DGPD 712 2011

Pediatric Dentistry
FINAL EXAMINATION
May 13, 2011

Name ________________________________

Tommy comes to your office for his first dental visit. He is really proud of his new
soccer ball and decided to bring it along to your office hoping that you would kick a few
with him. You were impressed with his knowledge of the sport and his interest in soccer.
You estimate Tommy to be how old?
1. ____________________________________________________
Draw a dentogram for Tommy and indicate at what average age each tooth erupted.
2-3.

Tommys mother, Ethel, brings Victoria, Tommys little sister, for her first dental visit
also. Ethel notes that Victoria can now stand alone without help. What age do you
think Victoria is?
4. ____________________________________________________
Draw a dentogram for Victoria and indicate at what average age each tooth erupted.
5-6.

Ethel asks if you could see her older daughter, Jane, who has mild mental retardation.
What IQ range would you expect Jane to have?
7. ___________________________________________________
List two things that you can do before Tommy comes into your office that could help him
have a positive dental experience.
8. ___________________________________________________
9. ___________________________________________________
Excessive proliferation of cells during the cap stage in the life cycle of a tooth may result
in the development of
10.__________________________________________________
11. _________________________________________________
12. _________________________________________________
The primary tooth which most closely resembles a permanent tooth is
13._________________________________________________
The normal sequence of eruption in the mandibular primary dentition is
14. _________________________________________________
_________________________________________________
Tommys mother took the drug alphadichloroamine during her entire pregnancy. This
drug has been shown to have an affinity for ameloblasts and causes enamel defects on
teeth. If you look into nine-year-old Tommys mouth, which of his primary teeth are
affected?
15. ________________________________________________
Which of his permanent teeth are affected? (Question 15 above)
16. ________________________________________________

List two things you would do for 1 year-old Tommy who presents in your office with
an eruption hematoma.
17. ________________________________________________
18. ________________________________________________
Tommys mom notices that his mandibular permanent central incisors are erupting
lingually. What should you do as soon as you observe this situation?
19. ________________________________________________
20. ________________________________________________
The roots of all primary teeth are entirely formed and completed at what age?
21. _________________________________________________
Which primary teeth most often are observed to be ankylosed?
22. _________________________________________________
In which arch? (Question 22 above)
23. _________________________________________________
Name two syndromes in which delayed tooth eruption frequently occurs.
24. _________________________________________________
25. _________________________________________________
Transverse widening of the intercanine width of the maxillary and mandibular arches
occurs with the eruption of which permanent teeth?
26. _________________________________________________
This increase in transverse width is greater in which arch? (Question 26 above)
27. _________________________________________________
A distal step is indicative of what type of malocclusion?
28. _________________________________________________

Baume noted a decrease of the saggital dimensions of the arches after the age of four
years due to
29. _________________________________________________
30. _________________________________________________
Nances leeway space in the mandibular arch (both quadrants) is
31. _________________________________________________
Give three conclusions that Baume reached following his studies on the development of
occlusion.
32. _________________________________________________
33. _________________________________________________
34. __________________________________________________
According to Baume, what % of dental arches without primary dental spacing will result
in crowded anterior segments?
35. __________________________________________________
Baumes three distinct types of molar adjustments are
36. __________________________________________________
37. __________________________________________________
38. __________________________________________________
Ferguson gives four basic concepts of human growth. These are
39. __________________________________________________
40. __________________________________________________
41. __________________________________________________
42. __________________________________________________

The adolescent growth spurt is characterized by increased growth velocity at what age
for males and females?
43. Males _____________________________________________
44. Females ___________________________________________
Name three environmental factors which can have an effect on dental arch
malocclusion.
45. __________________________________________________
46. __________________________________________________
47. __________________________________________________
Why is there a great need to have many health care providers in the cleft rehabilitation
process?
48. __________________________________________________
__________________________________________________
Name the four dental specialists on the cleft team.
49. ____________________________________________________
50. ____________________________________________________
51. ____________________________________________________
52. ____________________________________________________
Almost all unilateral and bilateral cleft individuals have ______________ which is
secondary to the cleft defect.
53. ____________________________________________________

Give four objectives of secondary alveolar bone grafting in cleft individuals.

54. ____________________________________________________
55. ____________________________________________________
56. ____________________________________________________
57. ____________________________________________________
Do cleft individuals have a mid-palatal suture?
58. ____________________________________________________
Orthognathic surgical procedures involving the maxilla are performed during what Stage
of cleft rehabilitation?
59. ___________________________________________________
At what age for males? (Question 59 above)
60. ___________________________________________________
Define cheiloplasty.
61. ___________________________________________________
___________________________________________________
Airway obstruction may be a significant issue in cleft infants with what syndrome or
sequence?
62. ____________________________________________________
The most commonly missing tooth in cleft individuals is
63. ____________________________________________________
Give three objectives of NAM therapy.
64. ____________________________________________________
65. ____________________________________________________
66. ____________________________________________________

A persistent inability to close the nasopharynx in cleft palate patients may result in what
type of speech?
67. ____________________________________________________
You are enjoying your nephews T-ball game when a mother of one of the players finds
out that you are a dentist. She introduces you to her 18 month old daughter, Miley.
Mom has several questions for you regarding Miley:
At what age should Miley see a dentist?
68. ___________________________________________________________
Should Miley be using a toothbrush?
69. ___________________________________________________________
Should Miley be using fluoridated toothpaste?
70. ___________________________________________________________
Indicate one reason why you might recommend a powered toothbrush?
71. ___________________________________________________________
When should Miley start using floss?
72. ___________________________________________________________
As you look at Miley its obvious that she has severe early childhood caries. As you
speak with her mother you believe that the caries are due to frequent consumption of a
sugary substance through a sippy cup. Which teeth would you not expect to have
carious involvement?
73. ___________________________________________________________
Why?
74. ___________________________________________________________
During your conversation with Mileys mother you noticed Miley sharing a lolly-pop
with another child. What type of caries transmission would be represented by sharing a
lolly-pop?
75. __________________________________________________________
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Mileys older brother, Johnny, plays on your nephews T-ball team. He is six years old.
What activity could be used to determine if Johnny has sufficient dexterity to brush his
own teeth?
76. ___________________________________________________________
Johnnys mandibular permanent first molars have completely erupted.
Johnnys mom why you recommend pit and fissure sealants for Johnny.

Explain to

77. ___________________________________________________________
How long can you expect a properly placed sealant to last?
78. ___________________________________________________________
Mom also tells you that Johnny has only been to a dentist once in his life for a school
exam. When you consider this and the fact that his sibling has active decay, using the
Caries Risk Assessment Tool, what is Johnnys caries risk?
79. ___________________________________________________________
According to the Caries Risk Assessment Tool having a low socio-economic status puts
a child in a high caries risk. Explain why.
80. ___________________________________________________________
81.

A supernumerary tooth in the midline of the maxilla is referred to as a:

a.
b.
c.
d.

82.

Hypodontia
Anodontia
Oligodontia
Mesiodens

As discussed in class, natal teeth are:

a.
b.
c.
d.

usually supernumerary teeth that require extraction

not really teeth, but small epithelial cysts
are an aspiration risk and should be removed when noted
are the childs primary mandibular incisors and should be left in place if
possible

83.

A 12 year old male presents to your office for a dental exam. You notice that his
left front tooth is very large, with almost a central cleft. Then you could his teeth
(counting this tooth as one) you find that he has one less tooth than expected.
This is an example of:
a.
b.
c.
d.

84.

The tooth most often seen with a dens invaginatus (dens in dente) is the:
a.
b.
c.
d.

85.

Central incisor
Lateral incisor
Second premolar
First molar

An enlargements of the body and pulp chamber of a multi-rooted tooth with

apical displacement of the floor of the chamber is known as:
a.
b.
c.
d.

86.

Gemination
Fusion
Hyperdontia
Dens in dente

Taurodontism
Dens invaginatus
Dilated odontome
Gemination

Which of the following statements is true regarding amelogenesis imperfecta?

a. A genetic alteration of the dentin structure causes the enamel of chip away
easily
b. Involved teeth have a wispy, ghost-like appearance on radiographs
c. Complex genetic alterations in the structure of the enamel lead to multiple
phenotypes
d. It is an X-linked disorder so it is only expressed in males

87.

A friend of yours who attends another dental school shows you a series of
radiographs from an 18 year old patient. The posterior teeth have bulbous
crowns with constriction at the CEJ. The pulp chambers are not visible. Your
friend is confused as to what is wrong with this patient. He says that he thought
you could help since it is widely known that you get a superior education at SIU.
You confidently answer him, Why yes, I can help. Your patient has
a.
b.
c.
d.
e.

Amelogenesis imperfecta
Dentinogenesis imperfecta
Dentin dysplasia type I
Dentin dysplasia type II
Regional odontodysplasia
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88.

A second friend, hearing your answer to the previous question, wonders if you
might know what is wrong with her patient as well. I have a patient who is 3
years old and just exfoliated her first tooth. Mom is concerned because her other
children didnt lose any teeth the kindergarten or first grade (age 5 or 6). The
other weird thing, your friend says, is that the whole tooth came out root and
all. You suspect your friends patient may have:
a.
b.
c.
d.
e.

89.

Ectodermal dysplasia is one of the only disorders associated with:

a.
b.
c.
d.

90.

Pitting of the enamel

Tooth has a bulbous crown with cervical constriction
Horizontal line across tooth
Enamel may show gross malformation of enamel in the event of a prolonged
insult.

As we discussed in class, the most common cause for a swelling in the oral
region is:
a.
b.
c.
d.

92.

Taurodontism
Hyperdontia
Complete anodontia
Multiple fused teeth

Which of the following is not a clinical manifestation of enamel hypoplasia?

a.
b.
c.
d.

91.

Amelogenesis imperfecta
Dentinogenesis imperfecta
Ectodermal dysplasia
Hypophosphatasia
Regional odontodysplasia

Pyogenic granuloma
Benign soft tissue tumor
Malignant soft tissue tumor
Dental abscess

The human paplilloma virus causes which of the following?

a.
b.
c.
d.
e.

Squamous papilloma
Verruca vulgaris
Condyloma acuminatum
Focal epithelial hyperplasia
All of the above

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93.

A 7 year old patient presents to your office with dental treatment. You notice he
has multiple soft 1-3 mm white papules on his labial mucosa. The most likely
diagnosis is:
a.
b.
c.
d.
e.

94.

Squamous papilloma
Verruca vulgaris
Condyloma acuminatum
Focal epithelial hyperplasia
All of the above

Which of the following is true of a pyogenic granuloma?

a.
b.
c.
d.

They most often occur on the lower lip

They are most common during pregnancy and puberty
They are caused by the HPV virus
Lesions on the tongue are clinically indistinguishable from peripheral
ossifying fibroma and peripheral giant cell granuloma
e. All of the above are true
95.

The parents of a 6 year old male present to your office concerned about a blue
swelling on the alveolar mucosa distal to the mandibular second primary molar.
The area is not painful. The opposite first molar is just beginning to erupt, but the
maxillary first molar is not yet visible. The most likely diagnosis is:
a.
b.
c.
d.
e.

96.

Eruption hematoma
Mucocele
Pyogenic granuloma
Congenital epulis
Could be all of the above

Which of the following lesions is/are congenital?

a.
b.
c.
d.
e.

Hemangioma
Eruption cyst
Ranula
A and B only
All of the above

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97.

A 10 year-old female presents to your office for evaluation of a swelling on her

lower lip. The swelling has been present for about 2 months. It is soft, slightly
blue and compressible. She says it gets smaller sometimes, but then gets bigger
again. What is the most likely diagnosis?
a.
b.
c.
d.
e.

98.

Which of the following is a clinical feature of recurrent herpes?

a.
b.
c.
d.
e.

99.

Located on keratinized tissue

Painless
Associated with fever and malaise
Always associated with swollen gingiva
None of the above are clinical features of recurrent herpes

A five year old male presents to your office with a fever of 3 days duration. Over
the last day he has developed sores all over the inside of his mouth as well as
the vermilion of his lips. His gingival is red and swollen. You note swollen and
tender cervical lymph nodes. What is the most likely diagnosis?
a.
b.
c.
d.

100.

Hemangioma
Eruption cyst
Mucocele
Peripheral ossifying fibroma
Could be either A or C.

Aphthous ulcers
Primary herpetic gingivostomatitis
Strep pharyngitis
Further tests would need to be done to distinguish between these diagnoses.

The radiographic appearance of an odontoma is described as:

a. A multilocular radiolucency
b. A poorly defined radiopaque area
c. A radiopaque mass surrounded by a radiolucent line surrounded by a
radiopaque line
d. A sharply defined, round radiolucent area with a radiopaque border.

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