traditional brushes.
C)These brushes are good for patients who require a larger handle,because powered models are easier to grasp.
D)These brushes are recommended for those individuals that brush only once weekly.
Q2) Toothbrush wear (i.e. ,splayed,bent,or broken bristles)is influenced more by the brushing method than by the length of time of brushing.The wear is influenced more by the method than by the number of toothbrushings per day.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
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12
Chapter 11: Dentifrices,Mouthrinses,and Chewing Gums
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Q1) Baking soda (sodium bicarbonate)has had a long history of use as an oral-hygiene aid.The uses for these oral-hygiene aids include fighting plaque,gingivitis reduction,stain-removal,and odor-reducing efficacy.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q2) Important characteristics that lead to public acceptance of a dentifrice are:
A)Flavor,smell,color,and consistency
B)Flavor,smell,and texture
C)Smell,color,and consistency
D)Flavor,smell,texture,and consistency
Q3) Humectants were added to maintain the moisture and prevent hardening.Commonly used humectants are sorbitol,mannitol,glycerol,and propylene glycol.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
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Page 13
Chapter 12: Self-Care Adjuncts
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Sample Questions
Q1) It is recommended that bulimics do which of the following after vomiting?
A)Rinse with water
B)Brush teeth
C)Floss
D)Rinse with chlorhexidine
Q2) Oral irrigation removes the biofilm on the tooth structure.Supragingival irrigation improves and prevents gingivitis.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
Q3) What is the BEST oral-hygiene aid that helps reduce malodor?
A)Tongue cleaner
B)Chlorhexidine
C)Listerine
D)Interdental brushes
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14
Chapter 13: Implant and Denture Self Care
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Q1) The endosseous dental implant includes which component?
A)Implant body
B)Abutment
C)Superstructure
D)All of the above
Q2) Peri-implantitis is irreversible alveolar bone loss around an osseointegrated dental implant caused by inflammation.Peri-implant mucositis,a precursor to peri-implantitis,is plaque-induced reversible inflammation of the surrounding soft tissue.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q3) Which condition in denture wearers presents as patches of erythema (inflamed area)on the oral mucosa as a result of trauma,poor hygiene,irritation?
A)Candidiasis
B)Periodontal abscess
C)Stomatitis
D)Dental decay
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Chapter 14: Community Water Fluoridation
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Q1) What compound was the FIRST used in controlled water fluoridation programs and is still used in smaller communities?
A)Stannous fluoride
B)Neutral fluoride
C)Sodium silicofluroide
D)Sodium fluoride
Q2) What is the MOST frequently used compound for water fluoridation in the United States today?
A)Hydrofluosilicic acid
B)Sodium silicofluoride
C)Sodium fluoride
D)Stannous fluoride
Q3) What is the optimal level of fluoride in water?
A)0.1-0.6 ppm
B)0.7-1.2 ppm
C)1.5-2.0 ppm
D)2.5-3.2 ppm
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Chapter 15: Topical Fluoride Therapy
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Q1) Fluoride rinses have a place as a component of a preventative program and can be substituted for other modalities of fluoride use.Fluoride rinses are used mainly for patients with a high risk of contracting caries.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
Q2) What is the MOST common disadvantage of stannous fluorides?
A)Taste
B)Staining
C)Cost
D)Application process
Q3) When is fluoride recommended for newly erupted teeth?
A)12 months
B)16 months
C)2 years
D)3 years
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Chapter 16: Dental Sealants
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Sample Questions
Q1) Which is NOT a barrier to the placement of sealants?
A)Legal restrictions on dental providers
B)Patient's cost
C)Shortage of dentists accepting Medicaid
D)Lack of consumer knowledge
Q2) What is the cost difference in placing a sealant versus a restoration?
A)Costs are equal
B).5 times more
C)1.3 times more
D)1.6 times more
Q3) Deep,irregular pits and fissures offer a much more favorable surface contour for sealant retention compared with broad,shallow fossae.The deeper fissures protect the resin sealant from the forces occurring as a result of masticatory movements.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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Chapter 17: Nutrition,Diet,and Associated Oral Conditions
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Q1) What is essential for taste and odor sensitivity?
A)Vitamin A
B)Zinc
C)Proteins
D)Vitamin D
Q2) If a patient presents with unresolved gingivitis or periodontitis,before therapeutic treatment is started,what should be addressed with the patient?
A)Nutrition counseling
B)Caries control
C)Payment plan
D)Routing prophylaxis
Q3) Which is NOT a cause of dental demineralization?
A)Bruxism
B)Excessive toothbrushing
C)Stomach acid
D)Consumption of acidic foods or drinks
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Chapter 18: Sugar and Other Sweeteners
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Q1) In addition to sugars,what other agents can be cariogenic?
A)Carbohydrates
B)Fibrous meats
C)Enzymes
D)Vegetables
Q2) Which type of sugar is commonly added to processed foods and drinks?
A)Molasses
B)High-fructose corn syrup
C)Aspartame
D)Cyclamate
Q3) Which polyol has received the greatest amount of attention by the dental community?
A)Sorbitol
B)Mannitol
C)Erythritol
D)Xylitol
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Chapter 19: Health Education and Promotion Theories
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Q1) Which involves a method of seeing the world and one's place in it?
A)Sense of coherence
B)Sense of self
C)Sensory learning
D)None of the above
Q2) What closely examines the role of stressors and tensions as contributing factors for health and disease?
A)Salutogenesis model
B)Generalized resistance resources
C)Sense of coherence
D)Stressor
Q3) The theory of reasoned action is more effective with which of the following?
A)A collective community
B)An individual
C)A small group setting
D)None of the above
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21
Chapter 20: Tobacco Cessation
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Q1) One can of snuff equals approximately what?
A)Two packs of cigarettes
B)Three packs of cigarettes
C)Four packs of cigarettes
D)Five packs of cigarettes
Q2) What are dental providers likely to see in the oral cavity of a smoker?
A)Leukoplakia
B)Leukoedema
C)Linea alba
D)Ectopic sebaceous glands
Q3) Smokers have greater probing depths,gingival recession,loss of attachment,and bone loss than non-smokers.Cigarette smoking is a potential contributing factor in necrotizing ulcerative gingivitis.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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Page 22
Chapter 21: Athletic Mouthguards
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Q1) What is defined as a removable oral appliance that protects the hard and soft tissues of the oral cavity and brain during contact sports?
A)Athletic mouthguard
B)Occlusal night guard
C)Retainer
D)Oral splint
Q2) Who were the FIRST athletes to use mouthguards?
A)Football players
B)Soccer players
C)Boxers
D)Hockey players
Q3) What was the FIRST mouthguard constructed of?
A)Rubber
B)Acrylic
C)Plastic
D)Cotton
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Chapter 22: Technological Advances in Primary Dental Care
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Sample Questions
Q1) What cells are capable of dividing without limit to replenish other cells as long as the person is still alive?
A)Epithelial cells
B)Connective tissue
C)Periodontal ligaments
D)Stem cells
Q2) What is the MOST important part of the tooth?
A)Crown
B)Root
C)Cementum
D)Dentin
Q3) What has research indicated about periodontal disease and dental caries?
A)That periodontal disease and caries is contagious.
B)That periodontal disease and caries can be genetic.
C)That periodontal disease and caries is due to a chromosome deficiency.
D)That periodontal disease and caries can be reversed.
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Chapter 23: Pregnancy and Infancy
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Q1) What position should an examination for children under three years of age be done in?
A)Lying back
B)Knee-to-knee
C)The parents lap
D)Cradled in the dentists lap
Q2) By what stage of pregnancy should restorative treatment be completed on a pregnant woman?
A)Preconception
B)First trimester
C)Second trimester
D)Third trimester
Q3) When should oral hygiene begin to be performed on children?
A)When they begin eating solid foods
B)When their primary teeth become visible in the oral cavity
C)Only when the infant allows you to clean their mouth
D)Even if no teeth are present,the gingival ridge should be wiped
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25
Chapter 24: Pediatrics
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Q1) Which are NOT typical groups that are formed during the childhood stage?
A)Clubs
B)Play groups
C)Sports
D)Gangs
Q2) Children 2-5 years of age have an active imagination,this leads to magical thinking and pretend play.This active imagination causes the children to do what?
A)Fear the dental provider
B)Have imaginary friends
C)Make a literal interpretation
D)Be very outspoken
Q3) What is described as a continuum of interaction with a child/parent directed toward communication and education?
A)Communication
B)Setting
C)Behavior management
D)Tell-show-do technique
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26
Chapter 25: Adult Dental Care
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Q1) In which stage of life does one appear clumsy?
A)Adolescence
B)Early adulthood
C)Mature adulthood
D)Elderly
Q2) Periomylosis and floating amalgams are a sign of what condition?
A)Anorexia
B)Bulimia
C)Vitamin deficiencies
D)Anemia
Q3) Which gland is responsible for the control of the production of estrogens from the ovaries in females and androgens from the testes in males?
A)Brain stem
B)Pituitary gland
C)Thyroid
D)Frontal lobe
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Chapter 26: Geriatrics
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Q1) What percentage of elderly needs periodontal treatment?
A)90%
B)95%
C)100%
D)None of the above
Q2) What portion of the elderly population has oral health problems?
A)1/4
B)1/3
C)1/2
D)1/8
Q3) Osteoporosis may contribute to the progression of periodontal disease.Significant decrease in bone mass of the mandible may lead to fragility and increased resorption,risk of fracture,and failure of osseointegration of dental implants.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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Chapter 27: Medically Compromised Populations
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Q1) Periodontal involvement in the HIV-positive patient advances slowly compared to the general population.This slower advancement is thought to be associated with the immunocompromised state.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
Q2) What signs and symptoms are associated with hypertension?
A)Fatigue
B)Dizziness
C)Increased heart rate
D)No signs or symptoms are present
Q3) What is one major obstacle that dental providers and patients must overcome when dealing with depression?
A)Compulsive oral hygiene
B)Poor oral hygiene
C)Unnecessary dental emergencies
D)Severe gag reflex
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29
Chapter 28: Populations with Developmental Disabilities
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Q1) Which developmental disability impairs communication,and social,behavioral,and intellectual functioning?
A)Autism
B)Mental retardation
C)Down syndrome
D)Cerebral palsy
Q2) Persons with this developmental disability have variable tooth morphology and short roots.
A)Down syndrome
B)Cerebral palsy
C)Autism
D)Mental retardation
Q3) An increase in damaging oral habits such as bruxism,biting of ones' lips,and pica may also be found in patients with autism.These habits may be considered a self-coping mechanism,exploration,or one of many repetitive behaviors seen in individuals with autism.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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