Exam 19: Devices

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Which statement best describes the oral health outcomes from irrigation?

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C

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?

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A

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.

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E

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.

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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?

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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.

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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?

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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?

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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?

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Which option describes the action of an oral irrigator?

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

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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?

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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?

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

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Which statement BEST describes the advantages of a woodstick?

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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.

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

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

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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.

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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?

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