Dental OSCE Exam 2023

Dental OSCE Exam 2023 Immunosuppresant drug used in Transplant Patients that causes Gingival Hyperplasia - Cyclosporine How is Perio disease related to diabetes? - Glucose levels are increased. Cause for cement failure? - increased SOLUBILITY of the cement Before trimming teeth on a stone cast for an immediate denture, you must first... - mark a line 3 mm above the free gingival margin. ** Which analgesic(s) is safe for a Patient with kidney disease? - Tylenol (acetaminophen) ONLY. NOT NSAIDS OR ASPIRIN ** For Patients on dialysis, where do you take their blood pressure? - On the arm opposite of the shunt. How do you prevent syncope? - Trendlenburg position. (feet higher than head) How do you treat syncope if breathing? How do you treat syncope if not breathing? - Place the patient in the trendlenburg position. (flat/feet higher than head) If breathing? Use crushed ammonia under nose and pure oxygen. Not breathing? start BLS. Treatment of a child with Fibrous Dysplasia? - for kids, prolong surgical intervention as long as possible. some lesions will stabilize & some lesions will grown. Only surgically remove if esthetics are a concern. *Note: Fibrous dysplasia is an uncommon bone disorder in which scar-like (fibrous) tissue develops in place of normal bone. This can weaken the affected bone & cause deformations or fractures. *Radiographic appearance: orange peel if late stage. ** Treatment of barbiturate allergic reaction. - antihistamine (synergic reaction to barbituate) ** look at this. **Can you treat a patient who had Hepatitis A, one year ago? - yes. they can be treated "1 week after having jaundice" -- the exam referred to it as jaundice. At what intervals are intermediate dentures evaluated? - 24- hrs. 72- hrs. 1 week 1 month Every 3 months **How long to keep a dressing on after periodontal treatment? - Pack is kept in for 1 week after surgery. TX for Primary herpetic gingivostomatitis? - Palliative only - you only treat for fever and pain. Eagles Syndrome symptoms - Pain while swallowing, turning head, or mouth opening. may include dysphagia, dysphonia, otalgia, headaches, dizziness. * The elongation of styloid process// mineralization of the stylohyoid ligament. ** Epinepherine//vasoconstrictors are contraindicated in patients with ____________. They would exacerbate the symptoms. - hyperthyroid - My exam asked which anesthetic to use on someone with hyperthyroid patients. ** ** "Opalescent hue" - dentinogenesis imperfecta -- my exam showed a pic of eyes (blue sclera) and stated this patient had brittle bones. this exam intertwines osteogenesis imperfecta with DI, I think. OI was not an option. Radiographic findings of Dentinogenesis Imperfecta. - Bulbous crowns. Obliterated canals & Pulp chambers. Cervical Constrictions amelogenesis imperfecta heredity - dominant/recessive/x-linked. ** hypomaturation amelogenesis imperfecta manifests clinically as.... showed an image but it wasn't quite textbook - "Snowcapped" Pattern. Showed an image. this is due to the matrix not forming well. crystals are weird. hypoPLASTIC amelogenesis imperfecta manifests clinically as... - a generalized/localized pitted pattern on enamel typically. can be smooth/pitted/or rough. can be AD, AR, X-linked. Best TX for tetracycline stain - Veneers. ** Facial reduction for a PFM crown? - 1.5 mm. (( 1.0-1.5 mm)) * This is the same for lingual reduction* ** If a Traumatic ulcer is formed after extraction. What is the treatment? - Observe// Reevaluate (2 weeks) ***Patient with tenderness anterior to ear lobe? - Inflammed Stenson's duct (Parotid duct). *** asked about this MANY TIMES ***After SRP, a patient notices more spaces between teeth. why? - decreased swelling of the gingiva. Radiograph with herringbone effect. Why? - film was placed backwards. "a reverse exposure of x-ray film" film that requires least amount of radiation? - e-speed. d-slowest-"dumb" e & f = fastest. How much epi can be given to a patient with BP of 160/110? - None. Don't treat this patient. Refer to physician. *** Patient with history of slow-growing mandible for 10 years, this is indicative of... - Hyper Pituitarism. ** Patient with history of weight gain, deepening voice, dry skin - hypothyroidism hashimoto's- autoimmunethyroiditis. exophthalmos is a sign of - Bulging eyes. Graves disease -- hypERthyroidism. Patient with diffuse pigmentation on the FOM & Ventral of tongue - addison's disease hypOadrenalism TX of Addison's (or of adrenal crisis)? - Corticosteroid replacement therapy. 3 uses of Corticosteroids? - CONTINUES....