UCDH POC EXAM 1 |
132 QUESTIONS |
WITH ACTUAL
SOLUTIONS!!
UCDH POC
OCTOBER 19, 2024
EVATEE
,UCDH POC EXAM 1 | 132 QUESTIONS | WITH
ACTUAL SOLUTIONS!!
What is the most prevalent infectious disease in American Children? Answer -
Dental Caries
› 5 times more common than asthma
› 7 times more common than hay fever
Pit and fissure caries can be reduced by what percentage with the placement of
sealants? (per wilkins) Answer - 86% - if retained 1 yr
78.6% - if retained 2 yrs
58.6% - if retained 4 yrs
How does a sealant work/stay in? Answer - Mechanical retention after plastic
coating flows into pits
What are indicaters that make a patient at risk for caries? Answer - Xerostomia
Orthodontics
Incipient enamel caries
› no caries IP on xrays
Low socioeconomic status
Cariogenic diet
Poor oral hygiene
Newly erupted teeth
Deep pits and fissures
,Caries history
Infrequent professional preventive care
Who diagnosis sealants? Answer - Always DDS (dentist)
Sealants are considered successful if they last how long? Answer - 3-5 yrs
What are contraindications for sealants? Answer - Proximal Caries on
radiographs
Occlusal dentinal caries
Tooth not completely
erupted
Primary teeth soon
to be exfoliated
Pits and fissures are
well coalesced and
self-cleansing
Low caries risk
What is the single most important factor in sealant retention? Answer -
Maintaining a dry tooth!!
What is the purpose of etch in sealant placement? Answer - Produces
irregularities/micropores in enamel
Allows sealant to penetrate into micropores to
create mechanical locking
Removes contamination from enamel surface
, Antibacterial
What are things to be cautious of when applying a sealant? Answer - Dab with
microbrush to
remove excess
Avoid overmanipulation
› Will cause air bubbles
AVOID OVERFILLING
When light curing a sealant at what distance should you be from the tooth and
what does it do to the sealant? Answer - -2mm above tooth surface
-Allow for polymerization of
sealant
Charting a Sealant example>>> Answer - TX Record
› Tx Plan
Sealant #3-O, L groove, 4-O, 19-O, 30-O (obtain
signatures)
› Tx
Sealant #3-O, L groove. Etched tooth, used Clinpro
unfilled sealant, checked occlusion, adjusted with
curet, no complications, pt tolerated procedure well
D1351 - insurance code
What is the most desired technique for sealant placement? Answer - Four
Handed Placement
› Provides for increased
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