OSCE (DSE) Graded A
True/False and Key Points
1. Nifedipine Causes Gingival Hyperplasia: ✔️ True
2. Calcium Channel Blockers:
- Amlodipine
- Diltiazem
- Verapamil
- "Dipines"
3. Dilantin (Phenytoin): Anti-convulsant
4. Cyclosporine: Immunosuppressant
---
### Clinical Scenarios and Responses
5. Large Space Between Teeth (#11 and #12):
- What to do? ✔️ Leave it alone.
6. Cauliflower Nodule on Dorsal Tongue:
- Diagnosis: ✔️ Papilloma.
- Treatment for Mucocele: ✔️ Excise with salivary gland remnants.
7. Problem with Resin Bonded Bridges: ✔️ Debonding.
,8. Treatment Timing After Hepatitis A/Jaundice: ✔️ 1 week.
9. Allergic Reaction to Barbiturate on Lip:
- What to give? ✔️ Antihistamines (Benadryl).
10. Patient Not Liking Canine and Premolar Appearance:
- Diagnosis: ✔️ Hypoplasia.
11. Facial Erosion on Teeth Cause: ✔️ Acidic beverages.
12. Amelogenesis Imperfecta X-ray Findings: ✔️ (Additional research may be needed.)
---
### Dental Findings Associated with Conditions
13. Blue Sclera and Dental Findings: ✔️ Dentinogenesis Imperfecta.
- Characteristics:
- Short roots
- Bulbous bell crowns
- Obliterated pulps
- Blue sclera
14. Hyperthyroid Symptoms (Exclusion):
- Correct Answer: ✔️ Fatigue.
15. Minimum Axial Reduction for Crown: ✔️ 1.5 mm.
,16. Replacing #9 Crown Measurement: ✔️ 2 mm.
17. Maximum Unsupported Porcelain Allowed: ✔️ 2 mm.
18. Cyclosporine and Gingival Hyperplasia: ✔️ True.
---
### Treatment Protocols
19. Most Important Treatment for ANUG: ✔️ Debridement. (Antibiotics may be considered if
debridement cannot be done.)
20. Treatment for Gingival Hyperplasia: ✔️ Gingivectomy.
21. Patient Presents with Liver Clot: ✔️ Irrigate, apply pressure, reassess.
22. Temporary Crown Contouring for Gingival Health: ✔️ Undercontour.
23. Upper and Lower Crowns Patient Issue: ✔️ Impingement on gums/gum health. (Other choices
included incorrect overjet/overbite, improper contour of crowns.)
24. Denture-Related Pain on Swallowing: ✔️ Overextension of lingual flange.
---
### Treatment Decisions and Dental Materials
25. Space Between Premolar and 3rd Molar with Class 2 Mobility: ✔️ Implant.
, 26. Missing #2 and #3; Class 3 Mobility on #1 Treatment Plan: ✔️ Extract #1 and consider implant for #3
or #2 & #3.
27. Crown Color Selection Challenge: ✔️ Choose something with lower shade saturation and less gray.
- Definitions:
- Chroma = saturation
- Value = gray level (bright/dark)
- Hue = color
28. Worst Place for Implant: ✔️ Maxillary posterior.
29. Best Place for Implant: ✔️ Mandibular posterior or anterior.
30. Best Long-Term Prognosis for an Implant: ✔️ Mandibular posterior or anterior.
31. Worst Cement for Deep Restoration: ✔️ Zinc phosphate.
32. BW X-ray of Tooth with Amalgam and Pain with Hot/Cold: ✔️ Deep amalgam filling.
33. Leave Perio Pack Duration: ✔️ 1 week.
Picture of an epulis fissuratum. How do you treat this before making a new denture? ✔️Excision.
[Other answer choices: Apply tissue conditioner, leave lesion alone, prescribe antibiotics]
Reason for perio flap? ✔️Access for instrumentation
Maxillary tori in denture patient. What do you do before making a new denture? ✔️Remove it
True/False and Key Points
1. Nifedipine Causes Gingival Hyperplasia: ✔️ True
2. Calcium Channel Blockers:
- Amlodipine
- Diltiazem
- Verapamil
- "Dipines"
3. Dilantin (Phenytoin): Anti-convulsant
4. Cyclosporine: Immunosuppressant
---
### Clinical Scenarios and Responses
5. Large Space Between Teeth (#11 and #12):
- What to do? ✔️ Leave it alone.
6. Cauliflower Nodule on Dorsal Tongue:
- Diagnosis: ✔️ Papilloma.
- Treatment for Mucocele: ✔️ Excise with salivary gland remnants.
7. Problem with Resin Bonded Bridges: ✔️ Debonding.
,8. Treatment Timing After Hepatitis A/Jaundice: ✔️ 1 week.
9. Allergic Reaction to Barbiturate on Lip:
- What to give? ✔️ Antihistamines (Benadryl).
10. Patient Not Liking Canine and Premolar Appearance:
- Diagnosis: ✔️ Hypoplasia.
11. Facial Erosion on Teeth Cause: ✔️ Acidic beverages.
12. Amelogenesis Imperfecta X-ray Findings: ✔️ (Additional research may be needed.)
---
### Dental Findings Associated with Conditions
13. Blue Sclera and Dental Findings: ✔️ Dentinogenesis Imperfecta.
- Characteristics:
- Short roots
- Bulbous bell crowns
- Obliterated pulps
- Blue sclera
14. Hyperthyroid Symptoms (Exclusion):
- Correct Answer: ✔️ Fatigue.
15. Minimum Axial Reduction for Crown: ✔️ 1.5 mm.
,16. Replacing #9 Crown Measurement: ✔️ 2 mm.
17. Maximum Unsupported Porcelain Allowed: ✔️ 2 mm.
18. Cyclosporine and Gingival Hyperplasia: ✔️ True.
---
### Treatment Protocols
19. Most Important Treatment for ANUG: ✔️ Debridement. (Antibiotics may be considered if
debridement cannot be done.)
20. Treatment for Gingival Hyperplasia: ✔️ Gingivectomy.
21. Patient Presents with Liver Clot: ✔️ Irrigate, apply pressure, reassess.
22. Temporary Crown Contouring for Gingival Health: ✔️ Undercontour.
23. Upper and Lower Crowns Patient Issue: ✔️ Impingement on gums/gum health. (Other choices
included incorrect overjet/overbite, improper contour of crowns.)
24. Denture-Related Pain on Swallowing: ✔️ Overextension of lingual flange.
---
### Treatment Decisions and Dental Materials
25. Space Between Premolar and 3rd Molar with Class 2 Mobility: ✔️ Implant.
, 26. Missing #2 and #3; Class 3 Mobility on #1 Treatment Plan: ✔️ Extract #1 and consider implant for #3
or #2 & #3.
27. Crown Color Selection Challenge: ✔️ Choose something with lower shade saturation and less gray.
- Definitions:
- Chroma = saturation
- Value = gray level (bright/dark)
- Hue = color
28. Worst Place for Implant: ✔️ Maxillary posterior.
29. Best Place for Implant: ✔️ Mandibular posterior or anterior.
30. Best Long-Term Prognosis for an Implant: ✔️ Mandibular posterior or anterior.
31. Worst Cement for Deep Restoration: ✔️ Zinc phosphate.
32. BW X-ray of Tooth with Amalgam and Pain with Hot/Cold: ✔️ Deep amalgam filling.
33. Leave Perio Pack Duration: ✔️ 1 week.
Picture of an epulis fissuratum. How do you treat this before making a new denture? ✔️Excision.
[Other answer choices: Apply tissue conditioner, leave lesion alone, prescribe antibiotics]
Reason for perio flap? ✔️Access for instrumentation
Maxillary tori in denture patient. What do you do before making a new denture? ✔️Remove it
