Deck 21: Toothbrushing

Question 1

Current understanding indicates that abfractions and abrasions both share the term noncarious cervical lesions because these lesions are indistinguishable and have multifactorial causes.

A) Both the statement and reason are true,and they are related.
B) Both the statement and reason are true,but they are unrelated.
C) The statement is true,but the reason is false.
D) The statement is false,but the reason is true.
E) Both the statement and the reason are false.

Answer 1

Both the statement and reason are true,and they are related.

Question 2

Dental hygiene practitioners have an ethical obligation to provide client-centered self-care education and instruction for each client.Which of the following is the most important reason for fulfilling this obligation?

A) Failure to do so could result in suspension or revocation of a dental hygiene license.
B) Clients lacking such skills and knowledge are ill-equipped to maintain their oral health.
C) Clients lacking such skills and knowledge would have grounds for a malpractice lawsuit.
D) Self-care education and instruction are part of the implementation phase of dental hygiene care.

Answer 2

Clients lacking such skills and knowledge are ill-equipped to maintain their oral health.

Question 3

Jane Jones,age 28,is a new client.Oral assessment findings reveal generalized gingival inflammation,bleeding on probing in all molars and mandibular anterior teeth,localized 4-mm pockets,and no gingival recession.Light marginal plaque biofilm is generalized,and calculus deposits are detected in the mandibular anterior teeth,maxillary molars,and lingual surfaces of the mandibular posterior teeth.Which of the following toothbrushing methods should be recommended?

A) Modified Bass
B) Circular
C) Charter's
D) Horizontal scrub

Answer 3

Modified Bass

Question 4

It is a valuable feature that power toothbrushes indicate when a client is exerting excessive force when toothbrushing because it is more difficult to determine the force one is exerting with a power toothbrush than a manual toothbrush.

A) Both the statement and reason are true,and they are related.
B) Both the statement and reason are true,but they are unrelated.
C) The statement is true,but the reason is false.
D) The statement is false,but the reason is true.
E) Both the statement and the reason are false.

Question 5

Manual toothbrush head size selection is based all of the following characteristics except one.Which one is this exception?

A) Size of the client's mouth
B) Client's age
C) Size large enough to remove plaque biofilm efficiently
D) Size small enough to access all areas of the mouth

Question 6

The time required for toothbrush bristle wear is highly variable among individuals.Clients should be advised to replace toothbrushes every 3 months.

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

Question 7

When "modifying" a particular toothbrushing technique,all of the following are true except which one?

A) May be used in conjunction with Bass and Stillman's methods
B) Is also known as the "roll method"
C) Requires bristles to be moved in a coronal direction over the tooth
D) Incorporates bristle movement in a horizontal direction

Question 8

Anatomic factors should be considered as contributing to the multifactorial cause of soft-tissue lesions such as gingival recession.Each of the following would be considered an anatomic factor except one.Which one is this exception?

A) Thin alveolar buccal plate
B) Frenal pull
C) Malpositioned tooth
D) Periodontitis

Question 9

Providing toothbrushing instruction should be conducted in segments.Which of the following steps should come first?

A) The dental hygienist demonstrates the recommended method.
B) The client demonstrates her currently used method.
C) The client demonstrates the recommended method.
D) The sequencing of steps is unimportant in toothbrushing instruction.

Question 10

"Place the brush at a 45-degree angle with bristles directed apically and pressed lightly to direct into sulcus;vibrate the brush while keeping the filaments within the sulcus" describes which of the following toothbrushing techniques?

A) Bass
B) Stillman's
C) Charter's
D) Modified Stillman's

Question 11

The client asks the dental hygienist if she should use a power toothbrush instead of a manual toothbrush.All of the following factors should be considered when the dental hygienist is formulating the response except which one?

A) Client preference
B) Current research
C) Client's current oral hygiene status
D) Client's current flossing routine

Question 12

The stiffness of a manual toothbrush is dependent on its filament characteristics.Longer and narrower filaments tend to be characteristic of stiffer toothbrushes.

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

Question 13

All of the following factors should be considered when determining how often people should brush their teeth except one.Which one is this exception?

A) The time it takes for plaque to begin to cause negative gingival changes
B) The ability of an individual to remove plaque at an individual session
C) The social aspects related to clean teeth
D) The individual's current level of gingival health or disease

Question 14

Each of these factors contributes to the rationale for including tongue brushing or cleansing in oral care routines except one.Which one is this exception?

A) Bacteria on the tongue may be translocated to other regions of the mouth.
B) Bacteria on the tongue contribute to oral malodor.
C) Bacteria on the tongue diminish overall oral cleanliness.
D) Bacteria on the tongue can cause geographic tongue.

Question 15

When a toothbrush retains potentially infectious microorganisms within its filaments and then transmits them,the toothbrush would be most accurately labeled a:

A) Vector
B) Fomite
C) Vehicle
D) Carrier

Question 16

Which of the following methods of toothbrushing would be most effective in an orthodontic client?

A) Modified Bass
B) Stillman's
C) Charter's
D) Horizontal scrub
E) Circular

Question 17

Susie Smith,age 5,has an appointment for an oral prophylaxis.On examination the dental hygienist notes moderate plaque biofilm and gingival inflammation generalized throughout the mouth.Which of the following toothbrushing methods should be recommended to most effectively improve Susie's oral hygiene?

A) Modified Bass
B) Stillman's
C) Charter's
D) Horizontal scrub
E) Circular

Question 18

When manual toothbrushing instruction is presented to a client,all of the following factors are essential to include except one.Which one is this exception?

A) Superior brand of toothbrush
B) Duration of toothbrushing
C) Thoroughness of toothbrushing method
D) Toothbrushing frequency
E) Toothbrushing technique

Question 19

Power toothbrushes using which of the following modes of action have been conclusively demonstrated to be more effective than traditional manual toothbrushes?

A) Rotating
B) Sonic
C) Oscillating rotating
D) Rocking rotating

Question 20

What is the average time most people spend brushing their teeth?

A) 25 to 35 seconds
B) 45 to 60 seconds
C) 2 to 3 minutes
D) 4 to 5 minutes

Question 21

Which of the following techniques would most accurately quantify the evaluation of toothbrushing effectiveness and assist in the development of client-centered goals?

A) Observation of the client's toothbrushing
B) Use of disclosing agents so the client can visualize plaque
C) Calculation of a plaque score after using a disclosing agent
D) Examination of the gingiva for signs of inflammation

Question 22

The dental hygienist may recommend the modified Stillman's toothbrushing technique to young children because they lack the manual dexterity of adults that is required for more challenging toothbrushing techniques.

A) Both the statement and reason are true,and they are,but they related.
B) Both the statement and reason are true,but they are unrelated.
C) The statement is true,but the reason is false.
D) The statement is false,but the reason is true.
E) Both the statement and the reason are false.

Question 23

Power toothbrushing is indicated for almost any client,but some clients have conditions that are particularly suited for power toothbrushing.These include all of the following except which one?

A) Clients with motivational challenges
B) Clients with fixed orthodontic appliances
C) Clients with tight contacts
D) Clients exhibiting decalcification
E) Clients with dexterity problems

Question 24

In shared decision making,knowledge transfer occurs in two directions because the dental hygienist shares technical knowledge with the client and the client shares her personal preferences and values with the dental hygienist.

A) Both the statement and reason are true,and they are related.
B) Both the statement and reason are true,but they are unrelated.
C) The statement is true,but the reason is false.
D) The statement is false,but the reason is true.
E) Both the statement and the reason are false.

Question 25

Assuming the study outcomes positively supported a novel new toothbrush design,which of the following research findings would contribute the least to the dental hygienist's toothbrushing recommendations to clients?

A) Results from in vitro laboratory studies
B) Studies using gingival parameters for measuring outcomes
C) Results obtained from long-term clinical trials
D) Repeated results observed from several similar studies