ADHP 2022-2023 Midterm review- q & a | 2024
What duct is associated with the parotid gland? **** Stensons duct
What duct is associated with the submandibular gland? **** Wharton's duct
What are the muscles of mastication? **** masseter, temporalis, medial pterygoid,
lateral pterygoid
What is the role of the dental hygienist in special patient populations? **** •
Recognize physical, medical, mental, social, dental needs
• Communicate appropriately to patient, caregiver, & other health professionals
Know all medical conditions, medications, vital signs
• Adapt an appropriate treatment plan
Common appointment modifications for special needs patients **** Stress reduction
Short, morning procedures
¯ time for procedure (may need time for appointment)
Good communication & encourage patients to ask questions
Use relaxation techniques
Make procedures as "pain-free" as possible
Xerostomia management **** Things patients can do (hydrate, humidify bedroom)
Saliva substitutes
Saliva stimulants (cholinergics such as pilocarpine mimic acetylcholine)
Caries prevention (frequent recalls, home fluoride, other products)
• Frequent maintenance appointments
• Modification of chair position (CVA, CHF, COPD, pregnancy)
Where does the mental nerve innervate? **** Between 1st and 2nd premolar
What nerve can easily be damaged near retromolar pad? **** Lingual nerve
What are the fibers shown? **** 1- Aveolar crest fibers
2- Oblique fibers
3-
4- Horizontal fibers
5- Interradicular fibers
6- Apical Fibers
What muscles protrude the jaw? **** medial and lateral pterygoid
What muscles retract the jaw? **** temporalis, masseter, geniohyoid and digastric
What muscles elevate the mandible? **** temporalis, masseter, medial pterygoid
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
,What muscles depress the mandible? **** digastric, geniohyoid, mylohyoid
What are the papillae of the tongue? **** filiform, fungiform, circumvallate, foliate
Sulcus terminalis **** V shaped line separating the anterior 2/3 of the tongue from
the posterior 1/3
Masticatory mucosal tissue **** Keratinized and protects the attached gingiva and
hard palate
Lining mucosal tissue **** Not keratinized, and includes the alveolar, vestibular, and
buccal mucosa, as well as the floor of the mouth
Where does keratinization end? **** At the free gingival margin
What three areas are not keratinized? **** JE,SE and cul
Does the mandible or maxilla have more keratinized tissue? **** Maxilla
Which area of the mouth has both keratinized and non keratinized tissue? **** Floor
of the mouth
Primary colonizers **** S. Sangus, A. Viscous
Secondary colonizers **** F. Nucleatum, P. Intermedia
Predisposing factors of NUG **** Smoking, poor oh, stress, trauma. Plaque always
has to be present for NUG to form
Where is the parotid gland located? **** In your cheek, near the ear ( produces 25%
of total saliva )
Where is the submandibular gland located? **** Below the angle of the mandible
( 65 % of total saliva )
Where is the sublingual gland located? **** under the tongue on the floor of the
mouth ( produces 10% of total saliva )
Critical surface category **** Penetrates soft tissue or bone. EX: Needles, curettes,
probes
What is the chain of infection? **** pathogen, source, mode, entry (controlled by
PPE), susceptible host
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
, Donning PPE **** Gown, mask,faceshield, gloves
Removing PPE **** Gloves, faceshield, mask, gown
When do discard sharps container? **** When it is 3/4 full
What is considered health? **** Less than 10% of sites
Peri- implantitis **** Loss of implant supporting bone
Peri-implant mucositis? **** Gingivitis around an implant ( no bone loss )
Normal blood pressure **** less than 120/80
Elevated blood pressure **** 120-129/less than 80
Hypertension Stage 1 **** 130-139/80-89
Hypertension stage 2 **** 140 or higher/90 or higher
Hypertentitive crisis **** Higher than 180/ higher than 120
Dehiscence **** Basically recession
Fenestration **** Window or hole
Semi-critical surface category **** Touch mucous membranes. EX: Bite block, mirror
Non- critical surface category **** Do not touch mucous membranes. EX: Light
handles, eyewear, x-ray tube
Environmental surface category **** No contact with pt. EX: counter tops
What makes up the red complex? **** P. Gingivalis
B. Forsythus
T. Denticola
Plaque Index- 1 **** No plaque visible to the eye, only with the probe
Plaque Index- 2 **** Moderate - thick amount of plaque visible to the eye
Plaque Index- 3 **** Heavy plaque, fills out niche created by the gingival margin and
tooth surface
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
What duct is associated with the parotid gland? **** Stensons duct
What duct is associated with the submandibular gland? **** Wharton's duct
What are the muscles of mastication? **** masseter, temporalis, medial pterygoid,
lateral pterygoid
What is the role of the dental hygienist in special patient populations? **** •
Recognize physical, medical, mental, social, dental needs
• Communicate appropriately to patient, caregiver, & other health professionals
Know all medical conditions, medications, vital signs
• Adapt an appropriate treatment plan
Common appointment modifications for special needs patients **** Stress reduction
Short, morning procedures
¯ time for procedure (may need time for appointment)
Good communication & encourage patients to ask questions
Use relaxation techniques
Make procedures as "pain-free" as possible
Xerostomia management **** Things patients can do (hydrate, humidify bedroom)
Saliva substitutes
Saliva stimulants (cholinergics such as pilocarpine mimic acetylcholine)
Caries prevention (frequent recalls, home fluoride, other products)
• Frequent maintenance appointments
• Modification of chair position (CVA, CHF, COPD, pregnancy)
Where does the mental nerve innervate? **** Between 1st and 2nd premolar
What nerve can easily be damaged near retromolar pad? **** Lingual nerve
What are the fibers shown? **** 1- Aveolar crest fibers
2- Oblique fibers
3-
4- Horizontal fibers
5- Interradicular fibers
6- Apical Fibers
What muscles protrude the jaw? **** medial and lateral pterygoid
What muscles retract the jaw? **** temporalis, masseter, geniohyoid and digastric
What muscles elevate the mandible? **** temporalis, masseter, medial pterygoid
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
,What muscles depress the mandible? **** digastric, geniohyoid, mylohyoid
What are the papillae of the tongue? **** filiform, fungiform, circumvallate, foliate
Sulcus terminalis **** V shaped line separating the anterior 2/3 of the tongue from
the posterior 1/3
Masticatory mucosal tissue **** Keratinized and protects the attached gingiva and
hard palate
Lining mucosal tissue **** Not keratinized, and includes the alveolar, vestibular, and
buccal mucosa, as well as the floor of the mouth
Where does keratinization end? **** At the free gingival margin
What three areas are not keratinized? **** JE,SE and cul
Does the mandible or maxilla have more keratinized tissue? **** Maxilla
Which area of the mouth has both keratinized and non keratinized tissue? **** Floor
of the mouth
Primary colonizers **** S. Sangus, A. Viscous
Secondary colonizers **** F. Nucleatum, P. Intermedia
Predisposing factors of NUG **** Smoking, poor oh, stress, trauma. Plaque always
has to be present for NUG to form
Where is the parotid gland located? **** In your cheek, near the ear ( produces 25%
of total saliva )
Where is the submandibular gland located? **** Below the angle of the mandible
( 65 % of total saliva )
Where is the sublingual gland located? **** under the tongue on the floor of the
mouth ( produces 10% of total saliva )
Critical surface category **** Penetrates soft tissue or bone. EX: Needles, curettes,
probes
What is the chain of infection? **** pathogen, source, mode, entry (controlled by
PPE), susceptible host
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
, Donning PPE **** Gown, mask,faceshield, gloves
Removing PPE **** Gloves, faceshield, mask, gown
When do discard sharps container? **** When it is 3/4 full
What is considered health? **** Less than 10% of sites
Peri- implantitis **** Loss of implant supporting bone
Peri-implant mucositis? **** Gingivitis around an implant ( no bone loss )
Normal blood pressure **** less than 120/80
Elevated blood pressure **** 120-129/less than 80
Hypertension Stage 1 **** 130-139/80-89
Hypertension stage 2 **** 140 or higher/90 or higher
Hypertentitive crisis **** Higher than 180/ higher than 120
Dehiscence **** Basically recession
Fenestration **** Window or hole
Semi-critical surface category **** Touch mucous membranes. EX: Bite block, mirror
Non- critical surface category **** Do not touch mucous membranes. EX: Light
handles, eyewear, x-ray tube
Environmental surface category **** No contact with pt. EX: counter tops
What makes up the red complex? **** P. Gingivalis
B. Forsythus
T. Denticola
Plaque Index- 1 **** No plaque visible to the eye, only with the probe
Plaque Index- 2 **** Moderate - thick amount of plaque visible to the eye
Plaque Index- 3 **** Heavy plaque, fills out niche created by the gingival margin and
tooth surface
For help with assignments, discussions, research papers, Ms. excel and ppt tasks contact
