‫مناقشات يوليو كاملة ‪٢٠٢١‬‬ ‫مناقشة ‪ ١‬يوليو‬

‫دعواتكم لنا بالتوفيق‬

‫‪Dr.NASSER F‬‬
 ‫ يوليو‬٣ ‫مناقشة‬

fluoride varnish percentage

NaF 5%✅

color of file 45

White ✅

treatment of pseudo class 3

multiple cases about perio classification

Read about it✅

distance between implant and natural teeth

1.5 ✅
 which local anesthesia we give to the pt with renal disease

((prilocaine)) ✅

which pt we can’t used fluoride

Contraindicated in areas where the drinking water exceeds 0.3 ppm F or more. These tablets should not
be administered to pediatric patients under age of 3.✅

which teeth we extracted for pt with class 2 malocclusion

Upper 4s ✅

what is ANB angel for class 2

normal 2-4

Increase = class 2

decrease = class 3 ✅
 pictures of RPI clasp✅✅

facial asymmetry which radiographs

cephalometric ✅

type of cell in stage 1 gingivitis

PMNs (

Polymorphonuclear leukocytes) ✅

Latex allergy

🟣Pt with latex allergy what's is best for obturation :

A. Gp

B. Resolien ✅✅✅

C. ‫نسيت‬

Manal note :

Latex allergy which type of obturation material or eugenol allergy = Resilon ( resin- based filling)
 all impression material

Study about it ✅

pt with over contour margin

___ reline and rebase

Relining: is the process of adding new base material to the tissue surface of an existing denture in a
quantity sufficient to fill the space which exists between the original denture contour and the altered
tissue contour. ... Rebasing: Is the process of replacing the entire denture base material on an existing
prosthesis.✅
Case about type 4 hypersensitivity✅✅
case about burring mouth sensation
‫مناقشة ‪ ٤‬يوليو‬

‫ﻣﻨﺎﻗﺸﺔ‪ 4‬ﻳﻮﻟﻴﻮ ‪2021‬‬

.
.
‫مناقشة ‪ ٥‬يوليو‬

‫ﻣﻨﺎﻗﺸﺔ ‪ 5‬ﻳﻮﻟﻴﻮ ‪2021‬‬

‫مناقشة ‪ ٨ ، ٧‬يوليو‬

‫ﻣﻨﺎﻗﺸﺔ‪ 7‬ﻭ ‪ 8‬ﻳﻮﻟﻴﻮ ‪2021‬‬

‫مناقشة ‪ ١٠‬يوليو‬

‫ﻣﻨﺎﻗﺸﺔ ‪ 10‬ﻳﻮﻟﻴﻮ ‪2021‬‬

‫مناقشة ‪ ١١‬يوليو‬

‫ﻣﻨﺎﻗﺸﺔ ‪ 11‬ﻳﻮﻟﻴﻮ ‪2021‬‬

 ‫مناقشة ‪ ١٢‬يوليو‬

‫ﻣﻧﺎﻗﺷﺔ اﺳﺋﻠﺔ ﺷﮭر ‪july 12‬‬

‫اﻻﻧدو ﺟﺎﻧﻲ ﻗﻠﯾل وﻛﺎن ﺳﮭل ﻣره‬

‫‪..‬‬

‫‪ -١‬ﺑﯾﺷﻧت ﺣﺎﻣل ﻓﻲ اﻟﺷﮭر اﻟﺧﺎﻣس و ﺻرﻟﮭﺎ ﺣﺎدث و اﻧﻛﺳر ﺳﻧﮭﺎ اﻻﻧﺳﺎﯾزور اﯾش ﻧﻌﻣﻠﮭﺎ ؟‬
‫‪-A‬ﻧﺳﯾب اﻟﺳن‬
‫‪-B‬ﻧﻌﻣﻠﮭﺎ اﻧدو‬

‫‪..‬‬

‫‪ -٢‬ﺟﺎﻧﻲ رﻗم اﻟﻔﺎﯾل ‪ ٤٠‬اﯾش اﻟﻠون ‪black‬‬

‫‪..‬‬

‫‪ -٣‬ﺟﺎﻧﻲ ‪ ٣‬اﺳﺎﻟﮫ ﻋن اﻟزﯾرﻛﺳﺗوﻣﯾﺎ‬

‫‪Read about it‬‬
‫‪Note : atropin and non selecting beta blockrers‬‬
‫‪radiotherapy and chemo reduce salivary flow‬‬

‫‪Pilocarpine drug increase salivary secration‬‬

‫‪..‬‬

‫‪ .٤‬ﺟﺎﻧب ﺳوال ﻋن اﻻوﻓر دﻧﺷر‬

‫‪..‬‬

‫‪who = 0.5 ball .5‬‬

‫‪..‬‬

‫‪ -٦‬ﺟﺎﻧﻲ ﻛم ﺳؤال ﻋن اﻟﻣﺳﮭﺎب ﻓﻲ اﻻﻧدو‬

‫‪Read about it.‬‬
‫‪..‬‬

‫)‪ -٧‬اﺳم اﻟﺑﻛﺗرﯾﺎ اﻟﻣوﺟوده ﻓﻲ اﻻﺑﺳﯾس ) اﻧﺎروﺑك‬

 ..

‫اﺳم اﻟﺑﻛﺗرﯾﺎ اﻟﻣوﺟوده ﻓﻲ اﻟوﺗر ﻻﯾن‬- ٨

Mycobacterium spp., Pseudomonas aeruginosa, and Staphylococcus spp

..

‫اﻟﻛﻧدي ﻛﻼﺳﯾﻔﯾﻛﯾﺷن واﻟﻛﻼﺳﺑﺎت‬ ‫ ﺟﺎﻧﻲ ﻛﺗﯾر رﯾﻣوﻓﺑل‬-٩

..

‫ ﺟﺎﻧﻲ ﺳؤال ﻋن اﻻﻧﺗرﻧﯾر رﯾزوﺑﺷن‬-١٠

Thermoplastic Obturation
Causes : loss of predentin
Also read about it

..
‫ ﺟﺎﻧﻲ ﻛم ﺳؤال اﺑﯾﻛﺳﯾﻔﯾﻛﯾﺷن‬-١١
Apexogenesis
Apexification

Dxx and apexfication

Apexification is the induction of a calcific barrier (or the creation of an artificial barrier) across
an open apex in a case involving pulp necrosis with or without a periapical lesion.

Apexification involves removal of the necrotic pulp, followed by debridement of the canal and
irrigation with 1.25% NaOCl and dry with paper point.
W/L slightly short of the radiographic apex.
and placement of an antimicrobial Medicament MTA. either a powder or paste

moist cotton pellet is placed in the canal to ensure setting.

The patient is recalled when the MTA has set

(at least 24 hours) for obturation and placement of the permanent restoration

Apexogenesisis a vital pulp therapy procedure performed to encourage continued physiologic

development and formation of the root end.
 The objective is maintain vitality of radicular pulp.

Steps...
The inflamed pulp tissue is removed. By (Cvek Pulpotomy(2-4mm) or conventional) .

Hemorrhage is controlled by pressure on a cotton pellet moistened with saline.

Failure to stop indicate that inflamed tissue remains and that more pulp tissue must be
removed.

The exposed pulp is rinsed with 1.25% sodium

hypochlorite.

material is placed over the amputated pulp. MTA is

the preferred material, although hard-set calcium
hydroxide traditionally has been widely used.

The tissue response to MTA is excellent, whereas

there is always a zone of necrosis beneath caoh.

MTA is prepared immediately before use by mixing

the powder with sterile water or saline at a ratio of 3 :1.

The mixture is placed on the exposed

pulp and patted in place with a moist cotton pellet. Because MTA sets in the presence of
moisture over a 3-hour period, a wet cotton pellet is placed over the material and the rest of the
cavity is filled with a temporary filling material.

After set (3h)The coronal 3 to 4 mm of MTA is removed, and a final restoration is placed
immediately.

The time required to produce a thicker root

varies between 1 and 2 years, depending on the degree of root development at the time of the
procedure.

The patient should be recalled at 6-month intervals to determine the vitality of the pulp and
the extent of apical maturation.

Absence of symptoms does not indicate absence of disease so every recall vitality and
radiographic examination should be taken.

The success rate is lower after conventional pulpotomy; calcific metamorphosis is a common
occurrence.
When there is evidence of calcification, RCT should be initiated.
 If it is determined that the pulp has become irreversibly inflamed or necrotic before root
development is complete or if internal resorption is evident, the pulp is removed and
apexification therapy is initiated.
..

‫ﺟﺎﻧﻲ اﺛﻛس وﺗﻌرﯾﻔﺎت ﺣرﺳﻠﻛم اﻟﺻوره ﺟﺎﻧﻲ ﺗﻌرﯾﻔﯾن ﻣﻧﮭﺎ‬-١٣

..

‫ ﺟﺎﻧﻲ ﺗﻌرﯾف‬class 1 malocclsion

Class 1 malocclusion is diagnosed when your upper molars overlap with your lower molars in a
good position, but your other teeth are crowded or spaced too far apart. In this type of
malocclusion
 ‫‪..‬‬

‫‪ -١٤‬ام ودت طﻔﻠﮭﺎ ﻋﻣره ‪ ٥‬ﺳﻧﯾن ﻋﻧده ﺑرﺗروﺗد ﻓﻲ اﻟﻣﺎﻧدﺑل‬

‫اﯾش ﻧﻌﻣﻠﮫ ؟‬
‫‪Nothing bz age‬‬

‫‪..‬‬

‫‪ -١٦‬ﺳﯾرﻣك ﻛراون ﻛم اﻟرﯾدﻛﺷن ﻓﻲ اﻟﻠﻧﻘول‬

‫)‪( 2mm‬‬
‫‪2mm on all surface‬‬
‫‪..‬‬

‫) ‪ -١٧ ( immunodeficiency‬ﺳؤال ﻋن اﻻﯾدز‬

‫‪ cd4‬ﻣرﯾض اﻻﯾدز ﻣﺗﻰ ﺑﯾﻛون ﻣﻌدي ﻟﻣﺎ اﻟﺗﯾﺳت ﺗﺑﻌو ﯾطﻠﻊ اﻗل ﻣن ﻛم اﻋرﻓوھﺎ ارﻗﺎم ال‬
‫‪Less than 350‬‬

‫‪500-1000 normal‬‬
‫‪Less than 500 hiv‬‬
‫‪Less than 200 AIDS‬‬
‫‪Less than 350 infections‬‬

‫‪..‬‬

‫‪ - ١٨‬ﺑﻌد ﻣﺎﻧﺣط اﻟرﺑر دام ﻋﻠﻰ اﻟﺳن اﯾش راح ﯾﺣﺻل ﻓﻲ اﻟﺟﯾﻧﺟﯾﻔﺎ ؟‬
 ‫‪..‬‬

‫‪ -١٩‬اﻟﻣﻣرﺿﮫ ﺟرﺣت ﻧﻔﺳﮭﺎ اﯾش راح ﺗﺳوي ؟‬

‫ﺗﻐﺳل ﺑﺎﻟﻣﯾﺔ و اﻟﺻﺎﺑون و ﺗﺧﻠﻲ ‪ bleed freely‬و ﺗﻌﻣل ‪report‬‬

‫‪..‬‬

‫‪ - ٢٠‬اﻟدﻛﺗور ﺧﻠﻊ ﺳن ﻏﻠط ﺑدال ‪ ١٤‬ھﻠﻊ ‪ ٢٤‬اﯾش راح ﯾﺳوي ؟‬

‫ﻧﻛﻠم اﻟﻣرﯾض وﻧﺷوف ﺑﻘﯾﺔ اﻟﺧﯾﺎرات‪..‬‬

‫‪..‬‬

‫‪ -٢١‬ﻛﯾف اﻛﺗﺷف ﻛﻼس ﺗو اي ﻧوع اﻛﺳراي ؟‬

‫‪Bitewing‬‬
‫‪..‬‬
‫‪..‬‬
‫‪ -٢٢‬ﻛﯾف ﻧﺣﺳب اﻻﺗﺎش ﺟﻧﺟﻔﺎ ؟‬
‫‪All length from GM to muco gingival line _ depth of sulcus‬‬
 ‫‪..‬‬

‫‪ -٢٣‬ﺟﺎﻧﻲ ﻛم ﺳؤال ﻋن اﻻﻣﻠﻘم ﻣﻧﮭم ﻓﯾن ﻣﻛﺎن اﻟﺑن وﻛﻣﺎن ﻟو ﻣﺎﻋﻣﻠﻧﺎ ﺑوﻟﺷﯾﻧق ﻟﻼﻣﻠﻘم اﯾش راح ﯾﺳﯾر ؟‬

‫‪Pin 1mm from dentinoenamel junction‬‬

..
‫( ‪ - ٢٤‬اﻣﺑرﺷن ﻣﺎﺗﯾرﯾل اﻋﻣﻠﮭﺎ ﺑور ﺑﻌد ‪ ٢٤‬ﺳﺎﻋﮫ ؟‬ ‫)‪additional silicone‬‬

‫‪..‬‬

‫‪- ٢٥‬ﻓﻠوراﯾد اﻣﺎوﻧت ان وﺗر ؟‬

‫‪0.7to1ppm‬‬

‫‪..‬‬

‫‪ -٢٦‬اي واﺣد ﻣن اﻟﻛﻼﺳﺎت ﯾﻌطﯾﻧﺎ ﻛوﻧﻛﯾف ؟‬

‫‪A-class 1‬‬
‫‪B-class 2‬‬
‫‪C-class 2 mod 1‬‬
‫‪D-Class 3‬‬

‫‪..‬‬

‫‪-٢٧‬ﻛم ﺳؤال ﻋن اﻟﻠوﻛﺎل اﻧﺳﺗﯾزي‬

‫اﻗرأواﻋﻠﯾﮫ‬

‫‪..‬‬

‫)‪٢٨- non vital bleaching in office ( 30-35%h2o2‬‬

‫‪..‬‬

‫وھذه اﻟﺻور اﺟت اﺳﺋﻠﮫ ﻣﻧﮭﺎ‬

 ‫ يوليو‬١٣ ‫مناقشة‬

2021 ‫يوليو‬13 ‫مناقشة‬

50 years old pt came to the clinic with deep stained first molar

Treatment?

A- PRR

B- pit and fissure sealant

C- reassure pt✅

D- class 1

Color of file 25

Red ✅

Distance between implant and natural teeth

1.5mm ✅

Implant to natural teeth > 1.5

Implant to implant > 3

LPt wants to replace missing #46 with implant space available 7 mm

Implant width should be

A- 5

B- 4 ✅

C- 6

D- 3

Child with no movement in jaw and deviated chin to the right

Pt had a deep class v amalgam restoration came back with pain

What is the cause?

reem yasser ‫صورة من‬

Partially erupted molar clamp

A- 14 clamp

B- 2A clamp

C- W14A clamp

D- 13A clamp
 ; clamps

fully erupted moler 14

W8, HF7, HF for moler

14A partial erupted moler

2A first primary moler

HF1 and HF2 for premoler

HF9S anterior teeth

Pt with new upper and lower CD came the next day complaining that he cant
”pronounce the letter “s

?Cause

-——————

Cracked tooth diagnosis

 Transillumination light✅

Vertical root fracture:

Vertical root fractures are a type of fracture of a tooth. They can be characterized by an
incomplete or complete fracture line that extends through the long axis of the root toward
the apex. Vertical root fractures represent between 2 and 5 percent of crown/root fractures.

J shape in xray
 Pt with upper complete denture came complaining from a painful ulcer on hard palate

Prophy jet

Do not use with hypertensive pt ✅

Prophy jet

Do not use with hypertensive pt ✅

prophy-jet (air-powder polishing) = using sodium bicarbonate + aluminum trihydroxid - for

both supra - sub gingival teeth scaling + implant + restoration

Instrument used for removing unsupported enamel at the gingival wall of class 2

Gingival margin trimmer ✅

 Instrument used for removing unsupported enamel at the gingival wall of class 2

Gingival margin trimmer✅

Wall = enamel batch or chisel

Floor = gingival margin trimmer

GMT gingival marginal trimmer is used to remove unsupported enamel from the gingival
floor.

Hatchet chisel is used to remove unsupported enamel from cavity margins

Least reliable to do pulp test

EPT (electric pulp test) ✅

Tooth with amalgam restoration and the dentist wants to keep the tooth what to do

——————-

Tooth with amalgam restoration and the dentist wants to keep the tooth what to do

——————-

10% formaline for 2 weeks ✅

* Amalgam tooth for training management ?

 put in formaline 10% then saline✅✅

without amalgam = medical waste

with amalgam = Hazard

for preclinic: A: with amalgam= 10% formalin for 2 weeks

B: without amalgam= clean and disinfect then autoclave for 40 min

Vomiting consider: infectious

Vomiting consider: infectious

Discard Paper towel in : Hazard & infectious clinical waste

Vomiting in chair: follow manufacture instruction

Vomit in the floor: intermediate level disinfectant

Dental unit waterline should be flushed at the beginning and the end for 2 min.

Between patients: 20-30 sec.

 GV black formula

*Unit insturment Formula 3*

.First Unit *width* of the blade

.Second Unit *length* if the blade

.Third unit *Angle* of the blade

*Unit insturment Formula 4*

.First Unit *width* of the blade

Second Unit *Angle* of the *cutting* edge

Third unit

.length* if the blade*

Fourth unit

.Angle* of the blade*

.......
Picture of Nabers prob
 Definition of frankfurt plane

Line from orpitale to porion ✅✅

Pt with good oral hygiene came complaining of food impaction in posterior teeth upon
examination severe attrition ‫مو فاكرة السوال بس كان شي كدة‬

——————-

41. A 44-year-old health woman presented to the dental clinic complaining of food
impaction and bleeding on probing in the löwer left side of the jaw. Tooth #36 had a
pulpotomy procedure initiated last year. On examination, tooth #36 is slightly tender to
percussion . A 5 mm periodontal packet was noted in the distobuccal aspects, along with
bleeding on probing (see image) Which of the following is the most appropriate interven.on
to be taken?

A . deep periodontal scaling and root planning

B . root canal retreatment through the PFM crown C.combination of endodon.c and
periodontal surgery✅✅

D . sectioning of existing crown and restorability assessment

‫يشبه هذا السؤال‬

 ANUG 2 questions

it about read

Congenital syphilis teeth picture

——————-
Sickle scaler picture
 ‫ يوليو‬١٤ ‫مناقشة‬

2021 ‫يوليو‬14 ‫مناقشة‬

:Pt with history of angina and needs restoration and he appeared nervous

Give sedative

A- Defer treatment and ask him to bring paper from his physician

B- Treat in upright position

C- Give nitroglycerin before treatment

Patient during treatment felt chest pain and radiating to the jaw, you gave him Sublingual
spray, what is the spray side effect?

A- Xerostomia

B- Change taste ✅✅

Picture with severe attrition, how to increase the interocclusal space?

Depending on the cause of dental attrition, there are various treatment options. Most
commonly, dental attrition treatment will involve a combination of orthodontic treatment to
fix tooth alignment (e.g. Invisalign), dental restorations to fix damaged teeth,
and treatment for bruxism (e.g. wearing a night guard).
 ✅

Why we do not immerse dental instruments in iodophor solution?

✅✅

Pseudo class lll

1-Advanced of upper anterior

2-Pseudo-Class III malocclusion is characterized by the presence of an anterior crossbite due

to a forward functional displacement of the mandible; in most cases, the maxillary incisors
present some degree of retroclination, and the mandibular incisors are proclined.

✅
 Functional ortho appliance

When to do frenectomy after diastema closure

 ✅✅

——————-

Dentist apply rubber dam on 6 anterior teeth then he noticed that the rubber dam is
wrinkled whats the reason

——————-

holes so far

✅✅

Pt vomited on floor of the clinic

How to clean

Tooth with amalgam restoration and the dentist wants to keep the tooth what to do

——————-

10% formaline for 2 weeks ✅

* Amalgam tooth for training management ?

put in formaline 10% then saline✅✅

without amalgam = medical waste

with amalgam = Hazard

for preclinic: A: with amalgam= 10% formalin for 2 weeks

B: without amalgam= clean and disinfect then autoclave for 40 min

 Vomiting consider: infectious

Vomiting consider: infectious

Discard Paper towel in : Hazard & infectious clinical waste

Vomiting in chair: follow manufacture instruction

Vomit in the floor: intermediate level disinfectant

Dental unit waterline should be flushed at the beginning and the end for 2 min.

Between patients: 20-30 sec.

——————-

Pt came with high demand to esthetic and fractured her central

Management

——————-

Depend on the severity of fracture

Dentist had finger injury and bleeds in pt mouth what should he do ?

inform the pt

mouthwash ‫مع مضمضة ب‬

 Different hemostatic agents in retraction cord :

-Epinephrine 0.1% or 0.8%

-Aluminum chloride 5-10% (hemodent)

-Ferrus sulfate

-Zinc chloride 8% or 40%

Retraction cord with phenylephrine for cardiac and hypertensive pts

‫تجميعات الشهر‬+ ‫الذهب‬

‫البيو‬+ ‫الستيجات حقت االنفالميشن‬

‫الذهب (مهم )خاصتا اساله االندو‬

 ‫‪Re line‬‬

‫‪Re base.‬‬

‫والثانيه نسيت ‪ NUG‬جان الفرق بي ال‬

 ‫مناقشة ‪ ١٥‬يوليو‬

‫مناقشة ‪15‬يوليو ‪2021‬‬

‫فالفكسد ‪try-in‬جاني خطوات ال‬

‫مي‬
‫سوال لو جاك طفل ومعاه ممرضته تاخذ الموافقه من ي‬

‫✅✅ منها لو شي عادي من االهل ‪ emergency‬عىل حسب لو‬

‫! سوال لو جاك شايب معاه عيال واحفاده تاخذ الموافقه من ميي‬

‫✅✅ العيال‬

‫‪ adult p.t c with problem in hearing with her nurse..‬جاني سؤال قريب من هذا اليوم ‪..‬بس بيقول‬

‫فانتا حتشح لميي فيهم‬

‫✅✅ ‪Nurses‬‬
 ‫فيه اربعه تعاريف لل‬ethics ‫جتن‬
‫ي‬

- involvement bone ‫سوال التريتمنت حقت ال‬

?Grade || futcation treatment

= treatment of Furcation
 Class I furcation: scaling and root plan- ing (SRP) , furcation plasty

Class II furcation: furcation plasty( elimination of the inter-radicular defect) ; tunnel •

preparation( deep) ; root resection(deep); tooth extraction; guided tissue regeneration
at mandibular molars

.Class III furcation: tunnel preparation; root resection; tooth extraction •

‫ تاني يوم نزلت صورتك مع الالعب عل‬،‫مريض مشهور العب كرة واجالك العيادة وعالجت واخدت معا صورة‬
‫!فيس بدون ما تاخد اذن انت هيك حضة جنابك شو اختيقت من قواني؟!؟!؟‬

1 privacy

2- convediality✅✅

3 auto nomy
Congenital syphilis teeth pictur

‫ االدوية الىلي تسبب‬xerostomia

 ‫ جاني سوال عن‬cl.I mod II

Pt came with high demand to esthetic and fractured her central

Managemen

Direct composite ✅✅

‫ اممم سوال عن‬vertica fraction

The prognosis of the root with VRF is poor therefore tooth extraction and root amputation
are usually the only treatment options. However, bonding of the fracture line with adhesive
resin cement during the intentional replantation procedure was recently suggested as an
alternative to tooth extraction.
patient have generalized brown discoloration and when you do ultraviolet light appears as
yellowesh?

-florosis

-tetracycline✅✅ -amelogenesisimperfecta -dentinogenisis imperfecta

pt with full mouth rehabilitation , what type of occlusion (long senario)

Bilateral balance MIC

centric relation

diamond in porcelain , transmetal in metal ✅✅

 ‫شكله السؤال عن ‪posterier palatal seal or dam‬‬

‫ن ‪apixogensis‬و ال ‪apixofication‬صور اشعه ال‬

‫فرقو بينها في كل شي باالشعه كما ي‬
 ‫منال ‪١،٢،٣‬‬

‫عمر‬

‫تجميعات الشهور الثالثه الىلي راحت‬

‫✅✅‬

‫‪ m sup gingiva‬سوال عن الفرشاه كم‬

‫✅✅ ‪0.5-1‬‬

‫لو قال بلوك ذا اليت يصير ‪crack line‬‬

 crack line ‫لو قال بلوك ذا اليت يصير‬

‫في سوال غريب…بيقول انو المريض كل شوية بيقفل تمو عل السكشن ويضم عليه عشان يشفط الميا الىلي بتمو‬
‫س المريض بيقفل تمو‬
‫ ليش السكشن بشفط اكتي ب ي‬،‫!!!!وبشفط اكتي بس يقفل‬

1- the vacum of suction high

then the vacuum of oral cavity

2- the vacuum of oral cavity high

then the vacuum of tube
suction✅✅

3- the tube suction is larger then

normal

Patient with limeted mouth

opening and need subgingival
scaling what is the modfication
on indtrument
‫✅✅ ‪mm‬‬ ‫بيكون اطول ‪3‬‬

‫الكونيكتور عىل‬ ‫بتسم شكل‬

‫لون‬ ‫الكاست بأي‬

‫بترسم شكل الكونيكتور على الكاست بأي لون‬

‫‪Major red‬‬

‫‪Minor blue‬‬

‫‪Rest green‬‬
‫وش النتف الىلي تحذر منه؟ ‪ reduction for mylohiod ridge‬بتسوي‬

‫✅ ‪Lingual Nerve‬‬

‫✅‬

‫وش يمتي الصوديوم عن الكلوروهيكسيدين‬

‫بي االجابات‬
‫‪ broudspectrum‬وكانت ي‬

‫✅✅ ‪Kill organic‬‬

4- Patient have hypertension and he used beta blockers and Metformin, many of his teeth
restored with composite but three of them restored by amalgam 3 years ago and he have
recently a metallic taste, due to what?

- Metformin ✅✅

- Amalgam

‫ن‬
‫بيشنت عنده ضغط مسوي عدة حشوات وعنده حشوة املقم وكمبوزت قديمة ويحس بطعم معد ي‬

‫وش السبب ؟‬

Side effects from

Medications ✅✅

140- pt. Is diabetic and hypertensive takes beta blocker and Metformin

and has amalgam restoration and composite in the lower presented

with complain of persistent paresthesia and recently feels metallic

taste, whats the cause?

A.-Metformin

B. -leconoid reaction✅✅

C.-hypertension

D.-amalgam restoration
 ‫البكتتيا المويجودة داخل اللب‬

‫ من بيي االجابات‬anarobic ✅✅

‫بيشنت ياخد ادويه ضغط او قلب ويحس بطعم حديد؟‬

captopril is also commonly associated with taste disturbances (metallic or loss of

(taste

It is ACEI drug of Hypertension

‫اذا طلب اسم الدوا هو هذا اكتر نوع‬

‫اذا طلب اسم الليجن حيكون‬

Lichenoid

Band pusher* > initial placment of band by dentist *

Band seater* > final placment of band by patient *

 ‫مناقشة ‪ ١٧‬يوليو‬

‫مناقشة ‪17‬يوليو ‪2021‬‬

‫صورة عن رثيد موالر وانت بتخلعه‬

‫وفيه وش اللي يخليه صعب‬

‫‪Fused root‬‬

‫‪Contact with 2nd molar‬‬

‫♦‬

‫االسبرين مش بيوقف اال اذا زاد عن ‪ ٣٢٥‬ونطلب من‬ ‫بيشنت ياخذ اسبربن ‪ ٣‬مرات باليوم وانت بتسوي اكتركشن‬
‫المريض ‪bleeding time‬‬
 ‫ شهور وبدأ يحس ب انه مافيه‬6 ‫ بيشنت مركب امبلنت قبل‬retention ‫وش السبب‬
‫اذا‬ ‫ ؟‬implant ‫ نفسه يبقي‬faliure

‫ اذا‬abutment ‫ يبقي‬loosning of component

‫ ونطلب من‬٣٢٥ ‫االسبرين مش بيوقف اال اذا زاد عن‬ ‫ مرات باليوم وانت بتسوي اكتركشن‬٣ ‫بيشنت ياخذ اسبربن‬
‫اذا البيشنت بياخد‬ bleeding time ‫المريض‬

Aspirin > Bleeding time( BT )

Warfarin > INR + PT

Renal dieseas, heparin > PTT

Liver disease > BT + PT

‫جاء سؤال مدري وش دخله باالسنان‬

bottel ‫يقولك متى تنصح االم انها توقف رضاعة من‬

‫ شهر‬18 ‫انا حطيت بعد‬

Nursery bottles should be Stopped at which age to prevent caries by months -3

12

18

24

months = nursing bottles 12

months = pacifier 18

months breast feeding 24

 ‫جاء سؤال مدري وش دخله باالسنان‬

‫يقولك متى تنصح االم انها توقف رضاعة من ‪bottel‬‬

‫‪12month‬‬

‫مادة تستخدمها لل ‪apixofcation‬‬

‫حطيت ‪mta‬‬
 dental implant emergence profile

? Discoloration of primary molar no ttt

‫️*⃣⃣️* سؤال مو واضح‬

truma ‫دي ممكن يكون‬

hemorrhage ‫عملت‬

‫وحصل‬In pulp

Calcification
 Mature enamel compnent

inorganic ‫حطيت‬

is composed primarily of inorganic materials: roughly 95% to 98% of it is calcium and

.phosphate ions that make up strong hydroxyapatite crystals

‫ بتقول اكتر من سنه سبب للتسوس‬٢ ‫النقطه رقم‬

functional applince ‫سؤال عن‬

 ‫بيشنت مركب دنتشر واللعاب يسيل من فمه وش السبب ؟‬

‫انكسر الواير وانت بتركب جديد الظاهر وش يلبس البيشنت‬

‫االجابات‬

‫غاون‬

‫وال فيس شيلد‬

‫وال ربردام‬

‫وال حماية للعينين‬

‫الدكتور بيسوي فحص الحد عضالت المستكيشن ‪finger extraorally‬‬

‫‪Masseter‬وش العضلة؟‬

‫❔❔❔❔❔❔‬
 ‫ تحتوي على فلورايد وحاط‬material-٣

a-zinc phosphate

b-polycarboxylate

zinc phosphate‫مادة قريبة من ال‬-C

‫ونسيت الرابعه‬

٤-minimum thickness of the metal that placed on tooth in the resine bonded
bridge 0.5 mm
 ‫ سنوات عنده تقدم بال‬٥ ‫طفل عمره‬-٥mandible ، ‫ايش نسوي له ؟‬

a-functional appliances

B-protraction face mask

C-the patient is so young✅✅

E-ortho

٦-very poor oral hygiene pt came with multiple proximal carious teeth ,what is the
management ?

a-all teeth with composite

b-until pt change become good oral hygiene ✅✅

C-all teeth with intermediate temporary restoration

‫جت الكيس المشهورة تبع االم مع عيالها‬-٧

‫وايش مسؤوليتها‬

a-the pt call her kids during treatment

b-give the dentist information about her condition

C-give the dentist all the completed informations

d-the pt make the dental staff start her treatment

٨-how can you decrease the amount of bone resorption on the distal side of the second
molar ,if you want to extract the third molar

a-bone graft

b-tissue regeneration

c-partial thickness flab✅✅

‫ يوليو‬١٨ ‫مناقشة‬

2021 ‫يوليو‬18 ‫مناقشة‬

how to can you decrease-٩

the bleeding in hemophilic pt

١٠-hepatitis pt what you should measure

a-platelet somthing

b-INR

c-ptt

Note : (PT for liver

PTT for hemophilia

iNR for warfarin)

 the irrigation syringe should be-١١

a-2 mm or less from apical constriction

b-same length

c-4 mm away

١٢- best x ray to identify the canine impaction

Cbct ✅✅

١٣-poor oral hygiene with multiple caries lesions and calculus with badly decacyed teeth
want ortho treatment ,what to do after ortho treatment

1-crowns

2-scaling ✅✅

3-Rct

4-resto

self threaded pin should be -١٤

a-same size of hall

smaller by 0,2 inch-2

smaller by 0.002 inch-3

larger-4
 1- perforation which sealer to use ?

MTA ✅✅

? close mouth or limit mouth anesthesia -2

Vazirani-Akinosi
 3- electric pulp test - nureal ✅✅

13-7

end from gold file

‫ جان كم سؤال ابيكسيفيكيشن‬-١١

Apexogenesis

Apexification

🟨Dxx and apexfication

Apexification is the induction of a calcific barrier (or the creation of an artificial barrier)
across an open apex in a case involving pulp necrosis with or without a periapical lesion.

Apexification involves removal of the necrotic pulp, followed by debridement of the canal
and irrigation with 1.25% NaOCl and dry with paper point.

W/L slightly short of the radiographic apex.

 and placement of an antimicrobial Medicament MTA. either a powder or paste

moist cotton pellet is placed in the canal to ensure setting.

The patient is recalled when the MTA has set

(at least 24 hours) for obturation and placement of the permanent restoration

Apexogenesis
is a vital pulp therapy procedure performed to encourage continued physiologic
development and formation of the root end.

The objective is maintain vitality of radicular pulp.

Steps...

The inflamed pulp tissue is removed. By (Cvek Pulpotomy(2-4mm) or conventional) .

Hemorrhage is controlled by pressure on a cotton pellet moistened with saline.

Failure to stop indicate that inflamed tissue remains and that more pulp tissue must be
removed.

The exposed pulp is rinsed with 1.25% sodium

hypochlorite.

material is placed over the amputated pulp. MTA is

 the preferred material, although hard-set calcium

hydroxide traditionally has been widely used.

The tissue response to MTA is excellent, whereas

there is always a zone of necrosis beneath caoh.

MTA is prepared immediately before use by mixing

the powder with sterile water or saline at a ratio of 3 :1.

The mixture is placed on the exposed

pulp and patted in place with a moist cotton pellet. Because MTA sets in the presence of
moisture over a 3-hour period,
a wet cotton pellet is placed over the material and the rest
of the cavity is filled with a temporary filling material.

After set (3h)The coronal 3 to 4 mm of MTA is removed, and a final restoration is placed
immediately.

The time required to produce a thicker root

varies between 1 and 2 years, depending on the degree of root

development at the time of the procedure.

The patient should be recalled at 6-month intervals to determine the vitality of the pulp
and the extent of apical maturation.
 Absence of
symptoms does not indicate absence of disease so every recall vitality and radiographic
examination should be taken.

The success rate is lower after conventional pulpotomy; calcific metamorphosis is a

common occurrence.

When there is evidence of calcification, RCT should be initiated.

If it is determined that the pulp has become irreversibly inflamed or necrotic before root
development is complete or if internal resorption is evident, the pulp is removed and
apexification therapy is initiated. ✅✅✅✅

7- x-ray vertical root fracture

- CBCT✅✅

What is GG#1 file length means?

1_20mm

2_30mm

3_50mm

4_60mm
 9- 2ndary trauma will cause - bone loss✅✅

30_50%

10 - rubberdam far from each other - wrinkle ✅✅

11- cheek bite in CD

decrease vertical dimantion ✅✅

12- CD fracture :

remake or rebase

13- cyst btw 2 central incisor

Nasopalataine cyst ✅✅

14 - alginate -

wet - imhinition✅

dry - syneresis✅
 16- liver LA - ester ✅✅

15 - impression pour after 24 hr - silicone✅✅

17 - fixed procilen anti came after 4 days with bleeding and pain , reason ?

Margin issues

Violation of BW

Open margin lead to accumilation of bacteria and bleeding

pic of pen grasses and cross section - 18

 infrabondy defect - 19

class 1 - not to mgr no bone loss

class2 - to mgj no bone loss

class 3 - to mgj - partial bone loss

class 4 - to mgj - sever bone loss

20- gingival index -

0- no inflammation

1- mild - slide change in color no bleeding

2- moderate - redness , bleeding probe

3 - sever - redness bleeding spontaneous

4- tooth loss

✅✅
 21- period new classification

stage :

slight less 2

moderate 3-4

sever more then 5

distribution : depend on bone loss

local less 30

general more then 30

grade :

age of pt \ bone loss

✅✅

tx plan -22

phase 0 - emergency - extract hopless tooth

phase 1- non surgical perio - ohi

phase 2 - surgical - period - end implant

phase 3 restoration - prostho and final restoration

phase 4 manitance
 ? sickle scaler used for -23

supra gingival calculus

? ve architecture+ -24

inter proximal CORONAL to radicular bone

: most accurate radio for bone loss -24

vertical bitewing

: fremitus -25

vibrating or movement of tooth in functional occlusion

:grade of fremitus -26

G1 : mild

G2 : palpable vibration not visible

G3 : visible moment
 : probe force - 27

tolerated : 0.75 n

junctional epi : 30g

to bone level : 50 g

? thin scalloped phenotype and thick scalloped phenotype - 28

 : most seen in pregnant women - 29

bleeding , gingivitis , overgrowth of gingiva

 ‫ يوليو‬٢٥ ‫مناقشة‬

First section was mostly Endo and perio

Second and third 90% fixed , removable and implant

1 Burnning sensation
2 Difference btw adult and teen ortho

2 Dif btw adult and teen ortho

Ortho is different in adult from pedo ?

A. Longer time✅

B. Shorter time

C. Higher forces

D. Lesser forces

‫سؤال مشابه‬

3 Cancer supplement

6-PT with cancer .. what supplement he needs ?

a-vitA ✅

b-iron

C-calcium

d-magnesium

‫دا سؤال مشابه‬

4 Bsso

Bilateral sagittal split osteotomy

For

Skeletal class 3 correction✅

Set back prognathic mandible

_Bilateral sagittal split osteotomy used to setback or forward mandible movement

_Transoral vertical ramus osteotomy used only setback of mandible

classical surgical technique for increasing lower jaw length.✅✅

5 Bone necrosis
6 Hbss

(Hank's balanced salt solution)

Perfect solution for avulsed tooth

Best media for tooth avulsion

7 Many Endo questions

Read more about it ✳

8 Surgery questions

Read more about it

10 Numbness of the tongue after extraction want the nerve ingred

Lingual✅✅

11Fordyce pic

Fordyce spots, also called Fordyce granules, are small pimple-like structuresthat commonly form on the
body. They're seen most often on male genitalia, especially around the shaft and testicles, but can be
found on the lips and inner mouth. They're also present in female genitalia, especially around the labia
✅✅

12 Angina bullosa

Angina bullosa haemorrhagica is the term used to describe benign subepithelial oral mucosal blisters
filled with blood that are not attributable to a systemic disorder or haemostatic defect. It is a very rare
condition. Elderly patients are usually affected and lesions heal spontaneously without scarring
13 Pt with yallow skin

- Jaundice is Hepatitis B sign the dentist should ask the patient to do Hepatitis B test.✅

14 Third molar why difficult to extract xray .‫ع حسب االشعة‬

Deep horizontal impaction

Vertical I think

Distoangular also

Class3. C

15 Bone loss in mesial and deposit in distal

Orthodontic tooth movement

Mesialation movement??

16 First Use of clorohexaden

Antimicrobial textile dressings in managing wound infection

17Pocket dept 2-2 implant pock 5 what the treatment

Bone and gingival graft?

18 Chin cup use

Class III Mandibular Protrusion ✅

19 In which age if take alot of fluride the permanent teeth will have florosis

18 month to 3 years of age ✅

20 Type of pockets

1 to 3 mm: normal.

4 to 5 mm: early or mild periodontitis; gum disease is present.

5 to 7 mm: moderate periodontitis.

7 to 12 mm: advanced periodontitis.

21 removable rest fracture because ?

un sufficent prepration ✳

22 minimum space between tooth and implant

1 – 1.5✅

23 Base under amalgam

Zinc phosphate

Zinc oxyphosphate (ZOP) is a powder/liquid combination that is an ideal base material since it can
provide thermal insulation and will allow the condensation of amalgam several minutes after placement.
The material is acidic when placed (pH of approximately 3.5), but rises to a pH of 6.9 after a week✅

24 baae under composite

GIC✅

Aloooooot of perio and implat and prostho qus

Read more about ✳✳✳

2 pic only

Ortho 3 qus

2 appliances chin cup , class 3 mandibular (Not) nomal ✳and maxillary deficiency

1 point in cephalo

What is described as best practices is performing caries risk assesment during periodontal therapy and
before starting maintenance.

Increased pocket depth

exposed roots✅

Coronal tooth loss

‫ايي في سؤال عن‬the maximum amount of force in probing

10

20

30✅

40

## proping force on gingiva 30

proping force on bone 50

Female pt 14 years old missing 22 , restored by:

Rpd✅

Implant

Fixed
Doctor suspected pt with HIV why?

Pale skin

Yellow skin and white eye✅

Perioprobe standar by mm :

0.5✅

1.5

Pvs impression pouring in :

Additional silicon(PVC)

1 hour ✅

2 hour

30 min
Qs Neglect child

Neglect is the ongoing failure to meet a child's basic needs and the most common form of child abuse2.
A child might be left hungry or dirty, or without proper clothing, shelter, supervision or health care.✅

Qs Ethics violation ✳

Player football came to ur clinic : confidence ✳

‫سؤال مشابه‬
Famous Football player came to clinic and do share his photo in Facebook?

Privacy ✅

Veracity
 ‫ يوليو‬٢٧ ‫مناقشة‬

july 27 ‫ﻣﻧﺎﻗﺷﺔ‬

Patient with uncontrolled diabetes came to replace missing 36, poor oral hygiene and deep
? pockets depth, treatment
Implant .1
Conventional Fixed bridge .2
Resin bonded bridge .3
Do not replace .4

..

III Furcation -

III

..

?how to decide between separation and resection -

Depends on probing depth .1
Depends on the keratinized .2
Depends on the anatomy of the roots .3

..

Optimal amount of fluoride on water -

0.7 _.1
0.8_.2
1 _3
5 _4

..

- ‫ﺻورة رﯾﺳﺷن واﯾش اﻟﺳﺑب؟ ﺑرﺳﻠﮭﺎ ﻟﻛم‬

1. Genetic
2. Wrong use of dental floss

NOTE : Loclaize is dental floss

If genrlize is gentic
..
- after treating pericoronitis, what to do after to prevent recurrence?
1. Gingivectomy
2. Extraction of 3rd molar
3. Irrigation
..

- questions about Kennedy classification

One of them about 15 yrs old boy who will go for extraction of 21 what is the classification?
Class III

..

- overhang restorations radiograph

Overhanging approximal restoration may causes gingival inflammation, periodontal tissue

destruction, decreases alveolar bone height, and caries recurrence. Overhanging restoration
can be detected clinically and by radiography image. Overhang restorations can occur due to
the poor filling procedures

..

- dentist attended conference and noticed that some dentist didn’t attend but they will receive
certification, it will violate which of the following
1. The role model of the health worker
2. The honor and the respect
‫واﻟﺧﯾﺎرات اﻟﺑﺎﻗﯾﺔ ﻏﺑﯾﺔ ﺑﻌد ﺑس ﻧﺳﯾت‬

..

- butterfly shaped rash?

Systemic lupus

..

- case scenario of epulis fissuratum

Mostly seen in anterior teeth cause by I’ll fitting denture and extend flangs
ttt-surgical removale And adjust denture

..

1- Anti-SSA antibodies in which diaseas

2-histilogy of MelanoAcanthoma

*Oral Melanoacanthoma ❄*bening*

Usually present as a rabidly enlarging , ill defind , darkly pigmented *macular or plaque* lesion,
most developed in black females .
Asymptomatic
buccal mucosa the most common site of occurrence.
 the lesion size varible from small and localized to large, the border irregular in appearance.
❄Histopathological
Characteristised by a proliferation of benign ,dendritic melanocytes throughout the full thickness
of an acanthotic and spongiotic epithelium layer .
,,infltration of Lymphocyte
,,eosinophils may observed.
and spongiotic .

*Malignant Melanoma*
History of multible episodes of acut sun exposure
presense of multible cutnouse *nevi*
Family history of Melanoma are risk factor.
the Malar region the most common site since this area is supject to significant solar
exposure.
Asymmetry,irregular border, color variegation, diameter greater than 6 mm
❄Histopathological
May exhibit a radial or vertical pattern
neoplastic cell invad the overlying epithelium *Pagitoid spread*
Hyperchromatism Proliferate within the Basel cell layer of epithelium.
Once the vertical growth into the connective tissue is established the lesion may be become
clinically tumefactiveb.

..

:pt compliant from exudate and malodor how dentist perform exudate pus from gingiva -3
A-tip of index finger below marginal gingiva and move it coronaly
B-tip of index finger on buccal mucosa an move it lateraly
C-tip of index finger on inter dental papilla
D-tip of index finger on bucaal surface of the tooth and press the crown lingualy

prtrusive interference-4
Which cusp
DUML
..

(‫ﻧﺳﯾت اﻟﺑﺎﻗﻲ اﻟﻣﮭم اﻧذي اﻻﺧﺗﯾﺎرات‬histology (finger like projection of stratified squamous epithelium-5
A-gingival fibroma
 B-gingival papilloma
C-pyogenic granuloma

D-central gaint cell granuloma

..

Occlusion schem in max CD with man RPD-6

..

dentogingival unit-7
The dentogingival unit (DGU) has been described as a functional unit composed of the epithelial
attachment and connective tissue attachment of the gingiva – both of which afford biological
protection (1).

..

8-fpd pt come in second appointment with gingival inflammation due to overcontoured

temporary fpd u fibricated in last vist what is your managment
A-take final impressions and do new temporary fpd
B-give him another appointment for final impression
C-hemostate to pleeding area then impression

D-laser gingivectomy
..

9-deep Amalgam restoration with retintive groove

The retention grooves were placed at the axio-facial and axio-lingual line angles and in the
gingival floor of the cavities
..

10- frey syndrom clinical presentation)which nerve?

Auriculotemporal nerve
Frey's Syndrome is a syndrome that includes sweating while eating (gustatory sweating) and
facial flushing. It is caused by injury to a nerve, called the auriculotemporal nerve, typically after
surgical trauma to the parotid gland

..

11-deference bw glaz line and cracked tooth syndrome in

transillumination

..

12-Pic of mandibular space infection which lowers muscle?

..

13-(Emergence profile)by which part of implant

Healling abutment

..

14-Mn 2 implant over denture connector

A-clasp
B-bar
C-locator
D-magnet
..

pt with insciso-lingual fracture and veneer planed how much the distance from opesit tooth
contact and finsh line lingualy

‫وﻟﻛم ﻛل اﻟﺗوﻓﯾق‬
 ‫ يوليو‬٢٨ ‫مناقشة‬

july 28 ‫ﻣﻧﺎﻗﺷﺔ‬
Pt missing all upper tooth except 24,23,14⃣*
What's the class according to
? kennedy
Clas 1 mod 1

..
.
*‫وﻣﯾن اﻟﻠﻲ ﯾﺣدد ﻟون اﻟﺳن اذا ﻛﺎن دارك‬
‫ اﻟﺧﯾﺎرات‬:
Value
Hoe
chroma
..

*⃣During fabrication how to determine the posterior palatal seal?

1- indelible pencil
2- T-burnisher
Note : 1 on cast
2 patient mouth
..

‫ واﯾش ﻧوع اﻟﻛﺎرﻓر ﺟﺎﯾب اﻧواع ﻛﺎرﻓر‬posterior palatal seal ‫*⃣وﻓﯾﮫ ﺳؤال ﻋن‬
 ..

Modified pen grasp ‫*⃣ﺻوره‬

..

..

What the cousative tooth in this pic.

Canine
 ..
Trismus > Akinosi⃣*
.Inflammation > gow gates
..

Pt missing 34,35 want restore it by implant the total distance 14mm⃣*

? How many implant

implant 2
..

Female Pt suffering from defect of the incisal edge ,then she told u she like⃣*
?to eat lemon
attrition -
erosion -
abrasion -
..

‫*⃣وﺟﺎﻧﻲ ﺳؤال اﻟﺑﯾﺷﻧت ﻣﻊ اﻟﺳﻛﺷن واﻟﭭﺎﻛﯾوم‬

..

?Active TB patient which type of the mask you will used⃣*

I think Respiratory mask
..

? Impaction canine will cause⃣*

Root resorption lateral incisor
..

‫ ﻓﻲ‬symptoms‫ ﺟﺎﻧﻲ اﻛﺛر ﻣن ﺳؤال ﻋﻠﯾﮭﺎ ﻣره ﯾﻛون اﻟـ‬panic attack symptoms ‫*⃣ﺑرﺿو‬
panic attack ‫اﻟﺳؤال واﻟﺟواب‬
‫وﺳؤال ﺛﺎﻧﻲ ﻛﺎﻧت ﺧﯾﺎراﺗﮫ‬
bradycardia
bradypnea
‫وﻏﯾرھﺎ‬

..

‫ اﯾش اﺳﻣﮭﺎ اﻟﻛﺎﻣﻼﻟﺧﯾﺎرات ﻛﺎﻧت ﻗرﯾﺑﮫ ﻣن ﺑﻌض واﻟﻔرق ﺣرف واﺣد‬EDTA ‫*⃣ﺟﺎﻧﻲ ﺳؤال ﻋن اﺧﺗﺻﺎر‬
‫واﻟﻣرﻛﺑﺎت ﻣﺷﺑوﻛﮫ ﻣﻊ ﺑﻌض‬
Ethylenediaminetetraacetic acid

..

Which prefer if patient had an accident

Jaw thrust

If there spinal injury = jaw thrust

If no = chin lift

..
..

*⃣Post palatial seal located in mouth by

T burnisher
..

*⃣Picture of palatial groove at lateral incisor

*⃣Questiones about Hepatitis carrier

..

*⃣Mucocele , most common at lower lip

Mucocele is pseudo-cyst formed due to extravasation or retention of
mucous in submucosal tissue from minor salivary glands. Mucocele is
known to occur most commonly on the lower lip; 80%, followed by the floor
of mouth and buccal mucosa
..
Several questiones on irreversible and reversible pulpit
..

*⃣16 year old need to put diamond on teeth

Consent from parent
..

*⃣Angle of insertion of grecey ( 0 degree)

*⃣Best area for implant ? Ant mandibular

..

*⃣Type of bone in post maxilla .. D4

D1 ant mand
D2 post mand
D3 ant max
D4 post max
..

*⃣Angular chellitis .. with short VD

..

Gingival enlargement post renal transplantation .. cyclosporine

..

Several orthodontics :
Uses of face mask,
Cervical pull headgear
Chin cup
ANB increase at class II
High pull headgear
Occipital headgear
Long face-long vertical plane-patient with vertical skeletal excess- class
II
Distal and intrusion movements
More for intrusion to molars and maxilla

Cervical headgear or straight pull head gear

Short face - short vertival plane-class II deep bite
Distal movement and extrusion of molars

Combined head gear(highpull+cervical)

Upper and lower facial height are normal-average vertical plane- with
class II
Pure distal movement

Reversible head gear - face mask-

Class III
Advancement of maxilla

Chin cup
For prognathic mandible with deficient maxilla classIII
‫ﯾوﻗف اﻟﻣﺎﻧدﺑل ع ﺑﺎل ﯾﻧﻣو اﻟﻣﺎﻛزﻻ‬

*A-N-B Mean = 2*
ANB ↑ Skeletal Class II
ANB ↓ Skeletal Class III
*S-N-A Mean=82*
SNA ↑ Protrusive Mx
SNA ↓ Retrusive Mx
*S-N-B Mean= 80*
 SNB ↑ Prognathic Mn
SNB ↓ Retrognathic Mn
..

*⃣10 year with bilateral swelling submandibullar.... cherubsim

..

*⃣Autoclave temperature and pressure

..

*⃣A lot of questiones on RPD , connectors, lab process

..
Colors of file 40 ... black

..

*⃣X-ray dentigrrous cyst

..

*⃣VCH shade selection which is first ? Value

..

*⃣Splinting lateral luxation 4 weeks

Intrusion 4 weeks
*⃣Cost effective Floride ? Water

..

*⃣Attrition .... because of bruxism

Picture of palatal erosion

..

*⃣To increase retention in anterior teeth ... verticle grooves

And for posterior teeth —> pin

..

*⃣Correct access preparation for mans 2 nd molar ... triangular

..

*⃣Most recurrent cyst ... keratocyst

..

*⃣Difference between periapical cyst and acute periodontal cyst .... vitality
test

..
Base of flap should be wide ? Better blood supply for healing
..
Best dental treatment for renal dialysis? 1 day after dialysis

..

Schick test ?? For Diphtheria

Schick test, method for determining susceptibility to diphtheria; it laid the
basis for inoculation against the disease. A minute amount of diphtheria
toxin is injected into the skin of the forearm
..
..

Most ductile and malleable ? Gold

..

Pronouncing F as V ?
..

Test needed for warfarin? INR

*⃣‫اذا اﻟﺑﯾﺷﻧت ﺑﯾﺎﺧد‬

Aspirin > Bleeding time( BT )

Warfarin > INR + PT

Renal dieseas, heparin > PTT

Liver disease > BT + PT

..

*⃣Calculation of attachment gingiva

..

*⃣ ( bone dissolved and new bone formation

Bone migration

‫ﺳؤال ﻣﺷﺎﺑﮫ‬
(34) There are clinical instances in which simultaneous bone resorption is
increased along the mesial surfaces of the teeth, and new bone is formed
along the distal surfaces of the same teeth.
Which of the following is an example for such instances?
A .orthodontic tooth extrusion
B .physiological mesial migration
C.orthodontic widening of distema
D.tooth in infra occlusion due to root ankylosis
..
Distance between 2 implants
3mm
..

Ethics scinarios
‫⃣* اﺧر ﺣﺎﺟﮫ‬
..

ً ‫وﻧﺳﺄل ﷲ اﻟﺗوﻓﯾق ﻟﻧﺎ ﺟﻣﯾﻌﺎ‬

 ‫ يوليو‬٢٩ ‫مناقشة‬

٢٠٢١ ‫ يوليو‬٢٩ ‫مناقشة‬

.butterfly shaped rash )1

Systemic lupus erythematosus
✅✅✅

.Firm swelling in gingiva of anterior teeth )2

..Histological appear multinucleated cell
Pyogenic granuloma-
Peripheral giant cell granuloma-✅✅
Central giant cell granuloma-

..*Gingival enlargement*
Pregnancy tumor or tumor like gingival enlargement usually appears after the third
month of pregnancy but may be appear earlier the report incidence is 1.8%to5% the
.recarrunce is 15%

Papilloma are benign proliferation of surface epithelium that are associated to HPV ,
histopathology consists of fingerlike projection of stratified squamous epithelium often
.hyperkeratitic

Peripheral giant cell granuloma aries interdental or from the gingival margin occur in
the labial surface may be ssesile or pedunculated , they are vary from appearance from
.smooth regular to irregular shaped, multilobulated protuberance with surface indentation

pierre robinson syndrome )3

Pierre Robin sequence is a set of abnormalities affecting the head and face, consisting of a
small lower jaw (micrognathia), a tongue that is placed further back than normal
(glossoptosis), and blockage (obstruction) of the airways. Most people with Pierre Robin
sequence are also born with an opening in the roof of the mouth (a cleft palate). This feature
is not generally considered necessary for diagnosis of the condition, although there is some
.disagreement among doctors
4) cleidocranial dysplasia

Cleidocranial Dysplasia ( Saintons disease ) :

- Partial or complete loss of the clavicle.

- Brachycephaly.
- Supernumerary teeth.
- Delayed loss of primary teeth.
- Delayed eruption of permanent teeth.
- Cranial bossing.
- Hypertelorism ( wide nasal bridge due to increased space between the eyes ).
- Delayed closure of the Frontalis.

5) Treatment of pseudo class 3

Fixed appliances with posterior bite plane to unlock class 3 followed by class 3 traction

6)treatment of class 2 with lower Crowding.

Upper 4 lower5

Class 3 malocclusion, extraction should be to:

A-lower4
B-lower5
*Class I *
In case of crowding extract the same tooth from both arches to maintain the molar
relationship

*Class II *
No space required extract upper 4s
You’ll end up with class II molar relationship

If space required extract U4s + L5s

You’ll end up with class I molar relationship

*Class III *
No space required extract lower 4s
You’ll end up with class III molar relationship

If space required extract U5s + L4s

You’ll end up with class I molar relationship

1) butterfly shaped rash.

Systemic lupus erythematosus✅✅

8)frankfort plane points

Orbital..porion✅✅✅

shearing cusp on posterior crossbite✅✅✅Mand lingual cusp )9

Max buccal cusp

stillman cleft.. Causes.. - local inflammation on gingiva -trauma ✅✅ -or from ) 10

.dental floss
 components of RPD)11
.. stability ‫اي جزء يعمل‬

Rest .. support
Retentive arm .. retension
Reciprocal arm and guiding planes .. stability

in class 2 and high frenum attachment what typ of clasp use)12

RPI-
RPA -
Kennedy Cl I & II (Tooth & Tissue Borne)
:For posterior abutments, or any tooth needing stress release -
Clasp of choice: RPI (mesial rest, distal proximal plate and I-bar) - If can’t use an I-bar in -
vestibule, because of
frenum !
shallow vestibule !
deep soft tissue undercut !
then use an RPA retainer (mesial rest, distal proximal plate and wrought wire clasp) - If can’t
:use a mesial rest because of
rotation -
heavy centric contact on mesial -
large amalgam restoration on mesial - -
then use Combination Clasp (distal rest, buccal ww retention, lingual bracing) -
ring-

disadvantages ‫ سؤال ال‬gutta percha)13

‫موجود في الذهبي‬
Gutta-percha is currently the standard and universally accepted core obtura.ng material .10
.in most of root canal treatments
?Which of the following is disadvantage of this material
A. not easily manipulated
B . difficult to be removed from a canal
C. Shrinkage if softened by heat or solvent
D. Poor adapta.on to canal wall with compaction

‫سؤال الذهبي‬

LA in pedo in 3 years old✅✅✅✅)14

? Best anesthesia for children come to extract
lidocaine 2%

? Child come to extract, which type you should avoid

Lidocaine
Prilocaine
Bupvicaine
Articaine

LA in pedo in 3 years old✅✅✅✅ Best anesthesia for children come to )14

?extract
lidocaine 2%

? Child come to extract, which type you should avoid

Lidocaine
Prilocaine
Bupvicaine
Articaine

water line ‫وكمان سؤال عن عدد البكتيريا كم مفروض يكون في‬

bacteria in water line
Lengionella

maximum colony in water

500>

‫ أكثر مكان فيه بكتيريا‬water line)15

Steaned area or outcome line or income lineDentist with assistant make sure to prevent -
cross infection in water line bacteria what is the
????best thing to clean
 A- stagnation area
B- outgoing tube
C- ingoing tube

what symptoms )16

orbital floor fracture ‫ الصوره كانت واضحه‬..‫جاب صوره اشعه وقال من ايه يشتكي المريض اوشيء زي كدا‬
symptoms ‫فحاولو تعرفو ال‬

..bilateral white lesions in buccal mucosa Disappear with stretching )17

frictional keratosis-
lichen planus-
white sponge nevus-
White lesion disappeared by stretching the lesion: leukoedema -

::Note
Diagnosis. Leukoedema lesions disappear when the mucosa is stretched, which helps to
differentiate it from otherwhite lesions in the mouth. ... The diagnosis is usually made based
on the clinical appearance alone, but oral exfoliative cytology has been used as a diagnostic
.aid

..stages of hypertension )18

..‫ مو متأكده من الرقم بس في الحدود دي‬80/ 139 ‫مريض ضغطه‬
Stage l
‫ ال‬- ethics ‫جات تعريفات‬

17-Ethics :
a. Veracity → honesty
b. Autonomy → consent form
c. Justice → be faire in every situation
d. Non maleficence → do no harm
e. Beneficence → do good , caring
f. fidelity → do as you say you will do + respect confidently✅✅✅
17-Ethics :

a. Veracity → honesty
b. Autonomy → consent form
c. Justice → be faire in every situation
d. Non maleficence → do no harm
e. Beneficence → do good , caring
f. fidelity → do as you say you will do + respect confidently

Nasopalatine nerve block pic✅✅✅

 Occlusal convergence buccal and lingual✅✅
mesial and distal

Graves dis pic✅✅✅

 Hinge study model
relining
single crown

Mean value RFD

3 unit bridge

Semi adjustable restorative procedure when centric relation and centric occlusion
required
occ.rehabilitation

Fully adjustable TMJ disfunction

record mand movement

✅✅✅
Most calculs seen in ? Lower lingual anterior
Upper buccal posterior
 Minimums reductions of rest in cobalt chromium denture2‫ و‬1 ‫كنت محتارة بين‬
ideal 1 to 1.5 mm
minimum 1mm
✅✅✅

Amalgam filling broke

During examination u notice shallow prepration and no secondary carious..why the filing
broke !
‫انا جاوبت انو مافي‬occulsal converges ✅✅✅ ‫اختيارات ناقصه‬

Symptoms of NUG and the pt heavy smoker .. u will start the ttt with antibiotics or non
surgical ttt! ✅✅