DSE Questions and Answers with Complete Solutions

True T/F: Nifedipine causes gingival hyperplasia. Leave it alone Large space between 11 and 12. What do you do? a. Mini implant b. Do a bridge c. Leave it alone Papilloma on a tongue What is this and where? Excise with salivary gland remnants (surgical removal) How do you treat this? (Mucocele) Debonding What is the problem with resin bonded bridges? 1 week Hepatitis A/ Jaundice is fine to treat after how much time? Antihistamines (Benadryl) Allergic reaction found on the lip to barbiturate. What do you give? Hypoplasia Patient didn't like the look of their canine and premolar, and what is it? Acidic beverages Facial erosion on teeth can be due to Dentinogenesis imperfecta [Picture of blue sclera] What other dental findings should you see? 4. Fatigue Hyperthyroid symptoms are all except: 1. Exopthalmos 2. Tachycardia 3. Tremors of extremities 4. Fatigue (Look up other examples too) Amelogenesis imperfecta Xray What pathology is pictured in the xray? 1.5mm Minimum axial reduction for a crown is 2mm Replacing #9 crown. Which measurement is correct? (weird question with weird wording) 2mm What is the maximum amount of unsupported porcelain allowed? True T/F: Cyclosporine causes gingival hyperplasia Debridement Most important treatment for ANUG is Gingivectomy What is the treatment for gingival hyperplasia? Irrigate, apply pressure, reassess Patient presents with a liver clot. What is the treatment? Undercontour Would you rather overcontour or under contour the temporary crown to preserve gingival health b. Impingement on gums/gum health Picture of a patient with all crowns on upper and lower. What is wrong? a. incorrect overjet/overbite b. impingement on gums/gum health c. improper contour of crown Overextension of lingual flange Patient has pain on swallowing when wearing their denture, why? Implant Patient presents with space in between 3rd molar with class 2 mobility and premolar. What do you do to fix this? Extract #1 and either implant for #3 or #2 and #3. Patient missing #2 and #3. #1 has class 3 mobility and furcation involvement. What would be the optimal treatment plan? Something with lower shade saturation and less gray If you cannot pick a color for a crown what do you chose? Maxillary posterior Worst place for implant is Either mandibular posterior or anterior Best place for implant is Either mandibular posterior or anterior Best long term prognosis for an implant? Zinc phosphate Worst cement for deep restoration? Deep amalgam filling BW xray of a tooth with an amalgam and patient complained of pain when provoked by hot or cold. Why? 1 week Leave perio pack in for how long? Excision. Picture of an epulis fissuratum. How do you treat this before making a new denture? a. Apply tissue conditioner b. leave lesion alone c. excision d. prescribe antibiotics Access for instrumentation Reason for perio flap? Remove it Maxillary tori in denture patient. What do you do before making a new denture? Rigidity What does a major connector of a denture need? Weekly According to OSHA you need to check the autoclave with what frequency? Patient has no Ab's present HIV ELISA test was negative for a person who had a needle stick. What does that mean? Align the teeth for future restorative procedures (Not close upper and lower diastema) Ortho case- what was the most important thing they did in maxillary arch? Acetaminophen What pain reliever do you give to a patient who has kidney disease? Space for guideplane Picture of surveyor. Asked what we were looking at? Pulmonary Embolism What is a major complication of Phlebitis? Reduction in edema Patient complaining of space in between teeth after SRP. Why? Formation of long junctional epithelium 1-2 mm of reduction in probing depth after performing SRP. What is the cause? Right arm If a patient has a shunt on the left arm where do you take BP? Edema Picture of #10 and #11 lingual surface, what is wrong with the gingiva? No occlusion or mesial drifting premolars Space in between #29 and #30 in a very old patient with no #31 and #32 and barely occluding with #3. Why is this happening? Relieve until it seats Surgical stent fits the gums but immediate denture doesn't fit. What do you do? Primary herpetic stomatitis Picture of the bottom of the tongue with multiple white lesions. Stated that the patient had complaint of sore gums and tongue, fever of 101 degrees. What is most likely diagnosis? Palliative Treatment of Primary herpetic stomatitis b. HIV (Kaposi Sarcoma) Patient with purple lesions on palate and said they had similar lesions on body too. What is most probable cause? a. Sturge weber b. HIV (Kaposi Sarcoma) c. erythema multiforme Sjogren's Disease (xerostomia) What disease will effect wearing complete dentures the most? Major aphthous ulcer Lesion in the mouth that heals with a scar? Wharton's Duct (Submandibular Duct) Picture with an arrow pointing to a soft tissue mass on FOM. This is the opening of Corticosteroids (Would have picked "Nothing" but "Nothing" was not an option) Lichen planus is present on the tongue that was asymptomatic, asked what is the treatment? Lichen planus (but it also looked like leukoedema, cheek biting, etc. and all were answer choices) Picture of white things on buccal mucosa, and asked what it was. ???? Supernumerary tooth (maybe odontoma) periapical cemental dysplasia Panoramic xray with radiopacity underneath the mandibular incisors, asked what was it? Anaerobes Gingival edema is caused by Microleakage Post crown cementation sensitivity is due to Posterior occlusion Before you line a complete denture you must first establish: Semiprecision attachment? Picture of patient's maxilla with a FPD and RPD attached to it. Asked how they are attached?