2006 ASDA EXAM 3 Most personal behavior by the dentist touching patient on the arm 4 Biofeedback allows patient

nt to gain control of certain physiological functions through info gathering 7 Chronic TMJ disorders = frequently cause depression 8 Multiple Sclerosis Epinephrine is contraindicated in local anesthetic because MS causes more catecholatmines released from lymphocytes 13 Incidence - # of new cases of a disease over a given time (new outbreaks for example) Prevalence proportion of a population with a problem at a given time. 18 Most likely to refer pain to the ear = mandibular molars. 23 Small area of internal resorption has a better prognosis than tooth avulsion replanted within 1 hr 26 Periapical cemeno-osseous dysplasia starts lucent and then goes opaque. TEETH ARE VITAL. Appears radiograpically like other lesions, YOU MUST PULP TEST! No tx needed. Prefers 40 year old black ladies 32 Horizontal root fractures think about the location of the fracture. Tx changes accordingly 34 Apical foramen exits the root 0.5-1.0mm from the anatomic apex 38 Open apex file passes through apex Apical stop file will not exit canal Apical seat large file will not pass, but change to a smaller one and it will pass Overinstrumentation causes loss of the apical seat. To regain it, use a larger shorter file to recreate it. 42 Failure to obtain straight line access = common cause of RCT failure 44 To minimize pulpal irritation during cavity preps = avoid drying out the dentinal surface

48 Concussion = tooth is loosened but not displaced 50 Internal resorption = odontoclasts. 53 Fluoride does not damage soft tissues 55 Barium the most radiopaque filler 56 Exposure of root dentin during finishing procedure can cause sensitivity after class V fillings 58 Reaction of gingival tissues- important consideration when choosing a material for class V 63 Earliest sign of a carious lesion = change in enamel opacity 65 When finishing occlusal composites avoid altering the centric contacts on natural tooth enamel 66 Tx for chalky white mottled enamel with brown spots = microabrasion with HCl/pumice 67 To make old people look younger selectively grind the incisors to round the incisal point angles 68 Necrotizing sialmetaplasia = dead minor salivary gland on one side of hard palate. Rapidly developing and large. Will heal without tx 71 Cromosomal nondisjunction or translocation = Trisomy 21 = extra chromosome 78 The stafne bone defect (salivary gland inclusion defect) is radiolucency of the mandible due to invagination of the lingual surface of the of the jaw. It is located in the posterior mandible below the mandibular canal 79 Bitewing of posterior teeth vertical angulation = + 5-10 degrees 83 Malignant melanoma = prefers hard palate and maxillary gingival

84 Neurofibromatosis = maculo papular rash 85 Dentigerous cyst = cyst associated with the crown of an unerupted tooth. Common with 3rd molars 86 Traumatic bone cyst = not a true cyst. Radiolucency that scallops around the roots of teeth. Teeth are VITAL 87 Nasopalatine duct cyst = Incisive canal cyst. Lucency between roots of #8 and #9 TEETH ARE VITAL Median palatal duct cyst = like nasopalatine but further back on palate TEETH ARE VITAL Globulomaxillary cyst = between roots of lateral and canine. TEETH ARE VITAL 89 Pain upon palpation of TMJ also associated with deviation to the painful side upon opening. 90 Aspirin in buccal vestibule = asprin burn = NECROSIS of the area. 92 Hematopoietic tissue = most sensitive to radiation. Bone/Nerve/Muscle = not radiosensitive 95 Duration of activity of Diazepam = depends on rate of elimination of active metabolites 98 Always deliver 100% O2 after N202 to prevent hypoxia 99 Cryer elevator = a type of angled east/west flag elevator. Used for molar root tips. 100 Hypertrophy of the mandibular condyle in an adult cant cause open bite 105 Apertognathia = anterior open bite 106 Cold sterilization can put you at risk for litigation if someone contracts disease in your office. More so than not wearing a mask or gloves.

108 Oral Sedation in the dental setting = ideal agents are benzodiazepenes. 110 Skin graft in vestibuloplasty = prevents reattachment of muscle to periosteum 111 Major reason for loss of transplanted autogenous 3rds = traumatic occlusion 112 Split thickness skin graft vestibuloplasty = provides maximum ridge height for any patient 113 Hemarthrosis = bleeding into TMJ joint. = Fabricate an emergency occlusal separator. 114 Best long term result for genioplasty = pedicled horizontal sliding osteotomy 115 TMJ is innervated by Auriculotemporal, Masseteric, Deep Temporal. (ALL ARE PART OF V3) 117 Atelectasis = collapse of all or part of a lung 119 Arthroscopy of TMJ = unlikely to be used for repair of disk perforations 121 Acute Osteomyelitis teeth are not usually loose and there is no drainage orally. Can cause lip paraesthesia in the mandible 122 Actinomycosis Israeli = bacterial infection penicillin regimen = 10 million units for 10-14 days followed by long term medication. 123 Jones criteria for Rheumatic fever = does not include fever Chorea, Carditis, Polyarthritis, Erythema marginatum. 124 Most common surgical procedure for tx of chronic recurrent TMJ dislocation = articular eminectomy, usually combined with capsular placation (folding or shrinkage) 126 N202 = used to control pain threshold 127 Sudden excessive irrational merriment with N202 = patient entering stage II = BAD

128 Flumazenil = Benzondiazepine reversal drug Physostigmine = reversible cholinesterase inhibitor. Opposite of Atropine Naloxone = used for opioid overdose. Opioid antagonist Opioids are Malo 129 Lorazepam slow onset and long action make it not practical for dental office sedation Acetylcholine Nicotinic at synapse level Muscarinic parasympathetic at effector level (all Ach) Exceptions : Somatic muscle is Ach nicotinic Sweat glands are Ach muscarinic sympathetic Parasympathetic CNs = 3,7,9,10 131 Verrills Sign = 50% ptosis of the eyelid = a sign that appropriate sedation has been reached. Ptosis = droopy eyelid 132 If benzodiazepenes injected intra-arterially rather than intravenously = severe pain in the extremity 133 Advanced osteoarthritis of TMJ = No tendency toward prognathism 134 Before deciding to use general anesthesia = get a CBC and Urinalysis 135 Majority of patients with TMJ joint pain have no TMJ pathology on panorex 137 Chronic prednisone use and extractions = consider increasing the dose temporarily 138 Mucous retention phenomena Is dome shaped, appears radiopaque, is lined with respiratory epithelium in the maxillary sinus, And DOES NOT REQUIRE REMOVAL 139 Percentage of liquid 02 in an E cylinder that is half full = less than 1% 142 Gas pressures of O2 gets lower proportional to amount used. tank = the pressure N202 gas pressure stays constant until you are out and then it drops rapidly 143 Nitrous oxide is not explosive

145 Repeated abuse of Nitrous oxide - leads to peripheral neuropathy 146 Diazepam = Hepatic metabolism 151 Posterior traction on the articular disk = provided by the superior retrodiscal lamina 153 Split thickness skin graft receives nourishment from underlying periosteum 154 Tongue flap most common technique to be used to close alveolar clefts with insufficient mucosa cover 158 Trochlear nerve damage (IV) = eyes cant move down and out. (cross eyed) 159 Tuberosity fracture during extraction that is stable with attached periosteum and blood supply -Reposition and hold in place with sutures 160 Crush injuries to the lip are caused by the hinge of forcep 161 Mesiodens removal = full palatal flap is needed 163 Post extraction alveolar osteitis = usually within 3 days 164 Adson forceps = neddle point with mouse teeth. Grasping tissue that will not be removed from body 165 Tetracycline discoloration = grey discoloration that happens during Mineralization stage 167 Primary molar SSC requires least amount of reduction on the lingual surface 174 Localized juvenile periodontitis = use systemic antibiotics 175 Modifying fear by familiarization = useful for children share their parents fear of the dentist 177 Insulin dependent diabetes = make sure they have had insulin and a meal before the appt

179 Mandibular intercanine distance continues to increase until canines are fully erupted. 185 Daily cleaning of exposed root surfaces = allows for remineralization of root surface 186 Least effective tool for removing crevicular plaque = water irrigating device 187 Apically displaced flap is impossible on the palate since it is all attached/keratinized 188 Inflammation from perio disease spreads to bone marrow via the vascular channels 194 Gingivitis DOES NOT always progress to periodontitis 198 New Attachment = reunion of CT and root that were separated by PATHOLOGY (ie. perio disease) 201 PVS does not give off alcohol when setting 202 Bennet angle formed by the non working condyle and the saggital plane during latera movements 203 Ah line = vibrating line = fovea palatine are found here = posterior Blow line = anterior to vibrating line. Together these two make up the borders of the posterior palatal seal. 206 Muscle groups influential in molding the lingual border of the mandibular complete denture impression Palatoglossus, superior constrictor, mylohyoid, genioglossus 207 Causes dislodgement of plastic denture teeth from acrylic = residual wax on teeth when processing 215 Elastomeric impression materials = require surface free of moisture but not excessively dry 219 Guiding planes serve to assure predictable clasp retention 222 Greatest amount of force in natural dentition = parafunctional movements

224 Proximal grooves for preparation of maxillary central veener = parallel to incisal 2/3rds 225 Most common cause of porcelain porosity = Inadequate condensation of porcelain 228 Early recovery from short acting barbiturate = due to redistribution 230 Fluconizole administered orally for Fluzies that have vaginal candida 233 Efficacy and Potency
Example: Drug #1 in a dose of 10 mg produces the same magnitude of response as Drug #2 in a dose of 50 mg. The following is true: Drug #1 is five times as potent as Drug #2. Also: If Drug #1 has a greater efficacy than Drug #2, then Drug #1 is capable of producing a greater maximum effect than Drug #2.

235 Tardive Dyskinesia = Side effect of phenothiazine antipsychotics 236 Methicillin cannot be given orally since you have done so much meth that your teeth are jacked up 237 Cipro = fluoroquinolone = DNA inhibitor = kills pseudomonas aeruginosa 238 Clindamycin =lincosamide = effective against most anaerobes (think about what it does to the gut) 245 Cycloplegia = loss of accommodation of lens due to cilliary muscle paralysis Antimuscarinic drugs such as Atropine and Homatropine cause it. 248 In cholenergic drugs a quaternary ammonium compound = required for direct nicotinic stimulation 253 Congeners = 2 drugs that are similar in structure and action. Methacholine and Acetylcholine 267 Tetracyclines = cause sensitivity to the Sun. 268 Doxycycline = most slowly excreted tetracycline (longest lasting)

269 Bradykinin lowers blood pressure. ACE inhibitors cause increase in bradykinin. Brady is a cool ACE 274 Angionuerotic edema = similar to anaphylaxis reaction with swelling around eyes and lips. 275 Antihypertensive drugs interfere with sympathetic control of vascular reflexes. 280 Ticarcillin = treats pseudomonas 284 Penicillin hypersensitivity = Can be type 1,2,3,4 291 Atropine = anticholinergic = antimuscarinic = contraindicated in glaucoma 294 Phenytonin = best for grand mal seizures 296 Extrapyramidal syndrome = basal gaglia excitation 297 Ephedrine and amphetamine = indirect acting sympathomimetics