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1 Kben
Identify vertical root fracture
2 Kben
Figure 2-103 Dentinogenesis imperfecta.
Radiograph of dentition exhibiting bulbous crowns, cervical constriction, and
obliterated pulp canals and chambers.
3 Kben
Facial reduction for PFM crown 1.5 mm
Identify pulp stones. Whats complication to this? Makes RCT complicated
FIGURE 11-7
Calcifications (pulp stones [or denticles]) are visualized in the chambers. Their
discrete appearance surrounded by radiolucent spaces shows these calcifications to
be natural and not formed in response to irritation. (Courtesy Dr. T. Gound.)
4 Kben
Type of pontic to replace a premolar (bridge 7-10) Modified ridge lap pontic
5 Kben
Best way to communicate outcome with lab tech Diagnostic wax up
Ideal amount of undercut required for circumferential .01 inch
clasp
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- Hot compress
odontogenic in origin.
Tx of ranula Surgical removal
Identify basal cell carcinoma
6 Kben
Multiple purple dilated veins on the ventral and lateral surface of the tongue.
This is normal and a part of aging
Patient has a short crown. Which cement is best? Resin cement
When do you not use a thyroid collar When taking a panorex
How often is autoclave checked Once a week
121 degrees at 15-20 psi for 20 min Check for b. Stearothermophillus
FIG. 9-45 Mental ridge (arrows) on the anterior surface of the mandible, seen
as a radiopaque ridge.
What causes loss of lamina dura eka Hyperpituitarism, hyperparathyroidism, osteomalacia, pagets, fibrous dysplasia
LOSS OF LAMINA DURA CAN BE SEEN IN HYPERPITUITARISM, PAGETS,
FIBROUS DYSPLASIA, OSTEOMALACIA AND HYPERPARATHYROIDISM
Petechiae of soft palate can be caused by Infectious mono
Symptoms of MI Burning chest, numb arm, pain in jaw (NOT pounding heart)
Treatment of bells palsy eka Histamine and vasodilators may shorten duration. As well as systemic
corticosteroids and hyperbaric oxygen therapy. Surgical decompression. Topical
ocular antibiotics and artificial tears to prevent corneal ulceration. Recovery in 6
months usually
Pregnant women is allergic to penicillin. What do you Clindamycin
premedicate her with?
HIV patient with purple red lesion on ventral tongue Kaposi
Treatment of dry socket Iodofrom gauze with Eugenol impregnanted pellet. Do NOT curette
Tx of oroantral fistula Buccal slide flap
Which is not an etchant or conditioner BIS GMA is NOT (yes to citric, maleic, phosphoric acid_
BINDING MATERIAL IN MICROFILLED RESINS IS BISGMA
Stopped at page 14 of journal document hudental2008@yahoo.comteeth08
Fusion vs germination Fusion: two buds. Germination- one root
9 Kben
Figure 2-55 Fusion.
Double tooth in the place of the mandibular right lateral
incisor and cuspid.
10 Kben
Figure 2-52 Bilateral gemination.
Two double teeth. The tooth count was normal when
each anomalous tooth was counted as one.
GEMINATION NORMAL TOOTH COUNT
11 Kben
Periapical cemental dysplasia
Fig. 15-18.
Nutrient canal. A, These canals are frequently prominent between the roots of the
mandibular incisors, and they terminate as small foramina on the crest of the
interseptal bone. B, The prominent nutrient canal (arrow) in this view could be
mistaken for a fracture. C, The prominence of this unusually large nutrient canal or
accessory foramen (arrow) is produced by directing the x-rays parallel to the canal.
12 Kben
TABLE 4-1 Intraoral Projection or Technique Errors eka
Histo of fibroma Nodular mass of CT covered by squamous epi
Full lower denture with over extended distobuccal Masseter
flange causing denture to dislodge. What muscle is
impinged?
Trouble swallowing- distolingual
Coumadin test PT
Tx of dentigerous cyst Surgical removal of cyst and tooth
Sialolith is visible on xray. What duct is this? Wartons
13 Kben
You are having difficulty selecting shade for PFM. Decrease gray and decrease hue eka
You should
What are usual complications after insertion Working or non-working interference
If you notice occlusial interference after insertion, At insertion
when should you make adjustments?
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 Young teeth
or old teeth?
After SC/RP Long junctional epi is formed
Purpose of palatal expander Corrects crossbite
FIGURE 1-13
Posterior crossbite exists when the maxillary posterior
teeth are lingually positioned relative to the mandibular
teeth, as in this patient. Posterior crossbite most often
reflects a narrow maxillary dental arch but can arise
from other causes.
What is NOT an acceptable surface disinfectant? Alcohol based (phenol, chlorine, and iodine is acceptable)
Ideal amount of undercut for circumferential clasp .010
What is effect of hydrocholorithiazide on a) no effect on periodontium
a) periodontium b) decreased retention of complete denture bc of decreased salivation
b) complete denture
Composite to close diastema Hybrid
Clinical picture of gutta percha introduced to sinus Therefore its a perio abscess
tract. It does not go to apex
Patient with tenderness anterior to earlobe. I/O exam Stimulate paratid gland checking for exudates
reveals inflamm of stensons duct. What do you do
Clinical picture of PM with enamel hyperplasia. What Trauma or infection of primary tooth
could this be caused by
Focal sclerosing osteomyelitis AKA condensing
osteitis Localized areas of bone sclerosis associated with the apices of teeth with pulpitis
(from large carious lesions or deep coronal restorations) or pulpal necrosis are
termed condensing osteitis.
15 Kben
Figure 16-24 Hereditary hemorrhagic telangiectasia (HHT).
The tongue of this patient shows multiple red papules, which represent superficial
collections of dilated capillary spaces.
Identify black hairy tongue. How do you treat it?
a black appearance of the dorsal surface of the tongue; caused by elongated filiform
papillae (with accumulation of keratin on filiform) and an accumulation of dark
pigments, microorganisms, and food debris.
16 Kben
Figure 10-60 Homogeneous or thick leukoplakia.
A diffuse, corrugated white patch on the right ventral surface of the tongue and floor
of mouth.
Granular cell tumor
17 Kben
With involvement of the dorsal tongue by reticular lichen planus, the characteristic
interlacing striae seen in the buccal mucosal lesions are usually not present. Instead,
smooth, white plaques are typically observed replacing the normal papillary surface
of the tongue.
FIG. 9-18 The anterior floor of the nasal fossa (arrows) appears as opaque lines
extending laterally from the anterior nasal spine.
18 Kben
FIG. 9-31 The anterior border of the maxillary sinus (white arrows) crosses the
floor of the nasal fossa (black arrow).
2 very swollen tonsils normal color. Whats this due to Probably viral infection
Tx of traumatic bone cyst Surgical exploration
Who regulates eyewear protection for dentist OSHA
Thermal food burn (blister on the lower lip)
Tx: palliative
19 Kben
test will you order
Immature white blood cells Leukemia
What emergency may you expect from a patient taking Shock
prednisone(choices gingival bleeding, hypotension,
gingival hyperplasia)
Image of red bloody swelling between upper anterior
teeth
20 Kben
Figure 12-100 Sturge-Weber angiomatosis.
Unilateral vascular involvement of the soft palate.
Be careful bc severe hemorrhage
Tetracycline- not given under age 7 Choices were birth-3 months, birth to 5 years, after 6 years
What is extravasation cyst? Aka traumatic bone cyst
Minimum time period after first extraction appointment Text says 3-4 weeks
that you have to wait before making impressions for
final denture
Which statement is NOT true for immediate vs D
conventional dentures
a. immediate has lesser appointments
b. patients have more difficulty
adapting to immediate dentures
c. esthetics are only reason for
constructing immediates
d. immediates require less bone
removal
Impression tray type that gives most predictable result Individualized trays WITHOUT tooth stops
21 Kben
for final impression
Whats reason for try in for immediate dentures
The trial denture bases are tried in the mouth and used to verify vertical dimension
of occlusion and centric relation as with complete dentures.
Sequence for removing denture after teeth have been One day, three days, one week
removed
Should there be occlusial discrepencies when the Do selective occlusial grinding
immediate denture is fitted, you would
Whats sequence of selective grinding Centric occlusion >working >balancing > protrusive
When can chairside relines and tissue conditioners be Anytime
done
Should occlusial adjusting be required, what teeth do Palatal of upper anteriors and buccal of upper posteriors
you grind
Instructions for patient after delivery of immediate Wear denture until appointment the next day
Whats recommended time after teeth have been 3 months
extracted for lab reline
When impressions for reline is made, small projections Trim projections flush with the ridge
of impression material are seen projecting into
extraction sites. You will
A patient has arthritis. What is the main reason for Dexterity limitations
NOT utilizing precision attachments
Long term rxn to wearing ill fitting denture: would it Epulus
be papillary hyperplasia or epulus?
Mechanism of action of Triamterene Conserve potassium
Purpose of norpace (disopyramide phosphate) Anti-arrythmatic
When a patient is taking adiuretic, what else should Potassium
they also be taking
Histologically, epulus is made of Fibrous tissue
Case : why monoplane teeth utilizied for patients lower Small overbite and wide overjet
partial
Case: Thrombocytopenia
WBC 9700, PLATELETS 27,000. SPONT
BLEEDING. WHATS PROBLEM
Burning tongue in uncontrolled diabetic Malnutrition
Advantage of rectangular cone Smaller area of tissue radiated
PA of posterior teeth that look like crown preps Amelogenesis imperfecta
Figure 16-87 Lichen planus.
The interlacing white lines are typical of reticular lichen planus involving the
posterior buccal mucosa, the most common site of oral involvement.
Clinical slide of tongue that shows nothing worth Sjogrens (supposed to realize that tongue is dry)
noting. Informed that the patient is suffering from
rheumatoid arthritis
*in hypercementosis, the PDL is intact
22 Kben
FIG. 9-58 Coronoid process of the mandible (arrows) superimposed on the
maxillary tuberosity.
23 Kben
FIGURE 4-10. FIGURE 4-11.
Anterior floor of the mouth. Observe the plica Floor of the mouth. Observe large sublingual caruncula indicating opening of the
sublingualis overlying the sublingual gland. Dots submandibular duct at the base of the lingual frenulum. Of special interest are the
represent area where sublingual ducts open into the mandibular tori.
floor. Region of incisive glands (A).
24 Kben
A prominent and painful superior genial tubercle (A, arrowheads) is surgically
exposed (B) and excised (C). Cephalometric radiographs (D and E) show the
thinness of the mandible. In D, notice that the superior genial tubercle (arrow) is
higher than the crest of the bony ridge. Notice also the extreme interarch distance at
the rest position. E, After the tubercle had been removed.
Patient asks how much time from initial appointment to ?5-6 months
making impressions for final denture (immediate
If immediate dentures do not seat completely at Wait 24 hours
insertion appointment, you would do what? (If PIP is
not an option)
If you were making a temporary crown, and how to Undercontour
over contour vs undercontour. Which would you do
Patient complains of difficulty when making S and Maxillary incisors placed too far superiorly
V sounds. Whats the problem
Patient complains that one side of denture contacts Dimensional changes during curing
before other side. What is the cause?
How many mm should major connector be from the Maxilla: 6 mm
free gingival Mandible: 4 mm
Advantage of RPD vs FPD Hygiene
Plebolith Thrombus or concretion in vein
Is metronidazole useful in tx of AA Yes
Figure 3-47 Acute osteomyelitis.
Ill-defined area of radiolucency of the right body of the mandible.
25 Kben
Osteoradionecrosis of the left mandible. This patient had a full course of
tumoricidal radiotherapy for squamous cell carcinoma. The dentition was removed
at the time of the cancer resection. This patient was prepared for treatment of the
osteoradionecrosis with pre- and postoperative hyperbaric oxygen treatments. A,
Exposed devital bone along alveolar ridge of left mandible.
26 Kben
The questions showed a child with primary dentition and asked what determined the amount of prophylaxis: patients age, patients weight, half
the adult does, full adult dose? I said patients weight?
27 Kben
Know the difference between recurrent apthous, recurrent herpes, and primary herpetic gingivostomatitis
Know the difference between polycemia vera and Von Willebrands disease
Do you prophylaxis for rheumatic heart disease and MI?
Recurrent aphthous stomatitis (RAS) can be distinguished from other diseases with similar-appearing oral lesions, such
as certain oral bacteria or herpes simplex, by their tendency to recur, and their multiplicity and chronicity. Recurrent
aphthous stomatitis is one of the most common oral conditions. At least 10% of the population has it, and women are
more often affected than men. About 3040% of patients with recurrent aphthae report a family history.
Herpes simplex (Ancient Greek: herpes, lit. "creeping") is a viral disease caused by both Herpes simplex virus
type 1 (HSV-1) and type 2 (HSV-2). Infection with the herpes virus is categorized into one of several distinct disorders
based on the site of infection. Oral herpes, the visible symptoms of which are colloquially called cold sores or fever
blisters, is an infection of the face or mouth. Oral herpes is the most common form of infection. Oral Herpes usually
appears visibly on the lip but can also occur, hidden from view, inside the mouth on the attached gingiva (the "gums") as
Herpes Gingivalis. Recurrent infections (outbreaks) may occur from time to time, especially in times of immune
impairment such as HIV and cancer-related immune suppression.[2] However, after several years, outbreaks become less
severe and more sporadic, and some people will become perpetually asymptomatic and will no longer experience
outbreaks, though they may still be contagious to others. Treatments with antivirals can reduce viral shedding and
alleviate the severity of symptomatic episodes.
28 Kben
Gingivostomatitis (also known as primary herpetic gingivostomatitis) is a combination of gingivitis and stomatitis, or an
inflammation of the oral mucosa and gingiva.[1] Herpetic gingivostomatitis is often the initial presentation during the first
("primary") herpes simplex infection. It is of greater severity than herpes labialis (cold sores) which is often the
subsequent presentations. "Primary herpetic gingivostomatitis is the most common viral infection of the mouth".
Polycythemia vera (also known as erythremia, or primary polycythemia)[1] is a blood disorder in which the bone
marrow makes too many red blood cells.[1] It may also result in the overproduction of white blood cells and platelets.
Most of the health concerns associated with polycythemia vera are caused by the blood being thicker as a result of the
increased red blood cells. It is more common in the elderly and may be symptomatic or asymptomatic.
Von Willebrand disease (vWD) is the most common hereditary coagulation abnormality described in humans, although
it can also be acquired as a result of other medical conditions. It arises from a qualitative or quantitative deficiency of
von Willebrand factor (vWF), a multimeric protein that is required for platelet adhesion.
29 Kben