ADC PERTH EXPERIENCE

Saturday 22.09.2012

Radiology Theory(1/2 hr)

1. OPG Landmarks (upper posteriors)

2. BW Identify caries with deepest point

3. OPG Errors(reverse occlusal plane, radiolucent line above upper

teeth, disturbed inferior border of mandible)

4. PA Radiolucency(35,36) 36 - heavy restoration with PDL widening at

apex,35-mental foramen at apex?? what history and the tests will you
perform?

5. OPG with big multilocular radiolucency in posterior body of the

mandible with interdental scalloping. Explain , provisional diagnosis &
D/d.

6. stepwedge test.

Sunday 23.09.2012

Perio Theory( one hour)

1. BW with severe bone loss (49 yr female moved to countryside for 2

yrs, no medical history, 6 monthly check up)

a. Enumerate radiographic findings.

b. Provisional diagnosis on the basis of above.

c. Treatment Plan (next week 1 hr appointment)

d. Immediate & Long term treatment plan

e. Instructions before returning to his city dentist

2. lone standing upper Molar

Management(Immediate & Long term)

a. Periodontal abcess

b. 5-6 mm pockets all around

c. Hip replacement after 3 wks(pockets)

d. secondary diabetes(pockets)

PROSTHESIS/Denture(one hour)

1. RPD- Reasons for ridge inflammation

2. 33-38,45,47 missing,46-perio affected tooth with angular bone loss.

a. changes to do in 46 if act as an abutment

3. RPD Design (34-38, 45,47 missing)

Tuesday 25.09.2012(Radiology viva)

1. Left BW & 16 PA(No lead apron n communication needed)

Be careful about infection control(washing hands etc..)

2. VIVA-same as theory ques...

Thursday 27.09.2012 (Perio Viva)

75 yrs female -medical history-thyroxine tablet,vit D once a day,red oil

massage for arthritis.

Q2 scaling,Q3 charting..

Findings-Good oral hygiene with sound crown margins

3 mm pockets except 36 Distal 4mm, 37 Distal 5mm.

Reduced but stable periodontium

Deep bite with Fremitus positive, angular bone loss 25% around 11 &
21, 21- 1mm supraeruption..

Asymptomatic impacted 18, 38, 48..

Asymptomatic Bony spicule on lingual of 44( left over root stumps??)

My diagnosis was dental plaque induced gingivitis over reduced

periodontium n prognosis - good to fair,.

VIVA ques- present your case ,justify your diagnosis & prognosis,
Treatment plan.

other ques - endo perio lesion diagnosis, endo referral,complications at

this age, deep pocket only on one side(root # ??),TFO upper anteriors-
management.

My suggestion s jst relax n calm yourself, without stress better

performance..n consider perio patient as general dental patient o/w
might miss sm other imp finding, same for OPG (LOOK FOR
EVERYTHING, Might find sm other radiolucencies or opacities??)

GOOD LUCK..:-)