Advanced Dental Hygiene Practice
Final Exam
Course Introduction
Advanced Dental Hygiene Practice explores comprehensive approaches to oral health care, emphasizing evidence-based interventions, professional leadership, and the integration of advanced diagnostic and therapeutic techniques. The course covers topics such as risk assessment, periodontal therapy, patient-centered care for special populations, and collaborative practice in interdisciplinary healthcare settings. Students will develop critical thinking, clinical decision-making, and management skills required to optimize patient outcomes and contribute to advancing the dental hygiene profession.
Recommended Textbook
Periodontology for the Dental Hygienist 4th Edition by Dorothy A. Perry
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18 Chapters
787 Verified Questions
787 Flashcards
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Page 2
Chapter 1: Historical Perspectives on Dental Hygiene and Periodontology
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Dr.Alfred Fones' first office dental hygienist had been trained in what profession?
A) Nurse
B) Secretary
C) Homemaker
D) Schoolteacher
E) Dental assistant
Answer: E
Q2) A look into the past reveals that periodontal disease began in the 1800s with the advent of processed foods.
A)True
B)False
Answer: False
Q3) When was the periodontal probe first used to assess periodontal disease?
A) 1840 to 1860
B) 1913 to 1916
C) 1940 to 1960
D) 1970 to 1980
E) Impossible to determine, but it was recorded in ancient times.
Answer: C
Page 3
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Chapter 2: Periodontium: Anatomic Characteristics and Host
Response
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Interdental gingiva and papillae refer to the same anatomical structures. A)True
B)False
Answer: True
Q2) The embrasure space is the slight depression in the gingiva appearing between the buccal and lingual interdental papillae.
A)True
B)False
Answer: False
Q3) The histologic sulcus depth in healthy gingiva is approximately: A) 1 to 3 mm
B) 2 to 5 mm
C) 3 to 4 mm
D) 3 to 5 mm
Answer: A
Q4) A ________ is a resorbed area of bone over the facial surface of a tooth root. Answer: Dehiscence
A dehiscence is an area of boney resorption over the facial surface of the root of a tooth.This condition occurs in patients with labially inclined roots.
4
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Chapter 3: Epidemiology of Periodontal Diseases
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) If a large epidemiologic study is conducted,then research findings from a sample in a population can be a:
A) Sample
B) Population
C) Cohort
D) Generalization
Answer: D
Q2) List one of the two primary plaque debris indices:
Answer: Silness-Löe Plaque Index; Oral Hygiene Index-Simplified
The two primary plaque debris indices are the Silness-Löe Plaque Index and the Oral Hygiene Index-Simplified.
Q3) Risk factors are exposures,behaviors,and characteristics associated with disease.
A)True
B)False
Answer: True
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Page 5
Chapter 4: Microbiology of Periodontal Diseases
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) All of the following are features of the microflora of chronic periodontitis except one.Which feature is the exception?
A) Microflora varies among patients.
B) Biofilm is similar to that of gingivitis.
C) Biofilm can be altered with débridement.
D) Biofilm commonly contains Porphyromonas gingivalis.
Q2) Halitosis in 50% of individuals can be attributed to plaque biofilm in which oral microbial ecosystem?
A) Tongue
B) Oral mucosal surfaces
C) Saliva
D) Supragingival tooth surfaces
E) Subgingival tooth surfaces
Q3) Based on the specific plaque hypothesis,gingival health can be monitored by:
A) Measuring the amount of plaque
B) Recording the number of times the teeth are brushed daily
C) Determining the total number of bacteria in plaque samples
D) Distinguishing the various types of bacteria in plaque samples
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6
Chapter 5: Calculus and Other Disease-Associated Factors
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The composition of the bacterial plaque biofilm changes when a child is in orthodontic brackets and bands.
A)True
B)False
Q2) The risk of severe periodontal disease is increased by approximately what amount for those who smoke tobacco products?
A) 1.5 times
B) 2 times
C) 2.8 times
D) 3.5 times
E) 4 times
Q3) Orthodontic bands and brackets are associated with which of the following conditions?
A) Increased gingivitis and increased plaque biofilm
B) Decreased gingivitis and increased plaque biofilm
C) Increased gingivitis and decreased plaque biofilm
D) Decreased gingivitis and decreased plaque biofilm
Q4) Smokeless tobacco causes gingival and periodontal destruction.
A)True
B)False
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Chapter 6: Gingival Diseases
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) Which medication can cause excessive growth of gingival tissues?
A) Nifedipine
B) Phenytoin
C) Cyclosporine
D) Corticosteroid
Q2) All of the following statements are true about gingivitis except for one.Which statement is the exception?
A) Gingivitis is inflammation of the gingival tissues.
B) Gingival redness, edema, exudate, and bleeding are signs of gingivitis.
C) Changes in gingival contour may occur with gingivitis.
D) Gingivitis is often painful.
E) All of the above statements are true about gingivitis.
Q3) Healing of gingivitis results in the deposition and maturation of new collagen fibers.The redness and swelling remain.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q4) Gingival healing first takes place in the _________________________.
Q5) _________________________ is the major clinical indicator of gingivitis.
Page 8
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Chapter 7: Periodontal Diseases
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) A pathologically deepened gingival sulcus is called a ______________________.
Q2) All of the following systemic conditions have been associated with untreated advanced periodontal diseases except one.Which condition is the exception?
A) Stroke
B) Heart attack
C) Osteoporosis
D) Bacterial pneumonia
E) Low-birth-weight preterm births
Q3) All of the following diseases are forms of aggressive periodontitis except one.Which disease is the exception?
A) Chronic periodontitis
B) Refractory periodontitis
C) Localized juvenile periodontitis
D) Rapidly progressive periodontitis
Q4) In chronic periodontitis,disease activity is exacerbated when host resistance controls the disease through therapy or natural defenses.
A)True
B)False
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Chapter 8: Clinical Assessment
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49 Verified Questions
49 Flashcards
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Sample Questions
Q1) When a complete examination is performed,knowing the patient's major complaint is helpful but not necessary.
A)True
B)False
Q2) Performing all assessment procedures on Ms.AJP is appropriate.The dental hygienist most likely does not have to probe the patient's dentition because she regularly sees the dentist.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q3) PSR is the abbreviation for:
A) Probing screening recession
B) Periodontal screening and recording
C) Periodontal system for recording
D) Periodontal sextant recording
E) Periodontal scoring records
Q4) Inflammation of the soft tissue around an implant is _________________.
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10
Chapter 9: Systemic Factors Influencing Periodontal Diseases
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45 Verified Questions
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Sample Questions
Q1) For individuals with uncontrolled hypertension,elective dental treatment should be immediately completed.
A)True
B)False
Q2) Today's patients often experience complex systemic problems that require clinicians to be knowledgeable about how systemic problems influence the selection of periodontal therapy,requiring them to anticipate patient responses to these therapies.
A)True
B)False
Q3) The sudden occlusion or blocking of blood supply to a portion of the heart causes an ischemic heart condition that is called ______________________.
Q4) If an angina attack occurs during treatment,the clinician should: _________________________________________
Q5) Treatment planning for patients with stable angina should include both _______________ and ______________________.
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Chapter 10: Treatment Planning for the Periodontal Patient
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) An effective change in behavior for this patient's oral hygiene will be dependent on:
A) Cost of the treatment
B) Level of informed consent
C) Number of appointments required
D) Understanding the classifications of periodontal disease
E) Understanding the relationship between gum problems and plaque biofilm control
Q2) Phase III
A)Restorative treatment
B)Maintenance treatment
C)Emergency treatment
D)Treatment of the cause
E)Surgical treatment
Q3) Although essential for some patients,a treatment plan may not be needed for every periodontal patient.
A)True
B)False
Q4) ________________ is permission to proceed with treatment that the patient grants to the clinician.
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Page 12
Chapter 11: Occlusion and Temporomandibular Disorders
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The etiologic attributes of TMJ disorders are multifactorial.
A)True
B)False
Q2) Considerations for treating patients with TMJ disorders should include:
A) Brief appointments, if possible
B) Postoperative instructions for a soft diet and using warm compresses
C) Using aids such as bite blocks during treatment for patient comfort
D) All of the above
Q3) Crepitus
A)Spasm in the masticatory muscles associated with a disturbance in the trigeminal nerve
B)Grinding or gnashing of the teeth
C)Grating noise in the TMJ
D)Vibration or movement of a tooth when in function
Q4) Fremitus
A)Spasm in the masticatory muscles associated with a disturbance in the trigeminal nerve
B)Grinding or gnashing of the teeth
C)Grating noise in the TMJ
D)Vibration or movement of a tooth when in function
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Chapter 12: Plaque Biofilm and Disease Control for the
Periodontal Patient
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Sample Questions
Q1) Subgingival irrigation is only effective when performed by the dental hygienist at treatment visits.
A)True
B)False
Q2) Stannous fluoride alters bacterial cell metabolism and cell adhesion properties,in addition to reacting with tooth surfaces for caries prevention.Stannous fluoride products may carry the American Dental Association (ADA)seal of approval for both its antigingivitis and its anticaries properties.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q3) Anticalculus agents reduce supragingival and subgingival calculus by 20% to 40%.They are useful in the homecare regimen of every patient with periodontal disease.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
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Chapter 13: Nonsurgical Periodontal Therapy
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50 Flashcards
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Sample Questions
Q1) The dental hygienist can be confident that the treated periodontal pocket is free of deposits and contaminants embedded in the root surface when the ________________.
Q2) One month after completing nonsurgical periodontal therapy,the patient returns for a re-evaluation.The procedures performed at that time include:
A) Probing only
B) Plaque biofilm control reinforcement
C) Probing and plaque biofilm control reinforcement
D) Probing, plaque biofilm control reinforcement, and irrigation
Q3) What are the short-term goals of nonsurgical periodontal therapy?
Q4) The key to long-term successful nonsurgical therapy is
Q5) The primary long-term goal of nonsurgical periodontal therapy is
Q6) The rationale for nonsurgical periodontal therapy is
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Chapter 14: Periodontal Surgery
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46 Verified Questions
46 Flashcards
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Sample Questions
Q1) Attachment loss represents bone destruction,affecting the long-term prognosis for a tooth.
A)True
B)False
Q2) After periodontal surgery,sutures should be removed approximately how long after their placement?
A) 1 day
B) 1 week
C) 1 month
D) When healing is complete
Q3) Mucogingival surgery may be performed to treat which one of the following conditions?
A) Infrabony defects
B) Suprabony defects
C) Exposed root surfaces
D) Poor home care procedures
E) Deep pockets on the distal surfaces of molars
Q4) What is the rationale for periodontal surgery?
Q5) What are two of the six disadvantages or contraindications of periodontal surgery?
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Chapter 15: Dental Implants
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Bone tissue related to inflammation around implants usually radiographically appears in the shape of a:
A) Knife
B) Blade
C) Saucer
D) Coffee cup
Q2) 100% integration never develops with dental implants.
A)True
B)False
Q3) All of the following oral hygiene tools can be safely used for home care of the dental implant except one.Which tools are the exception?
A) Interproximal brushes
B) Floss, yarn, and gauze
C) Power-assisted brushes
D) Metal periodontal instruments
Q4) Probing implants should not be performed after loading for how long?
A) 3 months
B) 6 months
C) 1 year
D) Probing is not necessary; no periodontal ligament (PDL) exists
Page 17
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Chapter 16: Periodontal Emergencies
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50 Verified Questions
50 Flashcards
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Sample Questions
Q1) Pain may be the feature that distinguishes a periapical abscess from a periodontal abscess.
A)True
B)False
Q2) The flap of tissue that covers a partially or fully erupted tooth is referred to as:
A) Operculum
B) Periodontal flap
C) Pericornoid tissue
D) Periodontoclasia
Q3) Pus formation characterizes periodontal abscesses.Other names for pus include:
A) Exudate
B) Purulence
C) Suppuration
D) Purulent exudate
E) All of the above
Q4) Abscesses may be combinations of periodontal and endodontic lesions.
A)True B)False
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Chapter 17: Periodontal Maintenance and Prevention
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56 Verified Questions
56 Flashcards
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Sample Questions
Q1) What maintenance interval would the dental hygienist recommend for Mr.JTM?
A) Annually
B) Every 6 months
C) Between 2 and 4 months
D) Maintenance appointments are not effective because Mr. JTM is not willing to follow instructions.
Q2) A key strategy for enhancing compliance with this patient should include a(an):
A) New toothbrush and floss
B) Complete dental caries assessment
C) Oral hygiene instruction pamphlet
D) Explanation of the relationship of plaque biofilm to his oral conditions
Q3) Supragingival plaque biofilm control is important to emphasize with patients in the maintenance program because it:
A) Improves patient compliance.
B) Prevents the development of a pathogenic subgingival flora.
C) Usually improves collaboration with the dentist and the patient.
D) Is too time consuming to teach plaque control during other appointment times.
Q4) Gingivitis is always preceded by periodontitis.
A)True
B)False
Page 19
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Chapter 18: Prognosis and Results After Periodontal Therapy
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Sample Questions
Q1) Once patients are placed on a maintenance schedule after periodontal treatment,bleeding is indicative of ____________________________________.
Q2) Enamel projections are common on molar teeth.They are only significant when periodontal tissues become detached from them through the disease process.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q3) Extensive attachment loss suggests a worse prognosis for the patient.In periodontal therapy,all teeth with extensive attachment loss should be maintained as long as possible.
A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.
Q4) The prediction or forecast of the extent and duration of disease and its response to treatment is called ______________________.
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