CDCA OSCE COMPLETE ANSWER GUIDE
◉ Patient presents with blue sclera, what are some dental findings
you would expect to find?
Answer: Very common extraoral finding for dentinogenesis
imperfecta
- Teeth typically present as discolored and translucent giving an
opalescent appearance
◉ What are some symptoms of hyperthyroid?
Answer: - Weight loss
- Goiter
- Excitability (Nervous/anxious)
- Tachycardia
- Exophthalmos
- Tremors
- Sweating
NOT FATIGUE
◉ What are some symptoms of hypothyroid?
Answer: - Fatigue
,- Weakness
- Weight gain
- Coarse
- Dry hair/skin
- Cold intolerance
◉ What is the minimum axial reduction for a crown?
Answer: Axial reduction = 1.5 mm
◉ Replacing #9 crown question (WEIRD WORDING), what is incisal
reduction?
Answer: 2 mm occlusal reduction
◉ What is the maximum amount of unsupported porcelain allowed?
Answer: 2 mm
◉ What is the treatment for acute necrotizing ulcerative gingivitis
(ANUG)?
Answer: Debridement
- Also incorporate OHI, mouth rinse, pain meds and antibiotics as
necessary
,◉ What is the treatment for gingival hyperplasia?
Answer: Gingivectomy
◉ Patient presents with liver clot, what is the ideal treatment plan?
Answer: Liver clot = Dark red, jelly-like clot that slowly oozes from
EXT sockets
Tx = Irrigate, apply pressure and reassess
◉ Is it better to overcontour or undercontour temporary crowns to
promote gingival health?
Answer: Undercontoured (not enough material) because it allows
for better plaque control and won't impinge on the gingiva
◉ **Pt Photo**
Pt presents with multiple crowns on upper and lower teeth and asks
what's wrong?
1) Impingement on gums/gum health
2) Overjet
3) Overbite
4) Improper contour of crowns
Answer: Impingement of gums/Gum health
, ◉ Pt presents with pain associated with swallowing when wearing
their denture. What is the issue?
Answer: Overextension of the lingual flanges
- Specifically in DL flange which can impinge the superior
pharyngeal constrictor --> Sore throat when swallowing
◉ Pt presents with space between 3rd molar and premolar, with the
3rd molar exhibiting class II mobility. What is the ideal treatment
plan for fixing space?
Answer: Implant
◉ Pt presents with:
- Missing teeth #2 + #3
- Class III mobility on #1
- Furcation involvement of #1
What is the ideal treatment plan?
Answer: - EXT #1 since hopeless prognosis
- Implant for #2 +/- #3 based on pt preference and desired occlusion
◉ If you cannot pick a color for a crown, what should you do?
◉ Patient presents with blue sclera, what are some dental findings
you would expect to find?
Answer: Very common extraoral finding for dentinogenesis
imperfecta
- Teeth typically present as discolored and translucent giving an
opalescent appearance
◉ What are some symptoms of hyperthyroid?
Answer: - Weight loss
- Goiter
- Excitability (Nervous/anxious)
- Tachycardia
- Exophthalmos
- Tremors
- Sweating
NOT FATIGUE
◉ What are some symptoms of hypothyroid?
Answer: - Fatigue
,- Weakness
- Weight gain
- Coarse
- Dry hair/skin
- Cold intolerance
◉ What is the minimum axial reduction for a crown?
Answer: Axial reduction = 1.5 mm
◉ Replacing #9 crown question (WEIRD WORDING), what is incisal
reduction?
Answer: 2 mm occlusal reduction
◉ What is the maximum amount of unsupported porcelain allowed?
Answer: 2 mm
◉ What is the treatment for acute necrotizing ulcerative gingivitis
(ANUG)?
Answer: Debridement
- Also incorporate OHI, mouth rinse, pain meds and antibiotics as
necessary
,◉ What is the treatment for gingival hyperplasia?
Answer: Gingivectomy
◉ Patient presents with liver clot, what is the ideal treatment plan?
Answer: Liver clot = Dark red, jelly-like clot that slowly oozes from
EXT sockets
Tx = Irrigate, apply pressure and reassess
◉ Is it better to overcontour or undercontour temporary crowns to
promote gingival health?
Answer: Undercontoured (not enough material) because it allows
for better plaque control and won't impinge on the gingiva
◉ **Pt Photo**
Pt presents with multiple crowns on upper and lower teeth and asks
what's wrong?
1) Impingement on gums/gum health
2) Overjet
3) Overbite
4) Improper contour of crowns
Answer: Impingement of gums/Gum health
, ◉ Pt presents with pain associated with swallowing when wearing
their denture. What is the issue?
Answer: Overextension of the lingual flanges
- Specifically in DL flange which can impinge the superior
pharyngeal constrictor --> Sore throat when swallowing
◉ Pt presents with space between 3rd molar and premolar, with the
3rd molar exhibiting class II mobility. What is the ideal treatment
plan for fixing space?
Answer: Implant
◉ Pt presents with:
- Missing teeth #2 + #3
- Class III mobility on #1
- Furcation involvement of #1
What is the ideal treatment plan?
Answer: - EXT #1 since hopeless prognosis
- Implant for #2 +/- #3 based on pt preference and desired occlusion
◉ If you cannot pick a color for a crown, what should you do?
