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CDCA OSCE EXAM | CERTIFIED QUESTIONS WITH
CORRECT DETAILED ANSWERS yes place in milk of hanks balanced salt solution
t/f; traumatic ulcer can occur after tooth extraction? ill fitting dentures -correct-
Name of pathology: Patient returns 48-72 hours after extraction with pain and
answer-true and true
fetid odor?
TX: (3)? -correct-answer-fibrinolytic alveolar osteotitis (dry socket or local osteitis)
t/f? prophy teeth after extraction to reduce plaque and bacteria? -correct-answer-
false before extraction allow better healing of tissue during post surgery healing
tx is to irrigate extraction site and treat with iodonform gauze and eugenol.
If a patient takes asprin after reviewing thier medical history, they may have
Patient presents with a blood clot after extraction (post surgical sequela) Most excessive ____ after extraction -correct-answer-excessive bleeding
likely a ___ clot.
Tx:? (3) -correct-answer-liver clot
A patient taking coumadin requires a tooth extraction. What test are needed? -
correct-answer-PTT and INR
remove with curette, apply pressure, and reassess
Normal PT/INR -correct-answer-PT: 10-13s (greater than or equal to 2.5)
if a PERMENANT tooth is avulsed, INR: <1.2 (less than or equal to 3.5)
1. scrub clean?
2. place in milk of hanks balanced salt solution? -correct-answer-do not scrub
clean, will kill cells
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After SRP, you would typically find reduciton in inflammation and ___-___mm name type of treatment: treatment is SRP and place gingival graft and is V shaped
probing depth (pocket reduction) -correct-answer-1-2mm ? -correct-answer-Stillmans cleft
A 6-7mm pocket with continued BOP depsite good oral hygiene and root planning The common goal of flap surgery is toe access ___ for ___ to allow pocket
would result from ______ or ____ -correct-answer-retained subginval bacteria or elimination -correct-answer-access roots for debridement to allow pocket
calculus elimination
The best way to detemrine if a ptients periodontal condition is stable is if there is healing of what type of epithelum occurs after raising a flap? -correct-answer-long
______. -correct-answer-no increase in pocket depth junctional epithelium
What are the two most significant factors that influence the course of periodontal The normal width of kertatinized gingiva in the mandibular anterior region is ? -
disease ? -correct-answer-furcation involvement and pocket depth correct-answer-3-4mm
Best (inital and most effective ) treatment of ANUg is ? -correct-answer-SRP Drugs like Naproxene, penicllin, and Asprin ________pocket depth. Tetracyclines
(debridement) (arestin) _____ pocket depth in conjunction with SRP -correct-answer-do not
increase pocket depth
can increase pocket depth in conjunction with srp
t/f: ANUG can cause foul(bad breath) -correct-answer-true
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Measurement in millimeters of the depth from the gingival margin to the
epithelial attachment in unhealthy gingival tissue is the ____? -correct-answer-
Class III/IV: success is limited, tunnerlizaiton is used to created a tunnel throug
pocket depth
hthe furcaiton to allow an interproximal brush to clean th efurcation. Greater than
2mm with Nabers probe. Goes through the enter width of the tooth so no bone is
attached to the angle of the furcation
distance from the free ginval margin to the cej of the tooth measures? -correct-
answer-recession
Furcation involvement
Furcation involvement: Measured with what instrument -correct-answer-A loss of alveolar bone and
periodontal ligament fibers in the space between the roots of a multirooted tooth
Class I tx? Pocket depth?
Nabers probe
Class II tx? Pocket depth?
Furcation involvment with worst prognosis? (1)
Class III tx? Pocket depth?
Best prognsisis (2)
Class IV tx? Pocket depth?
limited prognosis:(2) -correct-answer-grade 4: worst
Class V tx? Pocket depth? -correct-answer-class I: treated with scrp, less than
3mm depth
1/2 best
class II; SRP followed by Guided tissueregernation with bone graft and membraine
barrier to prevent epithelial migration into the furcaito and allow bone migration,
3/4 limited
idfferntiaion, an matureation of the area. At least 3mm depth
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furcation involvment
patient hygiene and compliance
Goal of GTR is to use __ membrane to direct grown of new ____ -and ___ in
deficient areas to promote regeneration of the PDL, cemental attachment and
alveolar bone. Used after extractions of bony defects -correct-answer-BARRIER
MEMBRANES To maintain ginigval health when making a temporary crown, you should ___ -the
crown -correct-answer-undercontour, make sure its not too bulky
BONE AND GINGIVAL TISSUE
patient resturnes to the office 4 weeks after SrP and still 4mm pocket prosent.
Treatment ? -correct-answer-SRP again ? talk to Dr. Inniss about this
____ is a protein cytokine activated by macrophaes and neutrophils that
proceduces periodontail inflammation -correct-answer-interluekin 1 (IL-1)
Pain on release of biting is a symptom of ____ syndrome? -correct-answer-root
fracture syndrome
Oclcusal trauma can contribute to periodontal disease by causing a ____ of the
___and ______ along with mobile teeth -correct-answer-widening of the PDL
bone resorption
at tooth with a horizontal root fracture at the coronal third may need to be
treated with either (2)? -correct-answer-reducing the fractured portion of the
tooth and splinting it to ajdent teeth to immobolize the tooth
t/f: stain on the lingual surface of manibular teeth is primarly caused by
periodontal disease ? -correct-answer-false , by extrnsic staining from diet and
RCT
medication
dentoalveolar fractures are caused by __ _and be treated with RCT -correct-
Name 3 things that affect periontial progress? -correct-answer-pocket depth
answer-trauma
CDCA OSCE EXAM | CERTIFIED QUESTIONS WITH
CORRECT DETAILED ANSWERS yes place in milk of hanks balanced salt solution
t/f; traumatic ulcer can occur after tooth extraction? ill fitting dentures -correct-
Name of pathology: Patient returns 48-72 hours after extraction with pain and
answer-true and true
fetid odor?
TX: (3)? -correct-answer-fibrinolytic alveolar osteotitis (dry socket or local osteitis)
t/f? prophy teeth after extraction to reduce plaque and bacteria? -correct-answer-
false before extraction allow better healing of tissue during post surgery healing
tx is to irrigate extraction site and treat with iodonform gauze and eugenol.
If a patient takes asprin after reviewing thier medical history, they may have
Patient presents with a blood clot after extraction (post surgical sequela) Most excessive ____ after extraction -correct-answer-excessive bleeding
likely a ___ clot.
Tx:? (3) -correct-answer-liver clot
A patient taking coumadin requires a tooth extraction. What test are needed? -
correct-answer-PTT and INR
remove with curette, apply pressure, and reassess
Normal PT/INR -correct-answer-PT: 10-13s (greater than or equal to 2.5)
if a PERMENANT tooth is avulsed, INR: <1.2 (less than or equal to 3.5)
1. scrub clean?
2. place in milk of hanks balanced salt solution? -correct-answer-do not scrub
clean, will kill cells
,3|Page 4|Page
After SRP, you would typically find reduciton in inflammation and ___-___mm name type of treatment: treatment is SRP and place gingival graft and is V shaped
probing depth (pocket reduction) -correct-answer-1-2mm ? -correct-answer-Stillmans cleft
A 6-7mm pocket with continued BOP depsite good oral hygiene and root planning The common goal of flap surgery is toe access ___ for ___ to allow pocket
would result from ______ or ____ -correct-answer-retained subginval bacteria or elimination -correct-answer-access roots for debridement to allow pocket
calculus elimination
The best way to detemrine if a ptients periodontal condition is stable is if there is healing of what type of epithelum occurs after raising a flap? -correct-answer-long
______. -correct-answer-no increase in pocket depth junctional epithelium
What are the two most significant factors that influence the course of periodontal The normal width of kertatinized gingiva in the mandibular anterior region is ? -
disease ? -correct-answer-furcation involvement and pocket depth correct-answer-3-4mm
Best (inital and most effective ) treatment of ANUg is ? -correct-answer-SRP Drugs like Naproxene, penicllin, and Asprin ________pocket depth. Tetracyclines
(debridement) (arestin) _____ pocket depth in conjunction with SRP -correct-answer-do not
increase pocket depth
can increase pocket depth in conjunction with srp
t/f: ANUG can cause foul(bad breath) -correct-answer-true
,5|Page 6|Page
Measurement in millimeters of the depth from the gingival margin to the
epithelial attachment in unhealthy gingival tissue is the ____? -correct-answer-
Class III/IV: success is limited, tunnerlizaiton is used to created a tunnel throug
pocket depth
hthe furcaiton to allow an interproximal brush to clean th efurcation. Greater than
2mm with Nabers probe. Goes through the enter width of the tooth so no bone is
attached to the angle of the furcation
distance from the free ginval margin to the cej of the tooth measures? -correct-
answer-recession
Furcation involvement
Furcation involvement: Measured with what instrument -correct-answer-A loss of alveolar bone and
periodontal ligament fibers in the space between the roots of a multirooted tooth
Class I tx? Pocket depth?
Nabers probe
Class II tx? Pocket depth?
Furcation involvment with worst prognosis? (1)
Class III tx? Pocket depth?
Best prognsisis (2)
Class IV tx? Pocket depth?
limited prognosis:(2) -correct-answer-grade 4: worst
Class V tx? Pocket depth? -correct-answer-class I: treated with scrp, less than
3mm depth
1/2 best
class II; SRP followed by Guided tissueregernation with bone graft and membraine
barrier to prevent epithelial migration into the furcaito and allow bone migration,
3/4 limited
idfferntiaion, an matureation of the area. At least 3mm depth
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furcation involvment
patient hygiene and compliance
Goal of GTR is to use __ membrane to direct grown of new ____ -and ___ in
deficient areas to promote regeneration of the PDL, cemental attachment and
alveolar bone. Used after extractions of bony defects -correct-answer-BARRIER
MEMBRANES To maintain ginigval health when making a temporary crown, you should ___ -the
crown -correct-answer-undercontour, make sure its not too bulky
BONE AND GINGIVAL TISSUE
patient resturnes to the office 4 weeks after SrP and still 4mm pocket prosent.
Treatment ? -correct-answer-SRP again ? talk to Dr. Inniss about this
____ is a protein cytokine activated by macrophaes and neutrophils that
proceduces periodontail inflammation -correct-answer-interluekin 1 (IL-1)
Pain on release of biting is a symptom of ____ syndrome? -correct-answer-root
fracture syndrome
Oclcusal trauma can contribute to periodontal disease by causing a ____ of the
___and ______ along with mobile teeth -correct-answer-widening of the PDL
bone resorption
at tooth with a horizontal root fracture at the coronal third may need to be
treated with either (2)? -correct-answer-reducing the fractured portion of the
tooth and splinting it to ajdent teeth to immobolize the tooth
t/f: stain on the lingual surface of manibular teeth is primarly caused by
periodontal disease ? -correct-answer-false , by extrnsic staining from diet and
RCT
medication
dentoalveolar fractures are caused by __ _and be treated with RCT -correct-
Name 3 things that affect periontial progress? -correct-answer-pocket depth
answer-trauma
