STUDY, DSE Remembered Questions, DSE, ADEX Review, CDCA. All Questions and answers. 100% pass rate. Graded A+

STUDY, DSE Remembered Questions, DSE, ADEX Review, CDCA. All Questions and answers. 100% pass rate. Graded A+ Document Content and Description Below STUDY, DSE Remembered Questions, DSE, ADEX Review, CDCA. All Questions and answers. 100% pass rate. Graded A+ The radiograph I thought was ghost teeth - Amelogenesis Imperfecta Purpose o f dialysis - Remove potential toxicities from blood IL-1 - Inflammatory cytokine Cyclosporine - Immunosuppressant used in transplant patients. Causes gingival hyperplasia Periodontal disease and diabetes - Glucose level increased Cause for cement failure - Increased solubility Before trimming teeth on stone cast for immediate denture, you must - Mark a line 3 mm above the free gingival margin What analgesic can be safely given to someone w/kidney disease - Tylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin Patients on dialysis. Where do you take their blood pressure? - Not on the side where the shunt was placed for dialysis How do you prevent syncope - Trendelenburg position How do you treat syncope - Trendelenburg position. If breathing present, crush ammonia ampule under nose and admin oxygen. If no breathing, start BLS Best position of a finish line on a short clinical crown - Subgingival? Or At gingival margin? Child with fibrous dysplasia, what do you do next - Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic concern. For children, surgical intervention should be delayed for as long as possible The radiograph I thought was ghost teeth - Amelogenesis Imperfecta Purpose of dialysis - Remove potential toxicities from blood IL-1 - Inflammatory cytokine Cyclosporine - Immunosuppressant used in transplant patients. Causes gingival hyperplasia Periodontal disease and diabetes - Glucose level increased Cause for cement failure - Increased solubility Before trimming teeth on stone cast for immediate denture, you must - Mark a line 3 mm above the free gingival margin What analgesic can be safely given to someone w/kidney disease - Tylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin Patients on dialysis. Where do you take their blood pressure? - Not on the side where the shunt was placed for dialysis How do you prevent syncope - Trendelenburg position How do you treat syncope - Trendelenburg position. If breathing present, crush ammonia ampule under nose and admin oxygen. If no breathing, start BLS Best position of a finish line on a short clinical crown - Subgingival? Or At gingival margin? Child with fibrous dysplasia, what do you do next - Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic concern. For children, surgical intervention should be delayed for as long as possible Contraindication for patient w/hyperthyroid - Epinephrine Facial reduction for PFM crown - 1.5 mm Can transillumination be used to identify cracks? - yes Can pocket depth be determined from xray? - No Patient with tenderness anterior to earlobe - Inflammation of Stensons duct A patient has diabetes. He forgot to take insulin but ate a good breakfast. If you gave him sugar, what would happen - Patient would get worse After sc/rp, patient notices more spaces between teeth. Why? - Decreased swelling of gingival x-ray with herring bone effect. Whats wrong? - Film placed backwards (I had the static electricity example) What film requires least amount of radiation - E speed How much epi can you give a patient with BP 160/110 - None! Don't give tx. Refer to physician Type of pontic to replace a premolar - Modified ridge lap pontic (I had the "primarily esthetic requirement") Patient with history of slow growing mandible for 10 years - Hyperpituitarism Patient w/history of weight gain, deepening voice, dry skin - Hypothyroidism Exopthalmos - Hyperthyroidism Treatment of addisons - Corticosteroid replacement therapy Recurrent ulcers that heal with scarring - Major apthous ulcers Treatment of major apthae - Corticosteroids Supernumerary teeth - Gardners (clavicles present) or cleidocranial dysplasia Tx of mucocele - Surgical removal Patient with terrible perio, when should immediate denture be constructed - After perio intervention Why porcelain teeth should never appose natural dentition - Attrition Best teeth to oppose natural dentition - Acrylic Clinical picture of 14 y.o. with inflamed gingival - Leukemia Best way to communicate outcome with lab tech - Diagnostic wax up Ideal amount of undercut required for circumferential clasp - .01 inch Reason for gingivitis during pregnancy - Pregnancy exaggerates gingival response to plaque. Due to increase in estrogen and progesterone Treatment of extra oral abscess which is non-odontogenic in origin. - Hot compress Tx of ranula - Surgical removal Patient with no hair, no teeth - Ectodermal dysplasia Biopsy shows hyperkeratosis, dysplasia, no invasion - Precancer hyperkeratosis ??? Tx for geographic tongue - None Patient has a short crown. Which cement is best? - Resin cement When do you not use a thyroid collar - When taking a panorex How often is autoclave checked - Once a week 121 - degrees at 15-20 psi for 20 min Check for b. Stearothermophillus Reason sealants fail - Contamination Tx of candidiasis - Nyastatin Tx of lichen planus - corticosteroids If patient becomes unconscious, what do you check first - Breathing CPR—placement of palm and fingers - Palm on lower sternum, fingers on xiphoid process Are teeth vital in ameloblastomas? - yes Sickle cell anemia - Increase fatigue, increase in bone marrow space. Decreased trabeculation The following reduce radiation dose - Rectangular collimation, E speed, higher kV or constant beam, lead apron, quality assurance program Static before processing can result in - Dark spot or lines on x ray Identify thrombocytopenia - (lab values with low platelets was not ANEMIA) Identify mucus retention cyst - Radioopaque Normal blood values - Platelets: 150,000-400,000 RBC: 4.6 -6.2 million - Hg: 13 mg - WBC: 9,700 - Picture of max central and lateral. Why might bridge fracture? - Bending of bridge Amalgam needs to be replaced. Whats ideal restoration - Onlay (I put Crown) Treatment of mesiodens - Surgical removal and ortho consult Why might a patient be taking lovastatin an vasotec? - Lovastatin is cholesterol lowering Vasotec is antihypertensive - Patient faints and is unconscious in chair. What do you do? - Ensure open airway What radiograph to visualize sinus - Waters view Purpose of try in for immediate dentures - Verify occlusal relationship. Esthetics, When is reline of immediate denture performed by laboratory - 6 months and 10 months When is alternate cast technique done - After processing denture Advantage of immediate denture - esthetics Should treatment be delayed in uncontrolled diabetic - Of course! Identify retentive and bracing arm - What causes loss of lamina dura - Hyperpituitarism, hyperparathyroidism, osteomalacia, pagets, fibrous dysplasia Hyperemia of tooth - Reddish dentin. Tooth appears dark Test for heparin vs warfarin - Heparin: PTT Warfarin: PT and INR - What antibiotic can cause red spots on the arm - Penicillin Repeatedly adjusting clasps on RPD will cause clasp breakage due to - Increased metal fatigue OR increased modulus of elasticity Syncope vs anaphlylaxis - Syncope: loss of consciousness due to decreased oxygen flow Anaphylaxis: allergic reaction causing closure of airways - The lab tech surveys which cast - Master cast Distobuccal cusp of mand molar occludes with - Central fossa Correction of recession on canine - Lateral reposition flap/sliding flap Patient on long term tetracycline therapy. Returns complaining of burning tongue. Smear results are yeast and fungi. Whats treatment - Clotrimazole Identify anemia based on lab values - Hb less than 12.5 Symptoms of hyperpituitarism - Excess hormones (gigantism, acromegaly, etc) Symptoms of MI - Burning chest, numb arm, pain in jaw (NOT pounding heart) Treatment of bells palsy - Histamine and vasodilators may shorten duration. As well as systemic corticosteroids and hyperbaric oxygen therapy. Surgical decompression. Topical ocular antibiotics and artificial tears to prevent corneal ulceration. Recovery in 6 months usually Pregnant women is allergic to penicillin. What do you premedicate her with? - Erythromycin HIV patient with purple red lesion on ventral tongue - Kaposi Treatment of dry socket - Eugenol impregnanted pellet. Do NOT curette Tx of oroantral fistula - Buccal slide flap Which is not an etchant or conditioner - BIS GMA is NOT (yes to citric, maleic, phosphoric acid_ Stopped at page 14 of journal document - hudental2008@eth08 Fusion vs germination - Fusion: two buds. Germination- one root Expired or aged film will appear - To light Histo of fibroma - Nodular mass of CT covered by squamous epi Full lower denture with over extended distobuccal flange causing denture to dislodge. What muscle is impinged? - Masseter Coumadin test - PT Tx of dentigerous cyst - Surgical removal of cyst and tooth Sialolith is visible on xray. What duct is this? - wartons You are having difficulty selecting shade for PFM. You should - Decrease gray and decrease hue What are usual complications after insertion - Working or non-working interference If you notice occlusial interference after insertion, when should you make adjustments? - At insertion Best teeth to appose natural dentition - Acrylic Patient had slow growing jaw for 10 years - Hyperpituitarism 2nd molar below plane of occlusion - Ankylosis Outcome of direct pulp cap would be better in young or old teeth? - Young teeth After SC/RP, - Long junctional epi is formed Purpose of palatal expander - Corrects crossbite What is NOT an acceptable surface disinfectant? - Alcohol based (phenol, chlorine, and iodine is acceptable) Ideal amount of undercut for circumferential clasp - .010 What is effect of hydrocholorithiazide on - a) - periodontium b) - complete denture a) no effect on periodontium b) - decreased retention of complete denture bc of decreased salivation Composite to close diastema - hybrid Clinical picture of gutta percha introduced to sinus tract. It does not go to apex - Therefore it's a perio abscess Patient with tenderness anterior to earlobe. I/O exam reveals inflamm of stensons duct. What do you do - Stimulate paratid gland checking for exudate Clinical picture of PM with enamel hyperplasia. What could this be caused by - Trauma or infection of primary tooth Most stable impression material - PVS Most accurate impression material - Polyether then PVS Disadvantage of irreversible hydrocolloid - dehydration Tooth to receive PFM crown is sensitive to cold. What is cement of choice - Glass ionomer //polycarboxylate Size of post should not exceed - 1/3 diameter of canal What type of fluoride should NOT be used by patient wearing PFM crowns - Acidulated phosphate fluoride xray of patient with RCT on both centrals. Left central looks incompletely filled. Look closer for the vertical fracture - Lab report of hyperkeratosis, dysplasia, no invasion - Precancer hyperkeratosis Panorex—gasting rings - ?? You are going to restore crown and down. The crown is 11 mm. how long will the down be? - Not less than length of crown 11 mm Disadvantage of PFM over all ceramic - Esthetics Disadvantage of all ceramic over PFM - Tooth reduction Post op sensitivity due after crown placement - Leakage of microorganisms?/ Most injurious cement to pulp - Zinc phosphate ( I put GI for the C2 restoration) Reason for cement failure - Solubility Which cement does not form chemical bone with tooth - Zinc phosphate What cement should you use with a short crown - Resin cement Tx of lichen planus - corticosteroids X ray of 3 lower splinted teeth. Whats purpose - For perio stabilization for more comfort for patient You diagnose patient with bells palsy. What do you do next - Refer to neurologist Tx of medial palatal cyst - Surgical removal Rx of heart shape RL between 8 and 9. both teeth are vital - Incisive canal cyst Know SLOB when asked to identify canal - Mesiolingual canal (on repeats) What is inside ranula? - Mucous fluid Identify midline mandibular fracture - Notice step between 24 and 25 Rinn system - a film-positioning device with aiming capability made from a combination of plastic and stainless steel that is especially suited to the paralleling technique. Will acid etch allow for chemical bonding - No Do calcium channel blockers cause gingival enlargement - Yes Is the tongue space given consideration when setting denture teeth? - No Maximum amount of unsupported enamel when making a PFM - 2 mm (I put 3) Denture patient complains of cheek biting. Whats problem and how do you treat - Posteriors edge to edge. To correct: grind buccal of lower posterior - Image of mandibular teeth with lingual appliance, banded molars, lingually inclined laters. Whats appliance doing - Tipping them labially (I put translation) Whats sequence of tx for relining complete dentures that show wear - Build up posterior occlusion, then reline (my q said what's the first step? Set to occlusion) HIV treatment - No invasive procedures unless CD4 and platelets are in good range Tx of lingual tonsils - Salt water rinses Best tx for epulus fissuratum - Surgical removal and new dentures Enlarged nose, mandible, extremities, dry skin, voice change - hyperpituitary Tx of angioedema - antihistamines Tx of ASYMPTOMATIC lichen planus - None. Corticosteroids if symptomatic 2 very swollen tonsils normal color. Whats this due to - Probably viral infection Tx of traumatic bone cyst - Surgical exploration Who regulates eyewear protection for dentist - OSHA Best results for guided tissue regeneration - Class II furcation (#30) Tx of liver clot (blood clot) after extraction - Remove, irrigate, pressure, re-eval Surveyor table tilted around 30 degrees. What will this do - For predesigned casts??? Measure attached gingival - From gingival margin to MGJ. Deduct pocket depth Punched out RL's in skull - Multiple myeloma When can nonrigid connectors be used in FPDs - Short spans, where preps aren't parallel When are semi precision attachments used - When definite parallelism between abutments is not attainable w/conventional clasps Patient is taking ibuprofen for many months. Woke up one morning, rubbed eyes, noticed red patch. What test will you order - Platelet count Immature white blood cells - Leukemia What emergency may you expect from a patient taking prednisone - Shock Normal pulse - Normal respiration - Pulse: 60-100/ respiration: 14-20 Gluteraldehyde: - high level disinfectant capable of killing spores Patient w/hyperpituitarism may complain of - Orthalgia (joint pain) and fatigue Hutchingsons incisors and mulberry molars - Syphillus Patient has paralysis of left side of face, slurring of speech. What's he suffering from? What is treatment - Stroke Tx: TPA. (tissue plasminogen activator) - Most predictable margin in PFM crown prep - Metal collar 1 mm Tetracycline- not given under age 7 - Pic of centrals when was tetcyc taken (age 5) What is extravasation cyst? - Aka traumatic bone cyst Minimum time period after first extraction appointment that you have to wait before making impressions for final denture - Text says 3-4 weeks Which statement is NOT true for immediate vs conventional dentures - a. - immediate has lesser appointments b. - patients have more difficulty adapting to immediate dentures c. -