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Omar Al-Majed SDLE Notes Part 3

From Manal notes + Bayan notes + AlanoudGZ January 2021 + Exams

1.Palpitations after IANB is caused by Intravascular injection.

2.Excessive use of Listerine mouthwash may cause epithelial desquamation.

3.Lateral incisor is the most likely tooth to cause palatal abscess.

4.Pleomorphic adenoma is the most common tumor of parotid gland.

5.One of the main drawbacks of MTA is its discoloration potential.

6.Keratocyst is the cystic lesion with the highest recurrence rate.

7.The lowest level to establish a diagnosis of obstructive sleep apnea on sleep study is 5
events/hr.

8.The etchant of most dentine bonding systems is applied for 15 seconds.

 9.Allis Forceps is used to grasp Epulis Fissuratum during surgical procedure.

10.Parotid gland (Stensen’s duct) is opposite to Maxillary second molar.

11.The PH of CaOH is 12.5.

12. When extracting all maxillary teeth, or all mandibular teeth the correct order for
extraction is: 87542163.

13. Tooth discoloration from amalgam filling can be prevented by using cavity varnish.

14. The instrument used to hold the needle is called the curved hemostat.

15. Nitrous oxide affects vitamin B12.

16. Dry socket usually occurs within 3-5 days of an extraction.

17. Osteoradionecrosis usually occurs in the mandible. The mandible is at risk of

osteoradionecrosis because it has a limited blood supply.

18. The Hydrodynamic theory Acceptable theory for dentinal pain.

19. In patients with chronic renal failure the treatment is recommended to be one day after
the dialysis.

20. Syneresis and Imbibition of alginate impression material:

o Syneresis: If it becomes dry it will lose water and shrink.
o Imbibition: If it is stored in water or a very wet paper towel it will absorb water and
expand.

21. Healing after extraction is by secondary intention.

22. The material used for first visit apexification is MTA.

23. Bodily movement of teeth is from the limitations of simple removable appliances.

24. The caries risk assessment for a child with visible plaque on the lingual side of anterior
teeth is Moderate risk.

25. The caries risk assessment for a child with no fluoride exposure of any kind is Moderate
risk.

26.Drug-induced gingival overgrowth is a side effect associated principally with 3 types of

drugs:

• Anticonvulsant (Phenytoin).
• Immunosuppressant (cyclosporine A).
• calcium channel blockers (nifedipine, verapamil, diltiazem).

27. Pyogenic granuloma is very common in pregnancy. Is treated by electrocautery or surgical

excision.

28. Topical steroids are the recommended management for generalized desquamative
gingivitis.

29. Angular cheilitis is treated by Miconazole.

30. The ratio of carbamide peroxide to hydrogen peroxide in walking bleaching technique is
1:3. (10% carbamide peroxide mixed with 30% hydrogen peroxide).

31.Tarnow and fletcher classification of the vertical component of furcation involvement:

32. If patient has a plasma disorder amides anesthetics are used. (Esters are metabolized in
plasma so it is contraindicated).

33. Posterior palatal seal is located at the junction of hard and soft palate.

34. The loop of the band and loop space maintainer is placed at the proximal surface.

35. Masseter muscle can be palpated extra-orally at the angle of mandible.

36. Drug doses for children:

Ibuprofen 5-10 mg/kg/day

Paracetamol 10-15 mg/kg/day

37. Stages of Anesthesia:

38. ASA Classification:

39. Choosing a tray for implant level impression:
o Closed tray: When implant and teeth are parallel to each other.
o Open tray: When implant and teeth are not parallel.

40. Implant retained restorations:

o Cement retained: cheaper, requires more restorative space, worse for soft tissue
health, and passive fit.
o Screw retained: more expensive, better for soft tissue, requires less space, and can be
easily retrieved.

41. Primary and secondary stability of implant

I. Primary stability: stability gained at time of placement. (Goes away after time)
II. Secondary stability: Osseointegration.

42. Implants shouldn’t be connected to natural teeth because it may cause:

I. Tooth intrusion
II. Cement failure
III. Screw loosening

43. Implant diameters and minimal mesiodistal width required:

44. Orthodontic appliances:

45. Chewing Xylitol gums reduces the amount of streptococcus mutans in the oral cavity.

46. The recommended treatment for a tooth with vertical root fracture even if it is vital :
Extraction.

47. Sharpeys fibers are only found in cementum.

48. The molar relationship of primary teeth:

49. Favorable undercut for clasps:

• Cast chrome cobalt alloy clasps: 0.01 inch
• Wrought alloy clasps: 0.02 inch.
50. Posterior teeth with Divergent roots gives a better support in an FPD.

51. Allergy can occur during orthodontic treatment when using stainless steel brackets
because of nickel component of stainless steel.

52. 2 clasps are the minimum number for clasps for Kennedy class I RPD design.

53. Indirect retainer can be used for patients complaining about rotation of denture to prevent
it.

54. Ring clasp is the least esthetic clasp.

55. Surveying is done on diagnostic cast.

56. Minor connector of RPD connects with the major connector at 90 degree.

57. The distance between the major connector on a maxillary RPD framework and the gingival
margins should be at least 6 mm.

58. Minor connector, rest, and major connector of the RPD must be rigid. Whereas clasps
meant to be flexible in order to engage the undercut.

59. Shape of rest seat in RPD is Spoon shaped and triangular.

60. First premolars are the teeth commonly used to receive indirect retainer in RPD.
61.To verify the occlusal plane three lines are used as a guide:
I. Ala-tragus line
II. Interpupillary line
III. Camper’s line or plane

62. Flabby ridge is most commonly in the anterior maxilla.

63. How long should an implant be left undisturbed for the healing period?

• Maxilla: 4-6 months.

• Mandible: 2-3 months.

64. Saw tooth appearance of rete pegs is found Oral lichen planus.

65.Oblique ridge of primary maxillary 2nd molar is from Mesiopalatal to Distobuccal.

66.GIC Luting cement is contraindicated for use in all-ceramic restorations.

67. Protaper files tip diameters:

• F1: 0.20 mm
• F2: 0.25 mm
• F3: 0.30 mm

68. Telescopic crowns can be used when dealing with mesially tilted second molar abutment.
69. Pterygomandibular raphe can be recorded with both upper and lower impressions.

70.Talon’s cusp is most commonly seen in maxillary lateral incisor.

71.Onlay: Cuspal reduction of 1.5-2 mm in functional cusp and 1- 1.5 mm on non-functional

cusp.

72. Acute and Chronic periapical abscess:

• Chronic: Sinus tract is seen with periapical radiolucency, No pain/symptomless.

• Acute: Swelling is seen with periapical radiolucency, Pain with fever.

73. The root most likely to be pushed into the maxillary sinus during extraction of maxillary 1st
molar is the palatal root.

74. The apical portion of the maxillary lateral incisor usually curves to the distal.

75. Aging pulp shows an increase in fibrous element.

76. Guide planes must be parallel to path of insertion.

77. Akers clasp cause high stress on the gingival tissue.

78. Kennedy Class III RPD is totally supported by teeth.

79. Nasopalatine duct cyst is between maxillary central incisors.

80. Common drugs from exams:

• Pilocarpine drug (Salagen): Is used for xerostomia to increase saliva secretion.

• Atropine (anticholinergic drug) is used to decrease saliva secretion.
• Protamine sulfate is used to reverse heparin.
• Listerine: As a long-term complication can cause Epithelial desquamation and Taste
disturbance.
• Acetaminophen (Panadol): is the safest pain killer.
• Tranexamic acid is used for hemophilic patients (Intramuscularly) before surgery as an
Antifibrinolytic.
• 2g Amoxicillin 1 hour before surgery as a prophylaxis from Infective endocarditis.
• 50 mg/kg Amoxicillin for children.
• In patients allergic to penicillin Clindamycin (600mg) and Azithromycin (500mg) are
used for prophylaxis.
• Metronidazole is contraindicated in Epilepsy.
• Codeine (Opioid) causes fetus deformation in pregnancy.
• Benzodiazepine is used for anxious asthmatic patients.
• Nitroglycerin (Transdermal or sublingual) to treat angina.
• Carbamazepine (600-1200 mg) is used to treat trigeminal neuralgia.
• Benzodiazepines: are used as pre-anesthetic and as an anti-anxiolytic.

81. Ugly-duckling stage is usually between the ages of 7 and 12 years

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‫عمر سامي املاجد‬
@OmarSAlMajed