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DANB's Temporaries (TMP) - Reviews

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See why our users from 154 countries love us for their exam prep! Including 185 reviews for the DANB's TMP exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

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DANB's Temporaries (TMP) - Test Reviews Sample Questions

A patient is having a temporary crown preparation for tooth #11. The patient starts to experience syncope. Which of the following is Most Likely the contributing factor for the syncope episode?

Correct Answer:
improper positioning
the most likely contributing factor for the syncope episode experienced by the patient during the temporary crown preparation for tooth #11 is improper positioning. here’s an expanded explanation of why this is the case:

syncope, commonly referred to as fainting, is a sudden, temporary loss of consciousness typically caused by a decrease in blood flow to the brain. various factors can contribute to syncope, and in a dental setting, one of the frequent contributors is the patient's positioning. when a patient is positioned improperly, especially if kept in an upright or unchanged position for an extended period, it can lead to a reduction in venous return (the flow of blood back to the heart), and subsequently, diminished cardiac output and decreased cerebral perfusion (blood flow to the brain).

during dental procedures, particularly those that are lengthy like crown preparations, patients may be seated or reclined in positions that aren't conducive to optimal blood circulation. for instance, if a patient is sitting too upright, gravity can prevent sufficient blood from returning to the heart from the lower parts of the body. this situation is exacerbated if the patient remains static in one position for an extended period without movement, which can further hinder venous return.

in response to these conditions, the patient's body might activate a vasovagal response — a common type of reflex syncope triggered by factors such as stress, pain, or uncomfortable positioning. this response involves the sudden dilation of blood vessels and a slowed heart rate, which dramatically lowers blood pressure and can lead to fainting.

additionally, the dental environment itself can induce stress, fear, or anxiety in patients, which are psychological triggers that can compound the risk of experiencing syncope. these emotional states can stimulate the parasympathetic nervous system, leading to a vasovagal syncope as well.

to prevent such incidents, it is important for dental professionals to ensure that patients are positioned properly. adjustments may include reclining the dental chair to a position where the patient's legs are slightly elevated or ensuring that the patient's head is not too far below the heart unless medically necessary. regularly checking in with the patient about their comfort and allowing for adjustments or breaks during lengthy procedures can also help alleviate potential triggers.

in conclusion, while other factors like a low-grade fever, a grand mal seizure, or an asthmatic attack could potentially contribute to syncope, in the context of dental procedures and the symptoms described, improper positioning is the most likely cause. it is essential for dental care providers to be aware of the proper ergonomic practices during procedures to prevent such events.

What classification of zinc phosphate cement works best as an insulator for deep cavity preparations?

Correct Answer:
type ii zinc phosphate cement

the classification of zinc phosphate cement that is most effective as an insulator for deep cavity preparations is type ii zinc phosphate cement. zinc phosphate cement is classified into two major types: type i and type ii. these classifications differ primarily in the grain size of the cement, which influences their specific applications in dental procedures.

type i zinc phosphate cement, characterized by its fine grain, is typically used for permanent restorations that require a high level of cementation precision. this type of cement provides excellent strength and durability for securing crowns, bridges, and inlays where a fine grain is necessary to achieve a precise fit and optimal esthetic outcomes.

on the other hand, type ii zinc phosphate cement, which consists of a medium grain, is specifically suited for use in restorations involving deep cavity preparations. when dealing with deep cavities, it is crucial to provide a protective layer that can insulate the tooth from thermal and chemical stimuli, thereby preventing potential damage to the pulp or deeper tissues of the tooth.

type ii zinc phosphate cement's medium grain size allows it to effectively fill and adapt to the irregularities of deep cavities, forming a dense and protective barrier. this barrier not only supports the restoration physically but also acts as an insulator, reducing the risk of post-operative sensitivity and further decay. its application in deep cavity preparations is critical in maintaining tooth integrity and comfort for the patient.

in conclusion, for deep cavity preparations where insulation and protection are paramount, type ii zinc phosphate cement is the recommended choice. its properties make it ideal for providing the necessary insulation to the base of the prepared tooth, making it the best option among the various types of zinc phosphate cements for this specific use.