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  • How many of the elderly have untreated tooth decay?
  • Which of the following is a potential oral health problem after a stroke?
  • Some dentists believe that a _____________ sealant is better because of a lower wear rate on occlusal surfaces.
  • Which statement is true about overnight denture use?
  • True or false: filled & unfilled sealants penetrate the fissures equally well, and there is no difference in microleakage.
  • Hyposalivation leads to changes in plaque composition that favor which organisms?
  • What is the most preferable material used to treat root caries after removal of decayed tooth structure?
  • Aspiration of oral bacteria in bedridden and hospitalized patients is most commonly associated with which condition?
  • Which lifestyle factor is listed as a cause of reduced salivary flow due to decreased masticatory activity?
  • What are the two types of removable dentures?
  • Which specialized hygiene aid is recommended for patients with hairy tongue?
  • What makes up about 1% of saliva?
  • How is hyposalivation diagnosed?
  • Root caries can be described using which terms?
  • Pit and fissure surfaces compose 12.5% of tooth surfaces, yet account for what proportion of caries in children?
  • Which condition is a contraindication for dental implants?
  • Which of the following is a cause of reduced salivary flow?
  • Who must be trained first before other staff members can participate in the 1st Look program?
  • When examining denture wearers, which issue should you assess after removing the dentures?
  • Examination signs that a patient is experiencing xerostomia include which of the following?
  • During examination, which issue should be checked specifically for damage to the denture structure?
  • If a radiograph shows a radiolucent area with diffuse margins beneath or adjacent to a restoration, what is the most likely diagnosis?
  • Which sealant type is supplied as a two-part system with a base and a catalyst that polymerizes when mixed?
  • Which of the following is a recommended patient step to prevent oral disease?
  • What is the name of the radiographic artifact that appears in dentin between part of the root covered by alveolar bone and the enamel part of the crown, often mistaken for root caries?
  • What is produced by the major and minor salivary glands?
  • One of the program’s goals is to refer children to what?
  • If sealants are lost, are the teeth more susceptible to decay?
  • Which statement best describes the relationship between coronal and root caries and pH effects on acid dissolution?
  • A small radiolucent notch in enamel just apical to the contact area is most consistent with which lesion?
  • Which restorative materials have a very high incidence of recurrent caries and restoration failure?
  • Cervical caries are usually located on which surfaces?
  • When placing a sealant, what do you do after etching?
  • What is the most common etiology of denture stomatitis?
  • Which sugar alcohol is used in chewing gum to stimulate salivary flow?
  • What oral hygiene habit is recommended for the elderly?
  • What is a must-have when applying SDF under Medicaid 1st Look?
  • Which statement best describes the overall composition of saliva?
  • Which of the following best describes the symptoms of root caries?
  • What is the purpose of filler material in a sealant?
  • Which of the following is a clinician step to prevent oral disease?
  • Which factor, besides lesion location, influences the radiographic detection of recurrent caries around a restoration?
  • Prophylactic antibiotics are generally NOT recommended before dental procedures for which patient group?
  • How does saliva change with reduced pH, reduced buffering capacity and altered electrolyte & protein content?
  • Which condition is described as rare in prevalence?
  • Which specialized hygiene aid may be used for patients unable to brush their own teeth or who cannot cooperate?
  • How do recurrent or residual caries typically appear on a radiograph?
  • How do root lesions appear on proximal surfaces in cervical areas on radiographs?
  • Which statement best differentiates proximal caries from root caries?
  • What oral changes may patients with osteoporosis experience?
  • What is highly effective in preventing dental caries in the pit & fissures of the teeth, made of resin material, and must firmly adhere to the enamel surface to be effective?
  • What is the primary cause of failure of sealant retention?
  • When are sealants indicated?
  • What should be provided for the patient during sealant procedures and used by operators when using an ultraviolet or light-cured resin?
  • Xerostomia is best described as
  • Which statement about fluoride and saliva is correct?
  • Which term describes the subjective sensation of oral dryness?
  • Which region is important to examine for mucosal changes and saliva when evaluating oral problems?
  • Sealant materials are available as two different resins. What are they?
  • What are 1st Look providers able to bill for?
  • Detection of recurrent caries on a radiograph depends on which factors?
  • Pit and fissure caries distribution in children is best described as which statement?
  • Which statement correctly describes acid dissolution in coronal caries according to the material?
  • Which statement best describes the difference between cervical burnout and root caries?
  • What accumulates in the narrow pits & fissures if no sealant has been placed?
  • Thin layer of enamel is removed; debris, tooth pellicle & chemically inert crystallites are removed. Which term describes this?
  • What term describes dentures that replace all teeth in an arch?
  • Root caries in the dentin of the root may occur in patients with exposed root surfaces due to alveolar bone loss. What terms describe these lesions?
  • For elderly patients, where should the brushing focus be to maximize plaque removal?
  • Which area should you palpate to assess oral problems in an elderly person?
  • Which statement is true about filled versus unfilled sealants in terms of wear and microleakage?
  • Which drug class reduces salivary flow?
  • Which of the following is a risk factor for denture stomatitis?
  • Which action is listed as a goal of the 1st Look program?
  • Which statement correctly describes acid dissolution in root caries according to the material?
  • True or False: Clearance of carbohydrates and microorganisms from the mouth to the digestive tract depends on salivary flow rate and site.
  • What is an important component of any disease prevention program?
  • In 1st Look, how many times can D0145 be billed for children aged 6 months to 36 months?
  • What are the requirements for a child to qualify for the 1st Look program?
  • Which statement correctly differentiates xerostomia from hyposalivation?
  • Which statement about oral care in elders in nursing homes is true?
  • What is the most important function of saliva?
  • Which option is NOT described as a method for cleaning occlusal surfaces before sealant placement?
  • After etching, which action is recommended to prepare for bonding?
  • In radiographic assessment for recurrent caries, which combination most accurately reflects the influencing factors?
  • Dental sealants are typically made of what material?
  • Which finding is commonly associated with denture stomatitis on examination?
  • True or False: The detection of recurrent caries around restorations is affected by the angulation of the central ray.
  • What are typical resting and stimulated salivary flow rates?
  • Which feature distinguishes recurrent caries near a restoration from a primary caries lesion radiographically?
  • The radiographic appearance of an occlusal lesion that has progressed into the dentin is best described as which of the following?
  • The 1st Look program was developed by the agency in partnership with which groups?
  • Which lesions should be removed?
  • Which of the following is a characteristic of coronal caries?
  • The role of the patient 1st care coordinator in 1st Look is to assist in establishing what?
  • Which documentation items are required by the 1st Look program?
  • Which statement best describes the role of age in reduced salivary flow?
  • What qualifications must a physician have to be considered a qualified 1st Look provider?
  • Which factor is not mentioned in the material as influencing caries incidence in children?
  • Which statement describes a non-risk factor for denture stomatitis?
  • In what case does a child never qualify for the 1st Look program?
  • Which practice is recommended when examining an elderly patient’s face?
  • Which procedure may remove the last enamel overlying dentin in pits & fissures, leaving the tooth more susceptible?
  • Which of the following is NOT one of the five types of carious lesions?
  • Which specialized hygiene aid is recommended for patients with compromised dexterity?
  • Which action is a clinician-step to prevent oral disease in at-risk patients?
  • During denture examination, after removing the dentures, which aspect should be assessed?
  • What are the consequences of extracting a tooth with root caries?
  • Periodontitis differs from gingivitis in that it involves destruction of PDL and bone.
  • Which sealant type does not require mixing and hardens when exposed to a curing light?
  • What is essential for sealant to be effective?
  • Which substance interferes with glucosyltransferase activity and reduces plaque, with tannins in cocoa, coffee, and tea?
  • Which statement about sealant placement timing is correct?
  • Extreme sensitivity to heat and cold in hyposalivation is especially evident if what is exposed?
  • How should mucosa appear on examination?
  • When does saliva have higher protein content, resulting in thicker saliva?
  • Created as a result of the enamel at the base of the pits & fissures being porous because mineral has been lost. Which term describes this?
  • Which code is used for the initial oral assessment under the 1st Look program?
  • If an unexplained white lesion persists for more than 2 weeks, what action is recommended?
  • A non-healing lesion on the lip that is dry, scaly, or ulcerated is most commonly diagnosed as which cancer?
  • Stroke may involve diminished salivary output. Which of the following best describes this consideration?
  • Which radiographic sign is typically associated with early occlusal caries before dentin involvement?
  • Which item should you examine to assess symptoms suggestive of oral problems?
  • What should you do if etch or sealant make contact with the eyes?
  • When is the best time for sealant placement?
  • Which type of saliva increases during meals to aid digestion and lubrication?
  • Which statement best describes the radiographic appearance of recurrent caries?
  • 90% of saliva is produced by how many pairs of major salivary glands?
  • Which of the following is a risk factor for denture stomatitis?
  • Pits & fissures are described as fossa & grooves that failed to fuse during development.
  • Which statement is true about coronal caries surface layer?
  • Can sealants be placed on teeth with incipient caries?
  • Are sealants primary prevention?
  • The term xerostomia is derived from Greek words xeros and stoma meaning?
  • Dental implants can be used to retain dentures in edentulous patients. This statement is:
  • Which description best captures a valid method to clean the occlusal surface before sealant placement?
  • When did the 1st Look program begin?
  • Which teeth are most susceptible to pit and fissure decay?
  • Which type of sealants make the clinical evaluation of sealant retention much easier?
  • What is a reported benefit of implementing oral hygiene protocols in nursing facilities and dependent care settings?
  • Which statement best describes the palpation of areas for oral problems in elderly?
  • In childhood, studies show that individuals with a lower incidence of dental caries drank more of which beverage?
  • Which statement is true about oral care in nursing homes?
  • Cobblestoning erythema of the palate is most often seen in which condition?
  • Which of the following is a sign of pain in nonverbal elderly individuals?
  • Can a fixed bridge be removed?
  • Which is NOT a consequence of hyposalivation?
  • Which surface is typically targeted by the occlusal caries type?
  • Stroke-related oral problems may increase the risk of which conditions?
  • What dental prosthetic is surgically placed into the jaw and crowned, and can be used to retain dentures in edentulous patients?
  • When examining the elderly, you should examine face with the lips at ______.
  • To what area is a bridge connected when replacing a missing tooth?
  • A fixed bridge replaces one or more missing teeth and is connected to adjacent healthy teeth using a crown. What is this prosthesis called?
  • Where should sealants not be placed?
  • Which statement about taste is associated with hyposalivation?
  • What radiographic pattern would you expect to see if an occlusal caries has advanced into dentin?
  • When does the flow rate of saliva virtually stop?
  • For debatable reasoning: Which term describes enamel at the base of pits and fissures becoming porous from mineral loss?
  • Which caries type is usually detected earlier clinically than radiographically and shows early radiographic evidence as a thin radiolucent line beneath enamel?
  • Creasing of facial skin at the lip corners due to tooth loss and poorly fitting dentures is normally a pre-indicator of which condition?
  • What percentage of saliva is water?
  • What is the term for reduced salivary secretion rate (distinct from xerostomia)?
  • Which foods are known to initiate remineralization of enamel when frequently used as between-meal snacks?
  • How can you clean the occlusal surface before placing sealant?
  • What radiographic feature best differentiates root caries from cervical burnout?
  • Gum inflammation with no destruction of PDL or bone; symptoms include tenderness, erythema, and bleeding gums; treatment includes good oral hygiene with regular dental visits. This condition is called?
  • In addition to cleansing and antibacterial action, saliva provides a constant source of which minerals to support tooth mineral saturation?
  • What is the caries-active period, when pit and fissure sealants are especially useful for selected patients?
  • What are pits & fissures?
  • Which of the following is an advantage of using resin modified glass ionomer to treat root caries?
  • Which statement about radiographic caries detection is supported by the material?
  • Which statement is true about removable dentures?
  • In root caries, the surface layer may or may not be present.
  • In patients who have suffered a stroke, periodontal disease is more common and its treatment may reduce severity. Which statement best reflects this?
  • Which systemic disorder contributes to reduced salivary flow?
  • Which statement describes resting saliva?
  • What causes a patient to feel a sensation of dryness in the mouth?
  • When does salivary flow increase?
  • Old dentures that have insufficient vertical height are commonly associated with which condition?
  • What is required when a child has been referred to a dental home in 1st Look?
  • A noninvasive means of preserving tooth structure & at the same time preventing dental decay
  • What are the three possible colors of sealants?
  • Saliva provides minerals that help remineralization. Which minerals are these?
  • Leukoplakias (white patches) & erythroplakias (red patches) are premalignant and may progress to elevated plaques that ulcerate.
  • If decay has progressed into the tooth pulp, which treatment is indicated?
  • Which teeth have the most susceptible pit and fissures?
  • What percentage of elders actually visit the dentist?
  • Which symptoms may a patient with osteonecrosis experience?
  • Root caries most commonly develop due to what condition?
  • Which condition associated with jaw changes may require denture adjustments?
  • Which sealant color is most popular because it is easier to see during application and checks for retention?
  • Which of the following is a common cause of ulcerated mucosa from denture irritation?
  • Which factor contributes to rapid progression of root caries in the elderly?
  • Which factor most strongly contributes to sealant failure?
  • The 1st Look program targets children in which age range for eligibility?
  • Which color option tends to be easiest to monitor during follow-up visits for sealant retention?
  • What is the main way to differentiate proximal carious lesions from carious lesions of the root?
  • What most often results in sealant failure?
  • True or false: a single toothbrush will clean pits & fissures very well.
  • Which of the following is a consequence of hyposalivation regarding periodontal health?
  • Which statement correctly distinguishes light-cured sealants from self-cured sealants?
  • In 1st Look, to whom must providers refer high-risk patients?
  • Which habit is described as being used to cope with dry mouth due to decreased saliva?
  • The concentration of saliva is influenced by which environmental factor?
  • Dry mucosa in the elderly interferes with denture retention and increases the risk of which condition?
  • What is considered a severe reduction in salivary flow caused by radiotherapy?
  • How long should sealant placement be delayed (except for high risk patients)?
  • Tannins are found in which items according to the material?
  • True or False: In the 1st Look program, varnish frequency is limited to 3 per calendar year, not to exceed 6 applications between 6 months & 36 months of age, with at least 90 days between applications.
  • Recurrent caries around a restoration on a radiograph is most accurately described as what?
  • How can tooth loss, dentures, and decreased saliva alter diet?
  • What is the recommended treatment for denture stomatitis?
  • A two-part sealant system is often referred to as what?
  • What is saliva mainly composed of?
  • Inadequate etching is a factor in loss of sealant retention.
  • What is a recommended approach to reduce denture-related mucosal irritation?
  • Which type of caries progresses rapidly in the elderly due to gingival recession exposing root surfaces?
  • What is the prevalence of osteonecrosis?
  • Which caries type is commonly indicated by a radiolucent line beneath enamel on radiographs?
  • What is the primary purpose of pit and fissure sealants?
  • Which condition is NOT an indication for sealants?
  • What property does filler material primarily improve in a sealant?
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