Dental Treatment of Pediatric and Adolescent Patients

Course #52164 - $54-


Study Points

  1. Outline the eruption sequence, anatomy, and morphology of deciduous teeth.
  2. List the restorative options for deciduous and permanent teeth in children and adolescents.
  3. Evaluate the preventive dentistry options that can benefit deciduous and permanent teeth.
  4. Cite the major differences in the use of medications for dental treatment of children and adolescents compared to their adult counterparts.
  5. Identify oral lesions that accompany common childhood and adolescent diseases.
  6. Evaluate the common oral and maxillofacial signs of child and adolescent abuse.
  7. Describe possible oral manifestations of eating disorders.

    1 . Which of the following statements about deciduous teeth is TRUE?
    A) Neonatal teeth are present at birth.
    B) All natal and neonatal teeth should be extracted.
    C) The deciduous mandibular canines are the first teeth to erupt.
    D) The last teeth to erupt are the maxillary and mandibular second molars.

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    2 . What are the only permanent teeth that do not replace a pre-existing deciduous tooth?
    A) Molars
    B) Canines
    C) Incisors
    D) Premolars (bicuspids)

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    3 . Ankylosis of deciduous teeth
    A) most often involves the deciduous canines.
    B) facilitates the extraction of deciduous teeth.
    C) has no effect on the eruption of permanent teeth.
    D) results in a submerged appearance compared to adjacent teeth.

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    4 . Early childhood caries are defined as lesions that occur in deciduous teeth between birth and
    A) 13 months of age.
    B) 31 months of age.
    C) 51 months of age.
    D) 71 months of age.

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    5 . What percentage of caries involve the pits and fissures of permanent posterior teeth?
    A) 30% to 40%
    B) 40% to 50%
    C) 60% to 70%
    D) 80% to 90%

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    6 . Dental amalgam restorations
    A) strengthen the tooth.
    B) are very technique-sensitive during placement.
    C) are the choice for class V restorations in anterior teeth.
    D) may rely on features such as retentive grooves for resistance to dislodgement.

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    7 . Which of the following statements about composite restorations is TRUE?
    A) They rely on grooves and slots for retention.
    B) They are less expensive than amalgam restorations.
    C) Rubber dam isolation is required to prevent contamination with saliva and blood.
    D) The preparation requires more removal of tooth structure compared to an amalgam restoration.

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    8 . The apexification procedure is used for
    A) vital deciduous teeth.
    B) vital immature permanent teeth.
    C) necrotic (non-vital) deciduous teeth.
    D) necrotic (non-vital) immature permanent teeth.

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    9 . Fluoride
    A) supplements are required for all pediatric patients.
    B) exerts its effects topically rather than systemically.
    C) does not affect the teeth if excessive amounts are ingested.
    D) that naturally occurs in water is sufficient to prevent tooth decay.

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    10 . Which factors should be considered when using or prescribing medications for pediatric and adolescent patients?
    A) Pre-existing illness
    B) Age and weight of the patient
    C) Simultaneous use of other medications
    D) All of the above

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    11 . The analgesic acetaminophen
    A) has peripheral anti-inflammatory activity.
    B) is associated with a high incidence of gastric irritation.
    C) blocks the production of prostaglandins in the central nervous system.
    D) has been identified as an etiologic agent in the development of Reye syndrome.

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    12 . Nonsteroidal anti-inflammatory drugs (NSAIDs)
    A) are ideal for patients with gastrointestinal diseases.
    B) exert effects only within the central nervous system.
    C) are the medication of choice for patients with bleeding or platelet disorders.
    D) should not be used for patients that have had aspirin-induced asthma attacks.

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    13 . Which of the following statements about antibiotics is TRUE?
    A) Bacterial resistance to antibiotics is a rising problem.
    B) Penicillin VK is absorbed more quickly than amoxicillin-clavulanate.
    C) Clindamycin remains the empiric antibiotic of choice for odontogenic infections.
    D) Amoxicillin is more active against gram-positive bacteria compared with penicillin VK.

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    14 . Which of the following statements about the use of local anesthetics in pediatric patients is TRUE?
    A) Hepatic disease can have an influence on the metabolism of local anesthetics.
    B) The dental staff must be trained to respond to adverse reactions to local anesthetics.
    C) Patients with sulfite allergies should not be given a local anesthetic with epinephrine.
    D) All of the above

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    15 . Primary herpetic gingivostomatitis (PHG)
    A) heals spontaneously but with scarring.
    B) causes the gingival tissues to become pale.
    C) causes pain, malaise, headache, and possibly fever.
    D) has the highest incidence among adolescent patients.

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    16 . Koplik spots are associated with
    A) mumps.
    B) measles.
    C) shingles.
    D) recurrent herpes labialis.

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    17 . Hand, foot, and mouth disease is usually caused by
    A) coxsackievirus A16.
    B) herpes simplex virus.
    C) varicella zoster virus.
    D) the measles, mumps, and rubella vaccine.

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    18 . Which of the following structures in the oral and perioral region is the most common site of intentionally inflicted injuries in abused children?
    A) Lips
    B) Teeth
    C) Tongue
    D) Gingival tissues

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    19 . Which of the following statements about anorexia nervosa is TRUE?
    A) Women comprise about 90% to 95% of all cases.
    B) It is not associated with serious medical consequences.
    C) The teeth and oral mucosa are unaffected by this disease process.
    D) Patients with anorexia usually have a normal body weight and appearance.

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    20 . Perimylolysis
    A) is not seen in patients with bulimia nervosa.
    B) develops from repetitive tooth-to-tooth contact.
    C) is caused by an abrasive force such as overzealous tooth brushing.
    D) is caused by repeated contact of gastric hydrochloric acid with the teeth.

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