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3. )ost freA2ent ca2se of fainting in dental office: B! a. CasoD1agal shoc3. *** E+FGH E+IJK EH6 (. Lia(etes. c. Mear. NOPQR S+ K "#T ! %&' B! UGTQ VH WX Y ZB! UGTO EFGH E+IJK EH6 "Q-[ ! VJ \[]O 4. ^oss of conscio2sness most freA2ent ca2se: a. >yncope. (. _`a ... bThe most common ca2se of loss of conscio2sness in the dental office is syncope 5. ;t on treatment with steroids are placed on anti(iotic after oral s2rgical proced2re
a. (. c. d. a. (. c. d. e. a. (. c. d. (eca2se: The ;t is more s2scepti(le to infection. *** 0nti(iotics are synergistic to steroids. 0nti(iotic inhi(its 3er3sheimer reaction. "QcY"+Y dJ,O eGfO 0nti(iotic protect the ;t from steroid depletion. FYgF[$! h]O >econdary hemorrhage. >welling. ;ain. 0l1eolar osteitis. 0ll of the a(o1e. *** Morward p2ll of lateral pterygoid m2scle. ipward p2ll of masseter and temporalis. *** Toward p2ll of medial pterygoid m2scle. Lownward p2ll of geniohyoid and myalohyoid. j
6. The post operati1e complication after the remo1al of impacted third molar is:
10. phich cranial ner1e that petro2s part of temporal (one ho2ses:
a. (. c. d.
Hypercementosis: e. `cc2r in ;aset disease. f. Liffic2lt to e9tract. g. q2l(o2s root. v5 x h. asy to manage (y ele1ator. i. 0 and (. s. 0 and d. 3. 0ll the a(o1e. ***
11. Hypercementosis:
a. (. c. d. e. f. g. h. `cc2r in ;aset disease. Liffic2lt to e9tract. q2l(o2s root. v5 x asy to e9tract (y ele1ator. 0 and (. 0 and d. 0 ( c *** 0ll the a(o1e. Hypercementosis increases the diffic2lty of tooth remo1al. <f hypercementosis is present8 t he periodontal ligament space is 1isi(le aro2nd the added cement2m that is8 the cement2m is contained within and is s2rro2nded (y the periodontal ligament space. _ondensing osteitis8 (y contrast8 is sit2ated o2tside the periodontal ligament space.
_oronal s2t2re is (etween: v5+5YB! R! a. `ccipital and temporal (one. (. Mrontal and parietal (one. *** c. `ccipital and tympanic (one.
stomode2m v K! t, ! F+5J 5Q E~Q"J E+$ E!+H E!+H "F}O d ! VH { f ! uG$! v/ buccopharyngeal @|u, ! vHu45G ! c !? JQ +P c E$!u vHH! v4 ! VJ d,]Q | !K .membrane vI! ![t, ! TQK E+5 ! !u! N e+O E+x- ! E&Qu ! VH e+T "4&O d#z 5J G ! v/ t, ! "F}Q VH c ! ! * [QK ZvHu45G ! |u, ! c ! u E&Qu ! vI]w c vHH! v4 ! VJ G ! v/ 4QK .VQ"c4 !K h!" ! u+ ! u' v,[-QK [QK E+x- !K E+5! ! E&Qu ! The anti(iotic of choice in pregnant: a. )etronidaole. (. ;enicillin. *** c. Tetracycline.
19. )any parts of (ones are originally cartilagino2s that replaced (y (one:
a. Tr2e. *** Malse.
20. ;t came with fract2re (eca2se of (low in the right side of his face. he has
ecchymosis aro2nd the or(it in the right side only .and s2(s2nctional (leeding in the ma9illary (2ccal 1esti(le .with limited mo2th open what is 2r diagnosis 0D le fort j (D lofort a cD lefort cDygomatic fract2re. *** ygoma fract2re: clinical flattening of the chee3(one prominence paraesthesia in distri(2tion area of infraor(ital ner1e diplopia8 restricted eye mo1ements D s2(cons2ncti1al haemorrhage D limited lateral e9c2rsions of mandi(2lar mo1ements D palpa(le step in infraor(ital (ony margin
22. what is the first sign if there is fract2re in the face in 9Dray
j. Ml2id paranasal. *** a . >2t2re. . `1erlap of (one. . 0ll the a(o1e. The eyes are e9amined for do2(le 1ision @diplopia?8 any restriction of mo1ement and s2(cons2ncti1al haemorrhage. The condyles of the mandi(le are palpated and mo1ements of the mandi(le chec3ed. >welling8 (r2ising and lacerations are noted together with any areas of altered sensation that may ha1e res2lted (eca2se of damage to (ranches of the trigeminal ner1e. 0ny e1idence of cere(rospinal fl2id lea3ing from the nose or ears is noted8 as this is an important feat2re of a fract2re of the (ase of the s32ll. 0n intraDoral e9amination is then carried o2t8 loo3ing partic2larly for alterations to the occl2sion8 a step in the occl2sion8 fract2red or displaced teeth8 lacerations and (r2ises. The sta(ility of the ma9illa is chec3ed (y (iman2al palpation8 one hand attempting to mo(ilise the ma9illa (y grasping it from an intraDoral approach8 and the other noting any mo1ement at e9traDoral sites s2ch as nasal8 ygomaticDfrontal and infraor(ital.
26. Lestr2ction of q_ may ca2se anemia and it is d2e to defect in cell mem(rane:
! ! "!Q"Y "-O a. Tr2e. *** (. Malse.
27. <mm2nofl2orecent test and (iopsy are 2sed to diagnosis pemphig2s: [ ! G[!
&, ! %+-c[ -[TQ - !K vJ! ] a. Tr2e. *** (. Malse.
29. L2ring ma9illary rd molar e9traction the t2(erosity fract2red. <t was firmly
attached to the tooth and cannot (e separated. phat is the management: a? emo1e it with the tooth. *** q? >plint the tooth to the and molar then reDe9tracted after k wee3s. _? >2t2re 9 .E+- ! tw "T# ! !u7 t+4]OK 4H F45 U+/ VT ! VJ F5/ V#Q t K E ! "T#'! !
30. 0fter e9traction amolar yo2 fo2nd a hard tiss2e at the f2rcation li3e pearl .it is
aD namel pearl (. nostosis c. Hypercementosis
31. Tooth k planned to e9traction on 9Dray no pdl after e9traction 2 fo2nd lesion
li3e pearl on f2rcation wt the lesion aD namel pearl (. nostosis c. Hypercementosis
32. )icro(ial 1ir2lent prod2ced (y root (acteria is collagenase from spirochete: W,Q !
Qu[5 ! VH R]+xuY u ! &]v/ vHuw" ! a. Tr2e. *** (. Malse.
34. )asseter m2scle e9tends from lower of (order ygomatic arch to lateral (order of
ram2s and angel mandi(le. a. Tr2e. *** (. Malse.
36. )ain arterial s2pply in face is facial artery and s2perficial temporal artery:
a. Tr2e. *** (. Malse. 37. )andi(le is the jst (one calcified in s32ll (2t cla1icle start first (2t in same em(ryological time: a. Tr2e. *** (. Malse.
40. Le1elopment of ma9illary process and medial frontal process in medial elongation of
central portion: a. Tr2e. (. Malse. ***
41. >ome (one are formed (y endochondral ossification li3e long (one8 flat (one (y
intramem(rano2s ossification and some (one (y endochondral and intramem(rano2s ossification: c ! d!PK K"~ ! d!P a. Tr2e. *** (. Malse.
43. ipon gi1ing a lower mandi(le anaesthesia8 yo2 notice the patient=s eye8 chee3
corner of the lip are 2ncontrolled 8 what=s the reason : 0? paresthesia of the Macial er1e. ***
45. phile performing cranial ner1e e9amination yo2 notice that the patient is 2na(le
to raise his eye(rows8 hold eyelids closed8 symmetrically smile or e1ert his lower lip..this may indicate: a. Trigeminal ner1e pro(lem. q. Macial ner1e pro(lem. _. `c2lomotor ner1e pro(lem. L. Trochlear ner1e pro(lem. . 0ll of the a(o1e.
46. The primary direction for spread of infection in the mandi(le is to s2(mental lymph
node: a. Tr2e. (. Malse. ***
47. ;araesthesia of lower lip after s2rgical remo1al of lower - is d2e to the irritation of
inferior al1eolar ner1e: a. Tr2e. *** (. Malse.
54. The ner1e which s2pply the tong2e and may (e anesthetied d2ring ner1e (loc3
a. (. c. d. insection: C. *** C<< <y. y<<.
58. The most common complication after e9traction for dia(etic ;t is:
a. (. c. d. <nfection. *** >e1ere (leeding. `edema.EHK 0ll of the a(o1e. Trans1erse fract2re of de1eloping teeth in the mi9ed dentition can (e managed (y: E+" 4 ! uT# ! a. Morced er2ption. *** QGO (. 9traction and placement of a remo1a(le partial dent2re. c. ;lacement of single tooth. d. 0ll of the a(o1e. oot Mract2res The noncomm2nicating fract2re occ2rs in the apical or middle third of the root. ;erform a 1itality test8 chec3 for color change in the crown8 and record the degree of
mo(ility of each tra2matied tooth. <f the p2lp is 1ital8 then immo(ilie the tooth (y splinting it to the adsacent teeth................... .......<f the fract2re of any part of the root is coronal to the periodontal attachment8The fract2red part sho2ld (e remo1ed d2ring the emergency 1isit8 and endodontic treatment sho2ld (e done in one 1isit. `nce the emergency has (een ta3en care of8 plans m2st (e made for restoring the tooth
59. ad2lt an years male with soft tiss2e r dental tra2ma re1eals se1ere pain in soft
tiss2es with loss of epithelial layers and anterior 2pper centrals are intr2ded the diagnosis is: aDa(rasion with l29ation (Derrosion with s2( l29ation cD tra2matic 2lceration with l29ation. dD2lceration with s2(l29ation
60. ad2lt an years male with soft tiss2e r dental tra2ma re1eals se1ere pain in soft
tiss2es with loss of epithelial layers and anterior 2pper centrals are intr2ded the diagnosis is: aDa(rasion with l29ation (Derrosion with s2( l29ation cD ^aceration with l29ation.. dDlaceration with s2(l29ation
63. _;
a. <s (est performed in the dental chair. (. >ho2ld (e performed on all patients e9periencing chest pain. c. <s more efficient when 2sing a f2ll mas38 deli1ering jnnm o9ygen8 than with the mo2th to mo2th techniA2e. *** d. <s (eyond the medico legal responsi(ility of the practicing dentist.
66. The incidence of ner1e damage after third molar s2rgery is estimated to (e:
67. The least li3ely mechanism for the ner1e damage is: U4 ! EQ [7! d! E+ !
69. High rate of fract2res at canine area in the mandi(le d2e to:
_hange direction of forces occr2ing here ^ong canine root *** ^ower (order is thin in this area 0l1eol2s is thin in this area The mental foramen8 and the long roots of the canine teeth as well as impacted rd molars create points of wea3ness that are partic2larly prone to fract2re.
jj
74. 0fter 2 insect ^.0 for and ma9 molar pt (ecome colorless with e9ternal swelling
its d2e to : jfacial artery. a ple92s 1ein. *** ;osterior al1eolar er1e. Hematoma: This is commonly prod2ced (y inserting the needle too far posteriorly into the pterygoid ple92s of 1eins. 0dditionly8 the ma9illary artery me (e perforated.
76. ^oss of sensation in the anterior a of the tong2e is related to paralysis of: d5z
a. ^ing2al ner1e. *** (. Hypoglossal ner1e. c. _horda tympani ner1e. for tha ant. a: ling2al n. for the sensation r chorda tympani n. for the taste for the post. j: (oth taste r sensation (y glossopharngeal n "/? dG ! dG7 UJK ZWT5 ! VH V+f5w KX v/ T7B! VJ KTH @tI!u[ ! {5fH "/? v'T5 ! U4 ! HX Zv,5- ! {5f5 K[ !K T7B! VJ KTH vHu45G ! v'T5 ! U4 !K ZF+/ K[ ! VJ KTH @vFxu ! .WT5 ! EY"7 VJ KT/ v'T5 ! O U4 ! 77. The choice of local anesthesia depend on: a. Liameter of the ner1e (. >tr2ct2re of the (one ja
c. 2m(er of (ranches d. Type of ^.0 agent chemistry. *** 78. _hoice of local anesthesia techniA2e infl2enced (y: a? _hemical composition of anesthesia. q? The location of the ner1e. _? qone str2ct2re. *** The (one of the ma9illa is more poro2s than that of the mandi(le8therefore it can (e infiltrated anywhere.
84. ^ocation to gi1e inferior al1eolar ner1e (loc3 the landmar3s are:
87. Mactor interfere with healing: a. ;oor s2t2ring (. <nfection. *** Healing occ2r more rapidly with a lower ris3 of infection. 88. Lry soc3et happen after: ] ! T ! F[ !
a. (. c. d. a h Dldays. *** jwee3 awee3s ;igment2m <odoform u/KPu+ ! EG6 VH UY"H? phitehead Carnish + Q!u ! +'u \ 4Q .d+xu, X P KX ZV+JuG$ E] KX Ezz 5J uu_@ ! omposit2m? @q.;._
89. 012lsion more important factor that affect reimplantation: PJ !' PQ dHJ tX
! a. _ontaminated roots. ! u5O (. Time since the a12lsion. v~&] ! u ! 90. )ost sign of fract2re of mandi(le: a. ose (leeding. (. )aloccl2sion. *** c. ;arasthesia. EF ! v/ V ! O K RK v'T OK v'T 'K G u$ hH v5,T ! , ! "TY /!"[Q .E&/!u! 91. phat s2pply the gingi1al (2ccal tiss2e of premolars8 canines and incisors: a. ^ong (2ccal. (. <nferior al1eolar ner1e. *** c. >2perior al1eolar ner1e.
(. >2(mental )etastases from the tong2e cancer.....the jst nodes to (ecome in1ol1ed are the s2(mandi(2lar or s2g2lodigastric.
93. )ost diffic2lt of e9tract: a. )and. rd molar with mesioang2lar f2sed roots (. )and rd molar with distoang2lar ang2lation with di1ergent c2r1e roots *** .vc7u5 EQK[ ! v5,T !K vT' EQK[ ! EQu54 ! Ef f ! 7" ! u h5&5 U46! 94. ;t ha1e hyper1entilation in clinic. )ost ca2se:
a. ed2ced of _`a (. <ncrease _`a c. 0n9iety. ***
95. _ontraindication to e9traction: a. _ardiac pt. (. ;re1io2s recent radio therapy. *** 4 K]O ! ! KX EuG~" ! +"| #T !K U5& ! !"HX "f-[ ! g[J! :h5& ! G[$! !P~H .d d~,H "+K D EH4 !K P ! '['B! E+J4z E 4H EQKP! 96. qase of the flap sho2ld (e wide for: EQ"c ! J
a. Healing (. qetter (lood s2pply to the wo2nd. bflap design sho2ld ens2re adeA2ate (lood s2pply the (ase of the flap sho2ld (e larger than the ape9b
Dtriang2lar or pennent shaped ele1ator Dwhen one root is left8 pennent ele1ator p2t into soc3et and t2rned Dhandle is an a9le8 tip of triang2lar ele1ator is whell and engages r ele1ates the root from the soc3et 98. phen do we do incision and drainage 0. <nd2rated diff2se swelling. v$" c[]H uO (. >in2s tract c. _hronic apical periodontitis
100.
phen do we gi1e anti(iotic: a. pidespread8 rapid infection (. _ompromised host defence u&]H /P c. . L. 0r( )2scle that form floor of the mo2th: a. )ylohyoid. *** (.
101.
102.
oot most commonly p2shed in ma9 sin2s a. q2ccal of (. ;alatal of k *** c. ;alatal of d. q2ccal of k e. Listal of k r The palatal root of the ma9illary first molar is most often dislodged into the ma9illary sin2s d2ring an e9traction proced2re.
103.
<f tooth or root is p2shed d2ring s2rgical e9traction into ma9illary sin2s a? ^ea1e it and inform the patient (? emo1e it as soon as possi(le c? Mollow the patient for months d? one of the a(o1e Mactors that ma3e impaction s2rgery more diffic2lt: a. )esioang2lar position8 large follicle8 wide periodontal ligament and f2sed conical roots. q. )esioang2lar position8 large follicle8 wide periodontal ligament and c2r1ed roots. _. Listoang2lar position8 large follicle8 wide periodontal ligament and f2sed conical rooths d. Listoang2lar position8 thin follicle8 narrow periodontal ligament and di1ergent
104.
jk
c2r1ed roots. *** . >oft tiss2e impaction8 separated from second molar and inferior al1eolar ner1e.
105.
phich scalpel (elow is 2ni1ersally 2sed for oral s2rgical proced2res 0. 2m(er a (lade. q. 2m(er k (lade. _. 2m(er jn (lade. L. 2m(er ja (lade. . 2m(er jl (lade. *** The radiograph shows condylar head orientation and facial symmetry a. >2(mento1erte9 (. e1erse town *** c. `pg d. Transor(ital.
106.
The (est way of radiograph shows displacement of mandi(2lar conyle a. e1erse town *** (. `plaAe horiontal n
107.
what 3inds of radiographs which we do not u e for T) mo1ements 0D transcranial (Dcomp2teried t cDcon1entional t dDarthrography
108.
To chec3 T) range of mo1ement: a? cranial imagery q? arthrography *** c? traditional tomography d? comp2teried tomography ...
109.
To chec3 a perforation in the des3 of the tms we need: 0? cranial imagery q? arthrography. *** @_T after insection of a high contrast fl2id? _? traditional tomography L? comp2teried tomography.
110.
inc phosphate cement and polycar(o9ylic cement (oth ha1e a. inc o9ide particles. *** (. >ilica A2art particles c. ;olyarcyilic acid d. ;hosphoric acid q2ccal (ranch of trigeminal is: a. >ensory *** (. )otor
111.
c. ;sychomotor d. >ensory and motor q2ccal (ranch of facial is: a. >ensory (. )otor *** c. )i9ed
112.
^ower anterior teeth la(ial m2cosa s2pplied (y: a. )ental ner1e. *** (. <nferior dental ner1e. _. q2ccal ner1e. Zh!u& ! E+-H U4Q uK Zv4 ! &u v'f ! NJ"/K v5,T ! v-]T ! U4 ! vJ"/ 7X u v] ! U4 ! .W]$! U4+/ v4 ! &HX
Mor imapacted mandi(2lar molars8 order from the least diffic2lt to most diffic2lt to remo1e: )esio ang2lar DDDD Horiontal DDDD Certical DDDD Listoang2lar @The opposite in ma9illa? Typically distoang2lar impactions are the easiest to e9tract in the ma9illa and most diffic2lt to e9tract in the mandi(le8 while mesioang2lar impactions are the most diffic2lt to e9tract in the ma9illa and easiest to e9tract in the mandi(le.
113.
nergy a(sor(ed (y the point of fract2re called aD 2ltimate strength (D elastic limit cD to2ghness. *** dD (rittleness To2ghness <t is defined as the amo2nt of energy per 1ol2me that a material can a(sor( (efore r2pt2ring. The a(ility of a metal to deform plastically and to a(sor( energy in the process (efore fract2re is termed to2ghness. 114. ^ocal contraindication of e9traction aD (D cDpt recent reci1e radiothera(y dDtooth in the malignant t2mar eD(oth c and d ***
115.
)ost impacted tooth is aDmand - *** (Dma9 a )ost common tooth which needs s2rgical e9traction a?mandi(2alr third molar. ***
116.
j-
117.
;t ha1e 2nilateral fract2re of left the condyle8 the mandi(le will a?de1iate to the left side. *** (?de1iate to the right side. c?no de1iate. the mandi(le will always de1iate to the side of ins2ry. 0 patient who s2staind a s2(condyler fract2re on the left side wo2ld (e 2na(le to de1iete the mandi(le to the right. when remo1ing lower second molar: aD occl2sal plane perpendic2lar To the floor (D (2ccoling2al direction to dilate soc3et. *** cD mesial then ling2al 0ll of these are ways to gi1e ^.0 with less pain y_;T: aD gi1e it slowly (D stretch the m2scle. *** cD Topical anesthesia dD the needle sie o1er than al ga2ge. .V& X dX v [K h/X 'Y 5Y "B! t P!R 5Y `ne of the primary considerations in the treatment of fract2res of the saw is aD to o(tain and maintain proper occl2sion*** (D test teeth mo(ility cD 1itality dD em(edded foreign (odies
118.
119.
120.
121.
0 patient complaining from a se1ere oedema in the lower saw that increases in sie 2pon eating8 Liagnosis is: a? sali1ary gland. *** @s2(mandi(2lar sal. l.?
122.
a patient that wasn=t anaesthetied well in his jst 1isit8 ne9t day he ret2rns with a limited mo2th opening @trism2s?. He m2st (e anaesthied8 what=s the techniA2e to (e 2sed: a? pilliam=s techniA2e (? qercher=s techniA2e.*** d+5 tQ"# ! GJ.P D v'f ! ! V+#, !K Nxu !K t, ! E7!" v4u" ! Q-[ ! qercher E&Q" v Trism2s R~ ! UGT N/ [/ Q" ! h+[TQ t 7 v/ EG[T" ! Q-[ ! E&Q" .v5,T ! , ! -O! ! u6u5 @v5,T ! v]T ! VH vY" ! ", !? ! U4 ! "Q-[ -[TOK @+GJ?T ! |G[! v/ PK " !$ v/ uYH E+6 "X E&Q" xuQ
a patient that wasn=t anaesthetied well in his jst 1isit8 ne9t day he ret2rns with a Djaa limited mo2th opening @trism2s?. He m2st (e anaesthied8 what=s the techniA2e to (e 2sed a pilliam=s techniA2eD (D gow gates techniA2e Dc 1airaniDa3inosi techniA2e
jo
CairaniD03inosi techniA2e D a closedDmo2th insection techniA2e8 the syringe is bad1anced parallel to the ma9illary occl2sal plane at the le1el of the ma9illary m2cogingi1al s2nction
123.
pt came to dental clinic ha1ing a heamological pro(lem after la( test they fo2nd that factor C<<< is less jnm what=s the diagnosis: aD Heamophilia 0. *** (D Hemophilia ( @defect factor o : hemophilia q? _hild years old came to clinic after falling on his chin8 yo2 fo2nd that the primary incisor entered the follicle of the permanent incisor what yo2 will do: 0? >2rgical remo1al of the follicle q? ^ea1e it _? >2rgicall remo1al of the primary incisor. *** <f the intr2ded incisor is contanting the permenant tooth (2d8 the primary tooth sho2ld (e e9tracted.
124.
125.
Tong2e de1elope from: jmandi(2lar arch r t2(erc2l2m impar. *** ajst (ranchial arch D The mandi(2lar arch lies (etween the first (ranchial groo1e and the stomode2m from it are de1eloped the lower lip8 the mandi(le8 the m2scles of mastication8 and the anterior part of the tong2e. D The 1entral ends of the second and third arches 2nite with those of the opposite side8 and form a trans1erse (and8 from which the (ody of the hyoid (one and the posterior part of the tong2e are de1eloped. L2ring the third wee3 there appears8 immediately (ehind the 1entral ends of the two hal1es of the mandi(2lar arch8 a ro2nded swelling named the t2(erc2l2m impar8 which was descri(ed (y His as 2ndergoing enlargement to form the (2ccal part of the tong2e. )ore recent researches8 howe1er8 show that this part of the tong2e is mainly8 if not entirely8 de1eloped from a pair of lateral swellings which rise from the inner s2rface of the mandi(2lar arch and meet in the middle line.
126.
0n ad2lt had an accident8 ma9illary central incisors intr2ded8 lip is painf2l with s2perficial wo2nd what is the tra2ma=s classification: a? l29ation. *** (? s2(l29ation c? laceration O d? a(rasion \$ e? cont2sion EHY <ntr2si1e l29ations8 or intr2sions8 res2lt from an a9ial force applied to the incisal edge of the tooth that res2lts in the tooth (eing dri1en into the soc3et 127. _left lip is res2lted from incomplete 2nion of: j. Tow ma9illary arches. a. )a9illary arches and nasal arch.***
128.
an
a. sta(lish way for n2rsing and feeding. . _osmetic clos2re. . ;re1ent collapse of two hal1es. aj
129.
Time of ;T8 ;TT: a?jjDjl seconds 8 alDn seconds. *** ;TjaDj sec DDDD ;TTnDnsec " ! f-O VHR ] ! *uO VHR (leeding time within - min
130.
phen e9tracting all ma9 teeth the correct order is: a? -klaj (? -lajk. *** c? jalk.W]$! 4 h5 Eu46 G[J ! hH H *5- ! VH h5& ! :J! & 0rcher s2ggest that the first ma9illary molar and canine are 3ey pillars of ma9illa and most firm teeth of the arch8 once their adsacent teeth are remo1ed they can (e easily l29ated and e9tracted rathar than when these are tried to (e remo1ed first.
131.
Mor a patient that is on a corticosteroid therapy8 2pon oral s2rgery8 the patient is gi1en: 0? jnn D ann mg hydrocortisone. *** q? nn D knn mg prednisolone
132.
;atient 2nder corticosteroid therapy 8 he will 2ndergo s2rgical e9traction of third molar . what will yo2 gi1e to a1oid adrenal crisis aDLi9amethasone @ mg <.C.? (D )ethyl prednisolone @ n mg <.C?. cD Hydro cortisone sodi2m s2lfide @ n ln mg.? dD Hydro cortisone sodi2m s2ccinate @ jnn ann mg?
133.
;atient with l2p2s erythemato2s and 2nder cortisone8 he needs to s2rgical e9traction of a tooth. phat sho2ld the s2rgeon instr2ct the patient: a? Ta3e half of the cortisone dose at the day of operation. q? Lo2(le the cortisone dose at the day of operation.*** c? Ta3e half of the cortisone dose day (efore and at the day of operation and day after. L? Lo2(le the cortisone dose day (efore and at the day of operation and day after.
<nstr2ct patient to do2(le dose of steroids the morning of s2rgery 2p to annmg. <f ta3ing greater than jnnmg8 then gi1e only an additional jnnmg. <f on alternate day steroids8 do s2rgery on day steroids are ta3en <f patient has had an mg of steroid for more than two wee3s in the past a wee3s8 (2t is not c2rrently ta3ing steroids8 then gi1e nmg hydrocortisone prior to s2rgery
aj
Mor m2ltiple e9tractions or e9tensi1e m2cogingi1al s2rgery8 the dose of corticosteroids sho2ld (e do2(led on the day of s2rgery. <f the patient is treated in the operating room 2nder general anesthesia8 stress le1el doses of cortisone8 jnn mg intra1eno2sly or intram2sc2larly8 sho2ld (e gi1en preoperati1ely. +IK"+[T ! K]O VJ ,u[H WY ![ 7 KX v7!" ! d45 E&T ! Q! v/ +IK"+[T ! K[]Q Q" ! WY ! *uO N]# K '[}+IK"+[T ! K[]Q WY ! HX Ze&/ E+54 ! uQ EJ" ! *J '~ I]J ZV+JuG$X VH dX ]H .E+54 ! uQ EQPJ EJ"x N+4' WX U+/ ZV+JuG$X VH "fYX ]H
134.
The right corticosteroid daily dose for pemphig2s 12lgaris is: aD jDa g3gdaily (D jDa mg cD jn mg dD lnD jnn mg hydrocortisone. *** Cery high dosages are 2sed initially to s2ppress (2lla formation @of the order of j mg3g prednisolone daily?8 (2t this may often (e slowly red2ced to a maintenance dose of jl mg daily or therea(o2ts
135.
The right corticosteroid daily dose for pemphig2s 12lgaris is: aD jDa g3gdaily (D jDa mg3gdaily*** cD jn mg3gdaily dD lnD jnn mg3gdaily hydrocortisone The following are indication of o2tpatient general anesthesia y_;T a? 0>0 categories j r a (? the 1ery yo2ng child. c? cost increase. *** d? ;atient admitted and discharge the same day 0 remo1a(le partial dent2re patient8 _lass << ennedy classification. The last tooth on the left side is the and premolar which has a distal caries. phat=s the type of the clasp yo2 will 2se for this premolar: a? gingi1ally approaching clasp. *** (? ring clasp 0 ll year old patient with m2ltiDe9traction teeth8 after e9traction what will yo2 do first: a? >2t2ring. q? ;rimary clos2re sho2ld (e o(tained if there is no l2ntant tiss2e. _? 0l1eoplasty sho2ld (e done in all cases. *** _hild with tra2matied lip8 no tooth mo(ility8 what will yo2 do first: a? adiograph to chec3 if there is foreign (ody. *** (? efer to the physician for sensiti1ity test. _? . ;atient complains from pain in T). L2ring e9amination yo2 noticed that d2ring opening of the mo2th mandi(le is de1iate the right side with left e9tr2ded. Liagnosis is:
136.
137.
138.
139.
140.
aa
141.
;t. ;resented to 2 complain of clic3 d2ring open and close. Thers is no facial asymmetry y_;T when opening phat is the diagnosis: jDinternal derangement with red2ction. *** aDinternal derangement witho2t red2ction Dre2matoid arthritis D8888888
"+ hK + N'#H VH v5, ! "& ! '! VJ GJ u Lisc dislocation with red2ction W !K g] !w! E&5 ! ! 5J N'#H + hx!"[Q tw E&5 ! H! Wu#Q t, ! g] !w/ v4+G ! N4K g!K [, ! ]w!?clic3@ u6 $ ! |PQ H! &GQK *5-5 Pu4 ! 4 v5, ! "& ! !GQLisc dislocation witho2t red2ction E 7 v/ H! v#, ! d, ! Q ]JK d+[TH NGz ~ ! GQ K HK G46 t, ! [/ GQK v5, ! O! ] g!K [, ! ]J clic3
142.
ester type of local anathsesia secreted (y aDli1er only (D3idney cDl2ng dDplasma. ***
dH!u ! N 4[$! d~,Q 143. where does the (rea3down of ^idocaine occ2rs : 0? 3idneys q? ^i1er. ***
144.
145.
0n - years old child8 s2ffered a tra2ma at the T) region as enfant. _omplaining now from limitation in mo1ement of the mandi(le. Liagnosis is: a? >2( l29ation (? 0n3ylosis. ***
146.
enralised lymphadenopathy seen in aD infection (D lymphocytic le23emia cD H<C dD perncio2s anemia a( a(c. *** only d (d _a2ses of generalied lymphadenopathy <nfection : Ciral : <nfectio2s monon2cleosis8 <nfecti1e hepatitis8 0<L> qacterial : T2(erc2losis8 qr2cellosis8 ary syphilis ;rotooal : To9oplasmosis M2ngal : Histoplasmosis )alignant : ^e23aemia ^ymphoma D )etastatic carcinoma <mm2nological : >ystemic l2p2s erythematos2s D Melty:s syndrome D >till:s disease Lr2g hypersensiti1ity as Hydantoin8 Hydralaine8 0llop2rinol )isc. : >arcoidosis 0myloidosis D ^ipid storage disease D Hyperthyroidism
2. on a(sor(a(le s2t2re:
Dcatg2t D1icryl Dsil3. ***
4. _hronic pericoronitis:
D Liffic2lt mo2th opening D Halitosis Dall of the a(o1e. ***
al
master cone doesn:t reach the ape9 j?ledge a?resid2al remenants @de(ris? ?...... ? jra *** pterygomandi(2lar raph. <nsertion r origin m2scles sho2ld (e medial to the insection all of the a(o1e. *** ;atient had anaphylactic shoc3 d2e to penicillin insection 8 what:s the most important in the emergency treatment to do: a. ann mg hydrocortisone intra1eno2s (. n.l mg epinephrine of jjnnnn intra 1eno2s c. adrenaline of jjnnn intra m2sc2lar. *** 0naphyla9is is always an emergency. <t reA2ires an immediate insection of n.j to n.l ml of epinephrine j: j8nnn aA2eo2s sol2tion8 repeated e1ery l to an min2tes as necessary. <f the patient is in the early stages of anaphyla9is and hasn=t yet lost conscio2sness and is still normotensi1e8 gi1e epinephrine <.). or s2(c2taneo2sly @>._.?8 helping it mo1e into the circ2lation faster (y massaging the insection site. Mor se1ere reactions8 when the patient has lost conscio2sness and is hypotensi1e8 gi1e epinephrine <.C. )anagement ;lace patient s2pine with legs raised8 if possi(le. n.l ml of j:jnnn adrenaline <) or >_. epeat after jl min8 then e1ery jl min 2ntil impro1ed. Lo not gi1e <C in this concentration as it will ind2ce 1entric2lar fi(rillation. ip to lnn mg of hydrocortisone <C. ip to an mg of chlorpheniramine slowly <C @if a1aila(le@. `a (y mas3 :E}7gH V+ ]QP! W/ V+5T]G ! VH ST[ ! K7 ]J ]+ ma v4+G ! v4u" ! Q-[5 -[T ! V+ ]QP! jjnnn |X mn.lDn.j v5~4 ! V&5 -[T! (ronchial asthma epinephrine concentration s2(c2taneo2sly 0? jjnnn. *** q? jjnnnn _? jjnnnnn
<f the reaction is immediate @less than j ho2r? and limited to the s3in8 ln mg of diphenhydramine sho2ld (e gi1en immediately either intra1eno2sly or intram2sc2larly. The patient sho2ld (e monitored and emergency ser1ices contacted to transport the patient to the emergency department. <f other symptoms of allergic reaction occ2r8 s2ch as cons2ncti1itis8 rhinitis8 (ronchial constriction8 or angioedema8 ak
n. cc of aA2eo2s jjnnn epinephrine sho2ld (e gi1en (y s2(c2taneo2s or intram2sc2lar insection. The patient sho2ld (e monitored 2ntil emergency ser1ices arri1e. <f the patient (ecomes hypotensi1e8 an intra1eno2s line sho2ld (e started with either inger=s lactate or lm de9trosewater. which is contraindicated to the general anaesthia: a. patient with an ad1anced medical condition li3e cardiac .*** (. down:s syndrome patient c. child with m2ltiple cario2s lesion in most of his dentition d. child who needs dental care8 (2t who:s 2ncooperati1e8 fearf2l etc contin2o2s condensation techniA2e in gp filling is: a. o(t2ra < (. o(t2ra << c. 2ltrafill d. >ystem q. *** .!" E]+5 ! Ou# ! V&7 +]&O VH K! Ewgf ! !+- ! h+x jn years child with congenital heart disease came for e9traction of his lower jst molar8 the anti(iotic for choice for pre1ention of infecti1e endocarditis is aDampicelline n mg 3g orally jho2r (efore proced2re (Dcephali9ine lnmg3g orally jho2r (efore proced2re cDclindamicine anmg3g orally jho2r (efore proced2re dDamo9icilline lnmg3g orally jho2r (efore proced2re b0mo9icillin8 a.n gm orally j hr (efore proced2re pt with renal dialysis the (est time of dental t9 is: aDj day (efore dialysis (Dj day after dialysis. *** cDjwee3 after dialysis ;atients typically recei1e dialysis timeswee3. Lental treatment for a patient on dialysis sho2ld (e done on the day (etween dialysis appointments to a1oid (leeding diffic2lties. Nc' K Wu#Q 7!K u+ 4K uG$X dY |u5# ! u& ! Q"" ! ++O t[Q E [4 ! ! v/ . VQG+F ! PuxK UGT EQu, ! E7!" ! "!x V#Q u+ ! S,] HX Z ! dQG[ T ! u+ ! S#J ;t presented with 1ehicle accident 2 s2spect presence of (ilateral condylar fract2re what is the (est 1iew to diagnose condylar Mract2re: j. `cciptomenatal. a. e1erse towne. *** . ^at o(liA2e n degree. e1erse towne for fract2re of condylar nec3 rram2s areas e1erse Townes position8 (eam n 2p to horiontal. ised for condyles. The ner1e which s2pplies the tong2e and may (e anesthetied d2ring ner1e (loc3 insection: j. C. a. C<<. ***
. <y. . yrl<<. @note an insection into parotid caps2le d2ring ner1e (loc3 insection )0 _0i> qells palsy facial e9pretion? and The sensory portion of facial s2pplies the taste to the anterior twoDthirds of the tong2e? ;t came to the clinic after he has an accident. yDray re1ealed (ilateral fract2re of the condoyle. )andi(le mo1ements are normal in all direction . phat is yo2r treatment j. <nter ma9illary mandi(2lar fi9ation. a. Mi9ed <)M for k wee3s. . <nter mandi(2lar fi9ation. . o treatment is performed only anti inflammatory dr2gs and o(ser1ation. KX v ! [!T ! o year old ;t came to the clinic after he has an accident. yDray re1ealed (ilateral fract2re of the condoyle. )andi(le mo1ements are normal in all direction . phat is yo2r treatment j. <nter ma9illary mandi(2lar fi9ation. a. Mi9ed <)M for k wee3s. . <nter mandi(2lar fi9ation. . o treatment is performed only anti inflammatory dr2gs and o(ser1ation. 4]H E+'f ! E Y !"+6 Q" ! WY ! +Gf[ ! J UQ E&5 ! uTY v/ V+&T ! V+ !T5 EGT] |X v5,T ! , ! EY"7 Q [E+]$ V+ "+Gx -[T' ']/ !"+GY Q" ! WY ! HX ! [K E7!" ! v+6 ![gY UT7 { f ! +- ! 012lsed teeth with replantation8 dentist e1al2ate prognosis with : jfle9i(le wire aridge wire in followD2p pd wire >pilinting the tooth in position: The ideal splint for a12lsed teeth is a fle9i(le splint. These are typically made 2sing orte9 or other synthetic cloth or metallic mesh strips made for this p2rpose. `ther types of fle9i(le splint may (e made 2sing thin orthodontic wire. <deally8 the splint sho2ld encompass se1eral teeth on either side of the a12lsed tooth. There are A2ite a few options depending on the comfort le1el of the practitioner. The recommendation for fle9i(lity in1ol1es theoretical considerations in the formation of the new periodontal ligament. Howe1er8 since the splint is 3ept in place for no more than to jn days8 the fle9i(ility factor may (e of little practical significance. This is my .personal opinion. <:m s2re others wo2ld arg2e the point ;t need complete dt8 when 2 did the e9amination 2 notice the ma9 t2(ersity will (e interfere with dt jneed ja no (lade to (e e9tention. ***
a-
apartial thic3ness flap e9tend (2ccal r palatal s2t2re 2nder tension T2(erosity ed2ction: 9cesses in the ma9illary t2(erosity may consist of soft tiss2e8 (one8 or (oth. >o2nding8 which is performed with a needle8 can differentiate (etween the ca2ses with a local anesthetic needle or (y panoramic radiograph. qony irreg2larities may (e identified8 and 1ariations in anatomy as well as the le1el of the ma9illary sin2ses can (e ascertained. 9cesses in the area of the ma9illary t2(erosity may encroach on the interarch space and decrease the o1erall freeway space needed for proper prosthetic f2nction. 0ccess to the t2(erosity area can (e o(tained easily 2sing a crestal incision (eginning in the area of the posterior t2(erosity and progressing forward to the edge of the defect 2sing a no. ja scalpel (lade. ;eriosteal dissection then ens2es e9posing the 2nderlying (ony anatomy. 9cesses in (ony anatomy are remo1ed 2sing a sideD c2tting ronge2r. >3eletal qone of s32ll de1elop from : aD e2rocrani2m ossification (D <ntramem(rano2s ossification cD ndochondral ossification. ndochondral ossification : >hort (one and long (one. thmoid8 sphenoid and temporal (one. intramem(rano2s ossification: Mlat (one. >3eletal face is from: a. e2ral crest*** (. ;ara9ial mesoderm lateral plate @somatic layer? mesoderm. e2ral crest gi1e rise to : frontal (. sphen nasal D lacrimal ygomatic ma9illa incisi1e mandi(le >ATemporal.para9imal mesoderm @somitessomitomeres? gi1es rise to occipitals D pet temporalD Dparaietal (on lenoid fossa is fo2nd in: j or(ital ca1ity anasal ca1ity middle cranial fossa L? temporal (one. *** The glenoid fossa the mandi(2lar fossa. The mandi(2lar fossa: a depression in the temporal qone that artic2lates with the condyle of the )andi(le and is di1ided into two parts (y a slit. The spread of odontogenic infection is (ased on: j host defense a 1ir2lent of microorganism ao
pt ta3en heparins he sho2ld do s2rgery after : j j Hr a a Hr Hr k Hr. *** s2rgery for ridges aim to: j. Certical dimension. a. >peech. . )odify ridge for sta(ility. *** ;atient with warfarin treatment and yo2 want to do s2rgery8 when yo2 can do: j. phen ;TT is j j.l < on the same day. a. phen ;TT is a a.l < on the same day. . phen ;T is j j.l < on the same day. *** . phen ;T is a a.l < on the same day. parfarin affects clotting factors <<8 C<<8 <y8 and y (y impairing the con1ersion of 1itamin to its acti1e form. The normal ;T for a healthy patient is jn.nj.l seconds with a control of ja seconds. `ral proced2res with a ris3 of (leeding sho2ld not (e attempted if the ;T is greater than j times the control or a(o1e j- seconds with a control of ja seconds. The last sensation which disappear after local anesthisea 0Dpain (Ddeep press2re. *** cDtemperat2re qoth sensory r motor ner1es are eA2ally sensiti1e. `rder of pain (loc3ade is pain8 temperat2re8 to2ch8 deep press2re sense. 0pplied to tong2e (itter taste is lost first8 followed (y sweet r so2r8 and salty taste is lost last of all. ;t ta3e n cortisone in day of proced2re a.do2(le the dose s2st day of proced2re (. do2(le the dose day of proced2re r day after c. stop the medication patient complaining of yerostomia r freA2ent going to the toilet at night 0? Lia(etes )ellit2s. *** which of the following materials is `T a hemostatic agent : 0? `9idied cell2lose q? el1on _? inc `9ide. ***
patient s2ffering from a s2(mandi(2lar gland a(scess8 dentist made a sta( incision and is fi9ing a r2((er drain to e1ac2ate the p2s8 the drain is s2t2red to : 0? <ntraDoral q? Mrom angle of the mandi(le. _? qetween myloid m2scle and .. ipon opening an incision in a periapical a(scess in a lower jst molar8 yo2 open : 0? The most (ottom of the a(scess. *** q? The most necrotic part of the a(scess. _? 9tra oral phat=s the test 2sed for H<C: lisa. *** eonate a years old8 has a lesion on the centr2m of the tong2e... pith the er2ption of the jst tooth: 0?igaDMede disease. *** s2(ling2al tra2matic 2lceration igaDMede disease: a t2mor of the tong2e @ling2al fren2m? in some infants. <t is ca2sed (y early teeth r2((ing on it. 0lso called *Mede:s disease. j. a. . . The type of ma9illofacial defects: _ongenital defects. 0cA2ired defects. Le1elopmental defects. 0ll. *** _left palate8 cleft lip8 missing ear8 prognathism are: 0cA2ired defects. _ongenital defects. *** Le1elopments defects. one. 0ccidents8 s2rgery8 pathology are: 0cA2ired defects. *** Le1elopments defects. _ongenital defects. one. 9traDoral restorations are: adi2m shield. ar pl2gs for hearing. )issing eye8 missing nose or ear. *** 0ll.
j. a. . .
j. a. . .
j. a. . .
^ost part of ma9illa or mandi(le with the facial str2ct2res is classified (y: j. <ntraDoral restorations. a. 9traDoral restorations. . _om(ined intraDoral and e9traDoral restorations. ***
. 0ll.
j. a. . .
The lac3 of contin2ity of the roof of the mo2th thro2gh the whole or part of its length in the form of fiss2re e9tending anteroposteriorly is: `(t2rator. >plint. >tent. _ongenital cleft palate. *** The factors that infl2ence the ind2ction of cleft palate: Hereditary. n1ironmental. 0 and q. *** one. 0 prosthesis 2sed to close a congenital or acA2ired opening in the palate is: >tent. >plint. `(t2rator. *** one. D .. 0re appliances 2sed for immo(iliation of fragments of (ro3en parts of saw (ones in their original position 2ntil repair ta3es (leeding >plints. *** >tents. `(t2rators. >peech aids.
j. a. . .
j. a. . .
j. a. . .
`2tline of ;ericoronitis treatment may incl2de: j. )o2th wash and irrigation. a. 9traction of the opposing tooth. . >2rgical remo1al of the ca2sati1e tooth. 0ll the a(o1e. *** physiolgical acti1itiy of local anesthesia c. lipid sol2(ility d. diff2s(ility e. affinity for rotien (endin f. percent ioniing at physiologic pH g. 1asodilition properties !u ! " W#H v/K lipid sol2(ility of 2nionied form re implant of a12lsed tooth 8 what to do
0D optimal reposition and fi9ed splint qDoptimal reposition and fli9a(le splint _Do(ser1e LDwatch with splint periodontally a12lsed tooth >plint tooth in position with @prefera(ly? a fle9i(le splint. Ha1e patient (ite into occl2sion to (e certain that the position is correct (efore applying the splint. The splint will (e 3ept in place for a(o2t one wee3 !J H EQ ! E ! Q" 4O E+ ! [EQKP!
*** Nasids
phen 2 want to ma3e immediate complete dent2re after e9traction all teeth what the type of s2t2re 2 will 2se a. horiontal mattress s2t2re (. 1ertical mattress s2t2re c. interr2pted s2t2re d. contin2o2s loc3ed s2t2re
v]T ! v#, ! U4 ! "Q-O 4 ]+ ! E+5,T ! K! 7" ! E&]H v/ "6 E7!" JuH NQ Q"H : "Q-[ ! d#' WX UQ !H 7" ! vT'X t X xK v5,T ! v'T5 ! U4 ! v] ! U4 ! vHg ! v$"~ ! U4 ! v ! v'! U4 ! -
%+-c[ ! H "Q 4 e&/ !"J! ]S+ Ef5 ! 5J Wu5 ! R! NQ" d, er2ption hematoma after remo1e impacted rd lower moler8there is parasthesia why a. irritating the ner1e d2ring e9tr2ction (. (ro3e mandi(le )o(ility in midface with step deformity in front ygomatic s2t2re. Liagnosis: a. ^efort <<. (. ^efort <<<.*** c. qilateral ygomatic comple9 fract2re. *[]H EY"7 HX Zv]xu ! R ! ,'!K Nxu ! dHY EY"7 u ^efort <<< +Q H WX uQ v ! [h&! step S+ V# K step deformity in the or(ital rim "+G4[ ! !-[$! YK ^efort << +[/ Nxu ! deformity in front ygomatic s2t2re Liagnosis ^e Mort < may occ2r singly or associated with other facial fract2re. ^e Mort << and <<< fract2re prod2ce similar clinical appearances namely8 gross oedema of soft tiss2es8 (ilateral (lac3 eyes @panda facies?8 s2(cons2ncti1al haemorrhage8
mo(ile midDface8 dishDface appearance8 and e9tensi1e (r2ising of the soft palate. ^oo3 for a _>M lea3 and assess 1is2al ac2ity. ^e Mort << fract2re may also show infraDor(ital ner1e paraesthesia and step deformity in the or(ital rim. ;ec2liar to ^e Mort <<< fract2re are tenderness and separation of the frontoygomatic s2t2re8 deformity of ygomatic arches (ilaterally8 and mo(ility of entire facial s3eleton. ^e Mort < is the lowest le1el of fract2re8 in which the toothD(earing part of the ma9illa is detached. ^e Mort << or a pyramidal fract2re of the ma9illa in1ol1es the nasal (ones and infraor(ital rims. ^e Mort <<< in1ol1es the nasal (ones and ygomaticDfrontal s2t2res and the whole of the ma9illa is detached from the (ase of the s32ll. step deformity in front H! V+Ju] ! gY v/ cO Nxu ! *[]H EY"7 W/ T ! "c ! UT7 u/ v/ cO vF/ ygomatic s2t2re u/ !u ! Wu#Q N+5J K <n case of infiltration anesthesia we gi1e a? s2( m2cosal (? intraosseo2s c? s2( periosteal d? none The patient who ha1e not (rea3fast 8 we ne1er gi1e him anesthesia (eca2se a? hyperglycemia (? hypoglycemia c? increased heart rate d? hypertension Mor insection local anesthesia in the lower saw we 2se a? short needle (? long c? none 0drenaline is added to local anesthesia for aD increasing the respiratory rate (D prolonging the effect of local anesthesia cD iecreasing the (leeding dDnone d2ring s2rgery firmly handle forceps of flap tiss2e : 0?stillis forceps (?0dison forceps***
d? pernicio2s aneamia e? a.( and c*** The aim from prosthetic s2rgery : 0? increase sta(ility .retention 8ridge dimension (? increase 1ertical dimension . c? esthetic anterior. d2ring mentoplasty doctor sho2ld ta3e care for ins2ry of what ner1e.. h. lower (ranch of the facial ner1e The roots of the following teeth are closely related to the ma9illary sin2s aD canine and 2pper premolar (Dlower molar cD 2pper molar and premolar dD none ;atient positions are aD 2pright position (D s2pine position cD s2( s2pine dD all of the a(o1e*** on radiograph @onion s3in? appearance... and 2nder microscope there is glycogen aD osteosarcoma (D pind(org t2mor cD ewing sarcoma*** healing (y secondary intention ca2se aD (Dthere is space (etween the edges filled (y fi(ro2s tiss2e cDleading to scar formation dD ( and c. ***