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Remembered questions 30-31 August 2018- GOOD LUCK!!!!

Many rqs from Mango

There were more options to these questions.

1) Finish lines for all ceramic restorations

a-chamfer+shoulder A

c-bevel+shoulder

c-feather edge+shoulder

d-feather edge+??

2)What topical anesthetics can you use that will cause vasoconstriction?

a-lidocaine

b-bupivacaine

c-benzocaine

d-cocaine ``````

more options

3)You are planning a bridge where first mand PM is going to be an abutment. Tooth has short crown, non carious. What would you choose to do on the tooth?

a-full crown ``````

b-3/4 reverse crown

c-inlay

d-onlay

4)You are making an inlay and in the meantime you need a temporary restoration. Which would be the WORST option?

a-made on the model with resin, cemented with ZPC

b-made in the mouth with resin and cemented with GIC

c-made in mouth and cemented with ZOE``````

d-made with ZOE (maybe it said improved ZOE?)

5)Which is a pulpal sedative?

a-ZPC

b-CaOH

c-ZO with eugenol``````

temporary restoration

6)You are making a RPD tooth supported, which one is not right?

a-Rest should be on mesial part of abutmentComment by Khayrat Laith: Mesial rest is ideal for distal extension

b-there’s no need to do an indirect retainer``````

c-the inclined plane should be adjacent to edentulous ridge

other options

7) Correct order to prepare a RPD (this is a rqs)

there were all kinds of combinations between preparing guiding planes, axial contour, rests

Answer: Prepare guiding planes, Heigh of contours(Carbon marker), Retentive contours (Block out undercuts), Prepare Rests

8) How long to wait after bleaching to prepare a veneer? 1 week (NO option for 2w)

9) Correct order of events when bleaching and doing a veneer (there were a few combinations including some of these options)

-prepare tooth for veneer

-bleach

-wait 3-4 days

-wait 1 weekComment by Khayrat Laith: Bleach Wait 1 weakPrepareWait 3dayscement

-cement

10)Why does the Lingual bar have to be 4-5mm below the free gingival margin in RPD ? Options were confusingComment by Khayrat Laith:

a-no matter where fulcrum is tissue won’t be impinged (those were exact words, very unclear, but I thought it was the only logical option)

b-it’s more comfortable for the patient

c-that’s how deep is the vestibulum and it won’t impinge on the tissue or frenum

another option

11)When preparing a personalized tray for an impression for a complete denture, the tray does NOT have to be 2 mm short on what area?

a-pterygopalatine notch

b- buccal vestibule

other options, none included the soft palate area

12) Recognize in a panoramic: it was quite clear (to me) it was an earlobe

Recognize in a panoramic: big lesion on right side back of mandible, looked like ground glass. The history that was given: two years, not painful swelling on back of mandible. I thought it was fibrous dysplasia. Another option that was there was osteosarcoma and another 2-3 options.

12) When distobuccal part of complete denture is overextended what will interfere? I think the question was regarding upper denture bc I thought the best option was Coronoid. Masseter was also an option.

13)Patient complains CD falls off when speaking, what could it be?

a-overextended

b-underextended

14) Lower buccal frenum what muscle?

a-triangularis

b-zygomaticus

c-caninus

15) What will look like one feature only in lateral ceph?

a-pterygomaxillary fissure

b-sella

c- orbit

16) Into what space will lower third lower molar fall?

a-pterygomaxillary

b-submaxillary

c-sublingual

d-submental

17)Histologic description of a radiolucency surrounding a tooth in mandible with parakeratinized epithelium, palisading (another few details I don’t remember, maybe hyperchromatic nuclei?)

a-dentigerpus cyst

b- CEOC

d-KOT-- Histological examination of hematoxylin and eosin stained slides demonstrated a fibrous cyst wall with a uniform stratified squamous epithelium, six to eight cells in thickness. The epithelium was distinctive for a layer of columnar, pallisading, hyperchromatic basal cells (Fig. 2). Rete ridges were absent and focally the epithelium was detached from the underlying fibrous tissue. The luminal surface was parakeratotic with a corrugated appearance. The lumen contained keratinaceous and cellular debris

18) Patient feels his upper denture is impinging on his nose, possible reason

a-teeth set too labially

b-flange is too thick

c-occlusal plane set too high

19) What’s NOT an advantage of lingualized occlusion (since I had no idea what that was, it was a wild guess. Later I read is a theory on how to set teeth on CD that nobody uses)

a-Better esthetic arrangement of teeth

b-No interferences on NW side (maybe W side?)

c-best arrangement for people with class 2 occlusion

more options

20) When pronouncing s, z , ch:

a- upper and lower incisors teeth on CD should almost touch

b- upper and lower incisors teeth on CD should touch

21)When pronouncing sibilants , upper and lower teeth of CD touch, what is the problem?

a-excessive VDO

b-not enough horizontal overlap

22)What’s the minimum height needed for an implant on a complete denture supported by implants (I understood- what height is needed minimum between ridge and CD if you want to put an implant to support the denture. Didn’t know answer)

a- 3-6mm

b-7mm

c-9mm

d-12 mm or more

23)In what week does cleft lip happen?

a-6-9

b-2-3

d-11-12

No option of 5-6. 6-7, etc

24) What is the genetic of cleft lip?

a-AD

b-AR

c-XLR

-multifactorial

25)What incision should be made to remove a torus in palate?

a-Y incision

b-W incision

c- other options, none included double Y

26)Why do you need the sulcus to be dry in order to put a retraction cord?

a-ease of placing

b-so vasoconstrictors don’t dilute

27)When do you need to do electrosurgery or laser?

a-There’s tissue overlapping the finish line You can use Electrosurgery for both purposes but laser is good in dissecting the overlapping tissue...

b-there’s capillary bleeding

c-there’s sulcular seepage

28) What’s the treatment for ranula

a-marsupialization

b-excision of lingual gland

29) Osteoradionecrosis is mostly related to (this is one of the rqs that’s 50:50 in answers always)

a-Seen in maxilla

b-Seen in mandible

c- related to bisphosphonate use

d-happens when radiation is 42.5Gy

30) What is the first sign of damage after acute irradiation

a- death

b-erythema

c-hair loss

31) Patient started RCT and comes the day after with small cellulitis and fever, what should we give?

a- no need to give antibiotics

b-penicillin 1g in one dose then 500mg every 6h for 7-10 days (I hope I’m remembering the correct dosage)

c-amoxicillin 2g orally in one dose and no more.

There was another option that didn’t sound logical, I chose b

32) What disease has the highest chance of turning to malignant?

a-Paget

b-florid osseous dysplasia

33)What is the lymphoma most likely to present in mouth?

-Burkitt. Cant remember other options non hodgkan

34) Description of a 22 year old that comes with red hyperplastic bleeding gums. Hemoglobin 12’ WBC count 100000. PMN 90%, L 9%. What could it be?

a- multiple myeloma

c-Trombocytopenic purpura

c-cyclic neutropenia

d-leukemia (Myeloid Leukemia)

there was another option, all of them blood dyscrasias

35) Description of a lucent lesion starting from lower second molar extending to incisor area (no xray).What’s the least possible diagnosis? I thought there were two equally impossible diagnosis, at the end went with condensing osteitis

a-condensing osteitis

b-nasopalatine cyst (which I think is also impossible to have in mandible…)

c-adenomatoid odontogenic tumor

d-central giant cell granuloma

36) Most common place to find mucous retention cystComment by Khayrat Laith: MRC=mucoceleMost common location of mucous retention cyst =lower lipMost common location of mucous extravasation =floor of the mouth ME=ranula

a-LL

b-UL

c-palate

d-tongue

37) RQ about a doctor recommending a patient to change amalgams in mouth because of mercury toxicity; what principle of the code of ethics is he violating? Veracity

38) When is a general dentist measured by same standards as a specialist?

a- when he refers to a specialist

b-when he charges the same as a specialist for same procedure

c-when he works together with a specialist

d-when he decides to do a procedure that s usually done by specialist

39) One question on type 1, type 2 error statistics

40) Theophyline relaxes smooth muscle by inhibiting what?

a-adenylate cyclase

b-phosphodiesterase

c-monoamine oxidase

41) Battle’s sign is a sign of

a-Fracture of nose

b-Fracture of cranial base

other fracture options

42) Patient with Rheumatoid arthritis has been taking 3-4 aspirin a day for 2 months, what do you expect to see on his blood work:

a-acidosis and metabolite imbalance

Other options that included combinations of: increased/decreased bleeding time, inhibition of platelet aggregation, hypoprothombinemia.

The ONLY option that did not include anything about prothrombin was option A. Since I remembered aspirin causes first respiratory alkalosis, I did not choose that option, but I regret it because aspirin doesn’t influence prothrombin

43)Patient with emphysema, what would you expect to see on Forced expirium 1 second (those exact words “forced expirium 1 sec”)

a-prolongued

c-delayed

c-high

d-low

44) Short story about a patient with candida, what medicine can we give that can be given orally (systemically) and locally with efficiency

a-griseofulvin

b-clotrimazole

c-fluconaole

not sure if miconazole was an option

45) antidote for benzodiazepins-

Flumazenil

46) question on amantadine- had to know is antiviral antiparkenson

47) An act enacted on 1997 that gives free treatments to poor children (etc). What’s the name of the act? I had no idea, the only one I recognized was Medicaid which is wrong option bc Medicaid is from the 60’s.Comment by Khayrat Laith: Children health insurance programCHIP

48) Description of a CT lesion that causes pseudoepithelial hyperplasia

a-neuroma (or neurofibroma?)

b-fibroma

c-schwannoma

d- granuloma

other options, I didn’t know the answer so I cant remember the options

49) What lesion is localized, not dysplastic, or inflammatory, or metaplastic or reactive?

a-systemic sclerosis

b-condensing osteitis

c-idiopathic osteosclerosis

50) What influences more the strength of a solder joint?

a-Buccolingual width

b-Mesiodistal

c-occlusogingival

51) Two similar questions on design pontic modified saddle ridge; should the pontics touch/lightly touch/cause blanching of the ridge. Options included for example scraping the model and constructing a gold pontic, or a porcelain pontic (since they said scraping the model, I thought that meant pontic could be impinging on ridge)

52) What percentage of permanent lower permanent incisor is calcified at birth?

a-0Comment by Khayrat Laith: At birth, some calcified dental tissues are presented,A. All deciduous teeth and all permanent incisorsB. All deciduous teeth and permanent central incisors C. All deciduous teeth and the first permanent molarsD. Deciduous teeth onlyc

b-2/3

c-3/5, etc

53) one question of symptoms of nerurofibromatosis, obvious signs

54) question about multiple osteomas- Gardner (was obvious)

55) question of supernumerary teeth – answer was obvious cleidocranial dysplasia

56) Recommended water fluoridation level : only good option was 0.6-1.2ppm

57) In a clinical trial, what would the power of statistical test be used for

a-determine the alpha

b-determine validity

c-determine size of sample groupComment by Khayrat Laith: reject null hypothesis if not then C

another 1-2 options

58) In a 16 year old girl with a buccally ectopic canine, what else would you expect to see?

a-gingival recession

b- deep bite

59) Lateral displaced flap is used to:Comment by Khayrat Laith: lateral displace or pedicle

a- cover areas with gingival recession Comment by Khayrat Laith: root covarge for single tooth recesison

more options cannot remember

60) When would we do gingivectomy

a- to reduce pockets

b- osseous surgery

c-to do scaling and planning of an osseous defect

d-mucogingival defect

61) You have a carious exposure of a mature permanent tooth, what’s the best course of action?

a-pulpotomy CaOH

b-another option with pulpotomy

c-RCT

d-indirect pulp capping

62) What is not a predisposing factor for aggressive periodontal disease

a- race

b-age

c-gender

d-nutricional deficiencies

Not sure I remember the question correctly

63) What’s is the main problem (disease) in an aging healthy population

a-caries

b-cancer

c-periodontal disease

64) What’s true about the preparation for an osseous graft?

a-Irrigation with saline is the most important

b-Must clean completely the cementum

c-Must clean completely the granulation tissue

d-Can leave a little bit of granulation tissue

65) When taking an intermaxillary bite registration at centric, after using an arbitrary facebow, there must be only 1mm separation on second molar area. Why?

a- was must always be 1mm thick when using an arbitrary facebow

b-minimal distorsion

sorry I can’t remember rest

66) Bite registration on centric must be

a- thin without perforations

b- think but a few perforations are OK

c-thick

if in co thin with perforation

if in cr thin without perforation

67) Wax is usually used for border molding because it can be redone (can’t remember the word used but the idea is that you can redo impression many times), that’s because one of the advantages of wax is

a-its thermoplasticity

68) Lingualized occlusion. What’s not an advantage? (I had no idea what they were talking about so I don’t remember options very well)

a- Better esthetics

b-No interferences on NW side (or W side?)

c-preferred occlusion in class 2 occlusions

69) There were 3 questions on what would happen if patient moves during panoramic. One asked if patient moves for 1 second, what would you see (everything blurry, one vertical line blurry plus a discontinuation of mandibular border, wavy mandibular border). Another question if patient moves vertically. Another question was “what’s the worst quality of panoramic for diagnostics”’ options included bad positioning on orthopantograph, patient moves 1 sec. I thought asking three questions about it was borderline obsessive on their part.Comment by Khayrat Laith:

Discontunity of mandibular border

Vertically up = sad face , vertically down= smile face

Worst quality i think patient movment 1 sec

70) Patient needs surgery to fix an 8 mm Open bite. What surgery would be the best option?

a-Intraoral vertical osteotomy

b-Le Fort 1

c- genioplasty

d-sagittal split osteotomy

71) What area (out of a list they gave) is involved in a le fort 1 fractureComment by Khayrat Laith: Lefort 1 associated with fracture of A Mx sinusB. Mastoid air cellC. Frontal sinusD. Ethmoid sinusa.

a-maxillary sinus

b-ethmoid sinus

72) A patient has skeletal class 2, but dentoalveolar is class 3, he has dental compensation. What movement would you do pre operation

a- Upper I labial and Lower I lingual

b- Upper I lingual and lower I labial

c- both upper and lower incisors labial

d- both upper and lower incisors lingual

73) Stripping is done on what part of the teeth

a-Mesial distal

b-buccal lingual

c- O Gi

74) Incisal table angulation and position is determined by

a-condylar guidance

b- anterior overjet and overbite

75) Occlusal trauma can cause all, except

a- mobility

b-histological changes in PDL, lamina dura, bone

c-cofactor in developing periodontal disease

d- periodontal disease

76) Side effects of nitroglycerin: learn them, they all sounded similar to me and didn’t know the answer

77) What is not a consideration when giving medicines to the elderly

a- their metabolism is slower

b-they are less sensitive to CNS depression

78) pKa has most effect onComment by Khayrat Laith: pka to onset inc pka dec onset

a-duration

b-potency

c-duration

79) What drug is available to do the desired effects:

a-free in plasma

b-bonded to proteins in plasma

80) What is not typical about dementia

a-Retention of short term memory

b-Those engaged in intellectual activities lose intellect slower

c- Difficulty making decisions, judgement

81) What can be the cause of bleeding 3 days after extraction

a- fibrinolysis

82) Treatment of alveolar osteitis

a-give antibiotics

b-curettage

c-put a palliative dressing

82) Name of the opening in soft tissue of a fistula: parulisComment by Khayrat Laith: parulis is fum boils

83) Upper lateral incisor has an abcess, fistula and periapical radiolucency. After doing a RCT, what treatment is needed for the fistula?

a-nothing

b-excision

c-antibiotics

84) What is NOT an effect of opioids:

a-constipation

b-xerostomia

c-miosis

d-peripheral inhibition of pain nerves

85) Most danger to operator on an xray room comes from:

a-scatter from walls

b-scatter from patient’s face

c-electromagnetic energy from the control panel

86) What kind of radiation does an MRI works on?

a-gamma

b-xray

c-radiowaves

87) Fluorosis affects mostly what tissue?

a- pulp

b-dentin

c-enamel

88) Knowing the composition of calcium and phosphate, when there’s an F ion, what molecule does he exchange?

a-hydroxyl

89) Why do we wash the film with water?

a-to take away chemicals

b-to reveal latent picture

c-to shrink emulsification

90) Upper central incisor had a RCT because of a periapical radiolucency. After one year patient comes back and periapical radiolucency looks bigger. What is not a logical explanation?

a- scar is healing

b- leakage from crown

c- lesion s very close to incisive canal

d- xray was done from a different angle

91) During closure of mandible, what is least important (very weird question)

a-relaxation of lateral pterygoidsComment by Khayrat Laith: it will open jaw

b-simultaneous contraction of elevators and suprahyoid muscle

c- another combination of muscles that included suprahyoid

92) When symphysis breaks bilaterally chin is pulled back by what muscles? There were all sorts of combinations between these

a-anterior digastric

b-mylohyoid

c-genioglossus

d-geniohyoid

e-thyrohyoid

93) Most common soft tissue complication during extraction:Comment by Khayrat Laith: Most common soft tissue injury during tooth extraction is mucoal tear.Most common problem/complication during the tooth extraction is root fracture.

a-puncture

b-tearing of mucosa

don’t think there was hematoma, there were other irrelevant answers such as dry socket

94) Pain medication given after extraction that can work overnight:

a-naproxen

b-ibuprofen

c-acetaminophen

95) Oral histoplasmosis lesions resemble

a- cancer

b-aphtous stomatitis

96) What perio disease is not related to bacteria

a-desquamative gingivitis

b-periodontitis

c-gingivitis

d-ANUG

97) What can cause bone resorption in tissue culture?Comment by Khayrat Laith: Bone resorptionEndotoxin then il1 then il6 then tnf

a-Endotoxin

b- IL-1

c- IL-2

D- TNF

98) In what instances should we do a biopsy? The only answer I thought works was “when local treatment hasn’t worked in a lesion for 10-14 days”

99) Demineralized freeze bone works because it has

a-BMP

b-epithelial growth factor

c-fibroblast growth factor

other growth factors of proteins

100) What is responsible for retention of fissure sealants?

a-mechanical lock in pits and fissures

b-chemical bond between fissure sealant and enamel

c-tags inside dentin (this options was a little bit more detailed)

101) Why isn’t light cure able to cure all resins?

a- because activator (or initiator??) doesn’t respond to the wavelength of the lamp.(I don’t know if that is true but other options didn’t sound to me…). Comment by Khayrat Laith: Why isn’t light cure able to cure all resins?a-because activator doesn’t respond to the wavelength of the lampB- because initiator doesn’t respond to the wavelength of the lamp the activator is weak it's not enough to activate the Intiator to produce the photo initiation

102) Amount of reduction for an anterior veneer in middle third? 0.5mm

103) Mechanism of action of sulfonamidesComment by Khayrat Laith: The mode of action of the sulfonamides uponsusceptible bacteria is byA. inhibiting the biosynthesis of paminoicacid.B. competing for nutrients in the tissueenvironment of the microorganisms.C. interfering with the synthesis of cell wallprotein.D. interfering with the synthesis of folic acid.Dddd

104) Question on what is neuropraxia Comment by Khayrat Laith: Neuropraxia involves ?both perineurium and epineurium, only perineurium, only epineurium, none of the aboveNeuropraxia: It is a transient episode ofmotor paralysissensory paralysisboth

105) If implant is 4mm diameter, what is the minimum width of the ridge? There was NO 6mm option, closest was 7mm

106) Sphenooccipital synchondrosis resembles

a-epiphyseal plate

b-suture

107) What is a synchondrosis?

a- cartilage

b-connective tissue

108) Forceps to extract upper first PM- 150Comment by Khayrat Laith: 15065286

109) How does implant connect to tissue? Hemidesmosomes

110) Effects of cocaine Comment by Khayrat Laith: Cocain dilate pupil So

Cocaine dilate pupil so

a- contraction of radial muscle

b- contraction iris dilator

111) Most difficult case to maintain space? I took out two options and was left with these two:

a- 9.5 year old that lost first molar (I know in that case we can let second molar just erupt forward, but question said clearly “maintain space”, it didn’t say “manage case” )

b- 5 year old missing second primary molarComment by Khayrat Laith: 6 y.o missing primary MD M2

112) What causes pseudomembranous colitis

a-clinda

b-broad acting antibiotics

c-metronidazole

113) Question on what causes hairy leukoplakia

a- HIV

c- HPV

c- EBV

114) Drugs that are given for motion sickness:

a-scopolamine

b-chlorphenotiazine

(I got confused bc I remember promethazine is used for nausea, and chlorphenotiazine is related… Obvious answer should be scopolamine)

115) a question on effects of atropine.

Day 2-some things I remember

Pathologies:

1) There was an older farmer, smoker and takes ferric sulfate every day . A description of brown well demarcated small spots in palate: what can it be? What would you expect to find if you biopsy (melanin, melanocytes, deposits of iron etc). What could be the cause? (smoking, tobacco chewing, sun)Comment by Khayrat Laith: Folic acid take in case of dec of iron level in bodyComment by Khayrat Laith: Smoker melanosis Comment by Khayrat Laith: Smoker melanosis Is not a malignant condition and are reversible So only melanin in bibsyMelanocyte mean its pre neoplastic

2) Same older farmer has a white patch on lower lip, doesn’t scrape off. What would you do (cytology, incisional biopsy, excisional biopsy, put cream on it, etc). What do you expect to see if you biopsy on upper layers? (I put keratin)Comment by Khayrat Laith: Leukoplakia due to smoking and irritant factor Comment by Khayrat Laith: True Leukoplakia cause hyperkeratosisChronic inf Epith dysplasia

3) Another smoker guy with a white patch under tongue or maybe floor of mouth, he noticed a month ago and it hasn’t changed since: what would you do (cytology, cream, biopsy, etc). Looked like leukoplakia so I chose biopsy

4) 24 year old complains of a red bump on palate (can’t remember if there was something about pain). It tells you it was biopsied and there was hyperplastic epithelium , underneath fibrous CT and underneath healthy compact bone and Bone marrow. What could it be? Options were osteoma, osteoblastoma, osteosarcoma and pleomorphic adenoma.Comment by Khayrat Laith: If there is pain dull pain especially during night it will be osteoid osteoma

5) Same 24 year old has a lesion on sides of tongue, red with with border, well demarcated and it wasn’t there a week ago. Only thing I could guess it was is eythema migrans (it did NOT say geographic tongue). Similar to this:

6) Another older guy with a very small spot on gingiva between two teeth, to me it seemed like normal pigmentation of gingiva. What do you expect to see if you biopsy (melanin, melanocytes, etc)

7) lesions on buccal mucosa, little yellow bumpy spots- what to you expect to see if you make a biopsy? I thought they were Fordyce spots so I chose sebaceous glands

8) 10 year old girl, in photo of lower arch, it asked- what is the darker color we see close to insertion of lingual frenum: veins/ mucous acini of sublingual gland/serous acini. It was VERY hard to say it it was acini or veins.Comment by Khayrat Laith: Parotid serousSubmn mixedSublingual mucous

On drugs: I can’t remember most of them, but questions were very specific, need to know well pharma. I remember amytriptilline, Lisinopril, Plavix, baby aspirin, something for type 2 diabetes that I didn’t recognize, something for sinusitis that I didn’t recognize (I know it’s for sinusitis bc the name was “naso “ something), inhaler for asthma (cant remember if albuterol type or steroid type). Needed to know contraindications, drug interactions and side effects. What not to give to renal disease (story of a 48 year old guy who 12 years ago overdosed on lithium and now has only 40% function of kidneys)

Allergy to sulfa- what drugs cannot give.Comment by Khayrat Laith: Not BABAIbubrophen NSAID

Need to know how to classify perio disease: for example there was an old person with generalized bone loss, but worse in incisors and lower molars (upper M missing). Is it generalized moderate/aggressive periodontitis, localized aggressive, localized moderate.Comment by Khayrat Laith: Trime sulfa ErythromycinDepson which trt leprosy

One case of a 10 year old girl, late mixed dentition, only some second primary molars in mouth- asked about upper midline compared to face (photo of face was tiny!, I had a hard time deciding if it was deviated to left or not), Second question about lower midline, is it deviated? To right, or left or not deviated. It did NOT specify if deviated compared to face or compared to upper dental midline, plus you cannot see it in a photo. In my opinion question wasn’t written as it should, it wasn’t clear. What’s her caries risk? She was caries free and good OH, so I put low (some might say intermediate bc of divorced parents)

Same 10 year old had a missing second lower PM, second primary molar retained a little bit under occlusion. Asked what is not a reason to keep the primary second molar? options were to keep first perm molar form coming forward, to keep first PM from moving distally, to maintain bone width. I chose option “ to keep upper PM form erupting”, and I chose that bc the tooth was already infraoccluded, it could not have prevented overeruption of opposite tooth. What resorption is undergoing the second primary molar? Replacement resorption. We needed to classify Angle (it wasn’t as obvious bc of mixture of primary and permanents)Comment by Khayrat Laith: When tooth is ackylosed

There was one of the cases around upper lateral that gums were gray (you can quickly say its an amalgam tattoo). Questions was how can you make a definitive diagnosis on the pigmentation? I chose “xray” bc you could see the pieces of amalgam around the tooth in xray,didn’t think a biopsy is needed. The tooth didn’t have RCT so it could not have been the post or cement.

Another upper lateral had a post-core: is the post: too long/too short/ Ok? Too wide/too thin. It was difficult to answer bc I could not see the outline of the root (it wasn’t obvious if it was too wide or normal).Comment by Khayrat Laith: What is the ideal length for a post in post-core in an endodontically treatedtooth:A. 2/3 of the tooth lengthB. ½ of the tooth lengthC. 1.5 times that of the crownD. Same as the anticipated crownD

Another case we had to recognize the radiolucency under two fillings- looked to me like base/liner, not secondary caries.

There was a case with a bridge tooth 18X20 (or 17XX20). A small gap on margins of crown on 18. Tooth 20 no RCT, periapical radiolucency around root (not huge but a halo around apex). History of pain and cold sensitivity on area. Which tooth could it come from? I wasn’t sure if 18 because of gap in margins or 20. I thought 20 was necrotic and could not have caused pain. Not sure.Comment by Khayrat Laith: There was a tooth that is caries

An xray of a tooth with a post and core and a gap between the post and remaining gutta- what is it? Overpreparation for the post or taking away too much gutta?

A case of an older guy with many cervical abrasions on buccal and a lot of gold restorations- what is not a probable ethiology? Toothbrush abrasion/cervical caries/ parafunction/chemical erosions. I was thinking maybe the parafunction can cause abfractions so I chose chemical erosions- probably wrong answer. What would you recommend him to do at home? I wrote fluoride trays. Comment by Khayrat Laith: Gold resotration is indicated in bruxism and parafunctional habits.. that is why he has gold and cervical lesion due to abfraction.. , its DEFINITLY NOT chemical erosion

A younger guy around 25- had slight open bite from tooth 3 to 7 and mild crossbite on PM and first molar on that area- what’s causing the xbite? Upper teeth tilted lingually, lower teeth tilted buccally, constricted maxilla. It was local, lower arch was very well aligned and upper arch PM and M were in a lingual position, so I chose “upper teeth tilted to Li”. Another question- how could you fix the xbite? I answered by tipping upper teeth labially . He was also half class 2 in molars and canine, but OJ and OB were minimal- what could be the reason that the OJ and OB are normal? Options were bc molars are class 2, because canines are class 1, I chose because upper arch is more crowded than lower

A case where first and second upper M were missing and sinus had undergone pneumatiztion- asks about radiolucent area close to ridge- is it a residual cyst/other options/I chose normal anatomy bc it was sinus.

Diseases: a lot of heart conditions, after MI, after stents. Depression, bipolar, renal insufficiency, one needed prophylaxis according to his physician’s orders. Diabetes type 2, asthma.

Worth reading about medicines given to those diseases.

BLACK ANGELS

Q: We are given fluoride supplement to a pt but she said she read we cant use fluoride so what would you response be- Conflicting statement in puzzling or Up to you to use it

Pallor, chest pain and tachycardia where:Comment by Khayrat Laith: Pallor and tachycardia =syncopePallor chest pain and tachycardia =heart attack

-CVS accident

-Myasthenia

-Heart attack

Hyperventilation

-Pre syncope

Professional code conduct means:

-Specific conduct

-Binding for Hygienist and Dentist

-Legal rules in and out the office

-Out of law rules

What is the first consideration for treatment planning?

-Pain and discomfort

-Medicaments and Systemic considerations

What results affected for Aspirin-- Bleeding time (Not PT or PTT) PT= Extrinsic Pathway is affected by Warfarin, PTT intrinsic pathway is affected by Heparin

Clopidogrel affect- Bleeding time

Distal to 2nd Molar edentulous space with moderate to severe pockets, what no to do-- Option Distal wedge or GingivectomyComment by Khayrat Laith: Gingivectomy is use when area of enough keratinizedComment by Khayrat Laith: correct gingivactomy also CI in narrow attachment, but they will give you a clue for position ( if it’s distal, next to 2nd M ..you cannot do distal wedge While if they are taking about neck area ..gingivactomy CIBOTH ARE CI IN THIN ATTACHED GINGIVA but when u read the above u knw the ans will be distal wedge

Pt reports nauseas while NO2 what to do:

-Turn off

-Give O2

-Give NO2

-Relax the pt

Pt had vasovagal syncope, do you do all except:

-Administer O2

- Place in Trendelenburg position

-Give Epi

-Apply spirits of ammonia

Q: Two implants with 3 units screw retained bridge. You took an xray and in that you found there is no space at abutment-implant interface in one of two implants and in other one there is space, what is your next action?

-Take another xray

-Tighten the screw

-Split the bridge and remove it

- Another option I don’t remember

You smile and praise the pt what is that:

-Contingence

-Social reinforcement

-Positive reinforcement

2nd click in TMJ is due to the disk:

-Anterior to normal

-Normal to anterior

-Free from dash

How is Incidence calculated:Comment by Khayrat Laith: 200 patient last year 300 this year incidence I00 * I000 = 0.I = I0%So rate

-Estimated

-Rate

Stablish biological width- Approx 2 mm

Is Kaposi Sarcoma directly caused by HIV- False ( its caused by (HHV8) when pt is immune depressed)Comment by Khayrat Laith: 636. Kaposi sarcoma all true except1. Vascular origin2. directly by HIV virus3. More aggressive in HIV than non-HIV4. Occur in palate5. Aggressive in naturebbbbbbb

Altered passive eruption, 3 mm above the CEJ- APF or Gingivectomy ( I picked gingivectomy)

Bilateral balance occlusion disarticulates posterior- FalseComment by Khayrat Laith: in bilateral there is no disarticulation

Unexposed Image- Light

Overexposed into developer- To dark image

Most important in shade selection- Value (Cannot be increased)

Wavelenght- Hue

Child who got an electrical burn on the corner of his mouth: How can this can affect dentition?Comment by Khayrat Laith: about scaring from the electrical burn, never treated and it is in the corner of the mouth, what will happen?A. arch length discrepancyB. impacted toothC. something related to facial growth skeletal heightD. labial inclination of teethe.dec VODANS Aelectrical burn cause microstomia which willdec arch length and cause discrepancy also teeth erupt lingually

Rheumatoid arthritis- Autoimmune , Developmental or InheritedComment by Khayrat Laith: RA autoimmune and Asa2

Maxillary 1st premolar or maxillary lateral incisor which on is congenial missing-

Child 9 years old mixed dentition, lower canines unerupted, crowding of mand anterior, what to do:

1-Disk and observe

2- extraction

3- lingual arch and observe

Some word for word the same some slightly differently worded some are the opposite of mango or Andres like what is NOT true as opposed to what is true

My radiographs

Dentiginous cyst

Zygomatic process of maxilla

Amelo fibro odontoma----Ameloblastic Fibro-odontoma they said mixed radiolucent with radiopaque in the question so was very clearComment by Khayrat Laith:

Simple LA calculation

Dentigerous cyst was obvious in Xray

Function of major connector: No option of stability and rigidity together

I picked Rigidity and Retention

5- Gold inlay prep-- Diverge from gingival to pulpal wall In class 2 gold inlay prep all walls converge or diverge occusally?Comment by Khayrat Laith: Gold inlay and olny Bl walls diverge

When that Dental Lamina form?Comment by Khayrat Laith: 6weeks

What stage do supernumeraries form? Initiation

Description of Taurodontism like Extra-enamel organ or Dental lamina formed, make sure to know this very wellComment by Khayrat Laith: Taurodontism is in morphodiffrentiation

Class 5 retentive grooves where?- Gingival and Occlusal wallsComment by Khayrat Laith: Axiogingival and axio occlusal

Contra of NO2

Fail safe of NO2 stops how much-70%Comment by Khayrat Laith: And in children 50%

What is not function of Diazepam- Anti mimetic

MOA of Diazepam-- Ptentiate GABAComment by Khayrat Laith: What is the mechanism of benzodiazepine sedative effect?enhancing the actions of dopamineblocking the NMDA glutamate receptor subtypeacting as a partial agonist at 5HT receptorsincreasing functional activity at GABA receptors.facilitating GABA-mediated enhances chloride ion conductanceE DIAZEPAM =GABA=inc frequency not function of clWhile BARBITURATE=dec frequency of cl Barbiturates act by decreasing the frequency of cl- channel openingComment by Khayrat Laith: treat anxiety, alcohol withdrawal, and seizures. It is also used to relieve muscle spasms and to provide sedation before medical procedures. This medication works by calming the brain and nerves.Diazepam belong to BDZ brand name is vulimSide effect drowsness نعاس \\dizznes دوخه //blurred vision and tired

Side effect of Nitroglycerine- Nausea, Tachycardia and Head acheComment by Khayrat Laith: Orthostatic hypotension, Headache, Nausea, Flushing of face

Which hormone will interact with Epi--Thyroid hormones T3 and T4

Causes of anterior dental cross bite (2 check)Comment by Khayrat Laith:

1-Thumb sucking, 2- Incisal crowding, 3- Supernumerary teeth

Minimun A Neutrophil Count needed for surgery-- I put 1000

Initial sign of HIV-- Asymptomatic

Actynomycosis infection--Comment by Khayrat Laith: Actinomycosis of Jaw commonly leads to: diffuse sclerosing osteomyelitis, or ruptures through facial neck soft tissues via multiple drain sinusesRepture through neck Comment by Khayrat Laith: Bacterial (facultative anerobic

Bzp reversal- Flumazil

Scopolamine used in-- Sickness motion

Least recurrent when removed-AOT

Mucocele tx-- Marsupialization or Sub mand gland removalComment by Khayrat Laith: Exicion Ranula marspulization

Has had previous radiotherapy what to do--- Refer to Oral surgeon

Veener-0.5 mm reduction

Short crown what to use- Full veenerComment by Khayrat Laith: Full ceramic

Disadvantage of retraction cords- Necrosis do not specifyComment by Khayrat Laith: Disadvantage of using a retraction cord:Lateral displacement of the cordApical displacement of the cordCoagulative necrosis of the blood vessels.c

What pt to use GA- 2 yld with rampant caries

Histoplasmosis mimic what lesion-Comment by Khayrat Laith: Histoplasmosis mimic what lesion - scc or tb?scc

Tooth must hard to floss- Max 1st PMComment by Khayrat Laith: M of upper pm1D of upper M1

% of population with Fluoridated water- 71-76%Comment by Khayrat Laith: BY ADAIts 74% between 71-75

Most affected in perio disease- Max molars

Maintenance pt with 6mm pockets what to do- Local Abx or Local Abx + SRP in that region

Maintenance pt with 5mm pockets with excellent OH and no calculus what to do next- SurgeryComment by Khayrat Laith: recall for perio has mesial on #4 distl on #20 with 6mm perio pocketswhat do you do? Surgery,scalingelsesurgery خلصت كل الحلول بعد

Function of MWF-- Comment by Khayrat Laith: MWF internal bevel Remove lining of pocket but not the pocket Comment by Khayrat Laith: Compared to a full thickness flap, a partial thickness flap will _______.a) increase the loss of marginal boneb) reduce infraosseus defectsc) provide improved surgical accessd) increase the amount of attached gingivale) reduce healing timee

Disadvantage of Partial thickness flap- Impaired bloody supply (No periosteum in the flap)

Gingivectomy incision-- Coronal or Apical to MGJ

Difference btw Gingivitis and Periodontitis

Clinical Attachment Levels, Mobility or Pockets

Orbital fx what happens with movements- Limited to upper

First symptom of Cavernous sinus infection- Head ache

Hypersalivation temporary: Reason

Stimulation of receptors for apprehensive pt

Direct stimulation of salivary glandsComment by Khayrat Laith: Pat has a temporary hypersalivation after wearing a denture . What is the reason 1.Reflex action on stimulation of parasympathetic 2.direct stimulation of alpha3.direct stimulation of the denture on the salivary gland4.Action of receptors of brain on apprehensive patparasymp

Stimulation of Parasympathetic

Main bacterial complex in Perio disease-Red complexComment by Khayrat Laith: n an 18 year old patient , which bacterial complex can lead to dental plaque ?

Red , black or purplered complex in periodontal diseasepurple in young pt with black

Pt sits with elbows crossed and shaking legs: Implies what-Axious

Pt says he cant take care of his oral care at home: What to do next--

Features of Cherubism- Bilateral jaw expansion most commonly in young

40 YLD pt with bilateral cross bite what tx-Surgery

Athlete with jaw pain in the morning what is it-Myofacial pain syndrome

Extraction mand 3rd- Neuralgia or Trigeminal Neuralgia

Pt has sensitivity to hot and cold, pain when he gets up in the morning, what the diagnosis-Comment by Khayrat Laith: ire pulpitis trt rct

Reasons for extraction of 3rd molar-Recurrent pericoronitis

Intrusive movement risks- Cut nerver or blood supplyso it will cause necrosis

Anti convulsivant used for chronic facial pain- MYSD, NeuralgiaComment by Khayrat Laith: valporic acid with migrainelamo with trigeminal neuralgiaComment by Khayrat Laith: Trigeminal neuralgia (tic douloureux) ischaracterized by1. paralysis of one side of the face.2. uncontrollable twitching of one eye.3. prolonged episodes of pain in one sideof the face.4. dull pain when pressure is applied overthe affected area.5. sharp excruciating pain when lightpressure is applied to the affected area.5Trigger zone is the cheekTrt of trigeminal neuralgiaTigrol and carbamazepain

Pregnancy what is concerned when she is on the chair- IVC (Sit her with left side, right hip up)

Communicating honestly what is it-- VeracityComment by Khayrat Laith: Dentist says amalgam has to be replaced with different restoration.What is this called?beneficiensenonmaleficienseveracityautonomyVeracityComment by Khayrat Laith: AS TVAutonomy self goverTruthflness veracity

Gonadal xray question-

Remove amalagam what ethic-Veracity

Type of drill for implant- High torque low speed

Zinc oxide eugenol- Pulp sedative

Sequence of bleaching and restorations-Comment by Khayrat Laith: 1-Comment by Khayrat Laith: BleachWaith1 wPrepare Wait 3 daysCement with restoration

Vasoconstrictor anhesthetic- Cocaine

To distinguish betw Perio and Endo abscess-- Vitality test

Forceps for Max PM- 150Comment by Khayrat Laith: 15065286

Moisture in amalgam decrease: Strenght or RetentionComment by Khayrat Laith: 83. moisture contamination in amalgama) Increases delayed expansion which is a good thing and increases marginal sealb) Something related to amalgam strengthBDec strength,delay expansion

Moisture in amalagam: Dec stick to the walls or improve marginal seal

Mucous retention cyst most common location- Comment by Khayrat Laith: MRC MUCOCELEME RANULA Mucocele in lower lipRanula floor of mouth or lateral tongue

Pka in anesthetic affect- Onset

Bleeding 3 days after extraction- Fibrinolysis

What lymphoma in mouth- None hodking in option but Burkitt was there

The rita question about the direct toxic etch on the dentinComment by Khayrat Laith: What is the LEAST likely reason for postoperative sensitivity after a Class I occlusal composite restoration is placed?A- Gap formation which allows bacterial penetration into the dentintubules- painB- Gap formation which allows an outward flow of fluid from through the dentin tubules C- Direct toxic effects of a 15 second acid etc on the pulpD- Cuspal deformation due to contraction forces of polymerization shrinkageCIf its more than 15 then it will cause sensitivity

Occlusion question asked why you need to remove non working interference before putting a new crown in- Something related to proper thickness of the crownComment by Khayrat Laith: Why is it so important to remove a non-working contact when you are prepping a crown?a. Lateral interferenceb. You want adequate thickness for the restorative materialc. Because you want to ensure posterior disclusion of thatLateral interferance

Most stable type of composite-TEGDMA matrixComment by Khayrat Laith: Which is the best type of composite :1) Microfill2) Hybrid3) Microhybrid4) PackableHybrid and in post toowhat should be added to composite to increases color satbility?hema?tegdma?Monomers for composite ?options: a. tegdma b. hemaa

Calcification of mand central primary teeth when- Comment by Khayrat Laith: 54 What percentage of permanent lower incisor starting to calcify just at birth?

A. 0 B. 2/3C. 1/3D. 1/2Permanent =0Pry 2/3

Activator of light cure resin- CamphoquinoneComment by Khayrat Laith: Acrylic resein activator is dimethly touldineLight cure initiator is camphoroquinoneSelf cure or chemical cure intiator is banzoyl peroxide

Most fracture resistan ceramic- ZirconiaComment by Khayrat Laith: FL LG AZFlidspathLeucitLeithumGlassAluminum ZirconiumFrom weakest to strongest

Class 5 root cavity what to use: GIC or Resin cement

Least fx strength ceramic- Feldespal

Cavitated non carious lesion- Abrasion or occlusal attrition

How to identify white spot- AirComment by Khayrat Laith: .Single white spot lesion on a permanent tooth due toHypercalcification due to fl intakeHypercalcification due to calcium intakeHypomaturationTrauma to tooth during developmentSystemic Disease affected the proimarytoothTrauma or hypocalssification

Child become uncooperative and you use voice control it is everything except:

Tell child his behavior is unacceptable

Controlling voice tone

Gaining child attention

Mild form of punishment

Reciprocal anchorage what is it?- Equal and Opposite

What is a 3rd order bend-

How to treat Angular cheilitis with VDO-Increase VDO

Muscle dystrophy cause what problemComment by Khayrat Laith: QUESTION: Pt with muscle dystrophy what can happen in concern with Local Anesthetic? Increase risk of LA toxicity, need more dosage of LA, LA doesn’t last as much , duration, onset?

Function of incisal table influenced by Vertical and Horizontal overlapComment by Khayrat Laith: The incisal guide table is designed toA- Allow selective grinding of anterior teethB- Prevent overclosure of the vertical dimensionC- Prevent posterior cusps from exceeding the condyle angleD- Protect the function and arrangement of anterior teethIncisal guide =condyle guidance If not in option then arrangement of ant teethIncisal table =ant overjet and overbiteIncisal table angulation and position is determined bya-condylar guidanceb- anterior overjet and overbiteSo bComment by Khayrat Laith: Muscle dystrophy after local anesthetic more likely to? A- Lidocaine toxicityB- Increase duration of actionC- Increase onset?A

0.2 mm wire options were 4mm, 6, 8Comment by Khayrat Laith: Wrought wire, around 0.2 mm to the abutment tooth if minimal wirelength is 4,6 or 8 mm? 6 mmIf width is 0.2 then length is 8

What does Apirin NOT influence Prothrombine time

Fluoride MOA-

Proscar used in what- Bening Prostate hyperplasia

What drug give in Hirsuitariam- I picked EflornithineComment by Khayrat Laith: Hirsutism its inc black male like hair in women Drug to trt it Anti Androgen SpirinolactonAldocctonTopical eflorGingival overgrowth, hirsutism, coarsening of facialfeatures and lymph gland hypertrophy are side effectsassociated with which of the following antiepilepticdrugs?A. PhenobarbitalB. CarbamazepineC. ValproateD. PhenytoinE. EthosuximideD

Tetracycline affect what structure- Dentin

Kid taking Ritalin what disorder has- ADHDComment by Khayrat Laith: A patient taking drug Amphetamine for ADHD.. on day of invasive procedures you do what?a.tell patient to not take tablet on day of treatmentb.manage your local anesthetic dosec.Use TSDB No epi with amphetamine

Can we give chlorohexidine to ADHDchild?NoYou don't mix ADHD folks on medications and CHX bc of the alcohol reactions with the typically prescribed amphetamines

Lefort 1- Max Sinus

No predisposing for Chronic perio- Age, Sex, Gender, Nutrition

Strenght of solder joint- Occluso-GingivalComment by Khayrat Laith: the strenght of a solder joint is increased by increasing the height of it.T/Fand the widht betwwen the parts to be joined is?a 0.10 mmb 0.25 mmc 1.0 mmt btrength of solder joint is proportional to ? heigh of joint

Worst temp for Inlay- Make it in mouth and cemented with ZOE

Mandibular CD distobuccal- Masseter

Mandibular molar lingual CD what muscle- Mylohyoid

Flange thick on max anterior question

Questions on mandibular movement musculature

Dens in Dens picture and what stageComment by Khayrat Laith: cup stage

Sialithiasis most common- Wharton duct Submandibular gland

Cracked tooth most common---Mand molars

Self-removing lesions: Both Melanotic and macule were in options (Hemangioma)

First sign of radiotherapy- Mucosistis (Erythema)

Soft blue lesion unilaterally fluctuanting on the palate- Options were SCC pleomorphic and Adenoma ACCComment by Khayrat Laith: pleomorphic is not fluctuant Diazepam with gaba

Girl with ulcers, lymphoadenopathy and fever- Herpes

Treatment of dry socket- Palliative (Sedative dressing)////What do we irrigate it with- Saline (I had CHX in options but I think was wrong)

Most common problem during Max extraction- I picked fx of the alveolus (IDK if sinus perforation was in options) but it did not mention posterior zone so I picked Fx

Most common after Max extraction- Hemorrage

Most common mand extraction and each option had 3 choices

Mechanism of Sulfonyl Ureas- Stimulation of Pancreas Beta cells

to secrete Insuline

Sulfamides Abx MOA- Inhibit PABA (Options were like Pryglyoclic acid that compete with PABA product or summin) so I picked the 1stComment by Khayrat Laith: sulfonamide compete with paba to inhibit folic acid synthesissulfonuria with beta in panc to inc insulin

Reason why mandible keep popping up-

Potasium sparing diuretics-Spironolactone

What do you do when making a CD for a pt- Set a realistic outcome of the Denture, other options were Sell them the TP, Get the family involved to take care of their well being, Encourage them to think is amazing or summin

How to treat mild anxiety pt- Try to answer their worries before gove BDZComment by Khayrat Laith: 18-mild anxiety patient how to manage his anxiety Pre visit pharma Firmly tell him be quiet the treatment will go forward Explain to him the situation Reassurance the TT will go without painexplain

What NOT to do when dealing with anxious pt- Tell them everything is going to be fine

Worst place to do graft- Canine eminence or Interdental

Problem with making an FPD for missing upper canine- Abutment lie outside of the central line (Something like that)

I have a hard question on lingualized occlusion in CD

Check biting in CD why- Dec horizontal overlap

What do we check at perio maintainence in xerostomia pt? Root caries or gcf amount? Comment by Khayrat Laith: maintainence appointment after perio treatmnt... pt shud go to1. periodontist2. general dentist3. pt can select4. shud go to periodontist atleast 6 months4Comment by Khayrat Laith: Xerostomic pt have cl5 lesion Gcf inc in periodontal infl

GA contra indi in parkinson? Parkinson is ASA 3 so not contraindicated

I got some question from hydrogen file aug 30/31 and Rita

Identify RO or RL structures from a list

That implant length question where we thought is 12+ answer asks distance from bone crest to opposing dentition in cd --I went 7 mm

Apical vs period abscess Pulp vitality

Ortho 7-9 ni ti what kind of movement to make room for implant on 8 position?Comment by Khayrat Laith: Control tipping md

Gic advantage over composite very hard choice Comment by Khayrat Laith: Gic advantage over composite very hard choice : lower compressive and tensile strength and hardness. Low solubility technique sensitiveLow soluble tech

External root resporption seen more in?

At birth a mand molar has calcified how much 1/3 1/4 1/2 Comment by Khayrat Laith: With the exception of third molar, the crowns of all permanent teeth completely calcified at the age of: 6 to 7 yrs4 to 6 yrs8 to 9 yrs 11 to 12 yrs4-6yr except for 3m in 3ye

Geo tongue picture

40 year old guy post crossbite tx- Surgery

Flange thick on max anterior question

IV administration of antibiotic not anaesthetic the patient starts wheezing, tachycardia, feels faintComment by Khayrat Laith: 1024. After injection-pt feels tachycardia, weak, wheezing, Reason?A. lethargy. B. Anaphylaxis, C. hyperglycemia, D. anxiety attacdComment by Khayrat Laith: Q. A patient is on iv antibiotic and has the following condition wheezingon inspiration , hypotension , tachycardia and nausea. Which of the following condition he is suffering from? A) Hypotension b) anxiety attack c) AnaphylaxisIf there is wheezing , airway and lung should be constructed.. so should be anaphylaxisIf anesthesia then anxiety attackIf antibiotic then anaphylaxis

I assumed it was a type 1 allergic reaction to the abx- Anaphylactic reaction more options were Shock, Anxiety attack

First degree of burn- Redness (Other option were Complete destruction of epithelium and dermis, Vesicle formation, Loss of sensation)Comment by Khayrat Laith: 1 red 2 red pain swelling

Question about the X-ray formula (Law square) they give time and intensity except distance< so you have to calculate distance- Answer was 20

Which type of perio needs surgery and abx-ANUG?

Type of bacteria in ANUG initially before necrotic-Comment by Khayrat Laith: Bacteria present in gingiva in ANUG when tissue is not necrosis - Spirochete or P.interdemdia

LAP needs ABX- Yes

Class 5 filling material if caries prone- GIC

Root coverage filling material- RMGICComment by Khayrat Laith: Rmgic for root GIC for class 5/cervical

Disadvantage of fillers in comp, was no less esthetic during polishing but there was- higher radiopacitiesComment by Khayrat Laith: Less polishibality, and increase polymerization shrinkage

No an Effect of Opioids

-Depress respiration

-miosis

-blockage of peripheral pain pathways

-constipation

-somnolence

Most important thing when doing clinical trials on patients options were like

-making sure they know about the trial

-making sure they take no accountability for side effects

-informed consent

What is not needed in consent inform-to be written down??? I strongly doubt on this one

Interdental and marginal involvement- Gingival abscess

When not to do a gingivectomyapical to crest

The one about space behind 2nd molar- Distal wedge

Pt undergoing Dyalisis when is better to do appointment- 1 day after dialysis

1. Which drug can cause seizure in patients taking Venlafaxine? A. Hydrocodone B. Azithromycin C. Tramadol D. Diclofenac ANS C 2. Comment by Khayrat Laith: Anti depressant serotonin inhibitorComment by Khayrat Laith: Tramadol opiod use to trt pain

2. Gracey currette 11/12 --MESIAL POST.TOOTH

3. Gracey currette 13/14---DISTAL POST.TOOTH

4. Adrenal crisis --CARDIOGENIC SHOCK,100MG 0.9%HYDROCORTISONE WITH SALIN

5. Purpose of Antiretraction valve-TO STOP INFECTION &PREVENT SUCKBACK BACTRIA

6. 2 implant overdenture –

-A.Retention and support by implant

-B.Retention and support by tissue

-C.Retention by tissue,support by implant

-D.Support by tissue,retention by implant

7- HPV strain in oral lesions A.6 and 11 B.16 and 18

Manipulative patient A.Setting limits B.Distraction C.Behavior assessment Comment by Khayrat Laith: المريض المتلاعب Comment by Khayrat Laith: How to deal a manipulative patientSetting lineNitrous oxideDistractionBehavior assessmentSetting limit is the ans

Antianxiety in pregnant patient PROMETHAZINE Comment by Khayrat Laith: Pregnant Pain killer acetaminophenAntianxity promethazine

10. Epinephrine reversal acts on which receptor? ALPHA1 R PHENTOLAMINE 11. Epinephrie in LA causes vasoconstricton through which receptor? A.Alpha 1 B.Alpha 2 C.Beta 1 D.Beta 2 ALPHA 1 Comment by Khayrat Laith: In ephinephrinereversal,epinephrine acts on which receptor?Act on beta2 cause phentolamin is alpha blockerIn which receptors epinephrine works in case of epinephrine reversal ?1. Alpha 12. All alpha 3. Beta 14. Beta 25. All of the aboveBeta2

12. Contraindication of nitrous oxide - nasal congestion TRUE Comment by Khayrat Laith: 1. Most common location for caries in a 4 year old child?a. Distal of mandibular m2b. Mesial of mandibular m1c. Distal of mandibular m1d. Distal of mandibular canineDistal to mn m1

13. Contraindication of nitrous oxide A. First trimester only B.Second trimester only C.third trimester only D.All trimesters

4. Dentist keeps up with recent developments and new skills, knows ones limitations and when to refer patient to a specialist A. benefecience B. Non maleficence

5. Contraindicated with ginseng - Aspirin TRUE

15- Sound to assess vertical dimension - S (SIlabants)

17. Purpose of plaque index A. to assess gingivits b. periodontitis C.for patient motivation C Comment by Khayrat Laith: What is gingival plaque index? Rq1,Nominal2,Ordinal3,BothOrdinal

18. which margin is contraindicated in cast metal A. Chamfer B. Shoulder C. Shoulder with bevel D. feather edge

19. Bur to use on porcelain A. Diamond B. Carbide C. Green stone

20. sodium hypochlorite - not chelating TRUE ,REMOVE DEBRIS

21-Calcium hydroxide use A. Intracanal medicament B. root perforation C. Apicectomy

22. non working interference is seen on which cusps? LUBL

23. Temporal arteritis - loss of vision TRUE

24. passive night guard can be used for A. Masticatory muscle spasm B. TMJ derangement C. Migraine headache

25. single implant feature ---ANTIROTATIONAL HEX Comment by Khayrat Laith: Most important feature in a single implant placement:Antirotational element in the implant(HEX) Internal connection in the implantcementing the crown to abutmentantirotational

26 Forces destructive on implant surface A. Apical B. Horizontal C. Vertical D.Oblique

27. GTR - coronal movement of PDL Comment by Khayrat Laith: GTR helps in :1. Coronal movement of PDL2. Atypical movement of PDL3. Coronal movement of connective tissue 4. Atypical movement of connection tissueAGTR prevent long junctional epithGood prognosis in narrow deep wide pocket

28. GTR is used in A. Class 2 furcataion B. two walled defect 29. most common A. one walled defect B. two walled defect C. three walled defect

30. advantage of laser flap A. improvement in clincial attachment B. New attachment Comment by Khayrat Laith: guy GTR and GBR=regenerationreattachment=SRPNew Attachment=flap surgery, curettagesflap =LJEsurgery=regenerationsrp=new attachment

31. NSAID's like Ibuprofen act on A.platelts reversibly B.platelets irrerversibly C. extrinsic pathway D. intrinsic pathway Comment by Khayrat Laith: THE ONLY NSAID that irreversible is ASPIRIN Others are reverisble

What condition shows sequestered bone in Xray- Osteomyelitis

Varicose tongue most common in: Elderly if not in option Hypertensive pt

Most radiolucent- Amelo- Fibroma

Green discoloration around the margin after porcelain crown 1 month later: Amide, Micro crack or MicroleakageComment by Khayrat Laith: PORCELAIN green color due to =SILVERPFM=COPPER

What happen when Amalagam get contaminated with moisture:

-Doesn’t stick to the walls

-Gets stronger

-Delayed setting expansion (Confirmed!!)

Function of Helix:Comment by Khayrat Laith: Molar uprightInc working range by activating it

What cause anterior cross bite- Retained primary teeth

Implant failure and you have to extract the implant with trephination what is the next step- Take another PA to see position of the implant respect to SLOBComment by Khayrat Laith: what is trephination?1- open the pulp and let the infection drain2- drainage and uncover the periosteum at the apex 3- make a hole through the bone for draingage (or something like that) 4- instrumentation of the canal to open up the apexmake ahole

Systemic and topical fungal infection MiconazoleComment by Khayrat Laith: antifingal use systemic and topicalketoconazole and amphotericin b also

Multiples osteomas- Gardner

Min count of Granulocytes for surgery- 1000

Main Problem in healthy aging population- Perio or caries

Before doing any studies what to get- Inform consent

Ceramic finishing lineShoulder

2 Years old kid- Have mother hold him

how to build rapport with a child- I went with lean down to eye level and talk options were say nothing explain treatment increase rewards

What not to do with an uncooperative pt- Re schedule

Most common type of intrabony defects 2 wall (crater)Comment by Khayrat Laith: The most common osseous defects are • one-wall intrabony defects • two-wall intrabony defects (osseous craters) • three-wall intrabony defects • through-and-through furcation defects2 wall

i got a flap or graft question the one we did here where the answer was clean of granulation tissue

Secondary colonizers what group- Red complexComment by Khayrat Laith: Which is associated with bleading on probing?red complesWhich is an important clinical parameter of destructive preio. diseases?red complexWhich to two complex can be found in perio and no perio infections?green and orangeIn children purple colorPry colonize purple and yellowSec colonize red orange and green

Bacterias in the Red complex T. DenticolaComment by Khayrat Laith: ptt

You let the child walk around and touch the instruments how is that called: Systematic desensitasionComment by Khayrat Laith: Kid came to clinic touched everything and last he came to dentist and allowed to keep probe in the mouth what the behavior? - Desensitization

Time for Perio maintenance after Surgery 3 Months

Most common dental emergency Vaso vagal syncope

Another about why u adjust it options were change in patients situation u never adjust increase maintenance will improve patient compliance increased maintenance will decrease patient compliance- I chose Pt situation can be either A or C This is for perio maintenance visitsComment by Khayrat Laith: patient complianceالتزام with scheduled maintenance visits has no effect on long term retention of perio treated. Frequency of maintenance visitshas no relation with development of perio pockets and gingivitis?1. both true2. both false3. first true second false4. second true first false

One question on unbundling and 1 with bundling

Inssurance pay for your crown and core together even though were billed separately Bundling

TAD- Cortical bone

What type of model is for IPA- Network modelComment by Khayrat Laith: HMO is close panel IPA is network model

1st visit of patient young child best approach

Parents stay in room

Parents stay out side

Use of chair is recommended

Knee to knee with active participation

Teenage boy doesn’t look at you and gives 1 word answer what to do ask him in person or call in parents

11 YLD multiple class 3 and 5 caries on primary and secondary teeth what would u initially do:

Restore class 3

Restore class 5

Find out what is causing the caries before tx

Tooth with most facial lingual convergence in primary Mand 1st molar

One tooth lower canine has vey little attached gingiva but not recession what does this means:

-Candidate for graft

-May show reesion in the future

-Nothing will happen

-Common problem easy fixable

The most important indication for prognosis of periodontal tooth- Attachment levels (Options were BOP, Plaque blab la)

How many furcations in upper if 3rd is missing- 16 (2 PM and 6 molars=8 +8=16)

Orbital blow out fx what movement is limited Upper because lower muscles are stuck with fat in the inferior orbital rim

#19 thin attached gingiva what can you do- Gingivectomy

Cocaine what causes on pupil Mydriasis

What type of tumor in hyperparatiroidism- Brown tumor

4mm mass or tumor around parotid Pleomorphic and ACC in options

Old pt like 71 years old has a lower denture for 19 years there is 6x3 mm white lesion on the buccal border of his lower mandible denture what to do

-Biopsy

-Refer to Surgeon

-Radiotherapy

-Releive are and review in 1 week

Most common sport for calculus- Mand anterior and Max molars

Most cracked tooth Mand Molar

Where does caries beging after cleaning: Occlusal, Contact, Occlusal to contact, gingival to contactComment by Khayrat Laith: Where does caries begin after cleaning?-occlusal -contact -occlusal to contactgingival to contactGINGIVAL TO CONTACT

Most common perio in what race Black male

Dens in dente seen in Lat incisor

Outline for Mand molar access Trapezoid

Max amount of lido for 16 kg kid- Around 74mg

If a test show 95 of 100 blabla 95% sensitivity

Fx of Amalgam MOD at distal and Mesial isthmus what to do- Redo

When to replace amalgam Recurrent decays

NSAID reversible IbuprophenComment by Khayrat Laith: NSAIDReversible ibuprophenIrreversible aspirinLeast affect on bleading colecoxib

Facially erupted canine what would yo see-recession

What NSAID will have least effect on bleeding Aspirin, Ketoralac, Indomethacine, Colecoxib

Perforation in max anteriors where- Mesial

Commonly btw Aspirin and AcetominophenAnalgesic and Antipyretic

Pt take heavy breath every 10 stepson a bounch of meds what will you not do: Cant Put him on horizontal position

Pt got messed up anterior teeth want a smile make over, what the best to tx plan or best aid in tx plan

-Xrays

-Diagnostic wax up

Type of bacteria in plaque after 1-2 days-Gram + Cocci and Rods

Bacteria responsible for collagenase activity Porphiromone. Gingivalis

Apexification where- Non vital tooth

Separate from basal tissue Pemphigoid

Apexogenesis where- Vital tooth

Submandibular drain into what space- Platysma

Large bone graft from where Iliac, Rib, Chin, Ramus

Epulis fisuratum resembles- Irritation fibroma

Pain in mental nerve area- Traumatic neuroma

Methotrexate all except- Bone morrow suppressionComment by Khayrat Laith: treat cancer, autoimmune diseases, ectopic pregnancy, and for medical abortions. Types of cancers it is used for include breast cancer, leukemia, lung cancer, lymphoma, and osteosarcoma.Comment by Khayrat Laith: Pt taking methotrexate will hav drug interactions wit?Beta blockersAlpha blockersNSAIDsBeta lactamaseMethotrexate cause all, exceptA. Folate antagonistB. Antimetabolite C. Bone marrow suppression D. Severe ulcerative stomatiti

Advantage of indirect over amalgamBetter occlusal contour

Deciding to do a cusp reduction Stability, Resistance, Retention

Why do we use onlayCusps are undermained

Pt with Xerostomia what is best RPD base Acrylic or Metal

Less tissue detail in what RPD base- Metal

ASA 3 patient- Systemic diseases but controlled

ASA 6 patient Cerebral dead

Distance btw midsagittal and xray in lateral cephalometric xray- Options 5ft, 6ft, 150 cm

Day 2

For day 2 you need practice, do a lot of prostho and Ortho cases

Learn drug interactions

Learn what to give and what no in Liver and Renal disease

Learn what disease need prophylaxis

Radiographs have two parts 1 and 2 they don’t tell you that in the intro

Some case histories are in the dental chart so make sure to read it carefully

Learn plaque score and what OH indication according to the score

Case asking about effect of estradiol in gum tissues,Comment by Khayrat Laith: Estrogen make more blood to flow to gum which make it more sensitive

Patient with syncope what to give and what notComment by Khayrat Laith: Which is the treatment of neurocardiogenic syncope caused by injection of local anesthetic?A-Place the patient in a reclined position with the feet elevated and give 100% oxygenB-Elevate the patient's feetC-Place the patient in an upright position with a cold compress to the foreheadD-Maintain the patient in an upright position and give ammonia inhalantE-Place the patient in a reclined position and apply cold compressesa

Mesio dens in Xray

Post and core question- Role of post, role of farruleComment by Khayrat Laith: post retain core farrule retention and 2mm height of tooth structure should be available for ferrule effect

Lateral cephalometric xray asking for palatal floor of maxilla

Typically extruded tooth, not counter tooth in the arch

Make sure to know the correct post length

Farmer given xray asked what did you see in opg. Missing 19, near the apex what is the radiopacity. I said retained root tips

Lesion inside the mouth asking what can be except-Focal keratosis

In what cases we can do inmidiate implant after extraction When you have good bone quality and not residual apical infection

ADHA patient if you give Epi with LA what could happen-Comment by Khayrat Laith: use la without epi mepicause it will cause hyper tension when intract with amphetamin

One case tooth #2 has a MOD Ag restoration and #31 opposing has metal ceramic crown, if you want to change the filling in #2 what material would be the best:

Amalgam, Lab Indirect composite, Direct composite (No ceramic in options)

Case with temporal arthritis asking immediate effect: if ear ache or loss of vision

Normal levels of Hba glucose, the answer was talking about level 8 I don’t know if its high or low Normal level 5,6

Side effects of lisinopril: Cough, Orto hypotension, Angioedema, Contraindicated in pregnancyComment by Khayrat Laith: trt high blood pressure

Todays Day 1 QsA lot of qs on Pt management including Battery: Do a procedure in a pt without inform concent

Unbundling: Charge every single xray of a FMX rather than the complete procedure

Nonmaleficinece: Do no harm, do well, know your own limitations and refer to an specialist if you think you cant do the tx, keep your knowledges updated, consult a second opinion when ever prudent, delegate the care of the pt who those qualified to do certain procedures (assistants), do not practice under abuse substance, do not undertake the course of a treatment of one pt without given the pt a prudent time to find another doctor putting in risk the health of this pt, do not contract relationship with your patients

Benificence: “Do good”, Community service, Shared discoverements, report child abuse or any other of abuse sign, dentist is the leader of the oral health team and should promote an environment of mutual respect and consideration among co-workers and patients

Justice: “Be fair” “Fairness”, do not discriminate against sex, gender, race or any other type of segregation, a Dentist is in the obligation to make arrangement in the schedule in order to provide Emergency care to those in need, fault in report harm from other Dentists, Malpractice to your pts is a violation of this principle (Justificable Criticism), Dentist should not accept split or fees from marketing or propaganda while selling products of unknown results to a pt

Veracity: “Communicate truthfully” The Dentist should be honest when communicating with people and maintain intellectual integrity, the removal of dental amalgam from a pt mouth by just stating that it’s a toxic substance it’s a violation of this principle, any procedure or diagnosis made without based scientific facts is a violation of this principle, its illegal for a Dentist to increase the fee of a pt just because the pt has a better insurance, A dentist to send a claim with an altered date in order to take advantage of the pt benefits is violating this principle, perform unnecessary dental service to profit its another example, a dentist who announce a title or diploma that he don’t really have,

Autonomy: “Self-Governance” The Dentist has the right to respect patient decision and confidentiality

Types of cases given options had

Case control: Two groups Cases and Controls, look back in time (Medical records) to correlate a risk factor with an outcome Measured with Odd Ratio, good to identify rare diseases

Cross sectional surveys: Snapshot in time of the population, shows prevalence, inexpensive

t test: Evaluation of two means (Treatment and Control), or two groups A vs B

Chi test: Comparison between two groups Example boys and girls. Measures the association between to categorical variables ( Ex: When an investigator wants to compare the rate of caries in childs using fluor and the rate of those that do not use fluor)The evaluation involve two categorical variable 1) Caries status of the child( Craries free or With caries) 2- Status of the water fluoridation in the area ( Water contain fluor or not)

Pt looking down what to say: What brings you in today sirDesensitization how: Progressive stimulus from an ascending hierarchy [Graduated exposure]

It occurs in 3 steps:

A) Identification of the anxiety and induce hierarchy stimulus

B) Learning of relaxation or coping techniques (Diaphragmatic respiration)

C) Connect the stimulus with the coping technique ( Learn of self-control)

( Start with topical, massage the surface, prepare the patient, do the anesthetic pinch), another is let the pt take the xray holder to home and practice, another

How to treat manipulative kids: Operant extinctionTN calculation : TN/ TN+FP*100 (Shows specificity people without the disease)

PharmacologyEpinephrine: Sympatico mimetic, alfa and beta agonist, reversed with Phentolamine (Oral versa)

What LA drug to give in hyperthyroidism: Mepivacaine (no epi)

Beclamathasone: Cortico steroid used in many areas included Asthma, COPD

Ginseng: Blood thinner, not should be given with any anticoagulant

NSAID S action: Inhibit COX 2 irreversible only by aspirin other are reversible

Pt taking anticancer drug what adverse effect: Bone marrow toxicity, GI toxicity, Skin and hair affected, Nausea and vomiting

Actions of atropine: Antimuscarinic (Dry mouth, eyes, mydriasis, constipation, tachycardia)Codeine: Opioid (Mixed with Acetaminophen=Tylenol 3 Schedule 3) Also used to control cough Hydrocodene: Opioid (Mixed with Acetominophen is Vicodin Schedule 2) Used to treat strong pains more chances to create dependence.

Nitrous in pregnancy what trimester not to give- 1st trimestrer but its not an absolute contraindication, can be given in an emergency

GA Sedation advantages- Titration (Can be measured better)Calculation of child LA 62 Pounds× 4.4 (28kg x 4.4= 123.6)Hydrocortisone: Used in adrenal crisis Adrenal insufficiency : Caused by prolonged regimen of Corticosteroids more than 2 yearsAngina drugs: Nitroglycerine, Beta blockersEpinephrine reversal act on what adrenergic receptors: Alfa 1 and 2Benzodiazepines reversal: Flumazenil

Weelchair question how to transfer the pt: Sliding boardWho is at a least risk of inhaling NO patient dentist hygienist assistant

Ortho Frankfort horizontal what points= Porion to OrbitaleNot many qs that I can recall

PathologyTraumatic neuroma= Painful, commonly in mental nerve foramenVericous carcinoma appearance: Cauliflower, warts caused by HPV mainly 16 and 18What is not a true cyst: Traumatic bone cyst, Stafne cyst Traumatic cyst appearance in a radio scalloped around the rootsOkc= Associated with Gorlin syndrome, high chances of recurrence, frecuent in mand post and ramus,pallisanding cells, hyperchromatic nucleus, keratinized epithelium, from REE)Least recurrence= Adenomatoid Odontogenic Tumor (Teenager, anterior region 50% of the times associated with an impacted canine, female)Most prevalence caries: Caries=White, Caries in kids=Hispanics, Untreated caries=Black Perio diseases=Black

Lower lip swelling due to what: Mucocelle (Severance of minor salivary gland)Biopsy incisional excisional when to do: If less than 1cm excisional, if more Incisional) and if lesion do not resolve after 14 days of follow up and removal of risk factorsWas presence of desquamative cells in cytology. What to do next: Repeat cytology, Biopsy, Refer for radiation, Refer for Resection

Blue growth on tongue for 5 years Hematoma or Hemangiona- HemangiomaHard palate has a white mass- Papilloma

Radio Dark radio why- Overexposed, Overdeveloped, Solution to hotRadio resistant- Muscle cellExposure Square law E1/E2= (D1)2/ (D2)2Erythema on slow low dose-Occur after 2 weeks of radioBiological system exposure-

Operative Base thickness depends on Remain Dentin thickDiffernt scenarios and how it treat them: Rule of thumb: When 2 teeth adjacent to each other have Class3 lesions, prepare the larger first and fill the smaller one first, access to the prep and color matching are better when you do both at the same app.Which cavity to fill first and prepare first

Prostho Arcon articulator The condylar element is in the lower member, resemble most accurately the TMJ anatomy, good for Fixed prothoFacebow many qs on it: Transfer the hinge axig of the mandible respect to the MaxillaF sounds: Position if anterior teeth (Wet line by incisal max)Wax try in sounds: Fricatives for Anterior teeth position, Silabants for Antero posterior position of incisors S sound tell the pt say 66Protrusive record: To set condylar inclination in articulator

Tongue position above or below the mandibular plane: ABOVE THE OCCLUSAL PLANEBuccal flange in Border moulding what movements of tongue: Should be buccinaor, masseter

Surgery Lefort: Runs anteroposterioly above the max teeth apices along the maxillary bone and can affect pterygoid plate of sphenoidImplants Peri implantitis causes: Progressive peri implant bone lose due to accumulation of plaque, overload of the implant or combinations of itInr Normal 0.8-1.2 it’s a measure of the PT External pathway of coagulation Safe range for surgery up to 3Drug relationship to Pt PTT bleeding time: P, INR affected by Warfarin, PTT affected by HeparinWarfarin= Coumadin Blood thinner, interfere with the Vit K factors of the coagulationFactor X= Hemophilia

Types of grafts best typeWhat does the recipient epi depend on after GraftWhat is the purpose of internal attachment In implant

PerioFurcation most common GTRWhat isn't useful in grade 2 furcation soft toothbrush, irrigation water pik, small brushes suprabony GingivectomyAttached gingivaPercussion testHallmark of acute abscessSupporting bone removal wht procedure

Question asking transillumination in kids:

Cleft palate

Koplik spots

Herpetic Gingivo…

Sialolithiasis

Fetal alcohol syndrome features:

With nasal bridge, cleft palate, microcephaly, micrognathia, palpebral fissures

Trisomia 21- Macroglosia

Most common congenital defect or anomaly

-Cleft lip

-AI

-DI

-Ectodermal dysplasia

What disease have not been proven to be associated to perio disease

· Diabetes

· Smoking

· Nutritional deficiency

· Poor oral hygiene

Pt with mouth breathing will have- Open bite

Pt with 8mm of open bite what tx

-Lefort 1

-Sagittal split

-Vertical oblique something

Cracked tooth syndrome most common sign- Pain when release the bite

Most common tooth involved in Cracked tooth- Mand Molars

Minimum width of the major connector:

· 6-8

· 4-6

Attached gingiva from what point to where- MCJ to the base of the pocket

What is the function of the major connector- Stability and Rigidity

Periimplantitis least cause of it: Iatrogenic and something to do with clotting

A break in a recently placed MOD in the isthmus why- Inadequate depth/ Axiopulpal line angle not beveled

Pins Inc retention but dec strength

Order to place cords-

Around margins PFM discoloration why- Silver if not in options then Cooper

Pt who feels he will be doomed has:

-Fear

-Phobia

Bence Jones proteins- MM

Pregnant lady with urination and something else Preeclampsia (Symptoms of Preeclampsia= (Elevated protein in urine, Swelling in feet and face, elevated blood pressure, suddenly weight gain)

Punched out lesions-MM

Best way to diagnose NUG= Punched out interdental papilla

Tx for LAP Abx and Debridement

Most prevalent perio disease in kids-

Trauma in kids at what age-

Dental brush without assistance at what age-

BBB made of what- Astrocytes and tight junctions

Bioavailability means- Fraction of the drug reaching the systemic circulation and its target

Lichen planus- Autoimmune lesion, destruction of basal layer

Trauma in young kids due to- Lack of neuromuscular coordination

Informed consent does not include- Insurance cost, copayment or any financial fact

Perio assessment

· CPTIN (Community Periodontal index of Treatment Needs)

· DMFS

Most frecuent wall defect- 2 walls defect

Partial antagonism means:

Percentage dose curve and Dose effect curve similarity-

Combination syndrome has what least likely- Increased VDO

Most common impacted Maxillary and Mandibular tooth-Max=Canine, Mand=3rd molar

Arch discrepancy in mand and Max which tooth blocked out-Max canine, Mand 2nd PM

Head neck radiation what caries- Cervical

What bacteria in plaque, but no an initiatior-

What drug does not dec saliva-Pilocarpine

Implant best site-Post mand

Prevention of Pt law suite what should the Dentist do- Competence

Ludwing angina not in what space-NO in Retropharyngeal

Mand 3rd molar root deplaced to what space- Submandibular

During IAN not been able to achieve proper anesthesia means went to which accessory innervation- Mylohyoid

Clicking of teeth- Excessive VDO

Facebook measure what (Infra orbital to max?)

Post teeth disocclude what type of occlusion-Mutual

Avulsed tooth tx:

Intruded primary teeth tx

Splinting not done in what situation: Intrusion

Candida in a pt with Cancer because- Due to radio, due to chemo or due to neoplasia?

Sausage like appearance- SialoDOCHITIS

What cannot be on tongue- Peripheral Giant cell granuloma

Space maintainer after lost what tooth- Primary 1st or 2nd Molar

Arch length: Primary Distal of 2nd Molar, Permanent Mesial of 1st molar

Myastenia Gravias what Abx- Penicillin, Contraindicated- Erythromycin

Bipolar disorder what medicament- Lithium

Click sound on closing because of what position- Disk displacement with reduction (When pt is at rest the disk is anterior to the condyle and when the patient open the disk comes posteriorly and insert in between the condyle and fossa {1st click} when pt close again the disk return to its ectopic position anteriorly {2nd click} the condyle at rest position will be constantly facing the fossa bone-to-bone which cause pain and inflammation)

What do the dentist do to a child with internal derangement-- Options Occlusal splint, Ortho tx and more

Rigid fixation has what- Screw or Wire (Wire is semi rigid)

A displaced fx of the Jaw is difficult to treat with internal fixation because-- Muscle pull

Reciprocation (2 click) due to- Reduced disk displacement

PVS retarded setting because- Latex

Zinc phosphate powder increased what happen

· Dec viscosity

· Dec thickness

· Inc Acidity

Pulp capping best results - 0.75 mm exposure

Elastomer disadvantages- Cost and Record VDO, not good for bite registration, poor tear strength

Hypoxia first sign- Elevated pulse, cyanosis

Oral sedation disadvantages- Prolonged duration of action, non predictable sedation level, GI absorption

Paresthesia of the lip indicates- Malignancy

Class 2 the matrix should be placed where- 1mm above marginal ridge

What not to do if less keratinized gingiva on distal of second molar- Distal wedge (Sufficient attached gingiva and space must be present to do Distal wedge) keep in mind that Gingivectomy is contraindicated if the bottom of the pocket is apical to the MCJ

Infectious mononucleosis features- Sore throat, lymphadenopathies, EBV is the culprit

Something called PICO and what means the O- Outcome

Montelukast MOA- Inhibit leukotrienes

Leukotrienes clinical manifestations

Pt has class 2 decay deep into cementum where gingival margin is and wants composite for aesthetics. What material would you place in gingival margin? -- RMGIC (Sandwich technique)

Mercury toxicity causes Visual or Audtory disturbances- Hearing disturbance, speech problems, renal toxicity

Class V composite where is the retention-- Grooves on occlusal and gingival

Athetoid Palsy features- Athetosis=Slow, continuous writhing movements, Dystonia=Repetitive movements, Chorea=Small, quick unpredictable movements, they have difficult maintaining posture and balance, standing and walk and coordinating movements

1-What is the difference between primary & secondary trauma ?Both option was there occulsal and health of the periodontum--- In both there are perio problems-Occlusion is the cause in primary but not in secondary.2- what is conjunction?The addation of molcules is the Ans (Link together)3-periodontal problems mostly assoicted with HypertensionSmoking,Deibetes plaque4- freacture on the orbit of the left eyes which border of the maxillary sinus will it effect?SuperiorInferiorPostierAnterior 5- What was Chess and Thomas categories of Children Temperament?

6-Pain on half of the face, that comes once a month and its?I believe the answer was Migraine.7- know the different btween granuloma and cyst histologialy they ask you like

Periapical granuloma= Fibrocellular connective tissue stroma with chronic inflammatory cells infiltrated (Mainly plasma cells and lymphocytes) fibroblasts and collagen fibers

Radicular cyst= Stratified squamous epithelial lining, surrounding C.T fibrous capsuled with chronic

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