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DPOJW Examination
This is a
teaching exam in which you will learn by and large all that is needed to know.
Take the test and grade yourself . Be honest with yourself as to whether
you passed or failed. Each question is worth 1.7 points (59 questions). If you
can't achieve 75 points ( (44/59 questions correct) just learn the correct
answers provided and retake the test. Send me the test with your
signature.
Suggested reading:
Who is NOT a good candidate for the OJW procedure
Orthodontic Jaw Wirining (OJW) Intro letter
ADA recognizes
Obesity
he OJW questionnaire survey and results
Orthodontic Jaw Wiring: The Dental Professional's Role in Weight Control for
Compulsive Overeating Leading to Obesity
THERE ARE 59 QUESTIONS
1 OJW is an acronym for Orthodontic Jaw Wiring? T F
2 At the present time OJW is covered by some insurance companies? T F
3 Obesity is the cause of many other serious health problems? T F
4 The ADA at present seems to be in favor of dental professionals providing weight related services? T F
5 By and large the public would welcome having dental professionals help them with weight problems? T F
6 Only licensed dental professionals may provide OJW? T F
7 Regaining lost weight is common to all weight loss methods including gastric bypass surgery? T F
8 According to the US Dept. of Health and Human Services obesity BMI 30-39 occurs in
a. 15 million US citizens
b. 29 million
c 39 million
d. 56 million persons
9 What is
BMI an acronym for?
a. Body Mass Index
b. Basal Metabolism Index
c. Building Muscle "I" Units
d. Bicep Mass Indices
e. Back Muscle Index
10 Of the dental professional listed below which one is not permitted to provide OJW:
1. Oral surgeons
2. Endodontists
3. Periodontists
4. Orthodontists
5. All the above are permitted
11 It is recommended but mandatory to have a panorex or FMS when doing OJW? T F
12 You may do OJW on a patient who has Type II diabetes if you have a note from their physician saying they may begin a low-calorie, long -tern liquid diet?
13 OJW does
not include:
a. Getting Informed Consent from a would -be patient
b. Periodic examination and rewiring
c. Teaching the patient/their significant other how to rewire the patient.
d. Charting your work on them
e. Taking their vital signs when they return for examination
14 It is within the scope of dentistry to diagnose obesity? T F
15 You may provide OJW, if your state has specifically ruled that it is not within the scope of dentistry T F
16 It is not very important to have in your records a note from the patient’s physician indicating that the patient may begin a long-term, low-calorie liquid diet? T F
17 How much weight might a
patient expect to lose in three months:
a. 25-30 pounds
b. 35-35 pounds
c. 45-55 pounds
d. 50-75 pounds
e. 85-95 pounds
18 The BMI
is:
a. Is a measure of muscle mass based on height and weight
b. Is a measure obesity based on the thickness of a fold of fat pinched on the
hips
c. Is a measure of metabolism at the basal rest position.
d. Index of the patient's breathing rate after a measured interval of time
e. A measure of body fat based on height and weight that applies to both adult
men and women.
19 Obesity is
defined by a BMI
a. <18.5
b. 18.5-24.9
c. 25-29.9
d. 30 and above but less than 40
e. 40-45
20 Which
statement is true
a. Overweight is a disease
b. Over weight causes new diseases
c. There are some diseases that cause you to gain weight
d. Weight loss is a complicated issue
e. Dentists are professionals who can help the overweight
f. They are all true
21 Morbid obesity is defined by the BMI being
a. <18.5
b. 18.5-24.9
c. 25-29.9
d. 30 and above but less than 40
e. 40+
22.
Rothstein's OJW position of rest can be
best described as:
a. Light intercuspation of the teeth
b. Mandibular suspension
c. Mandibular Rest Position
d. Centric Occlusal
23 Which is
not a possible drawback of OJW?
a. Joint may become stiff if not properly exercised
b. Aspiration of vomitus
c. Bruxing
d. Regain of weight
e. All are true
24 Which choice below is not a precaution for OJW patient:
a. Remove the wiring immediately in the event of nausea
b. Use a nasal decongestant is the nasal passages are blocked (getting a cold)
c. Always carry a wire cutter
d. A fork is a "tool" that could be used to undo the wiring
e. Nasal wideners are useful during sleep and deep breathing demands
f. All the above are useful precautions
25 Choose the
correct answer
a. Dentists are allowed fit devices to help people with sleep apnea
b. Dentists may not diagnose overweight
c. Dentist can treat the obese
d. Dentists can fit and place devices recommended by Physicians
e. Some Obese eat compulsively
f. all the above are true
26 The speech
of patients who are jaw wired is:
a. Rather muffled
b.. Well understood in most cases
c. Is troubled all the time
d. Less clear but understandable
27 In
Rothstein's OJW Position of rest the mandible is free to move:
a. 0.0 - 0.0mm in every direction
b. 2.0-3.0 mm to the right and the left only
c. 2:0 vertically
d. 2.0-2.5mm in all directions
28 In the OJW position of rest when the jaws are wired "Apart"
there is no extrusive force on the teeth on the teeth? T or F
29 Wiring
both right and left sides in OJW takes about
a. Under one minute
b. 1 - 2 minutes
c. 3 - 4 minutes
d. 6-8 minutes depending on the operators skills and experiences
e. None of these
30 Doctor's
chair-time for placing OJW is about:
a. 5-10 minutes
b. 20-35 minutes
c. 60-90 minutes
d. >90 minutes
31 Brackets
are typically placed
a. Canines and first premolars alone
b. On the premolars
c. On canines and first and second premolars
d. On the molars and premolars.
e. On the molars and premolars
32 Regarding
the Informed Consent which is not true
a. The OJW provider is responsible if the patient does not lose weight
b. The patient must get clearance from their Dr. to begin a liquid diet.
c. Weight loss is typically 1.5 to 2.0 pounds/week
d. The patient does not need to carry a wire cutter at all times
e. Sudden illness causing nausea is not a reason to release the wiring
33 Which
statement is not true regarding orthodontic jaw wiring for weight loss
a. Until now there is never been a protocol for this service
b. What is new about OJW is the use of bonding brackets to the teeth
c. Has a mortality rate of 0.00%
d. Jaw stiffening is possible if the wiring is not removed periodically to
exercise.
e. All of the above are true.
34 The
protocol for release of the jaw wiring to allow the patient to exercise is:
a. Every week for 1day
b. Every 2 weeks for 2 days
c. Every 3 weeks for 3 days
d. every 4-6 weeks for 4-6 days
e. None of the above
35 The
normal maximum comfortable opening of the mouth is about
a. The combined height of the patient's middle three fingers
b. About 40-48mm?
c. About 5 mm more than the thickness of the patient's tongue sticking out
d. Varies extensively from person to person
e. Varies extensively depending on the time of dayl
36 When
choosing patents which criteria does not apply their
a. Height
b. Weight
c. Health
d. Periodontium
e. BMI
37 Who would
not be considered part of the patient's overweight healthcare team
a. His chirorpactor
b. Psychotherapist
c. His registered dietician
d. His Physicianr
e. His Dentist
38 At then
end of 5 weeks of OJW which item is optional when checking the patient.
a. Checking for stiffness of the TMJ
b. Checking for mobility of teeth
c. Checking for gingival health
d. Checking for maximum mouth opening
e. Checking the patient's weight.
39 When
choosing patients which criteria is most important.
a. The information on the patients Informed Consent
b. The information on the patient's Dental-Medical form
c. The information on the OJW Telephone memo
d. a and b
40 Which of the patients
would you be least likely to select as an OJW patient
a. A person with a BMI less than 23
b. A person with a BMI between 25-35
c. A person with a BMI between 35-39
d. A person with a BMI between 39 and 43
41 When your
patient returns after 5 week to be examined an his jaw is stiff which is the
poorest choice
a. To rewire him for 5 more weeks
b. To recommend he return for a check up in 5 more days
c. To recommend he chew a lot of gum and return to the office in 5 days
d. To remove the OJW brackets and discontinue the procedure
e. To demonstrate the extent to which his jaw is limited and advise him of
that this side effect may continue to worsen
42 For
healthcare professionals the most important principle is:
a.
Nil
Sine Magno Labore
b. Primum Non Nocere
c. Gaudeamus Igitur
d.
Vini Vidi Vici
e. Quid Pro Quo
43 Which one of the following is permissible to begin providing OJW
a. A note from the patient's physician saying it is ok for the
patient to begin a liquid diet.
b. A note for the patient's PCP saying OJW is permissible
c. A note from the patient's dentist saying the TMJ and gums are in
good health.
d. A note from the patient's psychortherpist (MD) approving OJW
e a and d.
44 Which of choices below are not good candidates OJW.
a. A singer and/or teacher
b. A person with asthma or sleep apnea
c. A person with partial removable dentures
d. A person with a BMI of below 24
e. All of the above
45 It is safe to say there has never been a wrongful death from Jaw wiring
whether
associated with weight loss or trauma or pathology T or F
46
Which is not true of Morbid obesity:
a. A bmi >40 or greater
b. Being more than 100 pounds overweight
c. It may precipitate Type 2 diabetes
d. It may precipitate Type 1 diabetes
e. It may be accompanied by high blood pressure
f. All of them are true
47 Which
document is most important to give to the patient on the day of the OJW.
a. The OJW questionnaire survey
c. The OJW Informed Consent
d. The OJW Due-diligence chat notice
e. The safety precautions notice
48 Which kind
of surface requires the least preparation to insure bracket-tooth cohesion"
a. Natural tooth
b. Porcelain surface
c. Metal surface
49 Which
document requires that the patient sigh it in four places
a. Informed Consent
b. OJW telephone memo
c. How to proceed when you have chosen OJW
50 If a bracket becomes detached and the patient cannot return to your office
which is the worst advice:
a. Help them to locate a dentist or orthodontist to rebond the bracket
b. Advise them that for a limited time they may wire two brackets to three
brackets but three is preferred
c. Not to worry at all it makes no difference whatsoever
d. c.
51 States vary widely in the extent to which they permit dental professionals to provide weight loss services T F
52 An orthodontist can bill an insurance company for services related to OJW? T F
53 What role does staff play
in the OJW procedure?
a. Staff will place OJW wiring
b. Staff will instruct patient how to rewire
c. Staff will prep patients for the procedure
d. Staff can review the Safety Precautions notice the patient before they leave
the office.
e. c and d
54 Patients who elect to
self-rewire find it very difficult to do? T F
55 Patient are requested to remove the wiring every 5 weeks for 5 days to allow the TMJ to move freely T F
56 If a patient detaches a bracket and can not return to your office it would be proper to advise them that it is ok to wire two brackets to 3 brackets T F
57 If a patient detaches a bracket and can not return to your office it would be proper to advise them that it is ok to wire two brackets to two brackets T F
58 If a patient detaches many brackets and can not return to your office it would be proper to advise them that it is ok to wire one to one bracket T F
59 As an OJW provider you patient care is completed when you remove the brackets and residual adhesive. T F
12/04/10
Ted
Rothstein DDS PhD
Specialist in Cosmetic Orthodontics
and Dentofacial Orthopedics
Adults and Children
Specialist in Orthodontic Jaw Wiring
American Association of Orthodontists
Life-active Member
35 Remsen St., Bklyn, NY 11201
718 852 1551 Fx 718 852 1894
www.drted.com drted35@aol.com