Al-Assaf NOTES (PART 4), 1 December

1. Rate of recurrence of pyogenic granuloma

• 15%

•
• Neville maxillofacial pathology.

2. Splinting of teeth

•
• According to AAT 2020 guidelines.

3. Displacement of teeth in labial, lingual, mesial or distal direction?

• Lateral laxation
• Other definitions:
▪ CONCUSSION: Tooth is tender to touch and/or percussion but without displacement or
abnormal mobility.
▪ SUBLUXATION: Tooth is tender to touch and/or percussion and mobile, but not displaced.
▪ EXTRUSIVE LUXATION: Displacement of the tooth outward or incisally.
▪ LATERAL LUXATION: Displacement of the tooth in any lateral direction except axially; usually
associated with a fracture of the facial cortical bone.
▪ INTRUSIVE LUXATION: Displacement of the tooth inward and into the alveolar bone.

4. Number of water line bacteria:

• Should be less than 200. (Mentioned with reference in previous notes)

5. What will happen when using zinc phosphate as cement.

• Pulp irritation due to phosphoric acid.

• Contemporary Fixed Prosthodontics

NOTES By: Moath Al-assaf Twitter: @mo3ath44

 Al-Assaf NOTES (PART 4), 1 December

6. Order of wearing PPE

• Putting on: Gown -> Mask -> Goggles/Face shield -> Gloves.
• Removal: Gloves -> Goggles/Face shield -> Gown -> Mask.

7. Definition of flare up:

• Torabinejad: Severe pain and/or swelling after endodontic treatment requiring an unscheduled
appointment and active treatment.
• Cohen: an acute exacerbation of a peri-radicular pathosis after the initiation or continuation of
nonsurgical root canal treatment.

•
• Endodontics PRINCIPLES AND PRACTICE

•
• Cohen's Pathways of the Pulp Expert

8. Occlusion for implant - complete denture - upper complete lower partial:

• Implant: a cusp-fossa relationship in maximum intercuspation with no eccentric occlusal contacts.
• Complete denture: Bilateral balanced occlusion.
• Upper complete denture opposite to lower partial: Bilateral balanced occlusion.

•
• Contemporary Fixed Prosthodontics,
• McCracken's Removable Partial Prosthodontics,
• Textbook of Complete Dentures.

9. Cells responsible for bone deposition and resorption?

• Osteoclast -> Bone resorption.
• Osteoblast -> Bone formation.
• Odontoblast -> Dentin formation.
• Odontoclast -> Dentin resorption.
• Fibroblast -> Dual function (resorption and formation of collagen).
• Carranza - Carranza’s Clinical Periodontology

NOTES By: Moath Al-assaf Twitter: @mo3ath44

 Al-Assaf NOTES (PART 4), 1 December

10. Endo diagnosis

• Mentioned in one of the previous parts.

11. Patient wearing denture and he fears the denture will fall from his mouth, what should you do?
• Answer will be influenced by the scenario but the following are factors affecting retention.

12. Impression that has long sitting time?

• Polyether - additional silicon (PVS) – polysulfide (Incorrect), BUT if both choices there go with PVS.
• For PVS:

•
• For Polyether:

•
• McCracken's Removable Partial Prosthodontics

13. Component of fixed partial denture:

• Abutment – rest (Incorrect) – retainer (Incorrect).

•
• Contemporary Fixed Prosthodontics

NOTES By: Moath Al-assaf Twitter: @mo3ath44

 Al-Assaf NOTES (PART 4), 1 December

14. Hydrophobic impression:

• Polyether – polysulfide (Incorrect).

Contemporary Fixed Prosthodontics.

McCracken's Removable Partial Prosthodontics.

NOTES By: Moath Al-assaf Twitter: @mo3ath44

 Al-Assaf NOTES (PART 4), 1 December

15. Most commonly used impression in fixed?

• Agar - alginate - addition silicon - condensation
16. Regarding addition silicon impression material:
• Inhibiting agents: Dithiocarbamates, sulfide and sulfide-chloride from latex gloves.

•
• Contemporary Fixed Prosthodontics
17. Advantage of compound over silicon in border molding?
• Impression compound is more controllable (hence, it is reversible).

•
• Textbook of Complete Dentures

18. Paget diseases:

NOTES By: Moath Al-assaf Twitter: @mo3ath44

 Al-Assaf NOTES (PART 4), 1 December

19. Hashimoto diseases:

• Dental Management of the Medically Compromised Patient

20. Patient did scaling two days ago, came complaining of sensitivity, what to do ?
• Desensitizing agent and reassure.

•
• Carranza’s Clinical Periodontology

21. Patient done scaling 2 days ago came with fever and pain, how to manage:
• Antibiotic and re-Sc/Rp, this answer based on the assumption of Acute periodontal abscess as the
diagnosis, it is common in cases with incomplete calculus removal.

•
• Carranza’s Clinical Periodontology
22. Patient done scaling two days ago, pus and pain related to #46 what is the diagnosis?
• Periodontal abscess - periapical abscess - gingival abscess

•
• Carranza’s Clinical Periodontology

NOTES By: Moath Al-assaf Twitter: @mo3ath44

 Al-Assaf NOTES (PART 4), 1 December

23. Definitions of Autonomy – Paternalism – Nonmaleficence

•
• Principlism:
▪ A framework that includes four clusters of moral principles for identifying and reflecting on
moral problems.
▪ They respect the four main principles of autonomy, beneficence (do good), nonmaleficence
(do no harm), and justice.
▪ Example: Taking consent from patients before surgery respects the patients’ autonomy.
• Professionalism and Ethics Handbook for Residents
24. Diameter of periodontal probe?
• 0.5 - 1 - 1.5 – 2

•
• Clinical Periodontology and Implant Dentistry

25. Distance between implant and tooth?

• Minimum 1.5mm.

26. Distance between the center of two implants?

• Equal the diameter of the implant +3mm.

NOTES By: Moath Al-assaf Twitter: @mo3ath44

 Al-Assaf NOTES (PART 4), 1 December

27. Long scenario, dentist done cavity preparation used 35% phosphoric to etch the cavity the rinsed and used
bond, dry, then cure it, What generation of the bond?
• 4th- 5th- 6th - 7th

28. Which condition has heart defect?

• Autism - Down syndrome

•
• McDonald and Avery's Dentistry for the Child and Adolescent

29. A patient who has allergy to amoxicillin, what prophylactic antibiotics we give?

• McDonald and Avery's Dentistry for the Child and Adolescent & Contemporary of maxillofacial.

NOTES By: Moath Al-assaf Twitter: @mo3ath44

 Al-Assaf NOTES (PART 4), 1 December

30. Which component in local anesthesia cause allergy?

• Sodium meta-bi-sulfate

•
• Handbook of Local Anesthesia by Stanley F. Malamed

31. Factors influencing resistance and retention of demented restoration:

• Contemporary fixed prosthodontics.

NOTES By: Moath Al-assaf Twitter: @mo3ath44