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QuestionAnswer
Central action of caffeine is principally on cerebral cortex
Which teeth are at greatest risk for root caries mandibular posteriors
Radiographic change suggestive of multiple myeloma punched out radiolucency
Form of distobuccal border of mandibular denture modified by 1. Buccinators muscle 2. Masseter
With 2 rescuers, how many chest compressions are given in a min 100
Root formation completed __ after eruption 3 years
Frankfort-horizontal constructed by joining 1. Porion 2. Orbitale
Mx cast partial denture major connector with greatest potential to cause speech problem narrow horshoe shaped
After eruption __ is depleted from enamel surface carbonate
Pathway of inflammation in horizontal bone loss through marrow spaces of crestal bone
Pathway of inflammation in vertical bone loss through cortical bon e
In NUG and NUP do you always give Ab? in NUP always AB, in NUG only when theres fever and lymphadenopathy
The diameter of the primary beam at patient’s skin surface should not be greater than 7cm
Lesions associated with unerupted tooth 1. Pindborg 2. Dentigerous cyst 3. Adeno ameloblastoma 4. Ameloblastoma 5. Odontogenic myxoma
For FPD, the long axis of each abutment has to be within __ degress of each other 25
In xerostomic pt. which salivary glands are mostly hypoactive sublingual and submandibular
Muscle used for protrusion of mandible lateral pterygoid
Following RCT, most desirable form of tissue response at the apical foramen is cementum deposition
Advantage of having copper in amalgam 1. Lower creep 2. Less corrosion 3. Less marginal breakdown 4. Higher compressive strength
Lingual groove found on mandibular 1st PM
Most likely cause of post op sensitivy with class Ii composite resto microleakage at interface
Oral manifestation of vit B deficiency 1. Glossitis 2. Angular cheilitis 3. Pain
Most common benign neoplasm of salivary gland pleomorphic adenoma
Most common malignant neoplasm of salivary gland adenocarcinoma
T or F: periodontal pocketing is suggestive of dx of NUG F
In chronic periodontitis the causative organisms are found in 1. Connective tissue of gingiva 2. Periodontal pocket
Blood of pt with acute bacterial infection leukocytosis
Leukocytosis commonly seen in pt who has acute bacterial infection
Atrophic filiform papillae characteristic of geographic tongue
Geographic tongue characterized by atrophic filiform papillae
Cause of apthous stomatitis autoimmune
Dentin sensitivity associated with odontoblast
Dentin pain asso’d with free nerve ending
Ab which interacts with warfarin metronidazole, erythromycin (dec metabolism of warfarin)
Oral manifestation of hypothyroid macroglossia
Quantity of radiation depends on time and mA
Quality of radiation depends on kVp
Body of mandible increases in length by resorption of bone on anterior border of ramus, apposition of bone on the posterior border of ramus
Thrombocytopenic purpura characterized by low platelet
Hemophilia A, B, C - lack of factor 8,9,11
Cell rests of malassez originates from hertwig’s root sheath
Min axial wall thickness for amalgam resto 0.5-1.1mm
What type of allergy is latex allergy delayed( type 4)
What area of tooth is most sensitive during cavity prep dentinoenamel junction
Sx of rheumatic fever 1. Arthralgia 2. Sore throat 3. Swollen joint
What drugs should be avoided in asthmatic pt 1. NSAID 2. Beta blocker
Generalized aggressive periodontitis characterized by attx loss affecting what teeth 1. First molars 2. Incisors 3. 3 other permanent teeth
Inc. radiographic density from 1. Inc. mA 2. Inc. time 3. Inc. kVP 4. De.c target object distance
After you place rubber dam, you see that papilla is protruding from beneath the rubber dam. Cause ? holes are too close together
What percentage of mineral content reduction is noticeable on PA 30-40%
Dens invaginatus most common with what teeth anterior teeth
Radiographic changes asso’d with multiple myeloma punched out radiolucency
What ganglion is asso’d with CNS in nocturnal bruxism basal ganglia
Abereant dentinal tubles that cross DEJ enamel spindle
Most common cause of persistent post op sensitivity following composite resto microleakage
Most common cause of persistent post op sensitivy following Ag resto hyperocclusion
In case of LA toxicity u give: diazepam
Blue sclera characteristic of osteogenesis imperfect
Info from radiograph enough to make accurate determination of skeletal age? no
Enamel pearls from when : cells of epithelial root sheath don’t migrate away from dentin
Glaucoma and diazepam diazepam c/I with glaucoma
Most likely cause of fx of porcelain that leaves underlying metal exposed contamination of metal prior to porcelain application
Which fibers are commonly associated with ortho relapse cupracrestal
Most important thing for porcelain veneer prep definite finish line
Green vermillion index measures oral hygiene
kVP controls 1. Speed of e- (quality) 2. More penetration 3. Contrast
mA controls no of e- (amount)
location of alverolar crest compared to CEJ 1-2mm apical to CEJ
function of compensating curve provide balanced occlusion in complete dentures when mandible is protruded
basal cell carcinoma metastatic or non metastatic not metatistic usually
what kind of microorganism is associated with periodontitis gram negative anaeriobe
most common benign salivary gland tumor pleomorphic adenoma
multinucleated giant cell asso’d with 1. Hyperparathyroidism 2. Tuberculosis 3. Osteoclastoma
volumetric polymerization shrinkage of hybrid composite 2-8%
most common malignant tumor adenoid cystic carcinoma
2nd most common malignant tumor mucoepidermoid ca
cells that are haracteristic of chronic inflammation of dental pulp 1. Lymphocyte 2. Macrophage 3. Plasma cell
clicking in dentures excess VDO
intensivying screen used for xray to decrease exposure time
zinc phosphate cement and liquid working time shortened with moisture
which constituent of LA most likely allergen metabisulfite
rapid vs slow palatal expansion no differences
interior surface of porcelain veneer etched with HF
serial exo indication class I with crowding (class II/III are C/I)
subconjuctival hemoorhage charc of fx of zygoma
fx of zygoma presents as subconjuctival hemorrhage
shape of distobuccal border of Mn determined by master
surface polymerization of composite inhibited by oxygen
diff type of cement 1. Zinc P 2. Polycarboxylate 3. CaOH 4. ZOE
suppurative osteomyelitis usually occurs in post mandible
what is triamcinolone corticosteroid
how to minimize firing shrinkage of porcelain thorough condensation
hypothyroidism asso’d with generalized edema
3 principals of GTR 1. Clot stabilization 2. Wound protection 3. Space creation
immunoglobulin produced by plasma cells
most ZOE cements not suitable for cementation of crown bc solubility in saliva
most predominant cells in inflammatory exudate of acute periodontal abscess neutrophil
in CD, angulation of horizontal condylar guidance plane of articular is determined by protrusive interocclusal record
sjogren’s syndrome usually asso’d with whiat articular dz rheumatoid arthritis
principal of closed fx management 1. Immobilization of fx 2. Reduction of fx 3. Restoration of occlusion
tx of acute herpectic gingivatostomatitis in children 1. Analgesic and hydration therapy
effect of longer trituration of Ag reduced strength
muscles in retromolar pad 1. Buccinators 2. Superior constrictor
immersion of KSO4 into hydrocolloid impression prevent distortion
addition of KSO4 into hydrocolloid accelerate set of gypsum
sodium phosphate in alginate impression is retarder
diffuse widening of PDL lig seen in 1. Scleroderma 2. Osteosarcoma
primary herpetic gingivostomatitis most frequently occurs durin before 10 year of age
material of choice for obturating primary tooth ZOE
hypercmentosis at the root apex is associated with paget’s disease
which steroid can produce cushing’s syndrome prednisolone
LA acts by blocking movmvnet of what ion sodium
What has lowest radiation dose: 1. PAN 2. Full mouth series 4. Ceph 5. CT of mandible ceph
Effect of decease in particle size of amalgam alloy increase early strength
Vitamin D is activated in kidney
Most common cause of trigeminal neuralgia compression of CN V
Most effective test to differentiate acute periradicular abscess from periodontal abscess pulp vitality test
genial tubercle is attachment for 1. Upper – genioglossus 2. Lower – geniohyoid
where does anterior belly of digastric muscle arise from digastric fossa
genioglossus attaches to genial tubercle
temporalis muscle attaches to lateral surface of coronoid process
best way to reduce radiation in dentistry high speed film
GI cement contains 1. Fluroaluminosilicate powder 2. Polyacrylic acid
Incomplete polymerization of composite resin will occur if resin gets in contact with ZOE base
What penicillin works best when given orally penicillin V
Which structure affects the thickness of the flange of maxillary complete denture coronoid process
Best way to increase working time of PVS refrigerate the material
Function of binder in casting investments 1. Strength investment 2. Expansion of mold
How does warfarin work interferes with vit K dependent factors (II (prothrombin), VII, XI, X)
When is free G graft used not for covering root but augmenting attached gingiva
When is laterally positioned graft used for narrow root exposure
When is coronally positioned flap used for wide root exposure
Which PDL provides main support for tooth oblique
Where do you place a semi precision attx for FDP mesial of first pontic
In acute bacterial infxn, you’d see increase in Polymorphonuclear leukocyte
Radiograph for TMJ PAN
Radiograph for joint space 1. Arthroscopy 2. CT, corrected transcranial
If u take impression after heavy body material begins to set, then : die will be smaller
Vit D and caries risk vit D deficiency during development increases caries risk
Multiple osteoma + supernumerary teeth syndrome? gardner
Most stable point on ceph sella turcica
When do crowns calcify 3 years before eruption
Multiple fx and blue sclera = osteogenesis imperfect
Punched out radiolucencies multiple myeloma
Ring swallowing, auditory tube is opened by tensor veli palatine
Effect of doubleing the diameter of round ortho wire on springiness dec. springiness by power of 4
Function of copper in Ag 1. Higher compressive strength 2. Lower conc’t of tin mercury phase 3. More resistant to tarnish and corrosion 4. Less creep or flow 5. Less marginal breakdown
Flourides taken systemically are excreted as __ and deposited in __ 1. Urine 2. Nail and teeth and bone
Deviated closure to centric occlusion = skeletal or dental crossbite dental crossbite
Interference free closure to centric occlusion = skeletal or dental crossbite skeletal crossbite
Addition of pt to gold results in 1. Inc str 2. Inc. hardness 3. Inc. melting point 4. Resistance to corrosion
Why is leucite added to ceramic 1. To increase strength of porcelain 2. To decrease abrasiveness against opposing teeth
Submandibular duct wharton’s duct
Majority of nitrous oxide is eliminated through lungs
Hypercementosis asso’d with what dz paget’s
Accessor canals most commonly found in ___ of the tooth apical 1/3
Min wait time before composite placement after whitening 1-2 weeks
Complication of injecting diazepam into artery 1. Gangrene 2. Hypoventilation 3. Stop cardiac function 4. Pain on limb
Infection of the esophagus and throat, often confused with NUG vincent’s angina
Masseter originates form zygomatic arch
__ results from cystic degeneration of stellate reticulum during formation of tooth primordial cyst
Lingual extention of mandibular denture limited by genioglossus muscle
Mucocele most commonly occur in lower lip
A chronic alcohol abuser dx’d with Wernicke korsakoff’s syndrome. He has pain and burning mouth. He suffers from deficiency of __ thiamine
Deepest penetrating microorganizim in NUG spirochetes
Characteristic sign of aggressive periodontitis drifting of teeth
Polyalkenoic cement (GiC) contains following acids __ and their functions are __ 1. Itaconic and maleic – increase reactvitiy of liquid and decrease viscosity 2. Tartaric acid – increase working time
In GA mixture, minimum acceptable percent of O2 is 20%
Chance of pulpal perforation highest in what tooth 1. Palatal of max molar 2. Distal of mand molar (mesial of mand molar for PDL perf)
Most common type of collagen found in gingival tissue, PDL, cementum type I
Cleidocranial dysplasia asso’d with multiple supernumerary teeth
Juvenile periodontitis perio condition showing localized advanced vertical bone loss involving the first molar and incisor
perio condition showing localized advanced vertical bone loss involving the first molar and incisor juvenile periodontitis
retention of deciduous teeth and presence of many unerupted supernumerary teeth. Syndrome? cleidocranial dysplasia
effect of hypothyroidism on dental development delays eruption
gluteal IM injection injected into __ upper lateral
serial exo done when there is crowding of __ or more and __ overbite 1. 10mm 2. 35%
in compsotie __is the activator and __ is the initiator 1. Light 2. Camphorquinone
dental impact of erythroblastosis fetalis pigmented teeth
Chance of PDL perforation highest in what tooth mesial of mand molar
Naloxone used for reversal of opioid
Most practical method to reduce setting time of stone se calcium sulphate dehydrate nucleating agent
Most toxic form of mercury organic fomr
Lancinating paroxysmal pain in posterior part of tongue, tonsil, nasopharynx glossopharyngeal neuralgia
Fordyce’s granule ectopic sebaceous gland
Muscle penetrated by IA block buccinators
Taste to ant 2/3 of tongue by chorda tympani of facial (VII) nerve
Tx of ameloblastoma is resection
Sx of vit B deficiency 1. Glossitis 2. Angulat cheilitis 3. Pain 4. Erythematous oral mucosa
Purpose of lead diaphragm on xray collimate the useful beam of rays
Valvue most commonly affected by rheumatic heart dz mitral
Which microorganisms predominate in early plaque gram positive aerobic cocci
Tennis racket appearance od myxoma
Chicken wire appearance on direct immuinofluorescense pemphigus vulgaris
Analgesic that is contraindicated for long term management of myofascial pain oxycodone
Filter is inserted in the path of xray beam to absorb long wave length radiation in the primary beam
Multilocular radiolucency in posterior mandible histologically shows follicular areas resembling enamel organ ameloblastoma
Fx of maxilla can be best dx’d by 1. Clinical exam 2. Anterioposterior radiograph of skull
Difficulty in mouth opening + dysphagia + tongue stiffness + induration of skin = scleroderma
Soap bubble on xray ameloblastoma
Honey comb on xray giant cell granuloma
Ground glass apearacne on xay fibrous dysplasia
Tx of cyst is enucleation
Principal constituent of dental plaster and stone calcium sulfate hemihydrate
Filler in alginate impression diatomaceous earth )silica)
Impression material with best wettablility hydrocolloid (rev or irreversible)
Muscles of masticadtion MTP (masseter, temporalis, pterygoids)
Masseter muscle originates from zygomatic arch
Multiple supernumearay teeth syndrome? cleidocranial dysplasia
Cleidocranial dysplasia oral manifestation? multiple supernumerary teeth
Max dose of acetaminophen 4000mg
Max dose of aspirin 4000mg
Highest incidence of congenitally missing lateral incisory seen in unilateral cleft palate
Vita shade guide – what does A2 mean? A (hue), 2 (chroma)
Crown formation completed at 3 years before eruption
Big curve of spee is associated with what kind of occlusion class II malocclusion (From deep bite)
What is tunneling and what is the most likely cause of tooth loss following tunneling 1. Surgical procedure to expose furcation 2. Root caries
Burning mouth syndrome clinical appearance normal
Hypothyroidism dental manifestation delays eruption, macroglossia
Features of aggressive periodontitis 1. Before age 35 2. Rapid attx loss 3. Suspected perio microbial pathogen
Plaque index of silness and loe measures quanitity of plaque at gingival margin
What part of CNS does caffeine mainly act on cerebral cortex
Pt has fever + pain + unilateral parotid swelling following GA acute bacterial sialadenitis
Ddx of squamous cell carcinoma 1. Necrotizing sialometaplasia 2. Hyperplastic lingual tonsil
Metastatic carcinoma of mand originates from 1. Lung 2. Breast 3. Prostate
Vit B deficiency sx? 1. Glossitis 2. Angular cheilitis 3. Pain 4. Erythematous oral mucosa
What is enameloma pearl of enamel
Silicone impression materials when polymerize liberates __ as byproduct alcohol
Epithelial lining of radicular cyst from rests of malassez
T or F periodontitis develops from gingivitis T
Extension vs filling in endo 1. Extension – vertical limit 2. Filling – volume being filled.
What chemical mediator of inflammation is blocked by NSAID prostaglandin
Purpose of tin in amalgam alloy speeds the amalgamation rate
Affect of contamination of saliva during placement of zinc containing amalgam increased surface pitting and delayed expansion
Max RPD design with greatest potential to cause speech problem horshoe shaped
Pulptomy with CaOH not used in primary teeth bc CaOH leads to internal resoprtion
__ limits distal extension of maxillary denture coronoid process
shape of distobuccal border of mandibular denture determined by 1. Buccinators 2. Masseter
zirconia FDP recommended for what clinical condition long clinical crown
when do you correct mx central erupting lingually (before, or after it reaches occl plane) before it reaches occ plane
in composite, light acts as _ activator
hemorrhagic bone cyst (Traumatic cyst) most freq seen from the symphysis to the ramus of mandible (M+PM area)
rcommended time interval for BW in adult depends on caries risk
CTE of metal compared to porcelain in MCC should be slightly higher
When polymerizing an acrylic denture in water bath, correct temp if required bc may cause porosity due to boiling of monomer
Predminatn organisms asso’d with active periodontitis spirochetes and rods
What muscle moves the articular disc of TMJ joint lateral pterygoid muscle
Treatment during what trimester of pregnancy is safe 1 and 3
Does codeine cause respiratory depression no
Does codein cause constipation yes
Side effects of codeine 1. Constipation 2. Drosiness 3. Nausea
If left untreated, pyogenic granuloma will most likely _ shrink over time
What curve is used to differentiate whether overbite is due to dental or skeletal origin curve of spee
Which barbiturate is useful in reducing frequency of seizure phenobarbital
Spontaneous pain + pain relieved by cold = pulpal necrosis
Syndrome which presents as multiple cysts in jaw gorlin goltz
Bilateral dislocated fx of mandible results in 1. Anterior open bite 2. Inability to protrude mandible
Advantage of vacuum firing of porcelain increased strength
What teeth mostly affected by hypercementosis premolar
C/I for serial exo skeletal deep bite
Main purpose of flux in soldering dissolve surface oxides and prevent further roxidation
Hair on end on radiograph is indicative of sickle cell anemia
Cleft palate and lip results from failure of union of __ 1. Median nasal with lateral nasal and maxillary process
Syndrome which presents as multiple epidermoid cysts in jaw gardner
What vitamin deficiency is asso’d with enamel hypoplasia vitamin A
Recovery time from nitrous sedation 10 min
Is radiograph CI in pregnancy no. but try to avoid
Smooth, elevated, red patch devoid of filiform papillae located in the midline of the tongue anterior to circumvallate papilla is indicative of median rhomboid glossitis
Does cementoma cause root resorption yea
Does hypercementosis cause root resorption no
Syphilis gumma most commonly found in palate
Movement which has greatest discrepancy b/w articulator and pt when using small hinge articulator mediotrusive (non working interference)
White wrinkled buccal mucosa which disappears upon stretching leukoedema
How to disinfect alginate 10 min in sodium hypochlorite
Characteristic sign of aggressive periodontitis in adolescent driftin of teeth
Hyperthyroidism and epi epi should not be used in pt with uncontrolled hyperthyroidism
Full palatal strap major connector is indicated for when theres very few teeth remain in u shaped arch
Full palatal major connector is indicated for when theres very few teeth remain in u shaped arch
In paget’s you would see __ level of Ca and __ level of P and __ alk phosphatase normal Ca and P but elevated alk phosphate
Target for IAN is __ lateral to sphenomandibular ligament
Localized gingival recession of a mandibular permanent incisor in 8 year old can be caused by ankyloglosia
What class of occlusion is most commonly asso’d with mouth breathing class Ii div 1
Diffuse widening of PDL ligament – dz? 1. Scleroderma 2. Osteosarcoma
Limited mouth opening + widening of PDL = scleroderma
Prolonged pain initiated by heat = acute suppurative pulpitis
Incidence of tooth loss due to pero dz highest for what tooth mx molar
Vestibuloplasty is a procedure used to _ increase the supporting surface area for prosthesis
Residual soft tissue interdental crater NOT assoc’d with underlying bone is eliminated by gingivoplasty
Can surgical trauma cause bell’s palsy? no. not called bell’s palsy if cause is known
Periapical granuloma asso’d with vital or non vital tooth non vital
In normal gingiva, predominant microflor of gingival plaque are gram positive cocci
Teeth with deep root concavities 1. Mesial of mx 1st PM 2. Mesial of mand incisor
What Ab has anti collagenase activity tetracycline
ZOE and moisture decrease setting time
Most common malignant tumor of tongue squamous cell carcinoma
Myxedema asso’d with hypothyroidism
Most important factor in determining dosage of systemic fluoride suppl pt’s age
Symptoms of dry socket 1. Bad odour 2. Pain
Substance which cause inflammation and pain when released by pulpal fibers calcitonin gene related peptide (CGRP)
Y of ennis formed by 1. Floor of the nasal fossa 2. Maxillary sinus
Pt with spina bifida are more likely to be allergic to latex
Upon stimulation __ gland produces most saliva parotid
First stage of growth of primary dentition occurs at 6 weeks of embryonic life
Tourniquet test is for capillary fragility
Most predominant cells in inflammatory exudate of acute periodontal abscess neutrophil
Risk of PSA n block 1 .hematoma 2. Trismus
Bacteria found in failed RCT enterococcus
Bacteria found in infected RCT strep viridans
How much diastema is normal in children <2mm
Thin enamel is asso’d with __ imperfect dentinogenesis imperfect
Benign neoplasm of bone osteoma
Ground glass appearance on xray indicative of fibrous dysplasia
Cements that can bond to enamel 1. Polycarboxylate 2. Polyalkenoate (GI)
__ muscle limits determines the form of lingual flange of mandibular denture in the molar region mylohyoid
HCTZ used to tx (2dz) 1. Htn 2. Congestive heart failure (diuretic)
Cartrilage growth by (interstitial or appositional ) both
Inlay wax pattern should be invested ASAP to decrease distortion caused by release of internal stress
Why are metallic salt included in root canal sealer to make it opaque
Addn of platinum to gold results in 1. Inc. strength 2. Inc hardness 3. Inc melting point 4. Inc resistance to corrosion
Permanent anterior tooth with greatest variation maxillary lateral
Radicular cyst occurs as a result of pulpal necrosis
Does pellicle contain microorganism no, only protein
How strong is correlation between malocclusion and TMD weak
Marsupialization is a technique used to tx 1. Cyst 2. Ranula (not keratocyst)
After chemically cured, Gi is coated with coating agent to protect cement from moisture
Multiple mucosal neuroma = neoplasm of endocrine gland
Mandiblibular ridge can resorb to the level of the attx of 1. Myohyoid 2. Buccinators 3. Genioglossus
Prpose of vacuum firing of porcelain increase strength
Describe movements that occur in TMJ 1. Upper compartment – only sliing movements 2. Lower – only hinge type movement
Ceramic’s porosity is reduced by sintering
Upper denture falls when smiling thick buccal notch and buccal flange
Upper denture falls when yawing thick distobuccal flange
Gold casting alloys are classified as type I-IV according to __ ductility
Gold alloy can be given white color by introducint __ palladium
Xylene and gutta percha gutta percha can be softend by xylene
Purpose of tin in amalgam speeds the amalgamation rate
Advantage of vacuum firing of porcelain more strength
Multiple KCOT suggestive of basal cell nevus
MS and LA epi contraindicated in pt with multiple sclerosis
Hyperplastic lingual tonsil resembles squamous cell carcinoma
In Mx which teeth drain through palate 2nd incisor, 1st molar
Muscle attx at lingual molar region mylohyoid
Muscle attax at lingual anterior region genioglossus
Tooth that most often refer pain to ear mandibular molar
Pronounced mesial concavity present on what teeth mesial of max 1st pm
Most common site for melanoma hard palate
Earliest clinical sign of carious lesion change in enamel opacity
Tx of mottled enamel microabrasion
Gland most likely to have sialolith submandibular
Describe mucosa affected by aspirin burn necrosis
Duration of diazepam depends on rate of elimination of acdtive metabolite
Main diff between dentinogenesis imperfecta and amelogenesis imperfect amelo – normal pulp and root morphology,,, dentino – obliterated pulp, narrower and fragile root
Blue sclera cause osteogenesis imperfect
Primary herpetic gingivostomatits occurs at what age under 3
Red strawberry tongue suggestive of scarlet fever
Hypothyroidism called 1. Cretinism in child (underdevel mandible, enlarged tongue, delayed eruption) 2. Myxedema in adult (generalized edema)
Max dose of lidocaine 4.4mg/kg with absolute max of 300mg
What level of water floride level is optimum 1ppm (above = risk of fluorosis)
Fluorosis is not an issue past __ age 15
When do primary teeth begin to calcify 10 months before completion of crown (14 – 19 weeks in utero)
When do permanent teeth begin to calcify at birth
Root fx tx (horizontal) fixed (not flexible) splinting and reassess in 3 mo, if become necrotic, RCT
Shape of access opening of mandibular molar trapezoid (4 canals)
__ refer pain to temporal region, __ refer pain to ear 1. Maxillary 2nd PM 2. Mandibular molar
What do you do when instrument separates in root canal 1. If past apex: surgery 2. If PA lucency present: obturate to point of blockage and apicoectomy 2. If no PA, RCT to blockage, leave instrument
What kind of filing action produces round canal reaming (turning one direction)
Acute inflammatory cells seen in pulpal exposure PMN
How much gutta percha should be remaining after cementing post 4-5mm
How to distinguish perio endo problem 1. Vitality 2. Pain to lateral percussion = perio problem
Pink tooth is pathognomic for internal resorption
Propranolol is non selective beta blocker
HbA1c should be less than __ in diabetic 7%
Cold relieves pain? Dx? pulp necrosis
Cements that can bond to enamel polycarboxylate, GI (polyalkenoate)
Leukemia that most occurs in children ALL
When does cleft palate occur 8-10 weeks of embryo
Main components of gypsum bonded investment and their function 1. Refractory filler (silicon dioxide) – thermal expansion to compensate for solidification shrinkage
2. Binder (calcium hemihydrate) – adds strength
hypercementosis most common with premolar
when to correct posterior crossbite? – late or early mixed denttion
max dose of acetaminophen in a day 4000mg
max dose of nsaid in a day 3600mg
max dose of codeine in a day 120mg
When lesion is large you would do incisional/excisional biopsy incisional
Toxic dose of fluoride 5-10mg/kg
When do you give F- supplement 1. If water fluoride level <0.6ppm 2. Age 6 month – 16 years
Most common site for SSC posterolateral border of tongue
EBV assot’d with 1. Burkitt’s lymphoma 2. Mono 3. Oral hairy leukoplakia
Most common type of oral cancer SSC (poseterolateral tongue)
Prophylaxis recommended for what condition? 1. Artificial heart valve 2. Hx of endocardidits 3. Transplant with problem 4. Unrepaired cyanotic congenital heart dz 5. Repaired cyanotic congenital heart within 6 mo 6. Joint replacement within 2 yrs NOT REQUIRED FOR MITRAL PROLAPSE
Mccune Albright is assot’d with polyostotic FD
Multiple impacted teeth + polyp in intestine gardner syndrome
Difference between primordial cyst and residual cyst primordial develops in lieu of tooth, residual cyst arises in relation to extracted tooth
Dental granuloma and radicular cyst can be differentiated by histology
Most common location for intraoral nevus hard palate
Polyostotic fibrous dysplasia assot’d with Albright syndrome
Albright syndrome assot’d with polyostotic fibrous dysplasia
Most common nevus in mouth intramucosal nevus
Peripheral giant cell granuloma is clinically indistinguishable from __ and it mostly occurs in __ 1. Pyogenic granuloma 2. Gingiva
Most common malignant salivary gland tumor mucoepidermoid carcinoma
Most common location for intraoral nevus hard palate
Polyostotic fibrous dysplasia assot’d with Albright syndrome
Albright syndrome assot’d with polyostotic fibrous dysplasia
Most common nevus in mouth intramucosal nevus
Peripheral giant cell granuloma is clinically indistinguishable from __ and it mostly occurs in __ 1. Pyogenic granuloma 2. Gingiva
Most common malignant salivary gland tumor mucoepidermoid carcinoma
Y shaped groove found in mandibular 2nd pm
On what kind of gingiva does RAS occur non-keratinized and movable mucosa
Does RAS leave scar? only the RAS major
Herpangina vs hsv1 clinial difference ? 1. Herpangina occurs in the posterior part of mouth (nasopharynx) 2. Herpes – more forward in the mouth
On what kind of gingiva can primary herpes gingistomatitis occur attached and free
Herpes on finger herpetic whitlow
Fluoride above __ppm cause fluorosis 3ppm
Nikosky sign assot’d with pemphigus
Do you biopsy all leuioplakia yes, if it doesn’t go away 2 weeks after removing potential
Whats more dangerous leukoplakia or erythro erythro
Type 1 and type 2 dentin dysplasia 1 – normal color, obliterated pulp, radiolucency 2 – enlarged pulp, no radiolucency
Types of amelogenesis imperfecta 1. Hypoplastic – thin enamel 2. Hypomaturation – normal enamel thickness but low mineral 3. Taurodontism – mottle with yellow brown enamel with pits 4. Hypocalcification – soft enamel
Hairy tongue assot’d with __ papilla on tongue filiform
Most numerous papillae on tongue filiform
Masseter attachment on zygomatic arch to angle of mandible
Temporalis attachment medial aspect of condyle to temporal fossa
Lateral pterygoid attachment pterygoid plate to condyle
A hereditary condition affecting odontoblasts can result in radicular dentin dysplasia
Perm teeth which most frequently get ankylosed incisor
Percent of child abuse cases involving orofacial injury 30-40
Angulation of bitewing in child 10
Most accurate indicator with respect to timing of skel growth modification skeletal age
Hue in vita shade guide – A. B, C. D? A – brown B – yellow C – gray D – red-grey
Lymph drainage from middle floor of mouth bilateral neck lymph node
First evidence of primary dentition evident in __ 6 weeks in utero
wich microorganisms predominate in early plaque? Gram-positive aerobic cocci
sensitivity related to a noncarious cervical lesion is a result of the dentinogenesis process
Impression material that will not distort after 2 weeks addition silicone
Rate of recurrence for KCOT 10-30%
__ bactria use hormone as a growth factor (occur in preg women) prevotella intermedia
Lesion in primary syphilis (description) chancre
Lesion in tertiary syphilis (Description) gumma
Strong association between fissured tongue and __ geographic tongue
If temp is too high for xray developer, resulting image would have high density
Tomb’s processes are responsible for laying down enamel prism
Measles sx? fever, malaise, runny nose, onjunctivitis, bluish white macule on buccal mucosa
Lesion bigger than ___ = ___ biopsy 1. 1cm 2. Incisional
Loss of lamina dura in paget’s? no but in hyperPTH
Purpose of immersing hydrocolloid into KSO4 minimize distortion
Lymph drain from tip of tongue submental
Beginning of tooth formation, enamel formation, root completion of primary tooth 1. Tooth form – 6weeks utero 2. Enamel formation-18weeks utero 3. Root complete – 1-2 yrs after eruption
Beginning of tooth formation, enamel formation, root completion of permanent tooth 1. Tooth form – 4 months utero 2. Enamel formation –at birth 3. Root completion – 2-3 after eruption
Hairy leukoplakia caused by EBV or herpes
Hydrolysis of amide occurs in liver
Maxillary central incisor opening shape triangular
Mx lateral incisor opening shape oval
Mandibular incisor opening oval
Hypercementosis occurs w paget’s or hyperPTH pagets
Agranulocytosis is __ and it may be caused by __ 1. Severe reduction in number of granulocyte 2. Anti thyroid drugs
Pathophysiology of pernicious anemia 1. Low intrinsic factor (required for vit B absorption) 2. Low vit B 3. Erythrocytes cannot mature
What kind of anemia is pernicious anemia megaloblastic
What kind of anemia is thalassemia hemolytic anemia
Plummer-vinson syndrome caused by __ , sypmtoms __ 1. Iron deficiency anemia 2. Atrophic changes in buccal, glossopharyngeal, and esophageal mucous membrane, spoon shaped fingernail, SCC of tongue
Mx molar opening for endo shape triangular
Mn molar opening for endo shape trapezoid
Which tooth most often requires RCT and which one most often fails after RCT 1. Mn first molar 2. Mx first molar
What is used to obturate primary tooth ZOE
Most common reason why SSC would not seat all the way ledge in the prep
DI with multiple pulp exposure type III
Injury to tooth w/o displacement but with mobility subluxation
Injury to tooth w/o displacement and w/o mobility concussion
8 yo with pulp exposure on permanent central from accident. Tx? 1. Less than 1 hour = direct pulp cap 2. More than 1 hour – pulpotomy
Hydrolysis of ester occurs in plasma (pseudocholinesterase in the plasma) and liver
How long should a tooth with root fracture be splinted for 3 months
How long should a avulsed tooth be splinted for 2 weeks
Chief cause of failure of replantation of permanent tooth external root resorptino
Intially LA overdose causes __ then __ 1. Excitation 2. CNS depression
LA works on __ ion sodium
Onset of LA and diameter of nerve smaller diameter = faster onset of LA
Which penicillin has the best gram-negative spectrum ampicillin
Greatest longevity of avulsed tooth is when it is placed in hank’s solution
Angulation for posterior bite-wing +5 to +10 degrees
Malignant melanoma most commonly occurs in hard palate and maxillary gingiva
Space below mylohyoid muscle submandibular space
What kind of biopsy method is used for cystic lesion aspiration
Cytology biopsy used for detecting cancerous and precancerous lesion
Intensity of xray beam at a given point is __ of the distance from source inverse square
Esters metabolized by __ plasma esterase
Most common location for intraoral nevus hard palate
Polyostotic fibrous dysplasia assot’d with Albright syndrome
Albright syndrome assot’d with polyostotic fibrous dysplasia
Most common nevus in mouth intramucosal nevus
Peripheral giant cell granuloma is clinically indistinguishable from __ and it mostly occurs in __ 1. Pyogenic granuloma 2. Gingiva
Most common malignant salivary gland tumor mucoepidermoid carcinoma
Y shaped groove found in mandibular 2nd pm
On what kind of gingiva does RAS occur non-keratinized and movable mucosa
Does RAS leave scar? only the RAS major
Herpangina vs hsv1 clinial difference ? 1. Herpangina occurs in the posterior part of mouth (nasopharynx) 2. Herpes – more forward in the mouth
On what kind of gingiva can primary herpes gingistomatitis occur attached and free
Herpes on finger herpetic whitlow
Fluoride above __ppm cause fluorosis 3ppm
Nikosky sign assot’d with pemphigus
Do you biopsy all leuioplakia yes, if it doesn’t go away 2 weeks after removing potential
Whats more dangerous leukoplakia or erythro erythro
Type 1 and type 2 dentin dysplasia 1 – normal color, obliterated pulp, radiolucency 2 – enlarged pulp, no radiolucency
Types of amelogenesis imperfecta 1. Hypoplastic – thin enamel 2. Hypomaturation – normal enamel thickness but low mineral 3. Taurodontism – mottle with yellow brown enamel with pits 4. Hypocalcification – soft enamel
Hairy tongue assot’d with __ papilla on tongue filiform
Most numerous papillae on tongue filiform
Masseter attachment on zygomatic arch to angle of mandible
Temporalis attachment medial aspect of condyle to temporal fossa
Lateral pterygoid attachment pterygoid plate to condyle
A hereditary condition affecting odontoblasts can result in radicular dentin dysplasia
Perm teeth which most frequently get ankylosed incisor
Percent of child abuse cases involving orofacial injury 30-40
Angulation of bitewing in child 10
Most accurate indicator with respect to timing of skel growth modification skeletal age
Hue in vita shade guide – A. B, C. D? A – brown B – yellow C – gray D – red-grey
Lymph drainage from middle floor of mouth bilateral neck lymph node
First evidence of primary dentition evident in __ 6 weeks in utero
wich microorganisms predominate in early plaque? Gram-positive aerobic cocci
sensitivity related to a noncarious cervical lesion is a result of the dentinogenesis process
Impression material that will not distort after 2 weeks addition silicone
Rate of recurrence for KCOT 10-30%
__ bactria use hormone as a growth factor (occur in preg women) prevotella intermedia
Lesion in primary syphilis (description) chancre
Lesion in tertiary syphilis (Description) gumma
Strong association between fissured tongue and __ geographic tongue
If temp is too high for xray developer, resulting image would have high density
Tomb’s processes are responsible for laying down enamel prism
Measles sx? fever, malaise, runny nose, onjunctivitis, bluish white macule on buccal mucosa
Lesion bigger than ___ = ___ biopsy 1. 1cm 2. Incisional
Loss of lamina dura in paget’s? no but in hyperPTH
Purpose of immersing hydrocolloid into KSO4 minimize distortion
Lymph drain from tip of tongue submental
Beginning of tooth formation, enamel formation, root completion of primary tooth 1. Tooth form – 6weeks utero 2. Enamel formation-18weeks utero 3. Root complete – 1-2 yrs after eruption
Beginning of tooth formation, enamel formation, root completion of permanent tooth 1. Tooth form – 4 months utero 2. Enamel formation –at birth 3. Root completion – 2-3 after eruption
Admixed vs spherical – admixed – quicker titration admixed – quicker titration, Spherical – sets faster, easier to adapt, lighter force,
Increasing temp of filament would __ to xray increase mA = inc. density
Does solvent softening of GP result in better apical seal? no
Success rate of RCT and presence of PA lesion presence of PA lesion = success rate drops by 20%
How is GP disinfected dip into NaOCl
What is glass bead sterilizer sterilize endo file
Do you finish irrigating w EDTA prior to obturation? no. always irrigate with NaOCl bc EDTA will remain active for 5 days (EDTA inactivated by NaOCl)
Most common and 2nd most common cause of RCT failure 1st – incomplete disinfected RC 2nd - leakage from poorly filled canal
Instrument breaks off in canal what do you do? A endo
Diff filing motions in endo A endo
3 functions of RC sealer 1. lubricant 2. Antimicrobial 3. Bonds filling material to dentin wall
Teeth that have highest risk of perforation during access 1. Mandibular incisor (small MD width) 2 .Mx 1st PM (mesial concavity)
Condensing osteitis (sclerosing osteitis) vs idiopathic osteosclerosis (dense bony island) former : due to caries. Latter: not related to caries
Most effective bleaching agent hydrogen peroxide
Cervical root resorption may be caused by hydrogen peroxide bleaching
Location of root fx and prognosis 1. Coronal – poorest 2. Mid – guarded 3. Apical – best prognosis
Most common reason for apicoectomy retreating tooth with post
Bacteria found in endo lesion 1. Porphyromonas 2. Bacteriodes melaninogenica (both ANAEROBES)
Only type of nerve in pulp free nerve ending (so any stimulus = pain)
Phoenix abscess = 1. PA radiolucency 2. Acute apical periodontitis (symptomatic to percussion)
Differentiate abscess, granuloma, cyst 1. Abscess has poorly defined radiolucency 2. Granuloma and cyst have well defined radiolucency. 3. Granuloma and cyst can only be differentiated histologically
Apexogenesis vs apexification 1. Apexogenesis – vital pulp 2. Apexification – necrotic pulp
Pulp stones associated with caries or large resto
Type of collagen in pulp type 1 and 3
Types of dentinogenesis imperfect peds A
Types of amelogenesis imperfect peds A
Infections that may cause enamel hyplasia 1. Syphilis 2. Rubella
Bacteria indicated in NUG fusiform and spirochetes and prevotella intermedia
Classes of cleft palate and lip peds A
Most common causative organism for cellulitis 1. Strep A 2. Staph aureus
How is hemangioma treated? surgical excision
Most common type of hemangioma capillary type
Multiple nerufibroma associated with neurofibromatosis (von Recklinghausen’s disease)
Most common form of short limb dwarfism achondroplasia
Dental manifestation of achondroplasia 1. Small maxilla (=> crowding of teeth) 2. Class III
Dental manifestation of dwarfism (2 types) 1. Achondroplasia: crowding and underdeveloped maxilla (class III) 2. Pituitary dwarfism: delayed eruption, underdeveloped mandible
Delayed eruption + underdeveloped mandible + enlarged tongue 1. Pituitary dwarfism 2. Hypothyroidism (cretinism)
Koplik’s sign associated with measles (rubeola) != rubella
What oral bacteria is known to be associated with endocarditis strep
Following nitrous administration, patients are on oxygen for __ 3-5 min
Pound:kg 2.2:1
Max dose of lidocaine 1. 4.4mg/kg 2. Absolute max = 300mg
Beyond __ppm of fluoride in water, there is no increase in reduction of dental decay but increase in fluorosis 1ppm
When is systemic fluoride supplement contraindicated 1. Before 6 months of age 2. After 16 years 3. If fluoride level in water is greater than 0.6ppm
Lethal dose of fluoride in 3 yo 500mg
Most common cause of lack of attrached gingiva in children labial eruption
Cleft lip epidemiology 1. Male 2. Mostly occurs on the left side
Cleft palate epidemiology 1. More common in female
Cleft palate and lip occurs during 1. Cleft lip – 4-5 weeks in utero 2. Cleft palate – 9 weeks in utero
Oral manifest of erythroblastosis fetalis blue green color teeth
When is appropriate time for first dental visit within 6 months of tooth eruption
Herpes vs apthous ulcer in terms of location 1. herpes – attached tissue 2. Apthous ulcer – unattached mucosa
Severe hypothyroidism in child cretinism
Cretinism sever hypothyroidism in child
What med used for seizure (status epilepticus) diazepam
Min thickness of cavity liner 15mm
What area should be avoided for IM injection before child can walk gluteal muscle
Adrenal insufficiency can lead to cardiovascular collapse
Digioxin intoxication leads ot V fib
Character and individulatity of teeth largely determined by surface texture
T or F: posterior crossbite should be fixed before eruption of 1st permanent molar T. should be corrected ASAP before eruption of permanent 1st molar
Tx of overdose of TCA give physostigmine
MOA of tetracycline inhibit protein synthesis
Toxic impurity in nitrous oxide nitric oxide
Sign of morphine poisoning pin point pupil
Phenytoin used for (2) 1. Epilepsy 2. Arrythemia
Prolonged use of amyl nitrite results in methemoglobinemia
Cardiac glycoside will reduce conct of what ion potassium
Cast gold resto might be indicated for replacement of Ag to obtain more ideal contour
During soldering procedure, flux serves to displace gases and dissolve corrosion product
Excessive heating of acrylic resin during process results in evaporation of monomer
Diabetic pt receiving LA and sedation for dental tx should be instructed to reduce the usual dose of insulin and not eat
Most antidepressant work by inhibiting serotonin reuptake (SSRI)
How does diazepam work GABA agonist
Antidote for midozalam flumanezil
Flumanezil reversal of benzodiazepine
How do azole antifungals work inhibit ergosterol synthesis (cell wall)
What supplement do you prescribe with diuretic K+
Carbidopa is used for parkinson’s
Sulfonylurea given to __ and it acts by __ 1. DM1 2. Increase insulin release from beta cells in pancreas
When is atropine given before GA to stop secretion in respiratory tract (anti-cholinergic)
Morphine works on what receptor mu (u) receptor
What drugs attach to mu receptor opioid
Antifungals given as troche nystatin and clotrimazole
Antifungal given systemically fluconazole
Warfarin acts on what factors vit K dependent (2, 7, 9, 10)
Max dose of lido w/o epi and w epi 1. w/o = 4.4mg/kg 2. W = 7mg/kg
What is therapeutic index safety of drug (LD50/ED50), higher = safer
Which antidepressant has least effect on CNS depression chlorohydrate
What is st. johns wart used for antidepressant
What is succinylcholine used for with GA to relax muscle to facilitate endotracheal intubation
Mech of TCA inhibit reuptake of NE
Which antibiotic should be used for localized aggressive period z tetracycline (b/c conc’t high in crevicular fluid)
Most common complication of GA hypoxia
What schedule of drug does oxycodone fall under schedule 2
What drug used for petite mal seizure valproic acid ad ethosuximide
Valproic acid used for petite mal seizure
Meperidine antagonist naloxone (opioid antagonist)
Antihistamine w/o sedating effect fexofenadine
NSAID least likely to interfere w platelet celecoxib
cleft palate + retrognnathic mandible + micrognathia pier robins syndrome
sx of pier robins syndrome cleft palate + retrognnathic mandible + micrognathia
Pink tooth is pathognmoic for internal resorption
Prim tooth that’s most commonly retained mandibular 1st molar
First perm tooth to calcify mand 1st molar
Which primary molar does not resemble any perm molar prim 1st mand molar
Phenomenon whereby various light sources produce different perception of color metamerism
Shrinkage porosity in gold casting is associated with sprue diameter
What kind of amalgam requires large condenser and laterally applied condensation forces spherical
Most likely cause of failure in pre-ceramic soldering technique overheating the parts to be joined
Wrt temperature, the processing cycle of a denture is designed to prevent boiling of monomer
Casting shrinkage of cobalt chromium alloy is 2.2%
Heparin inhibits conversion of fibrinogen to fibrin
How can setting of ZOE be accelerated by adding water
What is condition where pulp horns are big and extended to roots taurodontism
Ab that cannot be used with alcohol metronidazole
First tooth to be lost = mandibular incisor
How much epi is given to pt with anaphylaxis shock 0.3mg
Guided tissue regeneration is used to _ fix vertical bony defect
Top of implant is how far away from adjacent tooth CEJ 2-3mm
What type of tooth fx will alow complete transillumination of crown craze line
In kids 6-8 yo what prevents caries most sealant
Which pulp horn in children are most susceptible to exposure mesial horn of prim molar
What do you do if FDP doesn’t seat all the way seat and index
How long does aspirin work for 7-10 days
What receptor does retraction cord solution work on alpha 1
Implants should be how far from each other 3mm at least
What drug causes mydriasis atropine
How much fluoride to give to child ped A
Metamerism light sources produce different perceptions of color
Advantage of phenytoin over phenobarbital in tx of seizure it exerts less sedation for a given degree of motor cortex depression
Main function of liner used in casting ring allow uniform and uninhibited setting expansion of investment
What drug (used for grand mal seizure) results in convulsion when physically depent person is withdrawn pentobarbital
Why is lingual rest better than incisal rest on canine less leverage is exerted against the tooth by lingual rest
Most potent antitubercular drug isoniazid
Prim tooth calcif begins PEDS A
Created by: jhpark87
 

 



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