٥/١٦ ‫ﻣﻧﺎﻗﺷﺔ ﯾوم‬

• Advantage GIC
Fluoride release ✅

* Amalgam📍 pin,cavosurface
90

Increase retention

• Porcelain with diamond , carbide with metal ✅ Burs

• ‫اﻗﺮوا ﻋﻦ‬pathergy Test,PT,PTT,INR

• Pathergy test= behcet’s syndrome
• Pt= liver disease
• PTT= hemophilia, von willebrand disease
• INR = warfarin ( coagulation testing)✅
ISO files length 🛑 ✅

Bacteria in endo = E.facile

streptococcus = caries

- microbes in water line ? ‫ﺣﺎوﻟﺖ اﺟﻤﻊ اﻛﺒﺮ ﻗﺪر ﻣﻦ اﻟﺒﻜﺘﯿﺮﯾﺎ اﻟﻠﻲ ﻋﺪت ﻋﻠﯿﺎ ﻟﻮ ﺣﺪ ﺣﺎﺑﺐ ﯾﺰود ﺣﺎﺟﮫ ﯾﻜﻮن ﻣﺸﻜﻮر‬
🌹

🍒 bacteria
🔸 In water line ➡ lengionella pnemophilla ✅ ✅ ✅
🔸 In aggressive periodontitis ➡ A .actinomycetes Comorans
🔸 In chronic perodontitis ➡ p. Gingivalis
🔸 Anug /Anup➡ T. Denticola , fusospirochetal
🔸 In pergnancy ➡ p. Intermedia
🔸 periimplantitis ➡ A.actinomycetemcomitans,p.gingivalis , p.intermedia
🔸 PDL abscess ➡ p.nuleatum ,p.gingivalisp.intermedia, Tforthesia
🔸 caries initiation ➡ strept mutans
🔸 enamel caries ➡ Gm+ve strept
🔸 Dentin ➡ lactobacillous
🔸 Root caries ➡ actinomycetemcometans
🔸 1 st endo ➡ polymicrobial anaerobic
🔸 Re endo➡ E.faecalis✅
Overhang restoration ✅

Chin cup uses 🛑

٣ ‫اﺗﺬﻛﺮ اﻧﮫ ﻛﻼس‬

Tooth with Amalgam extract best solution 🛑

Impression for implants 🛑

PVS ✅
‫اﻧﻮاع اﻟﻜﻤﺒﻮزﯾﺖ و اﺳﺘﺨﺪاﻣﺎﺗﮫ‬ ‫🛑‬

‫اﺿﻌﻒ ﺣﺎﻟﺔ ﻓﻲ اﻻﻣﻠﻐﻢ‬ ‫🛑‬ ‫‪gamma two‬‬

‫ﺻﺢ✅‬

‫اﻗﺮوا ﻋﻦ اﻟﭭﯿﻨﯿﺮ‬ ‫🛑‬ ‫‪read abut‬‬ ‫‪veneer‬‬ ‫✳‬

*Cause of tooth discoloration w 🛑 amalgam: varnish not used ✅

*Cleodocranial 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.
Pappilon lefevre syndrome🛑

a. Papillon lever syndrome

,Papillon–Lefèvre syndrome (PLS) is a rare autosomal recessive disorder ‫ﺻﻮره ا‬
‫واﺿﺤﮭ ﻛﺎﻧﺖ‬characterized by diffuse palmoplantar keratoderma and precocious
aggressive periodontitis, leading to premature loss of deciduous and permanent
dentition at a very young age. ✅

🛑 ‫ ﻛﻨﯿﺪي‬١ ‫*ﻛﻢ ﻛﻼﺳﺐ ﻓﻲ ﻛﻼس‬

Two✅ ✅
‫ﻣﻘﺎوﻣﺔ اﻟﻔﯿﺮﺗﯿﻜﺎل ﻣﻮﻓﻤﻨﺖ ﺑﻌﯿﺪ ﻋﻦ ال‬ 🛑 *tissue ‫اﺳﻤﮭﺎ‬
Retention✅ ✅

🛑 Clasp ( i-par,ring,)

‫*🛑 ﺳﺆال ﻋﻦ ال‬slurry water ‫و ال ﺳﺘﻮن وورﻛﻨﻖ ﺗﺎﯾﻢ‬

Slurry water dissolves the surface of gypsum cast less than tap water so to
maintain the accuracy of the cast and the indirectly the prosthesis, use of
slurry water is must. Gypsum products are widely used in dentistry for
production of diagnostic and definitive cast✅ ✅
‫ﻧﺴﺒﺔ اﻟﻔﻠﻮراﯾﺪ ﻓﻲ ﻏﺴﻮل اﻟﻔﻢ و ﻓﺎرﻧﯿﺶ اﻻﺳﺘﺨﺪام اﻟﻤﻨﺰﻟﻲ‬ 🛑

Note :

-Varnish fluorid for high risk pt = every 3 months recommended

-Varnish fluoride concentration = 5.0% sodium fluoride( NaF)

-sodium fluoride concentrations in mouth wash =

0.2% NaF (900ppmF) for weekly 0.05% NaF (225ppmF) for daily

M.w =.2%
.05% daily
Varnish = 5%

‫*🛑 طﻔﻞ ﻋﻤﺮه ﺳﻨﺘﯿﻦ ﺣﯿﺨﻠﻊ‬upper incisor ?‫ارﺗﯿﻜﺘﯿﻦ وﻻ ﻟﯿﺪوﻛﯿﻦ‬

Lidocaine2%

‫*🛑 ﺻﻮرة‬ct ‫ﻻﺻﺎﺑﺔ و اﯾﺶ ﺗﺘﻮﻗﻊ اﻋﺮاض اﻟﻤﺮﯾﺾ؟ ﻛﺎن ﻣﻦ ﺿﻤﻦ اﻟﺨﯿﺎرات‬double vision ✳ ✳

‫ﻧﺎﻗﺺ ﺻﻮرة‬
‫*ﺻﻮرة‬ct ‫ﻻﺻﺎﺑﺔ و اﯾﺶ ﺗﺘﻮﻗﻊ اﻋﺮاض اﻟﻤﺮﯾﺾ؟ ﻛﺎن ﻣﻦ ﺿﻤﻦ اﻟﺨﯿﺎرات‬double vision ‫و‬lacrimal discharge ✳ ✳ ✳

‫♦ اﺟﺎ ﺳﺆال ﻋﺎﻟﺤﺴﺎﺳﯿﺔ ﻣﻦ اﻟﺮﺑﺮ دام؟‬

438-*young healthy pt came to clinic for RCT after placemnt of rubber dam after 30 mintues pt
started
difficulty breathing and tachychardia .. what condition does the pt has?
A)anxietya g
B)allergy reaction ✅ ✅
C)undignosed asthmatic pt
D)undiagnosed pulmonery disease

‫🛑 ﻧﺴﺒﺔ ﻧﺠﺎح اﻻﻣﯿﻼﻧﺖ !؟‬

✅ ‫ ﺑﻌﺪ ﺧﻤﺲ ﺳﻨﯿﻦ‬9 8 -9 3 ‫ﻣﻦ‬

Tooth with Amalgam extract best solution 🛑

Training _ formalin
Waste – biohazarde
🛑 Lateral luxasion, avoulsion tooth

‫🛑 زاوﯾﺔ اﻟﺒﺮﯾﻮ ﻛﯿﻮرﯾﺖ ﻟﻠﺮوت ﺳﯿﺮﻓﺲ‬Insertion =0 Activation = 4 5 -9 0✅

🛑 Inaccessible 7 deep pocket what scaler do we use

Long shank curret= modifid by increase length 3 mm✅ ✅

🛑 ✅✅ Types of perio probe

* Pell and gregory classification for lower 3 rd molar

🛑

* Best solution for avulsed tooth

HBSS

* Resist of fracture called: toughness, brittleness, ‫ﻣﺎ اذﻛﺮ اﻟﺒﺎﻗﻲ‬

Toughness✅ ✅
🛑

* Post prep only two mm of gp remains, what to do?

Re ttt✅

* Tug back for gp means

Correct wl at apical constriction and correct size cone✅

🛑 2 )laxation with alveolar bone fracture, splint for how long... ✅✅

🛑 * Most important in shade selection: hue or value ✳ ✳

🛑 * Most important in shade selection: hue or value ✳ ✳

Note

‫اﻟﻠﻮن اﻷﺳﺎﺳﻲ‬hue
‫ھﻞ اﻟﻠﻮن ﻓﺎﺗﺢ او ﻏﺎﻣﻖ ﺗﻌﺘﻤﺪ ﻋﻠﻰ‬value
(‫ﻣﻘﺪار اﻟﺘﺸﺒﻊ ﺑﺎﻟﻠﻮن )اﻻﻣﺘﺼﺎص‬chrome
‫اﻟﺑرﯾو واﻻﻧدو ﻛﯾﺳس ﻛﺎن ﺳﮭل ﻣرة‪ ،‬ﻣﺎ ﻛﺎن ﻓﯾﮫ ﻛﻼﺳﯾﻔﯾﻛﯾﺷن ﺟدﯾد ﻛﺛﯾر ﻟﻠﺑرﯾو ﯾﻣﻛن‬ ‫🛑‬

‫واﻟﻣﺎﻧﺟﻣت واﻟﺗﺷﺧﯾص‪Abscess :‬ﺳؤاﻟﯾن ﺛﻼﺛﮫ اﻟﺑﺎﻗﻲ ﻛﻠﮫ ﻋن اﻟـ‬

‫‪Read abut‬‬ ‫✳‬

‫‪-‬اﻋﺮﻓﻮا اﻟـ‬ ‫🛑‬ ‫‪periodontal and ginigval‬‬ ‫‪abscess‬‬

‫> ‪Periodontal abscess‬‬ ‫‪fistula‬‬

‫‪Gingival abscess > Swelling with‬‬ ‫‪pus‬‬
‫ﻣﺘﻰ ﻧﺴﻮي‬- 🛑🛑 gingivectomy ‫وﻣﺘﻰ‬crown lengthening

‫اﻷدوﯾﺔ اﻟﻠﻲ ﺗﺴﺒﺐ‬- 🛑gingival enlargment Gingival hyperplasia = phenytoin + nifedipin

+ cyclosprine✅ ✅
‫واﻟـ‬ ‫‪plaque index‬‬
‫🛑‬ ‫‪plaque induced‬اﻟﻠﻲ ﯾﺨﻠﯿﻨﺎ ﻧﻘﻮل‬ ‫✅‪gingivitis‬‬

‫‪-‬اﻻﻧﺪو ﻛﺎن ﯾﺮﻛﺰ ﻋﻠﻰ اﻟﻌﻼج وﺟﺎب ﺣﺎﻻت‬ ‫🛑‬ ‫‪periapical lesions‬‬
‫ﻛﺜﯿﺮة ﺻﻮر أﺷﻌﺔ وﻛﻠﯿﻨﻜﺎل ﺳﯿﻨﺎرﯾﻮ‬

‫اﻷورﺛﻮ ‪ ..‬ﻣﺎ ﺳﺄل ﻋﻦ اﻟـ‬ ‫🛑‬ ‫‪planes‬‬ ‫‪ANB‬واﻟﺰواﯾﺎ ﻛﺜﯿﺮ ﯾﻤﻜﻦ ﺑﺲ اﻟـ‬
♦ class ii malocclusion =ANB ‫ﺑﯿﻘﻞ و ﻻ ﯾﻨﻘﺼﻞ‬
..
A-N-B Mean = 2 *
ANB ↑ Skeletal Class II
ANB ↓ Skeletal Class III
👉 * S-N-A Mean=8 2 *
SNA ↑ Protrusive Mx
SNA ↓ Retrusive Mx
👉 * S-N-B Mean= 8 0 *
SNB ↑ Prognathic Mn
SNB ↓ Retrognathic Mn
✅✅

‫اﻟﺒﺎﻗﻲ ﻛﺎن ﻋﻦ اﻟـ‬Appliance ‫واﻟﺘﺸﺨﯿﺺ ﻧﻮع اﻟـ‬malocclusion

‫أﺳﺌﻠﺔ اﻟـ‬ ethics ‫ﻛﺜﯿﺮة وأﻏﻠﺒﮭﺎ ﺗﻜﺮار ﻣﻦ اﻟﻤﻠﻔﺎت رﻛﺰوا ﻋﻠﻰ اﻟﺘﻌﺮﯾﻔﺎت واﻓﮭﻤﯿﮫ‬
🛑

‫اﯾﮫ اﻟﻠﻰ ﯾﺨﻠﻰ‬ 🛑 smooth finish line

: ‫ﻛﺎﻧﺖ اﻟﺨﯿﺎرات‬
intermeittent finish line prep ‫أو ﺷﻲء زي ﻛﺬا‬
‫ﻣﻮ ﻣﺘﺬﻛﺮة اﻟﻤﺼﻄﻠﺢ ﺑﺎﻟﻀﺒﻂ ﻗﺼﺪه ﻧﻮﻗﻒ وﻧﺮﻓﻊ اﻟـ‬bur ‫أﺛﻨﺎء اﻟﺸﻐﻞ ﻛﻞ ﺷﻮي‬
‫اﻟﺨﯿﺎر اﻟﺜﺎﻧﻲ‬lightly touching the tooth ‫وھﺬا اﻟﻠﻲ اﺧﺘﺮﺗﮫ‬

Slowly continously
lightly touching the tooth

✳ ✳
🛑 veneer reduction ?✅ ✅

‫ﻛﯿﺲ ﺳﯿﻨﺎرﯾﻮ ﻋﻦ‬- 🛑endo treated tooth with 0.5 mm

ferrule effect what is the TX ‫؟‬
‫ﻛﺮاون‬
ortho extrusion✅
surgical extrusion
extraction

✳ ✳ ✳ ✳
🛑 -main reason for failure in post max implant?
‫ﻣﺎ ﺟﺎب ﻧﻮع اﻟﻌﻈﻢ ﻟﻜﻦ ﻛﺎن ﺑﯿﻦ اﻟﺨﯿﺎرات‬
failure in primary stablilty ‫وﺣﺴﯿﺖ ھﺬا اﻟﺠﻮاب اﻟﺼﺢ‬

More blood supply No primary stability Less density✅ ✅

🛑 -implant done in 35 Newton force ‫وﺳﯿﻨﺎرﯾﻮ‬

‫طﻮﯾﻞ اﻟﻤﮭﻢ ﺑﻌﺪﯾﻦ ﻓﺸﻠﺖ اﯾﺶ اﻟﺴﺒﺐ؟‬
‫أﻧﺎ اﺧﺘﺮت‬not enough tightened implant
40 ‫ﻷﻧﻲ أﺗﺬﻛﺮ اﻟﻔﻮرس ﻛﺎﻧﺖ‬newton ‫ﺑﺲ ﺗﺄﻛﺪو؟‬
✳ ✳