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