
Course Introduction
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Course Introduction
Community Oral Health examines the principles and practices necessary to promote oral health at the population level. The course explores topics such as epidemiology of oral diseases, preventive dentistry, public health policies, oral health education, and program planning. Students learn about risk factors affecting oral health in diverse communities, methods for conducting community needs assessments, and the implementation and evaluation of community-based oral health programs. Emphasis is placed on reducing oral health disparities and fostering collaboration between dental professionals, healthcare providers, and the public to improve overall oral health outcomes.
Recommended Textbook
Primary Preventive Dentistry 8th Edition by Norman
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276 Verified Questions
276 Flashcards
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Page 2
O. Harris

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Q1) All caries start as incipient lesions and all incipient lesions progress to overt caries.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
Answer: C
Q2) Which scale defines a continuum from a state of health to a state of illness and death?
A)Health scale
B)Wellness scale
C)Illness scale
D)Injury scale
Answer: B
Q3) Which of the following is NOT considered a category of dental disease?
A)Dental caries/periodontitis
B)Acquired oral conditions
C)Craniofacial disorders
D)None of the above
Answer: D
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Q1) Culture is defined as integrated patterns of human behavior that include the language,thoughts,communications,actions,customs,beliefs,values,and institutions of racial,ethnic,religious or social groups.A dental hygienist should be culturally competent,only if he or she chooses to do so.
A)Both statement and reason are true.
B)Both statement and reason are false.
C)Statement is true but reason is false.
D)Statement is false but reason is true.
Answer: C
Q2) Which of the following is NOT one of the skill areas assessed in the Cross-Cultural Adaptability Inventory (CCAI)?
A)Emotional resilience
B)Flexibility/openness
C)Nonjudgmental
D)Personal acuity
Answer: C
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Q1) Whose responsibility is it to educate patients about oral diseases and their prevention?
A)Dental hygienist
B)Dentist
C)Dental assistant
D)All of the above
Answer: D
Q2) What phase of the dental hygiene process involves determining dental hygiene therapy and the establishment of realistic patient goals?
A)Implementation phase
B)Planning phase
C)Treatment phase
D)Assessment phase
Answer: B
Q3) What is the purpose of dental indices?
A)Diagnosing dental disease
B)Preventing dental disease
C)Quantifying dental diseases
D)Interpreting dental diseases
Answer: C
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Q1) Supragingival calculus is 60% mineralized,subgingival calculus is 30% mineralized.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q2) What factors may affect the onset of periodontal diseases?
A)Plaque
B)Host defense mechanisms
C)Exogenous antimicrobial agents
D)All of the above
Q3) Adhesion is mediated by a variety of bonding mechanisms,which include:
A)Exogenous antimicrobial agents
B)Etching agents
C)Physiochemical interactions
D)Antimicrobial interactions
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Q1) The four zones of the incipient lesion,described by Silverstone,are: h.
A)Outer zone,body of the lesion,dark zone,and translucent zone i.
B)Surface zone,body of the lesion,dark zone,and translucent zone j.
C)Light zone,body of the lesion,dark zone,and translucent zone
D)None of the above
Q2) Which of the following is tooth enamel composed of?
A)Enamel junctions
B)Dentin
C)Enamel rods
D)Dentinal tubules
Q3) When there is an immediate drop in pH after carbohydrate consumption,this is termed:
A)Stephan curve
B)Liken curve
C)Liken drop
D)Strait of Reitz
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Q1) For each millimeter of apical migration of sulcular epithelial attachment,there is also one millimeter of periodontal fibers lost.This migration of junctional epithelium and clinical attachment loss is the hallmark sign for diagnosing periodontitis.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
Q2) How many different species of bacteria are estimated to inhabit the oral cavity?
A)100-200
B)100-300
C)300-500
D)400-500
Q3) Gingival crevicular fluid is an exudate.It contains many cells and proteins.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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Q1) Which of the following is NOT an appropriate treatment for the symptoms of mucositis due to cancer therapy?
A)Ice chips
B)Topical pain relief solution
C)Spicy food
D)Systemic pain relievers
Q2) How long after initial detection of a lump or lesion should a patient be sent by a dental professional for a reevaluation?
A)14 days
B)60 days
C)6 months
D)1 year
Q3) Which of the following is the ONLY definitive method available for diagnosing oral carcinoma?
A)Surgical biopsy
B)Chemiluminescence
C)MRI
D)Exam by dental professional
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Q1) Oral pain after trauma as a result of temperature change is consistent with pulpal inflammation.Pain related to occlusion may mean that a tooth has been displaced or that swelling of the periodontal or supporting tissue has occurred.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
Q2) Which of the following is an appropriate media in which to store an avulsed tooth?
A)Milk
B)Patient's saliva
C)Saline
D)All of the above
Q3) Which segments of the population should be educated regarding the proper handling of an avulsed tooth?
A)Teachers
B)School nurses
C)Parents
D)All of the above
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Q1) Epithelium stands as a barrier to microbial invasion.Infection cannot occur without microbes getting past this anatomic barrier.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q2) Which is NOT a protective function of saliva?
A)Lubrication
B)Buffering demineralization
C)Flushing/rinsing
D)Remineralization of tooth structures
E)All of the above are functions of saliva
Q3) The blood has a system of granulocytes to find and attack foreign invaders.Granulocytes include which of the following EXCEPT:
A)Neutrophils
B)Candida albicans
C)Macrophages
D)Basophils
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Q1) The ________ is MOST appropriate for children whose dexterity is NOT sufficient to master the Bass technique.
A)Rolling technique
B)Bass technique
C)Horizontal technique
D)Stillman method
Q2) The scrub toothbrushing technique uses which movements?
A)Horizontal strokes
B)Vertical strokes
C)Circular strokes
D)All of the above
Q3) ________ is a term used to describe the heat treatment in which each filament end is sealed and rounded.
A)End rounding
B)Angled filaments
C)Texturing
D)Heating
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Q1) Important characteristics that lead to public acceptance of a dentifrice are:
A)Flavor,smell,color,and consistency
B)Flavor,smell,and texture
C)Smell,color,and consistency
D)Flavor,smell,texture,and consistency
Q2) Potassium nitrate is a commonly used,FDA-approved,OTC desensitization agent.It reduces the reaction of nerves in the teeth to stimuli such as heat and cold.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q3) The degree of dentifrice abrasiveness depends on:
A)The inherent hardness of the abrasive
B)The size of the abrasive particle
C)The shape of the particle
D)All of the above
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Q1) What is defined as the formation of a V-shaped slit in the gingiva that extends apically from the gingival margin?
A)Recession
B)Clefting
C)Abfraction
D)Floss cut
Q2) When are floss holders NOT recommended?
A)Poor dexterity
B)Small hands
C)Strong gag reflex
D)Physical disabilities
Q3) What is defined as an unpleasant breath emanating from the oral cavity,regardless of its origin?
A)Periodontal disease
B)Sour breath
C)Halitosis
D)Sweet breath
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Q1) The conventional denture is supported by implants or modifications of the natural teeth.The bony ridge supports the overdenture.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q2) Titanium does NOT scratch easily and will NOT trap biofilm.Microbial corrosion can severely limit the life and strength of the titanium.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
Q3) Candidiasis appears as raised,white patches on the mucosa and can be painful.The patches can be scraped off revealing healthy mucosa.
A)First statement is true,second statement is false.
B)First statement is false,second statement is true.
C)Both statements are true.
D)Both statements are false.
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Q1) How do water fluoridation systems prevent excess water fluoridation?
A)A limited amount of fluoride is maintained in day tanks.
B)Proper controls are used to feed fluoride from the hoppers to distilling tanks.
C)Metering pumps
D)All of the above
Q2) What type of fluoridation uses milk as a vehicle for fluoride delivery?
A)Milk fluoridation
B)Yogurt fluoridation
C)Cheese fluoridation
D)Salt fluoridation
Q3) What compound was the FIRST used in controlled water fluoridation programs and is still used in smaller communities?
A)Stannous fluoride
B)Neutral fluoride
C)Sodium silicofluroide
D)Sodium fluoride
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Q1) In what age group are fluoride varnishes highly recommended?
A)Elderly
B)Adults
C)Infants
D)Young children
Q2) When is fluoride recommended for newly erupted teeth?
A)12 months
B)16 months
C)2 years
D)3 years
Q3) What are the three procedures used for administering fluoride treatments?
A)Toothpaste,trays,and mouthrinse
B)Toothpaste,varnish,and painting
C)Varnish,painting,and mouthrinse
D)Varnish,painting,and trays
Q4) Which type of APF fluoride is more tolerated by patients?
A)Gel
B)Foam
C)Paste
D)Powder

Page 17
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Q1) What is defined as finger-like depressions created by the etching solution?
A)Tags
B)Tubules
C)Residue
D)Damaged tooth structure
Q2) What is the main advantage of a color sealant?
A)Higher fluoride content
B)Visualization
C)Easier manipulation of the material
D)Less technique sensitivity
Q3) What is the cost difference in placing a sealant versus a restoration?
A)Costs are equal
B).5 times more
C)1.3 times more
D)1.6 times more
Q4) Which is NOT a barrier to the placement of sealants?
A)Legal restrictions on dental providers
B)Patient's cost
C)Shortage of dentists accepting Medicaid
D)Lack of consumer knowledge

18
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Q1) Other than the presence of bacteria,what can contribute to periodontal disease?
A)Caries
B)Crevicular fluid
C)Absence of plaque
D)Nutritional factors
Q2) If a patient presents with unresolved gingivitis or periodontitis,before therapeutic treatment is started,what should be addressed with the patient?
A)Nutrition counseling
B)Caries control
C)Payment plan
D)Routing prophylaxis
Q3) Dental professionals can have a difficult time identifying patients with eating disorders.When one is identified with an eating disorder,the patient must be cautioned that,for dental rehabilitation to be successful,the underlying eating disorder and its cause must be resolved.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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Q1) What is also known as a sugar alcohol?
A)Glucose
B)Polyols
C)Alcohol
D)Lactose
Q2) Which sugars are implicated as caries causing agents?
A)Sucrose,glucose,NutraSweet,and fructose
B)Xylitol,sucrose,fructose,and maltose
C)Sucrose,glucose,fructose,and maltose
D)Maltose,glucose,xylitol,and NutraSweet
Q3) In addition to sugars,what other agents can be cariogenic?
A)Carbohydrates
B)Fibrous meats
C)Enzymes
D)Vegetables
Q4) Which type of sugar is commonly added to processed foods and drinks?
A)Molasses
B)High-fructose corn syrup
C)Aspartame
D)Cyclamate

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Q1) What theory states that changes take place bidirectional;environment,information,and behavior all affect one another?
A)Locus of control
B)Sense of coherence
C)Social Learning Theory
D)Theory of Reasoned Action
Q2) Which involves a method of seeing the world and one's place in it?
A)Sense of coherence
B)Sense of self
C)Sensory learning
D)None of the above
Q3) What focuses on the patients' readiness to learn and change,and helps engage patients to motivate them to progress along the stages of the model?
A)Motivation
B)Motivational interviewing
C)Personal opinion
D)Values
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Q1) Second-hand smoke exposes the non-smoker to more chemicals than the smoker.How much worse are these chemicals?
A)25 fold
B)50 fold
C)100 fold
D)125 fold
Q2) Which are products that assist patients with nicotine withdrawal?
A)Gum
B)Patches
C)Medications
D)All of the above
Q3) What are dental providers likely to see in the oral cavity of a smoker?
A)Leukoplakia
B)Leukoedema
C)Linea alba
D)Ectopic sebaceous glands
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Q1) What is defined as a removable oral appliance that protects the hard and soft tissues of the oral cavity and brain during contact sports?
A)Athletic mouthguard
B)Occlusal night guard
C)Retainer
D)Oral splint
Q2) What is defined as a temporary,trauma-included alteration in mental status?
A)Concussion
B)Migraine
C)Traumatic brain injury
D)None of the above
Q3) What was the FIRST mouthguard constructed of?
A)Rubber
B)Acrylic
C)Plastic
D)Cotton
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Q1) What is the MOST important part of the tooth?
A)Crown
B)Root
C)Cementum
D)Dentin
Q2) What is defined as specific sequences of bases that encode instructions on how to make proteins?
A)Genome
B)Chromosomes
C)Genes
D)Proteome
Q3) When taking dental histories,it is important to gather information on both parents' and siblings' history of caries.This should be done in addition to evaluating nutritional and oral hygiene habits.
A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.
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Q1) How often do pediatricians recommend that infants have exams during the first year of life?
A)5
B)6
C)7
D)8
Q2) What type of toothpaste should be used on infants?
A)Pea-size amount
B)Minimal amount
C)Fluoridated toothpaste
D)None
Q3) It is recommended that pregnant women NOT be reclined during dental appointments.What is the reasoning for this?
A)Patient comfort
B)Increased pressure on the fetus
C)Difficulty breathing for the mother
D)All of the above
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Q1) Children 2-5 years of age have an active imagination,this leads to magical thinking and pretend play.This active imagination causes the children to do what?
A)Fear the dental provider
B)Have imaginary friends
C)Make a literal interpretation
D)Be very outspoken
Q2) What is described as a continuum of interaction with a child/parent directed toward communication and education?
A)Communication
B)Setting
C)Behavior management
D)Tell-show-do technique
Q3) Which are NOT typical groups that are formed during the childhood stage?
A)Clubs
B)Play groups
C)Sports
D)Gangs
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Q1) Which of the following impacts a patient's attitude towards oral health?
A)Culture
B)Education
C)Economic status
D)All of the above
Q2) Cancer patients who receive chemotherapy and/or radiation can experience which of the following?
A)Oral irritation or ulcers
B)Rampant decay
C)Loss of salivary function
D)All of the above
Q3) Which type of fluoride is applied professionally and creates a film of calcium fluoride,which slowly releases over time.
A)Stannous fluoride
B)Acidulated phosphate fluoride
C)Fluoride varnish
D)Neutral sodium fluoride
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Q1) What causes the teeth of the elderly to appear darker in color?
A)Dentinal tubules
B)Pulp chamber
C)Diet
D)Medications
Q2) What is defined as the presence of at least 20 natural teeth?
A)Passive dentition
B)Functional dentition
C)Active dentition
D)Natural dentition
Q3) What portion of the elderly population has oral health problems?
A)1/4
B)1/3
C)1/2
D)1/8
Q4) A cognitive decline as the brain ages is a result of what?
A)Absence of disease
B)Trauma
C)Stress
D)Hormonal changes
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Q1) What is the major oral complication associated with epilepsy?
A)Mucositis
B)Xerostomia
C)Gingival overgrowth
D)Gingival recession
Q2) A condition of hemophilia will MOST significantly interfere with what dental treatment?
A)Prophylaxis
B)Scaling and root planning
C)Restorations
D)Extractions
Q3) Pallor (paleness)of the oral mucosa occurs when which medical condition is present?
A)Alcoholism
B)Asthma
C)Hyperthyroidism
D)Renal failure
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Q1) What are common signs and cues indicating a person might have autism?
A)Distant or aloof appearance
B)Lack of response to verbal or social cues
C)Easily frustrated
D)All of the above
Q2) Approximately how many births result in a child born with cerebral palsy?
A)1.7 out of every 1,000
B)2.1 out of every 1,000
C)3.1 out of every 1,000
D)4.8 out of every 1,000
Q3) What is defined as a non-progressive,neuromuscular disorder caused by damage to the immature brain?
A)Down syndrome
B)Cerebral palsy
C)Multiple sclerosis
D)Parkinson's disease
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