Professional Documents
Culture Documents
NBDE II Questions
NBDE II Questions
all choices)
33.Panorama , identify structure lateral nasal wall
34.Panorama identify structure coronoid process
35.Panorama identify structure shadow of soft palate
36. Bite wing, obliterated root, short, bulbous crowns dentinogenesis
imperfecta
37. Patient management of patient arguing that your fees are too high
38.Patient with abfraction will most likely have wear facets
39.Features of cemento osseous dysplasia ( 2 questions)
40.Trigeminal neuralgia cant remember
41.Treatment of primary central intruded tooth by 5 mm in 3 year old
42.Treatment of permanent central intruded for 1 mm in 8 year old
43.If tooth doesnt have enough band of keratinized gingiva dont do
gingivectomy
44.Most important factor affecting success of posterior composite
technique and case selection
45.Composite postoperative sensitivity related to polymerization
shrinkage and cusp exture
46.MOD inlay and pain on biting on French bread M-D fracture
47.Management of cusp fracture without pulp exposure
48.Glass ionomer cement which one is not true less soluble than resin
cement
49.Best cement for onlay resin cement
50.Xray for odontoma
51.Parkinson patient facial features
52.Treatment plan for Alzheimer patient based on preventive and alleviate
pain
53.Needle tract infection after ID block will spread to which space
54.A lot of questions about fascial spaces and spread of infections
55.Treatment of necrotic rst molar in 8 year old apexication
56.Turner tooth denition
Enamel hypoplasia of one tooth
57.10 year old have black central incisor, most probable cause trauma
58.Denition of parulis
an elevated nodule at the site of a stula draining a chronic periapical ABSCESS
59.Chronic suppurative infection but no sinus tract drain thru
periodontium
60.Periodontal apparatus includes all but gingiva
61.Suppuration most associated with actinomycosis
62.Diagnosis, asymptomatic tooth with periapical radiolucency, no response
to vitality test periapical granuloma
63.Management of patient who wants dentures but has moderate gag
64.Several questions about epidemiological studies
Biological width Pedo: How much for max NO?palate and lip cleft disease
rateectodermal dysplasiadown-NSAIDindirect retainerPT normal valuebone
graftvalue,hue,chromaII amalgam have overhang, why?class III cavity in two proximal
teeth, one big,one small, ll which one rst
bzp
antibiotics
hla
wt kg kids n how much la
narcotics
antifungal
endo
pedo
anug
herpetic gingovitis
ameloblastoma- dd
radio - extra, intraoral
mucus retnsion cysts
salivary glands
impression materials
crown root ration
pfm- where fravture- ?porcelain
malleability, ductilty
cements
inlay,onlay- mod- fracturega- nitous oxide
extractions
occlusion- reduce where
rpd- class, guiding plane
cd- muscle molding
pps
anticoaglants
ceph
band n loop
incidence,prevelance,sensitivy, specicity
pics
1denti.imperfecta
2.lympho epithi.cyst
3.mucocele
4.cemetoblastoma
5.facial palsy
6.cementoma
7.migratory glossitis
8.candidiasis
2.pt with inlay have pain during bitting..no radiogrphic evidence-(ans)m-d cusp
fracture
3.cracked tooth with more symptom to---cold,heat,pressure
7.most common area of fracture in children---symphysis,condyle,coronoid
8.apical root closes---21/2-31/2,4yr,5yr
9.tooth with most favourable prognosis---small internal resorption
10.face divided vertical by---3,4,5;
Horizontal is 3 (it should 4 planes that divided
it to 5 area)
11.frankfort horizontal line---(ans)porion to orbitale
12.occlusal rim parallel to----ala tragus line ( camper's line);
13.sterilization most destructive to carbide instruments----steam heat,dry
heat,ethylene oxide,cold chemical
dry heat does not Corrode or dull instruments.
bacillus spores are the benchmark for sterilization I think it is Clostriduim
Botulinium) First aid page336
Mycobacterium is the benchmark for disinfection
14.sterili cause rust----steam heat,dry heat, unsaturated vapour(does NOT rust or
corrode)
18.orange stain is important ---to change chroma
19.which procedure is most unsuccessful in primary tooth with deep caries---direct ,indirect,pulpectomy,partial pulpectomy,pulpotomy
21.resorption of bone takes place in which direction after extraction----downward
inward,downward outward,forward inward (something)
22.which procedure least likely to produce bacteremia--extraction,non surgical
endo,oral prophylaxis
24.which gracey curet is used for the mesial surface of distal root in max
tooth---11-12,13-14
25.which determine energy level of photon in xray---kvp,ma
26.which structure is most radio sensitve----hemopoitic bone marrorw
27.revesal occlusal plane---chin tilted too upward
29.which is most important for diagnosis of maxillary sinus xray---occlusal,panaromic,MRI
31.effect of xray---genetic mutations
32.collimation
34.tranillumination method is most useful in carious diagnosis ---anterior
proximal,posterior proxmal
USE OF ZINC CHLORIDE IS NOT RECOMMENDED=necrosis
Aluminium chloride is hemodent, most commonly used
Epinephrine is not used due risk of increasing BP in hypertensive pts.
38.procelein lamnated veeneer xed by resin show black margin in 2 days cause--porcelein break,resin wears off???
40.active part of ultrasonic
41.torche available fungal agent---clotimazole
49.U shaped radiolucency in max molar---zygomatic process
J shape radiolucency - vertical root fracture
50.pt says i dont have time to stop smoking--contemplatory,precontemplatory,denial,action
51.pt asking more about mask,glove which is NOT correct responds---dont worry
about it we will take carry of it,expaining about each precautions using in clinic
52.using ATM card of elder is not applicable but some suitation is not under
consideration---both true,both false.1st true 2nd ase
restoration...???
110.sensitivity following composite restoration in post most comman cause---???due
to resin,polymerization shrinkage in margin,shrinkage oor...???
111.without indirect retainer---outward displacement of distal extension base
113.exiblity of alloy depend on all expect----composition,taper,undercut (ans)
114.epithilium of free ging graft----degenerate
115.distractive osteogenesis defer from osteotomy by..???
distractive osteogenesis is a surgical process used to reconstruct skeletal deformities
and lengthen the long bones of the body.
An osteotomy is a surgical operation whereby a bone is cut to shorten, lengthen, or
change its alignment
116.signs of gingivitis
117.bacteria in healthy mouth---facultative gram positive anerobic bacteria
118.which of the following is not true about local agressive periodontitis----affect less
than 30%,treatmt scaling and systemic antibiotics, genetic
120.disease with Desquamative gingivitis---pemphigus and cicatrial pemphigoid
121.lateral perio cyst common location---bicuspid lower
122.some measurement about attachment loss
123.primary reason for replacing og overhanningrestoration---interfere in plaque
removal
124.which one is common in pregnancy and in normal condition--pyogenic granuloma
125.best longterm care after perio treatmnt---self,professional..???
126.which type of interleukin in most common after perio disease--1
128.if implant with width of 4 is used what should be the bucolingual width of the
ridge----6
minimum Vertical height of bone to place implant 10 mm
minimum Width of bone is 6mm
minimum distance of apex of implant From nerve - 2mm
platform of implant from adjacent CEJ - 2-3 mm
between implants 3mm
between implant and tooth (height of coutour) is 1,5mm
Mini implant is 2.4mm
When there is FPD from natural tooth to implant, the max stress is concentrated on the
SUPERIOR PORTION OF THE IMPLANT.
RPD:
Retention: Direct retainer , and indirect retainer
Stability: Minor, proximal, ligualul plate, denture base
Support: Rest, major, denture base
H2O2 - less than 10% OTC
H2O2 - 30% (superoxol) used in in-office bleaching
Carbemide peroxide - 15-18% tray bleaching (commercially available in syringes)
129.most acceptable root sensitive theory---hydrodynamic
131.attrition---normal wear
132.incisal beveling
133.something about festooning bone,margining bone,attening bone(option)
134.post evalution after perio therapy---3wks
136.pt with diabetic having sedation IV and LA---ask the pt to take high calorie food
with insulin,low calorie food which inusulin
138.mucosal graft epithelization by---connec tissue from underlying tissue(recipient
site)
140.lefort frac 1 associated with- what fracture--nasoethmoidal air cell,frontal
sinus,max sinus,mastoid air cell
Le Fort II - separation of the maxilla, attached nasal complex from the orbital and
zygomatic fractures
Le Fort III - Nasoethmoidal complex, the zygomas, and the maxilla fromt the cranial
base which results in craniofacial separation
143.2 question about apexication ...pt 8 without root closure
144.symptoms of sjogren all expect one---sicca,xerostomia,arthirtis,lymphoma
(another option is ans)
145.acute gingistomatis virus associate with---chicken pox virus(herpes virus) also
147.acylovir---in some viral infection
148.most common cause of failure of in restoratn in primary tooth---cavity
prep,moisture contamination...
150.fusion---two tooth join only by dentin
151.while giving inf inferior alveolar injection the pathway from?contra lateral
premol,contra canine,contra molar,ipisi lat premol
153.how to split the tooth using bur tech of tooth removal---spilt buccal and lingual
upto furcation..
155. constantly exposing the pt to get from the fear factor is---desensitation
Fear decreases pain and anxiety increases pain
158.most common site of herpes--attached gingiva
159.scopolamine-commonly used for motion sickness Anticholenergic drug The drug is
used in eye drops to induce mydriasis (pupillary dilation)
160.prostaglandin inhibitor cause all expect---increase grastic mucous, PG:decrease
gastric acid and increase gastric mucous
162.unconsicous most commonly---psychogenic
163.in asthmatic patient===nsaid contraindications - NSAIDS cause bronchospasm.
longterm asthma give corticosteroid
ASA III
Some functional limitation; has a controlled disease of more than one body system or
one major system; no immediate danger of death; controlled congestive heart failure
(CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity,
chronic renal failure; bronchospastic disease with intermittent symptoms
ASA IV
Has at least one severe disease that is poorly controlled or at end stage; possible risk of death;
unstable angina, symptomatic COPD, symptomatic CHF, hepatorenal failure
ASA V
Unstable moribund Pt who is not expected to survive 24 hours with or without the
operation
ASA VI
Brain-dead Pt whose organs are removed for donation to another
Periapical cyst pic
Odontoma pic
Recurrent apthous pic
Location of Inferior Alveolar Nerve -They then pierce the buccinator muscle between
the palatoglossal & palatopharangeal folds, lying lateral to the medial pterygoid at
the mandibular foramen.
Syphilis Chancre resembles
1)
Cancer 2) Herpes 3)Herpangina 4)Apthous Ulcer
Most common Non-odontogenic cyst
1)
1)
Mode of action of miconazole - alters the cellular wall permeability. It
works by inhibiting the synthesis of ergosterol, a critical component of fungal
cell membranes.
3)
Cause of indiscrete margins on xray lm
4)
Antibiotic contraindicated with alcohol are Metronidazole, Tinidazole, Antimalarial,
urazolione, Griseofulvin - headache, nausea, vomiting, irregular heart beat,
tachycardia, ushing, breathlessness, low BP
5)
In a # of rt side of body of mandible, which other # is to be suspected condyle on the contra lateral side of the subcondylar region
Trauma to one side often produces an ipsilateral body fracture and a contralateral subcondylar
fracture.
A heavy blow to the symphysis produces a symphyseal fracture and bilateral subcondylar
fractures.
It is also important to exclude damage to the cervical spine and to ascertain that the airway is not
compromised.
6)
In condylar hyperplasia, mand deviates to which side? to the contralateral
side (the unaffected side), in condylar hypoplasia it deviates to the affected side
7)
Treatment of ranula: a) marsupialisation, enucleation, inj of steroid into it
for mucocele - enucleation
9)
Pt complains of high fees of dentist, how should the dentist answer? Fee is
ne according to the geographic area, it is fair and reasonable, I have to make a
living too
10) Handling of an ADHD pt and how to get them to maintain oral hygiene - no
modications
11) Working side interferences are seen on what surfaces? palatal inclines of
buccal cusp of upper and buccal incline of lingual cusp of lower; In MIP or CO,
the buccal incline of palatal cusp of upper and lingual incline of buccal cusp of
lower
Balanced side interferences are buccal incline of palatal cusp of upper and
lingual incline of buccal cusp of lower
13) Protection for inf alv nerve while placing an implant : surgically move the
nerve, meticulous placement of the implant, place a barrier
14) Action of chlorhexidine? membrane disruption
Denaturation of the proteins - alcohol and autoclave; Coagulation of proteins - dry
heat
16) Source of epithelium for graft: host, graft, adjacent tissue. Source of the
blood supply is the host connective tissue
17) After ap surgery, how does repair occur? Pdl moves occlusally, apically,
laterally
18) Up on using the uorescent light, in which of the conditions is the
complete tooth illuminated: vertical#, periapical abscess, split tooth?
20) Colour of nitrous oxide cylinder - blue, oxygen cylinder is green
21) Description of a biohazard waste box. which one of the following is wrong
about it: made of metal, closed, puncture proof, leak proof.
23) Disadvantage of hydroxyapatite graft - control of granules is hard and in
the region of lower bicuspds, graft might be solidify over the mental foramen
and cause parasthesia.
26) For a pt with head and neck cancer who is to be irradiated, when should be
questionable teeth removed: before irradiation, after, during?
27) Treatment for lingually erupted #9 at age 7 no tx
28) Advantage of bundling instruments before sterilization
29) What happens if penicillin and erythromycin are given together:
summation, potentiation, idiosyncrasy
30) Numbers of surgical forceps for tooth extraction
31) Angulation of cutting edge to the tooth surface while root planning more
than 45 less than 90
32) After using a gingival retraction cord, tissue reacts by recession. Where do
you see this the most; lingual, buccal, interproximal.
33) Which aspect most commonly needs convincing for the pt with new CD:
speech, chewing, max denture retention, mand denture retension
34) Which of the following is absent in facial palsy: drooling, inability to wink,
loss of msl tone, excessive salivation- dry mouth and dry eye
35) Consequences of tooth extn in a pt with adrenaline crisis probably
delayed healing, infection, inammation
If Pt uses more than 10 mg prednisone daily then: double the dose of daily
steroids at the day of
surgery as well as double the dose the day after surgery.
(always after consultation with MD
36) Contraindications for the use of opiates cannot be used with MOA
inhibitors, incase of head injury
37) Bacteria that is responsible for progression of caries but not causing
the initial phase 38) pt comes with eroded occlusal surface, lingual surface of max teeth,
llings raised from the surface. What should be suspected possible GI
regurgitation
39) pagets disease
40) radiographic feature of osteoporosis
41) how is the caries rate in downs syndrome is less the patients with DS had a
signicantly lower prevalence of caries and signicantly higher levels of salivary sIgA in
this study. This nding tends to support the hypothesis that higher levels of salivary
sIgA may protect against dental caries. But periodontal disease is more
42) Cleft lip and palate is usually associated with which kind of malocclusion?
class III
43) Purpose of dietary analysis of pt -Caries risk assessment
46) Cause of dry socket: brinolysis of clot, physical dislodgement of clot?
47) Which of the following is a dentist not supposed to do: talk about options provided
by other specialist, risks of not having rx done, benets of having treatment done,
discuss about copay?
Note:If you see a fact e.g broken le,or tooth perforation you have to inform the Pt but
not blame the previous dentist
48) Onset of action of antipsychotic is 5-6 days
49) Child with blue lips, thickened nail beds, pale skin. What disease is to be
suspected( I think cyanotic heart disease)
50) msl that decides posterior extension of lingual side of dental ange?
Mylohyoid, superior pharyngeal constrictor?
53) Dene chief complaint - it should be in pt's own words
54) Oral hygiene instructions for ADHD pt: hygienist to pt, hygienist to pt and
parents, dentist to pt, printed material
55) All of the following can be used for plaque removal except: water
irrigation, tooth picks, toothe brushing, oss
56) Tooth brushing technique best suited for removal of interproximal plaqueModied Charters
57) Where does interproximal caries generally occur: above contact area, below
contact area, at contact area, area between marginal ridge and contact area?
58) How is wheeze heard? (description) - gasp followed by high-pitched
whistling
59) Pregnant woman goes into syncope in second trimester. What should be
the immediate action? turn her to the left in order to remove the pressure from
inf. vene cava
60) Dealing an angry patient
61) Behaviour shaping and modeling
62) Diabetes is common on which race? balck men
63) Use of pulp testing: check disease or health or extension of damage of
pulp, check the responsiveness of pulp nerves.
65) How does a tooth covered with crown react to pulp testing--- cold is
better test
67) Periodontitis is common for which race? Black
68) Night guard is used for: treating bruxism, redistribute occlusal forces
69) Should be able to identify defect in hue, color, chroma on a photograph.
Displacement of fractured segments of mandinble by the action of associated muscles.
If the # is at symphysis the muscles are genioglossus and ant. Digastric. Read more abt
it.
pt is addicted to oxycodone which contra indi- Patients receiving CNS depressants such as
other opioid analgesics, general anesthetics, phenothiazines, other tranquilizers, centrally-acting antiemetics, sedative-hypnotics or other CNS depressants (including alcohol) concomitantly with
PERCOCET tablets may exhibit an additive CNS depression. When such combined therapy is
contemplated, the dose of one or both agents should be reduced. The concurrent use of anticholinergics
with opioids may produce paralytic ileus.
.bioavailability---amount of drug avilable in systemic circulation
.antipsychotic with irreversible side effect----tartive kinesia
.lantaprost indication---- Xalatan (latanoprost ophthalmic) used for gluacoma
.common site for granular cell myoblastoma(granular cell tumor)---tongue
.large radioopaque lesion in carious affected tooth---condensing osteitis
.lesion commonly with dysplasia and carcinoma in situ---erythroplakia
.common nding in patient with ataxic cerebral palsy---ant tooth fracture
.common reason for angular chelitis---decreased vertical dimension,skin fold,poor
diet (Vit B2 and B12)
In edentulous pts, when there is decrease vertical dimension, most common sign is
ANGULAR CHELITIS
Ideal depth of a bone for an implant
What group has the highest prevalence of caries? Blacks, Whites, Native
Americans
Hispanics.
Prevalence of caries in permanent teeth (DMFT) among adults 20 to 64 years of age,
by selected characteristic White >Black>Hispanic
Prevalence of untreated caries in primary teeth hispanic>Black >white
Prevalence of untreated decay in permanent teeth (DT) among adults 20 to 64 years
of age- Black >Hispanic> White
Mean number of decayed, lled, and decayed or lled permanent teeth among
adults 20 to 64 years of age White>Hispanic>Black
Moderate periodontal disease was most prevalent in males, blacks
Prevalence of Class II malocclision more in Europian , Class III maloclusionin Asian
Class III malocclusion with cleft lip and palate is more in Native Americans >
Oriental and Caucasians > Blacks.
Cleft lip is more common in Asians
Clift lip prevalence in USA is 1:700- 1:800
Cleft lip is done in 2-3 months after the child is born
Clept palate is not done until the canine erupts and maxillary growth completes at
age 10-12
The lip is corrected as early as is medically possible.the soft palate is closed btw
18-24 months of age,leaving the hard palate cleft open. the hard palate cleft is
then closed around age 4 or 5.PETERSON
Alveolar correction surgery is at age 8 before the eruption of canine
(Before canine erupt------surgery to correct major defects of clefts in the lip and hard and
soft palate is done in infancy - before the age of two. But correcting the alveolar cleft is
usually left till a later time, around the age of 8 or 9. This is because if the surgery is
conducted when the child is younger than this, the scar tissue that forms during healing will
interfere with the normal development of the face. An alveolar cleft is corrected with a graft
of bone and soft tissue.)
For carbide stainless steel burs, what form of sterilization does not corrode
the surface? 1. Dry Heat, 2. Steam , 3. Both Dry Heat and Steam, 4. Neither Dry
Heat nor Steam
During root canal treatment, the operator creates a ledge. What is the next
step? 1. Fill up to the ledge and leave the ledge intact, 2. Extract and replace with
an immediate implant, 3. Take a smaller le to working length, remove as much
debris as possible and gently try to remove the ledge.
Which tooth is least successful for a patient to remove plaque with oss? 1.
Maxillary premolar, 2. Mandibular premolar, 3. Mandibular molar, 4. Maxillary
molar
Upon extraction of a maxillary molar, a 2mm sinus defect is noticed. What is the
next step in treatment? 1. Prescribe antibiotics and nasal decongestant, 2. Open a ap
and close the sinus involvement defect with suture, 3. No treatment necessary, follow
up in 3 days.
A teenager (11 yo) presents with an intruded maxillary lateral incisor (#7).
What is the next step of treatment? 1. Extract and Implant, 2. Splint for 2 weeks
with RCT treatment after, 3. Splint for 2 weeks and follow up
For a young patient (6 yo), the treatment of choice for a necrotic pulp on
permanent rst molar would be: 1. Apexication, 2. Apexogenesis, 3. Root Canal
Treatment
Which treatment has the least successful long term prognosis on a deep
carious lesion on #3? 1. Direct pulp capping(correct answer), 2. Indirect pulp
capping, 3. Pulpotomy, 4. Pulpectomy and RCT
What would be the most reasonable cause for a tooths symptoms to change
from reversible to irreversible pulpitis? 1. Accumulation of traumatic injuries, 2.
Bacterial involvement inside pulp chamber, 3. Increased intra-pulpal pressure
What is the most accurate pulpal test to determine vitality of a tooth with a
full-gold crown? 1. Electric testing, 2. Percussion test, 3. Palpation test, 4. Thermal
test
What is the outline shape of the access cavity for a permanent mandibular
rst molar? 1. Triangular, 2. Trapezoid, 3. Oval, 4. Circular
For a lesion in enamel that has remineralized, what most likely is true? 1.
The enamel has smaller hydroxyapatite crystals than the surrounding enamel, 2.
The remineralized enamel is softer than the surrounding enamel, 3. The
remineralized enamel is darker than the surrounding enamel, 4. The remineralized
enamel is rough and cavitated
On the cementation day for a full gold crown, what is the rst step? 1.
Evaluate margins, 2. Evaluate occlusal contacts, 3. Evaluate proximal contacts, 4.
Evaluate proximal contours
For a surgical extraction of mandibular rst molar, what is the best course
of action? 1. Cut a Y into the coronal portion and extract each root separately, 2.
Cut the coronal portion from the roots and extract the roots separately, 3. Cut the
tooth bucco-lingually and extract the roots separately
For a surgical extraction, what does not contribute to developing postoperative pain? 1. High-speed drill, 2. Low speed low torque drill, 3. Sharp burs, 4.
High-speed drill with water spray
Know the onlay wall preparation, which walls are convergant, divergent and
which wall is axiopulpal, axiogingival, etc.
58) You are giving cusid-cuspid bridge and want to change the canine guided
anterior disclusion.What is required. change to group function
59) All are requirements of interocclusal record material except. Hard when set,
capable of trimming with sharp knife after set, resistance to biting.
60) Anterior guidance is determined by overjet and overbite
61) Minimum ridge width for 4mm implant is. 6mm, 8mm, 4mm, 10mm
62) All are symptoms of TFO on an implant except. Gingivitis, pain, loosening of
implant, breakage of abutment screw.
63) Incidence of cleft lip&/ cleft palate is 1 in 700
64) Heart rate of 4 yr child is
Age 3 is 110 and age 5 is 100
65) Highest incidence of untreated dental caries is seen in .Americans, blacks,
Asians, Hispanics,
66)Highest incidence of dental caries in children is seen in hispanics
67) Greatest incidence of malignancy is seen in .Pagets disease, monostotic brous
dysplasia
monostotic brous dysplasia: malignant change ,usually development of osteosacoma
has been RARELY associated with brous dispalsia.radiation for this lesion is
contraidicated because it carries the risk for developmant of post-radoiation bone
sarcoma .Development of malignant bone tumor,usually an osteosarcoma is recognized
complication of Paget,frequency of osteosarcoma is 1%,mostly long bone. NEVILLE
68)Oral granulomas, apthous ulcer, rectal bleeding is seen in. Wegeners
granulomatosis, ulcerative colitis, crohns disease.
69) Pierre-robin syndrome consists of a triad of retrognathia, glossoptosis, cleft
palate.
70) Most important factor in shade selection. ANS-value
71) Flexibility of a clasp arm depends on all except. Length, taper, circumference,
depth of undercut,
72) Which is most rigid .pd-Ag, typeIII gold,typeIV gold.
73.Least wettability is seen with which impression material.polysulde,
condensation silicones, hydrocolloids, polyether.
74) Most stable in moisture environment. Polysulde, condensation silicones,
addition silicones, polyether.
75) Setting of polyvinylsiloxanes is retarded by. ZOE, latex gloves, ferric chlorides,
aluminium chloride
76) Which produces least change on implant surface while removing calculus.
Ultrasonics, sonics, curettes, plastic curettes
77) What has ultimate effect on the thickness of epithelium of free gingival graft.
Recipient epithelial tissue, donor epithelial tissue, donor CT, recipient CT
78) Disadvantage of partial thickness ap are Visibility, access???
79) The purpose of GTR is to prevent. Long J.E, migration of PDL cells, Migration of
CT cells.
80) The resorption of bone in PD disease is caused by.IL1, IL8, IL10
IL 8 chemotaxis, IL 10 is macrophages.
81) The biological width is. 2mm,3mm, 4mm, 1mm, 5mm.
82) The internal bevel gingivectomy extends approximately from? (undisplaced
ap)
83) Indications for gingivectomy gingival hyperplasia,
84) The purpose of barrier. Apical movement of PDl cells, Coronal movement of
cells.
84) Gingivectomy is contraindicated in .The sulcus is apical to gingival groove,
sulcus is apical to convexity of tooth, sulcus is apical to the crest of alveolar bone.
86) periodontal pathogens in health- ANS Gram +ve facultative cocci and laments.
87) Desquamative gingivitis is associated with which 2 conditions. Pemphigus and
bullous pemphigoid, Lichen planus and erythema multiforme
Pemphigus supra, acantholysis
Pemphigoid - basal
88) The depth of sulcus is 5mm,the distance between CEJ and the base of sulcus is
2mm.what is the attachment loss. 2mm
89) The role of chlorhexidene is cos of.ANS- Substantivity high concentrations for long
time
90) Condition seen in normal individuals and also in pregnant patients.ANS
Pyogenic granuloma or pregnancy tumor.
91) Antibiotic seen in GCF- ANS Doxycycline, minocycline
92) First thing u need to check while placing crown.ANS Esthetics then Proximal
contact
93) The normal recall appointment between periodontal treatment. 3 months, 1
month, 4 month, 6 month
94) 45 year patient comes for appointment schedule.His B.P is 160/100.What
should the dentist do.Call up the physician, reschedule appointment when the B.P
comes down , check B.P again after 15 mts
95) Frequent urination seen during 3rd trimester ANS. Pressure on the bladder.
96) Curettes used for distal surface of maxillary II molar ANS. #13-14
97) Pt comes with carious involvement and localized swelling of cheek.What is the
immediate treatment. ANS.establish drainage
98) After periodontal surgery, the dentist leaves interproximal bone apical to
radicular bone.What is this called negative architecture.
99) Evaluation after scaling and root planning is done after how many days. 7-10
days, 14-21 days 4-6 weeks
coagulants. PT should be 1.5-2 times that of control, INR should be above 2.5
Norma INR is 1, can be treated till 3(acc to manual)
136)Question on parulis
bumps on the gum parulis, Pyogenic granuloma, peripheral gaint cell granuloma,
peripheral ossigying broma,peripheral odontogenic broma,
137) A patient received radiation therapy and requires extraction,what should the
treatment be.Extraction, extraction with alveoloplasty and sutures, extraction with
alveoloplasty of basal bone and suture, pre-extraction and post extraction
hyperbaric oxygen
138) Virus associated with Chicken pox also causes ANS herpes zoster
Unilateral lesions after herpes zoster infection. Reactivation of the virus from sacral
ganglion causes shingles, induced by stress and sunlight exposure.
140) Fluoride supplement required in a 2.5 yrs child in a non-uoridated area.
0.25mg
Community water uoridation 1ppm, school water uoridation 4.5ppm
141)A 4 yr old child management-ANS .empathy and respect
142) Management of moderately apprehensive child
Replacing words like LA with sleepy juice is called as Euphenism.
143) Question on tell, show , do
144) Use of praise, smile and appreciation is-Token(positive) reinforcement, social
reinforcement
145)What is not an advantage of rubber dam when compared to not using it.
Improved properties of materials, shortens operative time,facilitates the use of
water spray
146) Closest resemblance of deciduous mand II molar ANS permanent mand I molar
147) The success of implants does not depend on.ANS .Age of the patient
148) lefort I fracture involves .Frontal, ethmoidal, maxillary ,mastoid
149) Prilocaine above 500mg causes. Apnoea, cardiogenic shock,
methemoglobinemia.
150) complication associated with removal of internal oblique ridge(mylohyoid)
ridge. ANS Lingual.n
151) The drug which causes withdrawal symptoms in pts taking oxycodiene
152) The drug contra indicated in pt taking gingko biloba ANS Heparin
Ginseng used for male impotency, diabetes
Ginkgo biloba used for memory loss.
153) The drug of choice in patient with bradycardia - Atrophine, Epinephrine.
154)Which of the following does not have anti-inammatory action. ANS Acetaminophen
155) The immediate choice of treatment for large radiolucency in the mandible.
Biopsy, aspiration biopsy and wait for the bone to ll in
Safest of all biopsies aspirational
156) The common symptom of trismus is associated with which space involvement.
Sub-masseteric, supercial temporal
During IAN block, pierce Buccinator muscle and inject in pterygomandibular space.
157) The patient returns to the dentist the next day after extraction with pain and
swelling.The drug of choice in this penicillin allergic pt. Clindamycin 300mg qid
158) The restraining of unco-operative 2 yr child should be done by.Dentist,
Assistant, Parent
159) The information about hazards of chemicals used in the office should be
present in ANS. Material safety data sheets
Red ammable; White Personal protection, Blue health hazard, Yellowidentities the reactivity or stability of a chemical.
160) The failure of a test to detect the presence of 5 cases of disease. ANS. False
negative
161) The 16 yr old can take the decisions for the elder pts if. If the elders are deaf
and dumb, if the boy makes the payment, if the elders are over 60yrs, if the kid has
the power of an attorney
163) The dentist separately for core- build up and the crown but the insurance
company says that the core build up is part of crown.what is this called. bundling
164) the investigator studies the occurrence of oral cancer in pts in a private
nursing home.what is this . Cross-sectional study, longitudinal study, Descriptive
epidemiology(prevalence and incidence)
166) common missing permanent tooth ANS. Maxillary third molar
167) The main role of chlorhexidene before surgery ANS. Reduce the no.of
microbes
168) What is an allograft
169) Crowing sounds are seen with. Acute asthmatic attck, COPD.
Asthma Exhalation wheezing, COPD expiration wheezing.
Croup------Barking Cough
170) Blood transfusion before surgery should be done when the platelet
concentration falls below. 20,000, 50,000 , 100,000 etc
171)The most effective method of caries reduction. ANS. Systemic water
uoridation
172) 5 As of cancer prevention :
Ask, Advise, Assess, Assist, and Arrange
173) The Child has 12 deciduous and 12 permanent teeth.what is the age of the
patient 8-9 yrs
174) When does the calcication of permanent incisors occur 3-4 months(decks)
Excepting maxillary lateral incisors 10-12 months
patient c/o burning sensation at the corner of the mouth.- angular chelitis
Peri apical abscess
Trauma to the anterior area of the mouth
Cheek biting
6 yr old complaining of halitosis.
Pt c/o frequent dislodgement of anterior crown.(post and core)
New qs
1. Angular chelitis - common reason is malnutrition; due to decrease VD in
removable pts
2 g IM or
IV* 50 mg/kg
IM or IV
Unable to take
oral medication
Cefazolin or
ceftriaxone 1 g IM or IV
1 g IM or IV 50 mg/kg
IM or IV
Allergic to
penicillins or
ampicillin
Oral regimen
Cephalexin** 2 g
2 g 50 mg/kg
Allergic to
penicillins or
ampicillin
Oral regimen
OR
Allergic to
penicillins or
ampicillin
Oral regimen
Clindamycin 600 mg
600 mg 20 mg/kg
Allergic to
penicillins or
ampicillin
Oral regimen
OR
Allergic to
penicillins or
ampicillin
Oral regimen
Azithromycin or
clarithromycin 500 mg
500 mg 15 mg/kg
Allergic to
penicillins or
ampicillin and
unable to take
oral medication
Cefazolin or
ceftriaxone
OR
1 g IM or IV
1 g IM or IV 50 mg/kg
IM or IV
Allergic to
penicillins or
ampicillin and
unable to take
oral medication Clindamycin 600 mg IM
or IV
600 mg IM
or IV 20 mg/kg
IM or IV
####2.2 mg of Naf will provide 1 mg of ouride.its a standard memorize it been
calculated according to the atomic weight of both sodium and ouride
1. When will the BULL rule be utilized with the selective grinding
a. working side
b. balance side
c. protrusive movement
d. all of the above
2. Pan showing lucency going inferior over the body of mandible close to the angle.
b. anirotational
62. If there is an implant that is 4mm in width at least how many mm does the
labiofacial bone need to be?
a.
6mm
b.
7mm
c.
8mm
63. How does titanium of an implant help in osseointegration?
a.
Forms Titanium oxide layer
b.
Tensile strength
64. What is the cause of cheek biting in a complete denture?
a.
No enough horizontal overlap
65. A post palatal seal (post dam) is used for
a.
Tissue displacement
b.
Polymerization shrinkage of acrylic
66. Indirect retainer is used to prevent distal extension dislodgement away from
the tissue TRUE
67. The exibility of a clasp is determined by everything except?
a.
Length
b.
Diameter
c.
Shape
d.
Type of Metal
e.
Depth of undercut
68. What is the strongest type of metal a FPD can be made from?
a.
Type 3
b.
Type 2
c.
Type 4 FPD
"Crown and Bridge" Gold Alloys (Non-ceramic)
Type I (soft) - min. 83% Noble Metal
Type II (medium) - min. 78% Noble Metal
Type III (hard) - min. 78% Noble Metal
Type IV (extra hard) - min. 75% Noble Metal
Type I - small inlays; very slight stress
Type II - inlays, thick 3/4 crowns, complete crowns
Type III - thin 3/4 crowns, abutments, pontics, complete crowns,
short-span FPD's
Type IV - RPD Frameworks, long span FPD's
69. Know everything about Kelly (Combination Syndrome)
Combination syndrome was rst described by Kelly1 as destructive changes in hard and soft
tissues of patients with complete maxillary denture opposing an unstable bilateral free-end
mandibular partial denture.2,3 The long-term result is extrusion of the remaining mandibular
anterior teeth and the alveolar process surrounding them with loss of posterior mandibular bone.
The plane of occlusion becomes reversed. Papillary hyperplasia of the hard palate develops. The
premaxilla becomes atrophic as a result of the force exerted on this soft bone during occlusion.
The maxillary tuberosity develops hypertrophy, creating a limited interarch space. If not corrected,
the unstable occlusion can result in progressive posterior mandibular atrophy leading
to greenstick fractures. The method of reestablishing a proper occlusal relationship is discussed
in this article using a conventional maxillary denture and xed mandibular implant restoration to
correct the occlusal issues.
70. What do a veneer and all ceramic crown have in common?
a.
Incisal reduction
b.
Rounded internal
c.
Facial reduction
71. Biological width- 2mm why then we say we want the margin of prep 3mm
away from crest of the bone? because of 1mm distance from the attached gingiva
72. You have an FPD and when you seat it, you want the pontic to:
a.
Blanch the tissue
denitely NOT!!
b. Other options what we need to see???
73. What is an active screw (post) vs. inactive post?
75. A resin bonded FPD in not seated all the way or is not stable or something like
that. What could be the reason?
a.
microleakage
76. There is a veneer which is bonded with resin and the patient comes back after
a month or so with a dark stain near margin,reason?
a.
Microleakage
77. When you want to seat a crown, the following contribute to it tting passively
EXCEPT:
a.
Die spacer
b.
Increasing gypsum investment material
c.
Fit checker
78. When you receive a crown back and want to seat it what is the rst thing you
check for?
a.
Shade (Aesthetics)
b.
Proximal contacts
c.
Margins
79. Know about metamerism and how it can affect color based on the light source?
Note: The quality of some colors that causes them to appear differently under
different light sources. For example, two color samples might appear the same in
natural light, but not in articial light.
80. If a kid comes in and has trauma to the face and the IA is damaged, where did
the kid get hit?
a.
Angle of mandible
IN KIDS: most mandibular fractures occurred at the condyle (55%), followed by
the parasymphysial region (27%), then the body (9%), and angle (8%)
IN ADULTS: Condyle : 29% > Angle 24.5%>Symphysis 22%> Body 16%>
Ramus 1.7% > Coronoid 1.3%
81. Know the Maximum dose of lido with epi is 7mg/kg for an adult
Note: text says 5mg/kg for (According to Malamed 4.4mg/kg) and 7mg/kg for
articaine
82. Adding a vasoconstrictor to local anesthesia does all the following EXCEPT:
a.
Decreases rate of absorption
b.
Increases duration of action
c.
Minimizes toxicity and helps homeostasis
d. all of above
83. Max amount of Nitrous Oxide for a kid
a.
40 %
b.
50%
c.
70% Adult
84. The maximum amount of nitrous on the machine safety hinge is 70%
85. What does band and loop NOT do?
a.
Maintain space
b.
Does NOT create a vertical stop
86. Patient with white palate
a.
Patient wears denture all night
87. What is the average pulse rate for a child?
a.
60
b.
80
c.
100
Note: depends on age
Newborn (1d to 1yr)= 100-160
1yr-6yr= 60-140
6yr-11yr= 70-100
11yr and up= 60-100
89. Loss of which tooth important in retaining space
a.
Primary second molar
90. What do you do if mandibular central incisor is erupting lingually?
a.
extract primary teeth and use appliance to move forward
b.
Leave it was an option
note: if primary retain more than 8 yrs of age then extract and place
appliance to reposition permanent mandibular anterior
91.which of the following is most likely to be interpreted as toothache by
Pt?
a.maxillary sinusitis
b. tmj dysfunction
c. otitis media
Maxillary sinusitis - can cause pain or pressure in the maxillary (cheek) area
(e.g., toothache, headache)
92.of the following which is most likely to have reffered pain?
a.acute apical periodontitis
b.irreversible pulpitis
c.phoenix abscess
93.when pulp stone presents on radiograph
a.normal pulp
b.pulp has been injured in the past but has recovered
Some authors believe that pulp calcication is a pathologic process related
to various forms of injury, whereas others regard it as a natural
phenomenon.
94.lateral periodontal abscess is best differentiated from the acute apical
abscess by?
a-pulp testing
b.radiographic appearance
c.probing patterns
95. radiographically the acute apical abscess
a. is generally of larger size than other lesions
b.may not be evident
c.has more diffuse margins than other lesion
Epidermology question :
A study is done to determine the affectiveness of a new antihistamine .To do this ,
25 allergic pts are assigned to one of the two groups ,the new drug (13 pts) ,
placebo (12 pts) . The pts are followed for 6 months . This study is called
1. cohort
2.cross-sectional
3case-controlled
4.historical cohort
5. clinical trail
ANS 5
( assigned or give is the clue )
Stains are metallic oxides that fuse to the porcelain during a predetermined
ring cycle.
Drastic changes of the hue (color or shade) are often impossible. Orange stain
is the most
often used to change the hue.
Staining a porcelain restoration will reduce the value (as will using a
complementary color). It is almost impossible to increase the value.
Chroma can be successfully increased by the use of stains. particularly in the
gingival area.
6.
tooth #30 is endo tx with restoration, pt is in pain when he bites, why?
cracked tooth
Resorbable sutures evoke an intense inammatory reaction. This is the main
reason neither plain gut or chromic gut are used for suturing the surface of a
skin wound. When suturing an extraction site in the anticoagulated patient, a
non-resorbable suture is recommended.
Suture size is based on strength and diameter. This system uses "0" as the
baseline, average size suture. As suture diameter decreases, "a's" are added or
numbers followed by a "a" (for example, 000 and 3-0 are the same size). As
suture diameter increases above "a," numbers are assigned to the suture
material. Because suture material is foreign to the human body, the smallestdiameter suture sufficient to keep the wound closed properly should be used.
Most oral and maxillofacial surgical procedures require the use of 3-0 or 4-0
sutures.
7.
what meds do you take for asthma? Bronchial relaxation, airway dilation
(asthma) - (Beta - adrenergic agonists albuterol, salmeterol and
metaproterenol
8.
what does sodium hypochlorite do? disinfectant. germicidal solvent
action, 5.25% solution provides excellent germicidal solvent action
9.
what is a sign of ectodermal dysplasia?
retained teeth
Ectodermal dysplasia is a hereditary condition characterized by abnormal development
of the
skin and associated structures (hair. nails, and teeth, and sweat glands). It involves all
structures
which are derived from the ectoderm. It affects males more than females. Common
clinical ndings
include hypothrichosis (decrease in hair), anhidrosis (no sweat glands, leading to heat
intolerance),
anodontia or oligodontia (complete or partial absence of teeth), depressed bridge of
nose, lack of salivary glands and the child appears
much older than what he or she is.
10. all these meds decrease saliva except?
pilocarpine
Pilocarpine (Sa/agen) is used to stimulate salivary ow in patients suffering from
xerostomia
due to radiation therapy in the treatment of head
and neck cancer.
11. pt has round bump on midline of oor of mouth, what is it? ranula
The ranula, a true retention cyst, characteristically occurs in the oor of the mouth and
is unilaterally located.
12. patient is getting front tooth xed ... whats the purpose of using an
incisal guide table?
Generally made of acrylic resin and are made to reproduce the surface of
teeth (usually lingual concavity and incisal edges of ant teeth)
tha have a direct inuence in guiding the mand. Through ALL
EXCURSIVE movements (Mosbys 318)
incisal guidance plays as important a role as the temporo-mandibular
articulation in establishing a functional and harmonious occlusion, as much
on the anterior teeth as the posterior teeth.
17. which is least likely to occur with occlusal trauma? gingivitis
On the trauma of occlusion -----gingival reccetion
Positive reinforcement:
1-Social reinforcement: Praising, smiling, ....
2-No-Social(Token) reinforcement: Toy, Token
64. what do you do when pt on hospital bed has allergic reaction to iv antibiotics?
a. take off iv antibiotics
b. give epi
65. what are you most likely to see in a kid who has a mand canine tipped
facially?
a. gingival recession
b. deep overbite
c. ectoptic eruption
67. why do you do triangular access on incisors (max central inccisor?)
a. to help with straight line access
b. help expose pulp horn
c. to follow the shape of the crown
68. metastasis to the oral cavity is most likely to end up where?
a.lip
b. tongue
c. palate
d. mucosa
e. oor of mouth
69. how do you make a crown narrower?
a. move line angles towards interproximal
b. move line angles more facially
70. not enough room when edentulous pt closes. what do you do?
a. tuberosity reduction
b. adjust mandibular denture
c. adjust maxillary denture
71. what do x-rays depict when viewing osseous craters ... or something?
a. overestimates bone reduction
b. underestimates bone reduction
c. forgot the other choices
72. unconscious diabetic is treated with what?
a. subcutaneous sugar
b. give him Orange Juice
c. give him insulin injection
d. 50 % dextrose solution
e. IV sugar solution or IM glucagon pt should wake up within 15mins
73. most common place of recurrent caries in a class 2 composite?
a. occlusal
b. facial interproximal
c. lingual interproximal
d. gingival
74. what type of bond is composite on tooth structure?
a. chemical bond
b. mechanical bond
c. organic coupling
d. adhesion
75. what is the most common reason for composite restoration failure?
a. improper design (no)
b. rubber dam not placed gingivally enough
c. forgot the rest
76. what occlusion class will it be if you have an ANB of -8 degrees?
a. class I
b. classII
c. class III
d. class 1\ mod 1
e. class II mod 2
77. trauma to max incisor, x-ray shows no pulp, asymptomatic and no endo
lesion. what do you do?
a. rct
b. observe
c. extract
78. main advantage of doing direct composite over composite onlay?
a. less shrinkage
b. better marginal adaptation - best answer among the options
c. greater hardness and wear resistance
79. pt trouble keeping her lower complete denture in because of a low ridge, how
to x this problem?
a. ridge augmentation
b. place anterior implants
c. alveolar bone sectioning
80. mand complete dentures must be extended how far distally?
a. just anterior to retromolar pad
b. must sit on the retromolar pad
c. must be 5mm beyond the retromolar pad
81. pt says "your fees seem high" ... how do you respond?
a. "i believe my fees are fair"
b. "shut your bitch ass up
c. "i got to make a living too, ya know"
Less expansion
Slower setting
Less strength
More porosity
How much reduction venner in the middle 1/3 of facial? 0.5mm
What does vertical pull headgear do?
The Vertical Pull Headgear with Chin Cup has been designed specically to correct vertical and a wide
range of facial myofuntional problems, such as open bite. As soon as therapy begins, the Vertical Pull
Headgear with Chin Cup holds the mouth closed continuously, reducing interdental habits and tongue
protrusion. In addition, the intrusive force on the molars is increased. This appliance can quickly change a
mouth breathing habit to nose breathing
what is an open-ended question?
Allows freedom of response
New patient comes into office, not of record, what do you do 1st visit?
Full exam, record probing, med history, impressions.
Dene osseointegration.
Why amalgam fails.
Bad prep design.
What drug causes dilation of eye or midriasis?
Atropine, antimuscarinic
How soon do you correct a noticeable crossbite
ASAP
most difficult part of seting denture teeth.
What causes greatest occlusal wear?
Porclain
Amalgam is the strongest to wear
What increases in pulp with age?
Fibroblasts
A couple x-rays telling you to identify landmarks. Not too difficult.
Second day was like our tx planning nal. Kinda subjective but I felt pretty well
prepared. Know premeds and when to do it. When not to do it.
Width of Keratinized gingiva is : Free gingiva + attached gingiva
Bone density changes : Subtraction Radiography
Occlusal sealants succeed by
altering the SUBSTRATE
change Pt susceptibility
Which of matterial cause less allergy?
1-Lido
2-Procaine
3- epi
The most common between ve?
1-Papiloma
2-Rhabdomyoma
3-Leiomyoma 4-Lymphangioma 5-Neurobroma
The Most connective tissue tumor : Fibroma (Not true tumor)
TMJ pain are mostly related to:
1- VII
2- V3
3- V2
4-VIII
What is the most common site of new cases of oral cancer? mosby 207
1-Palate 2-Tongue 3-Floor of mouth 4-lip
Major mechanisms for the destruction of osseointegration are
1. Related to surgical technique
2.Similar to those of natural teeth
3.related to implant material
4.related to nutrition
A painless ,well-circumscribed radiolucency and radioopacity in the posterior mandible
of 11yrs old boy . what is the differential diagnosis
ANS .Ameloblastic bro -odontoma
(If age above 50 ,its Paget's disease also remember Ameloblastoma occurs in oldies)
"Ghost teeth "
Regional odontodysplasia( only one side of mouth affected)
Where do we nd most caries?
1- Ocllusal
2- Proximal
Dermoid cyst
Occurs in the midline in the oor of the mouth ( previously we discussed something
else ?)
The Stafne defect is a depression of the mandible on the side nearest the tongue. It was previously
known as a latent bone cyst and static bone cyst but is now known as a pseudocyst. The depression
usually allows for the presence of a salivary gland
Which of the following resembles an epiphysial growth plates?
Synchodrosis
Sutures
Most benecial aspect to brush tongue is reduce?
Halotosis
GIngivatis
cancer
What is diff of 330 and 255 bur?
Long- 255 is longer
thicker
sharper
The main reason of breaking of RPD clasp?
High Mudule of Elastisity
c-dental chai r
Former smoker has less chance of periodontitis compare with current smoker.
Examination reveals a soft, uctuant, tender swelling in the middle of the hard palate.
The teeth test vital. Radiographs reveal a radiolucent area projected between the roots
of the maxillary central incisors. The cyst that represents the most likely diagnosis is a
Nasopalatinal cyst
Nasiolabial cyst
Pleomorphic adenoma
globulomaxillary cyst
The pulpal oor is perforated during access preparation. The best course of action is to
a. CONTINUE RCT, REPAIR THE PERFORATION AT A SUBSEQUENT APPOINTMENT ONLY IF
ASSOCIATED PATHOSIS DEVELOPS.
b .REPAIR THE PERFORATION, SCHEDULE PT FOR ANOTHER APPOINTMENT TO FINISH RCT
c. REPAIR PERFORATION,INITIAL CLEANING/SHAPING SCHEDULE PT FOR FINISHING RCT
Factors that affect the prognosis of perforation repair include location of perforation, time
delay before perforation repair, ability to seal the defect, and previous contamination with
microorganisms
Immediate repair is better than delayed repair, because delay can cause breakdown of the
periodontium, resulting in endoperiodontal lesions that are difficult to manage, and
elimination of microbial contamination of the defect and proper sealing are critical to success
----------------------------------------------------------------------------------------------------------18th
tx of ANUG: ultrasonic, debridment, oral rinse chlorhexidine or hydrogen peroxide, ab tetra and
metro
tx of juvenile periodontitis: ab alone or with sc/rp
-----------------------------------------Which of the following drugs best reverses the effects of benzodiazepines?
A. Naloxone
B. Flumazenil
C. Midazolam
D. Aminophylline
E. Physostigmine
Following ap surgery, new junctional epithelium can form on either cementum or
dentin. Junctional epithelium is reestablished as early as one week.
A. Both statements are TRUE.
B. Both statements are FALSE.
C. The rst statement is TRUE, the second is FALSE.
D. The rst statement is FALSE, the second is TRUE
No answer in courseware
Ostectomy is a procedure that involves the
E. use of an autograft.
F. use of an allograft.
G. use of a contiguous graft.
H. removal of tooth-supporting bone.
I.
removal of non-tooth supporting tooth
Which of the following drugs is administered orally to treat vaginal candidiasis?
A. Fluconazole (Diucan)
B. Griseofulvin (Grifulvin)
C. Clotrimazole (Mycelex Troche)
D. Miconazole (Monistat)
E. Nystatin (Mycostatin
osteotomy vs ostectomy------supporting -proper
-------------------------------------------------------------------------------
NOTES
ENDODONTIC TREATMENT of Avulsed tooth(pathway of the pulp
Extraoral Time Less Than 60 Minutes :
Closed Apex
Endodontic treatment is initiated at 7 to 10 days. In cases in which endodontic
treatment is delayed or signs of resorption are present, long-term calcium
hydroxide treatment is given before root canal lling.
No chance exists for revascularization of these teeth, and endodontic treatment
should be initiated at the second visit at 7 to 10 days. If therapy is initiated at this
optimum time, the pulp should be necrotic without infection or at most only
minimal infection. Therefore endodontic therapy with an effective inter
appointment antibacterial agent over a relatively short period (7 to 10 days) is
sufficient to ensure effective disinfection of the canal. If the dentist is condent of
complete patient cooperation, long-term therapy with calcium hydroxide remains
an excellent treatment method. The advantage of calcium hydroxide use is that it
allows the dentist to have a temporary obturating material in place until an intact
periodontal ligament space is conrmed. Long-term calcium hydroxide treatment
should always be used when the injury occurred more than 2 weeks before
initiation of the endodontic treatment or if radiographic evidence of resorption is
present.
The calcium hydroxide is changed every 3 months within a range of 6 to 24
months. Calcium hydroxide is an effective antibacterial agent and favorably
inuences the local environment at the resorption site, theoretically promoting
healing. It also changes the environment in the dentin to a more alkaline pH,
which may slow the action of the resorptive cells and promote hard-tissue
formation. However, the changing of the calcium hydroxide should be kept to a
minimum (not more than every 3 months) because it has a necrotizing effect on
the cells attempting to repopulate the damaged root surface.
Open Apex
For the open-apex tooth, endodontic treatment should be avoided and signs of
revascularization should be checked. At the rst sign of an infected pulp, the
apexication procedure is begun.
Teeth with open apices have the potential to revascularize and continue root
development, and initial treatment is directed toward reestablishment of the
blood supply .The initiation of endodontic treatment is avoided if at all possible
unless denite signs of pulp necrosis, such as periradicular inammation, are
present. The diagnosis of pulp vitality is extremely challenging in these cases.
After trauma, diagnosis of a necrotic pulp is particularly desirable because
infection in these teeth is potentially more harmful as a result of cemental
damage accompanying the traumatic injury. External inammatory root
resorption can be extremely rapid in these young teeth because the tubules are
wide and allow the irritants to move freely to the external surface of the root.
Avulsed tooth should be soaked in doxycycline then Minocycline powder placed
on the root surface before replantation.
Patients are seen every 3 to 4 weeks for sensitivity testing. Recent reports
indicate that thermal tests with carbon dioxide snow (78C) or
diuordichlormethane (50C) placed at the incisal edge or pulp horn are the
best methods of sensitivity testing, particularly in young permanent teeth.One
of these two tests must be included in the sensitivity testing of these
traumatized teeth. Recent reports conrm the superiority of the laser Doppler
owmeter in the diagnosis of revascularization of traumatized immature
teeth.Radiographic (apical breakdown or signs of lateral root resorption) and
clinical (pain to percussion and palpation) signs of pathosis are carefully
assessed. At the rst sign of pathosis, endodontic treatment should be
initiated, and after disinfection of the root canal space, an apexication
procedure should be carried out.
Extraoral Time More Than 60 Minutes
Closed Apex
Treatment for closed-apex teeth with an extraoral time of more than 60
minutes is the same as with less than 60-minute dry time.
Closed-apex teeth are treated endodontically in the same way as those teeth
that had an extraoral time of less than 60 minutes.
Open Apex (If Replanted)
If endodontic treatment was not performed out of the mouth, the apexication
procedure is initiated.
In open-apex, replanted teeth the chance of revascularization is extremely
Hand-Schuller-Christian triad
nDiabetes insipidus
nExophthalmos
nBone lesions (Langerhans dis)
Oral signs of hand-schuler-christ. = bad breath, sore mouth, loose teeth
lesion are sharply punched out radiolucency and teeth appear as FLOATING IN AIR
Amelobelastoma---- Hony comb-soap bubble
Paget's: Billatral maxilla------Cotton wool
Cherubism: billatral, mutilucular
Gorlin syn or Basal Nevus Cell Syndrome: Bid rib, OKC, BCC
Gardner Syn: multiple facial osteoma, Odontomas, hyperdontia, GI polyps potential
for colon carcinoma
Erythema Multiform: young men, viral or drug, sudden onset, vermilion, intraoral
not on gingiva, (target)bull eye on hands and feet
Stevens Johnson = severe form of Erythema Multiforme (affects eyes, mouth, and
genitalia)
PDL widening in Hyper paratyriod osteosarcoma and scleroderma(Trismus,
widened PDL spaces, mask like face, Excess type I & III collagen)
Eagle Syn: Stylohyoid ligament calcication
Zoster = shingles = unilateral
Multiple neuromas on lips, tongue or palate may indicate that pt has MEN III
adrenal pheochromocitoma
Tumors of Endocrine glands esp. Medullary carcinoma of thyroid (can cause
death)
Actinic chelitis---> SCC
Oral hairy leukoplakia & Mono, Burkit lymphoma both caused by EBV
Kaposi sarcoma by herpes 8
Garre's (prolifrative periostitis) and Ewing sarcoma are both onion skin
Myxoma and ameloblastoma are soap bubble pattern
Desquamative gingivitis includes pemphigoid, pemphigus and erosive
lichen planus
To change from long scale intensity (low contrast) to short scale intensity (high
contrast) but maintain image density, the operator should decrease kVp and
increase mAs
intermittent pain. Radiographically, this neoplasm is an opaque lesion that replaces the root of the
tooth . It is usually surrounded by a radiolucent ring representing the periodontal ligament space
and the advancing front of the tumor. TX: Because of the intimate association of this neoplasm
with the tooth root, it cannot be removed without sacricing the tooth. Bone relief is typically
required to remove this well-circumscribed mass. Recurrence is not seen.REGEZI
Glossodynia: tender or painful tongue
Glossopyrosis: burning sensation of tongue
Epstein-Barr virus It is known to cause infectious mononucleosis, is implicated
in the causation of
Burkitt's lymphoma and Nasopharyngeal carcinoma and
hairy leukoplakia
Warthin's Tumor : Swelling in neck , more diffused
Infectious Mononucleosis : Swelling in neck ,more rounded and localized
Osteosarcoma : Radiographic - sunburst appearance
Fibrous displysia: Ground Glass Appearance
Candidiasis Pt has both burning sensation of tongue and altered taste sensation.
Sjogrens syndrome does NOT have burning sensation of tongue but has altered
taste sensation. Pt complains of difficulty wearing the denture and shows cervical
caries.
Tx of sicca(dry mouth, eye) in Sjogren syn is pilocarpine
Multiple myeloma: Bence jones proteinuria, punched out lucencies
Most common salivary gland tumor = pleomorphic adenoma. M
8-bit digital image would have 256 shades of gray
Most common salivary gland benign major or minor : Pleomorphic adenoma
Most common malignant minor :Adenoid cystic carcinoma
Most common malignant major : Mucoepidermoid carcinoma
Recurrance: OKC, Ranula
Symptomatic Irreversible Pulpitis
Teeth that are characterized as having symptomatic irreversible pulpitis exhibit
intermittent or spontaneous pain, whereby rapid exposure to dramatic temperature
changes (especially to cold stimuli) will elicit heightened and prolonged episodes of pain
even after the source of the pain is removed. The pain may be sharp or dull, localized or
referred. Typically there are minimal changes in the radiographic appearance of
the periradicular bone. With advanced irreversible pulpitis a thickening of the periodontal
ligament may be evident, and there may be some suggestion of pulpal irritation by virtue
of extensive canal calcication. Deep restorations, caries, pulp exposure, or any other
direct or indirect insult to the pulp, recently or historically, may be present and may be
seen radiographically or clinically or be suggested from a complete dental history.
Typically, when a symptomatic irreversible pulpitis remains untreated, the tooth will
eventually succumb to necrosis.
Percussion and palpation may or may not positive. Cold alleviates pain in severe cases
Asymptomatic Irreversible Pulpitis
Occasionally, deep caries will not produce any symptoms, even though clinically or
radiographically the caries may be well into the pulp. Left untreated, the tooth may
become symptomatic or even necrotic. In cases of asymptomatic irreversible pulpitis,
endodontic treatment should be performed as soon as possible so that this conversion
does not take place and cause the patient distress. Internal resorption and pulp polyp are
examples.
Necrosis
This condition is subsequent to symptomatic or asymptomatic irreversible pulpitis. Under
complete necrosis and before any pathosis extends into the periodontium, the tooth is
typically asymptomatic. It will not respond to electric pulp tests or to cold stimulation.
However, if heat is applied for too long, the tooth may respond, possibly relating to
remnants of pulpal uid or gases expanding and extending into the periapical
region.Pulpal necrosis may be partial or complete and it may not involve all of the canals in
a multirooted tooth. For this reason, the tooth may present with confusing symptoms,
whereby pulp testing over one root may give no response and pulp testing over another
root may give a vital response, and the tooth may exhibit symptoms of an irreversible
pulpitis.
After the pulp becomes necrotic, bacterial growth can be sustained within the canal. When
this infection (or the bacterial toxins from this infection) extends into the periodontal
ligament space, the tooth may become symptomatic to percussion or exhibit spontaneous
pain. Radiographic changes may occur, ranging from a thickening of the periodontal
ligament space to the appearance of a periapical radiolucent lesion. The tooth may become
very hypersensitive to heat, even to the warmth of the oral cavity, and is often relieved by
applications of cold. As previously discussed, this may be very helpful in attempting to
localize a necrotic tooth when the pain is referred or nonlocalized.
Periapical Disease
Periradicular Periodontitis
A tooth with acute periradicular periodontitis will have a very painful response to biting
pressure or percussion. This tooth may or may not respond to pulp vitality tests, and the
radiograph or image of this tooth will generally exhibit a widened periodontal ligament
space but no periradicularradiolucency.
A tooth with chronic periradicular periodontitis generally presents with no clinical
symptoms. This tooth does not respond to pulp vitality tests, and the radiograph or image
will exhibit a periradicular radiolucency, usually around the apical third of the root. This
tooth is generally not sensitive to biting pressure but can feel different to the patient
upon percussion.
Periradicular Abscess
A tooth with an acute periradicular abscess will be very painful to biting pressure,
percussion, and palpation. This tooth will not respond to any pulp vitality tests and will
exhibit varying degrees of mobility, and the radiograph or image can exhibit anything
from a widened periodontal ligament space to a periradicular radiolucency. Swelling will be
present in the mucobuccal fold and facial tissues adjacent to the tooth. The patient will
frequently be febrile, and the cervical and submandibular lymph nodes will be tender to
palpation.
A tooth with a chronic periradicular abscess
(suppurative periradicular periodontitis) will not generally present with clinical
symptoms. This tooth will not respond to pulp vitality tests and the radiograph or image
will exhibit a periradicular radiolucency. The tooth is generally not sensitive to biting
pressure but can feel different to the patient upon percussion. This entity is
distinguished from chronic periradicular periodontitis because it will exhibit intermittent
drainage through an associated sinus tract.
___Anti-psychotic drugs___
1.phenothiazines
-chlorpromazine(can cause Tardive dyskinesia)
2butyrophenones
- haloperidol tx of schizophrenia/tourette syndrome
3.thioxanthenes
4.Diverse heterocyclic
1.
lesion that occurs from tooth exure?
abfraction (yes)
2.
what liquid is found in glass ionomer?
polyacrylic acid (yes)
Glass ionomer cements are mixed powder-liquid component systems. The powder
is a uoro alumino-silicate glass that reacts with a liquid which is polyacrylic acid to
form a cement of glass particles surrounded by a matrix of uoride elements.
3.
infection from premolars most like to
drain into? sublingual area (mand.
Molarssubmand area)
4.
the drug enforcement agency is
concerned with what? potential for abuse
5.
where are you most likely to perforate
on a maxillary central incisor? Facial
Note: The lingual wall of mandibular teeth is most easily perforated when preparing an
access
opening due to the lingual inclination of these
teeth.
6.
implant placement is placed where? lmm
apical to adjacent cej
7.
what do you use to SC/RP implants?
plastic instruments
8.
how far do implants need to be spaced
apart one another? 3 mm apart and 1mm
from crown of adjacent teeth see page 320
mosby
9.
dentist restored tooth and accidentally
left caries ... what happens to caries? caries is
arrested
10. where are the primate spaces? max=
between lateral & canine & mand= between
canine & 1st molar
11. osteoporosis is associated with which of the following
diseases? Hyperparathyroidism
12. do not give which medication to lactating female? codiene
(yes)
FDA pregnancy category C. This medication may be harmful to an unborn baby, and could cause
breathing problems or addiction/withdrawal symptoms in a newborn.
13. all are advantages of using nickel titanium endo les over regular steel les
except?
a. exibility (yes)
b. bending memory (yes)
2.
two things that account for a successful posterior composite restoration?
a. type of resin and size of tooth
b. size of tooth and type of prep???
c. type of resin and type of prep (ash thinks: b/c type of resin re: occ wear)
3.
what is the initial step when you have an acute perio abscess?
a. incision and drainage (yes)
b. anti-biotic therapy
c. antibiotics then incision
4.
how do you repair a porcelain veneer with composite?
a. microetch, etch and silane
b. sandblast, etch and pumice
c. pumice, silane, etch
The enamel surface should be cleaned with pumice and water.
While protecting adjacent teeth with matrix strips, the enamel is acid-etched.
The etched surface is washed and dried and a layer of unlled bond resin is applied and
thinned with oil-free air.
5.
least effective sedative?
a. diphenhydramine (benedryl)
b. nitrous oxide (ash could be wrong, but doubted)
Nitrous oxide is a weak anesthetic and is used with other agents, such as thiopental, to
produce surgical
anesthesia.
Diphenhydramine (Benadryl) is representative of the sedating-type antihistamines, a class of
drugs that causes signicant xerostomia.
6.
which is the best systemic anti-fungal?
a. ketoconazole (yes)
b. nystatin
c. miconazole
d. clotrimazole
e. uconazole
7.
conical shaped caries w/ broad base with apex towards pulp is commonly
seen in?
a. root caries (same as smooth caries)
b. smooth caries (look like v w/ apex towards pulp) (mosbys 32)
c. pit/ssure caries (inverted v with apex towards occlusal)
8.
best clinical determinant of root caries
a. sensitivity to cold
b. sensitivity to sweets
c. soft spot on tooth (Ash thinks)
(according to mosbys pg 37: root surface caries appears early as a well dened
discolored area adj to the gingival margins, near cej)
The most commonly used clinical signs to describe root caries utilized visual (color, contour,
surface cavitation) and tactile (surface texture) specications (Banting, 1993). There are no
reported clinical symptoms of root caries although pain may be present in advanced lesions.
Clinical Signs of Root Caries
Clinical diagnosis is the process of recognizing diseases by their
characteristic signs and symptoms. It is an imperfect process because there is considerable
variation both in the signs and symptoms of disease in individual subjects and in the
interpretation of those signs and symptoms by clinicians. Nevertheless, clinical observations are
extensively relied upon for diagnosis in the absence of more denitive methods
Note: Most current research suggests that the microbial etiology of root caries is very similar to
coronal
Caries. in the past it was thought that Actinomyces species (viscosus and naeslundli) were
most commonly associated with root surface caries.
9.
40 ylo pt w/ all 32 teeth. No cavities. Has stain & catch in pit of molar.
what do you do?
a. watch and observe (yes)
b. sealant
c. composite
10. 12 ylo kid w/ carious lesion on tooth #9 that shows pulp exposure wI open
apex... what do you do?
a. rct
b. apexication (yes)
1-How enough space provided for eruption of permanent anterior mandible?
a.primate space
b.lee way space
c.mesial shift
d.anterior maxillary teeth tilt labialy
2-Dentist charge fro crown $500.insurance only covers $400.Dentist waves copayment
($100) but still let insurance he charges $500 for crown. what this action called?
a.Down codding
b. Over billing
c.Price xing
d.Unbundling
3- how many canal 2nd max primary molar has?
a.1
b.2
c.3
d.4
Max rst molar 4 canals
Mand rst molar 3 canals (25% 4 canals)
Mand second molar 3 canal (25% 4 Canals)
4-Early childhood caries in?
a. black
b. Hispanic
c.white
Hispanics have the highest rate of ECC in both developed and developing countries with an
average prevalence of 13%-29%, second only to Native Americans (Huntington, et al., 2002).
5-Pt with cafe au lai and some problem with iris(lisch nodules)...does not mention
about GI polyps
a.neurobromatosis
b.peutz jegher
c.jaffe syndrome
neurobromatosis characteristics: lisch nodules: traslucent brown-pigmented spot of
iris
axillary freckling(crowe's sign).enlargement of fungiform papilla. enlargement of
mandibular foramen
6-Dentist reviewed of his existing 1000 Pt chats .he noticed among these 1000,last
year 200 had periodontitis but in a year after 300 have periodontitis, how much is the
incidence?
a.0.3
b.0.1
c. 0.2
7-what kind of study is above?
a. descriptive
b. analytical
c. experimental
8-differential diagnosis of periodontal abscess and periradiculal abscess?
a.percussion
b.vitality test
c.palpation
9-implant success rate after 10 yrs
a. 85% is 5 years
b.95%
c 80%
10.what percentage of US population have access to uoridate water?
a.45% b.65% (42 states) c.85%
11-Pt states you are the 8th dentist that he met recently,he did not like none of them
and like you very much and will bring all his family for check up.which disease Pt
suffers from?
a.narcism
b.paranoid--no trust
c.schizoid
What is most odontogenic cyst that could end up to amelioblastoma?
1-Dentigerous 2-Residual
A primordial cyst is a devleopmental odontogenic cyst. It is found in an area where a tooth should have
formed but is missing. Primordial cysts most commonly arise in the area ofmandibular third molars.
Under microscopes, the cyst looks like an odontogenic keratocyst.
M.n for heroin addiction ------ ????withowing syndrome-pt may get addict to this drug
kid 5 years with systemic ds came to control plaque- sodium uoride or chlohexidine
Schizoid personality disorder (SPD) is a personality disorder characterized by a lack of interest in
social relationships, a tendency towards a solitary lifestyle, secretiveness, and emotional coldness
Paranoid personality disorder is a psychiatric diagnosis characterized by paranoia and a pervasive,
long-standing suspiciousness and generalized mistrust of others.
Bipolar disorder or manicdepressive disorder (also referred to as bipolar affective disorder or manic
depression) is a psychiatric diagnosis that describes a category of mood disorders dened by the
presence of one or more episodes of abnormally elevated mood. --- Aggressise brushing ---http://www.cda-adc.ca/jcda/vol-69/issue-1/20.pdf
47C (1-5 Min) you can expect necrosis
Kelly's combination(5 symptoms) : supra erupting lower anterior teeth, premolar area
bone resorption , Maxillary tuberosity supra eruption , mandibular bone resorption ,
papillary hyperplasia
Eye----Only alpha1
Lung----Only B2
Heart---B2, B1
Blood vessle------Alpha1, 2, B2
No parasym in Vessele (Alpha----contriction,,,,,,Beta-----Dilation)
Papillion-Lefevre:
Autosomal recessive,impaired T and B lymphocyte,reduced killing of bacterial and
fungal infection,advanced periodontitis in primary and permanent dentition related to
AA,hemoraghic gingivitis-teeth oat in the soft tissue, excessive bone loss,
spontaneously tooth exfoliation, palmar-plan-tar keratosis, keratosis of elbow and
knee, may be confused with psoriasis, ectopic calcication of falx cerebri.
Tx: rigorous OH, chloxexidine rinse and periodic antibiotic therapy
Mucopolysaccharidosis (autosomal recessive) such as Huler and Hunter
syndrome:
Macroglossia, anterior gingival hyperplasia due to mouth breathing. Thin enamel with
pointed cusp in posterior teeth. in some cases multiple impacted teeth in one large
follicle forming a rosette-like pattern radiographically(in Hunter syndrome).Coronary
heart disease(Huler)
1-A practitioner has been using bisect technique for taking xray for his patients. His
distance was 8 inches using that system now if he wants to take x-ray utilizing parallel
technique form a distance of 16 inches the time of exposure would be:
( double,half.) Same
2 -Asthma exhalation wheezing sound!! correct Exhale on both Asthma and COPD
Asthma, emphysema and chronic bronchitis usually cause wheezing on the exhale. A wheeze or
noise upon inhaling is usually caused by an obstruction in the upper part of the respiratory
tract.
3- Best caries preventive measure for retained root under Compete Denture ( Fluoride
therapy, cast copping)
4 -fear and anxiety (4-5 ? one of the item was fear is painful and anxiety is a disease)
6) rectal bleeding, granolumatous gingivitis and recurrent aphtous ulcer! What is the
disease?\Crohn disease
7) linear in the casting ring! Its purpose? compensate for casting material expantion
8) Most common cell in necrotic pulp? PMN cells
9) Daily fat need/use for body 30%
10)all causes gingival hypertrophy except (dilantin, niohidipine, dixosin, cephalox)
and among ca channel blokers Nifedipine and Diltiazem
11)pic of pamphigous, denture stomatitis
12) how does neuropraxia affects the neurons and axons( the answer :both of them
are normal It was asking if they loose their epithelium I guess!!!)
13) yrs old male who has had a history of trauma comes to ur office. The pulp is
necrotic. On the xray it shows that the apex is open and it has a wide cancal! The tX
would be: ( apexiiffication , routine RCT, Epico surgery)
14) Medicare is a federal thing that provide health care for elderly . It does not cover
dental ( answer: both statements are true)
15) Which pulp horn in primary teeth is most susceptible for exposure during operative
procedure
- MB of rst molar
- MB of 2nd molar
- DB of rst molar
- DB of 2nd molar
16) Most common cause of arch space lost in primary dentition ( decay( not sure
though) / ectopic eruption 1st molar)
17) Cancer of the other part of the body metastases most commonly to ?
lip
FOM
tongue
Gingiva
Bone:Molar region of mandible Soft tissue: attached gingiva then tongue.Breast cancer
is the most metastatic to the oral cavity appearing in the mandible and then lung
cancer is the second appearing in the soft tissue.
18) Which has the most thermal coefficient ( enamel, composite, amalgam, gold)
Linear thermal coefficient is most for tooth- gold- amalgam- composite
19) Picture of a narrow Lucent canal next to upper lateral (nutrient cancal ( I guess the
answr), incisive never canal)
20) A question pointing to the Ear lobe on the Pano
21) How tooth decay develops( answer : fructan has adhesive property then it sticks to
the tooth surface)
22) Perio disease is most common in black male
23) After trying the anteriori teeth in the mouth for complete denture patient. In order
to determine condylar inclination we make a record of patients anterior guidance.
What we have to take into consideration in the lab: ( Raise the pin on the articulator
while setting the condylar inclination)
24) A tooth is not responsive to cold, not percussion and pulpation tender ( - necrotic
pulp and chronic apical periodontitis irreversible pulpitis and normal apex) there
was not an item saying necrotic pulp and normal apex)
25) A child is allergic to ampicillin, what is the regimen for prophylaxis? ( know the
dosage for cephalexin , azithromicin)
28) open technique impression for implant ( to transfer the exact angle of implant to
the lab)
http://idasmiles.com/les/ImpressionTechnique.pdf
29)what is the least important factor when evaluating for implant: ( concavity of
mandible, bone density , distance to mandibalr cancal, bone width)
------------------------------------------------------------------------------------------------------25. In office bleaching changes the shade through all except
a. dehydration
b. etching tooth
c. oxidation of colorant
d. surface demineralization ---31. After implant placement, an edentulous patient should
a. avoid wearing anything for 2 weeks
b. immediately have healing abutments placed over the implants
c. should wear an immediate denture to protect the implant site
All implant supported overdenture: Minimum 4 implants in Mand, 6 implants Maxilla
Implant and tissue supported overdenture: For mandibular denture ,2 implants in
Mand symphysis btw mental foramina, may be joined by a bar
A minimum of 3 months healing time is usually recommended following xture placement
(nonimmediate loading) to allow for osseointegration of the implant xture
17.what is the most denite way to distinguish amelloblastoma from OKC
a.smear cytology
b.reactive light microscopy
c.reective microscopy
16. Which of the following describes the character of dentinal tubules at the pulpal end
when compared to
those at the enamel end?
a. More per unit surface area and more wider in diameter.
b. Less per unit surface area but much wider in diameter.
c. More per unit surface area and smaller in diameter.
d. Less per unit surface area and smaller in diameter
Table 12-1 -- Mean Number and Diameter per Square Millimeter of Dentinal Tubules at Various
Distances from the Pulp in Human Teeth
DISTANCE FROM PULP
(mm)
Number of Tubules
(1000/mm2)
Number of Tubules
(1000/mm2) Tubule Diameter
(m)
Tubule Diameter
(m)
DISTANCE FROM PULP
(mm) MEAN RANGE MEAN RANGE
Pulpal wall 45 3052 2.5 2.03.2
0.10.5 43 2259 1.9 1.02.3
0.61.0 38 1647 1.6 1.01.6
1.11.5 35 2147 1.2 0.91.5
1.62.0 30 1247 1.1 0.81.6
1)
Have lot of incisal overlap, what do you want to change to maintain balanced
occlusion
a)
condylar inclination
b) condylar inclination****
During the child's rst visit, the dentist requested that the parents wait in the reception
room. The child cried moderately, but tearfully, throughout the dental examination and
prophylaxis. The dentist "gave her permission" to cry while he/she worked and then took
no notice of her crying. Her crying diminished in intensity over time and then stopped.
With respect ONLY to the crying behavior, the dentist has
A. used positive reinforcement.
B. used negative reinforcement.
C. extinguished the behavior.
D. ignored the problem.
50) You have HIV+ pt you can do all of the followin except a) treath with
metronidozole b) free gingival graft c)prophylaxix to treat candidiasis
56) You give the nitroglycerin to the pt with angina and heart rate goes up
what's the reason ? natural reex to the decrease in blood pressure
77) Which durg will be used to treat an overdose of
methotraxate
leucovorine
8)Which uoride causes the most staining?
Which one of these has the least sedative effect? I have no idea
Diphenylhydramine
ChlorpheniramineTripelennamine
Cold
5. fear vs anxiety?
1 unit
2 unit
7. pic of dorsum of tongue with 1 side totally red with white nasty patches and
painful?
Phemigus
S sound**
P
9. symptoms if too much codeine?
Insomnia (I think)
Cold and claming skin
Irritable
10.Diabetes leads to
Blindness
Ataxia
11.Know where are primate spaces
Betw laterals and canines in max, betw canines and 1st molar in mand
12.Hep A is transmitted by?
Blood
Aerosols
Food
13.Daily recommended calorie from fat?
10%
20%
30% (I think)
14.Max depth of toothbrush and oss going subgingival?
Increase in salivation
16.Stucture most likely damaged with gingival graft?
Dense bone?
Macrophages
20.Best ap surgery for gingival recession?
Double papilla ap
Lateral pedicle
21.Know that PDL thickens as you get older
22.Mouth breathers leads to?
Short face
Open bite
23.Primary tooth most like to have high chance of pulp exposure?
3,2,1st b/c .
25.which technique to view midfacial?
Waters projection
26.Who has highest autoimmune diseases?
Adult male
Adult female
Teenage male
Teenage female
27.Which diseases are assoc with positive nikolsky sign?
Pemphigus
Fibrous dysplasia
28.If do class 2 on patient with high caries?
Resin GI at gingival and composite the rest
29.If have large caries near pulp, what do you do?
Retention
Recession
Root resorption
Type 3
35.asthma what kind of sound?
Inspiration wheezing
Expiratory wheezing
Inspiratory
36.Bennett shift, what is the path of movement
Mesially
Laterally
Inferiorly
Superiorly
37.Distobuccal ange of denture is determined by
Masseter
38.When do the max centals calcify?
At birth
2-3 months
6 years etc
39.when do plaque accumulate after eating?
24 hours
36 hours
1 hour
40.Know perio diagnosis, what is considered hopeless?
Mobility of tooth
Furcation involvement?
41.How do you make crown narrower?
a lower fee
Charge
same fee
2. Want to compare 2 groups of people, male and female for something, what test
do you look at?
Multiple
regression
Chi
square
test
T-test
Extraction
Diabetic
patient
5. What is rst thing when you re-eval patient after perio treatment?
OHI
Plaque
index
Review
medical history (I think)
5'-reason of using plaque disclosing agent?
-motivate Pt to clean suspected area
-observe degree of disease
6. What is most likely to cause gingival recession?
Tooth
brushing (I think)
SRP
Bruxism
on lemon
Attrition
Bruxism
Occlusal
trauma
12-Inform consent is for which ethic principle?
-Veracity
-autonomy
-benecence
-justice
13-Anesthesia done into the vein results in?
-increased BP
-increased HR
-pain in the periphery
14-Pt with hemoglobin A1C of 12%,Pt just visited the MD,what kind of TX we
can do?
-FM ext.
-Sc/Rp
-Consult with MD prior tx
In most labs, the normal range is 4-5.9 %. In poorly controlled diabetes, its 8.0% or above, and in well
controlled patients it's less than 7.0%.
15-Buccal cheek of 60 yrs man,not wipe-able?
-leukoplakia( more on oor 50%, tounge25%)
-candida
-white spongy nevous bilatral- auto dominat- place
ANUG debriment+peroxide -------in HIV use antimicrobial--- no attachment loss
Most common place oral cavity cancer------Tounge
1.
Hunter Hurler syndrome
2.
Temp at necrosis happens during implant placement is 47 for 1-5 min
3.
What do u use to dripp for implant space hight torque slow speed drill, I had
option of alkaline phosphate irrigation but it's salin
4.
Specicity
5.
Pic of bells palsy
6.
Pic of odontoma
7.
Pic of periapical cementeal osseous dysplasia
8.
Ameloblastoma
9.
Risk factors for oral cancer
10. Green stain in porcelain due to cu
11. Methotrexate drug interaction beta-lactamase
12. Study thoroughly about irreversible pulpitis, reversible, apical periodontitis, acute
apical abscess, periodontal abscess
13. Vitality test
14. Erosion
15. Attrition
16. GIC- root caries
17. What do you do when you see a decalcication spot? Fluoride and leave
18. Community water uoride level 1ppm (1 mg per one liter)
19. Kid is 15 yrs old and living in a community with 0.75ppm of uoride, what do u
do? no supplementation
20. TFO on implant,all of the following except. gingivitis and periodontitis
plaque disctuctive periodontitis
21. T- test
22. Free gingival graft receives its eptithelium from adjacent tissue (blood supply
from CT)
23. Where is apical positioned graft contraindicated maxillary palatal region
24. In latest periodontal longitudinal studies, the research says apically position
ap is best, keratinized tissue is necessary for attached gingival and some other
answers
25. Most common reason for cardiac arrest in children respiratory depression,
CHD, atrial septal defects, congenital heart disease ----26. Common between chronic periodontitis and gen aggressive periodontitis teeth,
predisposing factors, local factors
27. Pt with caf au lait spots, axillary freckling, lish nodules of iris
Neurobromatosis
28. Dentist said, pt doesnt have to pay his copay. He didnt inform third party payer
what is he doing? = downcoding, unbundling, price xing, over billing
29. Most common impacted tooth Max canine, max lateral, mand premolar or max
premolar(if wisdom was chioce that one)
30. What do u do in a composite restn. make a prep depth of 2mm, just prep
carious pits and ssures, involove O surface with M and D lesion
31. Lot of questions of pulp testing
32. Radiograph showing radiolucency in furcation area in a primary second mand
molar reason is periodontal, pulp necrosis, trauma
35. If you have to extract 1st, 2ed and 3rd molar, in which order do u extract? 1, 2, 3
to preserve tuberosity; 3, 2,1 for better visibility
36. In which direction do you luxate distoangular max third molar
distal palatal, distobuccal ,palatal, mesial
37. What is the diff between LED curing ling and conventional choices were too long
(it is an except question)
Rapid Cure - light instantaneously on with no warm up required
No heating of substrates - cold curing close up to cure head
One peak wavelength of output power (multiple peaks possible as required by process)
No fuming of cured material normally caused by excessive radiant power from conventional lamps
Safe operation - no UVB, no ozone, no bulb break, low voltage, no mercury
Predictable radiant output power with limited drop off with life
Variable power - ability to create a cure prole with time e.g. reduced stress curing
Even intensity of radiant power over curing area
Long life time> 10,000 hrs of LED on time (LEDs only need to be on when curing)
Minimal drop off in power over life
Small size and light weight of cure heads
Ability to create three dimensional ood areas for curing complex shape
38. What is compomer
Compomers are recently introduced products marketed as a new class of dental materials. These
materials are said to provide the combined benets of composites (the comp in their name) and glass
ionomers (omer).
39. Why dont you use GI resin cement in cementation of all ceramic restoration - its
expansion could cause cracking of porclain
40. Lichen planus
41. Epidermolysis bullosa
Epidermolysis bullosa (EB) is a rare genetic disorder caused
by a mutation in the keratin gene. The disorder is characterized by the presence of extremely fragile skin and
recurrent blister formation, resulting from minor mechanical friction or trauma.
42. Black woman with radioopacity in lower anterior periapical osseous cemental
dysplasia
43. PAN to identify pterygomaxillary ssure
44. Stafne radiographic identication
45. Which cyst doesnot appear in radiograph Nasolabial
46. Pear shaped Radiolucency on # 9 incisive foramen
47. Which is the best technique to view maxillary sinus options were both MRI and
Waters view
48. Best radiograph to view maxillay sinus disease depends on the type of question
being asked. if they are asking about the anatomic form then CT scan is best. If you
are intending to nd soft tissue pathology then MRI.
Best radiograph: CT>water>
Best technqie to maxillary sinus: CT>Water>
Best for diagnosis for soft tissue: MRI
both MRI and CT were there
http://www.ghorayeb.com/ImagingMaxillarySinusitis.html ( comparative view of all
three)
Computer Tomography. Computed tomography (CT) scanning is the best method for viewing the paranasal sinuses.
There is little relationship, however, between symptoms in most patients and ndings of abnormalities on a CT scan.
CT scans are recommended for acute sinusitis only if there is a severe infection, complications, or a high risk for
complications. CT scans are useful for diagnosing chronic or recurrent acute sinusitis and for surgeons as a guide
during surgery. They show inammation and swelling and the extent of the infection, including in deeply hidden air
chambers missed by x-rays and nasal endoscopy. Often, they can detect the presence of fungal infections.
X-Rays. Until the availability of endoscopy and CT scans, x-rays were commonly used. They are not as accurate,
however, in identifying abnormalities in the sinuses. For example, more than one x-ray is needed for diagnosing
frontal and sphenoid sinusitis. X-rays do not detect ethmoid sinusitis at all. This area can be the primary site of an
infection that has spread to the maxillary or frontal sinuses.asa
Magnetic Resonance Imaging. Magnetic resonance imaging (MRI) is not as effective as CT in dening the paranasal
anatomy and therefore is not typically used to image the sinuses for suspected sinusitis. MRI is also more expensive
than CT. However, it can help rule out fungal sinusitis and may help differentiate between inammatory disease,
malignant tumors, and complications within the skull. It may also be useful for showing soft tissue involvement
49. Faint radiolucency with radioopaque border in max sinus Mucocoele
50. U shaped radio-opacity/radioopaque in max sinus zygomatic process
51. Pt has a chronic periapical abscess with sinus tract tx is RCT, what is that tx for
sinus tract : antibiotics, curettage, cautery, no tx
52. Apicoectomy
53. Which is the best test EPT or thermal -cold is best
54. Benign lesion with Cauliower appearance papilloma
55. Perineural invasion is seen in adenoid cystic carcinoma, Pleomorphic adenoma
or low grade muco epidermoid carcinoma
Another very important factor with adenoid cystic carcinoma is the tendency for perineural invasion. This tumor has
a marked tendency to invade nerves. Perineural invasion is seen in about 80% of all specimens.
56. Post herpetic neuralgia cause by varicela zoster virus- shigles-extreme unilateral
pain
57. Lichen planus pic
58. Desensitization - In psychology, desensitization (also called inurement) is a
process for mitigating the harmful effects of phobias or other disorders. For medical
purposes, desensitization is a method to reduce or eliminate an organism's negative
reaction to a substance or stimulus.
59. Why do you give methadone to pt who is trying to stop heroine? to decrease
withdrawl symptoms
60. Patient tried using nicotine patches, gum but still couldnt stop what do you do?
Buproprion, or behavior counseling
61. When RPD is rocking on the fulcrum line, whats the problem?No option about the
base
problem with denture base
problem with indirect retainer
62. Nitrous oxide safe mechanism level 70%
63. In which condition Nitrous is contraindicated Asthma, respiratory infections
contraindication: contagious disease, emphysema, bronchitis, autistics Pt. 1st trimester
of Pregnancy.
64. OKC
65. Periostat doxycycline 20mg placed in periodontal pocket what does it do? I
think it inhibits collagenase
66. What is allograft? same species
http://en.wikipedia.org/wiki/Bone_grafting
67. Something about freeze dried graft proteins, what is going to happens?how does
it generate the bone?
68. Couple of questions about bisphosphanate
http://www.ada.org/prof/resources/topics/osteonecrosis.asp
http://www.ada.org/prof/resources/topics/
topics_osteonecrosis_bisphosphonate_report.pdf
http://www.ada.org/prof/resources/topics/
topics_osteonecrosis_bisphosphonate_report.pdf
Avoid invasive dental procedures while receiving bisphosphonate treatment. For
patients who develop osteonecrosis of the jaw while on bisphosphonate therapy,
dental surgery may exacerbate the condition. Clinical judgment by the treating
physician should guide the management plan of each patient based on an individual
benet/risk assessment.
Dental infections should be managed aggressively and nonsurgically (when
possible).
Endodontic therapy is preferable to extractions; and, when necessary, coronal
amputation with root canal therapy on retained roots to avoid the need for
extraction.
69. Dentist tells a patient that mecury is toxic and she should replace her amalgams
with composite which principle of ethics dentist does not follow?
benecence
justice
veracity
70. What do you prescribe for pts with ANUG? tetracycline,Debridement and mouthwash
Hydrogen peroxide
71.Pt with manic depression (bipolar) disorder not willing to get treated for that
is now getting dental treatment from you. What do you see in this patient
a) mood swings b)depression c)excitement
72. One of your patient is having a dental problem and treating that is not
under your capability and you are reffering that patient to a specialist, this type
of behaviour comes under which of the following codes of ethics
a)Autonomy b)Justice c)Benecience d)Veracity e)nonmalecience
http://www.ada.org/prof/prac/law/code/principles_01.asp
73- Which of the following causes Cavernous sinus thrombosis
A)Subcutaneous Abscess of upper lip
b)Subcutaneous abscess of lower anterior region
Infections in upper front teeth are within the area of the face known as the
"dangerous triangle". The dangerous triangle is visualized by imagining a
triangle with the top point about at the bridge of the nose and the two lower
points on either corner of the mouth. If your mother ever told you not to pick a
pimple on your face or else you would get a brain infection, this is what it would
look like if it actually happened
74- Pt brushes twice a day n also oss but stil;l he has calculus what do u
suggest
A) written instructions B) video C) demonstration of brushing techniques
75. First upper molar is supra erupted and the lower opposite molar is missing
which of the following u will not do?
A) up righting the molar B) rotation of molar C) Intrusion
76.In Implant Preparation which of the following can be used
A)Hydroxyapatitie Irrigant b) High Speed Hand Piece c) Low torque Drill d)Air Coolant.
77-Cast restoration procedure which impression is least used ?
Additional, polyether, Irreversable hydrocolloid(alginate), agar
78-Pt has hepatic dysfunction which pain medication can prescribe?
a-Oxycodone
b-naproxen c-acetaminophen
http://www.hepatitis-central.com/mt/archives/2007/05/is_there_pain_r.html
79-Highest cleft palate incidence
black
Caucasians Asian
80-which of the following dental treatment can be done with pts taking
bisphosponate A)Alveoloplasty B) endo C) Extraction D) Scaling
81- Confounders known n unknown ?
case control, cohort, cross sectional
http://www.experiment-resources.com/confounding-variables.html
Confounding
surgery.
Nevertheless ketoacidosis must be avoided.
IDDM require insulin constantly or they will become ketoacidotic. Depending on the
metabolic upset associated with surgery (i.e. stress response), the patient will require
either a intravenous infusion or iv pump with sliding scale.
The "Alberti" solution of combining insulin and glucose in a single bag of uid has the
advantage of safety (you can't get too much of either).
The local modication of this regime is: 1/3 of total morning dose (or 40% of total
daily dose) of insulin as actrapid in 1L Solution 18 + 10 mmol KCl over 8 hours; an
additional subcutaneous sliding scale of actrapid can be added for tighter
perioperative control. Intermediate duration-depot insulin (insulatard) should be
avoided during the perioperative period.
For most well controlled Type II diabetics, hypoglycaemia caused by OHAs and insulin
pose a higher risk in the perioperative period than hyperglycaemia.
"No glucose no insulin" BMJ 1996; 76; 198-202
OHAs should be withheld on the morning of surgery and on the evening before. It is
the sulphonyureas that cause hypoglycaemia.
Take special precaution with chlorpropamide (diabenase) and glibenclamide (daonil) as
these have a very long duration of action, and should be stopped a couple of days in
advance.
Take home message: be paranoid of hypoglycaemia in patients on OHAs and
remember that blood sugar levels that constitute euglycaemia for non diabetics will
cause symptoms of hypoglycaemia in diabetic patients.
====================
1. Your office is fee schedule and pt needs new crown but pt used up all of her
allowance (or something like that), what do you do?
Charge
her a higher fee
Cant
not treat her
Negotiate
a lower fee
Charge
same fee
2. Want to compare 2 groups of people, male and female for something, what test
do you look at?
Multiple
regression
Chi
square
test
T-test
Endo
and root amputation
Guided
tissue
SRP
Extraction
Smoking
Diabetic
patient
5. What is rst thing when you re-eval patient after perio treatment?
OHI
Plaque
index
Review
medical history (I think)
6. What is most likely to cause gingival recession?
Tooth
brushing (I think)
SRP
Bruxism
Hydroxyzine
Claritin
Ptsucking
on lemon
Attrition
Bruxism
Occlusal
trauma
==============================================
NBDE Part 2 Day 2
8 yrs
old kid with autism
Ectodermal
dysplasia
Asthma
Hx
of
Heat Attack
Sjogerns
syndrome
Pt
with
no med Hx but has attrition and lichen planus
Day 1
Penumbra how to prevent this in x-rays
o Should be produced from a point source to blurring of the edges of the image
o Strong beam to penetrate
o Xray should be parallel
Beaten metal skull crouzons
NUG tons of questions
Impending doom panic attack
Asthma why use corticosteroids decrease inamation
Beta blocker mechanism of action
Alpha -1 = vasoconstriction
Dowel core = vertical stop
Extruded gutta percha observe
Purpose of placing a post after RCT = retain core
X-rays/pictures
o Dentinogenesis imperfecta
o Coronoid process
o Ameloblastoma
o AOT?
o Buccal bifurcation cyst?
Saw an xray of a primary tooth with a stainless steel crown and an
erupting tooth underneath; giant RL in the furcation of the primary tooth..
o Odontoma
Glucocorticoids C/I in diabetes
C/I for implants = adolescent
Extracted teeth in a preggo give Tylenol for pain
Ordinal and nominal - temperature, heart rate (??)
Kernicterus = excess bilirubin in blood
Borderline personality patient went to several dentists and tells you she loves you and
will refer you all her friends/family
Voice control know why you use it
SLOB rule: palatal root appeared mesial to the MB root of a max rst molar where was
the x-ray beam directed?
Modied Widman ap full thickness; how far from MGJ coronal, esthetics
Which ap CANT you do if there is little attached gingival
o Partial thickness ap
Diazepam (3Q)
Status epilepticus (3Q) diazepam (lido toxicity)
Grand mal/digoxin OD dilantin/phenytoin
Petit mal - ethosuximide
Tobacco - #1 risk factor for oral cancer
Most likely site for SCC? I put Ventrolateral tongue (other choices were weirdpalate
(least))
Case control study = odds ratio
A 5 year old kid with 0.75ppm in water = no uoride supplementation
Fluoride in water depends on temperature of the air
If you take a single therapeutic dose of aspirin, how long will it prolong bleeding time? (4
hours, 10 hours, 1 day, 1 week)??
Cant mix aspirin with garlic or ginsing
Root amputation of MB root cut at furcation and smooth for patient to keep clean
Irreversible pulpitis (3Q)
EPT does NOT indicate health of the pulp
Tooth with closed apex gets intruded, what is most likely to occur? Necrosis (avulsion,
resporption)
Treatment of choice for primary tooth with caries causing pain for 24 hourstooth is
restorablepulpectomy
CaOH is NOT for direct pulp capping in primary teeth
What daily oral rinse would you give to a medically compromised child for plaque
control? (choices were CHX, Listerine, Nystatin, stannous uoride)
What population has the worst survival rate for SCC? (whites, blacks, native
Americans)
Best way to see a horizontal root fracture? Multiple x-rays from vertical or horizontal?
Ectodermal dysplasia and cleidocranial dysplasia which one has ano/oligodontia?
o Ectoerdermal
Cerebral palsy patient will have spastic oral mucosa during treatment
TONS of questions of primary herpetic gingivostomatitis
Patient presents with a 1.5cm ulcer on the buccal mucosathere are scars from previous
ulcers just like thisdx = Major Aphthous
Shows a picture of what looks like a giant SCC incisional biopsy
+ Nikolsky (pemphigus was not a choice) erythema multiforme
Immunouorescence = pemphigus
If you blow air and it lifts the tissue and leaves a bloody area (something about evaluating
the patient further)
3Q on ASA classication
A patient wears a nitroglycerine patch and takes nitroglycerine tabs 2-3 times/day
o ASA classication? III
o Stable or unstable angina? unstable
3Q on angina
Know signs of hypoglycemia
Know trendelenburg position
How to be sure youre far enough away from the IAN when placing an implant? Measure
it on pano
Lesion on gingival if you press, it blanches and it bleeds easily dx = pyogenic
granuloma?
Patient has a retruded tongue. What complication do you expect when he tries to wear a
denture? (choices: speech problems, problems with the lower denture, problems with
food bolus)
When you lose teeth, your face sinks in. What happens when you lose alveolar bone?
(choices: prognathia, increased muscle tone, decreased nasolabial fold)
Child lost both his primary mandibular canines prematurely why? Lack of arch space
How to do measure the projected arch space for permanent teeth? Canine to canine
Value is the most important in color
Cannot decrease value ? by adding gray
Most technique sensitive part of placing veneers? Preparation, color match,
impressing..?
What prevents lingual displacement of a crown? Lingual margin
You see a RO on the mesial-occlusal portion of a maxillary rst molar wanted to know
what it was? Choices: cusp of carabelli, sealant.(weird question)
Which one is NOT RO? (choice: osteopetrosis marble bone, extremely rare;
osteoporosis, pagets cotton wool)
Bilateral swelling of parotid NOT caused by: (choices: anorexia, HIV, mumps..)
Critical pH = 5.5
What is that FIRST thing that happens when caries develops? Fermentation or drop in
pH
Interproximal caries 2 trianglesknow where the point of the triangles point
Mouthguard bleaching = 10% carbamide peroxide
Most common reason for mand fractures? Sports injury (other choices were domestic
violence, workplace mishaps, self injury)
If you get a blow to one side of the mandible, which condyle gets fractured .. or
something?
Something about nonverbal vs verbal communication nonverbal is not as reliable
Allograft
Implant best bone anterior mandible
Subantimicrobial dose doxycycline inhibits collagenase
Most common impacted teeth
o Man 3rd, max 3rd, max canine
Healthy implant
o Less than 0.1mm of bone loss per year
Post herpetic neuralgia consequence of herpes zoster
Dont give antibiotics in dry socket
Articaine
o Hydroxylation in liver?
o Conjugation in liver?
o Plasma esterase?
Hypokalemia = seizures
Amitriptyline increased sensitivity to epi
Nitrous has emergency stop so you dont give more than how much nitrous?
o 70%? 90%?
Leeway space
Fluoride chart 2 Qs
Primary teeth begin to calcify 4 months in utero
Trauma to max incisors more likely with class 2 div 1
Treat crossbite immediately
Most common missing teeth
o Mand 2nd premolar
o Max lat
BSSO
o Paresthesia side effect
Problem at morphodifferentiation = size and shape abnormalities
Best way to know when tooth will erupt:
o Root formation?
2/3 formation erupt thru bone
root form erupt thru gingival
Failure to thrive rst 6 months = enamel hypoplasia
Diastema wait till canines erupt before doing anything
Distance between implants 3mm
When should you check mobility of implant? \
o At impression appt?
Neuromas men
Neurobromatosis caf au lait, axial freckling
Steven Johnson syndrome (erythema multiforme) what areas does it affect: eyes,
genitals, mouth
Freys Syndrome sweat when you get hungry around oricular temporal
Know t-cell count/CD4 for AIDS pt bad = 200-500 HIV <200 AIDS
Know INR 2.5
What percent of daily intake is fat? - options: 10, 20, 30, 40, 50%
40 yr old with pit and ssure uoride, no tx, prr, monitor
pt allergic to codeine, what do you give her for pain? Demerol (not vicodin hydrocodone, percocet - oxycodone, Tylenol - codeine)
Ortho histology of tooth and movement (pdl, bone, pulp, resportion)
Enamel hypoplasia to affect max central 3-6 mo
Asthma how to control? Options: Nitrous, voice control, general anesth
Case: Autism how to control? Options: iv sedation, nitrous, voice control, bdz
Case: Autism what is not contributing to his fear? Age, medical condition, past dental
history, parental fear
Case: ectodermal dysplasia (congenitally missing teeth) what is not appropriate/
meaningful question to ask the patient: can you pull your shoulders together
o Ortho question how do you proceed with closing the gap only between the
centrals ortho immediately then frenectomy
Recurrent caries on a class II proximal box
Dowel core vertical stop
Why not ept on tooth after trauma? options: neural damage or blood
Case: space maintenance; band and loop
Fixed- repeated questions
What do you want porcelain opposing porcelain or composite
Precision attachment RPD?
Carious exposure, when is vital tooth therapy indicated: immature tooth, low bleeding,
low caries
Case: sensitive to cold, sensitive to sweets, caries what do you do after you remove
caries: crown, endo and crown, temp, MOD; history of caries endo and crown; not a ton
of restorative crown depending on tooth structure left; not a lot of structure- endo, post,
crown
Remove Tori: max (y incision) mand (retract and grind); Denuded area of bone: let it
heal, send to oral surgeon, graft, rinse with h2o2 and eugenol
Nitrous oxide, use too much, what do you show symptoms of: multiple sclerosis
Odontoma radiograph
Trephination denition
Prego
o U can give Tylenol if extraction
ANUG
o Tons of questions
13 year old with 1-3 mm pockets and bleeds a lot
o Chronic gingivitis
candida
Studies
o Case controlodds ratio
o Cohortrelative risk
o Spec, sens
o Etc
Pt has no post teeth in max arch and u need to make a CR record, what do u do
Veneers on max anteriors and PMs, which tooth do u make slightly darker for
nat look?
o Canines?
Pic of odontoma
Pic of ameloblastoma
3 year old with spont pain, what tx? Pulp cap, RCT? Pulpotomy?
4 year old loses both primary 1 molars, what space maintenance? None needed
so young?
Asthma
o Steroids to reduce inammation of airway
Metaleukast rx mechanism
Implants
o Dont want to damage IAN, what o u do? Look on pan, measure bone on
PA with grid?
o No metal (SS) used to clean
o Disadvantage of cement retained? Not retrievable
Initiator in PVS?
o Lead dioxide? Sulfur?
Luxation
o Splint for 10 days
Ginsing CI aspirin
Diabetes CI steroids
Pen CI tetracylcline
9 year old with infection of perm 1M with lamination of RO and RL lesion around
bone?
o Proliferative periostitis
Turners tooth
o From infection
Cleft palate assoc with what in preg? Def in folic acid, or alcohol?
Apexication/genesis
Ectodermal dysplacia-oligoontia
Neurobiromatosis
o Lisch nodules, caf au lait, axillary freckles
Perm max central is linual to normal position, why? Prolonged retention or early
exfoliation of primary tooth?
MB root fracture of max 1 M, root amputation needed. Cut off root at chamber
and smooth for hygiene
Dowel-vertical stop
2 M has min keratinized tissue and u need to do PD sx, what can u not do?
o Distal wedge? Apically positioned ap (I put this), etc..
Free ginig graft gets blood supply from donor or recipient site? CT or
epithelium?
o I put recipient CT
Compontent of GI
Components of resin
o Bisgma, silane coupler and initiator
Non-maleence
o CE courses and referral
Liquid sterilization
o I put gluteraldehyde, also had alcohol, etc..
Implant Can be placed in INR=2? Not above?
RCt done on max PM and has MO amalgam and years later has RL lesion? Re=tx
conventionally
There was another question that didnt include Waters view as an option I put
MRI
Best way to view TMJ I put MRI
Graft from one individual to another (not genetically identical) allograft
Healthy implant less than 0.1 mm of vertical bone loss/year, no mobility
Gingevectomy bleeding points help outline the incision
Muscle most radioresistant cell
Young person with perio disease vs. older person older person has a better prognosis
Diastema wait until canines erupt
Best way to predict when tooth will erupt look at root formation (roots typically 2/3
formed when teeth erupt)
Crossbite should be treated immediately
One question gave options about treating a crossbite and asked what not to do
I put observation as an answer
Articaine metabolized by plasma esterase
Fluoxetine serotonin reuptake inhibitor
Least likely to cause oral cancer? hairy leukoplakia, dentigerous cyst, HIV
Adverse drug reaction reported to the FDA
Best esthetic result (case study) porcelain crowns
Know angles classication, ANB
Radiograph of slight radiopacity of the maxillary sinus I put maxillary sinus
pseudocyst
1. Cross link bonding in PMMA: Benzoyl peroxide
2. Know the HEMA and BIS-GMA
3. Most reason for hyperemia under denture is candidosis
4. The least important factor about root under overdenture is the crown shape-root, perio,
and no esthetical
2-
64.Brown discoloration in the margin of veneer after 1 year? Breakout of coupling agent,
discoloration of the amine, reduction of the cement in the margin of the veneer
65.Most cases of oral cancer? Black men
66.Mechanism of digitoxin? Positive inotropic effect
67.Which one is not a symptom of aspirin toxicity? Bradycardia
68.Which LA causes MH? Prilocaine
69.All Symptoms of LA toxicity except? Bradycardia and respiratory depression, nausea and
vomiting, dizziness,
70.NO contraindicated in? Sickle cell anemia, Hemophilia, nasal congestion, asthma
71.What happens as a result of long term mercury toxicity? Hair loss, weight gain, vision
impairement
72.Low occlusal plane is most likely to cause what? Excessive stress on the ridge (?),
73.As patient ages: increased show of maxillary incisors, decreased show of mandibular
incisors,
74.Statistical test used to compare the mean DMFT among three groups: t test, chi square,
anova
75.Know some facts about ginseng
76.Bleaching of the endodontically treated teeth most likely results in: External cervical root
resorption, inammatory root resorption, internal cervical root resorption
77.Rapport= sympathy
78.Several questions about informed consent, modeling, fear and anxiety
79.The most common reason for heart attack in children? Drowning (?),
80.Factor most likely inuencing cerebrovascular accident: age, gender, medication, sth else
81.Demineralized freeze dried bone has: Insulin like growth factor, tumor necrotizing factor,
bone morphogenic protein, sth else
82.Case: 9 year old boy presents with ant. Maxillary open bite, incisal protrusion and
posterior cross bite. He has sickle cell anemia.
83.What is the dental anomaly associated with his systemic condition?
84.He takes folic acid, why?
85.Know the number of forceps
86.Case: Patient with diabetes type2, Hep C, Depression: ASA 3 or 4?
87.Patient with loose partial denture has a 1cm lesion on the lateral border of tongue. The
lesion could be: recurrent aphthus, trauma of denture, leukoplakia (doesnt say
anything about pain or how long it has been there)
88.14 year old girl has asthma, severe crowding of anterior teeth, ectopic eruption of
Canines, dental angle classication 1. Has white patches on her oral mucosa: Best
treatment for her ectopic canines? The reason for the whit patches? With ANB=6, what is
her skeletal classication? Also one question about her facial prole (dolicocephal,
convex, nasolabial angle, nasal deviation)
89.1 Liter of 1ppm uoride equals how many miligrams of uoride?
90.
As2la+dftr+syndromes ----- 3-4 days
Pharma ----3 days
As2lt oral pathology+ as2lt pt management---- 1 day
Clinical cases + pict ----1day
x ray pic
S: patient presented in our clinic for SCRP
A/O:RMH: nochange
Bp:130/79
P:77
P: anesthetized w 1 carpule lidocaine w epi 1:100000 inltrations. LL AND UL
Qaudrent, SCRP UR LR SIDE.
Patient handles the procedure well. Treatment plan was discussed w the patient and
patient agrees on the given treatment.
N.V. picture, impression
the most common disorder for adult is: 1 depression,2 dementia
2.how much incisor preparation for veneer is: 1 0.3 2 0.5 3 1.0mm
3.patient got trauma on lower lip and make nodule rm is:1 traumatic granuloma 2
mucoele
4.most common sign for inammation of cavernus sinus is:1 opthalmologia 2 partial
loss vision
5.most common cause infection on cavernus sunis in :inamation in upper teeth
6.if u have patient 1 year old,how can u make check his teeth:put his head on my legs
and remain his body with his parents
7.referral pain on supercial temporal area from:?maxillary second premolar
8.which one of them pay more percent on dental treatment in US:1 people 2 third party
3 government insurance
9.which analgesic durg give for pregnant woman?acetopatamin
10.nikolosky sign:pemphigus vulgaris
11.patient take biphosphonate how u can extract his anterior teeth? I answered by
amuptution the crowns and leave the roots by ap
12.if we double the distance between the patient and X-ray device,how many time the
intensity will decrease:1 2 2 4 3 8 4 16
13.most important factor for post. comp.:technique and case selection
14.one of side effect of N2o:noseia
15.one of side effect use of corticosteroid:???
16.which test we make for extraction is:INR
17.how the warfarin work as anti-coagulant? on vit k
18.how can u treat patient after u treated and come back to u after 24hrs?1. 2 dose of
amoxicillin 2g 2. 1 week for erythromycin with qid 3 No treatment
19.white patiches on cheek when u streched that disappear,what is it:leukoderma
20.prilocaine:metheglobinimia
21.presence of vasoconstrictor in anasthesisa work as less:1 systimic absorption 2
metabolism
22.stridor:laryngospasem
23.side effect of cortico steroid therapy:oestoporosis
24.if u made separation of le while in RCT treatment HOW do u deal with patient?1
offer him referal to specialist 2 record it and continue your treatment
25.if u want to diagnosis TMJ,which method do u use it?1 CT scan 2 panoramaic x-ray
3 MRI
26.which tooth most common accidentally fracture:upper central incisor
27.when u got pregnant woman with hypertension what does that mean:precamlsia
28.patient with down syndrome has:mid face defect