Introduction
1 General Dentistry
2 Human Disease
3 Oral Medicine
4 Oral Pathology
5 Oral Surgery
6 Child Dental Health and Orthodontics
7 Therapeutics
8 Dental Materials
9 Radiology and Radiography
10 Restorative Dentistry
Index
, In May 2013 the General Dental Council (GDC) changed the regulations
1.1 regarding direct access. Which of the following statements are correct with
regard to current direct access regulations?
Dental nurses may participate in a preventive programme without the patient seeing th
A
dentist and prescribing this programme first
Dental hygienists may prescribe and provide tooth whitening without the patient seeing
B
the dentist first
Dental nurses may prescribe and take radiographs in order to streamline the
C
appointment when a patient is seen at a dental practice
Dental therapists may see and provide treatment plans for patients and carry out
D
treatment within their scope of practice without the patient seeing the dentist first
Orthodontic therapists may see patients and carry out an index of orthodontic treatmen
E
need (IOTN) without the patient having to see the dentist first
Fluoride application
1.2 Which of the following statements about 2.2% fluoride (F) varnish application
are correct?
A F varnish is contraindicated in patients who have ulcerative gingivitis
B F varnish is contraindicated in children who have caries-free deciduous teeth
F varnish is contraindicated in children who use toothpaste containing 1500 parts per
C
million (ppm)
D F varnish is contraindicated in children who have contact dermatitis to iodine
E F varnish is contraindicated in patients with amelogeneis imperfecta
1.1 ADE
Dental nurses may participate in preventive programmes without the patient seeing the
dentist and prescribing this programme first, provided that the dental nurse has been
appropriately trained and is participating in a structured programme that provides dental
public health.
Tooth whitening may be carried out by dental hygienists provided that it has been
prescribed by a dentist and the first application must occur under direct supervision of a
dentist (this means that the dentist must be present on the premises at least when it
occurs).
Dentists (or hygienists) must prescribe radiographs although a suitably trained dental
nurse may take radiographs after they have been prescribed.
,As with all things the individuals in these roles must be adequately trained and skilled
before they undertake these duties.
1.2 A
Fluoride varnish is best avoided in patients with ulcerative gingivitis and stomatitis.
The Department of Health document, Delivering Better Oral Health. An evidence-based
toolkit for prevention (2009), recommends that children aged 0–6 should have 2.2%
fluoride varnish applied twice yearly, irrespective of whether they have caries-free
deciduous teeth.
Colophony contained in the varnish can cause allergic reactions in some individuals and
hence it is advisable not to use F varnish on patients who have had allergic episodes
requiring hospital admission.
With regard to the scope of practice of different healthcare
1.3
professionals:
A Clinical dental technicians (CDTs) provide complete dentures direct to patients
B CDTs provide partial dentures direct to patients
Dental technicians may provide repairs to dentures only if it prescribed by a
C
dentist
D Dental therapists carry out all items of dental treatment direct to patients
E Orthodontic therapists always work under prescription from a dentist
Which of the following procedures may be undertaken by a registered dental
1.4
nurse provided that they have been appropriately trained?
A Record dental charting and oral tissue assessment carried out by other registrants
B Process dental radiographs
C Take intra- and extraoral photographs
D Take shades
E Take radiographs
The cusp or trait of Carabelli is normally found on which of the following
1.5
tooth/teeth?
A Mandibular primary first molars
B Mandibular secondary/permanent first molar
, C Maxillary first premolars
D Maxillary primary/deciduous second molar
E Maxillary secondary/permanent first molars
1.3 AE
Clinical dental technicians are qualified dental technicians who are registered dental
professionals. They may provide complete dentures direct to patients, but other dental
devices only on prescription from a dentist. Registered dental technicians may repair
dentures direct to members of the public.
Dental therapists may carry out certain items of dental treatment direct to patients or
under prescription from a dentist, whereas orthodontic therapists carry out certain parts o
orthodontic treatment, but only under prescription from a dentist.
1.4 ABCDE
All answers are correct provided that the nurse has been adequately trained. In certain
circumstances the procedure, eg taking radiographs, may be carried out only when it has
been prescribed by another registrant (such as a dentist or hygienist).
1.5 DE
The cusp or trait of Carabelli is present in approximately 70% of maxillary
secondary/permanent first molars; it may also be present in the maxillary
primary/deciduous second molar, which has a similar morphology to the maxillary
secondary/permanent first molar.
The cusp or trait of Carabelli is normally found on which of the following
1.6
cusp(s)?
A Centrobuccal
B Distobuccal
C Distopalatal
D Mesiobuccal
E Mesiopalatal
The dental tubercle of Zuckerkandl is normally found on which of the following