Deck 22: Mechanical Oral Biofilm Control: Interdental and Supplemental Self-Care Devices

Question 1

The dental water jet has been shown to effectively reduce signs of infection such as bleeding and gingivitis in clients with many conditions except which of the following?

A) Severe periodontitis
B) Gingivitis
C) Periodontal maintenance
D) Implantitis

Answer 1

Severe periodontitis

Question 2

A dental water jet with 1200 pulsations per minute delivering an irrigant through a standard jet tip can deliver the solution to a depth of 71% in which type of pockets?

A) Shallow pockets (0 to 3 mm)
B) Medium pockets (4 to 7 mm)
C) Deep pockets (7 to 10 mm)
D) All deep pockets (>7 mm)

Answer 2

Shallow pockets (0 to 3 mm)

Question 3

A 45-year-old female patient has tight contacts and several crowns.She indicates that she has difficulty flossing and that the floss often breaks during use.Which of the following is an alternative to floss for this client?

A) Interdental brushes
B) Dental water jet
C) Wooden wedge
D) Tufted dental floss

Answer 3

Dental water jet

Question 4

Which of the following devices is designed to clean slightly below the gingival margin?

A) Interproximal brush
B) Interproximal swab tip
C) Toothpick holder
D) Wooden wedge

Question 5

Which of the following devices is not recommended for use with dental implants?

A) Braided floss
B) Brush with foam tip
C) Clasp brush
D) Dental water jet

Question 6

Massaging the gingival tissue with an interdental device can lead to improved circulation,increased keratinization,and epithelial thickening.It is important to recommend massaging the gingiva as part of self-care to all clients because the benefits help prevent gingivitis.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 7

Which of the following devices is contraindicated for type I embrasures?

A) Power flosser
B) Floss holder
C) Floss threader
D) Tufted dental floss

Question 8

Which of the following is the appropriate interdental recommendation for type I embrasures?

A) Dental floss
B) End-tuft toothbrushes
C) Toothpicks
D) Wedge stimulators

Question 9

Which of the following aids should be discarded after one use?

A) Floss threader
B) Rubber tip stimulator
C) Toothpick holder
D) Wooden wedge

Question 10

The benefits of daily flossing include the reduction of plaque biofilm,bleeding,and gingivitis.Reductions in these clinical findings have lead to a reduction of interproximal dental caries.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 11

Self-care devices can cause damage to the hard and soft tissues of the mouth if used improperly.It is the client's responsibility to find the products they like and to learn how to properly use them by reading the instructions on the packaging.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 12

Tongue cleaners are most useful in improving which of the following oral conditions?

A) Caries
B) Gingivitis
C) Malodor
D) Bleeding

Question 13

An end-tufted toothbrush is most effective in which of the following areas?

A) Around an orthodontic bracket cemented to the maxillary right first molar
B) Between two maxillary molars with a type I embrasure area
C) On the facial surface of a protruded mandibular central incisor
D) Under a removable partial denture that replaces several mandibular teeth

Question 14

Which step in dental flossing improves control and reduces the possibility of floss cuts?

A) Setting a fulcrum on the cheek or intraorally
B) Using up-and-down strokes
C) Wrapping the floss around the index fingers
D) Wrapping the floss in a C shape

Question 15

Which type of dental floss is best for Class II embrasure spaces?

A) Waxed floss
B) Unwaxed floss
C) Tufted floss
D) Dental tape

Question 16

Which of the following interproximal devices may be used from both the facial and lingual aspects of the teeth?

A) Toothpicks
B) Toothpick holder
C) Wooden wedge
D) Rubber tip stimulator

Question 17

The hydrokinetic activity produced by a dental water jet produces a compression and decompression action.The compression action has which impact on the subgingival bacteria?

A) Moves bacteria around the pocket
B) Flushes bacteria out of the pocket
C) Dilutes the bacteria in the pocket
D) Increases concentration of bacteria

Question 18

The interproximal device that is the least effective in removing plaque biofilm is the:

A) Interdental brush
B) Tufted dental floss
C) Rubber tip stimulator
D) Power flosser

Question 19

As periodontal probe readings become deeper,floss may no longer be useful for interdental cleaning,and other manual or power devices may need to be used.Which human need deficit is associated with this concern?

A) Biologically sound and functional dentition
B) Protection from health risks
C) Skin and mucous membrane integrity of the head and neck
D) Wholesome facial image

Question 20

Transient bacteremia is common after the use of dental floss,toothpick,dental water jet,and toothbrush.The incidence of transient bacteremia increases with the presence of gingivitis.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 21

Which self-care device is best used after moistening the tip before use?

A) Floss threader
B) Rubber tip stimulator
C) Tongue cleaner
D) Wooden wedge

Question 22

Which interproximal product may need to be wrapped in a U shape for use?

A) Dental floss
B) Wooden wedge
C) Toothpick
D) Tongue cleaner

Question 23

The dental water jet reduces the host inflammatory response;however,this has no impact on periodontal disease activity.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 24

Which of the following describes the proper use of a wooden wedge?

A) Apply the base of the wedge triangle to the gingiva.
B) Force the stimulator into interproximal spaces.
C) Point the tip apically at a 45-degree angle.
D) Use an up-and-down motion in the interproximal space.

Question 25

Which device should be inserted at a 90-degree angle to the tooth surface,is moved in an in-and-out motion,and can be used from facial or lingual surfaces?

A) Interdental brush
B) Rubber tip stimulator
C) Toothpick holder
D) Wooden wedge