Individual Tooth Pathology

Supporting Tissue Pathology

Dentofacial Variations
Behavior
Systemic Pathology
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Individual Tooth Pathology 100

What are some possible full coverage treatment options for primary caries in the
anterior dentition

Individual Tooth Pathology 100

Composite Strip Crowns
Stainless Steel Crowns

Individual Tooth Pathology 200

A 6 year old female presents with a CC of discomfort of the lower anterior
A radiograph shows no caries

What is the likely source of discomfort

Individual Tooth Pathology 200

Exfoliating Lower Incisors

Individual Tooth Pathology 300

-

Individual Tooth Pathology 300

Furcation Area/ Radicular Area Apex for
Anteriors

Individual Tooth Pathology 400

What is a possible etiology of the tooth destruction seen on the image

Individual Tooth Pathology 400

Dental Erosion

- Acid Reflux (Gerd)

Diet
Bulimia

Individual Tooth Pathology 500

A 7 year old female patient has a CC of yellowish, sensitive primary teeth. What
is this condition, and do you expect the permanent teeth to look the same?

Individual Tooth Pathology 500

Generalized enamel hypoplasia strongly suggests:
Amelogenesis Imperfecta

Affects ALL of the dentition (primary and permanent)

Genetic inheritance is mixed (multiple possible genes)

Individual Tooth Pathology 600

What are the indications for a pulpectomy in primary molars, describe the basics of
the technique

Individual Tooth Pathology 600

Uncontrolled bleeding from orifices, symptoms of irreversible pulpitis,
At least 2/3rds root development present

Individual Tooth Pathology 700

What type of space maintainer would you use for the following situation and what
would happen if a space maintainer were not placed

Individual Tooth Pathology 700

Distal Shoe Appliance for premature loss of second molars
Mesial drift and/or tipping leading to space loss
Premolar Impaction

Supporting Tissue Pathology 100

What are possible causes of the following lesion

Supporting Tissue Pathology 100

Recurrent Oral HSV
Aphthous Ulceration
Traumatic Ulceration
Celiac Disease

Supporting Tissue Pathology 200

What is the name and Etiology of the following lesion
Bonus for what ages it will typically appear in

Supporting Tissue Pathology 200

Riga-Fede – Trauma to the ventral tongue due to premature eruption of the lower
incisors (or supernumerary)
Occurs 0-6 months
Supporting Tissue Pathology 300
Restorations were placed in a healthy 4 year old female yesterday. She presents
with the following lesions. What is the likely etiology?

Supporting Tissue Pathology 300

Lip biting following mandibular block anesthesia

Supporting Tissue Pathology 400

What is the appropriate treatment for the following lesion

Supporting Tissue Pathology 400

Eruption Cysts – Generally requires no treatment, however if eruption is delayed
then surgical exposure is required.

Supporting Tissue Pathology 500

What is the likely diagnosis of the pictured lesion

Supporting Tissue Pathology 500

Dentigerous Cyst Associated with Impacted #8
OKC
AOT
Ameloblastoma

Dentofacial Variations 100

Kyle is a 11 year old male concerned because he does not have all of his adult
teeth yet, while his twin sister already does.

What is the normal eruption time of the Permanent Maxillary Canine and why is Kyle
delayed relative to his sister

Dentofacial Variations 100

11-12 years for Canine
Females are typically
advanced compared to
males

Dentofacial Variations 200

How would you describe this primary molar relationship and what is the permanent
molar relationship

Dentofacial Variations 200

Distal Step relationship, most frequently progresses to a Class II

Dentofacial Variations 300

Rebecca is a 7 year old female with an anterior open bite. She admits to a thumb
sucking habit that she wants to stop but is having trouble. What appliances could
you recommend to help?

Dentofacial Variations 300

Blue grass
Tongue crib

Dentofacial Variations 400

What type of appliance might be used to correct the problem shown below

Dentofacial Variations 400

Hyrax
Quad Helix
(Expansion)

Dentofacial Variations 500

What are some of the treatment options for the following eruption pattern

Dentofacial Variations 500

No treatment (spontaneously resolves 66% of the time)
Orthodontic Separators
Pendulum appliance
Halterman appliance

Behavior 100
What basic behavior guidance technique involves describing a clinical procedure,
demonstrating it, the performing the procedure

Behavior 100
Tell-Show-Do

Behavior 200
Who are the components of the pediatric treatment triangle

Behavior 200
The Patient
The Provider
The Staff
The Parent

Behavior 300
Describe the technique of Voice Control, a situation where it may not be effective,
and a potential drawback even when properly used

Behavior 300
Voice control is a deliberate alteration of voice volume, tone, or pace to
influence and direct the patient’s behavior. While a change in cadence may be
readily accepted, use of an assertive voice may be considered aversive to some
parents unfamiliar with this technique
The technique is not effective when children have impaired hearing (deafness,
headphones)

Behavior 400
What are some contraindications for nitrous oxide

Behavior 400
Recent Ear Infection
COPD
Bleomycin therapy
Pregnancy
Nasal Polyps

Behavior 500
What are key features of documentation for the use of nitrous oxide

Behavior 500
Informed Consent
Indications
% Nitrous Oxide
Flow rate
Duration
Post-operative Oxygenation

Behavior 600
List at least 3 non-pharmacologic behavior management techniques besides Tell-Show-
Do that can be utilized in pediatric dentistry

Behavior 600
Voice Control
Multisensory Communication
Active Listening
Behavior Shaping
Retraining

Systemic Pathology 100

What are the precautions for an asthmatic patient undergoing dental treatment

Systemic Pathology 100

Inhaler at chair side
Proper Isolation
Avoid Triggers (Stress)

Systemic Pathology 200

What is the antibiotic of choice for antibiotic prophylaxis in a child and what is
the recommended dose

Systemic Pathology 200

Systemic Pathology 300

What are two Systemic Diseases that could be related to the pictured lesion?

Systemic Pathology 300

Leukemia
Crohn’s Disease
Cyclic Neutropenia
Apthous Major

Systemic Pathology 400

What are the cardiac conditions where you would consider antibiotic prophylaxis in
a child

Systemic Pathology 400

Systemic Pathology 500

Hemophilia A is a bleeding disorder caused by deficiency of what hemostatic
component

What is at least 1 dental consideration that must

be taken prior to treatment

Systemic Pathology 500

Hemophilia A is factor VIII deficiency

Treatment considerations:
Factor VIII transfusions
Limit Procedures
Local Hemostatic Measures
Tranexamic or Aminocaproic acid

Systemic Pathology Daily Double Test Case!!

A patient reports to your office every 2 weeks with large painful ulcerations.
They always resolve without issue, but recur approximately every 2 weeks without
fail.

What questions do you want to ask to try and determine the etiology and what are
some possible diagnoses. (You may ask the questions first, then come up with your
diagnoses)

Systemic Pathology Daily Double Test Case!!

Cyclic Neutropenia

Crohn’s Disease

Allergic Reaction

Determine the frequency and presentation of ulcers, any concurrent symptoms, and
any other medications/unusual exposures.