Caries Risk Pre-test

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Question 1 of 10

1. Question
The mother of a 9-month old patient asks what causes early childhood caries (ECC). Which of the following is the most accurate reply?
- The majority of ECC results from thin or "weak" tooth enamel inherited from the parents
- Microbial imbalance in the mouth creates acid that damages the tooth enamel
- A lack of protective saliva is the most common cause of ECC
- A calcium deficiency during tooth formation produces teeth that lack a sufficiently thick covering of enamel
Question 2 of 10

2. Question
Which of the following factors places a child at the most risk for developing early childhood caries?
- Having a diagnosis of asthma.
- Living with family members who smoke tobacco
- Breast feeding for less than than six months
- Having existing white spots or calcifications
Question 3 of 10

3. Question
Which of the following is the major mechanism of action of topical fluoride in caries prevention?
- It promotes saliva release which neutralizes acids on the tooth surface
- It promotes remineralization of the teeth
- It inhibits demineralization of the teeth
- Both B and C are true
Question 4 of 10

4. Question
Which of the following is a benefit of fluoride varnish?
- Fluoride varnish permanently seals the pits and fissures of teeth
- Fluoride varnish decreases the need for routine dental care
- Fluoride varnish can reverse early decay and slow enamel destruction
- Fluoride varnish replaces the need to take systemic fluoride supplements
Question 5 of 10

5. Question
While performing an exam on one of your young patients, you observe the following. Describe what you see:
- The teeth are normal and have no white spots or tooth decay
- The gingiva are pathologically pigmented
- The tooth's enamel is thin, so fluoride varnish must be applied to strengthen the enamel
- The color of the teeth indicates this child is at high risk for developing fluorosis
Question 6 of 10

6. Question
What guidance would you provide the mother of your 20-month-old patient who expresses concern about her child developing fluorosis? The family lives in a town that adds fluoride to the water supply and the child has already had two cavities.
- Recommend to use only a small smear of fluoridated toothpaste when brushing the child's teeth
- Recommend to use a non-fluoridated toothpaste
- Recommend to brush the child's teeth every other day
- Recommend to only give bottled drinking water to the child
Question 7 of 10

7. Question
According to the U.S. Preventive Services Taskforce (USPSTF) recommendations, which children should receive fluoride varnish in the medical office?
- All children at high risk for caries
- High risk children without a dental home
- Children at low risk for caries
- All children under age 6
Question 8 of 10

8. Question
While performing an exam on one of your young patients, you observe the findings on the teeth indicated by the yellow arrows (see photograph). Describe the tooth’s condition.
- The teeth are normal and have no visible dental caries
- The brown areas represent caries where loss of overlying enamel has exposed underlying dentin
- The brown discoloration indicate areas that the child has chipped his teeth
- The brown color indicates that the child has developed fluorosis
Question 9 of 10

9. Question
When applying fluoride varnish to an infant, what is the most important function of the gauze?
- The gauze is the vehicle used to apply the fluoride varnish to the teeth
- The gauze is used to hold the tongue out of the way
- The gauze is used to dry the child's teeth
- The gauze is shown to the child to stimulate her to open her mouth
Question 10 of 10

10. Question
What guidance do you give the grandmother of a child who has just had fluoride varnish applied to his teeth?
- The child's teeth will be discolored for about a week
- Do not brush the child's teeth for at least 48 hours
- Brush the child's teeth in about 1 hour
- Avoid giving the child hot, sticky, or hard foods for at least 6 hours

Caries Risk Pre-test

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