DGPD 711 2005

Pediatric Dentistry
Mid-term Examination
April 24, 2006
1.

Its your first day of practice and Mrs. Boyle brings her three-year-old
daughter, Mary Grace, in for her first dental visit. Which of the following
would you expect to be true regarding her daughters development?
(a)
(b)
(c)
(d)
(e)

2.

2 months
3 months
6 months
9 months
one year

Tangible rewards such as gifts for children following dental appointments

(a)
(b)
(c)
(d)
(e)

4.

actively says please and thank you

plays with peers cooperatively
has a limited vocabulary
independent with self-help skills
has a very active imagination

Mrs. Boyle (question 1, above) also has a son, Ryan, who weighed in at
eight and one-half pounds at birth. In chatting with her, she said he has
been growing like a weed and just has doubled his birth weight. You
would expect him to be approximately how old?
(a)
(b)
(c)
(d)
(e)

3.

Name______________________

should serve as a reward for good behavior

recognizes any childhood behavior as age appropriate
is a promise to induce good behavior
should not be given under any circumstances
is a bribe for positive behavior

Which of the following primary teeth does not resemble any of the
permanent teeth?
(a)
(b)
(c)
(d)
(e)

maxillary first molar

maxillary second molar
mandibular first molar
mandibular second molar
none of the above

5.

Which of the following is true?

(a)
(b)
(c)
(d)
(e)

6.

Wil, a fourteen and one-half month old tough guy, comes to your office
with his mother, Blanche, for infant oral health care. According to Lunt
and Law, you would expect to see how many teeth in his mouth?
(a)
(b)
(c)
(d)
(e)

7.

none
two
four
eight
all 20 primary teeth

The Frankel Rating Scale is an indication of the childs

(a)
(b)
(c)
(d)
(e)

8.

The crowns of the primary teeth are wider mesiodistally in

comparison with crown length than are those of the permanent
teeth.
The roots of primary anterior teeth are narrow and short compared
with crown width and length.
The cervical ridge of enamel at the cervical third of the anterior
crowns is much more prominent mesiodistally in the primary than in
the permanent teeth.
The crowns and roots of primary molars are more wider
mesiodistally at the cervical third than those of permanent molars.
The primary teeth are usually darker in color than the permanent
teeth.

age
behavior
ability to understand
intelligence
socio-economic status

Fundamental principles of child behavior management include

(a)
(b)
(c)
(d)
(e)

a positive approach
a team attitude
truthfulness
flexibility
all of the above

9.

The pulp chambers of primary molars

(a)
(b)
(c)
(d)
(e)

10.

You see Brad, a five-year-old star baseball player and sometime cowboy,
for a first visit. His mother noted that he had # L removed several years
ago because of a large cavity. You explain to her that as a result of early
loss of this tooth
(a)
(b)
(c)
(d)
(e)

11.

# 21 will come in early

# 21 will come in at the normal time
# 21 will be delayed in eruption
# 21 will be malformed
# 21 may not come in at all.

According to Moyers, the most common sequence of eruption in the

maxillary arch is
(a)
(b)
(c)
(d)
(e)

12.

do not follow the outline of the crown

increase in size under the influence of function
increase in size under the influence of abrasion of the surfaces
increase in size as age increases
none of the above.

2, 3, 4, 5, 6, 7, 8
3, 8, 7, 6, 5, 4, 2
8, 7, 6, 5, 4, 3, 2
3, 8, 7, 5, 4, 6, 2
8, 7, 3, 5, 4, 6, 2

Hannah is seven years old and has the most Barbie dolls on the street.
During her dental recall visit, her mother, Marge, asks about the lingual
eruption of the mandibular permanent incisor. You explain to her that
(a)
(b)
(c)
(d)
(e)

this is abnormal and that these teeth should be removed as soon

as possible to prevent crowding
by seven years and five months these teeth should exfoliate
a conservative approach should be ruled out as these teeth can
cause future orthodontic problems
it is common for these teeth to erupt lingually and this is
considered essentially normal
in 95% of the cases these teeth could present a problem by eight
years two months.

13.

Mrs. Black calls you and is concerned about the eruption of teeth in her
seven-month-old infant son, Joe. She specifically wants to know if any of
the following is related to this process. Which are indeed related to this
process?
(a)
(b)
(c)
(d)
(e)

14.

Which of the following is true?

(a)
(b)
(c)
(d)
(e)

15.

teething is not a normal physiologic process

inflammation of the gingival tissues before complete
emergence of the crown may cause a temporary painful
condition that subsides within a few days
in general, surgical removal of tissue covering the tooth to facilitate
eruption is a normal practice
teething can cause fevers, coughing, and sleep disturbances
there are reports in the literature of teething causing convulsions

Mrs. Thompson brings into the office her sixteen-month-old son, John,
because she is concerned about a bluish-purple elevated area of tissue
developing over the right maxillary first primary molar area. After your
exam, you tell Mrs. Thompson
(a)
(b)
(c)
(d)
(e)

16.

croup
diarrhea
fever
sleep disturbance
daytime restlessness

this may be serious and must be referred to an oral surgeon for a

biopsy
this is an eruption cyst and must be excised
this is likely an eruption hematoma and usually within a few
days after eruption of the tooth the hematoma will subside
this is likely an odontogenic cyst and will require excision following
the eruption of the tooth (both the tooth and the cyst)
this is likely an eruption sequestra and must be excised to allow for
eruption of the tooth

Epstein pearls, Bohn nodules, and dental lamina cysts are all classified as
(a)
(b)
(c)
(d)
(e)

inclusion cysts
odontogenic tumors
traumatic sequelae
lesions which develop from different tissue types
none of the above

17.

Local and systemic factors that influence eruption of teeth include

(a)
(b)
(c)
(d)
(e)

18.

The primate spaces in the primary dentition occur between

(a)
(b)
(c)
(d)
(e)

19.

maxillary lateral incisor and canine; mandibular lateral incisor and

canine
maxillary lateral incisor and canine; mandibular canine and
first molar
maxillary central incisor and lateral; mandibular canine and first
molar
maxillary canine and first molar; mandibular canine and first molar
maxillary canine and first molar; mandibular lateral incisor and
canine

With a mesial step in the second primary molar region, the mandibular
permanent first molar will erupt into
(a)
(b)
(c)
(d)
(e)

20.

ankylosis of primary molars

trisomy 21
cleidocranial dysplasis
all of the above
only (a) and (b)

a Class I malocclusion
a Class II malocclusion
a Class III malocclusion
normal occlusion after the early mesial shift
normal occlusion after the late mesial shift

A primary molar mesial step

(a)
(b)
(c)
(d)
(e)

Is the relationship of the distal surface of the mandibular second

molar to the same surface of the maxillary second molar
Is believed by Moyers to be more ideal than a straight terminal
plane
guides the first permanent molar into position
all of the above
only (a) and (c)

21.

The primary molar straight or flush terminal place occurs with what
frequency in the population at five years of age?
(a)
(b)
(c)
(d)
(e)

22.

A distal step will probably result in which type of molar occlusion?

(a)
(b)
(c)
(d)
(e)

23.

first molars
central incisors
lateral incisors
canines
premolars

Nances leeway space in the dental arches per side is

(a)
(b)
(c)
(d)
(e)

25.

Class I
End-to-end occlusion
Class II occlusion
Class III occlusion
None of the above

The greatest tendency for lateral maxillary arch growth will occur with the
eruption of the
(a)
(b)
(c)
(d)
(e)

24.

25%
37%
49%
57%
86%

1.7 mm in the maxilla; .9 mm in the mandible

3.4 in the maxilla; 1.8 mm in the mandible
.9 mm in the maxilla; 1.7 mm in the mandible
1.8 mm in the maxilla; 3.4 mm in the mandible
1.7 mm in the maxilla; 1.7 mm in the mandible

The early loss of one or both mandibular primary canines following

permanent lateral incisor eruption will be indicative of a
(a)
(b)
(c)
(d)
(e)

tooth-arch discrepancy
failure of the molar adjustment mechanism
a Class I malocclusion
a Class III malocclusion
primary tooth spaced dentition

26.

What is the percentage of Class I final occlusion at the age of twelve after
all of the adjustment mechanisms are complete?
(a)
(b)
(c)
(d)
(e)

27.

The major difference(s) in treating children and adults relate to

(a)
(b)
(c)
(d)
(e)

28.

initiation
proliferation
histodifferentation
apposition
calcification

Odontomas occur during what stage in the life cycle of tooth

development?
(a)
(b)
(c)
(d)
(e)

30.

the treatment triangle

age of patient
behavior
all of the above
only (b) and (c)

Enamel hypoplasia of a permanent incisor resulting from a traumatic injury

in the primary dentition occurs during what stage in the life cycle of tooth
development?
(a)
(b)
(c)
(d)
(e)

29.

10
35
59
75
97

initiation
proliferation
morphodifferentation
apposition
calcification

Disturbances in the morphodifferentation stage of tooth development

result in
(a)
(b)
(c)
(d)
(e)

peg teeth
macrodontia
microdontia
all of the above
only (a) and (c)