PEDIATRIC DENTISTRY EXAM I – 8340 2025
EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
What is the difference in hypocalcification and hypoplasia?
Correct Answer - Hypocalcification is a defect in mineralization
- Hypoplasia is a defect in apposition of enamel matrix
What is the difference between Gemination and Fusion? Correct
Answer - Gemination: One tooth bud divides in two
- Fusion: two different tooth buds fuse together
T/F
The ideal arch in the primary dentition should have spaces
present. The mandibular primate space is located to the mesial of
the mandibular canine. Correct Answer - True: Baum Type I
- False: distal of mandibular canine
The presence of a mandibular shift is often indicative of a ______.
Correct Answer - Posterior crossbite
What are the indications for a SSC? Correct Answer - Class II
lesion on primary 1st molar before 1st permanent molar eruption
- Caries involves a line angle
- Caries involves 3 or more surfaces
- After pulp therapy
- Large caries w/ undermined cusps
- Tooth defects presents (mottled enamel)
- Longevity (needs to last for several years)
What are the treatment options for pediatric esthetic Crowns?
Correct Answer - Strip crowns: composite w/ plastic crown former
- NuSmile: Stainless steel back w/ porcelain front
,- Open face crown: SSC w/ window cut on the facial surface and
composite placed in the gap
What are the 7 overarching treatment options for the pediatric
dental patient? Correct Answer - Sealants
- Amalgam
- Composite
- SSC
- Esthetic crowns
- Pulp therapy
- Extractions
Calculate max dose of local anesthetic for a 54 pound child
Correct Answer - (54 lbs x 2mg/lb) / 34mg/carpule = *3.17*
carpules ≈ 3 total
When charting caries, you see a clinically apparent occlusal
cavitation that does not extend interproximally. Where should this
be charted? Correct Answer - On the occlusal surface of the tooth
in question
When charting caries, you see a clinically apparent occlusal
cavitation that extends to and began interproximally. Where
should this be charted? Correct Answer - On the facial surface of
the tooth
What is the difference between an uncomplicated and a
complicated crown fracture? Correct Answer - Uncomplicated:
fracture of enamel and/or dentin
- Complicated: fracture includes the pulp
What are the 4 categories of injuries to the periodontal tissues?
Correct Answer - Concussion: bruised PDL, no mobility
- Subluxation: neurovascular supply may be damaged, Class I
mobility
, - Luxation: tooth displaced but still in the socket
- Avulsion: tooth knocked completely out of the socket
The peak occurrences of injury to the primary dentition occur at
what ages? Why these ages? Correct Answer - 1.5 - 2.5 years:
child starts walking
- 5-6 years: child starts school
The _______ are the most commonly injured teeth. The ratio of
boy : girl for traumatic dental injuries is ____:_____. The most
common etiology of tooth trauma in the primary dentition is
___________. Correct Answer - Maxillary central incisors
- 1.2-1.8 : 1
- Falls or objects directly hitting tooth
T/F
Almost every dental injury is a true emergency. Delays in
treatment affect the outcome of treatment and the treatment
options. Correct Answer - True
- True
After a traumatic dental injury in a child, what would be included in
a quick Neurologic assessment? Correct Answer - Loss of
consciousness
- Gait and communicative skills
- Cranial nerves: CN V: muscles of mastication. CN VII: facial
drooping
- Headache, seizures, vomiting
- Rhinorrhea, otorrhea
What are the indications for antibiotics following traumatic dental
injury? Correct Answer - Heart disease (infective endocardidits),
shunt, joint replacement
- Dirty injuries
- Avulsions *always*
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