Deck 19: Devices

Question 1

Your patient is a 6?7'5?8" male who teaches high school.He is having difficulty flossing between the first and second molars.He states that his hands are "too big" to reach these areas.You find the area has a moderate amount of interproximal plaque with spontaneous bleeding but the papilla fills in the embrasure space.The patient is on a tight budget.Which of the following devices would you recommend he use to help reach the problem areas?

A) Floss by itself
B) Floss holder with floss
C) Oral irrigator
D) Interdental brush

Answer 1

Floss holder with floss

Question 2

Which statement best describes the oral health outcomes from irrigation?

A) It has been demonstrated to significantly reduce caries.
B) It has been demonstrated to consistently remove stains from coffee and tea better than dental floss.
C) It has been demonstrated to reduce bleeding and gingivitis better than toothbrushing alone.
D) It has not been demonstrated to provide any oral health benefits beyond a toothbrush.

Answer 2

It has been demonstrated to reduce bleeding and gingivitis better than toothbrushing alone.

Question 3

Many patients are unable to floss at a level that benefits oral health because flossing requires a high level of manual dexterity.

A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but 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.

Answer 3

Both the statement and the reason are correct and related.

Question 4

You recently started working for a periodontist who has asked you to provide postoperative instructions to a patient.The dentist asks you to include brushing instructions.Which of the following brushing methods would you recommend to this patient?

A) Stillman
B) Modified Stillman
C) Charters
D) Rolling stroke

Question 5

Your patient complains of having halitosis even though she is using interproximal aids and an electric toothbrush correctly.All of the following would be appropriate suggestions to reduce this condition EXCEPT one.Which one is the EXCEPTION?

A) Oral rinse
B) Tongue cleaner
C) Oral irrigator
D) Mints

Question 6

Your patient purchased the electric toothbrush you recommended the last time she came in for a recall appointment.On examination you notice she has even more plaque and calculus buildup.Why would the patient have more biofilm on her teeth since her last appointment?

A) She must have purchased the wrong toothbrush.
B) She is not using the toothbrush according to the manufacturer's instructions.
C) She is not using the toothbrush for 2 minutes.
D) She is not flossing.

Question 7

On review of a new patient's medical history you learn that he has type 2 diabetes mellitus.You are aware that patients with this condition are at high risk for periodontal disease.As you perform your assessment you notice severe gingivitis and heavy plaque biofilm.The patient makes the statement that he hates to floss.Based on the patient's preferences,which option would you NOT recommend?

A) Power toothbrush
B) Oral irrigator
C) Dental floss
D) Interdental brush

Question 8

An elderly patient reports that she does not have the manual dexterity to guide floss and a floss threader under her bridge to remove food debris and biofilm.What other method would you recommend to keep the areas under her bridge free of debris and biofilm?

A) More frequent use of the floss and threader
B) Yarn
C) Oral irrigator
D) Power toothbrush

Question 9

For floss to be effective the patient needs to have less than 4-mm pockets.Which device is recommended for pockets that are 5-mm or above?

A) Floss holder
B) Oral irrigator
C) Woodsticks
D) Interdental brush

Question 10

Which option describes the action of an oral irrigator?

A) Pulsation and pressure
B) Oscillation and rotation
C) Sonic movement and vibration
D) All of the above

Question 11

Rotatory toothbrushes are better versus sonic toothbrushes or manual toothbrushes.Given that the scientific evidence does not dictate one type of toothbrush over another,in the practice setting clinical judgment and patient values are equal determining factors in the type of brush that is recommended.

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

A recommended toothbrush design for an elderly female patient with arthritis in both hands and type 2 diabetes would include all of the following features EXCEPT one.Which one is the EXCEPTION?

A) Large handle to make grasping easier
B) Stiff,short bristles
C) Bristles with rounded ends
D) Small head size

Question 13

Which of the following brushing techniques would you recommend to a patient who has generalized recession with loss of interdental papilla?

A) Charters
B) Modified Stillman
C) Stillman
D) Rolling stroke

Question 14

What criteria would you use to assess whether a patient is a good candidate for an interdental brush?

A) Root configuration
B) Embrasure size
C) Tooth shape
D) Occlusion

Question 15

The longer the piece of floss used between the index finger and thumb,the easier it is for patients to floss.Forming a "C" shape with the floss and using a sawing motion improves plaque removal.

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

Question 16

The oral irrigator is one of the most evaluated self-care devices with a well-established body of evidence.Consistent reductions for bleeding and gingivitis are not well-established.

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 17

All brands of manual toothbrushes are essentially the same.The main disadvantage of the manual brush is that efficacy is dependent upon the ability and technique of the user.

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 18

A class III embrasure space is described as the interdental papilla being completely gone.Which device is most appropriate to recommend to a patient with this type of embrasure to keep the area clean?

A) Interdental brush
B) Tape floss
C) Floss threader
D) Oral irrigator

Question 19

Which statement BEST describes the advantages of a woodstick?

A) Easy to use,portable,and disposable
B) Good for patients in which the papilla fills the entire embrasure space
C) Splinter when wet,which enhances effectiveness
D) Round in shape

Question 20

When making recommendations for self-care devices the dental hygienist should consider all of the following EXCEPT one.Which one is the EXCEPTION?

A) Patient nationality
B) Past self-care practices; likes and dislikes
C) Oral anatomy and embrasure size
D) Manual dexterity

Question 21

Each of the following aids is appropriate for interdental cleaning EXCEPT one.Which one is the EXCEPTION?

A) String floss
B) Interproximal brushes
C) Toothpicks
D) Manual toothbrush
E) Woodstick

Question 22

When teaching patients how to care for their mouths at home it is best to provide only one item for each task.This way the patient has less to remember and may do a better job with maintenance.

A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct but 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.