Preventive Oral Health Strategies
Midterm Exam
Course Introduction
Preventive Oral Health Strategies focuses on the principles and practices essential to maintaining oral health and preventing dental diseases in individuals and communities. The course covers risk assessment, patient education, behavior modification, dietary counseling, and the use of preventive agents such as fluorides and sealants. Students explore the epidemiology of dental caries and periodontal diseases, learning to design and implement evidence-based prevention programs. Emphasis is placed on integrating preventive measures into clinical practice, recognizing the role of socioeconomic and cultural factors in oral health, and fostering interdisciplinary collaboration for optimal care.
Recommended Textbook
Primary Preventive Dentistry 8th Edition by Norman O. Harris
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276 Verified Questions
276 Flashcards
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Chapter 1: Introduction to Primary Preventive Dentistry
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Sample Questions
Q1) Which of the following are aspects of primary prevention?
A)Professional oral assessment
B)Patient's plaque control
C)Community water fluoridation
D)All of the above
Answer: D
Q2) 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
Q3) Secondary prevention can also be termed:
A)Restorative care
B)Dental visits
C)Prophylaxis
D)Rehabilitation
Answer: A
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3
Chapter 2: Cultural Health Influences
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Sample Questions
Q1) Which is the BEST way to pursue cultural competency for a lifetime?
A)Legal school
B)Continuing education
C)Understanding one's self
D)Competency education
Answer: B
Q2) The ethnocentric values of individualism and freedom motivate the practice of the giving health information;directly to the patient and NOT the family or family head,and to expect patients to make their own health care decisions.This holds true with all cultures.
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
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Chapter 3: Dental Hygiene Science
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Sample Questions
Q1) In which dental hygiene process phase does treatment begin?
A)Implementation phase
B)Treatment phase
C)Assessment phase
D)Evaluation phase
Answer: A
Q2) What serves as the basis for determining whether the treatment was successful or if adjunct therapy is warranted?
A)Recall visits
B)Evaluation
C)Periodontal pocket depths
D)Patient opinion
Answer: B
Q3) 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
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Chapter 4: Dental Plaque Biofilm
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Sample Questions
Q1) The primary colonizers in dental plaque biofilm tend to be cocci.They also tend to be aerobic.
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) 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.
Q3) Supragingival plaque is associated with gingivitis and periodontitis,whereas subgingival plaque is associated with caries and gingivitis.
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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Chapter 5: Carious Lesions
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Sample Questions
Q1) Resting salivary flow is principally from the major salivary glands while stimulated salivary flow comes from the minor salivary glands.
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) For dental caries to develop which conditions,must occur simultaneously?
A)There must be a susceptible tooth and host.
B)Cariogenic microorganisms must be present in a sufficient quantity.
C)There must be frequent oral consumption of refined sugars.
D)Both A and B.
E)All of the above.
Q3) The acronym CAMBRA stands for: k.
A)Caries Management by Risk Assessment
B)Caries Management by Reducing Acid l.
C)Caries Management by Restorative Adjuncts
D)Caries Management by Restoration and Assessment
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Chapter 6: Periodontal Diseases
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Sample Questions
Q1) All periodontitis is preceded by gingivitis.All gingivitis progresses to 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) The specific plaque hypothesis attributes periodontal diseases to specific,although NOT known,bacteria.It also states that all individuals are equally susceptible to periodontal disease.
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.
Q3) The nonspecific plaque hypothesis relates periodontal disease to the amount of plaque present.It states that all individuals are equally susceptible to periodontal disease.
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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Page 8
Chapter 7: Oral Cancer
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Sample Questions
Q1) Which of the following can be complications from irradiation?
A)Xerostomia
B)Altered taste
C)Osteoradionecrosis
D)All of the above
Q2) Which of the following factors determines the stage of cancer?
A)Size
B)Involvement of lymph nodes
C)Presence or absence of distant metastasis
D)All of the above
Q3) 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
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Chapter 8: Dental Trauma
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Q1) Once a tooth has been placed back in a patient's mouth,what type of splint should be used?
A)Very rigid
B)Flexible
C)Across the occlusal surface
D)Pushing on the gingiva
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 of the following is a method of pulp testing?
A)Electric vitality testing
B)Cold testing
C)Laser Doppler flometry
D)All of the above
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Chapter 9: Host Defense Mechanisms in the Oral Cavity
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Sample Questions
Q1) Which bacteria are responsible for caries formation?
A)Streptococcus oralis
B)Streptococcus mutans
C)Lactobacillus
D)Both A and B
E)Both B and C
F)All of the above
Q2) Granulomas are a systemic response to a foreign substance that has invaded a body tissue.Typically,granulomas are painful and must heal on their own so they do NOT recur.
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) Which of the following is NOT part of the defense system to ensure the safety of the body from infection?
A)Normal oral flora
B)Saliva
C)Anatomic barriers
D)All of the above
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Chapter 10: Toothbrushes and Toothbrushing Methods
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Sample Questions
Q1) Toothbrush wear (i.e. ,splayed,bent,or broken bristles)is influenced more by the brushing method than by the length of time of brushing.The wear is influenced more by the method than by the number of toothbrushings per day.
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) ________ 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
Q3) The scrub toothbrushing technique uses which movements?
A)Horizontal strokes
B)Vertical strokes
C)Circular strokes
D)All of the above
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Chapter 11: Dentifrices,Mouthrinses,and Chewing Gums
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Sample Questions
Q1) Baking soda (sodium bicarbonate)has had a long history of use as an oral-hygiene aid.The uses for these oral-hygiene aids include fighting plaque,gingivitis reduction,stain-removal,and odor-reducing efficacy.
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) 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
Q3) Humectants were added to maintain the moisture and prevent hardening.Commonly used humectants are sorbitol,mannitol,glycerol,and propylene glycol.
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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Page 13
Chapter 12: Self-Care Adjuncts
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Sample Questions
Q1) Oral irrigation removes the biofilm on the tooth structure.Supragingival irrigation improves and prevents gingivitis.
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) What oral hygiene product is recommended for Type II and III embrasures?
A)Floss threaders
B)Floss picks
C)Interdental brushes
D)Rubber tip stimulator
Q3) What is defined as bacteria-induced inflammation or infection of the heart and its valves?
A)Bacterial endocarditis
B)Cardia allergic response
C)Bacteremia
D)Pulmonary embolism
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Chapter 13: Implant and Denture Self Care
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Sample Questions
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) The endosseous dental implant includes which component?
A)Implant body
B)Abutment
C)Superstructure
D)All of the above
Q3) Which of the following is contraindicated for care of an implant?
A)Metal-core interproximal brush
B)Electric toothbrush
C)Sodium bicarbonate toothpaste
D)Antimicrobial rinse
E)Both A and C
F)Both B and D
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15
Chapter 14: Community Water Fluoridation
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Sample Questions
Q1) What is salt fluoridation?
A)It is the addition of salt and fluoride to water.
B)These components are added to preserved food.
C)These components are added to table salt.
D)Patients get daily fluoride intake through salt blocks.
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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Chapter 15: Topical Fluoride Therapy
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Q1) When is fluoride recommended for newly erupted teeth?
A)12 months
B)16 months
C)2 years
D)3 years
Q2) For how long should teeth be exposed to fluoride to garner the maximum anticaries effect?
A)2 minutes
B)3 minutes
C)4 minutes
D)5 minutes
Q3) In what age group are fluoride varnishes highly recommended?
A)Elderly
B)Adults
C)Infants
D)Young children
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Page 17
Chapter 16: Dental Sealants
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Sample Questions
Q1) What is the time frame in which a sealant will fail after initial placement if faulty technique was used?
A)3 months
B)6 months
C)1 year
D)3 years
Q2) What is defined as finger-like depressions created by the etching solution?
A)Tags
B)Tubules
C)Residue
D)Damaged tooth structure
Q3) Deep,irregular pits and fissures offer a much more favorable surface contour for sealant retention compared with broad,shallow fossae.The deeper fissures protect the resin sealant from the forces occurring as a result of masticatory movements.
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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18
Chapter 17: Nutrition,Diet,and Associated Oral Conditions
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Sample Questions
Q1) What is essential for taste and odor sensitivity?
A)Vitamin A
B)Zinc
C)Proteins
D)Vitamin D
Q2) What are the three local factors needed for caries to develop?
A)Cariogenic bacteria,dietary fibers,and a susceptible tooth
B)A susceptible tooth,cariogenic bacteria,and fermentable carbohydrates
C)A susceptible tooth,proteins,and fermentable carbohydrates
D)Cariogenic bacteria,gingival inflammation,and fermentable carbohydrates
Q3) Other than the presence of bacteria,what can contribute to periodontal disease?
A)Caries
B)Crevicular fluid
C)Absence of plaque
D)Nutritional factors
Q4) Which is NOT a cause of dental demineralization?
A)Bruxism
B)Excessive toothbrushing
C)Stomach acid
D)Consumption of acidic foods or drinks
Page 19
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Chapter 18: Sugar and Other Sweeteners
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Q1) Which type of sugar is commonly added to processed foods and drinks?
A)Molasses
B)High-fructose corn syrup
C)Aspartame
D)Cyclamate
Q2) What is defined as sugars or substances added to foods and beverages that provide a pleasurable taste?
A)Sweeteners
B)Caloric sweeteners
C)Sugar substitutes
D)Additives
Q3) Where does the chemical detection of taste occur?
A)Taste buds
B)Palate
C)Taste receptor cells
D)Buccal mucosa
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Chapter 19: Health Education and Promotion Theories
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Q1) The theory of reasoned action is more effective with which of the following?
A)A collective community
B)An individual
C)A small group setting
D)None of the above
Q2) Which is NOT a source of motivation?
A)Religious beliefs
B)External expectations
C)Social relationships
D)Social welfare
Q3) What is defined as a source of disturbance that upsets a sense of equilibrium?
A)Generalized resistance resources
B)Stressor
C)Motivation
D)Cultural disturbances
Q4) Which of the following is a key point in learning?
A)Self-efficacy
B)Relevance
C)Stressors
D)Determination
21
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Chapter 20: Tobacco Cessation
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Q1) Because smoking alters the body's ability to mount a host response,how does periodontal inflammation present itself in a smoker?
A)Red,swollen gingival margins,with profuse bleeding
B)Smooth tissue with minimal bleeding
C)Smooth tissue with profuse bleeding
D)Tight and firm margins with pyramidal papilla
Q2) Which are products that assist patients with nicotine withdrawal?
A)Gum
B)Patches
C)Medications
D)All of the above
Q3) Patients who smoke are more likely to present with what periodontal condition?
A)Healthy tissue
B)Gingivitis
C)Early periodontal disease
D)Moderate to advanced periodontal disease
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22
Chapter 21: Athletic Mouthguards
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Sample Questions
Q1) What was the FIRST mouthguard constructed of?
A)Rubber
B)Acrylic
C)Plastic
D)Cotton
Q2) 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
Q3) Which professional sports league does NOT require the use of mouthguards?
A)NBA
B)MLB
C)NFL
D)NHL
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Page 23
Chapter 22: Technological Advances in Primary Dental Care
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Q1) Co-aggregated cells are more resistant to phagocytosis and killing by neutrophils in vitro and in vivo.Colonization of P.gingivalis at subgingival sites is secondary in the pathogenic process of periodontal disease and tissue destruction.
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) What major genetic factor influences an individual's response to periodontal disease?
A)Cytokines
B)Gamma globulins
C)Proinflammatory cytokine interleukin 1B
D)Immunoglobulin A
Q3) What has research indicated about periodontal disease and dental caries?
A)That periodontal disease and caries is contagious.
B)That periodontal disease and caries can be genetic.
C)That periodontal disease and caries is due to a chromosome deficiency.
D)That periodontal disease and caries can be reversed.
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Chapter 23: Pregnancy and Infancy
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Q1) By what stage of pregnancy should restorative treatment be completed on a pregnant woman?
A)Preconception
B)First trimester
C)Second trimester
D)Third trimester
Q2) 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
Q3) When completing the interview process for a child's first visit what are some areas to inquire about?
A)Social activities,speech,and feeding history
B)Feeding history,medical history,and social activities
C)Growth and development,siblings,and family dental history
D)Growth and development,feeding history,medical history
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25
Chapter 24: Pediatrics
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Q1) What does culture help determine?
A)Values,beliefs,sense of self,and expected behavior
B)Values,beliefs,communication,and expected behavior
C)Values,communication,attitude,and expected behavior
D)Values,religion,sense of self,and expected behavior
Q2) At what stage does motor development become much smoother and more coordinated?
A)Infancy
B)Early childhood
C)Childhood
D)Adolescence
Q3) Which is NOT a reason why parents play an important role in their child's dental health care?
A)Supervision of oral health care
B)Scheduling dental visits
C)Monitoring diet
D)Staying in the room during the cleaning
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26
Chapter 25: Adult Dental Care
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Q1) Almost half of U.S.adults aged 35-44 years have gingivitis.Approximately one-half of the U.S.population has 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) Which gland is responsible for the control of the production of estrogens from the ovaries in females and androgens from the testes in males?
A)Brain stem
B)Pituitary gland
C)Thyroid
D)Frontal lobe
Q3) Periomylosis and floating amalgams are a sign of what condition?
A)Anorexia
B)Bulimia
C)Vitamin deficiencies
D)Anemia
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Chapter 26: Geriatrics
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Q1) Osteoporosis may contribute to the progression of periodontal disease.Significant decrease in bone mass of the mandible may lead to fragility and increased resorption,risk of fracture,and failure of osseointegration of dental implants.
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) 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 percentage of elderly needs periodontal treatment?
A)90%
B)95%
C)100%
D)None of the above
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Chapter 27: Medically Compromised Populations
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Q1) What medical condition presents with an enlarged tongue and delayed eruption of the dentition?
A)Hyperthyroidism
B)Hypothyroidism
C)Asthma
D)Renal disease
Q2) Pallor (paleness)of the oral mucosa occurs when which medical condition is present?
A)Alcoholism
B)Asthma
C)Hyperthyroidism
D)Renal failure
Q3) Rampant caries is commonly seen with which type of substance abuse?
A)Marijuana
B)Cocaine
C)Meth
D)Alcohol
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Chapter 28: Populations with Developmental Disabilities
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Q1) An increase in damaging oral habits such as bruxism,biting of ones' lips,and pica may also be found in patients with autism.These habits may be considered a self-coping mechanism,exploration,or one of many repetitive behaviors seen in individuals with autism.
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) In which population is periodontal disease and caries widespread?
A)Down syndrome
B)Cerebral palsy
C)Autism
D)Mental retardation
Q3) What is the BEST preventive measure a dental provider can use for a patient with a developmental disability?
A)Regular maintenance visits
B)Sealants
C)Electric toothbrushes
D)Fluoride
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