Contents
Introduction
1 General Dentistry
2 Human Disease
3 Oral Medicine
4 Oral Pathology
5 Oral Surgery
6 Child Dental Health and Orthodontics
7 Therapeutics
8 Dental Materials
9 Radiology and Radiography
Restorative Dentistry
1
General Dentistry
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1.1 In May 2013 the General Dental Council (GDC) changed the regulations regarding direct access. Which of th
following statements are correct with regard to current direct access regulations?
A Dental nurses may participate in a preventive programme without the patient seeing the
dentist and prescribing this programme first
B Dental hygienists may prescribe and provide tooth whitening without the patient seeing the
dentist first
C Dental nurses may prescribe and take radiographs in order to streamline the
appointment when a patient is seen at a dental practice
Dental therapists may see and provide treatment plans for patients and carry out
treatment within their scope of practice without the patient seeing the dentist first
D
E Orthodontic therapists may see patients and carry out an index of orthodontic treatment
need (IOTN) without the patient having to see the dentist first
Fluoride application
1.2 Which of the following statements about 2.2% fluoride (F) varnish application are correct?
A F varnish is contraindicated in patients who have ulcerative gingivitis
B F varnish is contraindicated in children who have caries-free deciduous teeth
C F varnish is contraindicated in children who use toothpaste containing 1500 parts per
million (ppm)
D F varnish is contraindicated in children who have contact dermatitis to iodine
E F varnish is contraindicated in patients with amelogeneis imperfecta
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1.1 ADE
Dental nurses may participate in preventive programmes without the patient seeing the dentist and
prescribing this programme first, provided that the dental nurse has been appropriately trained and is
participating in a structured programme that provides dental public health.
Tooth whitening may be carried out by dental hygienists provided that it has been prescribed by a dentist
and the first application must occur under direct supervision of a dentist (this means that the dentist must
be present on the premises at least when it occurs).
Dentists (or hygienists) must prescribe radiographs although a suitably trained dental nurse may take
radiographs after they have been prescribed.
As with all things the individuals in these roles must be adequately trained and skilled before they
undertake these duties.
1.2 A
Fluoride varnish is best avoided in patients with ulcerative gingivitis and stomatitis.
The Department of Health document, Delivering Better Oral Health. An evidence-based toolkit for prevention
(2009), recommends that children aged 0–6 should have 2.2% fluoride varnish applied twice yearly,
irrespective of whether they have caries-free deciduous teeth.
Colophony contained in the varnish can cause allergic reactions in some individuals and hence it is
advisable not to use F varnish on patients who have had allergic episodes requiring hospital admission.
With regard to the scope of practice of different healthcare professionals:
1.3
A Clinical dental technicians (CDTs) provide complete dentures direct to patients
B CDTs provide partial dentures direct to patients
C Dental technicians may provide repairs to dentures only if it prescribed by a
dentist
D Dental therapists carry out all items of dental treatment direct to patients
E Orthodontic therapists always work under prescription from a dentist
Which of the following procedures may be undertaken by a registered dental nurse provided that they
1.4 have been appropriately trained?
A Record dental charting and oral tissue assessment carried out by other registrants
C Take intra- and extraoral photographs
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D Take shades
E Take radiographs
The cusp or trait of Carabelli is normally found on which of the following tooth/teeth?
1.5
A Mandibular primary first molars
B Mandibular secondary/permanent first molar