AAPD QE BOARD EXAM QUESTIONS & ANSWERS
What layer do neural crest cells develop from? - Answer -Ectoderm
At what embryonic age does the dental lamina begin to develop? - Answer -6 weeks
What are the three components of the tooth bud? - Answer -Enamel Organ
Dental papilla
Dental sac
What are the three morphologic stages of a developing tooth bud? - Answer -Bud stage
Cap stage
Bell stage
During the bell stage invagination of the epithelium occurs, which layer is essential for
enamel production? - Answer -Stratum intermedium
Which cells does the stellate reticulum support and protect? - Answer -Ameloblasts
What do remnants of Hertwig's epithelial root sheath persist as? - Answer -Rests of
Malassez
What is the origin of the dental papilla? - Answer -Neural crest cells
What does the dental papilla differentiate in to? - Answer -Dentin and primordium of
pulp
What are enamel pearls? - Answer -Cells of epithelial root sheath that remain attached
to dentin. Differentiate into ameloblasts and produce enamel
What are the 7 steps (in order) of histophyisological differentiation of a tooth bud? -
Answer -Initiation
Proliferation
Histodifferentiation
Morphodifferentiation
Apposition
Mineralization
Maturation
During which stage of tooth development may problems that lead to anomalies of tooth
number occur? - Answer -Initiation
Which three stages of tooth development encompasses the bud, cap, early bell and late
bell? - Answer -Proliferation
,Histodifferentiation
Morphodifferentiation
Disruptions of proliferation may result in what type of tooth anomalies? (4) - Answer -
Size
Proportion
Numbers
Twinning
Which stage of tooth development may lead to anomalies of the enamel, dentin, and
cementum? - Answer -Morphodifferentiation
What is the incidence of hyperdontia? Males vs females? - Answer -0.3 - 3%
Males 2:1 females
Is hyperdontia more common in maxilla or mandible? More common in primary teeth or
permanent teeth? - Answer -Maxilla 90%
Permanent dentition 5x more common that primary
Which permanent teeth are most frequently missing? List in order from most to least
common - Answer -Third molars
Mandibular second pre molars
Maxillary lateral incisors
Maxillary second pre molars
Name 9 syndromes that may be associated with supernumerary teeth - Answer -Apert
Cleidocranial dysplasia
Gardner syndrome
Crouzon syndrome
Sturge Weber syndrome
Orofacialdigital Syndrome I
Hallermann-Strieff Syndrome - A
Cleft lip and palate
Down syndrome
Which syndrome is associated with shovel shaped incisors?
A. Sturge Weber Syndrome
B. Cleidocranial dysplasia
C. Apert syndrome
D. Hallermann Strieff Syndrome-A - Answer -C. Apert Syndrome
Narrow high palate
Cleft of soft palate
Delayed or ectopic eruption
Shovel shaped incisors
, Hypoplastic midface
Which syndrome is associated with osteomas of the jaw?
A. Orofiaciodigital Syndrome I
B. Apert Syndrome
C. Crouzon Syndrome
D. Gardner Syndrome - Answer -D. Gardner Syndrome
Delayed eruption
Supernum teeth
Osteomas of the jaw
Agensis of third molars is associated with agenesis of which permanent tooth? -
Answer -Maxillary lateral - either one or both
What is the inheritance pattern for non syndromic hypodontia? - Answer -Autosomal
dominant
Which teeth (from most to least) commonly present as microdontia? - Answer -Lateral
incisors
Second pre molars
Third molars
Which tooth anomaly is characterized by: abortive attempt by single tooth to divide; bifid
crown with single root and pulp chamber? - Answer -Gemination
Which tooth anomaly is characterized by: complete cleavage of single bud results in
supernum mirror image tooth? - Answer -Twinning
Which race is fusion of teeth most commonly seen? - Answer -Japenese (5%)
Which tooth anomaly is characterized by: dental union of 2 embryologically developing
teeth two separate pulp chambers; separate or fused canals appear as large bifid crown
with one chamber; dentin is always confluent? - Answer -Fusion
Which tooth anomaly is characterized by fusion after root formation is completed? What
is a common cause? - Answer -Concresence
Etiology: trauma
What class drug is chloral hydrate? - Answer -Non-barbituate
Sedative hypnotic
What is the dosing range for Chloral Hydrate? What is the max dose? - Answer -25 - 50
mg/kg (typically with CCHMC triple, dose at 15 - 25 mg/kg)
What layer do neural crest cells develop from? - Answer -Ectoderm
At what embryonic age does the dental lamina begin to develop? - Answer -6 weeks
What are the three components of the tooth bud? - Answer -Enamel Organ
Dental papilla
Dental sac
What are the three morphologic stages of a developing tooth bud? - Answer -Bud stage
Cap stage
Bell stage
During the bell stage invagination of the epithelium occurs, which layer is essential for
enamel production? - Answer -Stratum intermedium
Which cells does the stellate reticulum support and protect? - Answer -Ameloblasts
What do remnants of Hertwig's epithelial root sheath persist as? - Answer -Rests of
Malassez
What is the origin of the dental papilla? - Answer -Neural crest cells
What does the dental papilla differentiate in to? - Answer -Dentin and primordium of
pulp
What are enamel pearls? - Answer -Cells of epithelial root sheath that remain attached
to dentin. Differentiate into ameloblasts and produce enamel
What are the 7 steps (in order) of histophyisological differentiation of a tooth bud? -
Answer -Initiation
Proliferation
Histodifferentiation
Morphodifferentiation
Apposition
Mineralization
Maturation
During which stage of tooth development may problems that lead to anomalies of tooth
number occur? - Answer -Initiation
Which three stages of tooth development encompasses the bud, cap, early bell and late
bell? - Answer -Proliferation
,Histodifferentiation
Morphodifferentiation
Disruptions of proliferation may result in what type of tooth anomalies? (4) - Answer -
Size
Proportion
Numbers
Twinning
Which stage of tooth development may lead to anomalies of the enamel, dentin, and
cementum? - Answer -Morphodifferentiation
What is the incidence of hyperdontia? Males vs females? - Answer -0.3 - 3%
Males 2:1 females
Is hyperdontia more common in maxilla or mandible? More common in primary teeth or
permanent teeth? - Answer -Maxilla 90%
Permanent dentition 5x more common that primary
Which permanent teeth are most frequently missing? List in order from most to least
common - Answer -Third molars
Mandibular second pre molars
Maxillary lateral incisors
Maxillary second pre molars
Name 9 syndromes that may be associated with supernumerary teeth - Answer -Apert
Cleidocranial dysplasia
Gardner syndrome
Crouzon syndrome
Sturge Weber syndrome
Orofacialdigital Syndrome I
Hallermann-Strieff Syndrome - A
Cleft lip and palate
Down syndrome
Which syndrome is associated with shovel shaped incisors?
A. Sturge Weber Syndrome
B. Cleidocranial dysplasia
C. Apert syndrome
D. Hallermann Strieff Syndrome-A - Answer -C. Apert Syndrome
Narrow high palate
Cleft of soft palate
Delayed or ectopic eruption
Shovel shaped incisors
, Hypoplastic midface
Which syndrome is associated with osteomas of the jaw?
A. Orofiaciodigital Syndrome I
B. Apert Syndrome
C. Crouzon Syndrome
D. Gardner Syndrome - Answer -D. Gardner Syndrome
Delayed eruption
Supernum teeth
Osteomas of the jaw
Agensis of third molars is associated with agenesis of which permanent tooth? -
Answer -Maxillary lateral - either one or both
What is the inheritance pattern for non syndromic hypodontia? - Answer -Autosomal
dominant
Which teeth (from most to least) commonly present as microdontia? - Answer -Lateral
incisors
Second pre molars
Third molars
Which tooth anomaly is characterized by: abortive attempt by single tooth to divide; bifid
crown with single root and pulp chamber? - Answer -Gemination
Which tooth anomaly is characterized by: complete cleavage of single bud results in
supernum mirror image tooth? - Answer -Twinning
Which race is fusion of teeth most commonly seen? - Answer -Japenese (5%)
Which tooth anomaly is characterized by: dental union of 2 embryologically developing
teeth two separate pulp chambers; separate or fused canals appear as large bifid crown
with one chamber; dentin is always confluent? - Answer -Fusion
Which tooth anomaly is characterized by fusion after root formation is completed? What
is a common cause? - Answer -Concresence
Etiology: trauma
What class drug is chloral hydrate? - Answer -Non-barbituate
Sedative hypnotic
What is the dosing range for Chloral Hydrate? What is the max dose? - Answer -25 - 50
mg/kg (typically with CCHMC triple, dose at 15 - 25 mg/kg)
