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PEDIATRIC DENTISTRY EXAM 2 2025 EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+
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PEDIATRIC DENTISTRY EXAM 2 2025 EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+
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PEDIATRIC DENTISTRY EXAM 2 2025 EXAMWITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
Where is early childhood caries most commonly seen? Correct
Answer -Maxillary central incisors
-Maxillary and mandibular molars
Rarely if ever seen in the mandibular primary incisors
Consequences of early childhood caries Correct Answer -Higher
risk of new caries in permanent dentition
-More frequency hospital visits
-Increased treatment cost and time
-Diminished oral health quality of life
These factors must be considered before you develop a treatment
plan for ECC Correct Answer -Age
-Extent of disease process
-patient's developmental level and behavior
-Payer source
Restorative treatment options for ECC Correct Answer -
Anticariogenic agents
-Fluoride varnish to prevent
-Aggressive preventative treatment
-Aggressive therapy including SSCs
What are the behavior guidance strategies for very young
patients? Correct Answer -Pharmacological
-Sedation (oral and IV
-General anesthesia
,Note: Inhalation sedation with nitrous oxide is usually not
sufficient for these patients
Procedure in which non-remineralizable carious tissue is
removed, and a thin layer of caries is left at the deepest site of the
cavity to prevent pulp exposure that would result from complete
caries removal. Correct Answer Indirect pulp cap (IPC)
What is the purpose of the IPC? Correct Answer Preservation of
vitality of the pulp with reversible pulp injury
The majority of the microorganisms are found in the
(superficial/deep) layers of a carious lesion Correct Answer
Superficial
What two layers compromise the dentinal carious lesion? Correct
Answer -Infected dentin: invaded by bacteria and cannot
remineralize
-Affected dentin: demineralized, softened, and discolored, but can
remineralize
Remaning microorganisms tend to die off ic cut from from
___________ Correct Answer Moisture
Which two agents that can be placed in the cavity preparation can
enhance bacterial death? Correct Answer -Calcium hydroxide
-ZOE
What is the single most important aspect of the IPC? Correct
Answer Good seal against microleakage
The pulpal reactions seen under deep carious lesions are
reactions to the (bacterial toxins/pulpal infection) Correct Answer
Bacterial toxins
, What are the pulp's defense mechanisms in response to caries?
Correct Answer -Sclerosis
-Reparative dentin
What is sclerosis? Correct Answer -Gradual mineralization of
dentinal tubules, occluding the tubule
-INITIAL defense of the pulp
-Barrier against further penetration of toxic materials towards the
pulp
What is reparative dentin? Correct Answer -Additional line of
defense against further progression of caries
-MORE RAPIDLY FORMED and more irregular that primary
dentin
Bacterial penetration must reach ___________ or within
_________ of the pulp before pathological changes of real
consequence occur Correct Answer Reparative dentin
0.75 mm
Studies show that bacterial were not found in the pulp until the
cavity floor was ___________ from the pulp Correct Answer 0.2
mm
Dentinal pain is (sharp/dull), while pulpal pain is (sharp/dull)
Correct Answer Dentinal pain = sharp
Pulpal pain = dull
Toothache while chewing is an example of what? Correct Answer
Dentinal pain
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