Name: Score:

28 Multiple choice questions

Definition 1 of 28
(2020)A child with asthma needs pain medication following dental procedures. What is the
drug of choice?

Narcotics

Aspirin

NSAIDs

Acetaminophen

Definition 2 of 28
(2010)A 14-year-old child is brought to your office three weeks after fracturing the left central
incisor. The tooth has a pulpal exposure of more than 2mm and does not respond to heat or
cold. The tooth is tender to percussion. The treatment of choice is:

Pulpotomy

Pulpectomy

Apexification

Direct pulp cap

Definition 3 of 28
(2020)Early exfoliation of teeth before five years of age may be caused by all of the following
except one. Which is the exception?

Cherubism

Trauma

Localized aggressive periodontitis

Immune deficiency
Definition 4 of 28
(2013)Which of the following new clinical theories best applies to the placing of sealants?

Laser fluorescence is a very valuable tool to investigate stained pits and fissures.

Radiographics may not reveal lesions within highly fluoridated and non-cavitated
enamel

Caries that extend minimally past the DEJ can be sealed

Hypoplastic and aprismatic enamel can be retained, but all demineralized enamel must
be removed.

Definition 5 of 28
(2016)All of the following are characteristics of a splint constructed for an avulsed tooth
except one. Which is the exception?

Should be passive when placed on teeth

Should not allow splinted tooth to move

Should not interfere with endodontic access

Splint should be above gingival tissues

Definition 6 of 28
(2020)When the mandibular permanent central incisors are found to be erupted lingually to
the primary incisors, the primary central incisors should:

Be extracted ages 6-7.

Be extracted at ages 6-7 with the primary lateral incisors

Be considered for extraction if they are firm with full roots, by age 7.5-8.5 yr old.

Be extracted if they are loose by age 7.5-8.5 yr old.

Definition 7 of 28
(2017)Which of the following primary teeth are usually unaffected in rampant caries?

Maxillary incisors

Maxillary canines

Mandibular incisors

Mandibular canines

Definition 8 of 28
(2010)Nursing bottle caries can occur in otherwise healthy infants. Persistent on-demand
breast feeding or constant feeding of sweetened beverages to the child can cause the oral
malady.

Both statements are TRUE

Both statements are FALSE

Both statements are FALSE; the second statement is FALSE

The First statement is FALSE; the second statement is TRUE

Definition 9 of 28
(2012)Tetracycline ceases to result in esthestically significant dental discoloration after ___ years
of age

7
Definition 10 of 28
The maximum TID dosage amoxicillin for children weight less than 20kg is _____ mg/kg.

20-30

30-40

40-50

50-60

Definition 11 of 28
(2015)All of the following techniques are acceptable in the treatment of young permanent
molars with deep carious lesions except one. Which is the exception?

Non-vital pulp capping

Indirect pulp capping

Vital Pulpotomy

Direct pulp capping

Definition 12 of 28
(2012)The best anticariogenic substance in chewing gum, candy and other products is:

Fructose

Sorbitol

Xylitol

Aspartame
Definition 13 of 28
(2010)The major problems with mandibular infections in pediatric patients are spread along the
fascial planes surrounding the airway and spread via the fascial planes to the mediastinum.
These problems coupled with dehydration and fever can mandate hospitalization of the child.

Both statements are TRUE

Both statements are FALSE

First statement is TRUE; Second statement is FALSE

First statement is FALSE; Second statement is TRUE

Definition 14 of 28
(2017)Which of the following is characteristics of ankylosed primary molars?

An increased irritability to application of heat or cold

A reduced level of response to EPT (electric pulp testing)

A normal clinical appearance with areas of fusion visible on a radiograph

A "sunken" appearance below the occlusal plane

Definition 15 of 28
(2014)Which of the following is the least common traumatic injury to primary teeth?

Lateral luxation

Intrusive luxation

Avulsion

Fracture of the root

Definition 16 of 28
(2016)Which is the immediate treatment for an intruded primary maxillary incisor?

Reposition

Reposition and splint

Do not reposition

Reposition and remove nerve

Definition 17 of 28
(2014)Which of the following is true regarding eruption?

Eruption in the maxilla is generally ahead of that in the mandible

Teeth reach occlusion after root development is complete

Eruption of the premolar teeth is delayed in children who lose one primary molar prior
to the age of 5

Girls and boys have completely different patterns of tooth eruption

Definition 18 of 28
(2010)Most common sequence of dental caries in the primary dentition is:

Mandi molars > Maxi molars > Maxi anterior

Maxi anteriors > Maxi molars > Mandi molars

Mandi molars > Maxi anteriors > Maxi molars

All areas are equally susceptible for caries

Definition 19 of 28
(2020)How much root development should there be before an impacted tooth is surgically
exposed for orthodontic treatment?

Furcation area completed

Half of root completed

Cervical area completed

Almost completely formed

Definition 20 of 28
(2020)Characteristics of odontomas in children include all of the following except one. Which
is the exception?

Are usually symptomatic

May cause impaction of permanent teeth

Can cause bony expansion

May have calcified structures

Definition 21 of 28
(2017)The dentist is administering a mandibular block to a child. Where is the child's mandibular
foramen in comparison to that of an adult?

Superior

Inferior

Medial

Same level
Definition 22 of 28
(2013)Dark gray discoloration in a traumatized primary incisor is evidence of:

Pulpal necrosis

Chromogenic bacteria in non-vital pulp

Extravasation of blood elements from the pulp

Internal resorption

Definition 23 of 28
(2015)Educational and motivational efforts regarding plaque control should be concentrated
within the group of patients between ages 13-15 rather than younger patients. Statistics indicate
that the incidence of periodontal disease increases with age.

B. Inferior

Below level of occlusion < 4 yrs

D. First statement is FALSE, second statement is TRUE

B. Maxillary anteriors > Maxillary Molars > Mandibular Molars

A. Are usually symptomatic

ODONTOMAS IN CHILDREN ARE USUALLY ASYMPTOMATIC

Definition 24 of 28
(2012)Treatment for a 3-year-old patient who falls and strikes his maxillary central on a coffee
table, forcefully impacting it into the alveolar process includes:

Repositioning the tooth with local anesthetic and sedation

Constructing a splint or stabilizing appliance within two weeks

Extraction in 3-4 weeks after injury

Observation for next six months with periapical radiograph

Definition 25 of 28
(2010)The most cost effective means of treating tooth surface loss in children is:

Cast metal

Direct composite

Indirect composite

Porcelain or ceramic

Definition 26 of 28
(2015)Following a pulpotomy of an immature permanent first molar, the stumps of pulpal tissue
are treated most effectively with:

CMCP

Calcium Hydroxide

ZOE

RMGI

Definition 27 of 28
(2016)Which of the following materials is no longer recommended for pulpal therapy on
primary teeth?

Calcium hydroxide

Ferric Sulfate

Formocresol

MTA (mineral trioxide aggregate)

Definition 28 of 28
(2014)A 7-year-old patient presents to your office one hour after an accident in which the
crown of a maxillary central incisor was fractured, grossly exposing the vital pulp. Treatment
should be:

Pulpotomy

Pulp capping

Root canal therapy

Placement of a temporary crown with ZOE

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