AAPD ORAL BOARD EXAM
QUESTIONS AND ANSWERS
Dental Home - Correct Answers -an ongoing relationship between the dentist and the
patient, 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 Answers -Dental
home
What is the most common infectious disease among U.S. children? - Correct Answers -
Dental caries, particularly among poor, non-white children
When should a dental home be established? - Correct Answers -within 6 months of first
tooth eruption and No later than 12 months
What is dental neglect - Correct Answers -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 Answers -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 Answers -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 Answers -
increases, decreases
Perinatal - Correct Answers -20th week of gestation to 4 weeks post-partum
,Women are more or less susceptible to oral disease? Why? - Correct Answers -More
susceptible, due to endocrinological fluctuations during pregnancy.
Poor oral health is associated with what birth problems? - Correct Answers -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 Answers -Folic acid
Pillow under the ______ hip maintains the uterus off the vena cava - Correct Answers -
right
What analgesics should be avoided during pregnancy? - Correct Answers -Ibuprofen
and Naproxen, during 1st and 3rd trimester.
Can opiods be used during pregnancy? - Correct Answers -yes just minimum effectvie
dose as they do cross the placenta
What antibiotics should be avoided during pregnancy? - Correct Answers -
Erythromycin, tetracycline, fluoroquinolones.
Infants born via C-section are colonized by S. Mutans _________________ compared
to vaginal births - Correct Answers -Earlier
Teenage pregnancy (11-15) causes the following: - Correct Answers -Pregnancy-
induced hypertension (causes increased bleeding during procedures), anemia, sexually
transmissble diseases, and premature delivery
Mild hypertension - Correct Answers -Equal to or greater than 140/90
Severe hypertension - Correct Answers -Greater than or equal to 160/110
Acute onset, severe hypertension that persists for 15 minutes or more = - Correct
Answers -Emergency. Physician should be notified immediately.
Maternal levels of vitamin ____ may affect primary tooth development - Correct
Answers -D
Approximately ______ percent of pregnant participants reported persistent xerostomia -
Correct Answers -Xerostomia
There is an correlation between periodontal disease in prengnant women and
_____________ diabetes - Correct Answers -gestational
,Poor plaque control added with hormone changes in pregnancy can lead to
development of what pathology? - Correct Answers -Pyogenic Granuloma
Due to increased risk of fetal hypoxia leading to inreased risk of pregnancy loss, what
should be avoided? - Correct Answers -Nitrious Oxide during the first trimester
Due to worries regaring merucury, what products should be avoided during pregnancy?
- Correct Answers -Tooth whitening products that contain or generate hydrogen
peroxide (releases inorganic mercury from amalgam fillings)
What should be done before brushing after vomitting? - Correct Answers -Rinse with a
cup of water containing a teaspoon of sodium bicarbonate.
exclusive breastfeeding recommended until - Correct Answers -6-months to a year or
more as mutually desired by mother and infant.
What percentage of mothers have difficulty with breastfeeding? - Correct Answers -25-
80%
What percentage of children have ankyloglossia? - Correct Answers -5%
Does nighttime breast feeding alone increase caries? - Correct Answers -No, but in
conjunction with other carbohydrates is highly cariogenic.
Breast feeding has been linked to: - Correct Answers -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 Answers -50
Delay introduction of pacifiers until - Correct Answers -1 month and cease by 3 years
old.
Prolonged pacifier use may increase the incidence of (3 things) - Correct Answers -
Otitis media
Oral candidia
GI infections
Motivational interviewing - Correct Answers -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 Answers -Starting at 1 month of age until
able to expectorate.
, severe early childhood caries - Correct Answers -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 Answers -<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 Answers -0.1 mg fluoride
Pea sized (3-6 yrs old) is approximately - Correct Answers -.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 Answers -5
Should you rinse after brushing? - Correct Answers -Should be kept to a minimum or
eliminated all together.
When should baby bottle use be completed? - Correct Answers -12-18 months
Breast feeding up to 12 months ____________ risk of caries, more than 12 month have
____________ risk of caries - Correct Answers -Reduced, increased
Does plaque prevent fluoride uptake? - Correct Answers -No
What should surgar intake be limited to in children? - Correct Answers -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 Answers -Sugar in medications.
What are the 10 components of a comprehensive oral evaluation? - Correct Answers -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
QUESTIONS AND ANSWERS
Dental Home - Correct Answers -an ongoing relationship between the dentist and the
patient, 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 Answers -Dental
home
What is the most common infectious disease among U.S. children? - Correct Answers -
Dental caries, particularly among poor, non-white children
When should a dental home be established? - Correct Answers -within 6 months of first
tooth eruption and No later than 12 months
What is dental neglect - Correct Answers -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 Answers -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 Answers -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 Answers -
increases, decreases
Perinatal - Correct Answers -20th week of gestation to 4 weeks post-partum
,Women are more or less susceptible to oral disease? Why? - Correct Answers -More
susceptible, due to endocrinological fluctuations during pregnancy.
Poor oral health is associated with what birth problems? - Correct Answers -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 Answers -Folic acid
Pillow under the ______ hip maintains the uterus off the vena cava - Correct Answers -
right
What analgesics should be avoided during pregnancy? - Correct Answers -Ibuprofen
and Naproxen, during 1st and 3rd trimester.
Can opiods be used during pregnancy? - Correct Answers -yes just minimum effectvie
dose as they do cross the placenta
What antibiotics should be avoided during pregnancy? - Correct Answers -
Erythromycin, tetracycline, fluoroquinolones.
Infants born via C-section are colonized by S. Mutans _________________ compared
to vaginal births - Correct Answers -Earlier
Teenage pregnancy (11-15) causes the following: - Correct Answers -Pregnancy-
induced hypertension (causes increased bleeding during procedures), anemia, sexually
transmissble diseases, and premature delivery
Mild hypertension - Correct Answers -Equal to or greater than 140/90
Severe hypertension - Correct Answers -Greater than or equal to 160/110
Acute onset, severe hypertension that persists for 15 minutes or more = - Correct
Answers -Emergency. Physician should be notified immediately.
Maternal levels of vitamin ____ may affect primary tooth development - Correct
Answers -D
Approximately ______ percent of pregnant participants reported persistent xerostomia -
Correct Answers -Xerostomia
There is an correlation between periodontal disease in prengnant women and
_____________ diabetes - Correct Answers -gestational
,Poor plaque control added with hormone changes in pregnancy can lead to
development of what pathology? - Correct Answers -Pyogenic Granuloma
Due to increased risk of fetal hypoxia leading to inreased risk of pregnancy loss, what
should be avoided? - Correct Answers -Nitrious Oxide during the first trimester
Due to worries regaring merucury, what products should be avoided during pregnancy?
- Correct Answers -Tooth whitening products that contain or generate hydrogen
peroxide (releases inorganic mercury from amalgam fillings)
What should be done before brushing after vomitting? - Correct Answers -Rinse with a
cup of water containing a teaspoon of sodium bicarbonate.
exclusive breastfeeding recommended until - Correct Answers -6-months to a year or
more as mutually desired by mother and infant.
What percentage of mothers have difficulty with breastfeeding? - Correct Answers -25-
80%
What percentage of children have ankyloglossia? - Correct Answers -5%
Does nighttime breast feeding alone increase caries? - Correct Answers -No, but in
conjunction with other carbohydrates is highly cariogenic.
Breast feeding has been linked to: - Correct Answers -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 Answers -50
Delay introduction of pacifiers until - Correct Answers -1 month and cease by 3 years
old.
Prolonged pacifier use may increase the incidence of (3 things) - Correct Answers -
Otitis media
Oral candidia
GI infections
Motivational interviewing - Correct Answers -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 Answers -Starting at 1 month of age until
able to expectorate.
, severe early childhood caries - Correct Answers -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 Answers -<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 Answers -0.1 mg fluoride
Pea sized (3-6 yrs old) is approximately - Correct Answers -.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 Answers -5
Should you rinse after brushing? - Correct Answers -Should be kept to a minimum or
eliminated all together.
When should baby bottle use be completed? - Correct Answers -12-18 months
Breast feeding up to 12 months ____________ risk of caries, more than 12 month have
____________ risk of caries - Correct Answers -Reduced, increased
Does plaque prevent fluoride uptake? - Correct Answers -No
What should surgar intake be limited to in children? - Correct Answers -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 Answers -Sugar in medications.
What are the 10 components of a comprehensive oral evaluation? - Correct Answers -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
