Question 1

All of the following oral conditions contraindicate the use of air polishing with aluminum trihydroxide air-polishing powder except which one?

Accepted Answer

A)  Composites 
B)  Recession 
C)  Glass ionomer restorations 
D)  Porcelain veneers 
E)  Intact enamel 
A)  Composites 
B)  Recession 
C)  Glass ionomer restorations 
D)  Porcelain veneers 
E)  Intact enamel E

Question 2

Prophylaxis pastes containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP)are contraindicated for use on people who have which of the following?

Accepted Answer

A)  White spot lesions 
B)  Dentinal hypersensitivity 
C)  Allergy to casein 
D)  Lactose intolerance 
A)  White spot lesions 
B)  Dentinal hypersensitivity 
C)  Allergy to casein 
D)  Lactose intolerance C

Question 3

The reason for using intermittent pressure when polishing is to do which of the following?

Accepted Answer

A)  Allow proper adaptation of the rubber cup. 
B)  Increase extrinsic stain removal potential. 
C)  Enhance polishability of the paste. 
D)  Reduce frictional heat. 
E)  Reduce operator fatigue. 
A)  Allow proper adaptation of the rubber cup. 
B)  Increase extrinsic stain removal potential. 
C)  Enhance polishability of the paste. 
D)  Reduce frictional heat. 
E)  Reduce operator fatigue. D

Question 4

All of the following are contraindications for rubber cup polishing except for which one?

Accepted Answer

A)  Recession 
B)  Primary teeth 
C)  Carious lesions 
D)  Brown stain 
E)  Demineralization 
A)  Recession 
B)  Primary teeth 
C)  Carious lesions 
D)  Brown stain 
E)  Demineralization

Question 5

Restorative procedures,such as veneers or composite bonding,achieve a better aesthetic result for clients with tetracycline-stained teeth because gray-blue stains are resistant to tooth bleaching.

Accepted Answer

A)  Both the statement and the reason are correct,and they are related. 
B)  Both the statement and the reason are correct,but they are not related. 
C)  The statement is correct,but the reason is not. 
D)  The statement is not correct,but the reason is. 
E)  Neither the statement nor the reason is correct. 
A)  Both the statement and the reason are correct,and they are related. 
B)  Both the statement and the reason are correct,but they are not related. 
C)  The statement is correct,but the reason is not. 
D)  The statement is not correct,but the reason is. 
E)  Neither the statement nor the reason is correct.

Question 6

The most common side effect resulting from home-use bleaching trays is which of the following?

Accepted Answer

A)  A sore throat 
B)  Demineralization 
C)  Thermal sensitivity 
D)  Headaches 
A)  A sore throat 
B)  Demineralization 
C)  Thermal sensitivity 
D)  Headaches

Question 7

All of the following are recommended during air polishing to increase safety of the procedure except for which one?

Accepted Answer

A)  High-speed evacuation 
B)  Preprocedural antimicrobial rinse 
C)  Mint-flavored powder 
D)  Removal of client's contact lenses 
A)  High-speed evacuation 
B)  Preprocedural antimicrobial rinse 
C)  Mint-flavored powder 
D)  Removal of client's contact lenses

Question 8

The primary objective of tooth polishing is to do which of the following?

Accepted Answer

A)  Prepare teeth for the maximum uptake of fluoride. 
B)  Eliminate oral biofilm so client can experience smooth enamel. 
C)  Loosen all soft calculus remaining after scaling. 
D)  Remove extrinsic stain remaining after scaling. 
E)  Help the patient maintain good oral biofilm control. 
A)  Prepare teeth for the maximum uptake of fluoride. 
B)  Eliminate oral biofilm so client can experience smooth enamel. 
C)  Loosen all soft calculus remaining after scaling. 
D)  Remove extrinsic stain remaining after scaling. 
E)  Help the patient maintain good oral biofilm control.

Question 9

All of the following are contraindicated when teeth are polished with a rubber cup and prophylaxis paste except which one?

Accepted Answer

A)  Rapid speed 
B)  Coarse paste 
C)  Air-polishing agents 
D)  Heavy pressure 
E)  Wet field 
A)  Rapid speed 
B)  Coarse paste 
C)  Air-polishing agents 
D)  Heavy pressure 
E)  Wet field

Question 10

Specially developed prophylaxis paste marketed to restore the original luster to veneer,composite,gold,and porcelain restorations contains which key abrasive agent?

Accepted Answer

A)  Microfine arginine bicarbonate particles 
B)  Microfine calcium phosphate particles 
C)  Microfine diamond particles 
D)  Microfine white sapphire particles 
A)  Microfine arginine bicarbonate particles 
B)  Microfine calcium phosphate particles 
C)  Microfine diamond particles 
D)  Microfine white sapphire particles

Question 11

All of the following bleaching agents are contraindicated for use in home-bleaching trays except which one?

Accepted Answer

A)  8.6% sodium perborate 
B)  10.0% carbamide peroxide 
C)  35.0% hydrogen peroxide 
D)  25.0% sodium hypochlorite 
A)  8.6% sodium perborate 
B)  10.0% carbamide peroxide 
C)  35.0% hydrogen peroxide 
D)  25.0% sodium hypochlorite

Question 12

Indications for selective polishing include the presence of which of the following?

Accepted Answer

A)  Slightly stained deposits of light supragingival calculus 
B)  Darkening of the enamel from pulpal necrosis 
C)  Light brown stain caused by cigarette smoking 
D)  Brown stain from excess fluoride during tooth development 
A)  Slightly stained deposits of light supragingival calculus 
B)  Darkening of the enamel from pulpal necrosis 
C)  Light brown stain caused by cigarette smoking 
D)  Brown stain from excess fluoride during tooth development

Question 13

A fluoride polishing paste replenishes the fluoride that is lost from the enamel during mechanical polishing.It is not necessary to provide the client with a professionally applied topical fluoride treatment when a fluoride prophylaxis paste is used.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true.

Question 14

All of the following client conditions contraindicate tooth bleaching except for which one?

Accepted Answer

A)  Hypertension 
B)  Pregnancy 
C)  Nursing mothers 
D)  Enamel cracks 
A)  Hypertension 
B)  Pregnancy 
C)  Nursing mothers 
D)  Enamel cracks

Question 15

Five key variables affect tooth structure loss during extrinsic tooth stain removal with a rubber cup: abrasiveness of the prophylaxis paste,quantity of abrasive agent,contact time of the rubber cup on the tooth surface,speed of the rubber cup,and pressure or force applied to the rubber cup.To preserve tooth structure and prevent damage to teeth and restorative materials,the practitioner starts with the least abrasive agent and amount of agent,with the least amount of rubber cup contact time,and with the least amount of pressure to remove the extrinsic stain.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true.

Question 16

Intact enamel surfaces are not damaged when extrinsic stain removal is accomplished with the air polisher.However,prolonged use of air polishing on cementum and dentin can remove significant tooth structure and should be avoided.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true.

Question 17

When rubber cup polishing procedures are treatment planned,antibiotic premedication for clients with the highest risk of adverse outcomes for infective endocarditis is recommended because bleeding may occur during polishing.

Accepted Answer

A)  Both the statement and the reason are correct,and they are related. 
B)  Both the statement and the reason are correct,but they are not related. 
C)  The statement is correct,but the reason is not. 
D)  The statement is not correct,but the reason is. 
E)  Neither the statement nor the reason is correct. 
A)  Both the statement and the reason are correct,and they are related. 
B)  Both the statement and the reason are correct,but they are not related. 
C)  The statement is correct,but the reason is not. 
D)  The statement is not correct,but the reason is. 
E)  Neither the statement nor the reason is correct.

Question 18

All of the following systemic client conditions contraindicate the use of air polishing except for which one?

Accepted Answer

A)  Hypoglycemia 
B)  Emphysema 
C)  Active tuberculosis 
D)  Asthma 
A)  Hypoglycemia 
B)  Emphysema 
C)  Active tuberculosis 
D)  Asthma

Question 19

Aerosols are generated with sonic and ultrasonic instrumentations.Aerosols can be effectively minimized with the use of a saliva ejector.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true.

Question 20

Extrinsic (exogenous)stains can be removed by rubber cup polishing.Intrinsic (endogenous)stains cannot be removed by rubber cup polishing but can be removed by air polishing.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second statement is false. 
D)  The first statement is false;the second statement is true.

Exam 27: Management of Extrinsic and Intrinsic Stains

All of the following oral conditions contraindicate the use of air polishing with aluminum trihydroxide air-polishing powder except which one?

Prophylaxis pastes containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP)are contraindicated for use on people who have which of the following?

The reason for using intermittent pressure when polishing is to do which of the following?

All of the following are contraindications for rubber cup polishing except for which one?

Restorative procedures,such as veneers or composite bonding,achieve a better aesthetic result for clients with tetracycline-stained teeth because gray-blue stains are resistant to tooth bleaching.

The most common side effect resulting from home-use bleaching trays is which of the following?

All of the following are recommended during air polishing to increase safety of the procedure except for which one?

The primary objective of tooth polishing is to do which of the following?

All of the following are contraindicated when teeth are polished with a rubber cup and prophylaxis paste except which one?

Specially developed prophylaxis paste marketed to restore the original luster to veneer,composite,gold,and porcelain restorations contains which key abrasive agent?

All of the following bleaching agents are contraindicated for use in home-bleaching trays except which one?

Indications for selective polishing include the presence of which of the following?

A fluoride polishing paste replenishes the fluoride that is lost from the enamel during mechanical polishing.It is not necessary to provide the client with a professionally applied topical fluoride treatment when a fluoride prophylaxis paste is used.

All of the following client conditions contraindicate tooth bleaching except for which one?

Intact enamel surfaces are not damaged when extrinsic stain removal is accomplished with the air polisher.However,prolonged use of air polishing on cementum and dentin can remove significant tooth structure and should be avoided.

When rubber cup polishing procedures are treatment planned,antibiotic premedication for clients with the highest risk of adverse outcomes for infective endocarditis is recommended because bleeding may occur during polishing.

All of the following systemic client conditions contraindicate the use of air polishing except for which one?

Aerosols are generated with sonic and ultrasonic instrumentations.Aerosols can be effectively minimized with the use of a saliva ejector.

Extrinsic (exogenous)stains can be removed by rubber cup polishing.Intrinsic (endogenous)stains cannot be removed by rubber cup polishing but can be removed by air polishing.

The Dental Hygiene Profession

Human Needs Theory and Dental Hygiene Care

Health and Health Promotion

Communication and Behavioral Change Theories

Cross-Cultural Practice

The Dental Hygiene Care Environment

Infection Control

Medical Emergencies

Ergonomics

Personal,dental,and Health Histories

Vital Signs

Pharmacologic History

Extraoral and Intraoral Clinical Assessment

Assessment of the Dentition

Oral Hygiene Assessment: Soft and Hard Deposits

Dental Caries Management by Risk Assessment

Periodontal and Risk Assessment

Impact of Periodontal Infections on Systemic Health

Dental Hygiene Diagnosis

Dental Hygiene Care Plan and Evaluation

Toothbrushing

Mechanical Oral Biofilm Control: Interdental and Supplemental Self-Care Devices

Dentifrices

Hand-Activated Instruments

Ultrasonic and Sonic Instrumentation

Root Morphology and Instrumentation Implications

Decision Making Related to Nonsurgical Periodontal Therapy

Chemotherapy for the Control of Periodontal Diseases

Acute Gingival and Periodontal Conditions, lesions of Endodontic Origin, and Avulsed Teeth

Caries Management: Fluoride, chlorhexidine, xylitol, and Amorphous Calcium Phosphate Therapies

Pit and Fissure Sealants

Nutritional Counseling

Tobacco Cessation

Impressions,study Casts,and Oral Stents

Restorative Therapy

Behavioral Management of Dental Fear and Anxiety

Dentinal Hypersensitivity Management

Local Anesthesia

Nitrous Oxideoxygen Analgesia

Persons With Disabilities

Cardiovascular Disease

Persons With Diabetes Mellitus

Oral Care of Persons With Cancer

Persons With Human Immunodeficiency Virus Infection

Persons With Neurologic and Sensory Deficits

Persons With Autoimmune Diseases

Renal Disease and Organ Transplantation

Respiratory Diseases

Cognitively and Developmentally Challenged Persons

Alcohol and Substance Abuse

Eating Disorders

Womens Health and the Health of Their Children

The Older Adult

Persons With Fixed and Removable Dentures

Orofacial Clefts and Fractured Jaw

Dental Implant Maintenance

Persons With Orthodontic Appliances

Abuse and Neglect

Practice Management

Career Planning and Professional Development