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You notice that there is a problem with the shape of his teeth. The problem probably occurred in what stage of development? A. Initiation B. Proliferation C. Differentiation D. Apposition E. Calcification
A 6-year-old child presents with a Class I fracture to a tooth with an immature apex. What is the treatment of choice for this patient? A. Restore tooth B. Place calcium hydroxide to exposed dentin, restore tooth C. Perform pulpotomy, then temporarily restore. D. Perform pulpectomy, place stainless steel crown E. Extract tooth, place space maintainer. The correct answer is A. Class I fracture involves only the enamel of the tooth. Smoothing out the rough edges of the enamel and restoring with a permanent restoration is the only treatment necessary for this tooth. In Class II fracture, this may be covered with calcium hydroxide or glass ionomer and restored as there will bemuch more substantial dentin exposure. No pulpotomy is necessary since there was no pulp exposure (as in a Class III fracture) and the pulp is still vital. As in answer choice C, the pulp is still healthy, so a pulpectomy is not necessary. An stainless steel crown (SSC) is also not necessary if only a minimal amount of enamel has been lost. In Class IV fracture, a pulpectomy and an SSC are both necessary as the entire crown has been lost. There is no indication for extraction of a tooth that has a healthy pulp, no fracture present, and may be restored with a permanent restorative material. Avulsed teeth, pimary-permanent should be treated as follows: A. Primary: reimplanted/Permanent: reimplanted. B. Primary: reimplanted and splinted/Permanent: reimplanted and splinted. C. Primary: no reimplantation/Permanent: reimplanted and splinted rigidly. D. Primary: no reimplantation/Permanent: reimplanted and splinted flexibly for 14 days maximum.
the tooth should be monitored and apexification procedures should begin if there is evidence of an infected pulp. Permanent teeth need to be reimplanted as soon as possible with best results if reimplanted within 30 minutes. Upon examining the patient. If the tooth was a permanent tooth. Flexible splinting is preferred for 14 days or less. and then root canal therapy\ (RCT) performed after 7 to 10 days. stabilize the tooth for 1 to 2 weeks at which time a pulpotomy should be performed B. rigid splinting seems to notmimic the flexibility of the PDL and inhibits proper healing. stabilize for 1 to 2 weeks. C. and then perform a pulpectomy. Primary: no reimplantation/Permanent: reimplanted and splinted flexibly The correct answer is D. Her motheris concerned because her daughter only has afew erupted teeth. Replant the tooth. Avulsed primary teeth should not be reimplanted as it can result in damaging the permanent tooth bud or follicle.E. irrigate socket. the tooth may be replanted. If the apices of the tooth are open. A20-month-old female presents with her mother to your office for her first check-up. therefore. The mother has brought the tooth in a cup of milk and says the fall occurred 2 hours ago. during which his primary maxillary centralincisor was avulsed. This answer choice is the best treatment if a permanent tooth was avulsed that had open apices and evidence of an infected pulp. 1. do not replant tooth The correct answer is D. canines . laterals. What is the best treatment for this patient? A.which teeth should you expect to find? A. splinted. Replant the tooth. Primary centrals. Take a radiograph. stabilize for 1 to 2 weeks. A primary tooth has a poor prognosis if replantation is attempted. the steps indicated in answer choiceBshould be followed. and begin apexification if pulp necrosis is evident D. Replant tooth. Primary centrals and laterals only B. A radiograph should be taken to visualize if any fragments of the tooth remain. A child presents to your office after a fall from atree. As explained before. primary teeth are very rarely replanted. if the tooth was permanent with closed apices.
is readily and completely removed by toothbrushing d.describes the numerous functions of saliva c. b. the first molars should also be present. the canines should already be present in the mouth.Cooked starch. e. Primary centrals. Fermentable carbohydrates which causes dental caries is. orthodontic brackets.Sucrose b.false.is the basis of the disease we call dental caries e. a. Primary centrals. laterals. primary central and laterals should be found by 7 months of age. and first molars should erupt by 15 months of age. Salivary dysfunction: a. first molars. A The dental plaque biofilm: a.is the layer of proteins that partially protects the outer enamel surface c. By the time the second molars erupt. The correct answer is E Dental caries is transmissible bacterial infection. first molars E.is only a problem for older people d.has no relevance to the caries process. all first molars.is a concept yet to be substantiated by research b. a.According to answer choice A. laterals. and all canines.acidogenic bacteria.true. Primary centrals.C. canines The correct answer is E. Primary centrals.enhances the remineralization process b. second molars D. Answer B is incorrect also in terms of sequence—if the canines were present.Glucose c. laterals.is one of the three main pathological factors in the caries balance The three key pathological factors in the caries balance are: a. calcium deficiency in the diet .Fructose d. By 19 months.all. first molars. a child should have mandibular and maxillary central and lateral incisors. laterals.
acidic producing bacteria. fluoride and calcium d.chlorhexidine.acidogenic bacteria. carbohydrate frequency. Fibrous ankylosis C. Hypertrophy of muscles of mastication Correct answer is C Tooth Development from oral ectoderm and mesoderma: a. Correct answer is D Maximum interincisal opening of 5 mm immediately following 3 weeks of maxillomandibular fixation is best explained by? A.non-vital pulp therapy A The cyst which is most apt 2 resolve by endodontic therapy without surgery is: . Bony ankylosis B. Stratum Intermedium C . xylitol c.b.vital pulp therapy. Odontogenesis d. b. Contains Inferior Alveolar Nerve Which statement is true Apexogeneis is a. Muscle splinting D. sub-normal saliva flow. bacteria. Outer Enamel Epithelium b. Dental Papilla c. Tooth development from oral ectoderm & mesoderma is called Odontogenesis Mandibular Canal ..
It is a mechanical exposure of 1 mm . Infection of enamel and dentin B On the first day in your solo private practice you have a pulp exposure.d. Apical cyst B. biologic process C..a. C Which of the statements describes dental best: A.e. The pulp tissue appears pink . Fluoride D. Tetracycline mouthwash. four to five weeks. Answer: C Following successful periodontal surgical rehabilitation in which a mucoperiostial flap is reflected. The hemorrhage is slight .b. two to three weeks. Dental floss C. b. It is a pinpoint carious exposure C Following successful periodontal surgical rehabilitation in which a mucoperiostial flap was reflected. Effect of bacterial colonization D.c. Infianunatory radicular cyst C. d. the dentist should allow six to eight weeks (for gingival tissue to mature) prior to placing retraction cord into the sulcus.A. Demineralisation of dentin and enamel. B.. Premature impressioning . Which one is the Exception . All of the following are favorable factors in avoiding root canal treatmentt EXCEPt one. Pit and fissure sealants B. dynamic. D The best method for control of dental caries is: A. Bay cyst. The tooth had never been symptomatic . c. any time after eight weeks. Perla ptcal cyst D. Continuous. the earliest advisable time to introduce a gingival retraction cord into the sulcus is: a... six to eight weeks.
Teeth with closely approximated roots are candidates for resection procedures but those with fused roots are not.. When prefabricated posts and cores are utilized. Dental restorations that approximate root surface concavities must mimic this contour to facilitate cleaning b. Teeth with closely approximated roots are candidates for resection procedures but those with fused roots are not... Dental restorations that approximate root surface concavities must mimic this contour to facilitate cleaning b. dental restorations on teeth with root resections should be fabricated to mimic any existing surface contours. prefabricated posts and cores are preferable to cast posts and cores d. research has shown that nonmobile maxillary teeth do not require splinting following resection. Which of the following statements is true regarding root resection procedures in teeth with Class II and Class III furcation lesions? a. Closely approximated or fused roots are a major contraindication to root resection because of the lack of sound bone to support the remaining tooth structure postoperatively. it is advisable to splint most mandibular teeth and any mobile maxillary teeth because the unsupported portion of the coronal stump acts as a cantilever and could result in tooth movement or fracture. Which of the following statements is true regarding root resection procedures in teeth with Class II and Class III furcation lesions? a. prefabricated posts and cores are preferable to cast posts and cores d. Which of the following restorative materials produce the greatest inflammatory response in the periodontium? .. Cast posts and cores are preferable in this situation because they resist fracture. including concave ones. Answer: A The roots that remain after resection procedures often are very thin mesiodistally.. When necessary.procedures can cause the gingival attachment to tear and may result in gingival recession. however. compromising the esthetics of the final restoration. To facilitate cleaning. When necessary. Other contraindications include poor crown-to-root ratios and endodontically untreatable teeth.. Generally. Teeth with root resections do not need to be splinted if the perio-dontum surrounding the remaining roots is sound c... Teeth with root resections do not need to be splinted if the perio-dontum surrounding the remaining roots is sound c. The two components can separate under stress. it is difficult to obtain enough bulk in the core for adequate strength. Convex restorative surfaces permit plaque to accumulate by inhibiting patient access.
D. A face shield is an appropriate replacement for a surgical mask. All produce a similar inflammatory response. C Which of the following statements is true? A. D . Masks should be changed when they become moist. Highly polished resin d.. C. Clinical research indicates that glazed porcelain and highly polished gold or resin all demonstrate similar plaque accumulation. Porcelain c. C. D. What is the most appropriate initial management? A. Refer for implantation of radium needles. Most hypersensitivities of this type occur when nonprecious metals are utilized. Masks should always be worn when seeing a patient. Refer for radiotherapy. Excise the entire lesion.a.. E. Answer: D Gingival tissues respond primarily to surface roughness rather than to the composition of restorative materials. Excise a portion of the ulceration and adjacent normal tissue. Hypersensitivity reactions to these materials also can result in tissue inflammation but these reactions are rare.. Highly polished gold b.. B. Perform cytologic examination. Rougher surfaces result in greater plaque accumulation and consequently more inflamed tissue. A 65 year old patient presents with an ulcerated lesion of 1cm diameter on the side of the tongue which has been present for two months. especially those containing nickel. B. Surgical masks protect against exposure of spatter which is larger than 1μm.
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