Dental Materials Properties And Manipulation 10th Edition by John M. Powers – Test Bank

 

 

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Sample Test

Powers: Dental Materials, 10th Edition

 

Chapter 03: Preventive Dental Materials

 

Test Bank

 

MULTIPLE CHOICE

 

1.    Which of the following is considered to be a preventive dental material?

A.

Dental amalgam

B.

Pit and fissure sealant

C.

Ceramic veneer

D.

Full gold crown

 

 

ANS:   B

 

 

Feedback

A

Dental amalgam is considered to be a restorative dental material.

B

Fluoride gels, pit and fissure sealants, and mouth protectors are considered to be preventive dental materials.

C

Porcelain veneers are considered to be a restorative dental material.

D

Full gold crowns are considered to be a restorative dental material.

 

 

REF:    Pg. 29

 

2.    Which type of fluoride treatment is best to use for a patient with dentinal hypersensitivity (has a neutral pH)?

A.

Acidulated phosphate fluoride

B.

Sodium fluoride

C.

Stannous fluoride

D.

A and C

E.

B and C

 

 

ANS:   B

 

 

Feedback

A

Acidulated phosphate does not have a neutral pH.

B

Sodium fluoride has a neutral pH.

C

Stannous fluorides have acidic values of pH.

D

A and C are incorrect answers.

E

B is a correct answer, and C is an incorrect answer.

 

 

REF:    Pg. 28

 

3.    Which type of fluoride will not etch restorations?

A.

Acidulated phosphate fluoride

B.

Stannous fluoride

C.

Sodium fluoride

D.

A and B

E.

B and C

 

 

ANS:   C

 

 

Feedback

A

Acidulated phosphate fluorides can etch restorations.

B

Stannous fluorides can etch restorations.

C

Sodium fluoride will not etch restorations.

D

A and C are incorrect answers.

E

B is an incorrect answer, and C is a correct answer.

 

 

REF:    Pg. 28

 

4.    Which type of fluoride can stain restorations?

A.

Stannous fluoride

B.

Sodium fluoride

C.

Acidulated phosphate fluoride

D.

A, B, and C

E.

A and C

 

 

ANS:   A

 

 

Feedback

A

Stannous fluoride can stain restorations.

B

Sodium fluoride does not stain restorations.

C

Acidulated phosphate fluoride does not stain restorations.

D

A is the only correct choice.

E

A is the only correct choice.

 

 

REF:    Pg. 28

 

5.    Thixotropic means the:

A.

viscosity of the material is changeable.

B.

material will adhere to an intraoral surface.

C.

setting time of the material is affected by glove powder.

D.

grain size of cast gold is affected by quenching.

 

 

ANS:   A

 

 

Feedback

A

Thixotropic means the viscosity of the material is changeable. Examples found in dentistry include one form of topical dental anesthetic. Yogurt is another example of a thixotropic material.

B

The material does not have adhesive properties.

C

There is no chemical or setting reaction involved.

D

Quenching is the process of rapidly cooling cast gold.

 

 

REF:    Pg. 28

 

6.    Fluoride varnishes are available that contain _____ fluoride.

A.

1% sodium

B.

5% sodium

C.

1% stannous

D.

5% stannous

E.

2.34% acidulated phosphate-fluoride (APF)

 

 

ANS:   B

 

 

Feedback

A

1% sodium is related to gel deliveries of acidulated phosphate fluoride.

B

Fluoride varnishes are available that contain 5% sodium fluoride.

C

Because it stains, 1% stannous is rarely used.

D

Because it stains, 5% stannous is rarely used.

E

2.34% APF is related to gel deliveries of acidulated phosphate fluoride.

 

 

REF:    Pg. 28

 

7.    Which of the following statements is true of 4-minute versus 1-minute application of a fluoride treatment? A 4-minute application is:

A.

less effective than a 1-minute application.

B.

equally effective as a 1-minute application.

C.

more effective than a 1-minute application.

D.

not currently recommended.

 

 

ANS:   C

 

 

Feedback

A

A 4-minute application is necessary for full fluoride uptake.

B

A 4-minute application is necessary for full fluoride uptake.

C

A 4-minute application appears to be more effective than a 1-minute application.

D

A 4-minute application is necessary for full fluoride uptake.

 

 

REF:    Pg. 29

 

8.    Which of the following statements is true of the manipulation of fluoride foams and gels during their application for office fluoride treatment?

A.

They should be applied prior to dental prophylaxis.

B.

The teeth are to be kept as free from saliva as possible before application of the tray.

C.

The troughs of the maxillary and mandibular trays should be completely filled with the gel.

D.

After application of the gel, the patient is instructed not to eat for 4 hours.

E.

Rinses are recommended for children under six years old.

 

 

ANS:   B

 

 

Feedback

A

They should be applied after rather than before dental prophylaxis.

B

The teeth are to be kept as free from saliva as possible before application of the tray during the application of office fluoride treatments.

C

A ribbon of gel should be placed in the troughs of the maxillary and mandibular trays.

D

After application of the gel, the patient is instructed not to eat for 30 minutes.

E

Rinses are not recommended for children under six years old.

 

 

REF:    Pg. 29

 

9.    Application of fluoride is least effective in preventing caries on which of the following surfaces of posterior teeth?

A.

Mesial

B.

Distal

C.

Buccal

D.

Lingual

E.

Occlusal

 

 

ANS:   E

 

 

Feedback

A

Mesial involves smooth surfaces where fluoride is most effective.

B

Distal involves smooth surfaces where fluoride is most effective.

C

Buccal involves smooth surfaces where fluoride is most effective.

D

Lingual involves smooth surfaces where fluoride is most effective.

E

Application of fluoride is least effective in pits and fissures as a result of the special anatomy of the occlusal surfaces of posterior teeth.

 

 

REF:    Pg. 28

 

10.  Which of the following statements is true of the pit and fissure?

A.

It is a smooth-based depression on the occlusal surface of a tooth.

B.

It may be cleansed by the excursion of food or a toothbrush bristle.

C.

It is the result of noncoalescence of enamel during tooth formation.

D.

It is the result of noncoalescence of dentin during tooth formation.

 

 

ANS:   C

 

 

Feedback

A

It is a narrow, deep depression.

B

Pits and fissures may be very narrow, smaller than a single toothbrush bristle.

C

The pit and fissure is an enamel fault that is the result of noncoalescence of enamel during tooth formation. The noncoalescence may extend to the dentoenamel junction or it may be incomplete.

D

It may extend as far as the dentoenamel junction.

 

 

REF:    Pg. 29

 

11.  Approximately ____% of dental caries in children 5 to 17 years of age involves pits.

A.

11

B.

24

C.

49

D.

74

E.

84

 

 

ANS:   E

 

 

Feedback

A

Eleven is a low random distracter.

B

Twenty-four is a low random distracter.

C

Forty-nine is low random distracter.

D

Seventy-four is a low random distracter.

E

Approximately 84% of dental caries in children 5 to 17 years of age involves pits.

 

 

REF:    Pg. 29

 

12.  Pit and fissure sealants may be used to prevent caries in _____ teeth.

A.

deciduous but not permanent

B.

permanent but not deciduous

C.

both deciduous and permanent

D.

neither deciduous nor permanent

 

 

ANS:   C

 

 

Feedback

A

This option is incorrect based on the answers of both.

B

This option is incorrect based on the answers of both.

C

Pit and fissure sealants may be used to prevent caries in both deciduous and permanent teeth.

D

This option is incorrect based on the answers of both.

 

 

REF:    Pg. 29

 

13.  A preventive resin restoration involves the use of _____ to restore the teeth.

A.

flowable composite

B.

compomer

C.

hybrid ionomer

D.

glass ionomer

E.

ceramic

 

 

ANS:   A

 

 

Feedback

A

A preventive resin restoration involves the use of flowable composite to restore the teeth.

B

Compomer is a thick material with little to no flow.

C

Hybrid ionomer is a thick material with little to no flow

D

Glass ionomer is a thick material with little to no flow.

E

Ceramic is used for indirect restorations only.

 

 

REF:    Pg. 29

 

14.  The chemistry of sealants is similar to:

A.

acidulated phosphate-fluoride (APF).

B.

composite restorative material.

C.

ceramic restorative material.

D.

glass ionomer cement.

 

 

ANS:   B

 

 

Feedback

A

APF is a fluoride.

B

The chemistry of sealants is similar to composite restorative material. Sealants have fewer filler particles and are more fluid in order to penetrate pits and fissures in addition to the etched areas produced on the enamel.

C

Ceramic is an indirect restorative material.

D

Glass ionomer is a cement with a fluoride ion.

 

 

REF:    Pg. 29

 

15.  Sealants polymerized by visible light are ___-component systems that _____ require mixing.

A.

one; do

B.

one; do not

C.

two; do

D.

two; do not

 

 

ANS:   B

 

 

Feedback

A

A one-component system does not require mixing.

B

Sealants polymerized by visible light are one-component systems that do not require mixing.

C

Sealants that self-cure are two-component systems that do require mixing.

D

Sealants that self-cure are two-component systems that do require mixing.

 

 

REF:    Pg. 29

 

16.  Benzoyl peroxide is the:

A.

initiator of a one-component sealant system.

B.

initiator of a two-component sealant system.

C.

inorganic filler.

D.

organic amine accelerator of a one-component sealant system.

E.

monomer.

 

 

ANS:   B

 

 

Feedback

A

Diketone is the initiator in a one-component system.

B

Benzoyl peroxide is the initiator of a two-component sealant system.

C

Inorganic material is present in one- and two-component systems.

D

Organic amine accelerator is present in one- and two-component systems.

E

Monomer is only present in a one-component system.

 

 

REF:    Pg. 30

 

17.  Acid etching of the enamel surface improves the retention of sealant by:

A.

cleaning the area to be sealed.

B.

improving the wettability of the enamel.

C.

increasing the surface area.

D.

A, B, and C.

E.

both A and C.

 

 

ANS:   D

 

 

Feedback

A

All three choices of materials are correct.

B

All three choices of materials are correct.

C

All three choices of materials are correct.

D

Acid etching of the enamel surface improves the retention of sealant by cleaning the area to be sealed, improving the wettability of the enamel, increasing the surface area, and forming spaces into which the sealant can penetrate to form tags.

E

All three choices of materials are correct.

 

 

REF:    Pg. 30

 

18.  The results of a clinical study after a single application of a pit and fissure sealant indicated that after five years, sealant effectiveness:

A.

increased.

B.

decreased.

C.

remained unchanged.

D.

was tied to oral hygiene.

 

 

ANS:   B

 

 

Feedback

A

The clinical study found the effectiveness of a single application of a sealant clearly decreases with time.

B

The clinical study found the effectiveness of a single application of a sealant clearly decreases with time.

C

The clinical study found the effectiveness of a single application of a sealant clearly decreases with time.

D

Caution is warranted in comparison of some of these studies, because materials, techniques, teeth studied, and clinical criteria for judging success or failure vary from study to study.

 

 

REF:    Pg. 31

 

19.  Current evidence indicates that sealants should not be used on the teeth of a patient:

A.

who cooperates in maintaining good oral hygiene.

B.

who has pits and fissures on occlusal surfaces.

C.

who has been free of caries for several years.

D.

with no proximal lesions.

 

 

ANS:   C

 

 

Feedback

A

Sealants also should not be used on the teeth of a patient who does not cooperate in maintaining good oral hygiene.

B

Sealants should be used on occlusal surfaces where pits and fissures exist.

C

Current evidence indicates that sealants should not be used on the teeth of a patient who has been free of caries for several years.

D

Sealants should not be used on teeth with many proximal lesions.

 

 

REF:    Pg. 31

 

20.  Etchants are generally _____ acid.

A.

hydrochloric

B.

acetic

C.

phosphoric

D.

salicylic

 

 

ANS:   C

 

 

Feedback

A

Hydrochloric acid is not used to etch enamel.

B

Acetic acid is not used to etch enamel.

C

Etchants are generally 37% solutions of phosphoric acid in water.

D

Salicylic acid is not used to etch enamel.

 

 

REF:    Pg. 31

 

21.  During placement of sealant:

A.

if an etched tooth becomes contaminated with saliva, the etching and rinsing steps need not be repeated.

B.

the self-cured sealant is cured with a light source for at least 20 seconds.

C.

moisture enhances retention of the sealant by the fissure.

D.

a small cotton pellet may be used to remove sealant that has failed to polymerize because of exposure to air.

E.

if a fluoride treatment is used in conjunction with the pit and fissure sealant, the fluoride treatment is applied before the sealant has polymerized.

 

 

ANS:   D

 

 

Feedback

A

The area must be re-etched and dried again.

B

Self-cured sealant does not require a light to cure.

C

Moisture inhibits retention of the sealant.

D

If an etched tooth becomes contaminated with saliva, the etching and rinsing steps are repeated.

E

If a fluoride treatment is used in conjunction with the pit and fissure sealant, the treatment is applied after the sealant has polymerized.

 

 

REF:    Pg. 32

 

22.  Surveys report that orofacial injuries most frequently occur in _____ when the athlete is not wearing a mouth protector.

A.

basketball

B.

hockey

C.

football

D.

skiing

E.

golf

 

 

ANS:   A

 

 

Feedback

A

Orofacial injuries most commonly occur in basketball, baseball, and soccer. Most injuries occur when the athlete does not wear a mouth protector. The Centers for Disease Control and Prevention (CDC) recommends that all players of contact sports use mouth protectors.

B

The CDC found that hockey players do not sustain as many orofacial injuries as other athletes do because of required faceguards and mouth protectors. Most junior colleges and many amateur hockey and football leagues have adopted the rule mandated by the National Football Alliance Rules Committee that all high school athletes be equipped with internal mouth protectors.

C

The CDC found that football players do not sustain as many orofacial injuries as other athletes do because of required faceguards and mouth protectors. Most junior colleges and many amateur hockey and football leagues have adopted the rule mandated by the National Football Alliance Rules Committee that all high school athletes be equipped with internal mouth protectors.

D

Skiers do not sustain as many orofacial injuries as other athletes.

E

Golfers do not sustain as many orofacial injuries as other athletes.

 

 

REF:    Pg. 32

 

23.  Which of the following statements is(are)true of custom-made mouth protectors?

A.

Athletes prefer the custom-made mouth protector over mouth-formed and stock mouth protectors.

B.

Custom-made mouth protectors are more expensive than mouth-formed or stock mouth protectors.

C.

Custom-made mouth protectors are less likely to interfere with speech than mouth-formed or stock mouth protectors.

D.

A, B and C are true.

E.

A and C are true.

 

 

ANS:   D

 

 

Feedback

A

All three answers are correct.

B

All three answers are correct.

C

All three answers are correct.

D

Athletes prefer the custom-made mouth protector over mouth-formed and stock mouth protectors; custom-made mouth protectors are more expensive than mouth-formed or stock mouth protectors; and custom-made mouth protectors are less likely to interfere with speech than mouth-formed or stock mouth protectors.

E

All three answers are correct.

 

 

REF:    Pg. 34

 

24.  A mouth protector thickness of _____ mm of material over incisal edges and cusps of teeth is recommended for best protection and acceptable comfort.

A.

0.5

B.

1.0

C.

2.0

D.

4.0

E.

8.0

 

 

ANS:   D

 

 

Feedback

A

This answer provides insufficient thickness.

B

This answer provides insufficient thickness.

C

This answer provides insufficient thickness.

D

A thickness of 4 mm of material over incisal edges and cusps of teeth is recommended for best protection and acceptable comfort.

E

This answer provides excessive thickness.

 

 

REF:    Pg. 34

 

25.  Which of the following represents the correct sequential order for manipulation of pit and fissure sealants that require etching with phosphoric acid?

26.  Cleansing and etching the occlusal surfaces

27.  Drying the occlusal surfaces

28.  Washing the occlusal surfaces

29.  Finishing the occlusal surfaces

30.  Polymerizing

31.  Applying sealant to the pits and fissures

A.

2, 1, 3, 4, 6, 5

B.

1, 2, 4, 3, 5, 6

C.

1, 3, 2, 6, 4, 5

D.

1, 3, 2, 6, 5, 4

E.

3, 1, 2, 6, 4, 5

 

 

ANS:   D

 

 

Feedback

A

The correct order of sequential steps is cleansing and etching the occlusal surfaces, washing the occlusal surfaces, drying the occlusal surfaces, applying sealant to the pits and fissures, polymerizing, and finishing.

B

The correct order of sequential steps is cleansing and etching the occlusal surfaces, washing the occlusal surfaces, drying the occlusal surfaces, applying sealant to the pits and fissures, polymerizing, and finishing.

C

The correct order of sequential steps is cleansing and etching the occlusal surfaces, washing the occlusal surfaces, drying the occlusal surfaces, applying sealant to the pits and fissures, polymerizing, and finishing.

D

The correct order of sequential steps is cleansing and etching the occlusal surfaces, washing the occlusal surfaces, drying the occlusal surfaces, applying sealant to the pits and fissures, polymerizing, and finishing.

E

The correct order of sequential steps is cleansing and etching the occlusal surfaces, washing the occlusal surfaces, drying the occlusal surfaces, applying sealant to the pits and fissures, polymerizing, and finishing.

 

 

REF:    Pg. 35

 

26.  Used to help prevent caries in the pits and fissures of posterior teeth, sealants are composed of:

A.

polymers.

B.

glass ionomers.

C.

acrylic.

D.

ceramic.

 

 

ANS:   A

 

 

Feedback

A

Pit and fissure sealants are polymers applied to the occlusal surfaces of posterior teeth to prevent pit and fissure caries.

B

Glass ionomers are cements.

C

Acrylics are used to make complete dentures, portions of removable partial dentures, temporary crowns, custom impression trays, and denture teeth.

D

Ceramics are used in indirect restorations.

 

 

REF:    Pg. 28

 

27.  Neutral sodium fluoride is used for patients with composites, ceramics, and glass ionomers, because it will not _____ esthetic restorations.

A.

stain

B.

etch

C.

marginate

D.

remineralize

 

 

ANS:   B

 

 

Feedback

A

Stannous fluoride stains.

B

With neutral sodium fluoride the pH is adjusted to be between 6 and 8. Values of pH in this range should minimize acid etching of restorative materials, such as composites, compomers, resin-modified glass ionomers, glass ionomers, and ceramics, caused by more acidic APF gels.

C

The gel is neutral and therefore safe for esthetic restorations.

D

Some fluoride varnishes contain ACP remineralization properties.

 

 

REF:    Pg. 28

 

28.  Neutral fluoride gels contain thickening agents and are considered:

A.

viscous

B.

flowable

C.

wetting

D.

thixotropic

 

 

ANS:   D

 

 

Feedback

A

Viscosity is related to the thickness or thinness of a material and/or surface tension.

B

Flowable is related to the thickness or thinness of a material and/or surface tension.

C

Wetting is related to the thickness or thinness of a material and/or surface tension.

D

Neutral sodium fluoride foams, gels, and rinses are available. One product is thixotropic and contains sodium fluoride and thickening agents.

 

 

REF:    Pg. 28

 

29.  ______ fluoride may be responsible for depositing stains on teeth and restorations.

A.

Stannous

B.

Acidulated phosphate

C.

Neutral sodium

D.

Sodium

 

 

ANS:   A

 

 

Feedback

A

Stannous fluoride products are effective in providing fluoride but can cause staining of tooth surfaces and restorations.

B

Acidulated phosphate is used as an alternative to stannous fluoride because it does not stain.

C

Neutral sodium is used as an alternative to stannous fluoride because it does not stain.

D

Sodium fluoride is used as an alternative to stannous fluoride because it does not stain.

 

 

REF:    Pg. 28

 

30.  Fluoride rinses should not be used for:

A.

children under 6 years of age.

B.

orthodontic patients.

C.

home preventive care.

D.

all of the above.

 

 

ANS:   A

 

 

Feedback

A

Rinses are not recommended for children younger than 6 years.

B

Fluoride rinses are often recommended for patients who need a fluoride boost in between office treatments, that is, patients in active orthodontic treatments and individuals with specific fluoride needs.

C

Fluoride rinses are often recommended for patients who need a fluoride boost in between office treatments, that is, patients in active orthodontic treatments and individuals with specific fluoride needs.

D

Fluoride rinses are often recommended for patients who need a fluoride boost in between office treatments, that is, patients in active orthodontic treatments and individuals with specific fluoride needs.

 

 

REF:    Pg. 29

 

31.  Sealants are polymerized by using a(n) _____ spectrum light.

A.

ultraviolet.

B.

incandescent.

C.

fluorescent.

D.

visible.

 

 

ANS:   D

 

 

Feedback

A

Ultraviolet light sources may affect the surface setting of resin materials. However, the optimum response comes from the visible light spectrum.

B

Incandescent light sources may affect the surface setting of resin materials. However, the optimum response comes from the visible light spectrum.

C

Fluorescent light sources may affect the surface setting of resin materials. However, the optimum response comes from the visible light spectrum.

D

Sealants polymerized by visible light (490 nm wavelength) are one-component systems that require no mixing.

 

 

REF:    Pgs. 3-8

 

32.  It can be difficult to fill a fissure completely with sealant due to _____ trapped in the fissure.

A.

air

B.

debris

C.

moisture

D.

all of the above

 

 

ANS:   D

 

 

Feedback

A

All answers are correct.

B

All answers are correct.

C

All answers are correct.

D

Filling the fissure completely is difficult because air frequently is trapped in the bottom of the fissure, or the accumulation of debris and moisture at the base of the fissure prevents it from being sealed completely.

 

 

REF:    Pg. 29

 

33.  Eighty-five percent of dental caries on posterior teeth of children ages 5 to 17 occur on which surface?

A.

Mesial

B.

Distal

C.

Buccal

D.

Occlusal

E.

Lingual

 

 

ANS:   D

 

 

Feedback

A

Mesial are smooth surfaces and are not as susceptible to formation of caries.

B

Distal are smooth surfaces and are not as susceptible to formation of caries.

C

Buccal are smooth surfaces and are not as susceptible to formation of caries.

D

The unusual anatomy of the pit and fissure causes such sites to exhibit a high incidence of dental caries. In fact, 84% of dental caries in children 5 to 17 years of age involve pits.

E

Lingual are smooth surfaces and are not as susceptible to formation of caries.

 

 

REF:    Pg. 29

 

34.  Teeth should be etched with a _____ phosphoric solution for _____ seconds.

A.

18%; 15

B.

23%; 30

C.

37%; 60

D.

42%; 45

 

 

ANS:   C

 

 

Feedback

A

Etch material is dispensed at 37% dilution. It takes approximately 60 seconds to obtain an adequate etch.

B

Etch material is dispensed at 37% dilution. It takes approximately 60 seconds to obtain an adequate etch.

C

Etchants are generally 37% solutions of phosphoric acid in water. The solution is left on the tooth for 60 seconds before the surface is washed with a liberal amount of water for at least 15 seconds.

D

Etch material is dispensed at 37% dilution. It takes approximately 60 seconds to obtain an adequate etch.

 

 

REF:    Pg. 31

 

 

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