Professional Documents
Culture Documents
Whats the least common congenitally missing tooth? (3rd, Man 2nd, LI,
K9)
Mosby pg 193. Most common congenitally missing tooth is 3rd Molars, mand. 2nd Pm,
Max. LI, and then Max. 2nd PM
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than 1 cm. if it was less than 1 cm you would do excision. Mosby pg 95: Different types are
1.) cytology smear 2.) aspiration 3.) excision 4.) incision
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Pt has denture for 14 yrs, you notice red raised papules on palate,
what is it? (Inflammatory hyperplasia of palate, nicotinic stomatis may
have red and gray spots))
o IPH-usual cause under ill- fitting denture, denture movement irritation
and/or accumulation food debris. Presents as painless, firm pink and
red nodular proliferations of mucosa. Hard palate usu., may involve
residual ridges. Not completely reversible but can regress w/ smllr
papilla and tx (remv denture, soft relines, good oral hygiene, and
nystatin therapy. Pt. needs to soak denture in 50% water 50% bleach
Pt is on Propanolol for HTN, you give 10mg/ml EPI, what happens? (inc
bronchiodilation, inc HR, inc BPI think I chose inc BP) Propanolol beta
blocker. (b1). Epi is a vasoconstrictor causes slight elevation.
What drug doesnt cause gingival hyperplasia? (Dilantin phenytonionanticonvulsant, cyclosporine( gin graft/ neural)- prevent transplant rejection
nifedipine (Procardia)- calcium channel blockers, Verampil- calcium channel
blocker, a random drug)
What the most effective brushing technique? (stillman, sulcular, and two other
choices.I chose sulcular bcuz I thought it was the bass technique) (Correct The
Bass Method is also called the Sulcular Vibration technique.. named after Dr. Charles Bass.
This techniques is when the toothbrush bristles are placed at the gingival margin at 45 degree
angle t o the tooth allowing bristles to extend into gingival sulcus when pressure applied. Mosby
pg 268
What symptom will a person with trisomy 21 have? Small midface but
worded diff
The most common between cleft lip/palate, ectodermal dysplasia, AI, DI,
and OI? Cleft palate higher in females and is most common in Native
Americans and Cleft Lip is higher in males. Cleft Lip/Cleft Palate is more
common in men and more unilateral and unilateral is more prevalent in
women and bilateral more prevalent in men
? Race more prone to perio disease in US? (Black male, White male,
Asian female, native American female)
What stage of histology can you tell the diff in size and shape of
tooth formation? (proliferation, histodifferentiation, morphodifferentiation
got my ass?! Look it up) Mosby page 175-176 answer is Morphodifferentiation (Bell
Stage)- peg laterals, macrodontia. Proliferation (Cap Stage)-supernumerary teeth,
anodontia, cysts, odontomas Histodifferentiation (Bell Stage)- AI, DI, OI Appositionincomplete tissue formation-i.e. enamel hypoplasia and Calcification- localized infection,
trauma, fluorosis, tetracycline staining. So the order of tooth development.
Initiation (Bud Stage) absence of this is anodontia, excessive bud is supernumerary teeth.
Proliferation (Cap)
Histodifferentiation/Morphodifferenitation(Bell Stage)
Apposition
Calcification
1.
2.
3.
4.
5.
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9 yr old pt chipped ant porcelain veneer but wants it fixed not replaced,
how do you prepare? (had to put in order.acid etch, silanate, bond resin,
pumiceI guessed) Brush porcelain 1.etch onto the inside surface of the veneer with the small
brush included with the etch. Brush up and down across the entire veneer to create a rough surface,
which is what will allow the porcelain silane adhesive to adhere better. Allow the etch to dry for 10
minutes.2.Brush porcelain silane onto the inside surface of the veneer with the brush included with
the silane. Brush in a side-to-side motion across the entire veneer.Place the veneer back on your tooth
carefully, easing it slightly under your gum. If the veneer is fractured, squeeze the two sides together
after the veneer is on your tooth to close the fracture.Hold the veneer on the tooth with your fingers
for a minimum of three minutes. Wait four hours before eating to ensure the veneer has bonded
securely to the tooth.
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Pt wanted veneers and his teeth bleached, what order would you do
it? (I chose bleach, 2 week break, cut teeth cement veneers)
Ant PFM looks too opaque in the incisal 1/3, whats most likely the
problem? (inadequate biplane reduction)
Why would you reduce the opposing dentition before doing a fixed
bridge? Supraeruption
The difference between 245 and 330? 245 longer than 330 (its obvious)
What is the minimum distance that you need between implants? 3mm
(Note: 1mm btw implant and non-implant tooth)
What is the angle of the curette when doing SRP? (20-40, 45-90, 90120)
What is not a factor sodium hypochlorite? Chelating agent(its nonchelating and organic)
What syndrome will you see multiple OKCs? Gorlin or Nevoid Basil Cell
Syndrome hereditary autosomal dominant multiple basal cell carcinoms of the
skin, multiple OKS, bifid ribs, frontal bossing, calcifications of falx cerebi,
palmer and plantar pitting.
Pt has a new PFM place with overhang, what is the first symptom you
will see? ( I just remember gingival inflammation and gingival recession)
Pt has probing depth of 5mm, the CEJ is 2mm coronal to the free
gingival margin, what is the depth? 7mmI hope?! Lol
appropriate treatment, the prognosis for these teeth is greatly improved, with the
possibility of preventing or arresting resorption. EXTERNAL ROOT resorption
occurs more frequently than internal root resorption and is
commonly misdiagnosed as internal root resorption. External root
resorption is caused by an injury to the external root surface. After
an injury such as concussion or subluxation, cementum can be
damaged, resulting in a localized inflammatory response and area of
resorption. In about two weeks, the periodontium and root surface
should repair spontaneously, and in that case no treatment is
needed. With severe injuries, such as intrusion or avulsion
(especially when implantation is delayed more than 60 to 90
minutes), active external inflammation can persist and histologically
there will be multinucleated osteoclasts resorbing the dentin of the
root. Seven to ten days after the injury, it is recommended to treat
the tooth endodontically by placing calcium hydroxide in the canals
long-term and replacing the calcium hydroxide in one month and
then at three-month intervals until the resorptive process ends. The
high pH of the calcium hydroxide seems to permeate through the
dentinal tubules thus killing bacteria and neutralizing endotoxin,
which stimulates inflammation. If bacteria are thought to originate in
the sulcus of the tooth (totally external), a vitality test will respond
positively, but in cases where infected pulp causes external root
resorption usually in the apical or lateral aspects, a vitality test can
be negative.
The cause of internal root resorption is unclear, but
trauma and the extreme heat produced when using a high-speed drill
without water have been suggested. Histologically, there is normal
pulp tissue transforming into granulation tissue with giant cells
resorbing the dentinal wall, and resorption will only occur if the
odontoblastic layer and predentin are lost or altered. Internal root
resorption usually contains some vital pulp and gives a positive
vitality test; however, since necrotic pulp tissue is usually found
coronal to the active resorbing cells which are more apical, the tooth
can sometimes test negative. Internal root resorption resolves with
root canal treatment because the resorbing cells will no longer have
the blood supply to survive. In cases where internal root resorption
causes buccal or lingual perforation, mineral trioxide aggregate
(MTA) can be used to repair the site.
You use a complimentary color on a pfm, what does it do? (decrease the
valueblue is the color use to decease the value which is the complimentary
of yellow)
Doing RCT on max 1st molar, what is the surface on the MB root that is most
common for strip perforation? (mesial, distal, buccal, lingual)
The latency of radiation therapy is between? (therapy & film development,
therapy & symptoms, 2 more) Mosby pg 130 so I think therapy and film
development
Which has the greatest cariogenic potential? (sucrose, lactose, glucose,
fructose)
Opiods cause vomiting but? Stimulation of the medullary chemoreceptor
trigger zone
What syndrome has congentially absent teeth? Cleidocranial dysplasia, downs
syndrome, ectodermal dysplasia (it was an obvious choice) Ectodermal
dysplasia ppl have thin sparse hair, anodontia/oligodontia, and dry scaly skin
What is the best way to clean an interproximal space? (interproximal brush,
toothpick, water irrigator)
How much do you take off of the middle 1/3 of the facial surface when
preparing an anterior veneer? (.3, .5, .8, 1)
A needle tract infection following an IANB caused and infection in what space?
(Sublingual, submandibular, temporal, pterygoid)
Trismus is usual caused by infection in what space? Masseteric
What muscle helps mold the lingual flange of the mandibular denure?
Mylohiod, geniohyoid, masseter, ..) PMS-G (Palatoglossus, mylohyoid,
genioglossus, and superior constrictor muscle) all contribute
When removing the internal oblique ride, what is the risk associated?
Pt has a fracture of the right body of mandible, where should you also check
for a fracture? Left condyle Concept whatever side body of mandible you hit
the opposite side condyle is in jeopardy for fracture
What is the best way to look that the TMJ?(CT, MRI, pan,..)
When is it appropriate to do an I&D? (diffused cellulitis, large firm, flucuant
localized,)
What is the most common side effect of N0-O2 sedation? Nausea
The soft palatal is supplied by what structure? (pharyngeal n, nasopalatine a,
greater palatine n & a, lesser palatine n & a)
What should you do after a pt has a larger swelling after initial antibiotic
therapy? Take culture
During extraction, you get a 2mm, sinus exposure, what it the treatment of
choice? (observe, graft, take xray & Rx antibiotics)
Pt is infected with MRSa, what antibiotic do you give? Vancomycin mosby pg
305 & 307 MOA- inhibits transglycosylase in cell wall synthesis. Narrown
Spectrum. Gram positive aerobe and aneroble. Given IV. Indications for
staph.aureus including methicillin resistant staphylococci, Strept, Enterococci
and Clostridium Difficule. ADVERSE EFFECTS- rental toxicity, ototoxicity, and
RED MAN SYNDROME
Infection in the upper lip can go where? Cavernous sinus
Why is upper lip infection serious to treat? Cause facial veins lack valves
What is the earliest sign of cavernous sinous thrombosis? (Periorbital edema,
decreased vision, ophthalmoplegia) Cavernous sinus thrombosis symptoms
include; decrease or loss of vision, chemosis, exophthalmos (bulging eyes),
headaches, and paralysis of the cranial nerves (III, IV, V, VI) which course through
the cavernous sinus. This infection is life-threatening and requires immediate
treatment, which usually includes antibiotics and sometimes surgical drainage.
What do you seen first with healing after SRP? Long junctional epithelium
Which drug is an antifolate analogue? Methotrexate (used for cancer tx)
Reduction of cusp is determined by what factor? (outline, convenience,
resistance, retention)
-dose ratio of a drug is dependent on what factor? (clearance, distribution
idk)
KRISTIN:
Hope this help Ill post more as I remember Good luck
1. Posture of patient affects what? VDO VDR protrusive, CR, etc
2.
HSV 1 what % US population? IDK I put 30% look it up Per Wikipedia, In the
US, 57.7% of the population is infected with HSV-1[68] and 16.2% are
infected with HSV-2. Among those HSV-2 seropositive, only 18.9% were
aware that they were infected.[69] Worldwide rates of HSV infection
are between 65% and 90 determined by the presence of antibodies
against either viral species.[67]
3. Patient feels helpless in chair how can you help? Let them raise hand when
needed
4. What is seen in diabetics? Murcomycosis Aka Zygomycosis. Found in insulin
dependet diabetics w/ ketoacidosis, transplant recipients, and
chemotherapeutic patients. Murcomycosis is opportunistic fungal
infection and found in bread molds, and decaying fruits or vegetables.
Symptoms nasal obstruction, facial swelling and visual disturbances.
If untreated leaves black and necrotic tissue in palate in maxilla.
Histo: nonseptate hyphae branching at right angles. Tx is surgical
debridement and systemic administration of Amphotericin B
5. Tooth erupts through tissue? roots complete
6. Patient had flu shot never had a dental shot but scared as shit cause of flu shot
what is this? Generalization I think KAPLAN HANDOUT_ GENERALIZATION- a
different but similar stimulus brings on a result. i.E. White uniform,
handpiece/prophy. EXTINCTION- loss of a response after several times
with no reinforcement. Extinction of a behavior or dental fear
7. Patient kept having failure with veneer 3 times why is this? I put something with
anterior guidance off why he kept fracturing them IDK Dental Board Busters
pg 327. Contraindications of Porcelain Veneer- severe imbrication of
teeth, traumatic occlusal contacts, unfavorable morphology,
insufficient tooth structure and enamel. A patient with high caries
index, short ccl crown, and minimal horizontal overalp.
8. Porcelain veneer greater than composite veneer except I put 2 appointments
more time to do
9. Implant and something about fixing with angulations? I chose something with
use angled abutment cant remember
10.How do you know if its perio over endo? Pain on lateral percussion
11.Maxillary permanent incisor had hypoplasia when did it occur? Utero, 1 month
to 6 monthetc know calcification Mosby pg 176
Time
Birth
6
months
12
months
18
months
24
TOOTH
1M
CI
LI
months
30
months
2nd Molars
C
1PM
2PM
2M
MAXILLA
BIRTH
3-4
MONTHS
10-12
MONTHS
4-5
MONTHS
1.5 YEARS
2 YEARS
2.5 YEARS
MANDIBLE
BIRTH
3-4
MONTHS
3-4
MONTHS
4-5
MONTHS
1.75 YEARS
2.25 YEARS
2.75 YEARS
TOOTH
ERUPTION
CI
LI
CANINE
1PM
2PM
MAXILLA
MANDIBULAR
10
11
19
16
29
8 MO.
13 MO.
20 MO.
16 MO.
27 MO.
MO.
MO.
MO.
MO.
MO.
24.Lady had white cloudy whatever on buccal mucosa disappear when stretched?
Lukoedema White lesion that is bilateral opacification in the buccal
mucosa. It has a whitish grey appearance that returns to normal when
skin is stretched. It is seen in dark pigmented skin people and those
who smoke
25.Patient listens to favorite music on headphones during treatment what is this?
Distraction, desensitizationetc Mosby pg 228. Treatment of managing
anxiety. Distraction-giving the patient a competitive attentional
focus(listen to music, watch tv), desensitization- exposing a patient to
items from a collaborative hierarchy of slowly increasing anxiety
provoking stimuli)related to target fear) while using relaxation skills.
Others concepts to relieve anxiety are 1.)diaphragmatic breathing 2.)
muscle relaxation 3.) Guided imagery- patient uses diaphragmatic
breathing skills while imagining a pleasant scene of their choice 4.)
hypnosis 5.) behavioral rehearsals- pt. has opportunity to practice
coping strategy using diaphragmatic breathing while experiencing a
simulated procedure or part of a procedure.6.) flooding- intense or
prolonged exposure to a feared stimulus while using coping skills 7.)
biofeedback- teaching one to have control over his/her physiological
arousal through the use of auditory/visual monitoring. 8.) cognitive
coping (reframing) assisting pts. With changing their thinking 9.) use
praise- asking patients to practice coping skills at home and when in
office.
26.Non-working questions like 8 of them just saying thingLingual inclines of
buccal on mandible and inclines on lingual cusp of maxillary
27.Modified ridge lap pontic should be passive very little contact to ridge Mosby
pg 332 -333. A pontic design is in 2 categories 1.) Mucosal ponticsridge lap, modified ridge lap, ovate, conical or bullet shape. All of
these should be concave and passively contact rige. 2.) Nonmucosal
pontics sanitary (hygienic) and modified sanitary hygienic. These are
generally in nonesthetic areas. A saddle pontic design covers the
ridge labiolingually forming a concaeve area that is uncleansed and
for that reason is not used.
28.Bleeding time measure what? Platelet clotting, intrinsic factors, extrinsic factors,
common pathway
Bleeding time=The time it takes for bleeding to stop (as thus the time
it takes for a platelet plug to form) is measure
29.NSAID affect what?
NSAIDS affect the prostaglandin production,
30.Aspirin and asthma is a no go!!! Cant remember the? Thats the ans
31.Free gingival graft what can you eff up? I chose greater palatine neural
bundle.most of the grafts come from hard palate
FGG is the removal a section of attached gingival from another area of the
mouth usu. hard palate or edentulous area to the recipient site. FGG is used to
increase the zone of attached gingival and gaining root coverage.
Success is when graft in immobile at recipient site.
FGG is dependent the blood supply of it recipient site.
FGG failure mostly due to disruption of the vascular blood supply before
engraftment. Infection is second most common reason of failure.
FGG indications:
prevent further recession and successfully increase width of attached
gingival.
Cover non pathologic dehiscences and fenestrations
safe surgery. Patients should stop taking warfarin 2 or 3 days before the planned surgery. On
the morning of surgery, the INR value should be checked; if it is between 2 and 3 INR, routine oral
surgery can be performed. If the PT is still greater than 3 INR, surgery should be delayed until the
PT approaches 3 INR. Surgical wounds should be dressed with thrombogenic substances, and the
patient should be given instruction in promoting clot retention. Warfarin therapy can be resumed the
day of surgery
(Hupp, James R.. Contemporary Oral and Maxillofacial Surgery, 5th Edition. Mosby, 032008. 1.3.6.2).
Warfarin and Coumadin are oral anticoagulants that inhibit the biosynthesis of the vitamin K
dependent coagulation proteins (factors VII, IX, and X and prothrombin). These drugs are bound to
albumin, metabolized by hydroxylation by the liver, and excreted in the urine. The PT is used to
monitor warfarin therapy because it measures three of the vitamin Kdependent coagulation proteins:
factors VII and X, and prothrombin. The PT is particularly sensitive to factor VII deficiency.
Therapeutic anticoagulation with warfarin takes 4 to 5 days. 1
Level of anticoagulation and need for altering dosage to avoid excessive bleeding
PTR (1.5 to 2.0) or INR (2.0 to 3.0): Dosage does not need to be altered
PTR (2.0 to 2.5) or INR (2.5 to 3.5): Dosage may be altered
PTR (2.5 or >) or INR (3.5 or >): Delay invasive procedure until dosage decreased
Decision is made to alter dosage of anticoagulation medication
Physician will reduce patient's dosage
Affect of reduced dosage takes 3 to 5 days
Dental appointment needs to be scheduled within 2 days once desired reduction in PTR or INR
has been confirmed
67. Null hypothesis
the null hypothesis, which is the hypothesis that there is no real (true) difference between means or
proportions of the groups being compared or that there is no real association between two
continuous variables
65. Denture for 19years- relieve pain denture and have white spot what do you do
Relieve the denture in the area of the lesion and reevaluate in 1 week.
47. Incidence 100/1000
Incidence: indicates the number of new cases that will occur within a population over a period of
time (e.g., the incidence of people dying of oral cancer is 10% per year in men aged 55 to 59 in our
community).
37. Nevoid BC
Nevoid basal cell carcinoma syndrome (Gorlin syndrome) is an autosomal dominant inherited
condition that exhibits high penetrance and variable expressivity. The syndrome is caused by
mutations in patched (PTCH), a tumor suppressor gene that has been mapped to chromosome 9q22.3q31. Approximately 35% to 50% of affected patients represent new mutations. The chief components
are multiple basal cell carcinomas of the skin, odontogenic keratocysts, intracranial calcification,
and rib and vertebral anomalies. Many other anomalies have been reported in these patients and
probably also represent
Periapical cemento-osseous dysplasia
no matter what has happened (but you have to know the situations in which a tooth would be vital or
nonvital)
4.
5.
Difference between reversible and irreversible and necrotic SYMPTOMS how long pain lingers to
COLD test etc.
6.
Sensitivity to percussion and biting you know you have acute apical periodontitis
7.
8.
Pain from which one, mandibular premolar or mandibular molar, refers to the ear? Idk? I have a hard
time choosing between the two
9.
SLOB rule question, Buccal root shot from M, now shoot from D and its oppositie the lingual root
shot from mesial blah blah blah (SAME LINGUAL OPPOSITE BUCCAL)
10. Vertical root fracture= EXTRACT
11. Disadvantage of NaOCl: toxic to tissues (does NOT remove smear layer btw)
12. Difference b/w self etch and total etch: self etch does NOT remove smear layer
13. Bacteria responsible for pulpal infection: not specifically which one but answer choice was one or
more than one bacteria? Idk
14. Ledge bypass the ledge
15. Tooth most likely to have 2 canals: max 1st pm
16. Where canals are in mand molar most likely: 3= 2 M and 1D
17. Which access preparation canals look like a C shape? I forget mand molar?
18. What facilitates RCT NOT calcified canals
19. pH 5.5 critical
20. treatment sequencing Mosby p. 38
21. problem with amalgam lies in environmental disposal
22. difference b/w resistance and retention forms
23. knowing that liners and bases and recurrent decay can all appear radiolucent
24. on a pan 2 bones that can appear below mandible= hyoids
25. place calcium hydroxide then resin glass ionomer base then restoration
JAK:
AOT, Ameloblastoma, LPC etcknow coldie location
Implant measurements
Soldering
Flaps
GTR
Systemic fungal antibiotic prophylaxis
Calculate lidocaine for a child
Child head shape
Fontanelles
Pierre Robin
Non-chelatingnaocl
Crevicular fluid stuffnomaldiabetic etc
Insurance stuff
Ethics
Ceramics
Ulcer/herpesknow cold its tricky
Xerostomiacauses
Turodontism/pulp stones?occlusally, apically, both
Most commonsa lot ie impacted
Abnormal eruption
Childhood caries
Cleft palate
Xray/max per year percentage between d
Kvp and ma
Difference between round and rectangular cone beams
Bisphosphinates
Distance (doubled)
Max xray per year/week
Know how to read ceph
AP: Greetings Fellow Docs.. First and foremost, thank you to everyone who posted
there remembered questions thus far.. It helped me
immensely!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! I want to let you know that the exam is very fair
and if you have studied you will do well .. I would definitely review the classes
remember questions as well as the 09-10!!!! If you know all of them, you will have a
nice bunch of gimmies before it starts to get real.. LOL, There are some tricky
questions though but put your thinking caps on.
Pics I had to ID were: All From RW test I had his entire exam.. and KGs so I will
only add things that I can fill in the blanks to or that were not present.
THANKS R2!!!! ;-) and KG!!!!!!!!!:-)
-Regional odontodysplasia
A dental abnormality of unknown cause ; genetics trauma, nutrition and
infection have been suggested.Quadrant of teeth exhibit short roots, open
apices and enlarged pulp chambers.
The radiographic appearance of these teeth has suggested the term ghost
teeth.
-Zygomatic process of the Maxilla= pg 141 mosby
information because it seemed like it could be more than one answer for the majority
of the questions, so I wouldnt necessarily pick the same answers pick what you
think is best.basically if theyre not changing the cases, review ortho, operative,
tufts pharm, and treatment planning, And dont make the same mistake I made, I ran
out of time and left the last four questions unanswered.
I honestly dont think theyll change it next weekbut you never know.and as for
Januarywho knows?? Best luck to all of you
Day one:
Ok.sooo basically any question that I saw repeated was from the 09-10 and what
everyone else has postedso definitely look at those
I wouldnt memorize all because some of the questions are asked differentlyso just
know the topic (I realized that they were just asking the same questions differently
and maybe changing around the answer, because I would get to one and tell myself I
just saw this a couple questions before)
Public health came from somewhere in mars.i dont really know where to tell you to
look because I read mosby, dental decks, and dental secrets and didnt see the words
they were using.I guess google/ wiki the types of insurance.. HMO/PPO/ etc know
more than just the basic definition
And just in generalknow mosbys public health like the back of your handI
wouldnt put a lot of effort into memorizing sterilization stuffonly question I had was
the disinfectant definition.
Question about what would not be included in HIPAA something about PHI and what
is covered under the regulations .(ummm ??? some type of private health
information? lol Idkmaybe Im slow )
A question about RL at the furcation of a primary molar?? Necrosis, trauma, normal
anatomy, erupting premolar
A dumb question about what type of mercury is used in dentistry.ethylmercury,
methylmercury, normal mercury, .who the f cares
A lot of really nit-picky questions on porcelain and veneers.and properties
Patient just has percussion sensitivity .. no other clinical/radiographic symptoms
what is it? Periapical abscess, periodontal abscess, APP, and I think CPP was also a
choice
The sequence of extractions and whybut they only gave the max molars (so like 1 st
2nd 3rd ).and none of the answers had anything to do with protecting mandibular
sockets, etc
Oral DX: was a lot of basic path this was actually the easiest section in my
opinionPCOD twice, complex odontoma, mucus retention cystonly got like three
questions on radiology about overlapping, etc.then a few identifications .nutrient
canal, pterygomaxillary fissure, mucus cyst in sinusetc
Pharm: pretty straight forwardstraight from tufts, exact questions actuallybut it
was a good number of questions where they would give you symptoms of like
overdose or toxicity, and you had to pick the associating drugor ask you what
would you do first in certain situations of course the pregnant lady ?s bingo!
(right hip upduh)
Endo: simple stuff like lingering pain, what is it?....
Pedo/Ortho: mostly pedoknow calcification times, I had 2 questions, a whole lot of
common sense behavior stuffsome weird question about movement during
orthodonticsso just understand the changes that occur in the pdl/ bone etc
Operative, Prosth, and Perio were the ones that were really specificlike where in the
oral cavity would you do/not do certain flaps and why, specific measurements for
crown preparations (veneer, all ceramic....I dont remember seeing anything on
goldwouldnt waste my time memorizing that ish..just basics).
-Operativeknow composites cold
most questions were specifics on like the results from water:powder ratios,
overtrituration , what causes expansion of different materials
one question about you do an MOD and the patient experiences sensitivity to cold or
somethingyou take out the occlusal portion and redo it, that relieves the
symptoms, so what was the sensitivity caused from? Answers were worded strange:
something about gap causing bacteria to get into dentin tubules, cant remember the
rest
-couple simple implant questions.the one about 2 stage implant is mobileI chose
it failed so remove it
Overall, its fairthe problem is they speak in 1800s slangso its hard trying to
figure out what theyre asking they use weird terminologythey wont give you
words or drugs youve seenbut their made-up words will have that word in it.
For example, they asked what drug is used to treat Herpes, Chickenpox, and CMV,
answer choices were Amantadine, a fungal one, a retrovirus drug, and then
paracyclovir?? What? I suppose thats acyclovirso thats what I chose.
Splash:
If you still have time, do those Kaplan q-bank questions. They were the truth.com
Eye-related accidents at the office- most often affect: Dentist, hygienist, dental
assistant, custodial worker
Puncture wounds at the office come from: during the procedure, clean-up, re-capping
the needle
Most common impacted tooth- mand 1st pm., max 2nd pm, max canine, mand canine
Access opening in maxillary pm, which wall is most likely to be perforated? Mesial,
distal, palatal, buccal
Xray: identify u shaped radiopacity around max 1st molar: zygomatic process
Best xray to view zygomatic handle: Pan, Occlusal, Waters, one more (submentovertex wasnt a choice)
Best drug to give for HIV patient with oral candidiasis? Systemic fluconazole, Topical
something
Nitrous Oxide is contraindicated in pregnant women. When is best time to
administer? 1st tri, 2nd tri, 3rd tri, No tri
Most common symptom/ side affect of Nitrous Oxide- muscle relation, bronchospasm,
bradycardia..VOmitting or nausea was not a choice
Know when PTT, PT is prolonged, shortened (inder what circumstances)
Antidote for Acetominophen
Aspirin is contraindicated with what? Benzodiazepines, Tricyclic antidepressants, 2
other choices
Patient has wear face on the mesial incline of the mesiolingual cusp of max. 2nd
molarwhere else can u expect to find wear on the mandibledistal incline on
distobuccal cusp, mesial incline on db cusp, mesial incline on mesiobuccal cusp,
distal incline on the distobuccal cust
Best way to detect a fracture tooth? Xray, visually, Have pt. bite down locally
If you want to reduce pocket depth and not
Titanium is best used for implants due to its.biocompatibility
Absolute temperature in bone before necrosis after 1-5 minutes? 51, 55, 43, 47
Patient gets some kind of infection after administering an IANB? What space is it
most likely inpterygoid, cant remember the others
Whitened a tooth, best time to place composite restoration so that you dont mess up
the bond or something like that? 1 hour after, 24 hours, 3 days, 1 week
Most common complication with restoring implants? Mobility of the implant,
loosening of the screw
Type of tissue found between bone and implant? Type 1 collagen, sharpeys fibers,
fibronectin
People who truly have the disease- sensitivity
Know how to treat fear and anxiety
Need for caries- plaque, bacteria, host..
Patient is taking hydrochlorothiazidewhat test do you need to take? PT, PTT,
electrolyte
Patient in the chair and feels illwhat do you do? Lay them in trendelenburg,
administer oxygen
Pregnant woman 8.5 preggers and feels light headed. What do you do? Turn her
slightly to the left, lay her back even more
Best way to prevent osteoradionecrosis,pretreat with hyperbaric oxygen, extract
hopeless teeth in field radiation, extract the teeth with no precaution
Treatment planning sequence
Tetracycline stains what? Enamel, Pulp, Dentin, Cementum
Biologic Width- 1mm, 2mm, 3mm,4mm
Gingival margin on Tooth #29 is 1 mm below the cej, pocket depth is 3mm. whats the
attachment loss?
Most important factor for retention of crown? Axial taper, retention grooves,
Fixed resin restoration is at least 30degrees, 180, 270
What best benefits an edentulous patient.removable dentures, over dentures
supported, fixed implant prosthesis
Patient asks you to change a date on insurance claim. That isFRAUD
U tell patient they need to change their amalgam fillings to compositewhat ethics
principal are you violating? Veracity
Patient has right to self governance..Autonomy
Adverse effects of glucocorticoids
MOA or adverse effects of Sulfonyureascant remember what the question was
Prophylaxis of Angina- propranolol, digoxin.
Propanaolol MOA.blocks beta adrenergic receptors
Patient has a denture. Complaining of burning sensation of lower lip..compression
of the mental nerve
Radiolucent lesion around the pericoronal tooth..Dentigerous cyst
Giant cells are associated withhypothyroidism, hyperparathyroidism.
AcantholysisPemphigoid, Pemphigus, EM,
Why the hell do you bevel the max. occlusal rims? 4 long answer choices
Prevalence of cleft lip/palate
Cleft lip palate- most affected by age, genetics,..
Pan- had to identify soft palate
Lidocaine vs epinephrine effectswhat casuses what
- Fix #8,9 the patient doesnt like how the two front teeth arent on the same level. What would be
the best treatment? A). place a composite restoration on both teeth to put them on the same
level. B). Place PFM crowns on both teeth. C). Smoothen out the distal portion of the incisal
edge of number 8. D). Place a porcelain veener on the both 8 and 9. The thing about this
question is that the distal edge of number 8 does look off angle, but the problem is that the chip is
on the mesial of 8 not the distal. (its a really small chip too). #8 does look a little off colored on
the distal facial side but they didnt ask about what to do about it.
3). What treatment for #3, #6 space? a). bridge #2-6
- Same question as above, patient also has number #4 and does have decay.
-how would you treatment plan #4 if it were to get an RCT/ what is the most acceptable
treatment plan after the RCT? Take a look at the x-rays and youll see decay at/near the
level of the alveolar bone. Choices were A) post and core B) amalgam core C) post and
crown and crown D) Crown lengthening, post and core, and crowing
-Patient tells you that his anxiety started only in his adult years. Hes 40 something now.
What could be the cause of the anxiety? A) how the dentist approached the patient B) how
the front office staff treated him C) His past dental experiences D) the cost of getting
dental work done E) people at work telling him their experiences in the dental office
-Look at #31 select what you see A) large buccal lesion B) Occlusal decay C) APP D)
something else
4). Caries small/occlusal (brown spots on pits) on #31 can be seen on a). picture clinically b).
xray c). from chart
5). #12 has big caries lesion on mesial up to the bone level. What treatment needed? a). crown
lengthening b). post&core next step because crown only can be on sound tooth structure
(ferrule rule = 1mm circular in prep increase strength in 10? Times - check this)
Case 3
I think that case was about some man that used to smoke and something about him trying to quit
smoking and trying the nicotine patches and other stuff and it not working. Hes only smokes 4-5
cigs a day.
- The best treatment to try to get this patient to stop smoking would be? A) some weird drug B)
Nicotine cream C) Nicotine nasal spray D) behavior counseling E)varenciline ( which is a anti
smoking drugs but works on the nicotine receptors too )
63 yrs old man Picture teeth radiograph
1). #14 bone lost mesialy, overhang amalgam. Why? a). forget to put wedge
-what would be the most likely reason to of the amalgam overhang and the cause of the light
contact between teeth to teeth? A) using weak amalgam, B)something dumb C) a wedge was not
placed when the tooth was restored
2). From #20 big amalgam restoration you can see on xray pin goes out of tooth distally. Patient
complained that floss shred all the time between #20 and #19. What should you do? a). explain
patient current situation b). tell pt. that previous dentist performance as bellow standard of
dentistry c). extract tooth #20 d). try to cut pin with hand piece
3). Can see well defined circular radiolucency under root tips of # 30, #31, #32. Diagnosis? a). PA
cyst b). OKC c). ameloblastoma
-same question as above. What seems to be the most likely reason of the radiolucency apical to
tooth 31? A) PA cyst B) Odontogenic cyst C) ameloblastoma D) normal anatomy ok so for this
one you need to take a look at the other side of the Pan , and if you do you can see that this RL is
in the same location and just doesnt look anything of the pathology mentioned. it looks just like
this! I put normal anatomy cus its the submandibular gland fossa. PS in the Pan on the exam
you can also clearly see the mental foramen on both sides.
Case 4
53 yrs old Porcelain-fused-to-metal PFM bridge #8-10. On PAN can see 3rd molars are impacted.
1). Why discoloration of bridge white color/translucency. Every explanation is possible EXECPT?
a). metal to thick b). not enough reduction in cervical third of #10 c). opack layer is too much
thick
-same question, it asked why the discoloration of the cervical third of the #10. A)not enough labial
reduction b)opaque layer too thick C)metal too thick D) something else . Anyways in the clinical
picture you can see that the cervical third near the gingiva is clearly more white than the rest of
the crown.
2). On clinical picture you can see wear off mandibular incisors. What is a reason for that? a).
occlusional habite (bruxism) b). thin dentin/enamel 3). Opposing bridge (reason for that in the
next question, if its just opposite bridge why all canines are flat?)
-whats the reason for shape of the lower incisor insical thirds? A) thin enamel B) erosion C) oral
habit D) something else
3). Why is that shape of canine no cusp, flat occlusialy? a). bruxism
-whats the reason for the shape of the canine?in the picture the cusp tip is kinda cut in
half. I dunno that looked weird to me but its the same idea I went with Bruxism other
answer choices didnt make sense.
4). Should we do 3rd molar extraction for the reason that #1 is close to sinus or #32 is close to
mandibular canal? NO (53yrs, 3rd molars are not bothering him)
5). 3rd molars are #1 disto-bucal and #32 is horizontal angulation of impaction. Plus partial bone
coverage. (check in book impaction angulations) TRUE
-some question about a tooth number 3 needing to be extracted and why separate the
tooth when extracting it.
-#3 needs to be extracted, because of its close proximity to the sinus , it is always
indicated to separate teeth It was a 2 part true or false question. the tooth was very
baldly decayed and there was no clinical crown. Something similar to this minus the
anatomical crown on the mesial.
6). What would be the reason to extract #1? a). to place implant, if #2 in future would be lost
and pt. need a bridge.
7). If you do pulpal thermal test on his posterior teeth you may have Negative/False result. Why?
a). Age b). pulpal obliteration/ calcification see xray
Case 5
On clinical picture you can see adult complete dentition (no missing teeth) in position central
incisors touching edge-to-edge. On back, posterior teeth disarticulated.
1). Why discolored pre-molar? Amalgam stain
2). What movement of condyle in TMJ must be for that position? a). rotation b). translation c).
both - for protrusive you do both
-what movement of the condyle is going on in the picture with the lady biting edge to edge? A)
both condyles are rotating ( how is that possible? Lol) B) the right condyle rotating while the left
translates C) the left condyle rotates while the right condyle translates D) both condyles on
translating.
-what kind of position if the patient demonstrating in the edge to edge picture? A) maximum
intercuspation B) Centric relation C) Incisor guidance D) Centric position.
3). What clinical picture is demonstrating? a). free way space [the space between the max and
mand occl surfaces when at physiological rest] b). maximum intercuspation c). central occlusion
d).incisor guidance (I dont know the answer I put a but may be b or d also, check it)
4). On xray radiograph you may see circular radiolucency on middle root (close to apex) on #9.
Asymptomatic, no pain. Diagnosis? a). lateral periodonal cyst b). radicular cyst c). medial
palatine cyst
5). What is the main test needed to be done for diagnosis? a). Thermal vitality test b). EPT c).
percussion
Case 6
68 year old female wanting to get some work done. Shes taking certain medication but you have
to realize that Fosamax is a bisphosphonate! This case mainly tests you on the principles of what
you can and cant you to people taking bisphophnates or have an increased risk of ORN.They
might switch out the drug name you become familiar with bisphosphonates
68 yrs female came for your appointment with old dentures (both max/mand), that didnt fit her
anymore. She had history of using Fosamax medication (biphosphonate drug to protect bones).
She is after cancer surgery, radiation, chemo therapy On xray all teeth are missing
except#6,7,8,9,10 and 25,26,27
1). What is possible diagnosis for her psychotic condition? Depression
-what is the most probable condition that this patient by have? A) Bipolar B) Anxiety
C) Depression
-if this patient is on bisphosphonates, which of the following treatments can you
render without increased risk of systemic complications A) extraction of all hopeless
teeth B) Scale and root planing C) something that you shouldnt be doing D) RCT
-An expect question? I forget the other choices but the except was that the patient
can proceed to get her extractions done after being off Fosamax for 1 week
2). If she is after breast cancer chem./radiation + biphosfonate drug Fosamax, what treatment for
her you CAN do if needed? a). extraction b). root canal c). alveolar plasty/surgery d). implants
(you cant touch bone risk of osteonecrosis)
3). After Fosamax was stoped for 1 week can you do extraction? NO, Fasle
4). What treatment is good for her? Root planning + cleaning, prophy
-what is the most ideal treatment for this patient? Choices were between A)coronal
scaling and removable dentures for both max and mand. B) coronal scaling and
implant placement in edentulous areas C) Scaling and root planing and something
elseI went with this because the patient had moderate to severe bone loss and
needing not only coronal and root scaling but also needed root planing on the
exposed root surfaces.
Case 7
Kid 5 yrs. 9 month fall 3 month ago. Tooth #F fall down. You can see on clinical picture new
erupting tooth is appeared. She has a FISTULAR, bump above #E.
1). Tooth #E has luxation. What treatment? Extraction
2). Does age of patient is identical for dental age? Yes, pt.s age = dental age
3). What would be a treatment? Sealant on all permanent 1st molars
Prophylaxis, fluoride
4). What would be a treatment for posterior crossbite? Bilateral expansion
5). On biteweens you can see small insipient proximal caries on mesial of #19 (between #K and
#19) What is a treatment? a). composite b). dont do anything c). disk between teeth
Case 8
This was a Mexican lady that has TMJ problems; I believe she was allergic to penicillin
to look out for the premedication question. she cant speak English well and has a loss
of hearing from an accident. In my case the lady did have posterior teeth messing in
the in her clinical picture. and there was a picture of the her biting edge to edge .
Mexican female. Has deafness because of accident. Parents help her in transportation and
financially. She complain in TMJ pain
1). What would be the easiest to improve? a). OHI oral hygiene b). financial limitation c).
deafness because of accident d). pain from TMJ
-the question was stated differently than above, Mine asked all of these would complicate the
treatment of this patient except, A)poor oral care, B)financial limitations C) English problems and
deafness of patient D) Pain from TMJ
2). On Xray radiograph you can see #21 is good, normal angulation, no carries, #19 distaly
tipped, a big carries lesion, # 14 is supererrupting. What treatment would you recommend? a).
build up #19 carries b). build up #21
3). What is next treatment after that? Build up with post and core in only ONE root canal True
or False (I dont know, check)
-when having to build up the molar with you put the coret matrial in one canal the mesial canal
(false). Doing this makes the canal stronger (double false)
3). What is LEAST possible when you are upringting #19? a). roots of #19 move facialy b).
encorrage of anterior teeth or #21
-what is the least possible movement when up righting #18? A) roots move forward B) anchorage
will come from the premolar and anterior teeth C) tooth can extrude and cause occlusal
interference
4). When you are upringting #19 what if possible to happend? Occlusial interfearance
5). What is LEAST possible treatment for supererrupting #14? a). Intrusion b). crown c). RCT d).
caries txn
6). If you do EXTRUSION of tooth #13? crown-to-root ratio increase and prognosis decrease
Case 9
A little girl with CLEFT on clinical picture of Maxillary you can see all teeth lined up normally in
ONE line, except #6 & #7, also #10 & #11 are parallel to each other (one behind other).
1). What is reason for strange position of laterals #7 and #10? CLEFT
2). On Cephalometric picture what is LEAST possible diagnosis? a) maxillary prognatism b).
class1 c).class2 div 2 d). class3
3). What arrow point on xray? HYOID
Case 10
Man 46 yrs also with CLEFT palate, fixed when he was a kid, by surgery. On clinical picture he
has Angular Chelulitis on corner of his mouth. Hes complaining that his dentures are moving and
discomfort him and lesion in corner bother him.
1). What is treatment for Angular Chelulitis? Clotrimasol cream 2%
-the red inflammation that has formed under the maxillary denture is because of a ? A) bacteria B)
fungus C) protozoan D) something else
2). On PAN two opacity left/right under his mandible? HYOID
3). He is missing #7 and #10 and bone here (because of cleft) look like resorbed up to10 mm.
What would you recommend treatment? a). extract #8, #9 and do bridge #6-11 b). saving #8,
#9 (not extraction) to preserve a bone/alveolar ridge (not sure I choose b)
Sizzle:
Lots of questions were from the 09-10 at least the first 50 pages of the 09-10
document was asked. The other load of questions were from KAPLAN!
PLEASE IF YOU HAVE TIME DO THEM.com(I dont understand this joke and it
sounds stupid)
x-rays were basic: they showed you were to look and gave you the
description of what you were supposed to identify. Same goes for pictures. I
had stuff on white sponge nevus. and one I had to identify that if the patient
had Bells palsy, ( they described it in the question and also all you need to
remember is that it looks like somebody trying to make a retarded whink!
Perio:
Flaps on flaps on flaps. Know these very well, they arent too hard but if you
just breezed over them you might have a hard time.
Know the signs of inflammation and stuff like that and you should be fine.
Pedo:
Calc. Times, and how to treat annoying ass kids. Also some questions on
eruption times of course. This section wasnt too bad. The only hard part was
the management of the kids questions other than that it was ok.
Pharm:
Basic questions!! This is what you need to look at Kaplan qbank for!! Most of
these questions were repeated from there. Had questions as basic as: why
doesnt LA work if patient has infection, INR is used for what (some options
were, to test for penicillin or some other sort of anti bacterial lol), hardest
one that I can remember I got was about the law of mass something I
dunno its in tufts pharm, and the answer is the only one that makes sense
though. If youve studied tufts Im sure youll be fine.
OS:
This section was a little bit harder that the rest. just remember to look over
facial spaces, and extraction sequence and the reasons why you extract them
that way. The 09-10 explanation wasnt what/how they asked me. Now
about ORN and when you extract that tooth (pretty straight forward). Most
commonly missing tooth, most impacted, and also least likely to be missing,
and which would be the most detrimental if it was missing ( loss of arch
length type question)
Operative:
Lots of questions on composites and the indications of them and whatnot
Stuff on indications of inlays and onlays (not too specific )
The retention factor of class 1s,2s
Had questions on the C factor
Removable:
Wasnt really hit with material type questions just try to read over fixed from
Mosbys and youll do fine in that section.
Lots of denture questions, post. Palatal seal and why its used (obviously not
for the mandibular denture like 2 of my options had)
RPD questions werent that bad either, they asked stuff such as what
connects to occlusal rest to the major connector.
Know stuff about the position of teeth and they sounds they make, asked
about this 2 times.
Endo:
Very very very basic questions. Know the different Dx. They give you choices
that are obviously not the correct answers. (whens the last time you heard an
incipient lesion causing a pulpal necrosis lol) if youve reviewed tufts endo file
Im sure youll do fine.
Pt. MGNT:
The only difficult section in this section were the stupid PPO HMO questions
they asked!! And they ask them using definitions and examples not used in
Mosbys. Use a different source other than mosby for that part.
If I were to do anything differently in my last week of studying, I would have
read the 09-10 front to back and also read Mosbys again.
Questions I got: again I think a lot of mine were from 09-10 so you might
want to look at that before your test date.
Best way to view maxillary sinus? Waters view
Question about LED lights, it was an except questionyes they can be
powered by battery
How can you tell if the infection is of non-odontogenic origin?
Referred pain question. Lower mandibular molar was the answer
23. Pregnant lady? Lay right side up, what is artery are you
protecting?
Inferior vena cava
26. Mandibular incisor coming in crowded how do you make space?
Interarch distance from primitive space
Neurapraxia, the least severe form of peripheral nerve injury, is a
contusion of a nerve in which continuity of the epineurial sheath and
the axons is maintained
32. 5 year old child having pain what do you give them? Asprin,
ibuprofen, codeine, acetominphen
36. OKC-most likely to reoccur
37. Nevoid BC
Nevoid basal cell carcinoma syndrome (Gorlin syndrome) is an
autosomal dominant inherited condition that exhibits high penetrance
and variable expressivity. The syndrome is caused by mutations in
patched (PTCH), a tumor suppressor gene that has been mapped to
chromosome 9q22.3-q31. Approximately 35% to 50% of affected
patients represent new mutations. The chief components are multiple
basal cell carcinomas of the skin, odontogenic keratocysts,
intracranial calcification, and rib and vertebral anomalies. Many
other anomalies have been reported in these patients and probably also
1 ppm = 1 gm/L
95. Contraindication for diazepam-diabetic, pregnancy, etc
97. Ging recession 5-6mm on #4 & 20, Hemoglobin of 12. Wht do
you do? Treat, refer to dr, scaling n root planning
Hemoglobin (male)
13.5-17.5 g/dL
Hemoglobin (female)
12.3-15.3 g/dL
98. What muscle covers denture? Buccinators, masseter, lat & med
pterygoid
99. What provides lingual retention? Mylohyoid
100. Neurofibromatosis- axiallary freckling, caf- au-late, lesch
nodules
101.
Most impacted tooth? Mx k9
108.
Base metal vs noble metal-single crown-3 unit
bridge
103.
Purpose of hex implant :
in an internal hex implant, the antirotational feature
104.
Push on rest seat it comes up? Base doesnt come up
bc of resin
105.
2nd to s. mutan-L. bacillus
109.
Papillon le fever
110.
Oligiodontia-ectodermal dysplasia
111.
Collimation-tube
A collimator is a metallic barrier with an aperture in the
middle used to reduce the size of the x-ray beam
112.
Erosion- bullemia
113.
Patient gets 25% home bleaching. Wrong its 10% but
2nd part is true
The current home bleaching technique, employing a customfit tray containing 10% carbamide peroxide solution, was first
used by Klusmier in the late 1960s.6 In-office bleaching materials
are usually supplied in concentrations of 35% hydrogen
peroxide, although some concentrations may be as high as
50%. The caustic nature of 35% to 50% hydrogen peroxide mandates
that the soft tissues be isolated from any possible contact with the
bleaching material
114.
What goes into cavernous sinus from upper lip?
Subcutaneous tissue
115.
URI-no NO2
116.
In posterior composite why do you have to redoocclusal-wear
117.
Periosteum-sharpeys fibers, cementum, alveolar
bone, or all 3
118.
Symphisis-intraocciptal, sphenoocciptal, which
bone forms last
122.
Nonworking-bull working-lubl
123.
Transillumination-vertical fracture
124.
Minor connector connects to
127.
To far superior and anterior dentures-what sounds
The labiodental sounds f and v
128.
If you did a DO what axioline angle is not there
129.
If you fall and break incisor which class is it due to?
Class 2 div 1
133.
Support area for max and mand denture
Maxilla: residual ridge primary, rugea
secondary
Mandible: buccal shelf primary
134.
Cleidocranial dysplasia-supernumary teeth
136.
Nausea and vomiting from opoid receptor poisoning?
Chemoreceptor trigger zone
138.
PCN and tetracycline cancels each other out
1.
Guy has problem with a tooth and has a hole drilled thru the O of MOD
composite and the pain is relieved. What caused it? polymerization
shrinkage
8.
Sialolith commonly found? Submandibular gland-whartons duct
6.
Neuropraxia question-nothing severed, perioneum intact, can get it from
stretching.
11. What is best way to view TMJ? MRI
27. Grand mal(tonic-clonic) seizure drug of choice? Dilantin( phenytoin)
25. What is malignant? 25. What is malignant? Fibrous dysplasia, pagents ,
central giant cell granuloma???
32. What do you do with probe if furcation is wide and narrow, narrow, wide?
Probe or cant probe? Grade 1 probe goes less than 1/3, G2 probe
goes more than 1mm(do GTR n graft), G3 probe goes straight thru
Grade I is incipient bone loss, grade II is partial bone loss (cul-de-sac),
and grade III is total bone loss with through-and-through opening of the
furcation. Grade IV is similar to grade III, but with gingival recession
exposing the furcation to view.
(Newman, Michael G.. Carranza's Clinical Periodontology, 10th Edition.
Saunders Book Company, 072006. 28.5.8).
33. What do you do for a furcation that you can see through? T or F.
Tunneling, GTR membrane?
Class I: Early Defects
Incipient or early furcation defects (class I) are amenable to
conservative periodontal therapy. Because the pocket is
suprabony and has not entered the furcation, oral hygiene,
5.
Difference between reversible and irreversible and necrotic SYMPTOMS how
long pain lingers to COLD test etc.
6.
Sensitivity to percussion and biting you know you have acute apical periodontitis
7.
8.
Pain from which one, mandibular premolar or mandibular molar, refers to the ear?
Idk? I have a hard time choosing between the two
9.
SLOB rule question, Buccal root shot from M, now shoot from D and its oppositie
the lingual root shot from mesial blah blah blah (SAME LINGUAL OPPOSITE BUCCAL)
33. Pt has cirrhosis of liver: what is his liver mostly composed of? Hepatocytes,
fibroblasts, hematopoetic cells idk
34. Pan had a 3rd molar that was basically straight up and down maybe tilted to distal by
2 mm but erupted fully it was NOT distoangular impaction (know what these look like
on an xray-distoangular, mesioangular impaction)
35. Day after ext pt comes back with fever and sick feeling give him different
antibiotic (bc he has AA bacterial infection which is associated with ext is what I thought)
OR refer him to proper specialist idk
36. Adult pt has crossbite needs fixin: listed 3 ortho appliances-even quad helix (tricky),
or surgery- adult so I chose surgery
37. Distraction osteogeneis good for LARGE movements
38. ANB 6 Class 2 dental or Class 2 skeletal malformation?
39. Trigeminal neuralgia is NOT associated with a spontaneous dull ache
40. Pt reports 3rd molars have been ext years ago pan reveals small round RO in
area of #17: osteitis
41. Pt has cirrhosis of liver: what is best: lidocaine, mepivicaine, bupivicaine, articaine
42. Infected tissue LA will be in ionized form
43. Prilocaine- methemoglobinemia
44. Swelling in front of SCM:
45. Cleft lip/palate 1:700
46. First dental formation: (weird!) 6 weeks, 16 weeks, 32 weeks idk (teeth, palate,
what idk what youre talking about)
47. Syphilis lesion that looks most like herpes? Idk
48. Pemphigoid against basement membrane (pemphigus against something else)
49. PCOD ant aa female ANT MANDIBLE
50. Xray teeth with no pulps: DI pg 124 mosby
51. Target made of tungsten
52. Mosby 141 post wall of zygomatic process on xray
53. Man w/ ill fitting partialsindurated ulcerated lesion lat border of tongue: SCC or
trauma from partial? SCC and biopsy
54. Untreated decay mostly in AA oral cancer mostly in AA males mosby 207
55. Pg 163, 164, 165 know like back of your hand quad helix corrects crossbites, use
these all in GROWING ppl, surgery for adultwhen to use LLA or band loop PLEASE
KNOW THIS! LLA-bilateral loss, #19 and 30 NOT erupted yet= need distal shoe if they
are erupted need BL
56. Chi square= categories, ttest=averages or means
57. Modeling pg 225 mosbys
58. Probing + recession= clinical attachment level
59. Do NOT attempt perio surgery until you have tried and failed at initial SRP therapy
60. 45-90 angle on SRP instruments
61. Most cost effective: stress oral hygiene home care
62. Pg 272 intrinsic activity and maximal effect and efficacy and receptors and affinity
just know it all and how its all interrelated
63. Beta blockers end in olol, anti GERD drugs prazoles
(omniprazole=tagament/prevacid etc)
64. Pharm: carbamazipene, atropine, mechanism of tricyclic antidepressants
65. If you change vertical dimension occlusion during fabricating a complete denture
what do you have to REDO? CR or facebow CR!
66. How to help pt who gags with their denture? Tell em to put the denture in for as long
as they can, put a spoon and hold it for as long as they can tolerate it-do this over and
over-YES
67. Implants 3mm apart
68. 323-324 mosby denture phonetics just know why you make all the sounds ALL of
them, esp f,v, ph (do it yourself and youll remember)
69. Kennedy classifications must know cold
70. Value is lightness or darkness
71. Primary tooth with most buccal and lingual convergenceidk
72. Hemoglobin type in sickle cell disease: A, C, F, or S? idk S
73. Pan with laterals missing in photograph but present on pan just impacted, 9 years
old, canines impacted (#1 dental age conincides with his chronological age-NO #2
dental anomaly in this kid occurs more in permanent than primary dentition, this occurs
Well very interesting is all I can say about this test. From what I was
given, the only advice I can offer is dat Remembered Questions are
GOLDEN.com!!! lol!
Make sure you do as many as you can find. And try to look up the
answers to the ones that dont have definitive answers. The 09-10 is
helpful also if you start on it about two weeks before your test and get
through it all. Then the last week just do remembered questions
remembered questionsand then do some more remembered
questions! Lolol
I tried my best to remember as many new questions or variations of
the questions that have already been posted as I could. The ans
choices are either the ones I kept going back and forth b2wn or the
only ones I could remember so double check the validity..lol GOOD
LUCK CLASSMATES!
1. Mandibular division of the trigeminal nerve exits the skull from what
foramen? Foramen ovale, Superior Orbital fissure
2. How is fluorosis classified? Amount ingested, #of surfaces fluorosis
divided by the # of total teeth, # of teeth with fluorosis compared with
the # not
3. Effective dose vs. Absorbed dose
4. Distance is 12ft instead of 4ft. Calculate the distance from the source
5. Clinical attachment lost is? CEJ to the bottom of the pocket, gingival
margin to the bottom of the pocket
6. Metal denture base (Which is not an advantage)? Thermal conductivity,
weight on the maxillary arch
7. What does IgG do? Bind to the host antigen, affect IgE and mast cells
8. All the walls are missing except the distal wall which is present. What
type of defect is it?
9. Distal wedge
35.Which drug does NOT play a role in platelet funx? IB profen, Asprin,
Ginseng, Plavix
36.Digoxin assoc with kidney funx?
37.Which is true of pseudomembranous colitis? Due to overgrowth of
clostridium difficle, drug of choice to tx it is metronizadole
As far as the case questions, they werent so bad. Acutally kindof fun
made you feel like a forreal dentist (lol!) which is also a bit scary b/c
wht you think is a good tx ADA might not agree. So the best thing I can
say abt that is go over your orthohad A LOT of ortho (bimax
protrusion, class I, Class II, profiles, if the ANB angle is 6 what type of
profile does this pt have, and lateral ceph radiographs). A couple of
Endo diagnosis, and a lot of prophylaxis, like should pt be
premedicated n if so wht to give (so knw reasons for premedication
endocarditis and total joint replacement..and the dosage)
Jeweled
Hey folks!!! If you haven't opened up the 09-10 file OPEN IT!!!! LEARN IT!!!! KNOW IT!!!! But most
importantly UNDERSTAND IT!!!!!! If I were you I would also look at any other files related to 09-10.
My test had a lot of ENDO, it wasn't hard but just be clear abt ACUTE PERIRADICULAR ABSCESS vs
ACUTE PERIODONTAL PERIODONTITIS (I think I wrote those correctly...)
I had about 5 hue, chroma, value questions...I can't remember the questions but if I do I'll post again.
Oral surgery:
What is the ext sequence for molar ext 321 to protect the tuberosity, 123 to protect the tuberosity, 213, 321
etc, etc
What is the most common complication after ext? dry socket, infx, hemmorhage, something else can't
remember
what is a complication with bilateral split osteotomy? Damage to the IAN.
If a pt has been taking corticosteroids for a long time what do you have to be concerned with? Adrenal
insufficiency
If a pt has been taking bisphosphonates they may be at risk for osteonecrosis b/c: they have to have
radiation therapy (something like that)
If a pt is going to have head and neck radiation what should be done? the pt should have questionable teeth
extracted prior to radiation
Fluoride:
SO THAT YOU WON'T GET CONFUSED I WOULD RIGHT DOWN THE SUPPLEMENTATION
CHART BEFORE YOU START THE TEST.
What is the supplementation for a 5yr old in a community with 0.28ppm fluoride?
What is the supplementation for a 7yr old(??) if the community water is 0.75ppm?
Pedo:
When is calcification for a max central incisor?
Ortho:
If a pt has had MENARCHE (her PERIOD aka menstral cycle) what does this say about her growth spurt? I
put it is AT the PEAK of the growth spurt ( the other choices were before or after the growth spurt)
Fixed:
Which cantilever has the LEAST success: I put a LATERAL abutment with a pontic replacing a central.
Base nobles are used for: long span FPDs
Why does an FPD keep failing? I put occlusal interferances
CD:
What causes angular cheilitis?
What is a sign of success for a CD? good peripheral seal
Pt management:
The ADA covers all except: Licensure
Modeling
Replacing amalgams with composites b/c of "allergy" this is covered under the which ADA code: Veracity
Which is a controlled stimulus in the dental office? fear, anxiety, DENTAL CHAIR (that's the only one that
made sense)
I had an incidence question: the answer was 100/1000 but I had to read the question a couple times b/c of
the way it was worded so BE CAREFUL.
I had some other pt mgmt questions but they weren't really hard...but there were terms that I wasn't familiar
with but just read carefully and make educated answer choices.
PICS:
Bell's Palsy
Pterygomaxillary fissue
Nutrient canal
Basal cell carcinoma
RL under the inf alveolar canal...but it wasn't called STAFNE's i put salivary duct something that's the only
one that made sense and I THINK (I haven't looked it up) but it maybe another name for stafne's bone
defect...??
Oral Path:
Lisch nodules, axillary pigmentation...Neurofibromatosis aka von reckinghausen
highest recurrent rate: OKC
highest risk of malignancy: i put osteomas...?
Ortho:
After ortho why does rotation occur again: apical fibers, oblique fibers, neural something, TRANSCEPTAL
FIBERS was my choice
Pharm:
What is the reversal for diazepam (benzodiapine): Flumazenil
If a pt wants pain therapy for 8hrs what do you give? naproxen
Pain med for 5yo? acetoaminophen
What should you avoid with ginseng? warfarin..?
INR is a test for what (I had this question twice, it was asked 2 diff ways)
Implants:
Distance between implants: 3mm
what temp will cause necrosis after 1-5min?: 57,43,47 deg Celcius
what is the LEAST likely cause of necrosis?: HIGH TORQUE
Ok so this is all I can remember off the top of my head. If I think of some more I'll repost.
~A!
Oh and LAST BUT NOT LEAST PRAY and BELIEVE!!!!!!