DH 205 FINAL EXAM REVIEW UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. What tooth conditions indicate need for a dental care intervention prior to tooth bleaching?
Answer:
Caries Sensitivity
Question:
2. What factors can influence the final outcome of tooth bleaching treatments?
Answer:
Initial tooth color Patient Age Concentration of bleaching agent Ability of agent to reach the stain
molecule Duration of contact Number of applications Temperature
Question:
3. Describe effective methods for reducing sensitivity related to bleaching.
Answer:
Pretreatment:
-Use a desensitizing toothpaste containing potassium nitrate, w/o sodium lauryl sulfate beginning 2 weeks
before whitening
-Use toothpaste with prescription strength sodium FL2
-Use toothpaste that includes calcium carbonate
During:
-Cont. to use desensitizing toothpaste
-Increase time intervals between tx.
-Reduce exposure time to bleaching
-Limit the amount in tray to prevent tissue contact
Postbleaching:
-Sensitivity diminishes with time
-Continue daily use of desensitizing dentifrice
-Have professional FL2 varnish application
-Avoid foods & beverages with temperature extremes or that contain acidic elements
Question:
4. List ways to evaluate posttreatment outcomes.
, Answer:
Gingival/periodontal outcomes:
-Reduced dental biofilm
-Smooth tooth surfaces w/ calculus removed
-Reduced probing depths
-No BOP
-Resolution of erythematous tissue
-No further loss of CAL
-Decrease or no change in mobility
Dental caries risk outcomes:
-No new vaccinated lesions
-Demineralized/non-cavitated areas resolved
-Reduced intake of cariogenic foods/beveragees
-Place dental sealants
-Increase FL2 use
Prevention outcomes:
-Elimination of iatrogenic factors
-Increased % of biofilm-free areas
-Pt. demo. of recommended oral care procedures
-Compliance w/ daily care recommendations
-Compliance w/ recom. maintenance intervals
-Tobacco-free status achieved
-Modifications/stabilization of systemic risk factors
Question:
5. Identify the purposes of a maintenance program for patients who successfully complete therapy.
Answer:
-Continue the healthy state attained during active therapy
-Prevent recurrence of previous infections
-Prevent new disease
-Monitor edu. and behavioral changes
-Monitor clinical signs of health and disease
-Provide specialized instructions for new implants, prostheses, orthopedic. appliances, and various
restorations
Question:
6. What factors contribute to the recurrence of periodontal disease?
Answer:
Recolonization of a pocket can occur w/in and average of 42 days.
-Insufficient personal care
-Lack of compliance with maintenance appoint.
-Incomplete professional treatment
-Tobacco Use
-Systemic Diesases
-Genetic Factors
Question:
7. Under what conditions might you refer a new patient directly to a periodontist?
QUESTIONS AND CORRECT ANSWERS
Question:
1. What tooth conditions indicate need for a dental care intervention prior to tooth bleaching?
Answer:
Caries Sensitivity
Question:
2. What factors can influence the final outcome of tooth bleaching treatments?
Answer:
Initial tooth color Patient Age Concentration of bleaching agent Ability of agent to reach the stain
molecule Duration of contact Number of applications Temperature
Question:
3. Describe effective methods for reducing sensitivity related to bleaching.
Answer:
Pretreatment:
-Use a desensitizing toothpaste containing potassium nitrate, w/o sodium lauryl sulfate beginning 2 weeks
before whitening
-Use toothpaste with prescription strength sodium FL2
-Use toothpaste that includes calcium carbonate
During:
-Cont. to use desensitizing toothpaste
-Increase time intervals between tx.
-Reduce exposure time to bleaching
-Limit the amount in tray to prevent tissue contact
Postbleaching:
-Sensitivity diminishes with time
-Continue daily use of desensitizing dentifrice
-Have professional FL2 varnish application
-Avoid foods & beverages with temperature extremes or that contain acidic elements
Question:
4. List ways to evaluate posttreatment outcomes.
, Answer:
Gingival/periodontal outcomes:
-Reduced dental biofilm
-Smooth tooth surfaces w/ calculus removed
-Reduced probing depths
-No BOP
-Resolution of erythematous tissue
-No further loss of CAL
-Decrease or no change in mobility
Dental caries risk outcomes:
-No new vaccinated lesions
-Demineralized/non-cavitated areas resolved
-Reduced intake of cariogenic foods/beveragees
-Place dental sealants
-Increase FL2 use
Prevention outcomes:
-Elimination of iatrogenic factors
-Increased % of biofilm-free areas
-Pt. demo. of recommended oral care procedures
-Compliance w/ daily care recommendations
-Compliance w/ recom. maintenance intervals
-Tobacco-free status achieved
-Modifications/stabilization of systemic risk factors
Question:
5. Identify the purposes of a maintenance program for patients who successfully complete therapy.
Answer:
-Continue the healthy state attained during active therapy
-Prevent recurrence of previous infections
-Prevent new disease
-Monitor edu. and behavioral changes
-Monitor clinical signs of health and disease
-Provide specialized instructions for new implants, prostheses, orthopedic. appliances, and various
restorations
Question:
6. What factors contribute to the recurrence of periodontal disease?
Answer:
Recolonization of a pocket can occur w/in and average of 42 days.
-Insufficient personal care
-Lack of compliance with maintenance appoint.
-Incomplete professional treatment
-Tobacco Use
-Systemic Diesases
-Genetic Factors
Question:
7. Under what conditions might you refer a new patient directly to a periodontist?
