ADEX Dental Hygiene Process of Care 3

Question 1

During implementation, a patient with dentinal hypersensitivity requests relief. Which in-office treatment is MOST evidence-based for immediate desensitization?

Accepted Answer

Application of 5% sodium fluoride varnish

Answer

5% sodium fluoride varnish occlude dentinal tubules and is among the most effective in-office treatments for dentinal hypersensitivity.

Question 2

A patient presents with a 3 mm attached gingiva zone in the mandibular anterior region. What is the clinical significance of this finding?

Accepted Answer

It is within normal range and requires monitoring only

Answer

A 3 mm zone of attached gingiva is considered adequate; the minimum for health is generally accepted as 1–2 mm.

Question 3

Which scaling instrument is MOST appropriate for removing calculus from the lingual surfaces of mandibular anterior teeth?

Accepted Answer

Columbia 13/14 universal curette

Answer

The Columbia 13/14 universal curette is designed for all tooth surfaces and is commonly used on lingual surfaces of anterior teeth.

Question 4

A patient's blood pressure reading is 158/96 mmHg at the start of the appointment. Per AHA guidelines, what is the MOST appropriate action?

Accepted Answer

Recheck in 5 minutes and consult before performing elective procedures

Answer

A reading in the Stage 2 hypertension range (≥140/90) warrants re-evaluation and medical consultation before elective dental hygiene treatment.

Question 5

Which of the following BEST describes the activation phase of a stroke during hand instrumentation?

Accepted Answer

Applying lateral pressure and moving the instrument coronally against the tooth

Answer

The working stroke involves lateral pressure against the deposit while moving the instrument coronally to dislodge calculus.

ADEX - Dental Hygiene Exam Practice Test

ADEX - Dental Hygiene Exam Practice Test

ADEX Dental Hygiene Process of Care 3