AAPD Remembered EXAM QUESTIONS AND CORRECT SOLUTIONS| ACCURATE REAL EXAM WITH FREQUENTLY TESTED QUESTIONS |ALREADY A+ GRADED|100% GUARANTEED PASS||LATEST UPDATE 2025!!

AAPD Remembered EXAM QUESTIONS AND CORRECT SOLUTIONS| ACCURATE REAL EXAM WITH FREQUENTLY TESTED QUESTIONS |ALREADY A+ GRADED|100% GUARANTEED PASS||LATEST UPDATE 2025!! Name the properties that make glass ionomer an ideal material for use in children. - ANSWER chemical bonding to both enamel and dentin; thermal expansion similar to that of tooth structure; biocompativility; uptake and release of fluoride; decreased moisture sensitivity when compared to resins Glass ionomer has a coefficient of thermal expansion similar to enamel/dentin. - ANSWER dentin Which has better wear resistance: original glass ionomer or RMGI? - ANSWER RMGI Describe the "sandwich technique". - ANSWER GI is used as a dentin replacement (for its ability to seal and adhere) and then is covered by a resin because of its better wear resistance and esthetics The fluoride release of GI can occur for at least ____ years. - ANSWER 5 The major difference between ITR and ART is: - ANSWER ART is used as a definitive restoration while ITR is used more as a temporary solution before a definitive restoration Describe the resin infiltration technique. - ANSWER uses a specialized interproximal matrix; treat the surface of a non-cavitated carious lesion with hydrochloric acid; desiccate the surface with air, then ethanol; infiltrate, via capillary action over several minutes and 2 applications, an unfilled "fluid" resin to the extent of the DEJ or slightly beyond; polymerize the resin with light Microfilled resins have filler sizes less than ____. - ANSWER 0.1 micron Minifilled particle sizes range from ______. - ANSWER 0.1 to 1 micron Midsize resin particles range from ____. - ANSWER 1 to 10 microns Macrofilled particles range from ____ - ANSWER 10 to 100 microns When does the AAPD advocate the use of SSCs to restore primary anterior teeth? - ANSWER multiple surfaces are carious, where there is incisal edge involvement, following pulp therapy, when hypoplasia is present and when there is poor moisture control How often should radographic evaluation of primary tooth pulpotomies occur? - ANSWER at least annually Name some material which are appropriate to act as a liner. - ANSWER CaOH, dentin bonding agent, GI cement What are the benefits of indirect pulp capping over pulpotomy? - ANSWER higher success rate long term; normal exfoliation time Name some materials which are appropriate for direct pulp capping. - ANSWER MTA; CaOH Name the indications for primary tooth pulpectomy. - ANSWER irreversible pulpitis or necrosis or a tooth treatment planned for pulpotomy in which the radicular pulp exhibits clinical signs of irreversible pulpitis (excessive hemorrhage) or pulp necrosis (suppuration, purulence) with minimal or no root resorption Describe the 2-step process in indirect pulp treatment of a permanent tooth. - ANSWER 1) removal of carious dentin along DEJ with excavation of only the outermost infected dentin (change the cariogenic environment, decrease number of bacteria, close th remaining caries from the biofilm, slow/arrest caries development); 2) removal of the remaining caries and placement of a final restoration What time period is recommended between the two steps of the 2-step indirect pulp treatment of a permanent tooth? - ANSWER 3-6 months To what depth should inflamed pulp tissue be removed in a partial pulpotomy due to carious exposure in a permanent tooth? - ANSWER 1-3 mm How should you control pulpal bleeding in a partial pulpotomy of a permanent tooth? - ANSWER irrigation with sodium hypochlorite or chlorhexidine What materials are recommended to perform a partial pulpotomy of a permanent tooth? - ANSWER CaOH; MTA Which partial pulpotomy material has a record of longer success? - ANSWER CaOH What are the benefits of MTA over CaOH as a partial pulpotomy material? - ANSWER more predictable dentin bridging; more predictable pulpal health What is the recommended thickness of MTA used in a partial pulpotomy? - ANSWER 1.5 mm+ followed by a layer of light-cured RMGI Describe an apexification procedure. - ANSWER removal of coronal and nonvital radicular tissue just short of the root end and placing a biocompatible agent such as CaOH in the canals for 2-4 weeks to disinfect; root end closure accomplished with MTA or if this is not possible an absorbable collagen wound dressing such as Colla-Cote can be placed at the root end to allow MTA to be packed within the confines of the canal space; gutta percha used to fill the canal space or if the canal walls are the, the canal space can be filled with MTA or resin to strengthen the tooth against fracture When is the primary anterior dentition at risk for space loss when a tooth is avulsed? - ANSWER prior to the eruption of the canine or if the dentition is already crowded Name the characteristics of the ideal splint following trauma. - ANSWER easily fabricated in the mouth without additional trauma; passive unless orthodontic forces are intended; allows physiologic mobility; nonirritating to soft tissues; does not interfere with occlusion; allows endodontic access and vitality testing; easily cleansed; easily removed Define infraction. - ANSWER incomplete fracture of the enamel without loss of tooth structure What is the difference between a complicated and an uncomplicated crown fracture? - ANSWER complicated crown fracture involves pulp exposure Define concussion (in a dental/trauma oriented manner). - ANSWER injury to the tooth-supporting structures without abnormal loosening or displacement of the tooth Define subluxation. - ANSWER injury to tooth-supporting structures with abnormal loosening but without tooth displacement What is the treatment protocol for a permanent tooth which has been subluxated due to trauma? - ANSWER stabilize the tooth and relieve any occlusal interferences; use a flexible splint and splint for no more than 2 weeks What is the treatment protocol for primary teeth that have experienced lateral luxation? - ANSWER allow passive or spontaenous repositioning if there is no occlusal interference; if there is occlusal interference you may gently reposition the tooth or slightly reduce the area of occlusal interference; if the injury is severe or the tooth i nearing exfoliation, extraction is the treatment of choice What is the treatment protocol for a permanent tooth which has experienced lateral luxation? - ANSWER reposition and stabilize with digital pressure; you may need to splint for 2-4 weeks What are common sequelae to lateral luxation of a permanent tooth? - ANSWER pulp necrosis and pulp canal obliteration What methods can be used to determine if a tooth is displaced labially or palatally using radiographs? - ANSWER if the apex is displaced labially, the apical tip can be seen radiographically with the tooth appearing shorter than its contralateral; if the apex is displaced palatally toward the permanent tooth germ, the apical tip cannot be seen radiographically and the tooth appears elongated; you can also use a lateral radiograph and the SLOB technique What is the treatment protocol for intruded permanent teeth? - ANSWER For immature teeth with more eruptive potention (root 1/2 to 2/3 formed) allow spontaneous eruption; in mature teeth reposition actively (with orthodontics) or surgically and stabilize with a splint for up to 4 weeks as well as begin endodontic treatment within the first 3 weeks of the traumatic incidence In what time frame do most primary teeth re-erupt following intrusion? - ANSWER 2-6 months What is the treatment protocol for primary teeth which have experienced extrusion? - ANSWER allow the tooth to reposition spontaneously or reposition and heal for minor extrusion of less than 3 mm in an immature developing tooth; extract if the tooth exhibits severe extrusion or mobility, the tooth is nearing exfoliation, the child is unable to cope with the emergency situation of the tooth is fully formed What is the treatment protocol for a permanent tooth which has experienced extrusion? - ANSWER reposition and splint for up to 2 weeks