Periodontal Disease Quiz

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Questions and Answers

Calculus ____________ be removed by brushing and other plaque control methods.

  • May
  • Cannot (correct)
  • Can
  • Should

What is the primary cause of gingivitis and most forms of periodontal disease?

  • Defective restorations
  • Biofilm (correct)
  • Calculus
  • Food debris

The term for structures that surround, support, and are attached to the teeth is called the:

  • Crown
  • Gingiva
  • Periodontium (correct)
  • Root

Which of the following is NOT a known risk factor for periodontal disease?

<p>Fibromyalgia (D)</p> Signup and view all the answers

Which factors are implicated in causing periodontal diseases?

<p>All of the options (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of gingivitis?

<p>Loss of bone (A)</p> Signup and view all the answers

What condition is described by sudden onset of pain, crater-shaped interdental papillae, bleeding, and a foul odor?

<p>Necrotizing periodontal disease (B)</p> Signup and view all the answers

Which part of the periodontium is the outermost structure?

<p>Gingiva (D)</p> Signup and view all the answers

What is a common sign or symptom of periodontal disease?

<p>Bleeding gingiva while brushing or flossing (C)</p> Signup and view all the answers

Which tooth structure is considered a part of the periodontium?

<p>Cementum (A)</p> Signup and view all the answers

Approximately what percentage of the adult U.S. population have some form of periodontal disease?

<p>75% (D)</p> Signup and view all the answers

Are periodontal diseases considered infectious diseases?

<p>True (A)</p> Signup and view all the answers

A healthy gingiva is generally characterized by all EXCEPT:

<p>Prominent redness (D)</p> Signup and view all the answers

Is improved daily oral hygiene effective in reversing gingivitis?

<p>True (D)</p> Signup and view all the answers

Do all forms of periodontal diseases relate to changes in bacteria types in the oral cavity?

<p>True (B)</p> Signup and view all the answers

What statement is true regarding gingivitis and its treatment?

<p>Gingivitis is curable through improved brushing and flossing (B)</p> Signup and view all the answers

Which substances found in saliva aid in the remineralization process?

<p>Calcium, fluoride, and phosphate (A)</p> Signup and view all the answers

What is the term for the loss of minerals from the tooth surface?

<p>Demineralization (B)</p> Signup and view all the answers

Which type of caries develops rapidly and affects multiple teeth?

<p>Rampant caries (B)</p> Signup and view all the answers

Which bacteria are primarily responsible for dental caries?

<p>Mutans streptococci (D)</p> Signup and view all the answers

What is the most highly mineralized tissue in the body?

<p>Enamel (B)</p> Signup and view all the answers

What is the earliest stage of dental caries?

<p>Incipient (A)</p> Signup and view all the answers

Which statement is true about dental caries?

<p>It is preventable and higher in untreated children (C)</p> Signup and view all the answers

What term refers to dental caries occurring adjacent to existing restorations?

<p>Recurrent (C)</p> Signup and view all the answers

Is it legal for the expanded-functions dental assistant to apply etchant and place bonding material in all states?

<p>Yes, it is legal in all states. (B)</p> Signup and view all the answers

Which cement is the least irritating to the pulp and also versatile?

<p>Glass ionomer cement (A)</p> Signup and view all the answers

What type of dental cement is specifically used as an adhesive for permanent indirect restorations?

<p>Luting cement (D)</p> Signup and view all the answers

When should temporary cements be utilized?

<p>When placing provisional crowns (A)</p> Signup and view all the answers

Which of the following statements is true about zinc phosphate cement?

<p>It has an acidic pH that can irritate the pulp. (A)</p> Signup and view all the answers

What happens if there is a delay between mixing a luting material and placing the indirect restoration?

<p>The luting material may set before placement. (C)</p> Signup and view all the answers

Which type of cement is intended for short-term use as a direct restoration?

<p>Type II temporary cement (C)</p> Signup and view all the answers

Which cement is NOT considered ideal for minimal irritation to pulp tissue?

<p>Composite resin cement (C)</p> Signup and view all the answers

What is one of the primary benefits of using glass ionomer in premeasured capsules?

<p>More convenient and consistent results (B)</p> Signup and view all the answers

Which type of zinc oxide-eugenol cement is primarily used for cementing provisional coverage?

<p>Type I zinc oxide–eugenol cement (B)</p> Signup and view all the answers

Which of the following methods is inappropriate for removing excess cement from an indirect restoration?

<p>Pulling excess cement upward (C)</p> Signup and view all the answers

What is the proper duration for etching enamel and dentin in preparation for a composite restoration?

<p>15 seconds (C)</p> Signup and view all the answers

What should be done to the interior of a porcelain crown before cementation?

<p>Roughened using air abrasion (B)</p> Signup and view all the answers

Which statement regarding the preparation of a composite restoration is incorrect?

<p>Completely dry the enamel and dentin (D)</p> Signup and view all the answers

How long should enamel and dentin be rinsed to remove etch material?

<p>30 seconds (D)</p> Signup and view all the answers

What characteristic defines Type II zinc oxide-eugenol cement?

<p>It is reinforced for final cementation of cast restorations (B)</p> Signup and view all the answers

Which statement incorrectly describes how to minimize water loss while working with dental cements?

<p>Dispense the liquid first and then powder. (D)</p> Signup and view all the answers

What step should you NOT follow before dispensing cement powder?

<p>Pack the powder. (A)</p> Signup and view all the answers

Which type of cement is effective in inhibiting recurrent decay?

<p>Glass ionomer (B)</p> Signup and view all the answers

How can the working time of glass ionomer cement be effectively increased?

<p>Mixing it on a glass slab. (C)</p> Signup and view all the answers

Which factor is NOT considered an advantage of using glass ionomer in premeasured capsules?

<p>Results can vary. (A)</p> Signup and view all the answers

Which practice is best for ensuring accuracy when dispensing cement powder?

<p>Fluff the powder to release trapped air. (D)</p> Signup and view all the answers

What is a primary characteristic of glass ionomer cement regarding fluoride?

<p>Fluoride is released slowly over time. (D)</p> Signup and view all the answers

When is it ideal to dispense the liquid for dental cement mixing?

<p>Right before mixing the cement. (D)</p> Signup and view all the answers

Flashcards

Biofilm

A sticky film containing bacteria that forms on teeth and can lead to gingivitis and periodontal disease.

Periodontium

The tissues that surround and support the teeth, including the gingiva, periodontal ligament, cementum, and alveolar bone.

Gingivitis

Inflammation of the gums, often caused by plaque buildup.

Periodontitis

A more serious form of periodontal disease involving the loss of bone and gum tissue.

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Probing Depth

The distance from the cementoenamel junction to the base of the gingival sulcus.

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Calculus

A hard deposit that can form on teeth, which cannot be removed by brushing alone.

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Enamel

The outermost layer of tooth structure, which forms the crown.

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Dentin

The layer of tooth structure under the enamel, which forms both the crown and the root.

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Necrotizing Periodontal Disease

A type of gum disease that rapidly destroys gum and bone tissue, often with sudden onset of pain and a foul odor.

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Dental Biofilm

A sticky film on teeth that contains bacteria. It's the main cause of gingivitis and periodontitis.

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Caries Risk Assessment

An evidence-based approach to preventing and treating early dental caries by assessing individual risk factors.

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CAMBRA (Caries Management by Risk Assessment)

A comprehensive process used to identify patients at risk for developing periodontal disease, considering factors such as age, smoking history, and family history.

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Remineralization

The process of minerals from saliva returning to the tooth surface to repair early enamel damage.

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Demineralization

The loss of mineral content from tooth enamel, making it weaker and more susceptible to decay.

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Rampant Caries

A type of tooth decay that progresses rapidly and affects many teeth at once.

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Plaque

Sticky bacterial colonies formed on the teeth that can lead to tooth decay.

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Incipient Caries

The earliest stage of tooth decay, where the enamel surface is weakened but no visible cavity has formed.

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Recurrent Caries

A type of tooth decay that develops under or next to an existing filling or crown.

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Dental Caries

A communicable and infectious disease that damages tooth enamel and can lead to cavities.

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Luting Cement

A type of dental cement used to hold permanent indirect restorations, such as crowns and bridges, in place.

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Temporary Cement

Cements that are intended for short-term use, such as holding a temporary crown in place.

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Provisional Cement

A type of dental cement that is used to retain temporary crowns while the permanent restoration is being made.

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Liner Cement

Used to line and base cavities, providing protection for the pulp.

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Zinc Oxide-Eugenol Cement (ZOE)

A dental cement known for its versatility and low irritation to the pulp, commonly used as a base in cavity preparations.

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Glass Ionomer Cement

A versatile cement, often used to repair cavities, that has low irritation to the pulp and can be used for both direct and indirect restorations.

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Composite Resin Cement

A dental cement well-suited for bonding restorations to the tooth surface but requires careful preparation to avoid pulp irritation.

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Luting Materials

A group of dental cements that are used to bind restorations to the tooth, often requiring etching and careful preparation to avoid pulp irritation.

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Cement Mixing: Minimize Water Loss

Dispensing the liquid first and then the powder will increase water loss, leading to a weaker cement.

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Powder Preparation for Cement

Fluffing the powder before dispensing helps create a uniform consistency for better mixing and prevents clumping.

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Cement that Prevents Decay

Glass ionomer cements release fluoride, actively preventing decay around fillings.

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Glass Ionomer Working Time

Mixing glass ionomer slowly on a glass slab allows for a longer working time, giving the dentist more time to place the cement.

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Advantages of Pre-Measured Capsules

Pre-measured capsules offer convenience, consistency, and eliminate the need for traditional trituration (mixing).

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Zinc Phosphate Cement

Zinc phosphate is a strong cement used for permanent restorations but does not offer decay protection.

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ZOE Cement

Zinc oxide-eugenol (ZOE) cement provides a soothing effect on sensitive teeth, but it isn't the best choice for preventing cavities.

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What type of cement is used for temporary cementation?

Type I zinc oxide-eugenol cement is often used for temporary cementation. It's commonly used when placing provisional restorations.

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What type of cement is used for permanent cementation of cast restorations?

Type II zinc oxide-eugenol cement is reinforced and can be used for permanent cementation of cast restorations, like crowns and bridges.

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What type of cement is used for final cementation of porcelain restorations?

Composite resin cement is used for final cementation of restorations made from porcelain, including inlays, onlays, crowns, and bridges.

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What type of cement is used for cementation of indirect restorations?

Glass ionomer cement is a luting cement used for cementation of indirect restorations, which are restorations made outside of the mouth and then placed.

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Why should you avoid pulling excess cement downwards?

Pulling excess cement downward can weaken the material under the margins of the restoration.

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Why should dentin be slightly moist during bonding?

It's crucial to ensure dentin remains slightly moist during bonding to avoid desiccation. This prevents the dentin from drying out excessively, which can weaken the bond.

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Why is air abrasion used on the internal surface of a porcelain crown?

Air abrasion is used to roughen the internal surface of a porcelain crown to increase the bonding surface area for cementation, creating a stronger bond.

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What advantages does using pre-measured glass ionomer capsules offer?

Using pre-measured glass ionomer capsules offers several benefits, including consistent results, eliminates the need for hand mixing, and is more convenient for the dentist.

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Study Notes

Calculus Removal

  • Calculus can be removed by brushing and other plaque control methods.

Primary Cause of Periodontal Disease

  • The primary cause of gingivitis and most forms of periodontal disease is biofilm.

Periodontal Structures

  • Structures surrounding, supporting, and attached to teeth are called the periodontium.

Periodontal Diseases

  • Plaques, malocclusions, and systemic causes are implicated in periodontal diseases.

Gingivitis Characteristics

  • Gingivitis is characterized by redness, swelling, and a tendency for the gingiva to bleed easily.
  • Loss of bone is not a characteristic of gingivitis.

Periodontal Disease Signs and Symptoms

  • Bleeding gingiva while brushing or flossing
  • Loose or separating teeth
  • Pain or pressure when chewing
  • Pus around the teeth or gingiva

Tooth Structure of Periodontium

  • Cementum is a tooth structure considered a part of the periodontium.

Healthy Gingiva Description

  • Healthy gingiva is characterized by uniformly pale pink color, firm, and resilient.
  • Generalized dark brown pigmentation is not a characteristic of healthy gingiva.

Healthy Gingival Sulcus Probing Depth

  • The probing depth of a healthy gingival sulcus is 0 to 4 mm from the cementoenamel junction.

Bright Red Bleeding Gingiva

  • Bright red gingiva that bleeds on probing is a description of gingival inflammation.

Periodontal Disease Risk Factors

  • Smoking and diabetes are risk factors for periodontal disease.
  • Fibromyalgia is not a known risk factor for periodontal disease.

Necrotizing Periodontal Disease

  • A gingival infection characterized by sudden onset of pain, crater-shaped interdental papillae, bleeding, and a foul odor is a description of necrotizing periodontal disease.

Outermost Periodontium Structure

  • Gingiva is the outermost structure of the periodontium.

Periodontal Disease and Tooth Loss

  • Periodontal diseases are infectious diseases and are the leading cause of tooth loss in adults (True).

Improving Gingivitis

  • Improved daily oral hygiene practices will reverse gingivitis (True).

Periodontal Disease and Bacteria

  • All forms of periodontal diseases are related to changes in the types of bacteria in the oral cavity (True).

Early-Onset Periodontitis

  • Localized and generalized are two general types of early-onset periodontitis. (True)

Reversibility of Gingivitis

  • Gingivitis is curable, and improved brushing and flossing is effective in reversing gingivitis. (True)

Periodontal Disease and Coronary Heart Disease

  • Patients with periodontal disease have a higher incidence of coronary heart disease. (True).

CAMBRA

  • CAMBRA is an evidence-based strategy for preventing and treating dental caries.

Remineralization

  • Loss of minerals from the tooth surface is demineralization.
  • Factors like calcium, fluoride, and phosphate help in remineralization

Cariogenic Decay

  • Decay that spreads quickly and widely is rampant caries.

Bacteria in Dental Caries

  • Mutans streptococci and Lactobacilli are primarily responsible for dental caries (both A and B).

Highly Mineralized Tissue

  • Enamel is the most highly mineralized tissue in the body. Enamel is harder compared to bone.

Earliest Caries Stage

  • The earliest stage of dental caries is incipient caries.

Dental Caries Classification

  • Dental caries are classified as a communicable, and infectious disease, and a disease found in children.

Colonies of Bacteria

  • Colonies of bacteria embedded in an adhesive layer are called Plaque.

Early Childhood Caries

  • Early childhood caries is preventable, transmissible, and more common among children with special needs.

Recurrent Decay Area

  • The term for dental caries that occurs under or adjacent to existing restorations is recurrent.

Prevention of Dental Caries

  • Prevention of dental caries includes fluoride use, antimicrobial oral rinse, decreasing fermentable carbohydrates in the diet, and increasing salivary flow. Factors that prevent decay are all of the options.

Bacteria and Dental Caries

  • The risk of developing dental caries increases as the number of caries-causing bacteria in the mouth increases (True).

Infant Saliva and Bacteria

  • Saliva, most commonly from the mother to the infant, transmits mutans streptococci. (True).

Essential Nutrients for Tissues

  • Proteins make new cells and rebuild body tissues.

Nutrients and Energy

  • Empty calories provide only energy.

Sticky Sugary Refined Products

  • Sticky sugary refined products are more likely to cause caries compared to complex carbohydrates

Tooth Erosion

  • Tooth erosion is often seen in patients with a history of bulimia, habits like thumb sucking, and cleft palates.

Oral Manifestations of Bulimia

  • Oral manifestations of bulimia include decalcification of enamel and increased dental caries amongst other issues affecting health of periodontal tissues.

Cholesterol Limit

  • The recommendation is that cholesterol should be limited to less than 250 mg/day.

Food Pyramid Lowest Level

  • Grains are located at the bottom of the food pyramid.

Antioxidants and Artery Health

  • Vitamins C and E help prevent cholesterol from oxidizing, thereby protecting the arteries.

Dietary Fiber

  • Dietary fiber is also called roughage.

Cariogenic Foods

  • Raisins, crackers, and soft drinks are considered cariogenic foods.

Protein Compounds

  • Amino acids are compounds in proteins used by the body to build and repair tissues.

Dental Assistant Nutritional Counseling

  • Counsel patients on preventing tooth decay, orthodontic appliance food choices, and post-surgical food choices.

Major Nutrients

  • Minerals, vitamins, fats, proteins, and carbohydrates are major nutrients.

Well-Balanced Amino Acid Mixture

  • A balanced mixture of all eight essential amino acids is a complete protein.

Deficiency Symptoms

  • Swollen and bleeding gums, slow wound healing, fatigue, depression, and poor digestion can occur due to vitamin deficiencies, such as vitamin C.

Avoiding Dental Tissue Damage

  • Dentin and enamel should not be dried completely, but should be blotted to avoid desiccation.

Porcelain Crown Preparation

  • Porcelain crowns should be roughened using air abrasion, cleaned with pumice, and moistened before cementation.

Polycarboxylate Cement Appearance

  • Polycarboxylate cement, when mixed correctly, appears glossy.

Zinc Phosphate Cement Mixing

  • Zinc phosphate cement must be mixed on a cool glass slab and spatulated over a wide area to dissipate the heat.

Cement Consistency for Zinc Phosphate Cement

  • The correct consistency of zinc phosphate cement for setting and forming a ball is to display a stringy appearance and break approximately one inch from the slab.

Acidic Cement

  • Zinc phosphate cement is the most acidic and irritating cement to the pulp.

Zinc Phosphate Cement Liner

  • Zinc phosphate cement, when used as a base, requires a liner first, to protect from irritation to the pulp.

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