OSCE (DSE) del
T/F: Nifidepine causes gingival hyperplasia. - answerTrue
Ca channel blockers: Amlodipine, diltiazem, verapamil, "dipines"
Dilantin (Phenytoin): anti-convulsant
Cyclosporine: immunosuppressant
Large space between 11 and 12. What do you do? - answera. Mini implant
b. Do a bridge
c. Leave it alone****
Picture with white cauliflower nodule on dorsal tongue is: - answerPapilloma on a
tongue
Hyperthyroid symptoms are all except:
1. Exopthalmos (yes)
2. Tachycardia (yes)
3. Tremors of extremities (yes)
4. Fatigue (yes?) - answer4. Fatigue
Minimum axial reduction for a crown is - answer1.5mm
Replacing #9 crown. Which measurement is correct? (weird question with weird
wording) - answer2mm
What is the maximum amount of unsupported porcelain allowed? - answer2mm
Patient presents with a liver clot. What is the treatment? - answerIrrigate, apply
pressure, reassess
Would you rather overcontour or under contour the temporary crown to preserve
gingival health - answerUndercontour (parallel B and L walls)
"Overcontour poses greater risk to periodontal health" - Google images
Picture of a patient with all crowns on upper and lower. What is wrong? -
answerImpingement on gums/gum health
(Other choices were incorrect overjet/overbite, improper contour of crown)
Patient presents with space in between premolar and 3rd molar with class 2 mobility.
What do you do to fix this? - answerImplant
If you cannot pick a color for a crown what do you chose? - answerSomething with
lower shade saturation and less gray (low chroma and value)
,- higher value (cannot increase value) -> less gray
- lower chroma (can raise chroma) -> lower shade saturation
Chroma = saturation
Value = gray level (bright/dark)
Hue = color
Best long term prognosis for an implant? - answerEither mandibular posterior or anterior
Worst cement for deep restoration? - answerZinc phosphate
Ortho case- what was the most important thing they did in maxillary arch? - answerAlign
the teeth for future restorative procedures
(Not close upper and lower diastema)
What pain reliever do you give to a patient who has kidney disease? -
answerAcetaminophen
Picture of surveyor. Asked what we were looking at? - answerSpace for guideplane
1-2 mm of reduction in probing depth after performing SRP. What is the cause? -
answerFormation of long junctional epithelium
Picture of #10 and #11 lingual surface, what is wrong with the gingiva? - answerEdema
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? - answerNo occlusion or mesial drifting
premolars
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? - answerPrimary herpetic stomatitis
Picture with an arrow pointing to a soft tissue mass on FOM. This is the opening of -
answerWharton's Duct (Submandibular Duct)
Lichen planus is present on the tongue that was asymptomatic, asked what is the
treatment? - answerCorticosteroids (Would have picked "Nothing" but "Nothing" was not
an option)
Picture of white things on buccal mucosa, and asked what it was. - answerLichen
planus
but it also looked like leukoedema, cheek biting, etc. and all were answer choices
(LOOK FOR STRIAE OF WICKHAM (looks like 2D soap bubbles))
, Before you line a complete denture you must first establish: - answerPosterior occlusion
Picture of patient's maxilla with a FPD and RPD attached to it. Asked how they are
attached? - answerSemiprecision attachment?
Pernicious Anemia:
Hemolytic Anemia:
B12/Folate Deficiency: - answerPernicious Anemia: Decrease in RBC when body can't
absorb enough vitamin B12
Hemolytic Anemia: RBCs destroyed faster than they can be made
B12/Folate Deficiency: causes the body to produce abnormally large RBCs that can't
function properly.
- B12/folic acid needed for RBC growth and formation in the bone marrow.
- May show loss of papilla of tongue (bald tongue)
Hereditary telangiectasia is associated with what? - answerIron deficiency anemia
Gave normal ranges of patient's numbers for RBC, WBC, and platelets. What is wrong
with this person?
(> high WBC count) - answerLeukemia
Pt also had sore lymph nodes,
and painful gums (inflamed gingiva)
Multiple questions about eruption and looking at BW to see if its normal
prim calcification
perm calcification
prim eruption
perm eruption - answerprim calcification:
A 14
D 15
B 16
C 17
E 18
perm calcification:
6 - birth
1, L2, 3 - 6 mo
U2 - 12 mo
4 - 18 mo
5 - 24 mo
7 - 30 mo
T/F: Nifidepine causes gingival hyperplasia. - answerTrue
Ca channel blockers: Amlodipine, diltiazem, verapamil, "dipines"
Dilantin (Phenytoin): anti-convulsant
Cyclosporine: immunosuppressant
Large space between 11 and 12. What do you do? - answera. Mini implant
b. Do a bridge
c. Leave it alone****
Picture with white cauliflower nodule on dorsal tongue is: - answerPapilloma on a
tongue
Hyperthyroid symptoms are all except:
1. Exopthalmos (yes)
2. Tachycardia (yes)
3. Tremors of extremities (yes)
4. Fatigue (yes?) - answer4. Fatigue
Minimum axial reduction for a crown is - answer1.5mm
Replacing #9 crown. Which measurement is correct? (weird question with weird
wording) - answer2mm
What is the maximum amount of unsupported porcelain allowed? - answer2mm
Patient presents with a liver clot. What is the treatment? - answerIrrigate, apply
pressure, reassess
Would you rather overcontour or under contour the temporary crown to preserve
gingival health - answerUndercontour (parallel B and L walls)
"Overcontour poses greater risk to periodontal health" - Google images
Picture of a patient with all crowns on upper and lower. What is wrong? -
answerImpingement on gums/gum health
(Other choices were incorrect overjet/overbite, improper contour of crown)
Patient presents with space in between premolar and 3rd molar with class 2 mobility.
What do you do to fix this? - answerImplant
If you cannot pick a color for a crown what do you chose? - answerSomething with
lower shade saturation and less gray (low chroma and value)
,- higher value (cannot increase value) -> less gray
- lower chroma (can raise chroma) -> lower shade saturation
Chroma = saturation
Value = gray level (bright/dark)
Hue = color
Best long term prognosis for an implant? - answerEither mandibular posterior or anterior
Worst cement for deep restoration? - answerZinc phosphate
Ortho case- what was the most important thing they did in maxillary arch? - answerAlign
the teeth for future restorative procedures
(Not close upper and lower diastema)
What pain reliever do you give to a patient who has kidney disease? -
answerAcetaminophen
Picture of surveyor. Asked what we were looking at? - answerSpace for guideplane
1-2 mm of reduction in probing depth after performing SRP. What is the cause? -
answerFormation of long junctional epithelium
Picture of #10 and #11 lingual surface, what is wrong with the gingiva? - answerEdema
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? - answerNo occlusion or mesial drifting
premolars
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? - answerPrimary herpetic stomatitis
Picture with an arrow pointing to a soft tissue mass on FOM. This is the opening of -
answerWharton's Duct (Submandibular Duct)
Lichen planus is present on the tongue that was asymptomatic, asked what is the
treatment? - answerCorticosteroids (Would have picked "Nothing" but "Nothing" was not
an option)
Picture of white things on buccal mucosa, and asked what it was. - answerLichen
planus
but it also looked like leukoedema, cheek biting, etc. and all were answer choices
(LOOK FOR STRIAE OF WICKHAM (looks like 2D soap bubbles))
, Before you line a complete denture you must first establish: - answerPosterior occlusion
Picture of patient's maxilla with a FPD and RPD attached to it. Asked how they are
attached? - answerSemiprecision attachment?
Pernicious Anemia:
Hemolytic Anemia:
B12/Folate Deficiency: - answerPernicious Anemia: Decrease in RBC when body can't
absorb enough vitamin B12
Hemolytic Anemia: RBCs destroyed faster than they can be made
B12/Folate Deficiency: causes the body to produce abnormally large RBCs that can't
function properly.
- B12/folic acid needed for RBC growth and formation in the bone marrow.
- May show loss of papilla of tongue (bald tongue)
Hereditary telangiectasia is associated with what? - answerIron deficiency anemia
Gave normal ranges of patient's numbers for RBC, WBC, and platelets. What is wrong
with this person?
(> high WBC count) - answerLeukemia
Pt also had sore lymph nodes,
and painful gums (inflamed gingiva)
Multiple questions about eruption and looking at BW to see if its normal
prim calcification
perm calcification
prim eruption
perm eruption - answerprim calcification:
A 14
D 15
B 16
C 17
E 18
perm calcification:
6 - birth
1, L2, 3 - 6 mo
U2 - 12 mo
4 - 18 mo
5 - 24 mo
7 - 30 mo