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Dental Hygiene Prometric Exam Study Guide
- What is an oral side ef- fect of Prozac? (Fluoxe- tine, SSRI, newer genera- tion antidepressant)
- How do steroids affect poor wound healing? (cor- ticosteroids such as pred- nisone and Medrol)
xerostomia
delays in healing, increased risk for infections
- What should be done with Refer patient to physician immediately a patient with a previous history of high blood pres- sure and comes in for their appointment with reading of 160/116?
- Premedication regimine 2g Amoxicillin, 600 mg Clindamycin (if allergic to Amoxicillin/Penicillin)
- Patient comes in for appointment who needs premed, and they took 300 mg of Clindamycin 1 hour prior to their ap- pointment. What would you do?
Administer another 300 mg and wait 1 hour prior to treatment (because Clindamycin premedication is 600 mg 1 hour prior to treatment)
- What is a PAN used for? location of 3rd molars, impactions, pathology
Dental Hygiene Prometric Exam Study Guide
- Items that contain fluo- ride?
- What type of water does not contain fluoride?
- NOT FOR BONE LOSS
pork, fish, tea
well (water)
- Filiform papillae - the most numerous papillae on the tongue
- very small
- Do NOT contain taste buds
- Fungiform papillae - Mushroom shaped
- containing taste buds
- located on the sides and tip of the tongue.
- circumvallate papillae large papillae with taste buds on back of tongue
- foliate papillae located on lateral aspects of posterior tongue
- foreshortening film tech- nique error
- elongation film technique error
- cone cut (circular white border) film technique er- ror
- Identify median rhom- boid glossitis
problem: too MUCH VERTICAL angulation
how to fix: DECREASE angulation
problem: too LITTLE VERTICAL angulation
how to fix: INCREASE vertical angulation
PID should cover the entire surface of the film
- rhombus shaped (diamond)
- central denuded area of the tongue with red appearance
- flat or slightly raised erythematous area in the midline of the dorsal surface of the tongue in a rhomboid shape (diamond)
- may be associated with a chronic fungal infection by candida
albicans
- no specific treatment indicated
- What is the treatment for black hairy tongue?
Harmless but advise patient to clean/brush tongue regularly.
Filiform papillae stain is caused by chromogenic bacteria, tobacco, alcohol, etc.
- What is a vitality test used testing to see if the pulp is vital or not (applying cold air on cotton for? swap and pushing it against the tooth; if the pulp is vital it hurts, if its necrotic you would not feel anything)
- Vital pulp Term used to describe viable tissue, either normal or diseased, that responds to electric stimuli and to heat and cold
- Hepatitis B vaccine also protects you from?
- What can chlorhexidine cause?
- What instrument would you use to work on the mandibular anterior gin- giva?
- What drug causes bleed- ing?
- What does the 2nd pre- molar replace?
- What would you do for fordyce granules?
- Is a bifurcated maxillary canine normal?
Hepatitis D
staining, increased calculus deposits
- Gracey 1/2, 3 /4, 5/6, 7/
- Sickle universal scaler
- Columbia
- Ultrasonic
aspirin
the 2nd deciduous molar
Fordyce granules are normal pathology. Do nothing.
bifurcated canines are normal
- What would you do for lin- rinse with sodium bicarbonate, baking soda. gual erosion?
- Stannous fluoride is not found in which of the fol- lowing? Tea, Pork, Well water, or Fish?
- Which is the root that would be incomplete at age 15?
- Patient presents with a firm lesion on the ventral surface of the tongue? Is it a ranula, is it benign, or is it malignant?
Well water has no stannous fluoride.
second molar
Ventral surface of tongue = undersurface of the tongue.
Ranula: a cyst that forms under the tongue due to damaged salivary gland
- position of 3rd molars
- What degree should the shank of the instrument be when scaling subgingi- vally?
70 degrees
- What should be done with wash safety glasses after each patient safety glasses after each patient?
- Does lingual candidiasis of lateral tongue wipe off?
- What does leukoedema look like?
The superficial pseudo-membrane can be removed by wiping gently.
Generalized gray opalescence on the oral tissues, especially the buccal mucosa. Cannot be rubbed ott but disappears when the tissue is stretched. Most commonly observed in black adults and smokers.
- What type of drug is Pro- cardia?
Nifedipine, calcium channel blocker - PINE
- What is Procardia, nifedip- hypertension, it inhibits calcium from entering cells of the heart and ine, used for?
- What does Procardia, nifedipine, cause intrao- rally?
- What would mandibular anterior, facial, bright pink and enlarged gingiva indi- cate?
blood vessel walls
can cause gingival hyperplasia
pregnancy gingiva
Ditterence: CROWDING, CROSS-BITE, etc., is present.
- Class II occlusion MB cusp of the maxillary 1st molar is in FRONT of the buccal groove of the mandibular 1st molar.
- Division I / Class II Maloc- clusion
- Division II Class II maloc- clusion
Upper incisors PROTRUDE OUT
upper incisors RETRUDE INWARD
- Class III occlusion MB cusp of the maxillary 1st molar is BEHIND the buccal groove of the mandibular 1st molar
- Panoramic technique er- ror: Exaggerated smile line, condyles at the top of the film, spine forms arch,
- Panoramic technique er- ror: Flat (FROWN) smile line, broad and flat mandible, condyles at edge of film
Patient's chin is tipped TOO FAR DOWN
Patient's chin is tipped TOO FAR UP
- FDA regulates fluoride content in bottled water
- Medications that cause in- Blood thinners/anticoagulants, warfarin - Coumadin, heparin creased bleeding?
- Medications that cause gingival hyperplasia?
Anti-coagulation/anti-platelet/NSAIDS, non-opioid analgesic: as- pirin ibuprofen - Advil, plavix - Clopidogrel, xarelto, eliquis, pradaxa
- anti-seizure: Dilantin, Phenytoin
- calcium channel blockers: Norvask, Procardia (used to control BP)
- Cyclosporine (used an immunosuppressant)
- 7 - 8 years old
- 8-9 years old tooth erup- tion pattern
maxillary lateral incisor
- 9 - 10 years old tooth erup- mandibular canine tion pattern
- 10-11 years old tooth eruption pattern
- 10-12 years old tooth eruption pattern
- 11-12 years old tooth eruption pattern
- 11-13 years old tooth eruption pattern
maxillary 1st premolar
maxillary 2nd premolar mandibular 1st premolar
maxillary canine mandibular 2nd premolar
mandibular 2nd molar
- maxillary 2nd molar
- 16-21 years old tooth eruption pattern
maxillary and mandibular 3rd molars
- Mixed dentition A mixture of permanent teeth and primary teeth that occurs until all primary teeth have been lost, usually between the ages of 6 and 12.
There are no premolars in the primary dentition.
- Primary dentition Composed of 20 teeth, from 6 months to 6 years, ends when the permanent tooth erupts (mand. 1st molar)
- 8 incisors, 4 canines, 8 molars
- mand. central incisor = 6 - 10 months
- Distinguishing difference between leukoplakia and oral candidiasis
oral candidiasis wipes ott, leukoplakia does not
- fluorosis discoloration and pitting of tooth enamel caused by excess fluoride during tooth development
- a patient on an anti-hy- pertensive is most likely to experience what problem in the dental chair?
orthostatic hypotension
- what causes a diastema? a space between 2 adjacent teeth caused by genetics
- x-ray pit falls - patient moves
- aspirin burn - chemical injury
- painful white area of epithelial necrosis
- will heal once source is removed
- may slough ott, leave raw base/ulcer
- amelogenesis imperfecta - enamel is found to be defective
- discolorations, pitting, thinner enamel, "flakes ott" - etiology: genetics
- defect in the mineralization, deposition, and hardening of enamel layers
- mucogingival junction Distinct scalloped line of color change in the tissue where the alve- olar membrane meets with attached gingiva
- enamel projection (enam- el pearl)
- when do maxillary cen- trals erupt?
- when do mandibular cen- trals erupt?
- misplaced ameloblasts migrate to the root area
- produces enamel pearl on CEJ or furcation area
7 - 8 years
6 - 7 years
- when do maxillary laterals 8 - 9 years erupt?
