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MICROBIOLOGY AND PATHOLOGY (13) An incase inte se of nor aed by {Mince he ube ees 1 atopy. 2 eta 3 Tovey. $ Meri shi cost of ta ad ination | is. rots, Exh ate, ‘cles ror, “The clas of mmumogatlin most abundant sis iB i® ie In kukemi, prlonition of leding tine seamed Dy rombseytopeni, {eps eames in clang bio locas athe a ofthe ht in an athlete (eae plan spout reels Iperey. rote he Shoe Denatraton of protein ad sain of lia aniepe properties aso wich Meshote Seon ‘Baa des, Iecurete 10. " 12, ‘An anacti susan found ns, ‘randew ite 1. atumin 2 iaeyme 3 ae S teatyin Samos cl excinora aly eases by way J he vnaut yam, 2 thetreral atom. 3 emanate ten. © Shatin te Tee sopas of 0, angen inte pasa 1, Of, 2 iawn Somaya, scum hepsi 5. is erthemaioss “The fi hat ak out of vse in ‘oniarmatory condo ch =e ‘A benign mpl ofthe myomeium ofthe erate 1 myetme. Seep 4 myoblatome 3 mscons, 1 celeatig (°C. or 8 hows) Rooting 121°C fr 30 mints) 3 pasteurang (1°C fr 30 me) 3 s. . Seni big we (00 foe Bacng not ar oven (121°C fr Ey 13. 14 15. 16. 17, 18, ‘Anoxia mos scious affects the bran and 19. the 1 tung 2 hare 3. ter spleen, 5. ney. Deposition of calcium in dying or dead tssue 20, is deserbed a, 1. calcium soap formation 2. embolic eaefieaton, 3. metastatic calefiaton 4 Gystophicealeicaton 5. none ofthe above a. Viruses may case disease by 1. Ising many cel ofthe host, 2 transforming cel to maligna eats 3. making ital age esis nonfonetiona 4. diupting the normal defense mechanisms ofthe host 5. any of the above Epithelial peat and intercellular bridges 22 ‘observed in an infrating malignancy are diagnostic of 1. adenoarcinoma, 2 mapas carcinoma. 3. Squamous cell carcinoma. 4 hdiferentated carcinoma 5. waniional ell carcinoma 23. ‘The most common organism producing subacute bacterial endocardi 1. staphylococcus. 2X. alphechemaiyte streprococus. 3 betahemolve steptocoees, A gammathemolyte streptococcus Metachromatc ranules are chracteristcally 24 bse in properly stained smears of 1, Saimonelia ooh. E Escherchia cate, 3 Brucelo meters: 4 Borate persis 5. Corynebacterium dither 22 Resistance of Staphylococcus aureus to Penicillin iseaused by pleomorphism. an enzyme that atacks penicilin, ‘Production of a penicillin analogue a lack of mycolic acid in the cell wall. the presence of a tough ipoplysacharde capsule. Transformation is best described as 1. DNA coding for RNA synthesis 2. RNA coding for protein synthesi 3. acquisition of an inheritabe trait by bacteria mediated by ONA. 4. acquisition of an inhertablet bacteria mediated by RNA. by Elevation of serum acid phosphatase levels is Tikely to be seen in patients with carcinoma of the 1. colon. 2 breast, 3 cervix 4 Gterus 5. stomach, 6 prostate gland, “The most common cause of esophageal thrombosis, coarctation. cor pulmonate Portal hypertension. ageing changes in the vessels Lactobacilli were often named among bacteria able to initiate dental caries in humans because these organisms were found to be acidogenic. abundant in caleulus. ‘apable of surviving without nutrients, the only acié-forming bacteria in the mouth, isolated from mouths with rampant dental decay. ‘The leading cause of cardiac death in the United States mitral stenosis. ‘congenital anomalies ‘coronary heart disease, myocarditis (all causes) hypertensive cardiovascular disease, 2, 2. 22. ‘enfin towing sess hin burn 31 ‘Satiguatred by te protucton ot ‘Pes ps ands peal stant to [EINE tary probaly eased by 2 Septem 5 Sreprocecer mats 4 Stipe rs, 3 Sint arto Wen hae eum sree ninety Into abies gaint the sin or thee Meeks ate, sarong reaction Sears tesla e cond nection, Te x, fe os ies. | REE aan ‘The ria ret of tcl carbohydrate reason werosaton ct tee 5 Sa, a 4 Sete snare cess atom ‘Property the fact that vey a iG tement dice rot row ea, u. {amon in omit ie fins, ‘The cla of mnogu esponsibe foe Mocaisee kt 5 ie Sie ote Sib 2. Pasi congestion occurs wen rcened ‘ean bod inthe ue cat frp 5 inflamma & Sretr don, ‘enon ob, 2 A Sever bei man ad aa Artin fortwo yeu folowing Avocet fee. He expense let fear pce ‘semaine fot. These gna Smptors wero ily ‘nrmanehi, noe am Schism Rear on experimental cafes in ptaboc ‘imal has neato Oat he marty of {al mictoerpnigns capable of rong ‘pom se doses iach 1. Veo E emcc 3. xethomee. In sin galt ection, te maor host. respon Arts ston Ehren, ane cataneusapbyai Vegetation ca ne ear vaesinacute elena ual coms of meting came ist ama 3. Ried platle, Mia and mass of ‘ctr 4. Hear sigan cieaon ‘The eloge agen of eoomyco in 1, exotenous andi fun infected ment 2 Spent andre cont wih 4. Sogn ants funda eat 5. Shapes an is earn the ower ‘eesti ace 31, 38, 239, ‘Aetinomycosis is characterized by 2 serous exudate, purulent exudate Fremorthagic exudate pseudomembranous exudate Fbrinous, nonpurlent exudate, ‘A lysogenic bacterium is one that, 1yse5 red cals produces proerdin, Farbors temperate bacteriophage. Droduces lelthinase when incubated Snserobcaly. Produces spheroplass when incubated {naerobcaly ‘Acomplete blood cell count in a patient with Severe emphysema most key to show pases ieukopena polycythemia Feukocyteis mmacrooytheria ‘The pulmonary neoplasm to which the endorrin effect of hyperpaathyroidsm ‘Satwibuted paees adenocarcinoma. fat cell exeinoma ‘hesehromocytoms. medullary cinoma squamous ell arlnoma Intcaoral radiograph of a43,yearold man show several dre ragilucences not “oclated with root apices Radiolucencies “re ano preent inthe humerus, Results of inboratory tests indicate an elevated serum ‘calcium level; serum phosphorus and alkaline Phosphatase eves ae normal. The most, likely diagnosis is fibrous dysplasia, hyperparathyeodism, Paget's disease of tone. . ‘Studies ofthe distribution of microorganisms invarous oral sites show that 1. Bacteroides meluninogenieus and ‘treptococe ae equally dstbuted Inplaq, in the gingival crevice and ‘onthe tongue, 2. Bacerldes melainogentcus i found in Iiher concentrations nthe nga. {fevce than on the tongue of in plague 3. Streptococcus saliaris found higher concentrations in plague than ie the gagval erence oF onthe tonne. 4. Streptococcus mutans found ie higher cancenuatons onthe tongue than othe gngial reve ora plague, “Trananision of viral and mycopisal respiratory tract dass in the dental tie igcant concern to both lens and ois stl beemre of 1. ease of tansmiion of mot val espa wactdessen 2. potential erowding of patents in fe wating room. 3. Increased presence of arosoliaion of infects materia 4. theclose prontmty of infected patents to the prattione and fheamant 5. lot the above Vitamin A funtions to 1. prevent pla 2 promote absorption of eum, 3 promot ferentiation of epthelal cel 44 atin the inearity of connective tses, Gutaradchyse,betapropiolactone, formaldehyde and ethylene oxie share the common characteris of being 1. unstable. 2 expose idl agents. 4 sta agent, 57. 59, tion best deeribes he 61 Competitive ini Sesred effet in phagocytosis {uberedtin reaction allergle desertion. Trstset pat eect, ey (Cytologic and morphologic characteris of epithelia dysplasia nce fhyperchromatc ntl mitoses ear the surface layer. leomorphim of eal. ) Invasion of undying connective and atk 2, ‘normal architectural rangement. (3) ) te) ana (a ‘nd (3) only tb) ana fe) Causes of atrophy include ine re. Para onenaon ) el an Saat, SSE ome (a), 6), () ana (a 3 0) fe) Sn a {oh fa) and ce) (e) an o,f) ang (3) (ean panne 63, Endospores are formed by the genera () acu fe} Geri (3) Corynebacterium, le) icrocaccus er ef ‘sats | Actinomyees pawee we ‘Granulation tise rypialy contains (a) brie fb) nerve ber. [2 endothelal els a) epithet cel (2) glances nai ne a Gn ade ind pyaupe Putmonary atelectasis may be secondary to a) fibrous pleural adhesions. (b} blockage of bronchus by an co ames $lefied nodule n the apex g Blockage of bronchus by mucus ee nee bieraey nase Set eah (he) ana (9 aeBent Malignant bone wmors likely to be encountered Inciléen oe young adults nelade mysioma. Ewing sarcoma teopee arco lponrcoms (8) ae) haa 5) ar ah yaa ew Ua sn peas 66, “Thrombotic ocusion ofa coronary artery 67 mmayresttia| Infarction of the myocarsium, o) proliferation of myocardial bes (2) fibrosis ofthe myocardium. (2) stenosis ofthe mil valve, (2) mo changes in de myocarium, Ae ‘Any ofthe above Feauures of hepatitis A viral infections inlude 6. (0) igh incidence of morbaiy and Tes than T percent moray. (©) insidious onset and fang. Inetation period (Season genealy by ‘omparenteral routes. (6) tansmision only teourh Blood or blood products : Aaee 2 fi} asaf 3 Ghana 5 tna ina (@) Thymic hypoplasia may result 69, {2} beammaobtinaia ) a deceased propensity 12 feveop cancer, (6) aninetesed predisposition to gal anita infections (4) arsbvence of plasms cel () ana (a) 27 Long bones may be affected by which ofthe following disorders? fa) Rickess 2) Osteopetrosis c} Chondrodystrophy Fibrous éyplsa (e) Osteogenesis imperfecta 3} han) a ane ey (cand () only (and) (and fe) ony Alfof te shove Wiich ofthe following cells are associated With Rberaton of itimine? (2) Lymphocytes Ib) Eosinophils fc} Plasma els ) Masten pravpe All of the above Which ofthe folowing substances are Considered to be ehemizal mediators for ‘cular dilatation a he ial phase ‘of acute inflammation? Histamine Bradykinin Serotonin : Hyalironidae : (anda) 1 ae 2 {3 fb) ana) 3 Bs ti 4b) 5. Allof the above 70, n n. 73, 7 Which ofthe following ae phagocytes? 78. fa) Plasma cel 6) Lymphocytes fe} Kupffer ells of tver sinusoids (@) Palymocphonuclea leukocytes fe} Eesinophis chor of the iver an be a sequela of \whizh of the following conditions? Alcoholism Silay abstrvtion 5. Infectious hepatitis n. 4 Congestive hear fare 5. Anyot the abore nat Which ofthe following characteristics is common i icketiae an vise? Surseture Cell wall synthesis Requirement of living cl for growth 78. Suseepiity to beosdspectum anibodes Which ofthe following chaacteristically produces latent infection? 1. ECHO vis E Meneses Sox 4. Herpes simplex > 5 conactee s Which ofthe otlomings an example of fatally aque paste four in mane? a Sapo inmnion iccton of una pobulin 3 Trewin St immane oa 4. Peon tanta of nbogy 5. Anivody produced rng eovery frommente 28 Which ofthe following cell types i Asiocated with antibody formation? Prssms ell Which ofthe flowing diseases in which stents is the principal eatare, has En incubation period of 2-4 hours? 1. Oholera 2 Botuien 3. Ssimonelons © Summer diarrhea 5. Stupylcocel food posoning In which ofthe following mycoti infections ae he organisms characeiealy found imescpialy win resedoeadtea 1. Candia 2 Aspecsilosis 3. Blaamyooss 4 Mistoptamos's Which ofthe folowing conditions i supeted ina patient with nausea and vomtng, Pigmentation ofthe oral mucous membrane {nnd ski hypotension and asthenia? 1 Myxedema 2 Pineal mor 3. Graves disease & Addisons lease SS Pout jeghers syndrome Which of te following hasbeen shown 9 havea reladonship to earinoma of the cervix? 1. Papovaviras 2 Viscela roster vias 3, Hepes mins ype Herpesirs hominis typeI 3. None of the above [A patent with which ofthe following diseases Is predisposed to develop osteosarcoma? Onteomascia Osteoporosis Page's ditase of bone Osteogenesis perfec, an Organisms belonging o which of the following ner an tolerate the Lowest pH? 1. eon 2 Bacteroides 3. Sreptococcus © crete 5. Staphylococcus In which ofthe foiowing czans oc tsues se ncendinginfetons common? 1. Bone 2 Kidney 5 Beare & Pedtoncum 5. Susstancous connective tise Which ofthe fttowing viruses has been found to Rave an eile lationship ‘ith infectious monondleosi? Rhinovirus Conch i Epstein ar vs Newest dese virus pene Which ofthe folowing conditions is most They 'o be associated with aheteroohile ‘ugtnation ter eater than 1128? 1. syph 2. Tyberculose 3. Rheumatic fever 4 Noahs dseae 5. Infectious mononucleosis Whee sueptococl are rowing on sucose as earn anergy sure ian unbuffered ‘medium, which of the following ely £0 ‘cur he culture medi? 1. Ancleated pH 2 Aloworea pt 3. Production ofa ps Production maltose 29 88, Which ofthe flowing lesions commen in infants Cchoncrosrcoms ‘eurblastoma Matant melanoma Daa cell carinoms Squamous el erelnoms peene ‘To which ofthe following sts does , CORED BIS 1, facil eso of premolars nd mest Pienrienpaytiotirt seme “ } See 2 german Sluettnae en Sse! “tienda? + necotrmmeete © emmtotinamatite ES or 2 Rit erga 2 Ppl, wring se. 2 cai iz i ieee : 10. 12, “The following drawing represents across 13, section at midroot. Name the root. CD 1. Mandibular canine 2. Maxillary canine 3. Distofactal of maaillary molar 4. Lingual of maxillary molar 5. Medal of mandibular molar 14, 6. None ofthe above In the figure below, which number identiis the masticatory cycle of the ‘mandibular central incisor? oe 16. 8 16. Which ofthe following permanent teth i most likely to show an anomaly in radicular ‘morphology? 1, Maxillary canine 2) Maxillary thied molar 3. Maxillary frst molar 44. Mandibular fest molar 5. Maxillary lateral incisor 17, Which of the following teth have more than one distinct occlusal form? Maxillary first premolars Mandibular first premolars Mandibular second premolars Permanent mandibular frst molars 33 When does caleiication begin in the permanent frst molar? Ad months in utero ‘At birth 3-4 months after beth 1012 months after birth 6-7 years after birth la mesiogisal cross section, what i the direction of enamel rods inthe cervical ‘of the crown of a permanent maxillary First molar? They inline apically. They slope ecluslly. They run horizontally. ‘They blend smoothly onto the root. [None of the above. Enamel rods are ‘not evident inthis region Which of the following permanent teeth has its mesial marginal ridge located more cervcaly than its distal marginal edge? Maxillary frst molar Mandibular fist molar Mandibular seeond molar Mandibular fst premolar Maxillary second premolar Mandibular second premolar Which of the following roots would most likely have 2 concavity on ether or both its Facial and lingual surfaces? Mesial root of the mandibular frst molar Mesiofacial root of the maxilay frst, molar 3. Distofacial root of the maxillary first ‘molar 4, Lingual root of the maxillary frst molar ‘5. Distal root ofthe mandibular second molar 6 Root of the maxillary second premolar How wauld a projection ofthe facial surfaces ‘of mandibular molar be located compared With the anterior border ofthe ascending ramus? 1, Medial toit 2. Laweal toit 3. Continuous wih it 4 Subject to great individual variation 10. 12, “The following drawing represents across 13, section at midroot. Name the root. CD 1. Mandibular canine 2. Maxillary canine 3. Distofactal of maaillary molar 4. Lingual of maxillary molar 5. Medal of mandibular molar 14, 6. None ofthe above In the figure below, which number identiis the masticatory cycle of the ‘mandibular central incisor? oe 16. 8 16. Which ofthe following permanent teth i most likely to show an anomaly in radicular ‘morphology? 1, Maxillary canine 2) Maxillary thied molar 3. Maxillary frst molar 44. Mandibular fest molar 5. Maxillary lateral incisor 17, Which of the following teth have more than one distinct occlusal form? Maxillary first premolars Mandibular first premolars Mandibular second premolars Permanent mandibular frst molars 33 When does caleiication begin in the permanent frst molar? Ad months in utero ‘At birth 3-4 months after beth 1012 months after birth 6-7 years after birth la mesiogisal cross section, what i the direction of enamel rods inthe cervical ‘of the crown of a permanent maxillary First molar? They inline apically. They slope ecluslly. They run horizontally. ‘They blend smoothly onto the root. [None of the above. Enamel rods are ‘not evident inthis region Which of the following permanent teeth has its mesial marginal ridge located more cervcaly than its distal marginal edge? Maxillary frst molar Mandibular fist molar Mandibular seeond molar Mandibular fst premolar Maxillary second premolar Mandibular second premolar Which of the following roots would most likely have 2 concavity on ether or both its Facial and lingual surfaces? Mesial root of the mandibular frst molar Mesiofacial root of the maxilay frst, molar 3. Distofacial root of the maxillary first ‘molar 4, Lingual root of the maxillary frst molar ‘5. Distal root ofthe mandibular second molar 6 Root of the maxillary second premolar How wauld a projection ofthe facial surfaces ‘of mandibular molar be located compared With the anterior border ofthe ascending ramus? 1, Medial toit 2. Laweal toit 3. Continuous wih it 4 Subject to great individual variation 18. a Which ofthe followings the distal view of 22. The drawing below is a cxos section at 2 permanent maxillary fst molar? ‘mideoot of what permanent tooth? daa fy Maxiary central incsor Maxiary lateral incor Maxiary anise Which ofthe following primary teeth as Mandible central nczor {he present faioingval ameter ofthe Mandir canine conn? 1. Manila canine 23. Which of the following provides the most 2 Mail frst molar reliable eterin fr differentiating 3. Maslin second molar permanent mandibular ental incor from Mania second mole Permanent mandibula lateral incisors? 1. Difference in root length 2. Difference in tation of the erown With the teeth in enti oclsion, the esp ‘on the oot tip ofthe permanent maxiary canine isin 3. Difference in ati of exown length ‘rat alignment with which anatomie Feature and oot length fof the mandibular teeth? 4. Deer of paallism between mesial and distal srfaces ofthe teed 1. Facial embrasure 2 Inca embrasre Inoereoximal space 24. Which ofthe following anatomic entities of Disa rdge ofthe cusp ofthe the peemanent maxillary first mola moves ‘mandibular caine {through the dstofaial ulus ofa perinanent 5. Mesial ide of the facil cusp mandible first molar? ofthe mandibular firs premole 1 Mesa marginal edge 2 Distal marginal ridge 3. Mesiofca up Distotacil cusp Where would the mesifail cusp ofthe 5. Oblique ridge permanent mandibular second mola articulate Iva patient witha Class, Division 1 (Angle) ‘celal elaonehp in th mantnu 25. Which of the following sketches ilustrates intecuspal postion? 2 primary mandibular second molar? 1. Central fossa of the maxilany fist molar 2. Gatto of e maxi second 3. Marginal ridge area between mail fist and second molars ss 4. Marginal ridge azea Between the 1 2 3 4 smasilary fst maar andthe ‘maxillary second premolar 5, None of the above. The mandibular fell eusps do nt arisate with the maxilary teeth in Cl oe 3 Cas it ‘occlu Scheme. | 34 : 26, Which ofthe fllowing itches bs 30. Which cusp of emannt mastary las Serre neereemeruemrate 1 te } ee teed 1 2 Matchen 3 Mtl ft mote 4. Moin Second premolar 21, Which of he shes bow bs epee THEM pemanen mansions $2. The cup of Case nay fondon 1. Meta 2 Netting 3. Dette 4 Bitotgsl 5. Near mpi of be gual suace 33, Which of te fliong oth in he eanent ‘emitan eal me tueston Mandi mtg ot I 2034 5 3 Mandir alr and maiary fest 4+ Re mot a manitiy ot 5, istry rat and stcond mots ad 28. When view rom tefl whic of te one mslay tid ma {Blowing emote mea cup oe feng hint lcs nape? 1. Masia ft 2 Manat fe 34. Which of he following permanent teeth 3. Matte een ‘hatyrav above er 28. How may primary delopment omnes leon he mama eco ol when sesame ise 12 r hae 23 5 handy ba ten rH 5. Atte above 35 35. 36. 37, Which ofthe following anterior teeth are 38. characterized by having the distal contact larea in 3 more apical position than the ‘mesial? fa) Maxillary central incisor 6} Manian wera rer fc) Mancibular central incisor (d) Mandibular lateral incisor ft 8 and (c) (3), fo) and ke) 3) (e) ana (2) b,c) and (¢) Alllof the above Which of the following permanent teeth have contact areas at approximately the same levels cervicoincisally or cervico-occlusally, on the ‘mesial and the distal? (a) Maxillary central incisors andar ent ncors Maxillary canines ie) Mandar cas Maxillary molars 39. Neer i (d) and (*) (and (8 ony eee PHP AYN Which theee mandibular teth ae so aligned that, when viewed from the occlusal, straight line may be drawn that wil bisect llcontact areas? 40, First premolar ‘Second premolar First molar Second molar None ofthe above. This condition does not exist. ie 36 Which of the following are characteristics ‘of a maxillary second premolar that distinguish it from a mandibular second premolar? (a) The crown outline, when viewed from ‘the facial, is a trapezoid with the Sort parle sie at the con (b) The crown outline, when viewed from the mesa a taporoa win de lang paral death ci (c)_ The crown outline, when viewed from thse smo rounded an {4} One form ofthe erown may have one fatal and two lng ep. {e) The cervical line curves occlusally nur on is mesa an ons Surface a} nd) on Gatien Which ofthe following marginal ridges have tale of no contact in ideal centric and ‘eccentric maxillomandibular contact ‘elationships?| fa). Distal of maxillary second premolar 'o) Distal of mandibular frst premolar (c) Distal of mangibular second premolar fd) Mesial of maxillary canine (e) Mesil of mandibular frst premolar fa) ea Which ofthe folowing are anatomic features ‘of permanent maxillary central incisors? Cingula Mamelons CCuspal ridges Marginal ridges Cervical ridges “Triangular ridges (0) (c) and (6) a}, (b),(@) and (e) f} ead) only b), (€) and (9 only Al of the above 41 42, 43. Which ofthe following are soft (uncakcified) 44, tissues? (2) Dent pup Cementum Gingiva Lamina dura Periodontal figament ‘Alveolar process (a) ana te ie a wh (2 (@ (0,00) ena) a (ot The dental pulp consists of 45. fa) connective tissue. fo) nerve tissue. (2). blood vessels. (d) ligaments, c) cementoblasts, (a), (b) and (c) by and (c) only lb}, (e) and (a) (6) ‘and (d) only (}, (d) and (e) payee “The permanent mandibular canine can be distinguished from the maxillary canine because, typically, the mandibular canine has (a) a sharper facial cusp outline, {0) aaah mesial bode, vewed 46. i contact areas located mors incisal. 3) a more rosoucad cng 2 cusp up displaced lingualy to a ‘midline faciolingualy. 1. {a} (o) and fe) 2 (Bh (ch and (f) 3, (2) (@) ana fe 4 (b), () and () 5. (b), (a) and (e) 6. Allo the above a7 Design for restaring a complete and functional ‘occlusal surface depends on the 4} postion of te otha he ach, erate Sites aang cn Lt ft cae. {8 cient fata erip oft Sete (0) and (a) and (d) only b) and (c (b) and (d) only Allof the above Characteristics common to all mandibular anterior teeth include 2) inconspicuous cingula fc) well-defined lobes. (d) incisal edges placed slightly Tingualy (6) continous convexity inciso-apically fon the facil. pronounced developmental grooves. (0) and i a weeps ‘The radicular pulp is continuous with tisiues ofthe pertapeal area via the pulp cana pulp chamber. mental foramen. apical foramen. ‘mandibular foramen, The percentage of inorganic material in fully developed enamels, less than $0 percent. SO per cent 87 per eent 93 per cent mote than 95 per cent. During nonmasticatory swal are usually the teeth 1. protruded, 2. Ima working arrangement. 3. incontactin intereuspal postion 4. None of the above. This isa nonexistent act 55, 57. 58, 59, The embasuressurounding the contact 3ea 60, tam ante tooth are inal, ceria, facial and ting fecha, cera fail and tings Incl cerviea an fatal nly. ‘eves gual an fallen 61 ‘The east ndcation of a mixed dention nat ofthe primary detivon andthe permanent maxilry fst molars. Permanent mandibular fist molar ermanent matin and mandibuie Fest mare Sicedaneous maxillary central incisors. ‘Secedaneous mancibaar incor ‘mandibular premolar 62, In anestheiing the mandible eth feat Intron most ely tobe effective i the molar are premolar ae, 63 Kone ofthe sbore, Loca infiltration is Suny eect traaghou the atch ‘When in its proper position elative to he plane of eccuston, te ero ofthe ‘mandibular second molar inclines isl and ial rst an facil. 64 ‘meialy ad ingly (Tsay and ingly tn he permanent detion, wet faces 28 ‘most ikely to deveop within the 1. talon id fhe cl tace Stamandouar ene. 6. incl one of te ing tice tamndinlr ene inc ned teal tice the maar canine lng ane arg Pema cae Sngiom and the mal ideas ‘of the maxillary canine, ee seas of 39 ‘The sntrior tooth exiting te most

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