including all aspects of oral health care delivered in a comprehensive, continuously accessible,
coordinated, and family-centered way
What is the most cost effective way to provide dental care? - correct answer Dental home
What is the most common infectious disease among U.S. children? - correct answer Dental
caries, particularly among poor, non-white children
When should a dental home be established? - correct answer within 6 months of first tooth
eruption and No later than 12 months
What is dental neglect - correct answer WILLFUL failure of parent or guardian to seek and
follow through with treatment necessary to ensure a level of oral heath essential for adequate
function and freedom from pain and infection.
Dental disability - correct answer orofacial pain, infection, or pathological condition and/or lack
of functional dentition affect nutritional intake, growth and development, or participation in life
activities.
Medically-necessary care - correct answer Reasonable and essential diagnostic, preventive, and
treatment services (including supplies, appliances, and devices) and follow-up care as
determined by qualified health care providers in treating any condition, disease, injury, or
congenital or developmental malformation to promote optimal health, growth, and
development. MNC includes all supportive health care services that, in the judgment of the
attending dentist, are necessary for the provision of optimal quality therapeutic and preventive
oral care. These services include, but are not limited to, sedation, general anesthesia, and
utilization of surgical facilities.
MNC ____________ the probability of good health and well-being and ________________ the
likelihood of an unfavorable outcome. - correct answer increases, decreases
Perinatal - correct answer 20th week of gestation to 4 weeks post-partum
Women are more or less susceptible to oral disease? Why? - correct answer More susceptible,
due to endocrinological fluctuations during pregnancy.
Poor oral health is associated with what birth problems? - correct answer Low birthwaeight,
growth restriction, preterm delivery, preclampsia, early pregnancy loss, and intrauterine fetal
demise.
Use of _______ ______ and avoiding tobacco and alcohol is protective for oral facial clefts? -
correct answer Folic acid
Pillow under the ______ hip maintains the uterus off the vena cava - correct answer right
,What analgesics should be avoided during pregnancy? - correct answer Ibuprofen and
Naproxen, during 1st and 3rd trimester.
Can opiods be used during pregnancy? - correct answer yes just minimum effectvie dose as
they do cross the placenta
What antibiotics should be avoided during pregnancy? - correct answer Erythromycin,
tetracycline, fluoroquinolones.
Infants born via C-section are colonized by S. Mutans _________________ compared to vaginal
births - correct answer Earlier
Teenage pregnancy (11-15) causes the following: - correct answer Pregnancy-induced
hypertension (causes increased bleeding during procedures), anemia, sexually transmissble
diseases, and premature delivery
Mild hypertension - correct answer Equal to or greater than 140/90
Severe hypertension - correct answer Greater than or equal to 160/110
Acute onset, severe hypertension that persists for 15 minutes or more = - correct answer
Emergency. Physician should be notified immediately.
Maternal levels of vitamin ____ may affect primary tooth development - correct answer D
Approximately ______ percent of pregnant participants reported persistent xerostomia -
correct answer Xerostomia
There is an correlation between periodontal disease in prengnant women and _____________
diabetes - correct answer gestational
Poor plaque control added with hormone changes in pregnancy can lead to development of
what pathology? - correct answer Pyogenic Granuloma
Due to increased risk of fetal hypoxia leading to inreased risk of pregnancy loss, what should be
avoided? - correct answer Nitrious Oxide during the first trimester
Due to worries regaring merucury, what products should be avoided during pregnancy? -
correct answer Tooth whitening products that contain or generate hydrogen peroxide (releases
inorganic mercury from amalgam fillings)
What should be done before brushing after vomitting? - correct answer Rinse with a cup of
water containing a teaspoon of sodium bicarbonate.
exclusive breastfeeding recommended until - correct answer 6-months to a year or more as
mutually desired by mother and infant.
What percentage of mothers have difficulty with breastfeeding? - correct answer 25-80%
,What percentage of children have ankyloglossia? - correct answer 5%
Does nighttime breast feeding alone increase caries? - correct answer No, but in conjunction
with other carbohydrates is highly cariogenic.
Breast feeding has been linked to: - correct answer Decreased celiac, inflamatory bowel
disease, obesity, diabetes, cardiovascular disease, SIDS, postpartum depression, and child
abuse.
_______ % of babies with ankyloglossia who are breastfed have no feeding trouble - correct
answer 50
Delay introduction of pacifiers until - correct answer 1 month and cease by 3 years old.
Prolonged pacifier use may increase the incidence of (3 things) - correct answer Otitis media
Oral candidia
GI infections
Motivational interviewing - correct answer a counseling technique that provides people with an
opportunity to talk about and resolve their feelings so that they can move forward with change
When use of smear or grain of rice - correct answer Starting at 1 month of age until able to
expectorate.
severe early childhood caries - correct answer Any smooth surface caries present *under 3
years old*.
*3-5* anything above one point equal to age +1
Juice should be limited to - correct answer <1 year old: 0 oz.
1-3: <4 oz per day
4-6: 4-6 oz per day
*new book says 4-6 oz for 1-6 year olds
7-18: 8 oz per day
Smear sized amount of tooth paste is approximately - correct answer 0.1 mg fluoride
Pea sized (3-6 yrs old) is approximately - correct answer .25 mg fluoride
To reduce risk of obesity and caries, it is recommended children's intake of sugar should equal
less than ____% of total energy intake per day - correct answer 5
Should you rinse after brushing? - correct answer Should be kept to a minimum or eliminated
all together.
, When should baby bottle use be completed? - correct answer 12-18 months
Breast feeding up to 12 months ____________ risk of caries, more than 12 month have
____________ risk of caries - correct answer Reduced, increased
Does plaque prevent fluoride uptake? - correct answer No
What should surgar intake be limited to in children? - correct answer 5% of total energy intake
(less than 16 grams in 4-8 year olds)
What is a potential source of sugar intake in children, particularly those who are chronically ill?
- correct answer Sugar in medications.
What are the 10 components of a comprehensive oral evaluation? - correct answer 1. General
health/Growth
2. Pain
3. Extraoral soft tissue
4. TMJ
5. Intraoral soft tissues
6. Oral hygiene and periodontal health
7. intraoral soft tissues
8. Occlusion
9. Caries risk
10. behavior
What are the 5 principles of motivational interviewing - correct answer 1.Express empathy
through reflective listening.
2.Develop discrepancy between clients' goals or values and their current behavior.
3.Avoid argument and direct confrontation.
4.Adjust to client resistance rather than opposing it directly.
5.Support self-efficacy and optimism.
How many times more likely are a 6-12 year old on average to visit a dentist than a
pediatrician? - correct answer 4
What are the three components of self-determination theory? - correct answer 1. Autonomy
2. Competence