AAPD Board 592 Exam Quizzes With Complete
Solutions
Graded A+
QUESTIONS AND 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
Solutions
Graded A+
QUESTIONS AND 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
