AAPD ORAL BOARD EXAM
QUESTIONS WITH VERIFIED
ANSWERS
Immigrant children have a _______ times caries rate than nonimmigrant children -
ANSWER-3 times
If a 0-5 year old has white spot lesions they are considered - ANSWER-high risk
Primary care giver having caries is a _____ risk indicator - ANSWER-high
Recent immigration status = high or low risk? - ANSWER-Medium
Defective restorations are (high, moderate, low) risk factor? - ANSWER-Moderate
WHen is MS labs used in caries management - ANSWER-Under 6 year olds
Under 2 years of age - ANSWER-monitor incipient lesions
When do you restore incipient lesions? - ANSWER-after 3 years of age on high risk
kids with unengaged parent.
When should .5 percent fluoride tooth pastes be considered? - ANSWER-3-5 years
of age high risk (with caution)
6 and older high risk patients
3 month recalls are recommended for what age groups - ANSWER-All high risk kids
x-rays are recommended: - ANSWER-every 6 months except on low risk patients.
Over 6 years old and low risk can get x0rays every - ANSWER-12-24 months
3-5 year old low risk patients can get x-rays every - ANSWER-12-24 months
When should high risk kids get topical fluoride - ANSWER-every 3 months with
recalls.
What percentage of 1 year olds have seen a dentist? - ANSWER-1.5 percent
When is necessary dental treatment done during pregnancy? - ANSWER-All
trimesters but optimal in the second.
What are the 5 principles of motivational interviewing - 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? - ANSWER-4
What are the three components of self-determination theory? - ANSWER-1.
Autonomy
2. Competence
3. Relatedness
When is the earliest a pacifier should be used? - ANSWER-after breastfeeding is
well established (about 1 month)
Nonnutrative oral habits should be stopped by - ANSWER-3 years of age or
younger.
Anticipatory guidance - ANSWER-educating parents and caregivers about what to
expect in the next phase of development and giving practical information.
Does plaque effect fluoride uptake? - ANSWER-No
T/F: Sealants can arrest pit and fissure occlusal caries? - ANSWER-True
Can third molars cause late lower incisor crowding (either removal or retention)? -
ANSWER-No
What are the 11 aspects of all exams? - ANSWER-1. Clinical examination
2. Assess growth and development
3. Caries risk
4. Radiographic assessment
5. Fluoride assessment/supplementation
6. anticipatory guidance
7. OH counseling
8. Dietary counseling
9. Injury prevention counseling
10. Counseling for non-nutritave habits.
What additional questions should be included for the 2-6, 6-12, and 12+patient? -
ANSWER-2-6: sealants and occlusion
6-12: substance abuse and piercings
12+: third molars and adult care transfer
Caries risk assessment for 0-5 year olds - ANSWER-Any hint of caries is high risk.
risk assessment for 6 and over - ANSWER-Multiple interproximal lesions
White spit lesions
Low salivary flow
Caries management for <6 year olds - ANSWER-Active surveillance of non-cabotage
day lesions.
,Caries management of over 6 year olds - ANSWER-Same as above
Use of a habit appliance is only effective when - ANSWER-The child wants to stop
and would benefit from a reminder
When should you start counceling for substance abuse and piercings? - ANSWER-6-
12
When should you start evaluating for sealants and malocclusion - ANSWER-2-6 yrs
of age.
When should systemic fluoride be considrered - ANSWER-All children who do not
receive at least .7 ppm fluoride in all sources.
Teens are at a higher/lower risk for pregnancy complications - ANSWER-higher
140/90 mm - ANSWER-mild hypertension
160/110 mmHg - ANSWER-Severe hypertension
Acute-onset severe hypertension lasts how long at a minimum? - ANSWER-15
minutes
44% of pregnant participants in a story reported xerostomia - ANSWER-Yup
MS acquired with ECC is usually from where/ - ANSWER-Mother
What are the most common missing permanent teeth? - ANSWER-Mandibular
second premolar > Maxillary lateral incisor
Most common missing primary teeth - ANSWER-Maxillary incisors and first primary
molars (.1-.9%)
Supernumerary teeth are ______ times more likely to occur in the permanent vs
primary dentition - ANSWER-5
What percentage of supernumeraries occur in the maxilla? - ANSWER-80-90%
Of maxillary supernumeraries, what percentage are in the anterior region? Palatal? -
ANSWER-50% in anterior region and almost all are palatal.
What percentage of mesiodens erupt spontaneously? - ANSWER-25%
What can happen if mesiodens left untreated too long? - ANSWER-Prevent eruption
of healthy incisors, dilaceration or resorption of incisors root (less common), form
dentigerous cyst, erupt into nasal cavity.
If there is no incisor eruption following mesiodens extraction after ___ to ___ months
consider surgical intervention - ANSWER-6-12 months
, True/False: Ectopic 6 year molars are more common with fleft lip and palate patients.
- ANSWER-True
What percentage of ectopic permanent molars self correct by age 7? - ANSWER-
66%
Incidence of of primary dentition ankylosis - ANSWER-7-14
If canine's aren't horizontal, what percentage will erupt after extraction of primary
canine? - ANSWER-75%
Functional shift - ANSWER-Midlines undergo a compensatory or habitual shift when
the teeth occlue in crossbite.
Unilateral crossbites are typically . . . - ANSWER-bilateral crossbites with functional
mandibular shift.
When should functional shifts be eliminated? - ANSWER-As soon as possible.
What are the 4 subtypes of AI? - ANSWER-1. Hypocalcified- Normal thickness,
smooth surface, less hardness.
2. Hypoplastic pitted - Normal thickness, pitted surface, normal hardness
3. Hypoplastic generalized- reduced thickness, smooth.
4. Hypomaturation-Normal thickness, chipped surface, less hardness, opaque white
coloration.
What AI is associated with tricho-dento-osseous syndrome? - ANSWER-
Hypomaturation-hypoplastic with taurodontism
What are some other clinical manifestations of of AI? - ANSWER-Low caries
susceptibility, rapid attrition, excessive calculus deposition, and gingival hyperplasia.
What type of DI is associated with OI? - ANSWER-Dentinogenesis Imperfecta I
What do the teeth look like in DI? - ANSWER-Blue-gray to yellow-brown that
appears opalescent.
Which DI affects both dentitions? - ANSWER-DI 1, II
Describe the following in DI 1:
Crown size, Tooth shape on radiograph, roots, root canal and pulp chambers, Color?
- ANSWER-Bulbous crowns
Cervical constriction
Thin roots,
Early obliteration of the root canal and pulp chambers
Amber translucent tooth color
Describe DI II - ANSWER-AKA Hereditary opalescent dentin. Both dentitions are
equally affected, Opalescent dentin, other similar to type I
QUESTIONS WITH VERIFIED
ANSWERS
Immigrant children have a _______ times caries rate than nonimmigrant children -
ANSWER-3 times
If a 0-5 year old has white spot lesions they are considered - ANSWER-high risk
Primary care giver having caries is a _____ risk indicator - ANSWER-high
Recent immigration status = high or low risk? - ANSWER-Medium
Defective restorations are (high, moderate, low) risk factor? - ANSWER-Moderate
WHen is MS labs used in caries management - ANSWER-Under 6 year olds
Under 2 years of age - ANSWER-monitor incipient lesions
When do you restore incipient lesions? - ANSWER-after 3 years of age on high risk
kids with unengaged parent.
When should .5 percent fluoride tooth pastes be considered? - ANSWER-3-5 years
of age high risk (with caution)
6 and older high risk patients
3 month recalls are recommended for what age groups - ANSWER-All high risk kids
x-rays are recommended: - ANSWER-every 6 months except on low risk patients.
Over 6 years old and low risk can get x0rays every - ANSWER-12-24 months
3-5 year old low risk patients can get x-rays every - ANSWER-12-24 months
When should high risk kids get topical fluoride - ANSWER-every 3 months with
recalls.
What percentage of 1 year olds have seen a dentist? - ANSWER-1.5 percent
When is necessary dental treatment done during pregnancy? - ANSWER-All
trimesters but optimal in the second.
What are the 5 principles of motivational interviewing - 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? - ANSWER-4
What are the three components of self-determination theory? - ANSWER-1.
Autonomy
2. Competence
3. Relatedness
When is the earliest a pacifier should be used? - ANSWER-after breastfeeding is
well established (about 1 month)
Nonnutrative oral habits should be stopped by - ANSWER-3 years of age or
younger.
Anticipatory guidance - ANSWER-educating parents and caregivers about what to
expect in the next phase of development and giving practical information.
Does plaque effect fluoride uptake? - ANSWER-No
T/F: Sealants can arrest pit and fissure occlusal caries? - ANSWER-True
Can third molars cause late lower incisor crowding (either removal or retention)? -
ANSWER-No
What are the 11 aspects of all exams? - ANSWER-1. Clinical examination
2. Assess growth and development
3. Caries risk
4. Radiographic assessment
5. Fluoride assessment/supplementation
6. anticipatory guidance
7. OH counseling
8. Dietary counseling
9. Injury prevention counseling
10. Counseling for non-nutritave habits.
What additional questions should be included for the 2-6, 6-12, and 12+patient? -
ANSWER-2-6: sealants and occlusion
6-12: substance abuse and piercings
12+: third molars and adult care transfer
Caries risk assessment for 0-5 year olds - ANSWER-Any hint of caries is high risk.
risk assessment for 6 and over - ANSWER-Multiple interproximal lesions
White spit lesions
Low salivary flow
Caries management for <6 year olds - ANSWER-Active surveillance of non-cabotage
day lesions.
,Caries management of over 6 year olds - ANSWER-Same as above
Use of a habit appliance is only effective when - ANSWER-The child wants to stop
and would benefit from a reminder
When should you start counceling for substance abuse and piercings? - ANSWER-6-
12
When should you start evaluating for sealants and malocclusion - ANSWER-2-6 yrs
of age.
When should systemic fluoride be considrered - ANSWER-All children who do not
receive at least .7 ppm fluoride in all sources.
Teens are at a higher/lower risk for pregnancy complications - ANSWER-higher
140/90 mm - ANSWER-mild hypertension
160/110 mmHg - ANSWER-Severe hypertension
Acute-onset severe hypertension lasts how long at a minimum? - ANSWER-15
minutes
44% of pregnant participants in a story reported xerostomia - ANSWER-Yup
MS acquired with ECC is usually from where/ - ANSWER-Mother
What are the most common missing permanent teeth? - ANSWER-Mandibular
second premolar > Maxillary lateral incisor
Most common missing primary teeth - ANSWER-Maxillary incisors and first primary
molars (.1-.9%)
Supernumerary teeth are ______ times more likely to occur in the permanent vs
primary dentition - ANSWER-5
What percentage of supernumeraries occur in the maxilla? - ANSWER-80-90%
Of maxillary supernumeraries, what percentage are in the anterior region? Palatal? -
ANSWER-50% in anterior region and almost all are palatal.
What percentage of mesiodens erupt spontaneously? - ANSWER-25%
What can happen if mesiodens left untreated too long? - ANSWER-Prevent eruption
of healthy incisors, dilaceration or resorption of incisors root (less common), form
dentigerous cyst, erupt into nasal cavity.
If there is no incisor eruption following mesiodens extraction after ___ to ___ months
consider surgical intervention - ANSWER-6-12 months
, True/False: Ectopic 6 year molars are more common with fleft lip and palate patients.
- ANSWER-True
What percentage of ectopic permanent molars self correct by age 7? - ANSWER-
66%
Incidence of of primary dentition ankylosis - ANSWER-7-14
If canine's aren't horizontal, what percentage will erupt after extraction of primary
canine? - ANSWER-75%
Functional shift - ANSWER-Midlines undergo a compensatory or habitual shift when
the teeth occlue in crossbite.
Unilateral crossbites are typically . . . - ANSWER-bilateral crossbites with functional
mandibular shift.
When should functional shifts be eliminated? - ANSWER-As soon as possible.
What are the 4 subtypes of AI? - ANSWER-1. Hypocalcified- Normal thickness,
smooth surface, less hardness.
2. Hypoplastic pitted - Normal thickness, pitted surface, normal hardness
3. Hypoplastic generalized- reduced thickness, smooth.
4. Hypomaturation-Normal thickness, chipped surface, less hardness, opaque white
coloration.
What AI is associated with tricho-dento-osseous syndrome? - ANSWER-
Hypomaturation-hypoplastic with taurodontism
What are some other clinical manifestations of of AI? - ANSWER-Low caries
susceptibility, rapid attrition, excessive calculus deposition, and gingival hyperplasia.
What type of DI is associated with OI? - ANSWER-Dentinogenesis Imperfecta I
What do the teeth look like in DI? - ANSWER-Blue-gray to yellow-brown that
appears opalescent.
Which DI affects both dentitions? - ANSWER-DI 1, II
Describe the following in DI 1:
Crown size, Tooth shape on radiograph, roots, root canal and pulp chambers, Color?
- ANSWER-Bulbous crowns
Cervical constriction
Thin roots,
Early obliteration of the root canal and pulp chambers
Amber translucent tooth color
Describe DI II - ANSWER-AKA Hereditary opalescent dentin. Both dentitions are
equally affected, Opalescent dentin, other similar to type I
