Biological Nutritional Dental Professional Exam

Although the American Dental Association does not recognize “Biological Dentistry” as a specialty, individuals states have begun to license biological dentists.

True
False

Select the statement that is true:

A. Epigenetics is the science of studying the genetic makeup of individual societies throughout the world.
B. Genetic deformities are the cause of most chronic diseases in the US and are responsible for 60% of the prevalence of chronic disease.
C. Our environment and the foods we eat are responsible for 80% of the prevalence of chronic disease in the US.
D. The Human Genome Project has mapped out the entire human genome, which has been shown to be modifiable by surgical procedures.

Select the statement that is false:

A. Dental offices today can use simple urine tests to determine compatibility of dental materials.
B. Dental offices today are able to determine the biocompatibility of most dental materials through simple blood tests.
C. Titanium implants can create a cytokine immune response that may create systemic chronic inflammation.
D. Frequent and repeated use of in-home bleaching trays can cause systemic oxidative stress.

Dental x-rays have been proven to pose no threat to humans from their low dose ionizing radiation.

True
False

Select the true statement. The immune system can be enhanced by:

A. Vitamin D
B. Blue light in the evening
C. Aerobic exercise 7 days a week
D. Organic canola oil

Select the false statement.

A. A study published in 2010 suggested that 93.9% of the US adult population has some form of gingivitis.
B. A study published in 2015 estimated that the prevalence of periodontitis among US adults was 47.2%.
C. The CDC has reported that 91-93% of US adults have had or currently have dental decay.
D. In 2015, researchers published in the Journal of Dental Research a review of the medical literature which identified the major cause of tooth decay was starchy foods as they were initially broken down in the mouth by amylase.

Which statement is false. Healthy food choices include:

A. Most grain products
B. Plants containing high amounts of oxalates
C. Organic soybean oil
D. Organic brown cane sugar
E. All are true
F. All are False

Which statement is false. For a product to be certified organic, it’s required to meet these requirements:

A. Organic crops cannot be grown with synthetic fertilizers, synthetic pesticides or sewage sludge.
B. Organic crops cannot be genetically engineered or irradiated.
C. Animals must eat organically grown feed at least 70% of the time.
D. Animals have access to the outdoors, and ruminants (hoofed animals, including cows) must have access to pasture.

Which statement is false:

A. Human studies have shown that a diet that eliminates free-sugars and processed grains and includes healthy foods can reduce bleeding-on-probing and reduce overgrowth of pathogenic in dental plaque.
B. Human studies have shown that dental plaque has pathogenic bacteria that must be removed completely.
C. Human studies have shown that anaerobic bacteria on the surface of the tongue are necessary for the natural production of nitric oxide and reduction of blood pressure.
D. Daily use of an antimicrobial mouthwash could disturb the healthy balance of bacteria in the mouth and lead to damage in the mouth.

Which statement is false:

A. Water pick devices are always effective when used in deep pockets at high pressure.
B. Interproximal cleaning brushes like Tepe and GUM are effective in removing unhealthy dental plaque.
C. If any bleeding occurs when using Tepe or GUM interproximal brushes, then this is most often a sign of active gum disease.
D. Published medical research has shown that you should wait at least an hour before brushing after drinking an acid drink.

What condition is NOT a part of Metabolic Syndrome:

A. Large Waistline
B. High triglyceride
C. High blood pressure
D. High HDL-cholesterol
E. All are conditions of metabolic syndrome

Which food does NOT cause inflammation in the gut?

A. Added sugar
B. Wheat
C. Omega-6 fatty acid
D. Omega-3 fatty acid
E. All are not inflammatory

What “food product” is not part of the USDA “My Plate” food program?

A. Protein
B. Fruit
C. Vegetables
D. Fats
E. Dairy

All healthy diets include:

A. Grains
B. Beans
C. Organic choices
D. Vegetable oils

The benefits of fasting include:

A. Weight loss
B. Improved mitochondria function
C. Regulates insulin
D. Decreases cellular autophagy

The human gut (stomach, small intestine, large intestine, cecum) is BEST designed to digest:

A. Animal products
B. Vegetables
C. Fruit
D. Cellulose

Which statement about inflammation is incorrect:

A. In acute inflammation, the immune system releases chemical messengers to the injured area.
B. In acute inflammation, the immune system releases white blood cells to the injured area.
C. Redness, warmth, swelling, and pain are normal reactions to acute inflammation.
D. Irritants are removed quickly in chronic inflammation.

Emotional stress can cause changes in the gut epithelial barrier which can manifest in gingival changes.

A. True
B. False

Which usually will NOT cause gut dysbiosis?

A. Reduction of beneficial microbes
B. Probiotics
C. Overgrowth of pathogenic species
D. Decreased diversity of microbes

What is molecular mimicry?

A. When cells divide and grow into stem cells.
B. When cells of the immune system mistakenly attack a sequence of peptides in “self” because it resembles the same sequence in a specific foreign antigen.
C. When probiotics identify specific fibers to develop specific short chain fatty acids.
D. When cells become damaged and become malignant.

A dental hygienist should teach patients to remove all dental plaque daily.

A. True
B. False

Which statement is the MOST correct:

A. Efficient brushing and flossing always will prevent gingival inflammation.
B. Periodontal disease is often the result of gut dysbiosis.
C. Tooth decay is always the result of improper brushing and flossing.
D. Bacteria in the gut are unique because they are unable to communicate with the microbiome in other parts of the body.

Which statement is incorrect:

A. LPS can pass from the gut into the circulatory system causing metabolic endotoxemia.
B. The gut barrier can only be damaged by gluten.
C. Metabolic endotoxemia can be reduced with spore-based probiotics.
D. A “leaky periodontal pocket” must be treated concurrently with a “leaky gut”.

Which statement is MOST incorrect:

A. Lactobacillus and Bifidobacteria probiotics can survive stomach acid.
B. Metabolites of Lactobacillus and Bifidobacteria probiotics can enter the intestines and benefit the gut microbiome.
C. Spore-based probiotics can survive stomach acid.
D. Gut bacteria can ferment amino acids to produce necessary short chain fatty acids.

If you wanted to boost your immune system, what would you NOT want to do?

A. Take spore-based probiotics
B. Sleep between 5-6 hours a night
C. Take supplements of vitamins D3 and K2
D. Reduce emotional stress

What are the benefits of a Paleo-type Diet?

A. Avoids anti-inflammatory foods
B. Includes dairy products for sufficient calcium
C. Excludes canola and soybean oils
D. Both A and C
E. Both A and B

What are the benefits of a Carnivore Diet?

A. Excludes phytates, lectins, and oxalates for the most part
B. Works like an elimination diet
C. Includes phytonutrients from leafy green vegetables
D. Both A and C
E. Both A and B

Titanium implants have been shown to activate the immune system and create chronic inflammation.

A. True
B. False

Which statement is incorrect?

A. Fluoride ions from mouthwash, toothpaste, drinking water, and food could potentially cause corrosion on titanium implant surfaces.
B. Titanium particles are released from an implant surface after it is cleaned with ultrasonic scaling instruments
C. Both A and B are incorrect.
D. Both A and B are correct.

What is incorrect about extractions?

A. A periotome is an instrument that can be used to perform an atraumatic tooth extraction.
B. The periodontal ligament does not need to be removed because the socket will heal by itself with no complications.
C. A bone graft can be placed to assist the socket in healing and improve the bone density for an implant to be placed a few months later.
D. A “cavitation” is a lesion in the bone that may be a result of toxic elements left in the bone socket after a tooth extraction.

What can occur during an extraction?

A. Overheating a tooth with a dental highspeed handpiece while cutting the crown to remove the tooth could create a “dry socket”.
B. A piece of calculus could be left behind in the socket that will result in a “cavitation” forming after the socket heals with bone.
C. Raw honey could be used to heal a “dry socket”.
D. A and B are correct.
E. All are correct.

What statement is incorrect about “cavitations”?

A. The medical terms for a dental cavitation are “cavitational osteonecrosis” or “ischemic osteonecrosis”.
B. “Cavitations” may not show obvious symptoms, but they could result in chronic inflammation and infection manifesting in other areas of the body.
C. A Cone Beam CT Scan is all that is necessary to prove a “cavitation” is present.
D. Some “cavitations” can cause pain and are called “Neuralgia-Inducing Cavitational Osteonecrosis” (NICO).

What statement is incorrect about saliva?

A. Helps to form the enamel pellicle, on which healthy dental plaque can form.
B. Provides active nitrates which eventually are metabolized to form nitric oxide to reduce blood pressure.
C. Provides minerals to remineralize tooth surfaces.
D. Assists in buffering to maintain a healthy pH of 3.5 in the dental plaque.

Which statement is incorrect?

A. Local antimicrobials used daily can prevent mouth ulcers and promote balance in the oral microbiome.
B. The human gut contains about 38 trillion bacteria cells, and the human body contains about 30 trillion human cells.
C. Gut dysbiosis can cause lesions in the mouth.
D. Diet and lifestyle changes could prevent and heal mouth lesions.

Which statement is incorrect about Melatonin?

A. The pineal gland is the only source of natural melatonin in the human body.
B. When melatonin levels increase, your energy level goes down.
C. Melatonin protects mitochondria and repairs dysfunctional mitochondria.
D. A published human study showed that topical application of melatonin would help heal the inflamed gum tissues of those patients with active periodontal disease.

Which is NOT a natural way for you to increase your healthy levels of melatonin?

A. Eat foods rich in tryptophan
B. Sleep between 7 to 9 hours a night
C. Stop drinking caffeine or eating caffeine-rich foods after 2 PM
D. Perform aerobic exercise just before bed

Clifford Consulting and Research provides a test to determine a patient’s sensitivities so that the least offensive dental material can be chosen and used for dental treatment.

A. True
B. False

What is NOT a cause of receding gums?

A. Inflammation from periodontal disease.
B. Tooth brushing with intact and healthy bone remaining between the facial gingival tissue and the root surface
C. Occlusal trauma “wiggling” the alveolar bone
D. Specific anatomical areas exhibiting lack of alveolar bone on the facial of roots since birth

What may cause TMJ pain?

A. Clenching and grinding
B. Occlusal discrepancies from poor dentistry
C. Airway space complications
D. All of the above
E. None of the above

What statement is incorrect about tooth whitening?

A. When performed in the dental office, tooth whitening is permanent as long as patients brush and floss daily.
B. In-home tooth whitening with custom trays has no negative health consequences.
C. Activated charcoal has been shown to effectively whiten teeth with no negative health consequences.
D. All are correct.
E. All are incorrect.

Today’s ink pigments for tattoos have been extensively researched and are controlled by the FDA?

A. True
B. False

Organic toothpaste with bentonite clay has been shown to be the best toothpaste to use for overall health.

A. True
B. False

Which statement is true?

A. Dentists have been successful with communicating the toxicities of the dental materials they use in their patient’s mouth.
B. Mercury restorations have been shown to remain stable in the mouth and do not leak free mercury.
C. Nitrous oxide has been proven to be harmless and can be used frequently without concern.
D. Chlorhexidine has been shown to be cytotoxic to human cells.

What situation(s) can cause root sensitivity?

A. Poorly placed tooth restoration.
B. Aggressive subgingival flossing
C. Heavy biting or chewing forces
D. All are correct
E. None is correct.

One study (A) has shown that milk can decrease root sensitivity. Another study (B) has shown that the application of propolis can decrease root sensitivity.

A. Study A is true; Study B is false.
B. Study A is false; Study B is true.
C. Both Studies A and B are true.
D. Both Studies A and B are false.

Dental problems usually cause local issues with soft and hard tissues but rarely cause systemic complications.

A. True
B. False

The anerobic bacteria on the surface of the tongue have no use and can be effectively destroyed by daily use of an antimicrobial mouthwash.

A. True
B. False

A study has shown that prolonged and repetitive exposure to Porphyromonas gingivalis increases the aggressiveness of oral cancer cells.

A. True
B. False

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