Deck 23: Toothbrushing

Question 1

For which method of toothbrushing are filaments directed apically, placed partly on the cervical portion of teeth and partly on adjacent gingiva, and short back-and-forth vibratory strokes are employed?

A) Bass
B) Stillman
C) Charter
D) Roll stroke
E) Fones

Answer 1

Stillman

Question 2

Recession is a concern because it is associated with increased risk of dentinal hypersensitivity, loss of tooth support, root caries, and aesthetic dissatisfaction. The combined benefit of softer toothbrushes, less-abrasive toothpastes, and good toothbrushing technique has the potential to positively impact the prevention of gingival lesions.

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

Answer 2

Both statements are true.

Question 3

Which ethical principle is represented by a dental hygienist's allocation of time for instruction, repetition, reinforcement, and continual assessment of each client's oral health practices?

A) Beneficence
B) Nonmaleficence
C) Society trust
D) Veracity
E) Autonomy

Answer 3

Beneficence

Question 4

Reasons for the importance of regular toothbrushing include all of the following except one. Which is the one exception?

A) It provides for the daily application of preventive agents.
B) No chemotherapeutic agent can totally prevent formation of oral biofilm.
C) It takes less time than flossing so compliance is better.
D) It is an important component of an overall disease prevention program.
E) It is effective in removing oral biofilm and controlling gingivitis.

Question 5

Toothbrushing techniques that require brush filament placement on an angle in relation to the teeth are more difficult for clients to achieve consistently. Effective toothbrushing is not easy for most clients, and this additional challenge can limit toothbrushing effectiveness and client motivation.

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

Question 6

The Fones toothbrushing method employs a circular stroke. It is recommended for young children.

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

Question 7

End-rounding of toothbrush bristles are uniformly beneficial for client safety. Soft bristles are less traumatic to oral tissues and remove as much or more plaque biofilm than harder bristles.

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

Question 8

Dental hygienists should recommend replacement of toothbrushes at 2 to 3 month intervals because toothbrush bristles that are worn have been shown to remove less plaque than bristles that are not worn.

A) Both the statement and the reason are correct, and they are related.
B) Both the statement and the reason are correct, but they are not related.
C) The statement is correct, but the reason is not.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 9

Which of the following terms describes cervical defects caused by excessive occlusal loading as teeth flex under pressure, resulting in subsequent loss of hard tooth structure at the cementoenamel junction (CEJ)?

A) Tooth abrasion
B) Gingival abrasion
C) Dental abfraction
D) Occlusal trauma
E) Gingival recession

Question 10

What is the most valid method of assessing the client's self-care practices such as toothbrushing?

A) Ask the patient if they have been brushing as recommended.
B) Assess the presence and location of plaque present with disclosing solution.
C) Use absence of plaque as the indicator of effective toothbrushing.
D) Evaluate toothbrush wear.
E) Use signs of disease of soft and hard tissues.

Question 11

Bass method of toothbrushing is the most effective method for plaque removal because it emphasizes sulcular cleaning.

A) Both the statement and the reason are correct, and they are related.
B) Both the statement and the reason are correct, but they are not related.
C) The statement is correct, but the reason is not.
D) The statement is not correct, but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 12

Which of the following is an international, nonprofit organization dedicated to improving healthcare decision making through the publication of independently conducted health-related systematic reviews?

A) American Dental Hygienists Association
B) American Dental Association
C) Cochrane Collaboration
D) Federal Trade Commission
E) National Consumer Protection Agency

Question 13

Reasons for recommending tongue cleansing to a client include all of the following except one. Which is the one exception?

A) Controlling malodor
B) Reducing systemic diseases
C) Reducing number of microorganisms
D) Improving taste perception
E) Contributing to oral cleanliness

Question 14

Angled, rather than vertical, bristle tuft arrangements have been shown to contribute significantly to more effective plaque removal because they reach farther interproximally.
Toothbrushing alone can clean the entire interproximal tooth surface, so interdental cleaning
Augments are not needed.

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

Question 15

Reasons for recommending a power toothbrush to a client include all of the following except one. Which is the one exception?

A) They are safe when used as instructed.
B) They are effective for plaque removal.
C) They are suitable for any client.
D) They have a high level of client acceptance.
E) They are more effective than manual toothbrushes.

Question 16

Desirable characteristics of a toothbrush include all of the following except one. Which is the one exception?

A) Easily held and used
B) Smallest size, shape, and weight
C) Inexpensive and durable
D) Flexible, comfortable, effective
E) Adequate strength, rigidity, and weight

Question 17

For which method of toothbrushing are filaments directed toward the crown of the tooth, placed at the gingival margin and angled 45 degrees to the long axis of the tooth, and use short back-and-forth vibratory strokes?

A) Bass
B) Stillman
C) Charter
D) Roll stroke
E) Fones

Question 18

Toothbrushes can be a mode of indirect transmission for pathogenic organisms. Solid rather than hollow designs and toothbrush caps reduce toothbrush contamination.

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

Question 19

What is the most common method of toothbrushing?

A) Scrub
B) Roll
C) Bass
D) Stillman
E) Fones

Question 20

What is the recommended duration of toothbrushing?

A) 1 minute
B) 1 1/2 minutes
C) 2 minutes
D) 2 1/2 minutes
E) 3 minutes

Question 21

Which power toothbrush vibrates side to side or up and down with high amplitude and high frequency, producing sound waves causing fluid motion?

A) Rotating oscillating
B) Circular
C) Ultrasonic
D) Sonic
E) Side-to-side

Question 22

Select four client-related factors to consider for toothbrushing instruction.

A) Age
B) Personal values
C) Appropriateness of a power toothbrush
D) Risk and susceptibility to disease
E) Client's ability to tolerate stress of procedures planned
F) Dexterity
G) Time available to discuss toothbrushing