Board Review Biological width Pedo: 0-2mm normally; 0-4mm if next to an erupting permanent tooth or exfoliating primary tooth
How much for max NO: flow rate 4-6 L/min; in children, increase by 10% increments, maintenance is usually at 30% Orofacial Clefts Cleft Lip: 25%, 4-5 weeks in utero o defect between medial nasal process and maxillary process o unilateral 80%, bilateral 20%; 1:1000 births Cleft palate: 25%, 6-8 weeks in utero o lack of fusion between palatal shelves o 1:2000 births Both 50% Ectodermal dysplasia: "heritable conditions in which there are abnormalities of two or more ectodermal structures such as the hair, teeth, nails, sweat glands, cranial-facial structure, digits and other parts of the body." Congenitally missing teeth, peg shaped, or pointed, defective enamel Also have frontal bossing, thin brittle hair/nails, light skin, cannot perspire cannot regulate body temperature Bleeding values: Bleeding: 1-3 minutes PT: 10-13 seconds; extrinsic pathway INR: 0.8-1.2; (INR=PTtest/PTnormal) o in patients on anticoagulation therapy- 2.0-3.0 PTT: 25-29 seconds; intrinsic pathway Platelet count: 150k-450k / µL o Oral agents that alter/suppress platelet function include: aspirin, clopidogrel, cilostazol, ticlopidine, and prasugrel
Bone graft Autograft – same person; from intraoral sites (maxillary tuberosity marrow, osseous coagulum, bone blend); also iliac bone Allograft o uDFDBA – osteoconductive (outside cells penetrate scaffold and form new bone) o DFDBA – osteogenic (contanes MMPs that induce formation of new bone) Xenograft – BioOss – anorganic bovine-derived bone – osteoconductive Cosmetic dentistry Hue – the color Chroma – the purity/saturation of the color; high rich, low dull Value – lightness or darkness of the color; light “tint”, dark “shade”
Class III cavity in two proximal teeth: Drill: BIG to small; Fill: small to BIG Local anesthetic in children: 4.4mg/kg = maximum recommended dose of anesthetic kg X 4.4mg/kg = Xmg max %anes x 10 x 1.8 = Xmg/cartridge Xmg max / Xmg/cartridge = max # of cartridges ANUG – caused by fusiform bacilli (spirochetes) Painful, bleeding gingiva, blunted papillae, pseudomembrane, fetid breath, high fever Tx: remove pseudomembrane, calculus, Abts if lymphadenopathy/fever, CHX; re-eval in 1-2 days (more debridement) then in 5 days for another re-eval Herpetic gingivostomatitis – within 3 days of onset: treat with Acyclovir 15mg/kg 5 times per day for 7 days All patients: palliative care: plaque removal, systemic NSAIDS, and topical anesthetics Contagious when vesicles are present Ameloblastoma – adult, odontogenic, molar region, benign, aggressive, recurrent, external swelling Mucus retnsion cysts – blockage of salivary duct by sialolith (salivary stone); blueish; on palate, Buccal mucosa, upper lip Called a ranula if on floor of mouth Do not confuse with mucocele (mucous extravasion phenomenon) – nodule of saliva due to escape from duct of salivary gland Which gland (parotid, submandibular, or sublngual) is a sialoth most common Which space is not involved in ludwig’s angina? (submental submandibular, retropharyngeal, or submental) Impression materials Irreversible hydrocolloid (alginate) – rapid set, pour immediately, not accurate (dx casts only) Reversible hydrocolloid (agar) – hydrophilic, long working time, accurate, pour immediately; no custom tray but requires special equipment, tears easily Polysulfide polymer (for complete dentures) – high tear strength, smells, messy, good reproducibility, pour within 45 minutes; H2O is a byproduct contraction Condensation silicone (?) – short setting time, pour immediately; EtOH is a byproduct dimensional contraction; base+acc Addition silicone (VPS) – no byproducts dimensional stability, low tear strength, fewer voids when poured immediately Polyether (Impregum) – base and accelerator; no byproducts excellent dimensional stability; pour soon Malleability – deform (without fracture) under compressive strength; ability to form a thin sheet; gold is malleable Greatest malleability to least: gold, silver, lead, copper, aluminium, tin, platinum, zinc, iron, and nickel Ductilty – deform (without fracture) under tensile strength; ability to stretch into wire greatest ductility to least: gold, silver, platinum, iron,nickel, copper, aluminium, zinc, tin, and lead. Gold inlay/onlay – divergent walls (2-5 degrees per wall), 30 degree bevel margins for better fit, skirt – extend beyond line angle RPD classifications class I – bilateral edentulous area posterior to remaining teeth class II – unilateral edentulous area posterior to remaining teeth class III – unilateral edentulous area with natural teeth anterior and posterior class IV – single bilateral edentulous area with natural teeth remaining on both sides RPD components Major connector – connect all rpd components on one side to those on other side Minor connector – stabilization Rest – support Clasp arms – stabilization (middle 1/3) and retention (gingival 1/3)
Epidemiology definitions Incidence - measure of the risk of developing some new condition within a specified period of time Prevelance - measure of the total number of cases of disease in a population Sensitivy - measures the proportion of actual positives which are correctly identified as such Specificity - proportion of negatives which are correctly identified (e.g. the percentage of healthy people who are correctly identified as not having the condition). Pictures
Dentinogenesis Imperfecta Lymphoid epithelial cyst – odontogenic origin Cemetoblastoma – RO mass that replaces root; tooth is removed with lesion Periapical Cemento-Osseous dysplasia – vital, lower anteriors, middle age women, RL then RO; no symptoms Florid Osseous dysplasia involves entire jaw Migratory glossitis Nicotinic Stomatitis Questions Pt with inlay has pain during biting..no radiographic evidence m-d cusp fracture poor prognosis o M-D fracture can’t be seen radiographically because the fracture line is not in the plane of occlusion Cracked tooth with more symptom to---cold,heat,pressure (hard to reproduce), sweets, acidic foods also o Commonly lower first molar o Dx: stain, transillumination, tooth slooth, air to detect where pain from crack occurs o Tx healthy/reversible splint/observe or crown (temporary then permanent); irreversible/necrosis endo, core (no post if possible, crown Most common area of fracture in children: symphysis, condyle, coronoid Apical root closes in about 3 years from eruption o Eruption occurs through gingiva with ¾ root completion o From calcification to root completion: 10 years (canine 13 years) Tooth with most favorable prognosis---small internal resorption Esthetic analysis, face divided: o Vertically by 5 (4 planes) o Horizontally - 3 (2 planes) o Frankfort horizontal line - porion to orbitale o Camper’s line - occlusal rim parallel to ala tragus line Sterilization – must kill spores of spore-forming bacteria (Bacillus and Clostridium) o Bacillus spores are the benchmark organism for sterilization o most destructive to carbide instruments----steam heat 250 degrees for 15-20 minutes; denaturation o dry heat does not Corrode or dull instruments; only glass and metal; 320 degrees for 1-2 hrs o cold sterilization – soak in chemical then rinse in sterile water; 10 hrs to kill spores with 2% glutaraldehyde Disinfection – antimicrobial kills or stops growth of pathogens; applies to inanimate objects o Mycobacterium tuberculosis is the the benchmark organism for disinfectants; spores are not killed o Something about disinfecting a surface, I think you leave it for 10 minutes then wipe Antisepsis – applied to living tissue; alcohol Orange stain is important ---to change chroma o Most common staining on porcelain
denial. posterior proxmal 15% Aluminium chloride isHEMODENT most commonly used.resin wears off??? Amine?as Ultrasonic Instruments: active portion is the tip. communicable diseases.action Elderly people abuse question --under reported Adult child can decide a treatment plan of his old patient his parent in what suitation---when he is payig money. precontemplatory. contains no epinephrine o USE OF ZINC CHLORIDE IS NOT RECOMMENDED necrosis o Epinephrine is not used due risk of increasing BP in hypertensive pts o Why do you keep sulcus dry when placing cord? Porcelein laminate veneer fixed by resin show black margin in 2 days cause---porcelein break.when he is impaired either ear or eye. all sides of tip are active o Piezoelectric linear vibration pattern.
Which endodontic procedure is most unsuccessful in primary tooth with deep caries? Direct pulp capping may cause internal root resorption Resorption of bone takes place in which direction after extraction----downward inward o Other choices: downward outward. Something about the tip Troches available fungal agent---clotimazole for treating oral Candidiasis. Clotrimazole.ma Units o o o o
Exposure – Roentgen Absorbed dose – Gy Effective dose – Sv Radioactivity Bq
Which structure is most radiosensitve----hemopoitic bone marrow . also Nystatin Which is not an antifungal? Options were ketoconazole. forward inward Which procedure least likely to produce bacteremia--extraction. titanium implants (use plastic tip) o Something about what determines the effectiveness of the ultrasonic instrument. also oral mucous membrane o Cells that are mitotically active and undifferentiated and have long mitotic futures Reversal occlusal plane---chin tilted too upward Which is most important for diagnosis of maxillary sinus xray----occlusal. 2 sides are more active o CONTRAINDICATED in patients with Pacemaker. 20-45k cycles/seconds o Magnetostrictive elliptical vibration pattern.vertical root fracture “Antral Y” Pt says “I dont have time to stop smoking” contemplatory.MRI Effect of xray---genetic mutations Collimation – reduce SIZE of x-ray beam reduce volume of irradiated patient tissue o Circle 7cm in diameter Tranillumination method is most useful in carious diagnosis ---anterior proximal.panaromic.patient want his decision has power of attorny
. non surgical endo. 13-14 Which determine energy level of photon in xray---kvp. Nystatin. oral prophylaxis Which gracey curet is used for the mesial surface of distal root in max tooth---11-12. and something else U shaped radiolucency in max molar---zygomatic process J shape radiolucency .
Incision & Drainage Action of sodium hypochlorite disinfection of root canals. narrow palatal vault.4. bilateral cross bite Most common cause of frequent urination during 3 trimestor--pressure of uterus on bladder.6s o Eruption of what teeth at 11 years old Mouth breathers have facial feature of incompetent lips. resulting in decreased reimbursement o Q was either about downcoding or upcoding. but are otherwise similar May establish exposure-disease relationship o Prospective cohort: follow group over time. to those of lesser complexity.separation. Class III is concave
. Permanent U/L 1. o The alteration by an insurer or other third-party payer of service codes for physicians or other health care providers.5s. convex profile.
Dentist does the treatment for 2 crowns but the insurance company pays the money for one crown downcoding. describe prevalence of outcomes in the group o Retrospective cohort: choose a group that HAD the outcome of interest evaluate effect that an exposure had on a population (ex occupational hazards) o Double blind clinical trial: neither subject nor investigator knows which group is control or case Used to compare incidence and side effects o Community trial: community as a whole is studied. Fluoridation trial of 1945 (fluoridated community vs non-fluoridated) Pt has composite restoration with severe pain with localized swelling---. know both which area is most difficult to achieve matrix adaptation max mesial 1 prem also common place for perforation Which impression material has good wettability---Hydrocolloid > Polyether > Hydrophilic Addition Sillicone > Polysulfide > o Hydrophobic addition silicone and condensation silicone has same wettability uses of chlorhexide--reduce plaque accumulation Epidemiological studies o Cross sectional: Sample of people assessed at one time o Case control: people with (cases) are compared to people without (control). dissolves organic matter.2. the more valid the results Ex. the more similar the communities. disking of 2nd molar Calcification of premolar tooth at birth----NO Patient with 12 primary and 12 permanent teeth teeth---81/2 years old o Primary: U/L 3.gestatory diabetic Facial profile of class 2 malocclusion--convex. DOES NOT REMOVE SMEAR LAYER Most crucial in replantation----time managment Ectopic eruption of man 1st molar in relation to pri man 2nd molar cause some resorption -management---extraction of 2nd molar.
97 mm JE. Exposes the enamel rods obliquely o Something about which is not a reason to bevel.
. 1. easy to clean Bullet shaped o Nonmucosal – used in nonesthetic areas Sanitary (hygienic) about 2mm from mucosa. If the pier abutment is mobile then a rigid connector should be used instead of non-rigid connector.vertical root fracture Use of indium with alloy is mainly to provide chemical bond with porcelain Classification of pontic mainly depend on their relationship ---to the ridge (mucosal or nonmucosal) o Mucosal: concave and passively contact the ridge Saddle Ridge lap NOT USED because it forms a concave area B-L that is uncleasable Modified ridge lap very esthetic. Placement of rubber dam affect the colour selection by dehydration of tooth gives inaccurate tooth shade Know about the tooth reduction for various materials Tooth set in 20 degree for balanced occlusion. because they must respect the natural architecture of the gingival attachment if harmful consequences are to be avoided. easy to clean. then it is the option. This distance is important to consider when fabricating dental restorations..but adjusted to 45 degree what is need to corrected for balanced occlusion-compensatory curve DNA probing in perio pocket --for bacterial specific Tooth with endo treated and post with crown have pain after several days esp during biting and cold... or all-ceramic Ovate very high esthetics. In order to prevent trauma to the abutment a stress breaker is provided with in this sort of Dental Bridges near the pier abutment.
Normal biological width 2mm (0. should have more than sufficient bone support o Pier Abutment single tooth with two edentulous spaces on either side. MUST HAVE FROSTY APPEARANCE Beveling in acid etching composite use more surface area. good for high smile line. all-metal. or too far buccal or lingual if it is mandibular facial placement of teeth. requires surgical preparation Conical Molars without esthetic requirement. Acid etching show decalcification at the area but did give the appearance of frosty why more fluoride in tooth. bubble in acrylic. In this case the single tooth will have to act as an abutment for both the edentulous spaces in the bridge. therefore you have to etch longer or again. The stress breaker is a nonrigid connector with a key in key-way. Ant flange in max teeth---esthetics Facebow transfer for recording---max with hinge axis positioning Post op managment after denture delivery pt has pain in crest of the ridge---defect in post occlusion (or whatever area) o Excessive VD.07 mm CTA) + sulcus o Biologic width is the distance established by "the junctional epithelium and connective tissue attachment to the root surface" of a tooth. all metal pontic Modified sanitary (hygienic) Know about pier abutment and cantilever o Cantilever teeth with RCT are not preferred for cantilever abutment. inaccurate denture base. moderately easy to clean. for PFM. the answer will be obvious Distobuccal flange of denture determined by---masseter Removing the mylohoid ridge have the common error in--lingual nerve damage Cheek bit due to---horizontal overlap (edge-to-edge).
shrinkage floor.pulpoaxial line fracture. later it subsides---occlusal trauma. premolar pontic”. max central pontic”. Whats the next step--look for further fracture line. ditched restoration Pt has restoration shows demarcation b/w restoration.” (I think)
Physiological rest position Why do the patient’s teeth click when they wear dentures Working side and non working side interfence Bennett shift mainly on --lateral movement of condyle or working side o Aka Immediate side shift The bodily lateral movement of the mandible towards the working side during lateral excursions (approx. vascular .3mm) Narcotics mainly contraindicated in ---MOA inhibitor Severe alcoholic now recovering need 24 tooth extraction which test needed----INR CBC Property of interocclusal recording material----low resistance to jaw closure What is the disadvantage of using elastomer for jaw relations or CR (something like that).fremitus is the best test to test TFO. denture overuse After having denture (partial) the pt have pressure for few days. max lateral pontic”. “max lateral abutment.. which is fracture in middle of restoration. taper. lateral pontic. replacement of restoration.polymerization shrinkage in margin.. Choices were “molar abutment. Like what will happen when you try to mount? Incisal guidance mainly depend on ---hori and verti overlap Occlusal trauma symptoms . o An osteotomy is a surgical operation whereby a bone is cut to shorten.. and “max canine abutment. ill-fitting dentures. lengthen.??? Without indirect retainer---outward displacement of distal extension base Flexiblity of alloy depend on all expect----composition.o
Q about which abutment/cantilever system will have the most traumatic effect on the abutment. or change its alignment Bacteria in healthy mouth---facultative gram positive anerobic bacteria
. 0. gingival recession.blood clots in PDL. “max central abutment. pressure of clasp. widening of PDL Erythema in the palate of the patient wearing denture.? Sensitivity following composite restoration in post most comman cause---due to resin..inflammatory papillary hyperplasia o Poor hygiene. undercut (ans) Epithilium of free ging graft----degenerate Distractive osteogenesis vs.. osteotomy o distractive osteogenesis is a surgical process used to reconstruct skeletal deformities and lengthen the long bones of the body. pulp damage Which doesnt need replacement or repair--recurrent carious at margin..
denture base Support: Rest.professional. Unlike plaque-induced inflammation it is a dusky red colour and extends beyond the marginal gingiva. often to the full width of the attached gingiva and sometimes onto the alveolar mucosa Lateral perio cyst common location---bicuspid lower Primary reason for replacing an overhang restoration---interfere in plaque removal Which one is common in pregnancy and in normal condition--pyogenic granuloma Best longterm care after perio treatment---self.8mm o minimum Width of bone is 6mm choices were 5mm.??? Which type of interleukin in most common after perio disease—IL-1 If implant with width of 4mm is used what should be the bucolingual width of the ridge? 6mm o minimum Vertical height of bone to place implant . denture base
H2O2 . 12 o minimum distance of apex of implant From nerve . treatment scaling and systemic antibiotics. the max stress is concentrated on the SUPERIOR PORTION OF THE IMPLANT RPD: o o o
Retention: Direct retainer .
Which of the following is not true about local agressive periodontitis----affect less than 30%. and indirect retainer Stability: Minor connectors.4mm o When there is FPD from natural tooth to implant. major connectors.2mm o platform of implant from adjacent CEJ .15-18% tray bleaching (commercially available in syringes) Most acceptable root sensitive theory---hydrodynamic o the flow of fluid in dentinal tubules trigger receptors within the tooth Attrition---normal wear Re-evalution after perio therapy---4-6wks
Pt with diabetes having sedation IV and LA---ask the pt to take high calorie food with insulin. genetic Disease with Desquamative gingivitis o lichen planus.less than 10% OTC o H2O2 .2-3 mm o between implants 3mm o between implant and tooth (height of coutour) is 1mm o Mini implant is 2.30% (superoxol) used in in-office bleaching o Carbamide peroxide .. 8mm. 7mm. ligualul plate. mucous membrane pemphigoid. low calorie food which inusulin…no restrictions Mucosal graft epithelization by---connec tissue from underlying tissue(recipient site)
. proximal. and pemphigus A band of red atrophic or eroded mucosa affecting the attached gingiva is known as dequamative gingivitis.
mastoid air cell o Le Fort II .Nasoethmoidal complex. attached nasal complex from the orbital and zygomatic fractures o Le Fort III . general dryness. Fusion---two tooth join only by dentin While giving inf inferior alveolar injection the pathway from?contra lateral premol. frontal sinus. arthritis. it is advisable to wait for atleast 6 months before invasive procedures Most common side effect of N2O2---nausea and vomitting Laryngeal obstruction in---anaphylatic shock
Lefort I associated with. have carious and unrestorable tooth. inc blood flow in kidneys Unconsicous most commonly---psychogenic Asthmatic patient. lymphoma Acute gingivostomatis virus associate with---chicken pox virus also Acylovir---in some viral infection
Most common cause of failure of in restoration in primary tooth---cavity prep. do non invasive endo treatmnt. Apexification (know when to do either) o Apexogenesis: vital pulp therapy for immature tooth with incomplete root.what fracture--nasoethmoidal air cell.ipisi lat premol How to split the tooth using bur tech of tooth removal---spilt buccal and lingual up to furcation Constantly exposing the pt to get from the fear factor is---desensitation
Fear decreases pain and anxiety increases pain Most common site of herpes--attached gingiva Scopolamine commonly used for motion sickness o Anticholenergic drug he drug is used in eye drops to induce mydriasis (pupillary dilation) Prostaglandin inhibitor cause all except---increase gastric mucous. o bisphosphonate has half life of 6 months.contra molar. xerophthalmia. o PG:decrease gastric acid and increase gastric mucous.contra canine.separation of the maxilla. NSAID contraindications: NSAIDS cause bronchospasm.moisture contamination.. damaged coronal pulp but health radicular pulp Allows continued development of the entire root Encourages body to make a stronger root and eventually root closure o Apexification: nonvital tooth Stimulates formation of calcified tissue at the open apex of pulpless teeth Create proper environment for formation of the calcified barrier by cleaning and removing debris/pulp and place material (calcium hydroxide) to induce apical closure Symptoms of Sjogren immune cells attack and destroy exocrine glands o Sicca symptoms: Xerostomia. management: stop regmen 1 mnth extract. max sinus. the zygomas.. longterm asthma give corticosteroid Pt with osteoradionecrosis often have 4-5gy of radiation therapy Pt with bisphosphanate 3ml IV for 3 yrs. and the maxilla from the cranial base which results in craniofacial separation Treatment of mid face deficiency is 1) lefort I 2) lefort II 3) lefort III Apexogenesis vs.
frequency of osteosarcoma is 1%. 10 in 2yr Erosive crust in skin with target----erythema multiforme Diazepam action in GABA both relaxing. Flucloxacillin.minimal rsduction. Cat -scratch disease…
.400 . porcelain in facial surface----conserve tooth struc. same efficacy Pt is addicted to oxycodone (opiod) which contraindicated codiene(opiod). upper airway obstruction. Oxacillin. ca channel blockers (like nefidipine). Histoplasmosis.???? Why do you bevel the functional cusp for a full coverage crown? Interaction of proponolol (B-blocker) with epinephrine is best described by synergism o Increases the effects of epi so risk for Hypertension and bradycardia o Better to use a selective B1 blocker such as metoprolol Drug most likely cause xerostomia---lithium (antipsychotic). anti-anxiety and anti-convulsive effects Common malignant potential---Paget's o Maxilla>mandible.. What would be the next drug of choice? Clindamycin Beta lactamase---inhibit the action of penicillin o Methacillin (rarely used). TB. Pt have swelling after extraction. Sarcoidosis.499nm Advantage of gold on occlusal surface. Granulomatous lesion---crohn's disease o Also Wegener’s syndrome. o Development of malignant bone tumor usually an osteosarcoma is recognized complication of Paget. pentozocaine Antipsychotic with irreversible side effect----Tardive dyskinesia ---Sudden purposesless movement(parkinson like disease) Lantaprost indication----Glaucoma(Latanoprost) Large radioopaque lesion in carious affected tooth---condensing ostitis Pierre Robin Syndrome: o glossoptosis. o Teeth demonstrate extensive hypercementosis. o Lion-like facial deformity. and anticonvulsants. retrognathia. he is under penicillin therapy. and cleft lip or palate o Child will have difficulty breathing and feeding Treacher-Collins Syndrome o downward slanting eyes o micrognathia (a small lower jaw) o conductive hearing loss o underdeveloped zygoma o drooping part of the lateral lower eyelids o malformed or absent ears. Dicloxacillin are resistant to beta latamase Both drug have same intrinsic effect and different receptor affinity---same potency.. mostly long bone Absence of primary tooth---premant eruption slow Visible light curing . Steriod supplement indicated in pt with---10mg with 1 yr.
free of lung cancer or free of major depression). often on the jaw. is a medical research study in which the medical records of groups of individuals who are alike in many ways but differ by a
. It should be emphasized that prospective studies begin with a sample whose members are free of the disease or disorder under study (e. or infection. mandibular canines and molar Which of the following Medication is not by cell wall synthesis? o Penicillin B) Amoxicillin 3)Vancomycin 4)Azithromycin . o Retrospective cohort studies: A retrospective cohort study. the abscess breaks through the skin surface to produce a draining sinus tract.4mg/kg o One carpule of 2% xylocaine has 36mg Primate spaces are seen between maxillary Lateral incisors and canines.g. erythromycin. some smoke and others do not) and compares them for a particular outcome (e. from which comes the condition's common name.g. similar kind for lesion wk before---recurrent apthous Supparative lesion---actinomycosis o Actinomycoses isrealii is normally found in nose and throat Symptoms occur when the bacteria enters the facial tissues after trauma. Ideopathic. Gigantism Occusal Trauma.g. clarithromycin TAGS(30s): tetracycline. ADHD Pt is a child and is diabetic undergoes hypoglycemia in the chair if conscious give him orange juice o If unconscious give him 50% dextrose IV o Type I Diabetes leads to a) Aphasia b) Ataxia c) Blindness d) Deafness Amantidine is used as Antiviral for Influenza A o Also for Parkinson’s (may promote dopamind release in substantia nigra) Strawberry tongue seen in scarlet fever o Also in Kawasaki disease and toxic shock syndrome Prophylactic treatment o for pacemaker – no premedication required o for Prosthetics heart valves – premedication required LA calculations 4. o A common triggering causes is dental abscess or oral surgery o Once in the tissue. streptomycin Questions on public health case studies o Prospective cohort studies: A prospective cohort study is a research effort that follows over time groups of individuals who are similar in some respects (e. gentamycin.g. lincomycin. aminoglycosides.. it forms an abscess.. Periapical granuloma Localization of mesiodens is done with occlusal radiograph Neuropraxia: It is a transient episode of motor paralysis with little or no sensory or autonomic dysfunction o Neurapraxia describes nerve damage in which there is no disruption of the nerve or its sheath St John's wort is most widely known as an herbal treatment for depression (300mg of extract) o may work against gram negative bacteria. all are working adults) but differ on certain other characteristics (e.inhibits protein synthesis o Protein Synthesis CLEAN(50s):Clindamycin. also called a historic cohort study." o Eventually.
Patient with labial lesion for 7 days. lung cancer). surgery. red to reddish-purple lump. chloramphenicol. "PIG ON TAP": Pagets.. producing a hard. "lumpy jaw. o Find Actinomyces and sulfur granules in drained fluid Hypercemtosis o Etiology of Hypercementosis can be caused by many things. Non functional tooth Trauma. azithromycin. Acromeglia..
Case-control studies are used to identify factors that may contribute to a medical condition by comparing subjects who have that condition (the 'cases') with patients who do not have the condition but are otherwise similar (the 'controls'). has a controlled disease of more than one body system or one major system. A retrospective (historic) cohort study is different from a prospective cohort study in the manner in which it is conducted. stable angina. and these groups are followed up in the ensuing time period. the investigator basically collects data from past records and does not follow patients up as is the case with a prospective study. These acids tend to increase the reactivity of the liquid. poorly controlled hypertension. maleic or tricarboxylic acids. In case of Retrospective Cohort Study. female nurses who smoke and those who do not smoke) are compared for a particular outcome (such as lung cancer). The first objective is still to establish two groups Exposed versus Nonexposed. However. symptomatic CHF. the starting point of this study is the same as for all Cohort studies. decrease the viscosity and reduce the tendency for gelation Radiology o Focal spot influences resolution o Collimation influences penetration o Milliampere influences intensity o KVP influences energy and pentration A pt is taking methotrexate (immunosuppressant) will have drug interaction with o Beta blockers B) Alpha blockers C) NSAID’s D) Beta lactamase o *Never use with Acitretin or Asparaginase (absolutely contraindicated!) o With methorexate we cannot give amoxillin because it decreases renal clearance Most common o Odontogenic cyst is periapical cyst (non-vital tooth) o odotogenic ectodermal is ameloblastoma o odontogenic mesenchymal is fibroma o non-odontogenic cyst of the oral cavity is the nasopalatine duct cyst o salivary gland tumor is pleomorphic adenoma Recommended daily intake of fat Intake as per USDA is 30% of total daily caloric intake or 10% saturated fat intake of caloric intake American Society of Anesthesiology patient classification status o ASA I: Normal healthy Pt o ASA II: No functional limitations. hepatorenal failure o ASA V : Unstable moribund Pt who is not expected to survive 24 hours with or without the operation o ASA VI : Brain-dead Pt whose organs are removed for donation to another
Periapical cyst Odontoma Recurrent apthous ulcer Thyroglossal cyst
. chronic renal failure. unstable angina. Case-control is a type of epidemiological study design. symptomatic COPD. no immediate danger of death. controlled congestive heart failure (CHF).
What liquids used in Glass Ionomer Cement – Polyacrylic Acid o In most of the current cements. old heart attack. pregnancy o ASA III : Some functional limitation. the acid is in the form of co-polymer with itaconic. cigarette smoking without chronic obstructive pulmonary disease (COPD). bronchospastic disease with intermittent symptoms o ASA IV : Has at least one severe disease that is poorly controlled or at end stage. controlled hypertension or diabetes without systemic effects.o
certain characteristic (for example. morbid obesity. has a well-controlled disease of one body system. mild obesity. possible risk of death.
excessive mA. contaminated sols.They then pierce the buccinator muscle between the palatoglossal & palatopharangeal folds. excessive peak kilovoltage.
Location of Inferior Alveolar Nerve . Syphilis Chancre resembles 1) Cancer 2) Herpes 3)Herpangina 4) Apthous Ulcer
Odontogenic Myxoma: o Most common odontogenic tumor of mesenchymal origin o Post Mand o Honeycomb & multilocular appearance o Rx: similar to ameloblastoma & Giant cell Granuloma o Tx: Curettage. film-source distance too short. possible recurrence
Ameloblastoma: o Most common EPITHELIAL ODONTOGENIC TUMOR…mand molar area o Age 40’s 50’s o Histo: reverse polarity Ameloblastic fibroma: compared to ameloblastoma o younger age o slower growth o does not infiltrate Ameloblastic fibro-odontoma o similar to the above except it occurs in the MAXILLA AND MANDIBLE in equal freq Ameloblastic odontoma: o same as above except it occurs in max & mand pre-molar & molar area All of the following applies to oral cancer except o 1)Male 2) Smoking 3)African American 4)Low socio economy 5)sex predilection for location Which of the following will not occur in over contouring of crown is o A)Gingival problems 2)caries on the adjacent tooth 3) bone loss Which of the following will incur more force on opposing dentition? o complete denture b) tooth borne partial c) tissue born partials d) over dentures enamel pearls most commonly seen on maxillary Molars gingival palatal groove most like seen on seen in Max laterals Anatomy on maxillary central that aids in plaque retention cingulum
Radiology o o
mean energy of Xray photons is increased by increasing KVP collimation makes the X ray photon decrease the radiation to the pt Fogging of film is in overdevelopment.less contrast for restorative purposes Dark radiographs . lying lateral to the medial pterygoid at the mandibular foramen.Overdevelopment. deteriorated films and light leaks more Kvp .
alters the cellular wall permeability.are contraindicated in asthma pts.
Cause of indiscrete margins on xray film Antibiotic contraindicated with ALCOHOL are Metronidazole. underdeveloped maxilla. low BP In a # of rt side of body of mandible.condyle on the contralateral side of the subcondylar region o Trauma to one side often produces an ipsilateral body fracture and a contralateral subcondylar fracture. brachycephaly Which endocrine system does thick hair become thin hair thyroid . breathlessness. Griseofulvin o headache. o A heavy blow to the symphysis produces a symphyseal fracture and bilateral subcondylar fractures. tachycardia. mandible deviates to which side? to the contralateral side (the unaffected side). Antimalarial. flurazolione. o It is also important to exclude damage to the cervical spine and to ascertain that the airway is not compromised. vomiting. flushing. Treatment of a mucocele enucleation
. which other # is to be suspected . a critical component of fungal cell membranes. In condylar hyperplasia.hypothyroidism o (cretinism in kids and myxoedema in adults) Extrusion of canine what flap technique is used except 1)Envelope flap 2) Semilunar flap 3) Apical repositioning flap Know about flaps (incisions etc) Collagen disorder seen in advanced Diabetes and Rheumatoid Arthritis Mechanism of action of substances on GABA receptors o increasing the frequency of chloride channels by Benzodiazepines o Barbiturates increase the duration of chloride channel opening Neurotransmitter in Parkinson’s disease is Dopamine Pt has Asthma and is allergic to Aspirin what pain medicaction will be given? o Acetamenophen 2) Ibuprofen 3) Diclofenac Sodium o NSAIDS . in condylar hypoplasia the mandible deviates to the affected side Treatment of ranula (floor of mouth): a) marsupialisation b) enucleation c) inj steroid. Tinidazole. however is better to delay radiotherapy 3 wks after TE. When you place a implant.
Osteoradionecrosis occurs because of decrease in vascular supply o Traditionally 1-2 wks btw TE and radiotherapy is suggested. o It works by inhibiting the synthesis of ergosterol. nausea. irregular heart beat. widening of crestal bone is seen because of which force? o Horizontal 2) Oblique 3) Vertical 4) Aapical o Fibers on implant What is the reason for unhappiness of denture Instability of the lower denture Mode of action of miconazole . o After Radiotherapy if tooth has necrotic pulp o endodontic Tx with systemic antibiotics can be performed o if difficult to do RCT (because of sclerotic pulp)>>>tooth can be amputated above the gingiva and left in place Pt is on IV bisphosphonates which of the following procedures can be done o 1)Scaling and Prophy 2)endodontics 3) surgery 4) extractions Crouzon's syndrome exhibits severe proptosis (exapthalmous) o seen in Crouzon's syndrome: hypertelorism.
in which of the conditions is the complete tooth illuminated: vertical fracture. periapical abscess. headache. Sarcoidosis. What forceps would you use to extract mandibular premolar? Choices were like 150. straight under…
Advantage of bundling instruments before sterilization – precleaning in ultrasonic? What happens if penicillin and erythromycin are given together: summation. After flap surgery. puncture proof. graft. mand denture retention Which of the following is absent in facial palsy: drooling. 71… Angulation of cutting edge to the tooth surface while root planning more than 45 less than 90 After using a gingival retraction cord. loss of muscle tone. max denture retention. Lyme disease. potentiation. place a barrier Action of chlorhexidine? membrane disruption o Antiseptic and antimicrobial with bacteriocidal activity Denaturation of the proteins . it is fair and reasonable. lingual. tissue reacts by recession. after. during? Treatment for lingually erupted #9 at age 7 – no tx Mandibular incisors erupt in what position to the primary teeth? Buccal to. Which aspect most commonly needs convincing for the pt with new CD: speech. lingual to. Max: buccal incline of palatal cusp. Mand: lingual incline of buccal cusp o Balanced side interferences are Max: buccal incline of palatal cusps and Mand: lingual incline of buccal cusps Protection for inf alv nerve while placing an implant : surgically move the nerve. Mand: buccal incline of lingual cusps o In MIP or CO.blue o oxygen cylinder is green Which does not describe a biohazard waste box: made of metal. graft might be solidify over the mental foramen and cause parasthesia. interproximal. 23. laterally
Upon using the fluorescent light. HIV infection o May also experience: dry mouth and dry eye. What is it and what organization created? Pt swallows a crown. middle ear infection. Coagulation of proteins . what position should you place them in For a pt with head and neck cancer who is to be irradiated. hearing louder in one ear
. 151 = lower. split tooth? Color of nitrous oxide cylinder . excessive salivation o May be caused by Herpes Zoster. how does repair occur? Pdl moves occlusally. how should the dentist answer? Fee is fine according to the geographic area. I have to make a living too Handling of an ADHD pt and how to get them to maintain oral hygiene . apically. Where do you see this the most.control of granules is hard and in the region of lower bicuspds. when should be questionable teeth removed: before irradiation. 151. loss of taste. meticulous placement of the implant.dry heat Source of epithelium for graft: host. closed.alcohol and autoclave. Source of the blood supply is the host connective tissue Disadvantage of hydroxyapatite graft . leak proof Some law on hazard communication law. buccal. adjacent tissue. chewing. inability to wink. idiosyncrasy Tetracycline cancels out Penicillin Numbers of surgical forceps for tooth extraction 150 = upper.
Pt complains of high fees of dentist.no modifications Working side interferences? Max: palatal inclines of buccal cusps.
hygienist to pt and parents. o But periodontal disease is more Cleft lip and palate is usually associated with which kind of malocclusion? class III Purpose of dietary analysis of pt -Caries risk assessment
Cause of dry socket (alveolar osteitis) : fibrinolysis of clot. What disease is to be suspected? Congenital Cyanotic heart disease Muscle that decides posterior extension of lingual side of dental flange? Mylohyoid. o There may be evidence of a reduced density and thinning of cortical boundaries such as the inferior mandibular cortex The caries rate in patients with Downs Syndrome is less. LoC. may fail to grow or be disrupted after beginning to grow. discuss about copay Note:If you see a fact e. known as granulation tissue. inflammation.
Consequences of tooth ext in a pt with adrenaline crisis – probably delayed healing. o This reduction may be observed in the jaws by using the unaltered density of teeth as a comparison.it should be in pt's own words Oral hygiene instructions for ADHD pt: hygienist to pt. tachycardia. Which of the following is a dentist not supposed to do: talk about options provided by other specialist. printed material
. benefits of having treatment done. tachybradia o If Pt uses more than 10 mg prednisone daily then: double the dose of daily steroids at the day of surgery as well as double the dose the day after surgery. pale skin. thickened nail beds. o The healing tissue that is supposed to replace the blood clot. The type that is commonly referred to as dry socket is one in which the disturbance is from the time a blood clot forms immediately after tooth extraction to the initiation of healing in the 4-5 day period after extraction occurs. What should be suspected – possible GI regurgitation Radiographic feature of osteoporosis o Osteoporosis results in an overall reduction in the density of bone. incase of head injury Bacteria that is responsible for progression of caries but not causing the initial phase . dizziness. (always after consultation with MD Contraindications for the use of opiates – cannot be used with MOA inhibitors.Lactobacillus Patient presents with eroded occlusal surface. fillings raised from the surface. lingual surface of max teeth. infection.or tooth perforation you have to inform the Pt but not blame the previous dentist Onset of action of antipsychotic is 5-6 days Child with blue lips. physical dislodgement of clot? o How do you treat it? (make sure you recognize dry socket as “alveolar osteitis” o Multiple types of alveolar osteitis can result from disturbances in the healing process. risks of not having tx done. superior pharyngeal constrictor? Define chief complaint . dentist to pt. This finding tends to support the hypothesis that higher levels of salivary sIgA may protect against dental caries. o The patients with DS had a significantly lower prevalence of caries and significantly higher levels of salivary sIgA in this study. leading to the well known symptoms of dry socket.g broken file.
centrally-acting anti-emetics. Displacement of fractured segments of mandinble by the action of associated muscles. filled.. other tranquilizers. Whites. vena cava Epidemiology of oral disease o Diabetes is common on which race? black men o Periodontitis is common for which race? Black o What group has the highest prevalence of coronal caries? Blacks. the dose of one or both agents should be reduced. floss What is water irrigation used for? Tooth brushing technique best suited for removal of interproximal plaque-Modified Charters Where does interproximal caries generally occur: above contact area. redistribute occlusal forces Should be able to identify defect in hue. Native Americans . check the responsiveness of pulp nerves. below contact area. Bioavailability---amount of drug avilable in systemic circulation Question about effect of a drug that has high first-pass metabolism o This first pass through the liver thus greatly reduces the bioavailability of the drug Antipsychotic with irreversible side effect----tardive dyskinesia (2Q) Lantaprost indication---. What should be the immediate action? o turn her to the left in order to remove the pressure from inf. Prevalence of caries in permanent teeth (DMFT) adults 20 to 64 years of age. Class III in Blacks Class III malocclusion with cleft lip and palate is more in Native Americans > Oriental.
All of the following can be used for plaque removal except: water irrigation. Hispanics. toothbrushing. tooth picks. chroma on a photograph. area between marginal ridge and contact area? What does wheezing sound like? o gasp followed by high-pitched whistling Pregnant woman goes into syncope in second trimester. Caucasians > Blacks. phenothiazines. general anesthetics. How does a tooth covered with crown react to pulp testing--.Patients receiving CNS depressants such as other opioid analgesics. o The concurrent use of anticholinergics with opioids may produce paralytic ileus. and decayed or filled permanent teeth among adults 20 to 64 years of age – White>Hispanic>Black Prevalence of Class II more in WHITES. o When such combined therapy is contemplated. If the # is at symphysis the muscles are genioglossus and anterior digastric.Xalatan® (latanoprost ophthalmic) – eyedrops for glaucoma o Reduces intraocular pressure o Prostaglandin analogue
. color. Pt is addicted to oxycodone which contra indi.cold is better test Night guard is used for: treating bruxism. sedative-hypnotics or other CNS depressants (including alcohol) concomitantly with PERCOCET tablets may exhibit an additive CNS depression. at contact area. White >Black>Hispanic Prevalence of untreated decay in permanent teeth. Cleft lip is more common in Asians Use of pulp testing: check disease or health or extension of damage of pulp. Black >Hispanic> White Mean number of decayed.
Bacteriodes. o Alveolar correction surgery is at age 8 before the eruption of canine o Correcting the alveolar cleft is usually left till a later time. G. what parameter would be altered? o 1. o Less Kvp – low contrast for perio. 2. G+ Actinomyces (root caries) Unsuccessful rct need re-tx from persistent infection of facultative anaerobes Abts: DOC: Pen VK good for strict and G+ facultative anaerobes Metronidazole is effective against strict anaerobes but not facultative anaerobes or aerobes Which has worst prognosis? Ledge in midroot. More flexible. Steam .Anti-microbial. 2. fracture while obturating. What is the NOT an advantage of stainless steel files? 1. 3. 2. the operator creates a ledge. around the age of 8 or 9. o An alveolar cleft is corrected with a graft of bone and soft tissue Endo o o o
o o o
Sodium hypochlorite in root canal treatment has the following advantages EXCEPT: 1. What is the next step? 1. what form of sterilization does not corrode the surface? o Dry Heat.
Common site for granular cell myoblastoma (granular cell tumor)---tongue Large radioopaque lesion in carious affected tooth---condensing osteitis Lesion commonly with dysplasia and carcinoma in situ---erythroplakia Common finding in patient with ataxic cerebral palsy---ant tooth fracture
Common reason for angular chelitis---decreased vertical dimension (in elderly). Adapts to tooth surface. 3. 2. 2. 4. The soft palate is closed btw 18-24 months of age
Clept palate occurs weeks 6-8 in utero. For carbide stainless steel burs.easy manipulation. 3. occurs week 4-5 in utero o Cleft lip is done in 2-3 months after the child is born o The lip is corrected as early as is medically possible. Both Dry Heat and Steam. the scar tissue that forms during healing will interfere with the normal development of the face. mA is quantity
. 4. kVp. SS files exhibit fluting distortions. 3. If the surgery is conducted when the child is younger than this.1:800 (other source says 1:1000).Disinfection Gutta percha has the following advantages EXCEPT: 1. Neither Dry Heat nor Steam To improve the quality of radiographic film. when there is decrease vertical dimension. highlighting unwound or twisted regions of the file signs of fatigue Nickel-titanium files do not show these same visual signs of fatigue.Porphyromonas. remove as much debris as possible and gently try to remove the ledge. Biocompatible During root canal treatment. 3. Less chance for breaking. 2.lubricating. Fill up to the ledge and leave the ledge intact. Extract and replace with an immediate implant. skin fold.Anti-microbial 4. The hard palate cleft is then closed around age 4 or 5. 4. Discard before visual signs are seen Primary endo infection STRICT ANAEROBES: G. Take a smaller file to working length. poor diet (Vit B2 and B12) o Seen in pts with Anorexia/bulemia o In edentulous pts. 3. Exposure time. most common sign is ANGULAR CHELITIS o Can be fungal (Candida) or bacterial Ideal depth of a bone for an implant 8mm Clift lip prevalence in USA is 1:700. Allows the file to be centered in canal Before separation.Chelating agent. transport through apex in curved root …
Temperatures for autoclaves is governed by FDA.mA.
2. Thermal test What is the outline shape of the access cavity for a permanent mandibular first molar? o Triangular. 2. what most likely is true? o The enamel has smaller hydroxyapatite crystals than the surrounding enamel o The remineralized enamel is softer than the surrounding enamel o The remineralized enamel is darker than the surrounding enamel o The remineralized enamel is rough and cavitated o Know about chalky white lesions On the cementation day for a full gold crown. Apexogenesis (open apex. 13 years for canine Which treatment has the least successful long term prognosis on a deep carious lesion on #3? o Direct pulp capping. False Negative Upon extraction of a maxillary molar. o Cut the tooth bucco-lingually and extract the roots separately
. Increased intra-pulpal pressure What is the most accurate pulpal test to determine vitality of a tooth with a full-gold crown? o Electric testing. 2. 3. the treatment of choice for a necrotic pulp on permanent first molar would be: o 1. follow up in 3 days. Trapezoid. 3. Pulpotomy. a 2mm sinus defect is noticed. o Cut the coronal portion from the roots and extract the roots separately. you notice a distal carious lesion on the mandibular first premolar. Root Canal Treatment (closed apex) o It takes 10 yrs from calcification for root completion. 2. What is this called? o 1. Maxillary molar A study failed to report 5 cases of caries. 4. 2. Pulpectomy and RCT What would be the most reasonable cause for a tooth’s symptoms to change from reversible to irreversible pulpitis? o Accumulation of traumatic injuries. 4.
What bacteria is involved in the carious process but NOT an intitator? o Streptococcus. o What is the most probable cause? 1. Oval. Apexification (open apex. 4. Evaluate occlusal contacts. 3. what do you do leave it. Staphylococcus o There is a question about what is involved in the initiation of caries. Actinomyces. 4. 4. o Which premolar is most likely to have 3 canals
A teenager (11 yo) presents with an intruded maxillary lateral incisor (#7). Evaluate proximal contours For a surgical extraction of mandibular first molar. 2. 4. Maxillary premolar. Indirect pulp capping. vital) 3. What is the next step in treatment? o No treatment necessary. 2. 3. Circular On a radiograph. with direct vision. 3. Evaluate proximal contacts. 3. Splint for 2 weeks with RCT treatment after. Root caries For a lesion in enamel that has remineralized. Palpation test. True Negative. False Positive. what is the best course of action? o Cut a Y into the coronal portion and extract each root separately. 3. What is the next step of treatment? o Extract and Implant. Upon restoring the adjacent 2 premolar. Splint for 2 weeks and follow up o 4 year old intrudes primary maxillary central. Lactobacilli. 2. Lactobacilli is in 3 choices so if you know it ’s not an initiator. necrotic) 2. 4. you notice that there is no decay. True Positive. Mandibular molar. wait for it to re-erupt For a young patient (6 yo). Mandibular premolar. you can deduce the answer Which tooth is least successful for a patient to remove plaque with floss? o 1. Bacterial involvement inside pulp chamber. 2. 2. what is the first step? o Evaluate margins. Percussion test. 3. 3. Cervical burnout.
4% NaF for 5 minutes Saline. interval. Sharp burs. apirin . tetanus booster After 60 minutes – replantation not indicated
7-10 days later try apexification
. Replant. clean socket Replant. Necrotic: pulpectomy Resorption: EXT Relatively rare Coronal ½: splint or EXT Apical ½: no tx
Horizontal root fracture
Luxation Class V Concussion percussion + Subluxation mobility + Extrusion/ lateral luxation Intrusion
Avulsion – class VI
No tx.single dose . High-speed drill with water spray Onlay wall preparation: o Wall:271 carbide bur.4 hours. ratio temperature – Celsius = interval.5mm width. should re-erupt Within 0-30 minutes Clean root with saline if contaminated Tooth in doxy. 2-5 degree taper. Kelvin = ratio. soft diet Pen or doxy (if not succeptible to tetracycline staining). Pen or doxy 7d Endo 7-10 days after replantation in both cases
Primary teeth or Open apex Smoothen enamel. for baby aspirin dosage is 81mg/day Adenomatoid odontogenic tumor o Young females.nominal. want 40 degree gold margin on occlusal and groove extension. Vital pulp therapy if possible If not. Low speed low torque drill. Good px Restore with bonded resin. splint 7-10 days. CHX if desired. o It should be differentially diagnosed from a dentigerous cyst and the main difference is that the radiolucency in case of AOT extends apically beyond the cementoenamel junction. if no reattachment. Better px than closed apex No tx. Good px.
For a surgical extraction. replant Splint 7-10 days Pen or Doxy for 7 days refer for tetanus booster Re-implant (after 60 min) 2. check vitality 1. follow up Splint 3 wks if mobile Resposition. endo if necessary Extrusion: 65% pulp necrosis Lateral: 80% pulp necrosis Closed apex: ortho/surgery. endo if possible. 4. endo 96% pulp necrosis Re-implant immediately (within 0-60min) Clean socket with saline (no curet).how much time. 3. pulp should be vital Occlusal adjustment. 30 degree on cusps o Skirt: extends casting aaround line angle to increase retention and resistance form pulse n bp what kind of measurement . Sore muscles in the morning: o Myofacial pain dysfunction syndorme
KNOW THIS! Injury Fractures Enamel fracture – class I Enamel/Dentin – class II Crown w/ pulp – class III
Closed apex Smoothen. restore lost tooth structure. CHX if desired. splint. Better px than closed apex If before periapical blood clot reposition and splint 7-10 days Then endo No tx unless determined that tooth is impinging on permanent successor. what does not contribute to developing post-operative pain? o High-speed drill. RCT (also if complex restoration needed) Dx with occlusal + 3 PA (at different angles) Vital: vital pulp therapy + splint Coronal: splint 6-12 wks. 0. EXT Midroot: splint 3 wks. maxilla o Radiolucency around an unerupted tooth extending past the CEJ. no tx. EXT Apical – good px. 1 day.2. axial walls divergent o Box: cavosurface margin 30-40 degrees o Bevel: diamond. 2. ordinal.6 months Smooth/restore Primary: Vital: pulpotomy. splint 7-10 days.
Move from yellow to yellow red o crown – unesthectic value Width of periodontal ligament –0 . veracity . Hemopoeitic bone marrow. ANS. protection of dentist. Genetic?? o Radiosensitive cells ANS. What is true of osteoradinecrosis.being truthful to patient dentist doesnot complete the treatment . Lateral skull view ( all these are good to view max sinus) waters
. This effect is called: Deterministic. Dorsal Surface of tongue. 90-135 degrees o If the buccal root of maxillary ist premolar appears distal to palatal root . film fog. Commonly affects mandible X-ray identification: Median Palatal Suture. o Pink purple – changes the hue of the teeth. Stochastic.pt abandonment protection act. o When there is no barrier. followed by mobitiliy. o Best view to observe pathology of maxillary sinus CT . o Explain the need for X-rays. In natural teeth 2 types of hue – yellow and yellow red o Yellow stain – increases the chroma in the yellow hue o Orange stain – increase the chroma in the yellow red hue.Good Samaritan Act – is accepted in all states. Collimation does everything except o reduce pt exposure. but dentists are not included in all the states. What should the dentist immediately do. 6 feet. Zygomatic process of maxilla.The X ray was mesially angulated o Reverse occlual plane on a panoramic view. Zyban) is an atypical antidepressant and smoking cessation aid. Panoramic. reduce operator exposure. Flaps o Partial thickness (mucosal) flap only epi and CT o Full thickness includes periosteum Horizontal incisions all three together allow for visualization of alveolar bone Internal bevel incision: o 0. o (1) + (2) creates a collar of tissue around teeth interdental incision: separates collar of gingiva from tooth Cover site with periodontal pack don’t enhance healing rate though. reduce average energy of x-rays
The Dentist completes exam and advises x-rays but the pt refuses.2mm perodontal stability attachment loss is the most imp criteria in diagnosing periodontal conditions. conserves papilla. smiley(happy face) is chin down.5-1mm from fgm apically displaced flap o 1-2mm from fgm modified widman flap (not reflect beyond mgj) o Coronal to base of pocket undisplaced flap or reverse bevel incision crevicular incision: o Base of pocket to crest of alveolar bone.antiplatelet (interferes with coagulation – not given with aspirin). odontoma Radiology The severity of response increases with the amount of X-ray exposure. Contain zinc oxide and some with Abts Give CHX 2x/day for 1-2 weeks
Bupropion (Wellbutrin. Chin tilted upwards. o It acts as a norepinephrine and dopamine reuptake inhibitor.
What is the reason for increased radio-opacity on the mesio-occlusal surface of maxillary I molar. the rib will join up with the sternum via the costal cartilage. In this example. Internal resorption Q about characteristics of internal resorption What is the effect of extraction of primary 2 molar on the eruption of 2nd premolar with one third root formation . Eruption is slow. Heat. Cusp of Carabelli. mand. flabby tissues. Molars – Ear and infratemporal region. condition varies depending on the patients age. Mandibular molar Referred pains: Max Incisiors – Naso labial. Material used for mouth guard vital bleaching ANS.Maxillary incisor. Extraction.ordinal scale. mandibular incisors. Remaining dentin thickness 2mm Critical factor determining the success of implantation of avulsed tooth . no effect on eruption rate. o Eruption is faster. a joint is termed a synchondrosis.why? o not enough cement or microleakage(depends on duration of pt return)
. class5. o An example of a synchondrosis joint is the sternocostal joint (where the first ribs meet the sternum). History and clinical examination Which procedure does not require antibiotic prophylaxis o Non surgical endodontic treatment.time Tooth with the best prognosis ANS. ANS primer within intertubular dentin The provoking factor for pain after placing bridge. nominal scale Hybrid layer. Which are the two most imp. Canine – Frontal region. Which tooth refers pain to the ear ANS. steps for diagnosis. maxillary molars. Deepen the facial line angle proximally and increase the interproximal embrasure Deepen the facial line angle proximally and decrease interproximal embrasure take the facial line angle labially and increase the interproximal embrasure take the facial line angle labially and decrease the interproximal embrasure The dentist cements the porcelain veneer with light cured resin and the patient returns with brownish discoloration at the margins. increased vertical dimension of occlusion. dens in dente
Transillumination is useful in the diagnosis of .)
What is the effect on growth of a child with unilateral sub-condylar fracture retarded growth Gingival index is an example of . Mand. Most critical for pulpal protection ANS.Class 1.molars. Premolars – Temporal region. restoration on disto-lingual surrface. enlarged tuberosities. biting(occlusion) Kerrs syndrome Kerrs syndrome shows all except Maxillary ridge resorption. Common feature between porcelain veneer and all-ceramic crown preparation – rounded internal line angle How do you decrease the width of artificial teeth. Lifting of distal extension away from tissues. class 2. class3 Commonest tooth with vertical root fracture . Scaling and root planing. 10% carbamide peroxide. Which structure exhibits synchondrosis o Where the connecting medium is cartilage. surgical treatment. Lack of function of indirect retainer is manifested by ANS.
patient receives a blow to the chin who has a MOD inlay placed on the maxillary molar 3 months earlier.Now the patient has a vague pain on biting ,there are no other symptoms.why? maxillary sinusitis, m-d fracture, b-l fracture when you wax the removable partial denture on a cast; what is it called- Master cast, refractory cast Purpose of addition of tin and indium to metal ceramic alloys ANS.chemical bond-covalent bond Cause for post-operative sensitivity of composites - shrinkage Something about how soon do you see the marginal leakage or discoloration …? The condylar guidance is increased from 20 to 45 degrees,what do you do. o Increase the compensatory curve o the curvature of alignment of the occlusal surfaces of the teeth that is developed to compensate for the paths of the condyles as the mandible moves from centric to eccentric positions. o A means of maintaining posterior tooth contacts on the molar teeth and providing balancing contacts on dentures when the mandible is protruded. o Corresponds to the curve of Spee of natural teeth. curve of Spee o an anatomic curvature of the occlusal alignment of teeth, beginning at the tip of the mandibular canine, following the buccal cusps of the natural premolars and molars, and continuing to the anterior border of the ramus, as described by von Spee. the curve of the occlusal surfaces of the arches in vertical dimension, brought about by a dipping downward of the mandibular premolars, with a corresponding adjustment of the maxillary premolars. curve of Wilson o the curvature of the cusps, as seen from the front view. The curve in the mandibular arch is concave, whereas the one in the maxillary arch is convex. Reverse curve o a curve of occlusion that is convex upward when viewed in the frontal plane. What is rest position – muscle guided Centric occlusion is tooth guided, centric relation is ligament guided. You are giving cusid-cuspid bridge and want to change the canine guided anterior disclusion.What is required. – o change to group function All are requirements of interocclusal record material except. o Hard when set, capable of trimming with sharp knife after set, resistance to biting. All are symptoms of TFO on an implant except. Gingivitis, pain, loosening of implant, breakage of abutment screw. Heart rate of Age 3 is 110, age 5 is 100, age 12 is 75 and adult is 70 o Resp rate: 25, 20+, 20-, 15 Greatest incidence of malignancy is seen in Pagets disease, monostotic fibrous dysplasia o malignant change ,usually development of osteosacoma has been RARELY associated with fibrous dispalsia. o radiation for this lesion is contraidicated because it carries the risk for developmant of post-radoiation bone sarcoma o Development of malignant bone tumor, usually an osteosarcoma is recognized complication of Paget, frequency of osteosarcoma is 1%,mostly long bone. Oral granulomas, apthous ulcer, rectal bleeding is seen in. Wegeners granulomatosis, ulcerative colitis, crohn’s disease. Pierre-robin syndrome consists of a triad of retrognathia, glossoptosis, cleft palate. Most important factor in shade selection. ANS-value
Flexibility of a clasp arm depends on all except. Length, taper, circumference, depth of undercut, Which is most rigid .pd-Ag, typeIII gold,typeIV gold. Least wettability is seen with which impression material.polysulfide, condensation silicones, hydrocolloids, polyether. Most stable in moisture environment. Polysulfide, condensation silicones, addition silicones, polyether. Setting of polyvinylsiloxanes is retarded by. ZOE, latex gloves, ferric chlorides, aluminium chloride Which produces least change on implant surface while removing calculus. Ultrasonics, sonics, curettes, plastic curettes What has ultimate effect on the thickness of epithelium of free gingival graft. Recipient epithelial tissue, donor epithelial tissue, donor CT, recipient CT Disadvantage of partial thickness flap are Visibility, access??? The purpose of GTR is to prevent. Long JE, migration of PDL cells, Migration of CT cells. The resorption of bone in PD disease is caused by.IL1, IL8, IL10 o IL 8 – chemotaxis, IL 10 is macrophages. The biological width is 2mm,3mm, 4mm, 1mm, 5mm. The internal bevel gingivectomy extends approximately from Indications for gingivectomy – gingival hyperplasia, The purpose of barrier. Apical movement of PDl cells, Coronal movement of cells. Gingivectomy is contraindicated in .The sulcus is apical to gingival groove, sulcus is apical to convexity of tooth, sulcus is apical to the crest of alveolar bone. periodontal pathogens in health- ANS Gram+ facultative cocci and filaments. Desquamative gingivitis is associated with which 2 conditions. Pemphigus and bullous pemphigoid, Lichen planus and erythema multiforme o Pemphigus – supra, acantholysis o Pemphigoid - basal o Questions about lichen planus The depth of sulcus is 5mm the distance between CEJ and the base of sulcus is 2mm.what is the attachment loss. – 2mm The role of chlorhexidene is cos of.ANS- Substantivity – high concentrations for long time Condition seen in normal individuals and also in pregnant patients.ANS Pyogenic granuloma or pregnancy tumor. Antibiotic seen in GCF- ANS Doxycycline, minocycline First thing u need to check while placing crown.ANS Esthetics then Proximal contact Miller classification for recession o Class I: recession doesn’t extend to mgj, no bone or soft tissue loss interproximally good to excellent px o Class II: recession on or beyond mgj but no bone or soft tissue loss interproximally good to excellent px o Class III: recession on or beyond mgj, with bone and soft tissue loss interdentally partial coverage result o Class IV: recession on or beyong mgj, severe bone and soft tissue loss interdentally poor prognosis
Mechanisms of healing after perio surgery o Regeneration: growth and differentiation of same type of tissue that was damaged by disease o Repair: healing by SCAR o New attachment: embed new pdl fivers into new cementum and attachment of ging epi to a previously diseased root surface
Implant vs. Tooth o No PDL, no supracreastal CT insertion into the implant o May probe to the level of the bone (no JE to stop you) o Will not erupt so don’t use in growning individuals o Complications Screw loosening (posterior > anterior), implant fracture (<1%) Peri-implant mucositis = gingivitis Peri-implantitis = periodontitis Periostat = subantimicrobial-dose doxycycline (SDD) selectively inhibits MMP-8 and MMP-13 destruction of collagen. o Approved as adjunct to SRP tx of chronic periodontitis o 20mg dose 2x/day for 3-9 months; CI: preggers, kids under 12, tetracycline allergy Perio procedures o Gingivectomy elim SUPRAbony pockets, gingival enlargements, suprabony perio abscess CI: osseous recontouring, pocket is apical to mgj, inadequate attached ging, esthetic concern Bevel incision apical to pocket depth Healing by SECONDARY INTENTION (clot, epithelial migration, ct repair o Gingivoplasty reshape tissue: clefts, ging enlargement, shelf-like papilla CI: reduce or eliminate periodontal pockets o Mucogingival surgery widen attached gingiva, deepen vestibule, resection aberrant frena via graft and AP flap o Osseous Surgery Correct osseous M and D crater by recontouring F and L walls Correct vertical or angular defects by resective osseous surgery or perio regeneration Ressective osseous surgery for interprox bony craters, early furcations, cases w/ thick alv bone CI: esthetics Ostectomy removing tooth-supporting bone; must be sure to remove “widows peaks” Osteoplasty removal of nonsupporting bone o Regeneration GTR prevent epi migration on cementum while pocket is healing from flap reflection Membrane used to exclude epi and CT from root and protect clot formed Citric acid and/or Emdogain enhance new attachment of ging tissues following excision o Implants Titanium implants offer the best biological attachment to bone and gingival tissue osteointegration The normal recall appointment between periodontal treatment. 3 months, 1 month, 4 month, 6 month 45 year patient comes for appointment schedule.His B.P is 160/100.What should the dentist do. o Call up the physician, reschedule appointment when the B.P comes down , check B.P again after 15 mts Frequent urination seen during 3 trimester ANS. Pressure on the bladder. Curettes used for distal surface of maxillary II molar ANS. #13-14 Pt comes with carious involvement and localized swelling of cheek.What is the immediate treatment. establish drainage After periodontal surgery, the dentist leaves interproximal bone apical to radicular bone.What is this called o negative architecture. Evaluation after scaling and root planning is done after how many days. 7-10 days, 14-21 days 4-6 weeks
this cancer has better prognosis than other cancers. Pic of basal cell carcinoma.. ANS Depression All are seen in DI except. what should the dentist’s initial reaction be. where should the description of study sample be? materials and methods. smoking Which is not true of elder abuse. Best theory to explain dentin hypersensitivity.
. ANS. o Large bulbous crowns with short tapered roots o large irregular dentinal tubules o accentuated DEJ o opalescent hue In a scientific article. ANS. hyperplasia. Cyclosporine o Nifedipine In most of the cases. o Elder’s abuse is often over reported and exaggerated o un-authorized use of ATM card is some times considered crime but not abuse Most common condition affecting elders. metaplasia. Erosion Primary effect of an over hang. results. chronic doesn’t . localized fibromas are often: Dysplasias. sonics is linear(work with air) Which of the following is not an advantage of Ni-Ti over stainless steel file. flexibility. When should the dentist not use para-phrasing. The major environmental risk factor for periodontal disease. discussion Common form of leukemia in children – Acute lymphocytic leukemia o acute leukemias respond to tx well.of teeth + supernumerary and impacted teeth is seen in ANS. Diabetes. do I have cancer”. resistance to fracture. o AML is worst prognosis Viral load for HIV pts – test sensitivity – detect more than 48 viral copies. o When trying to speak to a patient in his second language o When the dentist is upset with what patient says o when giving factual values. Cleidocranial dysplasia. but 50 is critical.
Order of tx: emergency. definitive. ANS interferes with plaque removal Medications associated with hyperplasia. ANS Hydro dynamic theory Gastric acids cause. Vibration in elliptical (magnetostrictive) . o Most of the elder abuse is at victims home o Mostly it is by victims relative. re-eval. white old man. Calcium channel blockers. disease control. o How does patient determine if pt can sign concent forms? The patient who is diagnosed with Basal cell carcinoma. outside of mouth … o DO you have any one accompanying you. Increased no. o Neutrophils – less than 500 no tx o Platelets – below 50000 no tx o CD4 – should be 200. Maintains the shape of canal. o Gradner’s syndrome has supernumerary teeth. maintenance Mode of action of ultrasonics. anaplasia. Dilantin sodium. says to the dentist “give me the report.
mucocele. seen in the neck. Heals without scarring. Transillumination in children is used for sialolithiasis Questions on herpes ulcers and apthous ulcers The patient develops oral ulcers and target or bulls eye skin lesions within 24 hrs. other choice is option. The direction of healing of wound after extraction of tooth in mandibular arch o outward and upward. ludwigs angina is bilateral and complication is edema of GLOTTIS. All are seen in a patient with sjogrens syndrome except: sicca. o Verrucous carcinoma.
. Anterior roots above the mylohyoid has submental spread.what should the initial reaction of the dentist be. A chronic alcoholic requires extraction what test should the dentist advise for INR which of the following is not true for a patient requiring surgery and on oral anti coagulants.5-2 times that of control. condyloma accuminata.ANs Clotrimazole o swish and swallow is nystatin. Amount of fluoride supplementation required in 16 yr . migratory glossits. peripheral ossigying fibroma. can be treated till 3(acc to manual) Question on parulis o bumps on the gum parulis o Pyogenic granuloma. inward and down ward Infections from mandibular premolars spread to which space Submandibular. Bupropione. INR should be above 2. fordyces granules Dentist realizes that the distal margin of crown preparation is within 1mm of interdental bone.
Which of the following is not recommended for a patient who is on Nicotine de-addiction o mucous patches.0 mg The greatest incidence of dysplasia and carcinoma in situ erythroplakia Clinical photographs.Lymphoepithelial cyst. ANS.ANs Erythema multiforme Suppuration is seen with ANS. xerostomia. because the roots are below the mylohyoid. pebbly appearance. cheek biting. peripheral gaint cell granuloma. nicotine gum. Cellulitis most of the time involves unilateral. ANS crown lengthening Necrotizing sialometaplasia minor salivary gland disease presents on the palate which is most commonly confused with carcinomas due to the ulcerated presentation.5 o Norma INR is 1. o AmphotericinB is only antifungal given in IV o Fluconazole(tab) is given for systemic candidiasis. lymphoma.what should the dentist do. o Description of papilloma Common finding in a patient with cerebral athetoid palsy. The patient who is a tobacco addict says to the dentist. peripheral odontogenic fibroma. smokers palate. facial palsy. fibroma.Actinomycosis – sulphur granules. o PT should be 1. papilloma. Anterior teeth fracture Anti-fungal used as troches for treatment of oral candidiasis. o Buproprione is also used to treat depression Which of the following does not have cauliflower like .”I want to quit the habit”. arthritis. Dentinogenesis imperfecta. nicotine nasal sprays.
Extraction. The patient returns to the dentist the next day after extraction with pain and swelling. The drug of choice in patient with bradycardia . ANS Lingual n The drug which causes withdrawal symptoms in pts taking oxycodene The drug contraindicated in pt taking ginkgo biloba. During IAN block. social reinforcement What is not an advantage of rubber dam when compared to not using it.5ppm A 4 yr old child management empathy and respect Management of moderately apprehensive child Replacing words like LA with sleepy juice is called as Euphenism. Fluoride supplement required in a 2. facilitates the use of water spray Closest resemblance of deciduous mand II molar permanent mand I molar The success of implants does not depend on Age of the patient Prilocaine above 500mg causes: Apnea.Atrophine. Use of praise. Parent Why shouldn’t patient be in the room? The information about hazards of chemicals used in the office should be present in ANS.5 yrs child in a non-fluoridated area 0. extraction with alveoloplasty of basal bone and suture. Biopsy. Assistant. o The drug of choice in this penicillin allergic pt. ANS Acetaminophen Some question on difference between aceta and aspirin but it was about about anti-inflam action. Material safety data sheets o Red – flammable o White – Personal protection o Blue – health hazard
. school water fluoridation – 4. Heparin (CI with all antiplatelet/anticoagulants) o Ginseng used for male impotency. methemoglobinemia Complication associated with removal of internal oblique ridge (mylohyoid) ridge. Improved properties of materials. aspiration biopsy and wait for the bone to fill in o Safest of all biopsies – aspirational The common symptom of trismus is associated with which space involvement. o Sub-masseteric. smile and appreciation is-Token(positive) reinforcement. superficial temporal. Something about duration I think The immediate choice of tx for large radiolucency in the mandible. extraction with alveoloplasty and sutures.25mg know supplement chart Community water fluoridation – 1ppm. Epinephrine. shortens operative time. pre-extraction and post extraction hyperbaric oxygen Virus associated with Chicken pox also causes ANS herpes zoster Unilateral lesions after herpes zoster infection. diabetes o Ginkgo biloba – used for memory loss.what should the treatment be. cardiogenic shock. pierce Buccinator muscle and inject in pterygomandibular space. Clindamycin 300mg qid The restraining of uncooperative 2 yr child should be done by Dentist.
A patient received radiation therapy and requires extraction. Reactivation of the virus from sacral ganglion causes shingles o induced by stress and sunlight exposure. Which of the following does not have anti-inflammatory action.
. Advise.retention of core Threaded post. it does not cause the discomfort to patient. Increase ph. ANS. Descriptive epidemiology(prevalence and incidence) common missing permanent tooth ANS. and something else Which is true of intra pulpal anesthesia? produces anesthesia after 30 sec. False negative The dentist separately for core-build up and the crown but the insurance company says that the core build up is part of crown. COPD.
. plain non F. Maxillary third molar also mand second pm.000 Crowing sounds are seen with. treatment is done on the next day.what should he do next.water. 100. what is the best way to prevent root fracture when inserting? Apical closure of permanent tooth occurs. Pt asks questions regarding the face mask. Assess.what should the dentist say.what is this called.water. produces anesthesia by pressure.of microbes
Blood transfusion before surgery should be done when the platelet concentration falls o below. Long bur from periphery to the center Purpose of post . gloves and other sterilization methods.identitifies the reactivity or stability of a chemical. ANS. which one doesn ’t cause caries? o Choices were formula with F. 20.000 . ANS. juices decrease PH Child goes to bed with bottle filled with ________________.streptococcal infection like sore throat or scarlet fever What is the correct method of excavation of deep caries. and Arrange The Child has 12 deciduous and 12 permanent teeth. 100% juice.
The failure of a test to detect the presence of 5 cases of disease. probably something to do with standard(universal) precautions The patient retires and loses health benefits. Acute asthmatic attck. longitudinal study. o Croup------Barking Cough The most effective method of caries reduction.ANS Gently by pass the ledge. maxillary lateral incisor The main role of chlorhexidene before surgery ANS. what is this? o Cross-sectional study.o
Yellow. Reduce the no. 50. o Asthma – Exhalation wheezing o COPD – expiration wheezing.what is the age of the patient 8-9 yrs When does the calcification of permanent incisors occur 3-4 months(decks) Excepting maxillary lateral incisors 10-12 months The drug of choice in status epilepticus Diazepam The bacteria that causes rheumatic fever.21/2 to 31/2 yrs after eruption The dentist realizes that there is formation of ledge. bundling know unbundling also the investigator studies the occurrence of oral cancer in pts in a private nursing home. ANS. the pt requests the dentist to enter the previous day date and the dentist does Fraud The frequent intake of juices by the child does all except. Systemic water fluoridation 5 A’s of cancer prevention : Ask.000. Assist.
o often due to the decomposition of mucus secretions and debris which accumulate on the tongue.
The position of permanent incisors in relation to deciduous incisors. what is the next step for the dentist to do. and between the teeth. taper of the clasp. Reduced leakage. better patient compliance.amount of drug that is available is blood. suture . length of the clasp.is an estimate of the margin of safety of a drug. curettage should not be done in pts with dry socket. What is the effect seen when propranolol and epinephrine are injected simultaneously o in cases of mild reactions it causes hypotension. dental problems. less relapse and can be done in yonger patients What is not true of alveolar osteitis (dry socket).ANS. Max effect is also called as intrinsic activity. o Factors to consider when designing posterior palatal seal… Patient comes back to the clinic 5 hrs after extraction with bleeding. . inform patient o more than 6 mm: buccal flap How to split the impacted mandibular tooth when viewed from occlusal. cross-section of the clasp arm. in severe reaction it is malignant hypertension Synergism .+.same target of action-increase action o additive . Common location for periodontal cyst. ANS.inferior and lingual Advantage of distraction osteogenesis over ostectomy . and sinusitis. Lower bicuspid o lateral periodontal cyst is detected only during radiographic examination o 65% of cases occur in mandibular canine-premolar area. better esthetics. wider range movements.compensates for shrinkage. Periodontal surgery. Y slope.angular chelitis 6yr old complaining of halitosis o can be a symptom of various conditions including: postnasal drip. split buccal to lingual till the furcation. no antibiotics. Purpose of placing posterior palatal seal ANS. Patient has 2mm communication with the maxillary sinus.search for the source of bleeding flexibility of the clasp depends on all except. what should the dentist do. o Potent = depend on dose of drug o less mg for same efficacy has more potency efficacy the max effect of the drug.target of action is different Patient c/o burning sensation at the corner of the mouth . Depth of the undercut. o 2mm: don’t do anything and follow up o 2-6 mm: place gel foam (surgicel). what is the treatment of choice. increased strength of composites. abcess.
. o TI = Lethal dose 50/Effective dose 50 What is bioavailability of a drug. ANS pain starts on the first day. Pt after scaling and root planing and with excellent oral hygiene does not show reduction of pocket depth.decongestant and antibiotic . in the nose. Potency response to a drug over a given range of concentrations. ANS. dry mouth. Acid-etching does not cause. ANS. Therapeutic index .
double Y incision was not the choice .Listerine is a combination of alcohol + phenolic compound. doesnt come out completely from tissue undercut. stailess steel scaler.increases. inferior to the lesion. Tobacco St John Wort(herb) is used for .aspirin and other NSAID’s) should be avoided.child abuse. Patient had old PFM on # 9. Hyperthyroidism restless/irritable. releases alcohol as byproduct. at the crest PVS impression material has which of the following . Hypokalemia Drugs used to control salivary secretion – Pilocarpine. so concurrent use with blood thinning medications.decreases
To expose a mandibular lingual torus of a patient who has a full complement of teeth. muscle wasting. directly over the most prominent part of the torus o e. cold intolerance. tremor. constipation. such as coumadin (warfarin. the incision should to o a. bleach teeth o When will you bleach teeth in anterior veneer prep.before veneer prep.mild depression Drug that interferes with coagulation . edema. o primar support area on maxilla: Ridge. Semilunar b.
Patient c/o frequent dislodgement of anterior crown (post and core) Extension of lower denture .what is the compoisition .till retro molar area : o primary support area on mandible: Buccal shelf . where will you place the margins in a anterior PFM prep . what will u do? . deep voice. o Burning after use of mouth wash is due to alcohol (causes drying of the mucosa). weight gain.change PFM. hair loss o Causes: Cretinism (child). cevemille . diarrhea. rubber cup and paste. Paragingival o c. fine hair o Causes: Graves. o other possible answer might be a linear incision from A-P with oblique releasing incisions How do u clean implants . Hashimoto’s thyroiditis (late. Myxedema (adult). reflecting the tissue superior
. o Abuses that have to be reported to authorities colleague practicing with chemical impairment colleague advertising on electronic media child abuse domestic violence elderly abuse Listerine . weight loss.rugae. dry skin.Saw palmetto o Saw palmetto products could theoretically interfere with blood coagulation.guided by overjet and overbite IRM is . may release H ion Mostly periodontits occurs in : Diabetes. wait for 2-3 weeks o bleaching affects both enamel and dentin incisal guidance . Atropine . What incision is given to remove palatl tori .Subgingival. one more choice.scaler with a plastic sleeve. sweaty. Pituitary adenoma (2˚ hyper). secondary on max . in the gingival sulcus and embrasure area o d.is unstable. autoimmune) Hypoglycemia is common in : Hypotension. Hyponatremia. he complains that PFM is lighter than other teeth. titanium scaler It is required/mandatory to report all except . reaction to drug. heat intolerance. Hashimoto’s thyroiditis (early) Hypothyroidism mental slowing.zinc oxide-eugenol with polymer reinforcement.Phenolic compound . Thyroid adenoma.
CONDYLAR ARTICULATOR . Non-Adjustable o (Class 1) A simple holding instrument capable of accepting a single static registration. endo lesion caused by perio.sensitivity to percussion Rubella embryopathy . Extensive occlusal pathology. Arcon: Whip Mix o Uses: Multiple restorations.no periodontium. Semi-Adjustable o (Class 3) An instrument that simulates condylar pathways by using average or mechanical equivalents for all or part of the motion. guidance is fine and you need to fabricate FPD. and the fossa assemblies on the maxillary element. no immediate side shift.to preserve face bow record Why do we remount complete denture? o The first remounting is performed before the dentures are handed in to the patient and the second after a certain time of wearing. the thickness of the record increases the VDO upon articulation. bone and implant.it disappears on streching.Leukoedema . cataracts. o (Class 2) An instrument that permits horizontal as well as vertical motion but does not orient the motion to the tmj o Uses: Single restorations. Lesion that blanches .also called chronic rubella panencephalitis o Occurs during 1st trimester. adjusts the denture base on the denture foundation. Restoring at a different VDO Purpose of making plaster index of complete denture . Non arcon: Hanau H2.sinus tract Hallmark of acute periradicular periodontitis . ant. deaf. Fixed partial dentures with: minimal occlusal pathology. Fetus has microcephaly.irreversible pulpitis with normal periradicular tissue. Vertical motion is possible. What kind of articulators? . it is always bilateral.An instrument following anatomic guidelines such that the ball of the condyle analogs are carried on the mandibular element. o These instruments allow joint orientation of the casts and may be arcon or nonarcon instruments. Which has best px? Perio lesion caused be endo.A non-arcon articulator. o The first procedure corrects occlusal errors resulting from imperfect fabrication o The second. o When the record is removed the condylar guidance inclination would be decreased in the non-arcon articulator creating a potential negative error in excursive movements. Full mouth restoration if good anterior guidance exists. Pt has a stable bite. irreversible pulpitis with chronic periradicular tissues Hallmark of periradicular abscess .Endo to perio lesion is outward. perio caused by perio …
. purpura Periodontium surrounding the implant . Perio to Endo lesion is inward. congenital heart disease.
ARCON ARTICULATOR . Certain FPD’s. Apexification (necrotic pulp) and apexogenesis (vital) Tooth responds with lingering pain to cold . multiple restorations if good bilateral cuspid disclusion exists. Group function/posterior guidance. Fully-Adjustable o (Class 4) An instrument that will accept three dimensional dynamic registrations. o Uses: Full mouth restoration. combo lesion. no loss of VDO. after wearing of dentures. Advantage of Arcon over Condylar Articulator o When using an occlusal record to relate opposing casts. Those instruments allow for orientation of the casts to the temporomandibular joints. Differentiate perio and pulpal abscess.Semi adjustable.
median rhomboid.punched interdental crater on the interdental papilla.same when tooth has gold . normal = 82 o SNB position of mandible. nerve damage NaOCl does all except .respiratory depression pic of cyclosporine (probably gingival hyperplasia) complication following distraction osteogenesis : .2 mg. thyroglossal duct.> 0.Loclaized: AA.0.when mandibular molars placed more buccally IF SNA is -8 what type of malocclusion---Class III o SNA position of maxilla. gingivalis: o Aggresive perio . Reason of cheeck biting in a denture patient .000 0.
Reliable test for teeth with open apex . or porclain crown Organisms in chronic periodontitis – P.globulomaxillary cyst (doesn’t really exist but is a RL between maxillary lateral and canine) o midline swellings . ept--.chelating agent
.retention grooves how to increase the resistance and prevent from fx of the restoration: dove tail it provides the retention form Coefficient of thermal expansion is most for which material – tooth < gold < amalgam < filled resin < unfilled resin Epi in each ml of lido with 1:100.heat. chrons disease how to prevent proximal displacement of Cl II filling . metallic taste and pseudomembrane. cold. Two carpules o Max dose of epi for healthy pt---. Eight carpules
Rule of 6s o F.sensitive to cold and biting ( hyperocclusion) Diagnosis of ANUG . fetid odor.018mg per carpule o Max dose of epi for cardio pt----.04mg.6 ppm NO SUPP o Pt < 6 mos NO SUPP o Pt > 16 yrs NO SUPP 2. Gen is Prevotella intermedia. range 2-12 degree o Cl 3 average -1 . dermoid cyst granuloma + bleeding + apthous ulcer -: ulcerative colitis.cracked tooth syndrome o Tooth with a recent crown .nasopalatine. range -6 -0 degree What will happen if pt consumes too much of opiod analgesic .long term followup.0. range 0-5 degree o Cl 2 average 7 . normal = 80 o Convex profile Class II o Concave profile Class III o ANB >4* then Class II What is ANB? Relation of maxilla to mandible o Cl 1 average 2 .2 mg of NaF will provide 1 mg of Flouride *memorize* Tooth release of pain on biting and sensitive to cold . Eikenella corrodens Midline swelling all except .
Informed the patient was involved in an accident.muscles in this area are Superior constrictor(directly). 50mg/kg o IM or IV: Ampicillin 2g. 30-60 minutes before procedure o Oral: Amox 2g. 50mg/kg OR Azithromycin 500mg. what do you need to do before fabricating denture? Intestinal polyps: Gardner's. Peutz Jeghers syndromes. 50mg/kg OR Cefazolin/Ceftriaxone 1mg.
Pharmacology o Overdose of PRILOCAINE ." Border molding o Recording of retro mylohyoid area during border molding .500mg TID o Clindamycin .
. When the posterior border(distal of tuberosity) of the max denture is thick.Methemoglobenemia o Lidocaine toxicity is due to . Bacteroides Definitions o Unbundling: "the separating of a dental procedure into component parts with each part having a charge so that the cumulative charge of the components is greater than the total charge to patients who are not beneficiaries of a dental benefit plan for the same procedure.overdose .caries stops. 20mg/kg OR Cephalexin 2g. o both statement are wrong Organism that cause severe spreading abscesses include: Fusobacterium. Identify the lucency fracture There are more detached plaques within supragingival plaques that subgingival plaques.increased vasoconstrictor. If hamular notch hits retromolar pad. Campylobacter.supragingival plaque is always attached and subgingival is unattached." o Downcoding: "a practice of third-party payers in which the benefit code has been changed to a less complex and/or lower cost procedure than was reported except where delineated in contract agreements. the denture dislodges as the pt opens because the coronoid process hits the denture.300mg qid." o Upcoding or overcoding: "reporting a more complex and/or higher cost procedure than was actually performed. but the second statement is correct . 20mg/kg OR Cefazolin/Ceftriaxone 1mg. longterm usage is pseudomembranous colitis o Cefalexin . caries increases Normal Dose o Amoxillin . Enterococci." o Bundling: "the systematic combining of distinct dental procedures by third-party payers that results in a reduced benefit for the patient/beneficiary. 50mg/kg When will the BULL rule be utilized with the selective grinding working side ONLY Pan showing lucency going inferior over the body of mandible close to the angle. 15mg/kg o IM or IV: Clindamycin 600mg.acetaminophen o Antidote for benzodiazipine overdose Flumazenil (Anexate) o Antidote for opiods Nalaxone o Treat alcohol addiction Disulfiram If dentist seals a small carious lesion what happens . The detached plaques within subgingival area are the ones that are more toxic to tissue than attached plaques o both statements are correct o the first statement is correct but not the second o the first statement is wrong. due to preservative o Drug with no inflammatory action . 50mg/kg o Pen allergy: Clindamycin 600mg. medial pterygoid and glossopalatinal(indirectly) o On the buccal of mandibular border molding .u record Buccinator when the pt opens his mouth.500mg qid Premedication single dose.
stopping the signal transduction in the cortex Maximum dose of o Prilocaine 400mg METHEMOGLOBINEMIA o Mepivicaine 400mg = 80ml of 0. Blood in the stool that can be seen with the naked eye (occasionally). higher risk for cancer.5% or 40ml of 1% LEAST VASODILATOR EFFECT o lidocaine without epi 300mg (about 9 carpules) o lidocaine with epi 300mg o bupivacaine 90 mg MORE SELECTIVE FOR SENSORY NERVES o *all are amides metabolized in the liver Ethical Principles o Autonomy “self-governance” duty to respect the patient’s rights to self-determination and confidentiality o Nonmaleficence “do no harm” duty to refrain from harming patient o Beneficence “do good” duty to promote the patient’s welfare o Justice “fairness” duty to treat people fairly o Veracity “thruthfulness” duty to communicate truthfully Which of the following mandibular fracture will heal in 4-6 weeks? Symphysis Question said when does bony healing begin? 1-3 weeks. To do this. Cross-sectional. … Mandibular Fractures – can always be visualized on pano radiograph. Jeff's syndrome (severe form). The amount of emotional stress each pt. vital. stopping the local signal produtction and transduction d.goltz syndrome). Clinical Trial Why is the surgical stent required for an immediate denture? to give an idea of the anatomy of the region Which tooth will the matrix band be a problem with when placing a two surface amalgam? o mesial on maxillary first molar b/c of the cusp of carabelli also Mesial Of max premolar> Distal of max molar Asprin stops pain by a. 4-6 weeks.5% o Symphysis 22% o Body 16% Pt on kidney dialysis. the researchers used hospital records of pt's diagnosed with peptic ulcer disease and pt. Clubbed fingers or toes. diagnosed with other disorders over the period of time from july 1988 to july 1998 . middle aged . Basal cell nevus bifid rib syndrome (gorlin . Albright's syndrome. This study is o Cohort. Case-study*. when can you perform TE? One day after dialysis o Pt with end stage renal disease (ESRD) >>> 1)are on steroid therapy 2)prone to bleeding 3) do NOT use NSAID because they cause nephrotoxicity
. Cramping pain in the belly area.intefere wiht signal intrepretation in the CNS c. o S/s: Brownish or bluish-gray pigmented spots. anterior radioluceny (can be radio opaque). Historical Cohort. Iron supplement o Question on gorlin-goltz and 2 on neurofibromatosis OKC has scalloping of radiolucency around the roots Cemento-osseous dysplasia Black women. is exposed to was determined from these records. no symptoms A study is designed to determine the relationship bet. emotional stress and ulcers .Peutz Jeghers syndrome.
Cafe au lait spot . Neurofibromatosis Peutz Jegher's syndrome – inherited intestinal polyps. stopping the unpward transduction of pain signal in the spinal cord b. take 2 with another view to confirm o Condylar 29% o Angle 24. Vomiting o Tx: remove polyps with surgery. Dark freckles on and around the lips of a newborn.
indigestion. bronchospasm Which of the following decreases the salivary flow? Scopolamine (like atropine) (also use for nausea and motion sickness) Study group A and B give some agents for plaque control then compare which agent is more effective. what you prescribe for pain? advil Disable Pt comes in and not cooperative.for regeneration with bone graft o flap surgery . See on xray a thick lamina dura and no PDL space
. You should do voice control followed by? Alternating appraisal What is the side effect of pilocarpine (Tx of dry mouth) in toxic dose? Bradicardia and hypotension o Nontoxic side effects: excess sweating and salivation.
Action of Listerine it disrupts adhesion of bacteria to plaque. What would reduce it? Telling Pt to raise her/his hand when feels pain What does St. John's Wort o Licorice (Tx of Dyspepsia. Chlorhexidine The mechanism of action is membrane disruption Dental anxiety can be caused by Pt’s helplessness. o in Pt with HIV it interacts with anti HIV drugs such as Indinavir (increase immunity) and reduces their function so the immunity decreases Primary risk factor for periodontitis? Tobacco o By recent studies. and it kills bacteria associated with plaque and gingivitis by disrupting the bacterial cell wall. which one has correlation with periodontitis? Diabetes . Which study is that? o Clinical trial Benzodiazepine works by inhibiting GABA inhibitors Which of the following potentiates anticoagulant activity ? o St. Which of the following images best shows the mid-facial fracture? Commuted Tomography (take axial and coronal orientations) o Reverse towne’s for condyle fracture o Submentovertex for zygomatic fracture o Waters (occipito-mental projection) THE BEST VIEW TO EVALUATE THE FACIAL FRACTURE and maxillary sinus Tx for ClassII furcation involvement (called cul-de-sac)? guided tissue regeneration nd o Note:2 maxillary molar has the worst prognosis in furcation involvement Know about difference between regenerative surgery and flap surgery? o regenerative surgery . is a phenolic compound o LISTERINE :Antiseptic mouthrinse is a broad-spectrum antimicrobial.to get acess for better srp Pt is on rehab of cocaine. Increased anticoagulant effect of warfarin has been reported during concurrent ingestion of saw palmetto. GERD) and Upper respiratory infections o Saw palmetto Note: never prescribe with coumadine. John's Wort do? Decrease the body immunity o Note: there is no option “anti depressant” in choices. how should you act? Permissiveness (give Pt freedom and treat in the way Pt feel comfortable) EPT not used in primary teeth Ankylosed tooth diagnoses best by Percussion test (metallic sound).diabetics are 15 times at risk A kid is on recall appointment and is not cooperative.
commonly used for allergies (itchy eyes. and circulatory collapse. diaphoresis (excess sweating). shortness of breath. accelerated heart rate. numbness.
Base metal alloy o Cobalt – gives rigidity. setting up Which one is less sedative? promethazine(Phenergan). o Metronidazole inhibits this enzyme as well.sneezing) OTC
.increases hardness o Tin helps in porcelain bonding Cheek biting caused by? Decreasing posterior horizontal overlap Also Posterior teeth placed edge to edge. and weakness. Antimicrobial to clean wounds All are the actions of vasoconstrictor in one carpule of local anesthesia: o Increase depth and duration of anesthesia o Reduce systemic absorption of LA What will prohibit mesial drift of tooth toward edentulous area? Proper axio-occlusal contact (opposing and adjacent tooth) Diabetic Pt under NO2 Tx. Benadryl (Diphenhydramine) o Increase in sleep duration chlorpheniramine>promethazine>diphenhydramin. vomiting. postural fainting. throbbing headache. Nothing is affected o A relatively mild form of nerve injury caused by compression of a nerve. strength. Potency What reverse alcoholism? Antabuse(disulfiram) it inhibits aldehyde dehydrogenese. recap. visual disturbance. runny nose. abdominal cramp o Later symptoms: high fever. endemic goitre and Hashimoto's thyroiditis). although the myelin sheath may be temporarily disrupted. o Tx: reduce facial of mand molar Biting on the corners of the mouth? Reset canine position lip biting may be due to the following: Large anterior horizontal overlap Tongue biting caused by: Having posterior mandibular teeth too lingually (increasing posterior over jet) Two different drugs with same dosages bind to the same receptor and cause same intrinsic affect however they have different affinities for the receptor: In which aspect these 2 drugs are similar? Efficacy. o Phenergan is widely used to treat nausea/vomiting and comes in an injectable. finally Pt becomes hypotensive. tachycardia. o 5–10 minutes after alcohol intake. o It usually heals quickly Least chance of needle injury? cleaning up. Maxillary sinusitis Untreated hyperthyroidism : atropine and excesive amounts of Epi should be avoided Thyrotoxic crisis signs o Early symptoms: restlessness. Precaution? Medication? Change in food? In Neurapraxia which one is affected? Axonal membrane. o It is characterized by temporary loss of nerve function. mental confusion. o Note: Betadine Not for use in children under 6 years of age and in patients with a known or suspected iodine hypersensitivity. tingling. cardiac decompensation. nausea. ED50. so don’t drink alcohol and take flagyl
After caries removal sound tissue is on cementum. can only be obtained with a prescription. Abrasion. Perineurium. the patient may flushing of the skin. o Disulfirum reaction occurs as a result of increased levels of acetaldehyde which gives the “hangover” feeling. Regular use is contraindicated in patients and users with thyroid disorders (in particular nodular colloid goitre. nausa. o It involves no structural damage to the nerve axon. How do you restore? Build up with GI and place composite Periapical lesion caused by all except? Occlusal trauma. o Benadryl. hardness o Chromium – prevents corrosion o Zinc .
g 20002006) to develop disease? Cohort Which race has a higer F in DMFT index? Whites Picture of midline of floor of the mouth.difference between 2 means this can be compared between control group vs tx group OR tx A vs Tx B In which syndrome Pt has multiple odontomas? Gardner's syndrome and esophageal stenosis syndrome Which syndrome Pt has calcified falx cerebri. bifid ribs? . o Auricutemporal nerve branch of V3. After parotid surgery or trauma the parasympathetic fibers may be severed. moderate. or BP measurement(can not be zero). severe o Ordinal include numbers: like furcation involvement 1.g Kelvin degree. Comparision between 2 proportion. o In their attempt to re-establish innervations. the # of this species has been used as a caries test What is Gingival Plaque Index? o Nominal like mild. o T-test camparison of mean value of two groups . PH.Gorlin Goltz syndrome aka Basal cell bifid rib syndrome. Radiographic projection from the base of the skull: Submentovertex projection o The zygomatic arches stand out like the handles of a jug on this view Which population has the most number of UNRESTORED caries black o Untreated caries blacks o Untreated caries in kids Hispanics o Fillings white A lesion that has re-mineralized will be more difficult to penetrate in the future A class II caries is Apical to contact Caries exists below critical pH of 5. multiple okcs. supplyies sensory fibers to preauricular and temporal areas o Carries parasympathetic fibers to the parotid gland. damaging the facial nerve.2. which test we do? o Chi square test measures the association between 2 variables and comparision of groups when the data are expressed as counts or proportions.the color is NOT blue o Ranula. o Characterized by flushing or sweating on one side of the face when certain foods are consumed.3 o Interval like Celcius degree o Ratio e. dermoid cyst Frey's Syndrome (Auriculotemporal Syndrome) o Neurological disorder that results from injury or surgery near the parotid glands. these fibers occasionally become misdirected and regenerated along sympathetic nerve pathway.
Radiographic appearance of crater defect? o An osseous crater defect is a concavity in the crest of interdental bone confine within facial and lingual walls Study among smokers and nonsmokers in a period of 6 years (e. length(can not be negative).weight o Note:gingival index: both ordinal and nominal
.5 What is the bacteria that is not initially involved in caries but plays an important role? LACTOBACILLUS o gram positive facultative anaerobe.
therefore relatively safe. agonist. o Characterized as clustered. the answer choices also included partial agonist and partial antagonist o Agonists have intrinsic activity (maximal effect of a drug). and benign prostate hypertrophy
. what is the most common reason for pain afterwards? Fracture of the tooth has to be suspected o Galvanic shock Sensitivity . When you stimulate alpha 1 receptors what happens? Vasoconstriction o Prosazin is a selective α1 blocker used to treat HTN. efficacy of 1 o Pure antagonists have no intrinsic activity.
Pit and Fissure caries is described as two cones: o Two bases are pointing toward the pulp o Two apexes are pointing toward pulp in smooth surface (proximal caries) o One apex toward the pulp and one base toward DEJ o Both bases facing DEJ How is transillumination helpful when examining a kid? Koplik spots o A prodromic viral enanthem (rash. cluster of spots) of measles manifesting two days before the measles rash itself. Infected dentin has large amounts of bacteria and needs to be removed because non-reversible The dentist accidently did not see Occlusal caries and he placed a sealant over it. heart failure. efficacy of 0 o Partial agonist has an intrinsic value between 0-1 Therapeutic Index = LD50/ED50 or TD/ED and higher therapeutic index is better because wont do as much harm o A drug with high LD50 and low ED50 has high therapeutic index. Will the caries o Stop o Rapid Progression o Slow Progression What does caries detector stain? Denatured collagen o Research indicates that the dye in the caries detector bonds to the denatured collagen which is present in the outer infected dentin but which is not present in the inner uninfected dentin and normal dentin Recently placed gold inlay. white lesions on the buccal mucosa near each Stenson's duct (opposite the premolars) o Pathognomonic for measles Affected dentin has bacteria present but smaller amounts and can be reversed.choose this if only question says opposing dissimilar metal For a resin-retained FPD (Maryland Bridge) everything is necessary EXCEPT: o Wrap around proximal o Draw o Occlusal rest o Chamfer o Bevel How is bioavailability measured? o How much drug is absorbed in the circulation o Blood to urine ratio o Note: efficacy of drug: level of binding a drug to its receptor There are two drugs that with the same dosages bind to the same receptor and have same intrinsic affect however different affinities for the receptor: How are these two drugs the same? o ED50 o LD50 o Potency o Efficacy Question asking the definition of antagonist vs.
it brings back the same symptoms that it relieved. What do you prescribe? Penicillin VK What drug has cross allerginicity with Penicillin? Cephalosporin. anxiety. panic attacks o Clonidine and Guanfacine (alpha-2 adrenergic agents) rebound hypertension What is the most common type of seizures found in children? o Grand mal o Juvenile absence seizures o Simple partial seizure if there was not option of Febrile go with this o Febrile seizure: A convulsion that occurs in association with a rapid increase in body temperature. Therefore more can reach brain. are usually of no lasting importance. then remove pseudomembrane. debride. it suppress apetite o Phynylephrine-induced hypertension alpha 1 receptor agonoist Do benzodiazepines have a anxiolytic effect? in moderate doses ANTIANXIOLYTIC and high doses is SEDATIVE Atropine contraindicated for nursing mothers and patients with Glaucoma Zyban (bupropion) is used for smoking cessation.with anesthesia causes hypotension. Tricyclic Antidepressants ( Amitriptyline. Sodium Thiopental rapid-onset short ultra acting barbiturate(IV) for general anesthesia. metallic taste. Two to five percent of children have a febrile seizure at some point during their childhood. Febrile seizures are the most common type of seizure seen in children. Imipramine. Must withdraw gradually to prevent this o Benzos rebound anxiety and insomnia o Eszopiclone and Zolpidem rebound insomnia o Triazolam (short-acting) daytime rebound anxiety. Lithium. CHX o Systemic Abts only if there is lymphadenopathy and/or fever Child comes in with an oral infection and is NOT allergic to Pen. perceptual disturbances o Methylphenidate or Dextroamphetamine Rebound stimulatory effects psychosis.for Desensitization What receptors do benzodiazepine act on? GABA Rebound effect when you discontinue med. Triamterene Which of the following ACE inhibitor? ends in -PRIL Which of the following drugs causes gingival hyperplasia? Calcium channel blocker : Nephidipine . Cyclosporines Patient comes in and is on Coumadin. Amiloride. what do you do? Do not need to stop medication What drug is used for ANUG? o Tx: topical. TCAs also inhibit reabsorption of dopamine. Trimipramine) inhibit the reabsorption (reuptake) of serotonin and norepinephrine by brain cells. o If pt has allergic to penicllin then pt has allergy to cephalosporin What is the effect of Tetracycline? BACTERIOSTATIC on protein synthesis 30s What is the effect of Penicillin and Cephalosporin? BACTERIOCIDAL cell wall synthesis Which drug should not be used with someone with Liver damage? Tylenol Effects of histamine and that it is derived from histidine? histamine is bronchospastic and vasodilator o Cimetidine.bipolar disorders What do you often need to supplement with diuretics? Potassium Potassium-sparing Diuretics : Spirinolactone. . To a lesser extent. Common in infants and young children and. stronger than before.H2 Blocker (reduce the acid secretion) for GERD (gastro esophageal reflux disease)
.both have Beta lactamase ring. fortunately.
How will Propranolol (non-selective beta blocker) affect the following? o Ephedrine induced mydriasis (contraction of papillary muscle) ephedrine is Sympathomimetic drug. depression and a return of ADHD symptoms o SSRIs rebound depression.
antacids.min. thick 3/4 crowns. 78% Noble Metal ∗ Type III (hard) .Tetracycline o note: Do not take iron supplements. multivitamins. long span FPD's
. Antacids and milk reduce the absorption of tetracyclines. complete crowns.min.RPD Frameworks.min. very slight stress ∗ Type II . pontics. byproduct ethyl alcohol o Irreversible Hydrocolloid A patient with stable posterior occlusion and only missing maxillary incisors you are making a bridge from #6-#11. and incisal guide o A simple nonadjustable articulator in MIP What is the purpose of a facebow to set the Maxillary arch to the o Terminal hinge axis o Mandibular arch When a person is in physiological rest position freeway space which is 2-3mm Angular chelietis is caused by all of the following except: Increased VDO o Note : Nutritional deficiencies.inlays. complete crowns ∗ Type III .most common What is the function of Hex on implants? b. short-span FPD's ∗ Type IV .min.thin 3/4 crowns. no byproduct o Polysulfide byproduct H2o o Condensation Silicone poor wet ability.small inlays. anirotational If there is an implant that is 4mm in width at least how many mm does the labiofacial bone need to be? 6mm How does titanium of an implant help in osseointegration? Forms Titanium oxide layer What is the cause of cheek biting in a complete denture? Not enough horizontal overlap A post palatal seal (post dam) is used for Polymerization shrinkage of acrylic Indirect retainer is used to prevent distal extension dislodgement away from the tissue TRUE The flexibility of a clasp is determined by everything except? Depth of undercut What is the strongest type of metal a FPD can be made from? Type 4
"Crown and Bridge" Gold Alloys (Non-ceramic) ∗ Type I (soft) . 83% Noble Metal ∗ Type II (medium) . What do you need to send to the lab? o Semi adjustable articulator in CR with facebow. lateral records. 75% Noble Metal ∗ Type I . and incisal guide o Semi adjustable articulator in MIP with facebow. abutments. or laxatives within 2 hours before or after taking tetracycline. 78% Noble Metal ∗ Type IV (extra hard) . In a gold MOD onlay. calcium supplements. how are the axial pulpal walls? Converging When pouring up a cast which of the following has the least wet ability with a slurry water? o Polyether hydrophilic. lateral records.
Which drug would inactivate the latter? Antacids.
then the body (9%). Patient comes back after a month or so with a dark stain near margin Microleakage When you want to seat a crown. the unstable occlusion can result in progressive posterior mandibular atrophy leading to greenstick fractures. and angle (8%) o IN ADULTS: Condyle : 29% > Angle 24.5%>Symphysis 22%> Body 16%> Ramus 1.4mg/kg) and 7mg/kg for articaine Adding o o o o a vasoconstrictor to local anesthesia does all the following EXCEPT: Decreases rate of absorption Increases duration of action Minimizes toxicity and helps homeostasis all of above
Max amount of Nitrous Oxide for a kid o 40 % o 50% o 70% Adult The maximum amount of nitrous on the machine safety hinge is 70% What does band and loop NOT do? Does NOT create a vertical stop Patient with white palate Patient wears denture all night
.3% Know the Maximum dose of lido with epi is 7mg/kg for an adult o Note: text says 5mg/kg for (According to Malamed 4. Passive. inactive post? o A smooth-surfaced post although less retentive. o Papillary hyperplasia of the hard palate develops. o If not corrected. the following contribute to it fitting passively EXCEPT: o Die spacer o Increasing gypsum investment material o Fit checker What is an active screw (post) vs.7% > Coronoid 1. limited interarch space. If a kid comes in and has trauma to the face and the IA is damaged. but not in artificial light. transmits the least amount of force to the root structure. followed by the parasymphysial region (27%). o The premaxilla becomes ATROPHIC as a result of the force exerted on this soft bone during occlusion.
Kelly (Combination) Syndrome o Destructive changes in hard and soft tissues of patients with complete maxillary denture opposing an unstable bilateral free-end mandibular partial denture o The long-term result is extrusion of the remaining mandibular anterior teeth and the alveolar process surrounding them with loss of posterior mandibular bone. two color samples might appear the same in natural light. What do a veneer and all ceramic crown have in common? Rounded internal A resin bonded FPD in not seated all the way or is not stable. o The plane of occlusion becomes reversed. o For example. What could be the reason? microleakage Veneer which is bonded with resin. o The maxillary tuberosity develops HYPERTROPHY. in that they simply lie within the post space after being cemented o Threaded posts actively engage the internal walls of the root canal as they are screwed in The most retentive by far but produces such a force on the brittle root structure that they are contraindicated in most situations Know about metamerism and how it can affect color based on the light source? How do you prevent it? o The quality of some colors that causes them to appear differently under different light sources. where did the kid get hit? Angle of mandible o IN KIDS: most mandibular fractures occurred at the condyle (55%).
scleroderma. primary biliary cirrhosis etc. Rheumatoid arthritis. E.irreversible pulpitis o c. D.phoenix abscess when pulp stone presents on radiograph o a. This study is called clinical trail.g 2000-2006) to develop disease? cohort Which articular disease most often accompanies Sjögren’s syndrome? A.g.
What is the average pulse rate for a child? 100+ o Newborn to 1yr 100-160 1yr-6yr 60-140 Loss of which tooth important in retaining space Primary second molar
11yr + 60-100
What do you do if mandibular central incisor is erupting lingually? o extract primary teeth and use appliance to move forward o Leave it was an option o note: if primary retain more than 8 yrs of age then extract and place appliance to reposition permanent mandibular anterior Which of the following is most likely to be interpreted as toothache by Pt? o maxillary sinusitis can cause pain or pressure in the maxillary (cheek) area (e. headache) o tmj dysfunction o otitis media
Of the following which is most likely to have reffered pain? o a. such as rheumatoid arthritis.normal pulp o b. 25 allergic pts are assigned to one of the two groups. The pts are followed for 6 months . (secondary Sjögren's syndrome) Contraindication for max molar with class 2 furcation? hemisection w/ crown o hemisection mand molar Mandibular molars to treat Class II or III furcation invasions o Root amputation max molar What substance has corrosion resistance in pfm metal? Cobalt-chromium and are more rigid in comparison to Ag and Pd o Base metal alloys (non-precious metals) are based on active metallic elements that corrode. tightly adherent film.acute apical periodontitis o b. B. o May develop years after the onset of an associated rheumatic disorder. whereas others regard it as a natural phenomenon. (assigned or give is the clue ) o Study among smokers and nonsmokers in a persons of 6 years (e. C. o Base metal alloy advantages are principally found only in their strength and low density. but develop corrosion resistance via surface oxidation that produces a thin.pulp has been injured in the past but has recovered o Some authors believe that pulp calcification is a pathologic process related to various forms of injury.. which inhibits further corrosion. To do this. Suppurative arthritis. systemic lupus erythematosus. the new drug (13 pts). Psoriatic arthritis. lateral periodontal abscess is best differentiated from the acute apical abscess by? pulp testing Radiographically the acute apical abscess o is generally of larger size than other lesions o b.
. Degenerative arthrosis. placebo (12 pts) . toothache. Lupus arthritis.may not be evident o has more diffuse margins than other lesion Epidermology question : o A study is done to determine the affectiveness of a new antihistamine.
o Because suture material is foreign to the human body. o Stains are metallic oxides that fuse to the porcelain during a predetermined firing cycle. anodontia or oligodontia (complete or partial absence of teeth). o Drastic changes of the hue (color or shade) are often impossible. salmeterol metaproterenol What does sodium hypochlorite do? Disinfectant germicidal solvent action o 5. o Through ALL EXCURSIVE movements incisal guidance plays as important a role as the temporo-mandibular articulation in establishing a functional and harmonious occlusion. and teeth. what is it? ranula o The ranula. pt is in pain when he bites. a non-resorbable suture is recommended. lack of salivary glands o child appears much older than what he or she is. whats the purpose of using an incisal guide table? o Acrylic resin reproduces the surface of teeth (lingual concavity/incisal edges) that have a direct influence in guiding the mand. This system uses "0" as the baseline. Which is least likely to occur with occlusal trauma? gingivitis
. o Pt has round bump on midline of floor of mouth. M>F.. abnormal development of the skin and associated structures (hair. a true retention cyst. o Fluoride ion inhibits the enzymatic production of glucosyltransferase inhibits glycolysis o The incorporation of fluoride into the enamel hydroxyapatite crystal producing fluorapatite which is less soluble in catabolic acids produced by oral bacteria. Plain gut or chromic gut are NEVER used for suturing the surface of a skin wound. What meds do you take for asthma? Bronchial relaxation. 000 and 3-0 are the same size). as much on the anterior teeth as the posterior teeth. airway dilation o Beta agonists – albuterol. Intensity is included in the term value. depressed bridge of nose. leading to heat intolerance). why? cracked tooth Suturing o Resorbable sutures evoke an intense inflammatory reaction. the smallest-diameter suture sufficient to keep the wound closed properly should be used.
How does fluoride play role in decreasing caries? makes enamel stronger o The topical effect of constant infusion of a low concentration of fluoride into the oral cavity is thought to increase remineralization of enamel. "0" are added or numbers followed by a "0" (for example. o Prevent caries by directly interfering with the growth and metabolism of organisms such as streptococcus mutans that produce acids responsible for decay. characteristically occurs in the floor of the mouth and is unilaterally located. o CHROMA can be successfully increased by the use of stains.. o When suturing an extraction site in the anticoagulated patient. It is almost impossible to increase the value.25% solution provides excellent germicidal solvent action What is a sign of ectodermal dysplasia? retained teeth o Hereditary. and sweat glands o Common clinical findings include hypothrichosis (decrease in hair). particularly in the gingival area. Staining a porcelain restoration will reduce the VALUE (as will using a complementary color). All these meds decrease saliva except? Pilocarpine o Pilocarpine (Salogen) is used to stimulate salivary flow in patients suffering from xerostomia due to radiation therapy in the treatment of head and neck cancer. anhidrosis (no sweat glands. What sleep med do you give to a pt the night before a dental appt? Diazepam? Value is the single most important factor in shade selection. o Suture size is based on strength and diameter. from ectoderm. o As suture diameter decreases. average size suture. Patient is getting front tooth fixed . o Orange stain is the most often used to change the HUE. Tooth #30 is endo tx with restoration. nails.
. what happens to caries? caries is arrested Where are the primate spaces? Osteoporosis is associated with which of the following diseases? Hyperparathyroidism Do not give which medication to lactating female? codiene and tetracycline Two things that account for a successful posterior composite restoration? type of resin and type of prep What is the initial step when you have an acute perio abscess? incision and drainage not Abts immediately How do you repair a porcelain veneer with composite? microetch. aligodonsia Mechanism of opiods? attach to MU receptors Main advantage of using GI cement? Fluoride Release Why don’t you use acidic F with GI? The drug enforcement agency is concerned with what? potential for abuse Where are you most likely to perforate on a maxillary central incisor? Buccal Dentist restored tooth and accidentally left caries .
On the trauma of occlusion -----gingival reccetion o Radiographic signs of trauma from occlusion: Widening of the periodontal ligament space Sometimes thickening of the lamina dura Angular bone loss and infrabony pocket formation Root resorption Hypercementosis o Trauma from occlusion is reversible. because? ANUG Best way to suture an incision? interrupted suture Best way to determine outcome of disease? o Med history of the patient (If the lab test was choose may be that) o ESR LAB result Best reason to do an onlay? cuspal coverage What is a sign of ectodermal dysplasia? anodontia.. etch and silane How to do treat porcelain veneer before you cement it?
. interproximal recession and bleeding .. o Periodontal pocket formation is an inflammatory lesions and are not caused by occlusal trauma or bruxism Most common characteristic of cherubism? bilateral jaw swelling Normal occlusal wear shows what? Attrition What substance has corrosion resistance in PFM metal? chromium What sleep med do you give to a pt the night before a dental appt? ambien CR (zolpidem tartrate) 19 yo girl has halatosis..
x-ray shows tooth has 2 canals. sensitivity to cold b. Token What do you do when pt on hospital bed has allergic reaction to iv antibiotics? a.. coronoid process Note: Masseter an buccinator are not functioning during opening of mouth. miconazole d. rct b.. sealant c. watch and observe b. smiling and congradulating is what type? social reinforcement o Positive reinforcement: Social reinforcement: Praising. No-Social (Token) reinforcement: Toy.. to help with straight line access
. Gemination c. what is the cause? a. root fracture When do you do calcium hydroxide therapy in an avulsed tooth? wait 2 weeks Chronic periodontitis most likely found in?black males What branch off facial nerve gets damaged the most during TMJ surgey? temporal When pt has mouth open. Dilacerations Praising. take off iv antibiotics b. Clotrimazole conical shaped caries w/ broad base with apex towards pulp is commonly seen in? smooth caries best clinical determinant of root caries a. give epi What are you most likely to see in a kid who has a mandibular canine tipped facially? gingival recession
Why do you do triangular access on incisors (max central inccisor?) a. No cavities. Has stain & catch in pit of molar. what do you do? a. . and others are amphotericin B and fluconozole b. surgical dressing is indicated for what? protect the wound You see 3 mand incisors w/1 wide tooth. what do you do? a. apexiflcation What is most numerous at site of chronic inflammation? macrophages Main difference and advantage of using GMT instead of Enamel hatchet? a. Composite 12 yo kid w/ carious lesion on tooth #9 that shows pulp exposure w open apex. Hurts pt when he eats french bread. sensitivity to sweets c. Concrescence d.
Which is the best systemic anti-fungal? ketoconazole.. bi-angled cutting surface b. what condition is it? fusion b. angle of the blade c. nystatin c. coronoid process has direct involvement in max molar buccal area during mouth opening and can interfere with impression taking.visual and tactile methods are used for detect caries 40 yo pt w/ all 32 teeth. push/pull action instead of Tooth #30 has huge MOD amalgam and is deep. soft spot on tooth . what oral structure would inhibit from capturing buccal flange when taking impression? c. smiling..
adjust maxillary denture What do x-rays depict when viewing osseous craters . how to fix this problem? a. or something? underestimates bone reduction Unconscious diabetic is treated with what? a.. 50 % dextrose solution e. give him insulin injection d.lip b. give him Orange Juice c. alveolar bone sectioning Mand complete dentures must be extended how far distally? a.. how do you respond? "my fees are comparable to geographic area" You are extracting a 2nd mand premolar. ridge augmentation b. buccal and IA Most common condition that occurs in the dental office? Syncope What do you do?
. place anterior implants c. mechanical bond c. Adhesion What occlusion class will it be if you have an ANB of -8 degrees? class III Trauma to max incisor. chemical bond b.b. subcutaneous sugar b.. palate d. mucosa e. floor of mouth How do you make a crown narrower? move line angles more facially Not enough room when edentulous pt closes. must be 5mm beyond the retromolar pad Pt says "your fees seem high" .. just anterior to retromolar pad b. asymptomatic and no endo lesion. must sit on the retromolar pad c. what do you do? Observe Main advantage of doing direct composite over composite onlay? better marginal adaptation Patient trouble keeping her lower complete denture in because of a low ridge.. help expose pulp horn c. tongue c. x-ray shows no pulp. what do you do? adjust mandibular denture a. to follow the shape of the crown Metastasis to the oral cavity is most likely to end up where? a. IV sugar solution or IM glucagon pt should wake up within 15mins Most common place of recurrent caries in a class 2 composite? Gingival What type of bond is composite on tooth structure? a.. what injections do you give? lingual. tuberosity reduction c. organic coupling d.
. except? a.. you decide to make her a new denture after? a. etc). marfan's syndrome o A chest that sinks in or sticks out -. thin diamiond bur In what situation would a pt need to premedicate? a. take out bone fragments and make sure its all gone Flap back the tissue and see the entire area Which does not show empathy to the patient? a.for proximal resistance c.provides retention form
. what do you do? a. T are hypersensitive to loud noises. retention grooves in axiobuccal/axiolingual walls . sudden movement. Dovetail . open-mindedness b. wait until next appointment to replant d. and things that are felt. you reline her old denture a. This can cause “stimming” (flapping of arms. A gingival bevel can be placed with all. do rct and then replant it c.. replant it asap b. sharing personal experiences c. what disease does the pt have? a. convergence of buccal/lingual wall b. narrow face Pt's max denture made her tissue inflamed and weird.. Gingival margin trimmer d. what do you do? a. mitral valve prolaspe b. enamel hachet c. you surgically remove her tissue You inadvertantly extract the wrong tooth . osteogenesis imperfect b. prosthetic heart valve c. heightened sense of lights and sounds o Children with autism are easily overwhelmed by sensory overload. you place tissue conditioning material in her old denture c. place implant asap You extract a molar and bone fragments come out with it...funnel chest (pectus excavatum) or pigeon breast (pectus carinatum) Flat feet Highly arched palate and crowded teeth Hypotonia Joints that are too flexible Learning disability Movement of the lens of the eye from its normal position (dislocation) Nearsightedness Small lower jaw (micrognathia) Spine that curves to one side (scoliosis) Thin. sharp fluted instrument b.
Pt has some condition that had blue sclera . screaming. rheumatic heart disease Proximal resistance form of amalgam restoration comes from what? a. reflection and showing understanding Patients with autism will usually show? b. bicuspid valve disease d. rocking.
cannot swallow) Port-wine stains associated with sturge-weber Cephalosporins – beta-lactam family. Why amalgam fails. A prodrug is a drug made active by metabolism. Bad prep design. 1st visit? o Full exam. impressions. anaerobic. How much reduction veneer in the middle 1/3 of facial? 0.5mm What does vertical pull headgear with chin cup do? o correct vertical and a wide range of facial myofuntional problems. o Intrusive force on the molars is increased. reflex vomiting. med hx. probing. reducing interdental habits and tongue protrusion.
Stages of anesthesia o Analgesia /Amnesia o Excitement/Delerium Begins with unconsciousness and ends with loss of eyelid reflex. purposeless movements and hyperreaction. antimuscarinic How soon do you correct a noticeable crossbite o ASAP
Most difficult part of seting denture teeth? What causes greatest occlusal wear? Porcelain o Amalgam is the strongest to wear What increases in pulp with age? Fibroblasts Width of Keratinized gingiva is : Free gingiva + attached gingiva Bone density changes : Subtraction Radiography Occlusal sealants succeed by change Pt susceptibility Which of material cause less allergy? 1-Lido 2-Procaine 3.epi The most common between five? 1-Papilloma 2-Rhabdomyoma 3-Leiomyoma 4-Lymphangioma 5-Neurofibroma The Most connective tissue tumor : Fibroma (Not true tumor)
. such as open bite. o This appliance can quickly change a mouth breathing habit to nose breathing o Know which kind of head gear is for maxillary vs mandible What is an open-ended question? o Allows freedom of response New patient comes into office. What drug causes dilation of eye or midriasis? o Atropine. dilated pupils. tachycardia and hypertension o Surgical anesthesia – working in this stage o Medullary paralysis: Cessation of respiration Denture sore throat : palatoglossal and superior constrictor of pharynx is inflammed (pt. o Headgear holds the mouth closed continuously.
used for narcolepsy.V3
2. It was previously known as a latent bone cyst and static bone cyst but is now known as a pseudocyst.
. lack of apetite.sepration from parent d-proxibrush
ADHD is most common in? boy Boys have higher rates of ADHD than do girls.
TMJ pain are mostly related to: 1.occlusal2. ADHD. Former smoker has less chance of periodontitis compare with current smoker.its Paget's disease also remember Ameloblastoma occurs in oldies) "Ghost teeth " Regional odontodysplasia (only one side of mouth affected) Where do we find most caries? 1. How far the brush and floss goes in sulcus? Brush 1mm . what is the differential diagnosis Ameloblastic fibro -odontoma (If age above 50 .V2
What is the most common site of new cases of oral cancer? 1-Palate 2-Tongue 3-Floor of mouth 4-lip Major mechanisms for the destruction of osseointegration are o Related to surgical technique o Similar to those of natural teeth o related to implant material o related to nutrition A painless. and abdominal pain? Dextroamphethamine o Stimulant that promotes NE release in CNS.pain b-unknown c-dental chai r d.Proximal Dermoid cyst Occurs in the midline in the floor of the mouth The Stafne defect is a depression of the mandible on the side nearest the tongue. The depression allows for the presence of a salivary gland Which of the following resembles an epiphysial growth plates? Synchodrosis Most beneficial aspect to brush tongue is reduce? Halotosis What is diff of 330 and 255 bur? 255 is longer The main reason of breaking of RPD clasp? High Mudule of Elastisity Work Hardening HIV with recurrent herpes labialis? Acyclovir
Which medication is controbuting to Insomnia. Seen in Gorlin and Down syndrome What to give to pt with allergy to codeine? Propoxyphene WITHDRAWN FROM MARKET What is 4 -7 years old afraid of ? a. floss 2mm Is Propoxyphene (opiod) contraindicated in pregnant women? In 3rd trimester. WAS WITHDRAWN FROM MARKET What is the best to clean implant? a-water pick b-tooth pick c-floss What is hypertelorism? eyes too far. well-circumscribed radiolucency and radioopacity in the posterior mandible of 11yrs old boy .
INITIAL CLEANING/SHAPING SCHEDULE PT FOR FINISHING RCT
Factors that affect the prognosis of perforation repair include o location of perforation o time delay before perforation repair o ability to seal the defect o previous contamination with microorganisms Immediate repair is better than delayed repair. Junctional epithelium is reestablished as early as one week. the second is FALSE. use of an allograft. new junctional epithelium can form on either cementum or dentin.
Examination reveals a soft. fluctuant. o The first statement is FALSE. o Both statements are TRUE. use of a contiguous graft. the second is TRUE Ostectomy is a procedure that involves the use of an autograft. o The first statement is TRUE. tender swelling in the middle of the hard palate. Radiographs reveal a radiolucent area projected between the roots of the maxillary central incisors. because delay can cause breakdown of the periodontium. o abt tetra and metro only if lymphadenopathy involved o tx of juvenile periodontitis: abt alone or with sc/rp Which of the following drugs best reverses the effects of benzodiazepines? o Naloxone opiod reversal agent o Flumazenil o Midazolam bdz o Aminophylline relaxes respiratory smooth muscle o Physostigmine anticholinergic toxicity antidote. o REPAIR THE PERFORATION. SCHEDULE PT FOR ANOTHER APPOINTMENT TO FINISH RCT o REPAIR PERFORATION. o Both statements are FALSE. oral rinse chlorhexidine or hydrogen peroxide. The teeth test vital. resulting in endoperiodontal lesions that are difficult to manage. REPAIR THE PERFORATION AT A SUBSEQUENT APPT IF ASSOCIATED PATHOSIS DEVELOPS. The best course of action is to o CONTINUE RCT. Which of the following drugs is administered orally to treat vaginal candidiasis? Fluconazole (Diflucan®) Griseofulvin (Grifulvin®) Clotrimazole (Mycelex® Troche) Miconazole (Monistat®) Nystatin (Mycostatin®
. and elimination of microbial contamination of the defect and proper sealing are critical to success ----------------------------------------------------------------------------------------------------------- Tx of ANUG: ultrasonic debridment. parasympathomimetic inhibits Ach-ase
Following flap surgery. The cyst that represents the most likely diagnosis is a o Nasopalatinal cyst o Nasiolabial cyst o Pleomorphic adenoma o globulomaxillary cyst The pulpal floor is perforated during access preparation. removal of tooth-supporting bone.
vermilion. sudden onset.Hony comb-soap bubble Paget's: Billateral maxilla------Cotton wool Gorlin syndrome or Basal Nevus Cell Syndrome: Bifid rib. pemphigus and erosive lichen planus
. = bad breath. drooping part of the lateral lower eyelids. nasopharyngeal carcinoma Kaposi sarcoma by herpes 8 Garre's (prolifrative periostitis) and Ewing sarcoma are both onion skin Desquamative gingivitis includes pemphigoid. GI polyps w/ potential for colon carcinoma Erythema Multiforme: young men. the procedure is terminated and prep is restored. hyperdontia. Treacher Collins syndrome o genetic disorder downward slanting eyes. o Used only when all other test methods are deemed impossible or the results of the other tests are inconclusive ex. sore mouth. widened PDL spaces. not that the pulp is totally healthy. This signifies that there is some viable nerve tissue remaining. conductive hearing loss. a small class I cavity preparation is made through the occlusal surface of the crown. it is a good indication that the pulp is necrotic and root canal therapy is indicated.
Test Cavity o The test cavity method for assessing pulp vitality is very seldom used today. Burkit lymphoma all caused by EBV. Turner tooth----Infection and trauma Hand-Schuller-Christian triad o Diabetes insipidus o Exophthalmos o Bone lesions (Langerhans dis) Oral signs of hand-schuler-christ. when the tooth suspected of having pulpal disease has a full coverage crown. viral or drug. intraoral not on gingiva. osteosarcoma and scleroderma (Trismus. underdeveloped zygoma. Odontomas. tongue or palate may indicate that pt has MEN III adrenal pheochromocitoma Tumors of Endocrine glands esp. o The patient is not anesthetized while this procedure is performed o If the patient feels pain once the bur contacts sound dentin. o If the patient fails to feel any sensation when the bur reaches the dentin. and genitalia) PDL widening: Hyperparathyoid. Excess type I & III collagen) Eagle Syn: Stylohyoid ligament calcification Zoster = shingles = unilateral Multiple neuromas on lips. BCC Gardner Syndrome: multiple facial osteoma. mask-like face. and malformed or absent ears. OKC. (target) bulls eye on hands and feet o Steven’s Johnson = severe form of Erythema Multiforme (affects eyes. mouth. o If no sound tooth structure is available to use a bridging technique with the electric pulp tester and cold test results are inconclusive. micrognathia. Medullary carcinoma of thyroid (can cause death) Actinic chelitis---> SCC Oral hairy leukoplakia & Mono. loose teeth o lesion are sharply punched out radiolucency and teeth appear as FLOATING IN AIR Amelobelastoma and myxoma---.
Sjogren’s syndrome does NOT have burning sensation of tongue but has altered taste sensation. o opaque lesion. occasionally. more diffused Infectious Mononucleosis : Swelling in neck. o Cementoblastoma may cause cortical expansion and. especially black women. o The anterior mandible is far more commonly affected than other areas. punched out lucencies 8-bit digital image would have 256 shades of gray Most common salivary gland benign major or minor : Pleomorphic adenoma Most common malignant minor :Adenoid cystic carcinoma Most common malignant major: Mucoepidermoid carcinoma Recurrance: OKC. A biopsy is unnecessary because the condition is usually diagnostic by clinical and radiographic features. Warthin's Tumor : Swelling in neck . appears in middle age (around 40 years) . and the tooth remains vital. usually surrounded by a radiolucent ring representing the periodontal ligament space o TX: cannot be removed without sacrificing the tooth. are affected. Bone relief is typically required to remove this well-circumscribed mass. low-grade intermittent pain. the apices of two or more teeth are affected. eye) in Sjogren syn is pilocarpine Multiple myeloma: Bence jones proteinuria. More often. more rounded and localized Osteosarcoma : Radiographic sunburst appearance Fibrous displysia: Ground Glass Appearance Candidiasis Pt has both burning sensation of tongue and altered taste sensation. o Pt complains of difficulty wearing the denture and shows cervical caries.
To change from long scale intensity (low contrast) to short scale intensity (high contrast) but maintain image density. o Women. o No Tx Glossodynia: tender or painful tongue Glossopyrosis: burning sensation of tongue Cementoblastoma: o also known as true cementoma. Recurrence is not seen. no gender predilection. o It occurs typically before 25 years of age. o It is more often seen in the posterior mandible o It is intimately associated with the root of a tooth. Ranula
. is a rare benign neoplasm of cementoblast origin. o Tx of sicca (dry mouth. the operator should decrease kVp and increase mAs Auriculotemporal syndrome (Frey syndrome) Often after parotid gland surgery Periapical Cementoosseous Dysplasia OR periapicalcemental dysplasia OR periapical cementoma: o This is a relatively common phenomenon that occurs at the apex of vital teeth.
I HAD MANY QUESTIONS ON THIS STUFF: Symptomatic Irreversible Pulpitis o intermittent or spontaneous pain. implant placement is placed where? lmm apical to adjacent cej Where are the primate spaces? max= between lateral & canine & mand= between canine & 1st molar osteoporosis is associated with which of the following diseases? Hyperparathyroidism do not give which medication to lactating female? codiene o This medication may be harmful to an unborn baby. o Pulpal necrosis may be partial or complete and it may not involve all of the canals in a multirooted tooth confusing symptoms. and palpation. widened PDL chronic periradicular periodontitis o no clinical symptoms.
. percussion. o Swelling will be present in the mucobuccal fold and facial tissues adjacent to the tooth. temperature changes o Advanced thickening of the periodontal ligament o remains untreated the tooth will eventually succumb to necrosis Asymptomatic Irreversible Pulpitis o Left untreated. o will not respond to any pulp vitality tests and will exhibit varying degrees of mobility. o infection extends into pdl space may become percussion + or exhibit spontaneous pain. and could cause breathing problems or addiction/withdrawal symptoms in a newborn. o tooth will not respond to pulp vitality tests and the radiograph or image will exhibit a periradicular radiolucency.. o generally not sensitive to biting pressure but can “feel different” to the patient upon percussion. acute periradicular periodontitis o very painful response to biting pressure or percussion. o After the pulp becomes necrotic. and the cervical and submandibular lymph nodes will be tender to palpation. Necrosis o will not respond to electric pulp tests or to cold stimulation. bacterial growth can be sustained within the canal. o will exhibit intermittent drainage through an associated sinus tract. the tooth may become symptomatic or even necrotic. o The tooth may become very hypersensitive to heat relieved by cold. o widened periodontal ligament space or periradicular radiolucency. o thickening of the periodontal ligament space to the appearance of a periapical radiolucent lesion. chronic periradicular abscess (suppurative periradicular periodontitis) o will not generally present with clinical symptoms. acute periradicular abscess o very painful to biting pressure. Haloperidol is used for the tx of schizophrenia/tourette syndrome lesion that occurs from tooth flexure? abfraction what liquid is found in glass ionomer? polyacrylic acid infection from mandibular premolars most like to drain into? Sublingual area o mandibular Molars submandibular area The lingual wall of mandibular teeth is most easily perforated when preparing an access opening due to the lingual inclination of these teeth. o The patient will frequently be febrile. will exhibit a periradicular radiolucency o This tooth is generally not sensitive to biting pressure but can “feel different” to the patient upon percussion. o Endo treatment should be performed as soon as possible o Internal resorption and pulp polyp are examples.
causes significant xerostomia o nitrous oxide o N2O (weak anesthetic is used agents.Price fixing o d.. to produce surgical anesthesia) o Diphenhydramine (Benadryl) is representative of the Which is the best systemic anti-fungal? ketoconazole (yes) Conical shaped caries w/ broad base with apex towards pulp is commonly seen in? o root caries (same as smooth caries) o smooth caries (look like v w/ apex towards pulp) o pit/fissure caries (inverted ‘v’ with apex towards occlusal) Best clinical determinant of root caries o The most commonly used clinical signs to describe root caries utilized visual and tactile (surface texture) o There are no reported clinical symptoms of root caries although pain may be present in advanced lesions. Noticed among these 1000.. what this action called? o a.0..jaffe syndrome Dentist reviewed of his existing 1000 Pt charts. you separate an endo file 3mm from the apex and obturate above it. which case will show the best prognosis? o vital pulp w/ no periapical lesion o vital pulp wI periapical lesion o necrotic pulp wI no periapical lesion o necrotic pulp wI periapical lesion
Least effective sedative? o diphenhydramine (benedryl) sedating-type antihistamines.Down codding o Over billing o c.
The significant advantage of a nickel-titanium file is its unique ability to negotiate curvatures during continuous rotation without undergoing the permanent deformation or failure that stainless steel files might incur. 0. Hispanic Pt with cafe au lait spots and some problem with iris (lisch nodules). Dentist waves copayment($100) but still tells insurance he charges $500 for crown.1 o c. When the instruments are stressed over time. how much is the incidence? o a. enlargement of mandibular foramen o b.does not mention about GI polyps o a. such as thiopental. the crystalline structure can change or deform making the files weaker and more prone to reaching their elastic limit. what do you do? apexiflcation How enough space provided for eruption of permanent anterior mandible? primate space Dentist charge for crown is $500. Insurance only covers $400.. 12 ylo kid w/ carious lesion on tooth #9 that shows pulp exposure wI open apex. enlargement of fungiform papilla. o A significant risk during NiTi rotary instrumentation is instrument separation..Unbundling How many canal 2nd max primary molar has? 4 o Max first molar 4 canals o Mand first molar 3 canals (25% 4 canals) o Mand second molar 3 canal (25% 4 Canals) Early childhood caries is highest in? b.0. last year 200 had periodontitis but in a year after 300 have periodontitis.peutz jegher o c.2
.neurofibromatosis neurofibromatosis characteristics: lisch nodules: traslucent brown-pigmented spot of iris axillary freckling (crowe's sign).3 o b..
o Tx: rigorous OH. B2 o Lung Only B2 o Heart B2. Likes you and will bring all his family. excessive bone loss. It is found in an area where a tooth should have formed but is missing. o Under microscopes. chlorhexidine rinse and periodic antibiotic therapy Mucopolysaccharidosis (autosomal recessive) such as Hurler and Hunter syndrome: o Macroglossia. a tendency towards a solitary lifestyle.65% (42 states) c. may be confused with psoriasis o ectopic calcification of falx cerebri. B1 Papillion-Lefevre: o Autosomal recessive. o Coronary heart disease (Huler) A practitioner has been using bisect technique for taking xray for his patients. keratosis of elbow and knee. His distance was 8 inches using that system now if he wants to take x-ray utilizing parallel technique form a distance of 16 inches the time of exposure would be: ( double. Crohn disease
. 85% is 5 years b.
what kind of study is above? descriptive differential diagnosis of periodontal abscess and periradiculal abscess? o a.half…. the cyst looks like an odontogenic keratocyst. impaired T and B lymphocyte o reduced killing of bacterial and fungal infection o advanced periodontitis in primary and permanent dentition related to AA o hemoraghic gingivitis-teeth float in the soft tissue.85% You are the 8th dentist.vitality test o c. pt did not like none of the previous. Kid 5 years with systemic ds came to control plaque. Primordial cysts most commonly arise in the area ofmandibular third molars.45% b. spontaneously tooth exfoliation. long-standing suspiciousness and generalized mistrust of others o schizoid personality disorder characterized by a lack of interest in social relationships.2.percussion o b.palpation implant success rate after 10 yrs a. granolumatous gingivitis and recurrent aphtous ulcer. o Multiple impacted teeth in one large follicle forming a rosette-like pattern radiographically(in Hunter syndrome).95% c 80%
what percentage of US population have access to fluoridate water? a. Pt suffers from? o paranoid--no trust characterized by paranoia and a pervasive.sodium fluoride or chlohexidine Adrenergic receptors o Eye Only alpha1 o Blood vessel Alpha1. anterior gingival hyperplasia due to mouth breathing o Thin enamel with pointed cusp in posterior teeth. palmarplanar keratosis. secretiveness.) Same Best caries preventive measure for retained root under Compete Denture cast coping Rectal bleeding. and emotional coldness What is most odontogenic cyst that could end up to ameloblastoma? Dentigerous A primordial cyst is a devleopmental odontogenic cyst.
Picture of a narrow Lucent canal next to upper lateral nutrient cancal? A question pointing to the Ear lobe on the Pano How tooth decay develops fructan has adhesive property then it sticks to the tooth surface After trying the anteriori teeth in the mouth for complete denture patient. what is the regimen for prophylaxis? ( know the dosage for cephalexin . an edentulous patient should a. immediately have healing abutments placed over the implants ? c.smear cytology b. cephalox Medicare is a federal thing that provide health care for elderly . not percussion and pulpation tender necrotic pulp and chronic apical periodontitis A child is allergic to ampicillin. ectopic eruption 1 molar Cancer of the other part of the body metastases most commonly to? o Bone:Molar region of mandible o Soft tissue: attached gingiva then tongue o Breast cancer is the most metastatic to the oral cavity appearing in the mandible o then lung cancer is the second appearing in the soft tissue. dilantin. should wear an immediate denture to protect the implant site All implant supported overdenture: Minimum 4 implants in Mand. may be joined by a bar o A minimum of 3 months healing time is usually recommended following fixture placement (nonimmediate loading) to allow for osseointegration of the implant fixture what is the most definite way to distinguish ameloblastoma from OKC o a. In order to determine condylar inclination we make a record of patient’s anterior guidance. It does not cover dental (both statements are true) Which pulp horn in primary teeth is most susceptible for exposure during operative procedure MB of 2 molar Most common cause of arch space lost in primary dentition decay.reflective microscopy histologically loss of retepegs is seen in pemphigoid o lichen planus(sawtooth-shaped rete pegs of epithelium)
. azithromicin) open tray technique impression for implant to transfer the exact angle of implant to the lab In office bleaching changes the shade through all except surface demineralization After implant placement. 6 implants Maxilla o Implant and tissue supported overdenture: For mandibular denture 2 implants in Mand symphysis btw mental foramina. avoid wearing anything for 2 weeks b.reactive light microscopy c. nifedipine. dixosin. What we have to take i nto consideration in the lab: o Raise the pin on the articulator while setting the condylar inclination A tooth is not responsive to cold.
liner in the casting ring! Its purpose? compensate for casting material expansion Most common cell in necrotic pulp? PMN cells All causes gingival hypertrophy except Diltiazem (phenytoin).
o used negative reinforcement. More per unit surface area and smaller in diameter d. c. Less per unit surface area but much wider in diameter. large Diabetic undergoing surgery? o Take Clear fluids with same insulin intake o Take Clear fluids with ½ amount insulin? Pic of dorsum of tongue with 1 side totally red with white nasty patches and painful? Phemigus what sound altered with altered vertical dimension? S sound symptoms if too much codeine? Diabetes leads to Blindness Hep A is transmitted by? Ass to mouth
Stucture most likely damaged with gingival graft? o Greater palatine nerve (I think) o Less palatine nerve Know the level CD4 and neutrophils of HIV patients
. Less per unit surface area and smaller in diameter For internal bleaching: use sodium perborate & 10% carbamide peroxide****
Have lot of incisal overlap. o ignored the problem. root. the dentist has o used positive reinforcement. With respect ONLY to the crying behavior. throughout the dental examination and prophylaxis. More per unit surface area and more wider in diameter. wide . The dentist "gave her permission" to cry while he/she worked and then took no notice of her crying. o extinguished the behavior. Her crying diminished in intensity over time and then stopped.
You have HIV+ pt you can do all of the following except a) treat with metronidozole b) free gingival graft c)prophylaxis to treat candidiasis You give the nitroglycerin to the pt with angina and heart rate goes up what's the reason? o natural reflex to the decrease in blood pressure Which drug will be used to treat an overdose of methotrexate? leucovorine Which fluoride causes the most staining? Stannous New FMX Radio pregnancy or 6 months ago had Taken one
Which kind of caries has been reduced over time? Occlusal. what do you want to change to maintain balanced occlusion a) ↑ condylar inclination b) ↓ condylar inclination During the child's first visit. proximal Max ridge in denture pt becomes …………. The child cried moderately. b. the dentist requested that the parents wait in the reception room.. but tearfully. Which of the following describes the character of dentinal tubules at the pulpal end when compared to those at the enamel end? a. small . over time? Narrow.
male and female for something.
If there’s space. what is considered hopeless? Mobility of tooth Our office is fee schedule and pt needs new crown but pt used up all of her allowance (or something like that). asa type? Type 3 Bennett shift. high bp. what test do you look at? Chi square test What least likely treatment for class 3 furcation? Extraction What is gives a higher failure rate after perio treatment? Smoking Is tetracycline good for prophylaxis for children? No
Know wrought wire clasp (pg 330 mosby) Know all properties of porcelain Pic of all max anterior lingual totally eroded but incisal edges are fine Pt sucking on lemon Inform consent is for which ethic principle? AUTONOMY
Anesthesia done into the vein results in? o increased BP o increased HR o pain in the periphery
. restore with composite What is function of reciprocal clasp? Retention Oppose force on buccal clasp or stability Signs of hyperocclusion Recession Pain when biting down hard Root resorption Alteration of lamina dura and pdl space Patient with past heart attack. high chlosterol. what do you do? Placed GI liner. what is most likely prevent the tooth distal from it to move into space? Occluding to opp tooth? Most associated with developing stage of gingivitis? Macrophages Know that PDL thickens as you get older Mouth breathers leads to? Open bite long face Primary tooth most like to have high chance of pulp exposure? Mand first molar Who has highest autoimmune diseases? Adult female Which diseases are assoc with positive nikolsky sign? Pemphigus If do class 2 on patient with high caries? Resin bond composite If have large caries near pulp. what is the path of movement laterally Distobuccal flange of denture is determined by MASSETER When do the max centals calcify? 2-3 months when does plaque accumulate after eating? 1 hour Know perio diagnosis. what do you do? o Charge same fee Want to compare 2 groups of people.
1 for better visibility In which direction do you luxate distoangular max third molar distal palatal. atrial septal defects. its 8. what kind of TX we can do? Consult with MD prior tx o In most labs. o In poorly controlled diabetes.Pt just visited the MD. all of the following except – gingivitis and periodontitis Free gingival graft receives it’s eptithelium from – adjacent tissue (blood supply from CT) Where is apical positioned graft contraindicated – maxillary palatal region Most common reason for cardiac arrest in children – respiratory depression. pulp necrosis. max lateral. what do u do? – no supplementation TFO on implant.autosomal dominant Temp that necrosis happens during implant placement is 47 for 1-5 min What do u use to drill for implant space o high torque slow speed drill.
Pt with hemoglobin A1C of 12%. and saline Green stain in porcelain – due to Copper Methotrexate drug interaction beta-lactamase GIC. mesial
. in which order do u extract? 3. Buccal cheek of 60 yrs man.9 %.0%.0% or above o in well controlled patients it's less than 7. mand premolar or max premolar(if wisdom was chioce that one) What is the most common tooth to erupt in crossbite? What do u do in a composite restoration.root caries What do you do when you see a decalcification spot? Fluoride and leave Community water fluoride level – 1ppm (1 mg per one liter) Kid is 15 yrs old and living in a community with 0. congenital heart disease
Most common impacted tooth – Max canine.palatal. distobuccal . not wipe-able? o leukoplakia( more on floor 50%. 2nd and 3rd molar. CHD. trauma If you have to extract 1st. the normal range is 4-5. tounge25%) o candida o white spongy nevous bilatral. just prep carious pits and fissures Radiograph showing radiolucency in furcation area in a primary second mand molar – reason is periodontal. 2.75ppm of fluoride.
Pleomorphic adenoma or low grade muco epidermoid carcinoma This tumor has a marked tendency to invade nerves. Why don’t you use GI resin cement in cementation of all ceramic restoration . gum but still couldn’t stop what do you do? Buproprion or behavior counseling
.g. what is that tx for sinus tract : antibiotics.its expansion could cause cracking of porclain Epidermolysis bullosa Rare genetic disorder caused by a mutation in the keratin gene. curettage.light instantaneously on with no warm up required No heating of substrates . Perineural invasion is seen in about 80% of all specimens.000 hrs of LED on time (LEDs only need to be on when curing) Ability to create three dimensional flood areas for curing complex shape What is compomer combined benefits of composites (the “comp” in their name) and glass ionomers (“omer”). Characterized by the presence of extremely fragile skin and recurrent blister formation. Post herpetic neuralgia cause by varicela zoster virus. If you are intending to find soft tissue pathology then MRI. Best radiograph: CT>waters Best technuque to maxillary sinus: CT>Water> Best for diagnosis for soft tissue: MRI Faint radiolucency with radiopaque border in max sinus – Mucocoele U shaped radio-opacity/radioopaque in max sinus – zygomatic process Pt has a chronic periapical abscess with sinus tract – tx is RCT. resulting from minor mechanical friction or trauma.shigles extreme unilateral pain Why do you give methadone to pt who is trying to stop heroine? to decrease withdrawl symptoms Patient tried using nicotine patches. no tx Which is the best test – EPT or thermal cold is best Benign lesion with Cauliflower appearance – papilloma Perineural invasion is seen in – adenoid cystic carcinoma. no bulb break. reduced stress curing Even intensity of radiant power over curing area Long life time> 10. no mercury Predictable radiant output power with limited drop off with life Variable power .no UVB. low voltage. no ozone.ability to create a cure profile with time e.cold curing close up to cure head One peak wavelength of output power (multiple peaks possible as required by process) No fuming of cured material normally caused by excessive radiant power from conventional lamps Safe operation .What is the diff between LED curing and conventional – choices were too long (it is an except question) Rapid Cure . cautery. PAN to identify – pterygomaxillary fissure Stafne radiographic identification Which cyst does not appear in radiograph – Nasolabial Pear shaped Radiolucency on # 9 – incisive foramen Which is the best technique to view maxillary sinus – options were both MRI and Water’s view Best radiograph to view maxillay sinus disease if they are asking about the anatomic form then CT scan is best.
when necessary. bronchitis. this type of behaviour comes under which of the following codes of ethic nonmaleficience Which of the following causes Cavernous sinus thrombosis A)Subcutaneous Abscess of upper lip b)Subcutaneous abscess of lower anterior region Infections in upper front teeth are within the area of the face known as the "dangerous triangle". Clinical judgment by the treating physician should guide the management plan of each patient based on an individual benefit/risk assessment.When RPD is rocking on the fulcrum line. and. autistism. emphysema. Cast restoration procedure which impression is least used ? Additional. What do you see in this patient mood swings One of your patient is having a dental problem and treatment that is not under your capability and you are reffering that patient to a specialist. polyether. Endodontic therapy is preferable to extractions. Debridement and mouthwash Hydrogen peroxide Pt with manic depression (bipolar) disorder not willing to get treated for that is now getting dental treatment from you. contraindicated in respiratory infections contraindication: contagious disease. coronal amputation with root canal therapy on retained roots to avoid the need for extraction. Dentist tells a patient that mercury is toxic and she should replace her amalgams with composite – which principle of ethics dentist does not follow? veracity What do you prescribe for pts with ANUG? Tetracycline in immunocompromised. whats the problem? No option about the base problem with denture base problem with indirect retainer Nitrous oxide safe mechanism level – 70%. Irreversable hydrocolloid (alginate). Dental infections should be managed aggressively and nonsurgically (when possible). agar Pt has hepatic dysfunction which pain medication can prescribe? a-Oxycodone Highest cleft palate incidence Asian which of the following dental treatment can be done with pts taking bisphosponate A)Alveoloplasty B) endo C) Extraction D) Scaling b-naproxen c-acetaminophen
. Periostat – doxycycline 20mg placed in periodontal pocket – what does it do? I think it inhibits collagenase What is allograft? same species Couple of questions about bisphosphanate Avoid invasive dental procedures while receiving bisphosphonate treatment. The dangerous triangle is visualized by imagining a triangle with the top point about at the bridge of the nose and the two lower points on either corner of the mouth Pt brushes twice a day n also floss but still he has calculus what do u suggest C) demonstration of brushing First upper molar is supra erupted and the lower opposite molar is missing which of the following u will not do? A) up righting the molar B) rotation of molar C) Intrusion In Implant preparation which of the following can be used A)Hydroxyapatitie Irrigant b) High Speed Hand Piece c) Low torque Drill d)Air Coolant. dental surgery may exacerbate the condition. For patients who develop osteonecrosis of the jaw while on bisphosphonate therapy. 1st trimester of Pregnancy.
and should be stopped a couple of days in advance.Confounding In Epidemiology a confounder is: not part of the real association between exposure and disease o predicts disease unequally distributed between exposure groups o A researcher can only control a study or analysis for confounders that are: known. Grey hair confounds thinking about heart disease because it is not a cause of heart disease. It is the sulphonyureas that cause hypoglycemia. NBDE Part 2 Day 2 8 yrs old kid with autism Ectodermal dysplasia Asthma Hx of Heat Attack Sjogerns syndrome Pt with no med Hx but has attrition and lichen planus
. For most well controlled Type II diabetics.Chlorhexidine which of the following is conditioned stimulus a) dentist b)dental chair which of the following are necessary for a test to be accurate a)specificity b)reliability c)validity Most common mid facial fracture is Zygomatic complex fracture Conventional perioperative management of diabetics Hypoglycemia is much more dangerous in a patient rendered unconscious than hyperglycemia Therefore it is safer to err on the side of hyperglycemia in patients undergoing surgery. Nevertheless ketoacidosis must be avoided. aim for equal distribution of confounders) o stratification (confounders are distributed evenly within each stratum) o adjustment (usually distorted by choice of standard) o multivariate analysis (only works if you can identify and measure the confounders) Primary stress bearing area in mandible: a-Retomolar pad b-alveolar ridge c-buccal shelf and in case the residual ridge is in good shape it also contributes to primary support. In which of the following muscles you can place the mandibular denture a-lateral pterygoid b-middle pterygoid c.buccinator (Buccal) d-maseter (Distobuccal) picture of diffused pigmentation in anterior max and mad incisors in attached gingiva? Racial pigmentation 5 yrs with systemic disease what MW used for plaque control a-NaF b. hypoglycaemia caused by OHAs and insulin pose a higher risk in the perioperative period than hyperglycaemia. Take special precaution with chlorpropamide (diabenase) and glibenclamide (daonil) as these have a very long duration of action. Strategies to reduce confounding are: o randomization (aim is random distribution of confounders between study groups) o restriction (restrict entry to study of individuals with confounding factors . "No glucose no insulin" OHAs should be withheld on the morning of surgery and on the evening before. measurable Example: Grey hair predicts heart disease if it is put into a multiple regression model because it is unequally distributed between people who do have heart disease (the elderly) and those who don't (the young).risks bias in itself) o matching (of individuals or groups.
skin discoloration. constriction of maxilla. what does it effect? o IgG can cross the placenta and give humoral immunity to fetus Rubber band if around central incisors to close diastemas. white kind of retainer? I’d assume fixed not removable…?
. anterior open bite (most common). what type of braces? o No tx o Removable o T. you use wroth wire for distal extension cases on canine and pre. what do you not do? GINGIVECTOMY Full flap to exposed a lot of bone o T. no apical repositioning of flap o Mucoperiosteal FULL THICKNESS IgG.modified widmans EXPOSES TOOTH ROOTS AND ALVEOLAR BONE.wroth wire clasp + cast circumferential o Ibar + T bar o Minor + major connector Wroth wire clasp will reduce torque force (used for perio involved teeth). class II. what condition will allow this? o T.no additional adverse effect Path: Most contagious stage of Syphillis? o Stage I o Secondary stage is most contagious o Stage III Which clinical trial where sample size doesn’t make a difference? surveillance If you have pt w/ bad oral hygiene. When person has ketone breath? Hyperglycemic Ortho: difference between skeletal crossbite and non-skeletal crossbite? Thumbsucking causes? o Posterior Crossbite. o What is a subacute sign of Mercury toxicity…? (something like that) Why would you remount outside mouth? o T. burning or itching). shedding skin (desquamation) and swelling.Mercury poisoning causes what? Loss of hair Eye sight Weight gain o Will cause peripheral neuropathy (paresthesia. crossbite When to stop thumb sucking? Intervention by dentist with appliance at age 5-6 if child has not stopped yet Perio: If little attached gingiva is present.limited fixed o Brackets o When noncompliant patient completes ortho.muscles wont interfere What causes teeth to be green or orange? o Meds o Intrinsic stuff o Trauma o Decay Combination clasp RPD? o Ibar and cast circumferential o T.
Buspirone. what is it? o Hemangioma If you are doing a graft mandibular molar and premolar. how does allograft heal Bone morphongenic protein Allograft Cadaver bone If hyperocclusion what will it cause occlusal tooth wear fractures of teeth/restorations hypersensitivity of teeth during mastication cervical dentin hypersensitivity tooth hypermobility fremitus abfractions vertical bone loss or localized bone destruction (secondary to periodontal disease) masticatory muscle or TMJ pain. less tooth reduction
. what interferes? Which can you anesthesize easier? o mental o Palatal o Long buccal Which is will mostly cause implant to fail? o Oblique ligament o Transeptal ligament Why do porcelain break on FPD Flexure of metal base Major wrong thing with bridge abutment not fit What is pontic like M-D convex If you pack bone. allow to heal.Negative architecture q. Mazindol. when interseptal bone is lower than crestal bone? Lesion in the middle of tongue also pt had it on palate before and pt is healthy? o Karposi o T. Isocabaxazid If your jaw is broken. how will the growth be? o Bilateral o Symmetrical effective o Condylar side 3cm blue on tongue. Advantage of inlay over amalgam Esthetics. Beta antagonist Nitrous sedation contraindications? Nasocongestion Which is antidepressant? o Something pentol Fluexitine (SSRI).candidasis—sounds right o Syphilis If you want to reverse vasoconstriction to get dilation Proponolol with Epi Vasoconstriction caused by? o alpha agonist.
which it doesn’t do o Increase blood supply/flow o Normal root lengthening o Close apex o Thicken root Did RCT.Endo. what does this cause o Bad relationship between pt and dentist Unrooly child o
Unruly child is someone who does not respect authority and go abide rules---
Tooth fuse or germination which stage o Abnormalities in tooth size and shape occur as a result of disturbances during the morphodifferentiation stage of tooth development. germination. e. What best brushing names Sulcular Aspirin? o Platelet aggregation Aspirin is it extrinsic or intrinsic pathway? Arachidonic is a precursor for Prostaglandin
Implant question on Analog o How implant on cast o Impression taking material Internal component purpose--. concrescence.external hex give antirotation Max RPD needs to fit how Passively Pt wore denture for 15 years then got irritation o Neuroleema o Neurosarcoma Where does the clasp fit? infrabulge
. AI and OI which stage o Histodifferentiation Abnormalities in tooth structure. namely defects in the enamel or dentin layers. still sensitive.g. apposition. fusion. result from disruption during the histodifferentiation.cant find small orifice what don’t you not use Apex locator Apexogenesis. what is most likely? overinstrumentation Diagnosis of periapical chronic abscess Which cant you use for diagnosis???? o Vitality o Thermal Open apex on primary o Use cold test o If crown on tooth use Thermal test Bring pt for trials modeling If a child is told from parent you will feel no pain from filling. pt went home. and mineralization stages of tooth development.
or agonist of alpha and beta Whats used for antidepressant – Theopentanol Xray – put lateral border orbit.If you have endo abscess but no sinus tract. least successful treatment is o Crown o Veneer o Composite What surface build for oseointigration for implant Surface titanium oxide Mand ant teeth picture with opaque line to the apex Nutrient canal When do you use general anesthesia to work o 2 yr multiple filings o Nervous pt (no) o 4 fillings on all molars o Question said something about a 2 year old needing 12 fillings … When do you hit non functional cusps o T. what causes it. out of focus. allow it to heal (without taking care of it).sickle cell If you have #7 implant what do you need for full success o no contact on lateral movements Which is not a nobel metal o Silver o Cobalt 2 pac smoker no bleeding? Multiple restorations end result o Same occlusal scheme as she had in the start Another vasoconstrictor: know alpha blocker. can puss drain through pdl o Statement true but reason doesn’t confirm What material do you use to capture VDO What is the reason you would do MOD onlay vs Amalgam o Better facial contour o Microleakage Open diastemas 8+9. what will be affected: subcondylar fracture.retrusion With age what increases? o Hue o Value o Chroma Microcitic something anemia o T. symmetrical non symmetrical
. or lateral wall of max sinus Know what happens with incorrect vertical or horizontal angulation when taking bitewings on a child Corocoid process /x ray If jaw broken.
cytology. Holes too far apart. Eugenol. 4 y. so you put nothing Know all eruption and calcification sequence when use utility gloves? Cleaning instrument Patient goes to periodontist to get flap surgery. band and loop. incisional biopsy. 90 degree butt joing When can you have unsupported enamel? Class III. Too close Alcoholic – INR test Coumadin – INR test Tx Alcoholism – Arabus? Ketone breath – Hyperglycemic Which is worst/most uncomfortable for patient to do: Increase VOD. Water Highest chance of leakage under rubber dam? Holes too wide. which test he say incisional biopsy Implants. who does re-eval? You. Decrease VOD (in full dentures) – causes angular chelitis Pt has dialysis bring them in day after Definitive Dx: Excisional. toulidine blue. facial of I or II Varicose veins (or large?) On tongue in Elderly? Because of HTN = T ORN – blood flow.o.3?’s definitive Dx. Incisional. slightly off. both? (both I believe) Gram negative: broad spectrum antibiotic Physical composition of food. what’s disadvantage? Occlusal wear (T) Space maintainer – 4 years lose 1 molars. which one
. IV. perio. oblique ligaments. part on cementum. for a 2x2x3 mm lesion. no idea) If you have class V lesion and bottom part on cementum? Occlusal you bevel. if shit is growing on side of tongue. have CR.most likely to disturb what? Apical. which aspect related is carcinogenic? The amount of times you chew? (a choice. distal shoe. what kind of reaction may he experience … Which electron shell has highest power? (f/d…outermost shell) Film Fog caused by Ferrule effect – Important for crown lengthening Which material in 100% humidity would distort? Reversible hydrocolloid. addition silicone. what inhibits polymerization? Zinc oxide. lingual arch. etc Cement: When doing composite. transeptal. or overall musculature Large MOD composite. why Listerine rinse? because it causes plaque destruction Question about doctor touching PMMA. mandible Put pulp cap – What’s over it? GI liner PMMA – what is activator/stimulator? Patient comes in with bad perio.
question said Which layer on top later of cells has increased. what angle classification o T.Smoker vs non.??? o T. need full mouth extraction Perio—diagnosis.Strt corneum o Strt lucidum T/F metropolol and epi is ok together If pt on non-selected b-blocker can you give epi o Yes o No – this is right bc a non-selective b blocker is like proponlol.
Day 2: If ext of max molar what type of tissue on root which is embedded in maxillary sinus o Pseudostratified ciliated columnar epithelium What molar has a c shaped canal (xray shows pa of #31 and the roots where convergent) nd o Mand 2 molar with convergent roots Where is it most important area to have thickness on the metal on FPD on connector area o M-D o F-L On crown where do you place retentive groove o Interproximal o Buccal o lingual Pt has had a cleft palate as a child. Max canine and mand canine ectopic from facial.post mand edentuluous ptwas chewing Picture shows bilateral distal extention and max teeth had been chewing down on the edentulous ridge. man edentulous ridge looked white and beat up. it was taken care of and at 30 years wants to get implants.smokers observing from 2000-2006 its called a Cohort T test average between clinical trial A & B what to do? Standard deviation.I o II o III SNA angle 6 o Class II Liver cirrhosis. chi test. o No! never implants with cleft palateSickle cell o HgS Post bilateral collapse. a lot of chronic periodontitis
T. crown moves distraly root stays at same place Implant. also she used inhaler too much during soccer practice-.inhaler o There is light sulcular patches on palate and can be scraped. goss debridement. tx plan o Advise pt impacted tooth but don’t extract SCC on tongue o What you do---. Pt 14 yo ectopic canine but healthy with asthma o What does she need to bring--. what would you give him o Fluoride for a week o 1 day o Every 3 months Molar Mesial caries in xray.8 week o 16 week What steps would you use for immediate denture Perio steps: SRP.Incisional 4 teeth what worst prognosis for RCT o Canine o Premolar(decalcified canals) If you upright molar a mesially tilted….Usupported enamel 2 molar stain happened b4 extraction of 1 molar o T. hep c o T. caries…. xray shows caries to pulp and occlusal picture shows super white mesial structure o Early decal o T. anti depression. liver trans 2yo. pt diabetic. Distal and inferior.ASA III o ASA II o ASA IV
.candida Herpangia Light catch with explorer o PRR All roots furca showing.
Full ext—how long do you wait for max denture o 1 day o Same day o 1 week o T.stain happened b4 o After o During What do you not use for ext mand premolar o 150 o 151 o 23 o 286 Pt 60yo impact mand molar. HTN.
and no cant place implants Hawley appliance for skeletal or non-skeletal deformities o Correction of skeletal crossbites Internal derangement cause by tear or stretch of ligaments
o The more common is referred to as an internal derangement with reduction. the disc is permanently displaced or dislocated to an incorrect position.refer to physician. it causes shrinkage porosity Valproic acid spontaneous gingival hemorrhage upon withdrawal Treat TCA overdose with physostigmine Morphine poisoning pinpoint pupils Phenytoin is used to the treatment of epilepsy and arrhythmias Digitalis is used to treat CHF
. and the jaw's range of motion is limited. increase density Valium causes orofacial clefting Analgesic compound #3 contains 30mg of codeine Ethyl alcohol is the antidote for methanol because it o Inhibits metabolism o Competes for alcohol dehydrogenase o Prevents formation of formaldehyde o Prevents damage to the optic nerve If patient is taking Cimetidine. In cases of internal derangement without reduction.
Diabetes can you place implant if HbA1c is 8 o I would say--.
Erythromycin decreases the P450 metabolism of other drugs Penetration of xrays is influenced by Kv o Decrease source-film distance. causing the popping sound characteristic of TMD. they can take Allegra (antihistamine) Constitutional symptom chills Belladonna alkaloids and anticholinergics increase intraocular pressure and are CONTRAINDICATED in patients with GLAUCOMA Increase potency of local anesthetics by lengthening the intermediate chain Chloramphenicol causes aplastic anemia Therapeutic index indicates the safety of a drug The most potent antitubercular drug is ISONIAZID Semilunar flap allows you to see the root with the least soft tissue reflection Rifampin is known to cause oral contraceptive failure Digoxin at toxic levels causes ventricular fibrillation Young patients - vervical stains are prominent If you don’t use flux. the disc slides into and out of its normal functional position as the jaw opens or closes.
inhibits NE and serotonin reuptake Ketorolac analgesic administration by mouth or IM Horizontally impacted teeth are most difficult mandibular impactions LA + sedation of diabetic patient reduce dose of insulin and don’t eat o La but no sedation usual dose of insulin and eat as normal
. use Digitals to prevent ventricular tachyarrythmias Amyl nitrite o inhalation causes Tachycardia Coronary arterial dilation Peripheral arterial dilation Decreases arterial blood pressure o Prolonged use causes methemoglominemia Cardiac glycosides decrease the concentration of K+ in heart muscle Hydralazine acts directly on arterial smooth muscle Schedule II narcotic and antipsychotic neuroleptic analgesia Benzylpenicillin excreted primarily by renal tubular secretion Irreversible anticholinesterase poisoning die because of respiratory failure via paralysis of diaphragm Chlorpromazine is a α blocker orthostatic hypotension Lidocaine is less effective topical anesthesia Hydroxyzine (sedative) dry mouth Tramadol centrally-acting analgesic.
In patients on Quinidine for atrial fibrillation. binds to Mu.