TEST 4 SEMESTER EXAMINATION - Subject: ENGLISH IN DENTISTRY

Time allotted: 60 minutes

I. GRAMMAR & GENERAL VOCABULARY Choose the best answer among A, B, C and D.
1. Whitening toothpaste can remove stain that is on the outside of the teeth.
A. eliminate* B. retain C. detect D. deform
2. Whereas tooth decay is preventable, it is also the most common chronic disease of childhood.
A. when B. as C. while* D. All of these
3. When subjected to irritants, the gingivae become inflamed, and eventually the adjacent bone may be
destroyed.
A. neighboring* B. opposite C. surrounding D. encasing
4. When _______ correctly, the procedure should make your teeth better.
A. doing B. done* C. made D. making
5. To assess the risks (dental fluorosis) and the benefits (caries prevention) of fluoride (F) tablets and F
toothpaste, we surveyed 2003 schoolchildren aged 5–20 years old
A. rates B. causes C. damages D. hazards*
6. Thus, the tooth ultimately becomes loosened because of the loss of bone around its roots.
A. really B. finally* C. hardly D. immediately
7. This can devastate tooth enamel and result in cavities and decay.
A describe B destroy* C disturb D discuss
8. These collaborations have resulted in several specific dental activities.
A. led to* B. set up C. initiated D. passed on
9. The surgical placement of the implants takes place in one of the specialty clinics.
A replaces B takes part C progresses D occurs*
10. The first visual indication of caries in enamel is generally small white lesion where demineralization has
occurred under the dental plaque.
A. lesson B. injury* C. wound D. cavity
11. Sonic units _______ a handpiece that attaches to a compressed air line and uses a variety of specially
designed tips.
A. is consist of B. is consisted of C. consisting of D. consist of*
12. Some of the teeth are extracted because the size of the jaw is unable to accommodate all the teeth.
A. provide sufficient nutrition for B. provide sufficient blood for
C. provide sufficient space for* D. provide sufficient oxygen for
13. Since the alignment and appearance of teeth influence the personality, they have received considerable
attention.
A. assignment B. arrangement* C. appointment D. improvement
14. Researchers believe that the odontoblasts would not form if it were not for the changes occurring in the
inner enamel epithelium.
A. but for B. were it not for C. without D. All of these*
15. Most modern citizens would prefer to have dazzling white teeth _______ on the magazine covers,
television and movie screen.
A. seeing B. saw C. seen* D. which seen
16. Maintaining good oral hygiene is one of the most important things you can do for your teeth and gums
A cleanliness* B prevention C check-ups D treatment
17. Infected or necrotized gum tissue is excised; and malocclusions are corrected by grinding the teeth to
obtain effective occlusal relationships.
A. restored B. dead* C. deadly D. reduced
18. Indications for home bleaching are similar _______ those for office bleaching.
A. with B. to* C. in D. for
19. Generally, the color lightening lasts from 1 to 4 years, with the teeth gradually _______ to their original
color
A. returning* B. to return C. returned D. return
20. Excess fluoride can lead to dental fluorosis, _______ the teeth become stained yellow or brown.
A which B in which* C when D why
21. Diseased gums also shrink over a period of time and expose more of tooth surface making them sensitive
_______ cold and hot temperatures.
A. with B. to* C. at D. for
22. Dentin has a reparative capability since the odontoblasts remain viable after eruption of the tooth.
A. repairing* B. recurring C. replacing D. renewing
23. Children have milk teeth and have special problems and thus special people take care of children _______
Pedodontist or pediatric dentist.
A. called B. known as C. termed D. All of these*
24. Certain risks _______ with bleaching can be adequately controlled by following the technique properly.
A. associated* B. which associated C. associate D. associating
25. A porcelain restoration generally covers _______ the tooth.
A. most B. most of* C. mostly D. almost
26. A child below 2 years of age is _______ to be at high risk of developing dental decay
A. thought* B. think C. thinking D. is thought
27. A chemical mix imitating the minerals found in saliva, but at higher concentrations, can be added to

1
 toothpaste to plug tiny pores that lead to nerves.
A. fissures B. cracks C. holes* D. wells
28. _______ the cause is, the best dental care for pregnancy gingivitis is to clean the mouth by brushing and to
remove dental plaque or dental calculus.
A. However B. Wherever C. Whenever D. Whatever*
29. _______ on the severity, gum disease is generally divided into two types.
A. Depend B. Depending* C. Dependent D. Dependant
30. _______ enamel, dentin starts forming in the surface closest to the outside of the tooth and proceeds
inward.
A. Different from B. Dislike C. Unlike* D. Unlikely
II. READING COMPREHENSION
2.1. CLOZE TEST 1 Choose words or phrases given in the box below to complete the
passage.
A. common, B. considered, C. filled, D. low, E. necessary,
F. present, G. rich, H. rid, I. specific, J. unscientific
One of the most _______(31) problems with teeth is the development of cavities. Tooth decay or cavities
were _______(32) disease of children, but today we find many adults also getting them frequently. The
outermost white covering of a tooth is enamel, this white cover is hard and can withstand years of wear and
tear. But it can not withstand acids. When foods that are _______(33) in carbohydrates and starch remain on
teeth, they are acted upon by bacteria _______(34) in the saliva, leading to the production of acids and
formation of cavities.
A combination of three factors is _______(35) for the formation of cavities: the host resistance or the
resistance of the individual, the sugar or sweets or like substances, the bacteria. Various combinations of
these three factors decide whether a person will get cavities or not. For example, if your resistance is
_______(36) you can increase it by application of fluorides, you can use _______(37) mouth washes to
reduce the bacteria or you can cut down on your sugar intake - and you will not get cavities.
Most people get cavities, go to the dentist, get them _______(38), again get a cavity, get it filled. Unless you
deal with why cavity is forming in my mouth, you will not get _______(39) of this problem. It is the
responsibility of your dentist to ascertain the cause of cavity formation and counsel you accordingly so that
patient will not get cavities in future, merely "filling the cavity" is not the right approach, in fact it is most
_______(40). KEYS: 31-40
common, considered, rich, present, necessary, low, specific, filled, rid, unscientific
3.2. READING WITH TRUE/FALSE QUESTIONS Read the passage and answer the questions below it.
Use of fluorides has been certified world wide as being effective against cavities. In America most cities have
fluoridated drinking water. In some other countries people must use fluoride tooth paste if they have
tendency to get more cavities (children below 7 years are not to use fluoride toothpaste). In some areas with
a high fluoride content in ground water; people do not need to use fluoride in any other form. In European
countries fluoride is available in form of tablets, in milk, salt etc. Most cavities start from the chewing
surfaces, though in older individuals cavities form at the tooth contact points also. Chewing surfaces of teeth
contain minute grooves or fissures. These fissures act as the storehouse for food accumulation and acid
formation. It is easily preventable by placing "Fissure Sealants". Ask your dentist to place fissure sealant in
your child’s molar teeth and they will be protected for a very long time from any cavities. Prevention is the
best. Neglect and delay in dental treatment lead to more pain and high cost.
Eating habits can be very important to your teeth. If your have tendency to get more
cavities, avoid in between the meal, snacks and sweets. If your child loves sweets
and chocolates very much, give him just before his meals. This has two benefits -
one, the sweets are washed off by eating food-avoiding cavities and secondly, your
child eats well. Giving chocolates at odd times gives high calories to the child and
kills his appetite. So next time you hold out a chocolate to your friend’s or your own
child, think, what it can do to harm him.
41. F_______ Children of all age in India have to use fluoride tooth paste to prevent tooth cavities.
42. F_______ We have to use additional fluoride despite a high fluoride content in the water you drink.
43. T_______ Cavities can be first found on chewing surfaces and at the tooth contact points.
44. T_______ Fissure Sealants are used to prevent tooth cavities.
45. T_______ Sweets and chocolates should be given to children just before their meals.
IV. WRITING. Rewrite the following sentences by filling in each gap with TWO to FIVE words so that
the new sentence is similar in meaning to the original one.
46. The use of endoscopic surgery and lasers can shorten the healing time.
 We can shorten the healing time _______ by using endoscopic surgery and lasers.
47. The need for full mouth reconstruction may result from trauma.
 Trauma is likely _______ to lead to the need for full mouth reconstruction.
48. The implant consists of a small titanium cylinder or screw.
 The implant is _______ composed of / made up of small titanium cylinder or screw.
49. Left untreated, these diseases can lead to tooth loss.
 If these _______ diseases is left untreated, they can lead to tooth loss.

2
50. Endodontists perform a wide range of treatments for the goal of retaining your natural teeth.
 Endodontists perform a wide range of treatments in _______ order to retain your natural teeth.