DSE Remembered Questions, DSE, ADEX Review, CDCA Already Passed

The radiograph I thought was ghost teeth Amelogenesis Imperfecta Purpose of dialysis Remove potential toxicities from blood IL-1 Inflammatory cytokine Cyclosporine Immunosuppressant used in transplant patients. Causes gingival hyperplasia Periodontal disease and diabetes Glucose level increased Cause for cement failure Increased solubility Before trimming teeth on stone cast for immediate denture, you must Mark a line 3 mm above the free gingival margin What analgesic can be safely given to someone w/kidney disease Tylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin Patients on dialysis. Where do you take their blood pressure? Not on the side where the shunt was placed for dialysis How do you prevent syncope Trendelenburg position How do you treat syncope Trendelenburg position. If breathing present, crush ammonia ampule under nose and admin oxygen. If no breathing, start BLS Best position of a finish line on a short clinical crown Subgingival? Or At gingival margin? Child with fibrous dysplasia, what do you do next Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic concern. For children, surgical intervention should be delayed for as long as possible The radiograph I thought was ghost teeth Amelogenesis Imperfecta Purpose of dialysis Remove potential toxicities from blood IL-1 Inflammatory cytokine Cyclosporine Immunosuppressant used in transplant patients. Causes gingival hyperplasia Periodontal disease and diabetes Glucose level increased Cause for cement failure Increased solubility Before trimming teeth on stone cast for immediate denture, you must Mark a line 3 mm above the free gingival margin What analgesic can be safely given to someone w/kidney disease Tylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin Patients on dialysis. Where do you take their blood pressure? Not on the side where the shunt was placed for dialysis How do you prevent syncope Trendelenburg position How do you treat syncope Trendelenburg position. If breathing present, crush ammonia ampule under nose and admin oxygen. If no breathing, start BLS Best position of a finish line on a short clinical crown Subgingival? Or At gingival margin? Child with fibrous dysplasia, what do you do next Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic concern. For children, surgical intervention should be delayed for as long as possible Contraindication for patient w/hyperthyroid Epinephrine Facial reduction for PFM crown 1.5 mm Can transillumination be used to identify cracks? yes Can pocket depth be determined from xray? No Patient with tenderness anterior to earlobe Inflammation of Stensons duct A patient has diabetes. He forgot to take insulin but ate a good breakfast. If you gave him sugar, what would happen Patient would get worse After sc/rp, patient notices more spaces between teeth. Why? Decreased swelling of gingival x-ray with herring bone effect. Whats wrong? Film placed backwards (I had the static electricity example) What film requires least amount of radiation E speed How much epi can you give a patient with BP 160/110 None! Don't give tx. Refer to physician Type of pontic to replace a premolar Modified ridge lap pontic (I had the "primarily esthetic requirement") Patient with history of slow growing mandible for 10 years Hyperpituitarism Patient w/history of weight gain, deepening voice, dry skin Hypothyroidism Exopthalmos Hyperthyroidism Treatment of addisons Corticosteroid replacement therapy Recurrent ulcers that heal with scarring Major apthous ulcers Treatment of major apthae Corticosteroids Supernumerary teeth Gardners (clavicles present) or cleidocranial dysplasia Tx of mucocele Surgical removal Patient with terrible perio, when should immediate denture be constructed After perio intervention Why porcelain teeth should never appose natural dentition Attrition Best teeth to oppose natural dentition Acrylic Clinical picture of 14 y.o. with inflamed gingival Leukemia Best way to communicate outcome with lab tech Diagnostic wax up Ideal amount of undercut required for circumferential clasp .01 inch Reason for gingivitis during pregnancy Pregnancy exaggerates gingival response to plaque. Due to increase in estrogen and progesterone Treatment of extra oral abscess which is non-odontogenic in origin. Hot compress Tx of ranula Surgical removal Patient with no hair, no teeth Ectodermal dysplasia Biopsy shows hyperkeratosis, dysplasia, no invasion Precancer hyperkeratosis ??? Tx for geographic tongue None Patient has a short crown. Which cement is best? Resin cement 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 Reason sealants fail Contamination Tx of candidiasis Nyastatin Tx of lichen planus corticosteroids If patient becomes unconscious, what do you check first Breathing CPR—placement of palm and fingers Palm on lower sternum, fingers on xiphoid process Are teeth vital in ameloblastomas? yes Sickle cell anemia Increase fatigue, increase in bone marrow space. Decreased trabeculation The following reduce radiation dose Rectangular collimation, E speed, higher kV or constant beam, lead apron, quality assurance program Static before processing can result in Dark spot or lines on x ray Identify thrombocytopenia (lab values with low platelets was not ANEMIA) Identify mucus retention cyst Radioopaque Normal blood values Platelets: 150,000-400,000 RBC: 4.6 -6.2 million Hg: 13 mg WBC: 9,700 Picture of max central and lateral. Why might bridge fracture? Bending of bridge Amalgam needs to be replaced. Whats ideal restoration Onlay (I put Crown) Treatment of mesiodens Surgical removal and ortho consult Why might a patient be taking lovastatin an vasotec? Lovastatin is cholesterol lowering Vasotec is antihypertensive Patient faints and is unconscious in chair. What do you do? Ensure open airway What radiograph to visualize sinus Waters view Purpose of try in for immediate dentures Verify occlusal relationship. Esthetics, When is reline of immediate denture performed by laboratory 6 months and 10 months When is alternate cast technique done After processing denture Advantage of immediate denture esthetics Should treatment be delayed in uncontrolled diabetic Of course! Identify retentive and bracing arm What causes loss of lamina dura Hyperpituitarism, hyperparathyroidism, osteomalacia, pagets, fibrous dysplasia Hyperemia of tooth Reddish dentin. Tooth appears dark Test for heparin vs warfarin Heparin: PTT Warfarin: PT and INR What antibiotic can cause red spots on the arm Penicillin Repeatedly adjusting clasps on RPD will cause clasp breakage due to Increased metal fatigue OR increased modulus of elasticity Syncope vs anaphlylaxis Syncope: loss of consciousness due to decreased oxygen flow Anaphylaxis: allergic reaction causing closure of airways The lab tech surveys which cast Master cast Distobuccal cusp of mand molar occludes with Central fossa Correction of recession on canine Lateral reposition flap/sliding flap Patient on long term tetracycline therapy. Returns complaining of burning tongue. Smear results are yeast and fungi. Whats treatment Clotrimazole Identify anemia based on lab values Hb less than 12.5 Symptoms of hyperpituitarism Excess hormones (gigantism, acromegaly, etc) Symptoms of MI Burning chest, numb arm, pain in jaw (NOT pounding heart) Treatment of bells palsy 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 premedicate her with? Erythromycin HIV patient with purple red lesion on ventral tongue Kaposi Treatment of dry socket 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_ Stopped at page 14 of journal document hudental2008@eth08 Fusion vs germination Fusion: two buds. Germination- one root Expired or aged film will appear To light Histo of fibroma Nodular mass of CT covered by squamous epi Full lower denture with over extended distobuccal flange causing denture to dislodge. What muscle is impinged? Masseter Coumadin test PT Tx of dentigerous cyst Surgical removal of cyst and tooth Sialolith is visible on xray. What duct is this? wartons You are having difficulty selecting shade for PFM. You should Decrease gray and decrease hue What are usual complications after insertion Working or non-working interference If you notice occlusial interference after insertion, when should you make adjustments? At insertion Best teeth to appose natural dentition Acrylic Patient had slow growing jaw for 10 years Hyperpituitarism 2nd molar below plane of occlusion Ankylosis Outcome of direct pulp cap would be better in young or old teeth? Young teeth After SC/RP, Long junctional epi is formed Purpose of palatal expander Corrects crossbite What is NOT an acceptable surface disinfectant? Alcohol based (phenol, chlorine, and iodine is acceptable) Ideal amount of undercut for circumferential clasp .010 What is effect of hydrocholorithiazide on a) periodontium b) complete denture a) no effect on periodontium b) decreased retention of complete denture bc of decreased salivation Composite to close diastema hybrid Clinical picture of gutta percha introduced to sinus tract. It does not go to apex Therefore it's a perio abscess Patient with tenderness anterior to earlobe. I/O exam reveals inflamm of stensons duct. What do you do Stimulate paratid gland checking for exudate Clinical picture of PM with enamel hyperplasia. What could this be caused by Trauma or infection of primary tooth Most stable impression material PVS Most accurate impression material Polyether then PVS Disadvantage of irreversible hydrocolloid dehydration Tooth to receive PFM crown is sensitive to cold. What is cement of choice Glass ionomer //polycarboxylate Size of post should not exceed 1/3 diameter of canal What type of fluoride should NOT be used by patient wearing PFM crowns Acidulated phosphate fluoride xray of patient with RCT on both centrals. Left central looks incompletely filled. Look closer for the vertical fracture Lab report of hyperkeratosis, dysplasia, no invasion Precancer hyperkeratosis Panorex—gasting rings ?? You are going to restore crown and down. The crown is 11 mm. how long will the down be? Not less than length of crown 11 mm Disadvantage of PFM over all ceramic Esthetics Disadvantage of all ceramic over PFM Tooth reduction Post op sensitivity due after crown placement Leakage of microorganisms?/ Most injurious cement to pulp Zinc phosphate ( I put GI for the C2 restoration) Reason for cement failure Solubility