Pedodontics Exam Questions With Complete Solutions
Familiarization is a psychological behavior management
technique meant to help children relax while inside the dental
clinic.
Familiarization is a no-treatment dental visit with an emphasis
on introducing the dental setting and the common instruments
that are used in the clinic in order to remove the fear from the
pediatric patients.
Familiarization demonstrates the dental instruments and that
there is not anything to fear by their use in the child's mouth.
Correct Answers Patients suffering from adrenal insufficiency
are at risk of cardiovascular collapse when subjected to highly
stressful situations.
Adrenal insufficiency occurs when the adrenal glands produce
insufficient amounts of steroid hormones like cortisol and
aldosterone.
Cortisol stimulates gluconeogenesis in the liver. Cortisol also
helps maintain normal blood pressure during stressful situations
and creates additional energy to cope up with such stress.
Cortisol increases blood pressure by increasing the vasculature
sensitivity to epinephrine and norepinephrine which stimulate
cardiac output.
,Continuous low cortisol levels during stressful events, contribute
a lower cardiac output and low blood pressure that could
eventually lead to cardiovascular collapse.
1.5 - 2 year calcification? Correct Answers First PM
10 months calcification? Correct Answers Maxillary LI
3-4 months calcification?! Correct Answers Maxillary central
incisor
Mandibular CI & LI
4-5 months calcification?! Correct Answers Maxillary &.
Mandible CANINE
6 year old teeth in mouth? Correct Answers 20 primary
4 permanent MOLARS
7 year old teeth?! Correct Answers 18 primary
6 permanent
8 year old patient presents with a small pulp exposure on
permanent maxillary left central incisor results in fracture of
tooth. Injury is 1 hour old and cf and rf are normal. What is the
indicated course of therapy?! Correct Answers Since small
pulp exposure of recent duration (<2 hrs )
Treatment of choice is
Direct pulp capping and proceed with GIC
,PARTIAL PULPOTOMY THERAPY is indicated in cases
where the exposure is of LONGER DURATION ( longer than 2
hrs )
A 10-year-old patient presents to your office with a 2.5mm
diastema and a low attached maxillary labial frenum. Which of
the following is the best option for this patient? Correct
Answers Diastemas in between maxillary central incisors
normally occur during the mixed dentition stage.
Eruption of maxillary canines in children ranging from age 11 to
12 usually will close the diastema between the maxillary central
incisors.
Frenectomy will be indicated if the maxillary canines had
already erupted and were unable to close the diastema due to a
lowly attached or fibrous maxillary labial frenum.
A 14-year-old boy presents to the dentist's office stating that an
area of his left anterior mandible has been slowly and
progressively growing over the last two years. Radiographs
reveal a radiolucent lesion 2 cm in diameter with a ground glass
appearance. Which of the following represents the most
probable diagnosis? Correct Answers Fibrous dysplasia is an
abnormal bone growth condition where normal bone is replaced
with fibrous bone tissue, causing a "ground glass" appearance
radiographically. The bones of the skull, thigh, shin, ribs, upper
arm, and pelvis are most commonly affected. Seventy percent of
cases are monostotic and involve one bone. The condition
occurs 50% more frequently in the mandible than in the maxilla.
, Radiographic features include the following:
Usually unilocular
Radiopaque (usually) or radiolucent with a ground glass
appearance
Cortex thinned and may be displaced
Displaces anatomical structures and may or may not displace
teeth
Poorly defined with no corticated border
Loss of lamina dura
A 5-year-old presents to your office complaining of pain
associated with their primary mandibular 2nd molar.
Clinical testing suggests that the pulp is necrotic, and
radiographs reveal no periapical pathosis.
Of the following, which is the best treatment option for this
child? Correct Answers The spontaneous pain from a necrotic
pulp signifies the presence of infection inside the primary tooth
which can only be treated with a pulpectomy procedure.
Pulpectomy involves the complete removal of necrotic or
partially necrotic pulp and placement of medicaments inside the
cavity in order to avoid premature extraction of teeth.
Pulpectomy is indicated for primary teeth with infection and
inflammation that has already reached beyond the coronal aspect
of the pulp.
Teeth indicated for pulpectomy must also exhibit no pathologic
resorption along the alveolar bone and its roots.
Familiarization is a psychological behavior management
technique meant to help children relax while inside the dental
clinic.
Familiarization is a no-treatment dental visit with an emphasis
on introducing the dental setting and the common instruments
that are used in the clinic in order to remove the fear from the
pediatric patients.
Familiarization demonstrates the dental instruments and that
there is not anything to fear by their use in the child's mouth.
Correct Answers Patients suffering from adrenal insufficiency
are at risk of cardiovascular collapse when subjected to highly
stressful situations.
Adrenal insufficiency occurs when the adrenal glands produce
insufficient amounts of steroid hormones like cortisol and
aldosterone.
Cortisol stimulates gluconeogenesis in the liver. Cortisol also
helps maintain normal blood pressure during stressful situations
and creates additional energy to cope up with such stress.
Cortisol increases blood pressure by increasing the vasculature
sensitivity to epinephrine and norepinephrine which stimulate
cardiac output.
,Continuous low cortisol levels during stressful events, contribute
a lower cardiac output and low blood pressure that could
eventually lead to cardiovascular collapse.
1.5 - 2 year calcification? Correct Answers First PM
10 months calcification? Correct Answers Maxillary LI
3-4 months calcification?! Correct Answers Maxillary central
incisor
Mandibular CI & LI
4-5 months calcification?! Correct Answers Maxillary &.
Mandible CANINE
6 year old teeth in mouth? Correct Answers 20 primary
4 permanent MOLARS
7 year old teeth?! Correct Answers 18 primary
6 permanent
8 year old patient presents with a small pulp exposure on
permanent maxillary left central incisor results in fracture of
tooth. Injury is 1 hour old and cf and rf are normal. What is the
indicated course of therapy?! Correct Answers Since small
pulp exposure of recent duration (<2 hrs )
Treatment of choice is
Direct pulp capping and proceed with GIC
,PARTIAL PULPOTOMY THERAPY is indicated in cases
where the exposure is of LONGER DURATION ( longer than 2
hrs )
A 10-year-old patient presents to your office with a 2.5mm
diastema and a low attached maxillary labial frenum. Which of
the following is the best option for this patient? Correct
Answers Diastemas in between maxillary central incisors
normally occur during the mixed dentition stage.
Eruption of maxillary canines in children ranging from age 11 to
12 usually will close the diastema between the maxillary central
incisors.
Frenectomy will be indicated if the maxillary canines had
already erupted and were unable to close the diastema due to a
lowly attached or fibrous maxillary labial frenum.
A 14-year-old boy presents to the dentist's office stating that an
area of his left anterior mandible has been slowly and
progressively growing over the last two years. Radiographs
reveal a radiolucent lesion 2 cm in diameter with a ground glass
appearance. Which of the following represents the most
probable diagnosis? Correct Answers Fibrous dysplasia is an
abnormal bone growth condition where normal bone is replaced
with fibrous bone tissue, causing a "ground glass" appearance
radiographically. The bones of the skull, thigh, shin, ribs, upper
arm, and pelvis are most commonly affected. Seventy percent of
cases are monostotic and involve one bone. The condition
occurs 50% more frequently in the mandible than in the maxilla.
, Radiographic features include the following:
Usually unilocular
Radiopaque (usually) or radiolucent with a ground glass
appearance
Cortex thinned and may be displaced
Displaces anatomical structures and may or may not displace
teeth
Poorly defined with no corticated border
Loss of lamina dura
A 5-year-old presents to your office complaining of pain
associated with their primary mandibular 2nd molar.
Clinical testing suggests that the pulp is necrotic, and
radiographs reveal no periapical pathosis.
Of the following, which is the best treatment option for this
child? Correct Answers The spontaneous pain from a necrotic
pulp signifies the presence of infection inside the primary tooth
which can only be treated with a pulpectomy procedure.
Pulpectomy involves the complete removal of necrotic or
partially necrotic pulp and placement of medicaments inside the
cavity in order to avoid premature extraction of teeth.
Pulpectomy is indicated for primary teeth with infection and
inflammation that has already reached beyond the coronal aspect
of the pulp.
Teeth indicated for pulpectomy must also exhibit no pathologic
resorption along the alveolar bone and its roots.
