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OSCE Dental Hygiene – Comprehensive Exam Review Notes (Dental Hygiene Program, 2024–2025) – Complete Study Summary for Clinical and Radiographic Competencies

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This document provides a complete collection of OSCE-focused dental hygiene study notes covering clinical procedures, radiographic interpretation, medical emergencies, oral pathology, instrumentation, patient assessment, fluoride therapy, and periodontal classification. It includes definitions, diagnostic criteria, radiographic findings, technique errors, systemic conditions, and risk factors essential for exam preparation. These notes serve as a thorough and structured reference for students preparing for dental hygiene OSCEs and related examinations.

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Institution
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Uploaded on
November 25, 2025
Number of pages
23
Written in
2025/2026
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OSCE DENTAL HYGIENE (LATEST ) FUNDAMENTALS
OF NURSING | QUESTIONS WITH VERIFIED ANSWERS | 100 %
CORRECT | GRADE A




-Angioplasty-stent -Answer:-Tiny balloon inserted in the artery to prevent clogging.
-Blood thinners can cause heavier and prolonged bleeding

"V" or "Sharks fin" on pano -Answer:caused by lead collar.

A1C Normal -Answer:Less than 5.7%

A1C of diabetes -Answer:6.5% or higher

A1C of prediabetes -Answer:5.7-6.4%

Abfraction -Answer:-Biomechanical destruction related to fatigue, flexure, and
deformation of tooth structure.
-Can appear as a wedge-shaped lesion at the cervical third of the tooth.

Abrasion -Answer:-V-shaped notch in the gingival portion of the facial aspect of the
tooth.
-Results from forces of friction between the teeth or external objects.
-Can happen from improper brushing technique or the use of a toothpick or pipe.

According to the AAP, what should be the primary parameter to set thresholds for
gingivitis? -Answer:BOP

Acidulated Phosphate Fluoride (APF) -Answer:-Do NOT use of composites,
porcelain, or sealant materials as it causing pitting and roughening.
-Also avoid on root surfaces.

ADHD -Answer:-Characterized by inattentiveness, hyperactivity, impulsiveness, and
possible learning disability.
-Use "tell show do" method

Advanced carious lesion -Answer:Lesion that extends to or through the DEJ but does
not extend more than half the distance to the pulp.

,Airway shadow in an arch shape -Answer:tongue not touching rough of the mouth

Alcohol and drug dependency -Answer:-Risk for oral cancer is higher.
-Avoid mouth rinses with alcohol.
-Nitrous oxide is contraindicated

Allergic reaction treatment -Answer:Antihistamine (Benadryl)
-Keep patient in supine position

Alzheimer's disease -Answer:-Progressive disease that destroys memory and other
mental functions.
-Caregiver educations is important.

Amalgam tattoo -Answer:-Appears as blue or black macule of varying sizes on soft
tissues.

Amelogenesis imperfecta -Answer:-May show pitting (mottled appearance),
smoothness, or roughness.
-May appear yellow and is soft in texture, leading to the exposure of dentin.

Anaphylaxis -Answer:Most severe kind of allergic reaction that can potentially be
life threatening.
-Usually occurs within seconds or minutes.
-Administer epinephrine

Angina -Answer:-Chest pain caused by excessive work of the heart.
-Prepare nitroglycerin

Ankyloglossia -Answer:-"Tongue-tied"
-Short, tight, lingual frenum

Ankylosis -Answer:Fusion of enamel, dentin, or root cementum with adjacent
alveolar bone. Occurs mostly in deciduous teeth. Eruption fails to happen at the
proper time and needs to be extracted.

Ankylosis -Answer:Tooth is fused with adjacent bone which prevent the tooth from
erupting fully.

Anodontia -Answer:congenital lack of ALL primary or permanent teeth.

Anorexia Nervosa -Answer:extreme weight loss caused by self-starvation, excessive
exercise, use of laxatives, self-induced vomiting.

Anterior teeth thicker and wider -Answer:chin placed behind the focal trough.
Enlarged incisors (head too far back).

Aphthous Ulcer -Answer:-Appears on non-keratinized surfaces such as buccal and
labial mucosa, ventral surface of the tongue, floor of the mouth, and soft palate.
-Lesions are filled with fluid and are surrounded by a red halo.
2

, -Postpone treatment until the lesion heals (7-10 days)

Arrhythmia -Answer:-Abnormal electrical conduction to the heart muscles.
-Epi can worsen the condition
-Patient have pacemaker so check to see if it is new (shielded) or old (not shielded)
to determine is cavitron is safe for use.

Artifical (prosthetic) valve -Answer:-Patient requires antibiotic premedication before
invasive dental procedures.
-Patient may be on blood thinners

ASA 1 -Answer:Normal, Healthy

ASA 2 -Answer:Pt. with mild systemic diseases.
-Allergies
-Controlled hypertension
-Asthma
-Mild obesity
-Pregnancy
-Cigarette smoking without COPD
-Diabetes without systemic effects

ASA 3 -Answer:Pt. with severe systemic disease and some functional limitation.
-Controlled disease of more than one body system
-Controlled CHF
-Poorly controlled hypertension
-Morbid obesity
-Respiratory Problems (COPD)
-Stable angina

ASA 4 -Answer:Pt with severe systemic disease that is a constant threat to life.
-Possible risk of death
-Unstable angina
-Symptomatic COPD and CHF

ASA 5 -Answer:Moribund patient not expected to survive for more than 24 hours
without surgery.

ASA 6 -Answer:Brain dead pt.

Aspirin Burn -Answer:-Caused by an aspirin tablet placed directly on the pain area
instead of being swallowed.
-Lesion is painful and usually heals spontaneously in 7 to 21 days.

Asthma -Answer:-Late morning or late afternoon appointments are preferred.
-Avoid cavitron and air polisher

Attrition -Answer:-Results from forces between the teeth.
-Wear on the incised and occlusal surfaces from grinding.
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