ABPD COMPREHENSIVE QUESTIONS WITH
VERIFIED PRACTICE SOLUTIONS
●● Where do natal teeth most often occur in the mouth?
Answer: Most in mandibular anterior region. Over 50% occur in pairs.
●● What is the risk of topical anesthetics in infants?
Answer: Methemoglobinemia
●● What is the possible etiology of natal teeth?
Answer: Superficial position of tooth bud, endocrine disorder, infection,
Cleft lip and palate, Hallerman-Streiff syndrome
●● List 4 risk factors that increase caries risk.
Answer: 1. Primary caregiver has active caries
2. Low SES or recent immigrant
3. Over 3 snacks of high carbs or drinks
4. SHCN
●● What are CLINICAL risk factors that increase caries risk?
Answer: White spot lesions, enamel defects, visible cavities, existing
restorations, significant plaque accumulation.
,●● What are contraindications to SDF?
Answer: Symptomatic teeth, necrotic teeth, silver allergy, desquamative
gingivitis or mucositis
●● What's the MOA of SDF?
Answer: Silver ions are bactericidal and inhibit biofilm formation,
fluoride promotes remineralization
●● What should be asked in med hx of pt with cardiac disease?
Answer: 1. Description and name of condition
2. Previous treatment
3. Cardiologist to send consult to
4. Medications and frequency
5. Limitations and morbidity
●● What cardiac conditions require antibiotic prophylaxis?
Answer: 1. Prosthetic valves
2 Cyanotic heart disease
3. Surgical stents and conduits
4. Valve dysfunction
5. Cardiomyopathy
6. Mitral valve prolapse with regurgitation
,●● Oral findings in Down Syndrome
Answer: 1. Mouth breathers
2. Relative mandibular prognathism with small maxilla
3. Small conical teeth
4. Retained primary teeth
5. Large, protruding tongues
6. Precocious periodontal disease
●● 3 categories of info for caries risk assessment per AAPD
Answer: 1. Biological factors
2. Protective factors
3. Clinical findings
●● How long does the setting reaction for a Glass Ionomer Cement
Restoration occur over?
Answer: 24 hours
●● Should the cavosurface margin of a class II prep in a primary molar
be beveled? If so by how much?
Answer: No bevel
●● What is the AAPD rec for radiographs in the transitional dentition?
, Answer: posterior bitewings and a pano OR select PAs
●● What are the indications for a rein restoration?
Answer: 1. Small pit and fissure caries
2. Interproximal caries in primary teeth not extending past line angle
3. Interproximal caries in permanent teeth that extend 1/3 to 1/2 the
buccolingual width of tooth
4. Strip crowns
●● Contraindications to resin restorations
Answer: 1. Poor isolation
2. Large Multisurface restorations in posterior permanent dentition
3. High risk patients with multiple caries lesions, demin, and poor oral
hygiene and poor maintenance of restortions
●● How should you etch primary teeth?
Answer: 15 to 20 seconds
●● Should a class II resin be light cured again after polishing?
Answer: Yes
●● What are the properties of RMGI restorations?
Answer: 1. Chemically bond to enamel and dentin
VERIFIED PRACTICE SOLUTIONS
●● Where do natal teeth most often occur in the mouth?
Answer: Most in mandibular anterior region. Over 50% occur in pairs.
●● What is the risk of topical anesthetics in infants?
Answer: Methemoglobinemia
●● What is the possible etiology of natal teeth?
Answer: Superficial position of tooth bud, endocrine disorder, infection,
Cleft lip and palate, Hallerman-Streiff syndrome
●● List 4 risk factors that increase caries risk.
Answer: 1. Primary caregiver has active caries
2. Low SES or recent immigrant
3. Over 3 snacks of high carbs or drinks
4. SHCN
●● What are CLINICAL risk factors that increase caries risk?
Answer: White spot lesions, enamel defects, visible cavities, existing
restorations, significant plaque accumulation.
,●● What are contraindications to SDF?
Answer: Symptomatic teeth, necrotic teeth, silver allergy, desquamative
gingivitis or mucositis
●● What's the MOA of SDF?
Answer: Silver ions are bactericidal and inhibit biofilm formation,
fluoride promotes remineralization
●● What should be asked in med hx of pt with cardiac disease?
Answer: 1. Description and name of condition
2. Previous treatment
3. Cardiologist to send consult to
4. Medications and frequency
5. Limitations and morbidity
●● What cardiac conditions require antibiotic prophylaxis?
Answer: 1. Prosthetic valves
2 Cyanotic heart disease
3. Surgical stents and conduits
4. Valve dysfunction
5. Cardiomyopathy
6. Mitral valve prolapse with regurgitation
,●● Oral findings in Down Syndrome
Answer: 1. Mouth breathers
2. Relative mandibular prognathism with small maxilla
3. Small conical teeth
4. Retained primary teeth
5. Large, protruding tongues
6. Precocious periodontal disease
●● 3 categories of info for caries risk assessment per AAPD
Answer: 1. Biological factors
2. Protective factors
3. Clinical findings
●● How long does the setting reaction for a Glass Ionomer Cement
Restoration occur over?
Answer: 24 hours
●● Should the cavosurface margin of a class II prep in a primary molar
be beveled? If so by how much?
Answer: No bevel
●● What is the AAPD rec for radiographs in the transitional dentition?
, Answer: posterior bitewings and a pano OR select PAs
●● What are the indications for a rein restoration?
Answer: 1. Small pit and fissure caries
2. Interproximal caries in primary teeth not extending past line angle
3. Interproximal caries in permanent teeth that extend 1/3 to 1/2 the
buccolingual width of tooth
4. Strip crowns
●● Contraindications to resin restorations
Answer: 1. Poor isolation
2. Large Multisurface restorations in posterior permanent dentition
3. High risk patients with multiple caries lesions, demin, and poor oral
hygiene and poor maintenance of restortions
●● How should you etch primary teeth?
Answer: 15 to 20 seconds
●● Should a class II resin be light cured again after polishing?
Answer: Yes
●● What are the properties of RMGI restorations?
Answer: 1. Chemically bond to enamel and dentin
