Question 1

Which is a sign of B-complex vitamin deficiencies?&#10;A)Enlarged papilla&#10;B)Recession&#10;C)Cracks in the corners of the mouth&#10;D)Aphthous ulcers

Accepted Answer

C)Oral signs and symptoms of B-complex vitamin deficiencies include cracks in the corners of the mouth (cheilosis),and inflammation,burning,redness,pain,and swelling of the tongue.

Question 2

Other than the presence of bacteria,what can contribute to periodontal disease?&#10;A)Caries&#10;B)Crevicular fluid&#10;C)Absence of plaque&#10;D)Nutritional factors

Accepted Answer

D)Nutritional factors seem to play a much more subtle role in periodontal status.Nutritional factors can alter host susceptibility to periodontal disease and/or modulate its progress.Once inflammation is established,the need for nutrients increases.

Question 3

What is essential for taste and odor sensitivity?&#10;A)Vitamin A&#10;B)Zinc&#10;C)Proteins&#10;D)Vitamin D

Accepted Answer

B)A zinc deficiency can also result in delayed wound healing,defective keratinization of epithelial cells,epithelial thickening,atrophic oral mucosa,and xerostomia.In addition,zinc is essential for taste and odor sensitivity.

Question 4

What are the three local factors needed for caries to develop?&#10;A)Cariogenic bacteria,dietary fibers,and a susceptible tooth&#10;B)A susceptible tooth,cariogenic bacteria,and fermentable carbohydrates&#10;C)A susceptible tooth,proteins,and fermentable carbohydrates&#10;D)Cariogenic bacteria,gingival inflammation,and fermentable carbohydrates

Accepted Answer

B)Dental caries is a diet-related,infectious,and transmissible disease.Clinical caries is contingent upon the interaction of three local factors in the mouth: a susceptible tooth,cariogenic bacteria,and fermentable carbohydrates.

Question 5

If a patient presents with unresolved gingivitis or periodontitis,before therapeutic treatment is started,what should be addressed with the patient?&#10;A)Nutrition counseling&#10;B)Caries control&#10;C)Payment plan&#10;D)Routing prophylaxis

Accepted Answer

A)Whenever routine scaling,prophylaxis,and oral plaque-control procedures fail to reverse gingivitis,and before any treatment for periodontitis is attempted,a session involving thorough diet evaluation and patient counseling should be conducted.

Question 6

Patients diagnosed with this illness are at a greater risk for developing oral infections and periodontal disease.&#10;A)Hypertension&#10;B)Diabetes&#10;C)Hyperthyroidism&#10;D)Bronchitis

Accepted Answer

B)The dental patient with poorly controlled diabetes is at a greater risk for developing oral infections and periodontal disease than the patient without diabetes.The dentist and dental hygienist need to be aware of current approaches to diabetes management and should carefully monitor the patient's health status before initiating dental treatment.

Question 7

Dental professionals can have a difficult time identifying patients with eating disorders.When one is identified with an eating disorder,the patient must be cautioned that,for dental rehabilitation to be successful,the underlying eating disorder and its cause must be resolved.

A)Both statements are true.
B)Both statements are false.
C)First statement is true,second statement is false.
D)First statement is false,second statement is true.

Accepted Answer

D)Changes in the oral tissues are often one of the first signs of an eating disorder.Dental professionals should recognize the oral effects of eating disorders.The diagnosis of this disorder by the dental provider and the realization of the dental destruction caused by the disorder often convince patients to agree to treatment.

Question 8

Which is NOT a cause of dental demineralization?&#10;A)Bruxism&#10;B)Excessive toothbrushing&#10;C)Stomach acid&#10;D)Consumption of acidic foods or drinks

Accepted Answer

A)Dental demineralizaton can result from excessive toothbrushing,regurgitation of stomach acid due to eating disorders,or from excessive consumption of acid-containing foods or beverages.Bruxism does NOT contribute to dental demineralization,but can be the causative agent for dental attrition.

Question 9

What deficiency presents itself in the oral cavity as pallor of oral tissues,especially the tongue?&#10;A)Malnutrition&#10;B)Unmet caloric needs&#10;C)Iron deficiency&#10;D)Vitamin B deficiency

Accepted Answer

C)Iron is of interest because iron deficiency is the most common nutrient deficiency in the United States.This manifests in the oral cavity as pallor of oral tissues,especially the tongue.The tongue may appear shiny,with blunted filiform papilla.

Question 10

AIDS and cancer patients can experience which of the following oral condition?&#10;A)Oral candidiasis&#10;B)Herpes simplex&#10;C)Anorexia&#10;D)All of the above

Accepted Answer

D)The pain and discomfort of oral infection,such as the herpes simplex and oral candidiasis found in AIDS and chemotherapy patients,can also impair the desire and ability to eat.

Deck 17: Nutrition,Diet,and Associated Oral Conditions