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✔✔Amelogenesis Imperfecta Purpose of dialysis ✔✔Remove potential toxicities from blood IL- 1 ✔✔Inflammatory cytokine Cyclosporine ✔✔Immunosuppressant used in transplant patients. Causes gingival hyperplasia Periodontal disease and diabetes ✔✔Glucose level increased Cause for cement failure ✔✔Increased solubility Before trimming teeth on stone cast for immediate denture, you must ✔✔Mark a line 3 mm above the free gingival margin What analgesic can be safely given to someone w/kidney disease ✔✔Tylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin Patients on dialysis. Where do you take their blood pressure? ✔✔Not on the side where the shunt was placed for dialysis How do you prevent syncope ✔✔Trendelenburg position How do you treat syncope ✔✔Trendelenburg position. If breathing present, crush ammonia ampule under nose and admin oxygen. If no breathing, start BLS The radiograph I thought was ghost teeth
Best position of a finish line on a short clinical crown ✔✔Subgingival? Or At gingival margin? Child with fibrous dysplasia, what do you do next ✔✔Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic concern. For children, surgical intervention should be delayed for as long as possible The radiograph I thought was ghost teeth ✔✔Amelogenesis Imperfecta Purpose of dialysis ✔✔Remove potential toxicities from blood IL- 1 ✔✔Inflammatory cytokine Cyclosporine ✔✔Immunosuppressant used in transplant patients. Causes gingival hyperplasia Periodontal disease and diabetes ✔✔Glucose level increased Cause for cement failure ✔✔Increased solubility Before trimming teeth on stone cast for immediate denture, you must ✔✔Mark a line 3 mm above the free gingival margin What analgesic can be safely given to someone w/kidney disease ✔✔Tylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin Patients on dialysis. Where do you take their blood pressure? ✔✔Not on the side where the shunt was placed for dialysis
electricity example) ✔✔Film placed backwards (I had the static ✔✔E speed How much epi can you give a patient with BP 160/110 ✔✔None! Don't give tx. Refer to physician Type of pontic to replace a premolar ✔✔Modified ridge lap pontic (I had the "primarily esthetic requirement") Patient with history of slow growing mandible for 10 years ✔✔Hyperpituitarism Patient w/history of weight gain, deepening voice, dry skin ✔✔Hypothyroidism Exopthalmos ✔✔Hyperthyroidism Treatment of addisons ✔✔Corticosteroid replacement therapy Recurrent ulcers that heal with scarring ✔✔Major apthous ulcers Treatment of major apthae ✔✔Corticosteroids Supernumerary teeth ✔✔Gardners (clavicles present) or cleidocranial dysplasia Tx of mucocele ✔✔Surgical removal What film requires least amount of radiation x-ray with herring bone effect. Whats wrong?
Patient with terrible perio, when should immediate denture be constructed ✔✔After perio intervention Why porcelain teeth should never appose natural dentition ✔✔Attrition Best teeth to oppose natural dentition ✔✔Acrylic Clinical picture of 14 y.o. with inflamed gingival ✔✔Leukemia Best way to communicate outcome with lab tech ✔✔Diagnostic wax up Ideal amount of undercut required for circumferential clasp ✔✔.01 inch Reason for gingivitis during pregnancy ✔✔Pregnancy exaggerates gingival response to plaque. Due to increase in estrogen and progesterone Treatment of extra oral abscess which is non-odontogenic in origin. ✔✔Hot compress Tx of ranula ✔✔Surgical removal Patient with no hair, no teeth ✔✔Ectodermal dysplasia Biopsy shows hyperkeratosis, dysplasia, no invasion ✔✔Precancer hyperkeratosis ??? Tx for geographic tongue ✔✔None Patient has a short crown. Which cement is best? ✔✔Resin cement
Identify thrombocytopenia ✔✔(lab values with low platelets was not ANEMIA) Identify mucus retention cyst ✔✔Radioopaque Normal blood values ✔✔Platelets: 150,000-400, RBC: 4.6 - 6.2 million ✔✔ Hg: 13 mg ✔✔ WBC: 9,700 ✔✔ Picture of max central and lateral. Why might bridge fracture? ✔✔Bending of bridge Amalgam needs to be replaced. Whats ideal restoration ✔✔Onlay (I put Crown) Treatment of mesiodens ✔✔Surgical removal and ortho consult Why might a patient be taking lovastatin an vasotec? ✔✔Lovastatin is cholesterol lowering Vasotec is antihypertensive ✔✔ Patient faints and is unconscious in chair. What do you do? ✔✔Ensure open airway What radiograph to visualize sinus ✔✔Waters view
Purpose of try in for immediate dentures ✔✔Verify occlusal relationship. Esthetics, When is reline of immediate denture performed by laboratory ✔✔ 6 months and 10 months When is alternate cast technique done ✔✔After processing denture Advantage of immediate denture ✔✔esthetics Should treatment be delayed in uncontrolled diabetic ✔✔Of course! Identify retentive and bracing arm ✔✔ What causes loss of lamina dura ✔✔Hyperpituitarism, hyperparathyroidism, osteomalacia, pagets, fibrous dysplasia Hyperemia of tooth ✔✔Reddish dentin. Tooth appears dark Test for heparin vs warfarin ✔✔Heparin: PTT Warfarin: PT and INR ✔✔ What antibiotic can cause red spots on the arm ✔✔Penicillin Repeatedly adjusting clasps on RPD will cause clasp breakage due to ✔✔Increased metal fatigue OR increased modulus of elasticity Syncope vs anaphlylaxis ✔✔Syncope: loss of consciousness due to decreased oxygen flow
Tx of oroantral fistula ✔✔Buccal slide flap Which is not an etchant or conditioner ✔✔BIS GMA is NOT (yes to citric, maleic, phosphoric acid_ Stopped at page 14 of journal document ✔✔hudental2008@yahoo.comteeth Fusion vs germination ✔✔Fusion: two buds. Germination- one root Expired or aged film will appear ✔✔To light Histo of fibroma ✔✔Nodular mass of CT covered by squamous epi Full lower denture with over extended distobuccal flange causing denture to dislodge. What muscle is impinged? ✔✔Masseter Coumadin test ✔✔PT Tx of dentigerous cyst ✔✔Surgical removal of cyst and tooth Sialolith is visible on xray. What duct is this? ✔✔wartons You are having difficulty selecting shade for PFM. You should ✔✔Decrease gray and decrease hue What are usual complications after insertion ✔✔Working or non-working interference
If you notice occlusial interference after insertion, when should you make adjustments? ✔✔At insertion Best teeth to appose natural dentition ✔✔Acrylic Patient had slow growing jaw for 10 years ✔✔Hyperpituitarism 2nd molar below plane of occlusion ✔✔Ankylosis Outcome of direct pulp cap would be better in young or old teeth? ✔✔Young teeth After SC/RP, ✔✔Long junctional epi is formed Purpose of palatal expander ✔✔Corrects crossbite What is NOT an acceptable surface disinfectant? ✔✔Alcohol based (phenol, chlorine, and iodine is acceptable) Ideal amount of undercut for circumferential clasp ✔✔. What is effect of hydrocholorithiazide on ✔✔ a) ✔✔periodontium b) ✔✔complete denture a) no effect on periodontium
xray of patient with RCT on both centrals. Left central looks incompletely filled. Look closer for the vertical fracture ✔✔ Lab report of hyperkeratosis, dysplasia, no invasion ✔✔Precancer hyperkeratosis Panorex—gasting rings ✔✔?? You are going to restore crown and down. The crown is 11 mm. how long will the down be? ✔✔Not less than length of crown 11 mm Disadvantage of PFM over all ceramic ✔✔Esthetics Disadvantage of all ceramic over PFM ✔✔Tooth reduction Post op sensitivity due after crown placement ✔✔Leakage of microorganisms?/ Most injurious cement to pulp ✔✔Zinc phosphate ( I put GI for the C2 restoration) Reason for cement failure ✔✔Solubility Which cement does not form chemical bone with tooth ✔✔Zinc phosphate What cement should you use with a short crown ✔✔Resin cement Tx of lichen planus ✔✔corticosteroids
X ray of 3 lower splinted teeth. Whats purpose ✔✔For perio stabilization for more comfort for patient You diagnose patient with bells palsy. What do you do next ✔✔Refer to neurologist Tx of medial palatal cyst ✔✔Surgical removal Rx of heart shape RL between 8 and 9. both teeth are vital ✔✔Incisive canal cyst Know SLOB when asked to identify canal ✔✔Mesiolingual canal (on repeats) What is inside ranula? ✔✔Mucous fluid Identify midline mandibular fracture ✔✔Notice step between 24 and 25 Rinn system ✔✔a film-positioning device with aiming capability made from a combination of plastic and stainless steel that is especially suited to the paralleling technique. Will acid etch allow for chemical bonding ✔✔No Do calcium channel blockers cause gingival enlargement ✔✔Yes Is the tongue space given consideration when setting denture teeth? ✔✔No Maximum amount of unsupported enamel when making a PFM ✔✔ 2 mm (I put 3)
Who regulates eyewear protection for dentist ✔✔OSHA Best results for guided tissue regeneration ✔✔Class II furcation (#30) Tx of liver clot (blood clot) after extraction ✔✔Remove, irrigate, pressure, re-eval Surveyor table tilted around 30 degrees. What will this do ✔✔For predesigned casts??? Measure attached gingival ✔✔From gingival margin to MGJ. Deduct pocket depth Punched out RL's in skull ✔✔Multiple myeloma When can nonrigid connectors be used in FPDs ✔✔Short spans, where preps aren't parallel When are semi precision attachments used ✔✔When definite parallelism between abutments is not attainable w/conventional clasps Patient is taking ibuprofen for many months. Woke up one morning, rubbed eyes, noticed red patch. What test will you order ✔✔Platelet count Immature white blood cells ✔✔Leukemia What emergency may you expect from a patient taking prednisone ✔✔Shock Normal pulse ✔✔ Normal respiration ✔✔Pulse: 60 - 100/ respiration: 14 - 20
Gluteraldehyde: ✔✔high level disinfectant capable of killing spores Patient w/hyperpituitarism may complain of ✔✔Orthalgia (joint pain) and fatigue Hutchingsons incisors and mulberry molars ✔✔Syphillus Patient has paralysis of left side of face, slurring of speech. What's he suffering from? What is treatment ✔✔Stroke Tx: TPA. (tissue plasminogen activator) ✔✔ Most predictable margin in PFM crown prep ✔✔Metal collar 1 mm Tetracycline- not given under age 7 ✔✔Pic of centrals when was tetcyc taken (age 5) What is extravasation cyst? ✔✔Aka traumatic bone cyst Minimum time period after first extraction appointment that you have to wait before making impressions for final denture ✔✔Text says 3-4 weeks Which statement is NOT true for immediate vs conventional dentures ✔✔ a. ✔✔immediate has lesser appointments b. ✔✔patients have more difficulty adapting to immediate dentures
projecting into extraction sites. You will ✔✔Trim projections flush with the ridge A patient has arthritis. What is the main reason for NOT utilizing precision attachments ✔✔Dexterity limitations Long term rxn to wearing ill fitting denture: would it be papillary hyperplasia or epulus? ✔✔Epulus Mechanism of action of Triamterene ✔✔Conserve potassium Purpose of norpace (disopyramide phosphate) ✔✔Anti-arrythmatic When a patient is taking adiuretic, what else should they also be taking ✔✔Potassium Histologically, epulus is made of ✔✔Fibrous tissue Case : why monoplane teeth utilizied for patients lower partial ✔✔Small overbite and wide overjet Case: ✔✔ WBC 9700, PLATELETS 27,000. SPONT BLEEDING. WHATS PROBLEM ✔✔Thrombocytopenia Burning tongue in uncontrolled diabetic ✔✔Malnutrition Advantage of rectangular cone ✔✔Smaller area of tissue radiated When impressions for reline is made, small projections of impression material are seen
PA of posterior teeth that look like crown preps ✔✔Amelogenesis imperfecta Clinical slide of tongue that shows nothing worth noting. Informed that the patient is suffering from rheumatoid arthritis ✔✔Sjogrens (supposed to realize that tongue is dry) In hypercementosis ✔✔the PDL is intact Condition characterized by osteomas ✔✔Gardner's How will decreased kVp affect quality of radiograph ✔✔Affects detail Patient asks how much time from initial appointment to making impressions for final denture (immediate ✔✔?5-6 months If immediate dentures do not seat completely at insertion appointment, you would do what? (If PIP is not an option) ✔✔Wait 24 hours If you were making a temporary crown, and how to over contour vs undercontour. Which would you do ✔✔undercontour Patient complains of difficulty when making S and V sounds. Whats the problem ✔✔Maxillary incisors placed too far superiorly Patient complains that one side of denture contacts before other side. What is the cause? ✔✔Dimensional changes during curing How many mm should major connector be from the free gingival ✔✔Maxilla: 6 mm
