**Disadvantage of a resin bonded denture (Maryland Bridge)? - Answer- Debonding
Advantage of a Maryland Bridge? - Answer- Less tooth reduction
Gutta
... [Show More] percha is made out of? - Answer- Zinc oxide
Drug that increase the concentration of lidocaine in the blood? - Answer- propanalol
Best initial treatment for Maxillary oroantro fistula? - Answer- abx and irrigation
Minimum occlusal reduction for PFM? - Answer- 1.5mm
X-rays show many well demarcated PA lucencies
Next step? - Answer- Pulp test them
Purpose of SRP? - Answer- To reduce inflammation and pockets
You extracted a tooth, 1 day later pt has a big blood clot.
Next step? - Answer- Remove clot, apply pressure with gauze , evaluate
Drug taken for arthritis? - Answer- Naproxene
**Advantage of under contoured temps? - Answer- Improves health of gingival tissues
Porcelain fractures because 3 reasons: - Answer- -It was a long span resulting in flexing of metal
-unsupported porcelain
-not enough occlusal reduction
Minimum thickness for porcelain? - Answer- 2mm
**Pt has difficulty swallowing with C/C b/c? - Answer- there is insufficient interocclusal space
You insert C/C. 1 side contacts in CR, the other doesn't b/c? - Answer- Dimensional changes during processing
**[Picture]
Arrow to the reciprocal clasp in above RPD, what's purpose - Answer- To counterbalance force of retentive arm/clasp
**Blunted roots of anterior teeth are due to? - Answer- Excessive orthodontic forces
When doing an implant, what's the best choice? - Answer- Endosseous
Best treatment plant to replace one tooth? - Answer- Implant
Advantage of implant? - Answer- Avoid the need to cut healthy teeth
RPD better than FPD for what reason? - Answer- More hygienic
X-rays cannot determine? - Answer- F/L width of the alveolar bone
V notch is cut into plaster cast to be able to? - Answer- Remove and replace model more accurately
What isn't an indication of an MI? - Answer- Pounding heart beat
If patient has history of angina, do what? - Answer- Have pt take nitroglycerin
Ideal occlusal reduction for porcelain on functional cusp? - Answer- 2mm
**Best way to close an oro-antral fistula? - Answer- Surgery
**When it's hard to match shade of adjacent teeth? - Answer- Select shade lower in color saturation and less gray
The last 1/3 of the retentive arm of the clasp is located where? - Answer- Apical to the height of contour
Purpose of the die spacer? - Answer- To allow room for the cement
If you are pulp testing and apply cold, tooth responds and goes in 3s.
Dx? - Answer- Reversible pulpitis
If you are pulp testing and apply cold, tooth responds and goes immediately.
Dx? - Answer- Healthy tooth
In an emergency, the accepted dose of injectable epi is? - Answer- 0.2cc of 1:1000
Hydrochlorothiazide is a? - Answer- Diuretic
**Perio packs should be removed after surgery? - Answer- In one week
Generally, prognosis for a diabetic patient having a lot of dental treatment is? - Answer- Poor
Calcium channel blockers may cause? - Answer- Cause gingival hyperplasia
Ideal undercut for cast clasp retentive arm is? - Answer- 0.01"
Ideal undercut for wrought wire retentive arm is? - Answer- 0.03"
Vertical cleft of bone is? - Answer- Dehiscence
Best method to clean FPD? - Answer- Proxy brush
Indexing base of the cast - advantage? - Answer- Allows accurate reattachment of the cast in proper articulator mounting
Patient with a joint replacement doesn't have to pre-med if it's been how long? - Answer- >1yr (6mo now?)
C/C pt that smokes. Evaluate what? - Answer- DMD should look for stomatitis nicotina
Bacteria associated with ANUG? - Answer- Actinobacccilus Spirochaetes
Most difficult 3rd molar impaction? - Answer- Distoangular
If a nervous pt hyperventilates, do what? - Answer- Have them breathe into a paper bag
Ideal implant for #10? - Answer- Endosseous
Wax up for RPD framework is made on? - Answer- Refractory investment cast
The least # of mandibular implants that could provide retention, stability for over denture is? - Answer- 2
Advantage of A/P strap vs full palatial coverage? - Answer- Less interference with taste and speech
Horseshoe RPD is contraindicated b/c? - Answer- It lacks strength and rigidity
Indication for altered cast technique? - Answer- When saddles rock under occlusal loading
Medical condition aggravated by overweight people? - Answer- HTN
Porcelain jacket crown margin should have? - Answer- A shoulder or butt joint
Linear blue structure on ventral surface of the tongue on 70yo patient? - Answer- Lingual varicosity
**Aspirin- main side effect? - Answer- Increased bleeding
Phlebitis is? - Answer- Inflammation of wall of vein
How many mg of nitro do you give to pt with angina? - Answer- 0.4mg
Normal width of keratinized gingiva tissue on the buccal surface of the mandible is? - Answer- 3-4mm
Surgical flap for perio is done for? - Answer- Access for instrumentation
**Type of healing for surgical flap? - Answer- Long junctional epithelium
Most important feature in design of P/ as far as major connector is? - Answer- To maintain rigidity
Check sterilizer with? - Answer- Biological indicators
**When HIV Elisa test is (-), it means? - Answer- No exposure to HIV & no antibodies for HIV are present
Minimum crown/root ratio for abutment? - Answer- 1:1
Most important reason for ortho on the pt? - Answer- To move or reposition/distalize #11
The canine has a dish brown color it is? - Answer- The chroma of the tooth
Complication of implant on #7? - Answer- Penetration of the nasal cavity
In centric occlusion, the DB cusp of #30 occludes? - Answer- Central fossa of #3
In centric occlusion, the DB cusps of mandibular molars occludes? - Answer- In the central fossa of max molars
In centric occlusion, the ML cusps of maxillary molars occludes? - Answer- I'm the central fossa of mandibular molars
Most important consideration regarding implants in #7 & #10 is? - Answer- Spacing between roots
Erythematous gingival tissue (red around gingiva) is caused by? - Answer- Anaerobes/anaerobic bacteria
Purpose of max anterior denture teeth if not seen? - Answer- Speech and lip support
**Pt says she faints at the sight of the needle. Do what? - Answer- Place in trendelenburg position
Before taking shade, do what? - Answer- Polish teeth
Give what medication for moderate pain? - Answer- Acetaminophen
For final impression for C/C use? - Answer- Rubber polysulfide
Replacing restoration in defective tooth with 3/4 or it being amalgam, tx of choice is? - Answer- PFM
[radiograph]
Looking at x-rays past-ortho, the tooth with the worst crown:root ratio was - Answer- #9
**When would you say the patient is having severe perio problems? - Answer- When the pockets continue to grow in depth
#1 cause of cement failure is? - Answer- Improper mixing
**The important feature of cement is? - Answer- Its resistance to solubility and strength against disintegration
**Major concern associated with phlebitis? - Answer- Pulmonary emboli
Drugs that cause gingival hyperplasia? - Answer- Nifedipine (brand: Adalat), dilantin
Based on x-rays, what's the pocket depth of a certain tooth? - Answer- x-rays cant determine that
Patient complains of spacing after SRP; this is due to? - Answer- reduction of gingival edema
**Patient has a shunt in Lt arm for renal dialysis.
What is major consideration? - Answer- don't take BP on left arm
Best time for occlusal adjustment for patient needing RPD? - Answer- after dx and tx plan have been completed
Purpose of occlusal rest? - Answer- resist forces and provide support
Polycarbox cement causes? - Answer- little Pulpal inflammation
GI cement - major advantage? - Answer- non irritating to the pulp
Type III gold is best suited for? - Answer- Full crowns
Advantage of all ceramic crowns vs PFM? - Answer- Esthetics
The excepted minimal biological width is? - Answer- 2mm
Hemostatic cord function? - Answer- To displace tissue laterally
Purpose of the facebow? - Answer- to transfer the spatial relationship of the Maxilla to articular hinge axis
Ditching a die does what? - Answer- exposes margins of the prep
Wax pattern should be sprued to? - Answer- crown in area of the biggest bulk
White, black, and gray - common characteristic? - Answer- Have no hues
Hue is? - Answer- attribute of color by which it's perceived
Value - major importance? Definition? - Answer- -is most significant dimension of ceramics
-denotes the amount of black or white
Chroma is? - Answer- is the amount or saturation of hue
Red vs pink - chroma? - Answer- red has a > chroma than pink
Red vs pink - hue? - Answer- red is = to pink in hue
Anterior teeth in C/ should be located to do what? - Answer- passively touch the wet/dry line on the lower lip
Centric Relation is? - Answer- is a reproducible position
Buccinator is important for what with C/C? - Answer- retention and stability of c/c
Gross interferences in an immediate C/C should be adjusted when? - Answer- ASAP
Overhang of amalgam crown causes what? - Answer- causes plaque accumulation & it's hard to remove
#9 PFM was recently placed and now it's mobile and the gums are red.
Reasons? - Answer- tooth may be in hyper occlusion
**If the root is 16 mm long, what's the max amount of post length? - Answer- 11mm
What's not part of perio dx? - Answer- bacteria survey and make up
What should be done after a reline? - Answer- chk & decrease the vertical dimension
Anti HTN drugs can effect retention of C/C because? - Answer- b/c it causes zero atomistic
Don't use porcelain teeth on C/natural because? - Answer- b/c of wear
Immediate c/c doesn't fit. Do what? - Answer- use pip until it seats
Immediate C/C.
Denture steps? - Answer- wait a min of 8 weeks after posterior teeth have been ext before impressions are taken for immediate c/c
When selecting tooth shade, pt position and light source? - Answer- sit patient upright and don't shine direct light in mouth
**Precision/semiprecision attachment isn't indicated with what pts? - Answer- in pt with low manual dexterity
**Blood test to assess Coumadin? - Answer- PT test
What's true if pt is on steroids? [know what for DMD?] - Answer- must know duration and dosage before tx
If patient complains of lethargy at appt, do what? - Answer- refer to MD and reappoint
Pt is taking Aspirin, Pen VK, Naproxene.
Which will increase pocket depth? - Answer- None
Propulsid is for? - Answer- GERD
Signs of GERD? - Answer- look for acid, erosion, and wear
Contraindication to apically positioned flaps in anterior? - Answer- Esthetics
[bone loss?]
**Best cement to increase retention of crown? - Answer- Resin
**According to CDC, sterilizers/autoclave are monitored how often? - Answer- Weekly
Pt has difficulty turning neck. Dx? - Answer- Eagle syndrome
Syncope vs. anaphylactic shock.
Difference? - Answer- Pt with anaphylaxis has wheezing (trouble breathing)
Pt has hepatitis A.
Major dental consideration? - Answer- You can work on him after a week of having it
Identify:
[Picture]
*shows ulcers with other episodes - Answer- recurrent aphthae
Identify:
[Radiograph]
*PA of tooth with weird trabeculae (decreased maybe) - Answer- sickle cell anemia
Identify:
[Picture]
*Slide of blue sclera but answer choices were:
a) dentin dysplasia
b) amelogenesis imperfecta
*did not include osteogenesis imperfect or dentinogenesis imperfect - Answer- amelogenesis imperfecta ???
Big diastema. Do what? - Answer- leave alone
Identify:
[radiograph]
*Pano with RL around an impacted molar - Answer- dentigerous cyst
Identify:
*Painful big swelling adjacent to extraction site - Answer- dry socket ???
How treat dry socket? - Answer- irrigate and pack with iodoform with eugenol
Before relining the complete denture, you do what? - Answer- build up posterior occlusion
HIV pt - what do you do? - Answer- treatment that does not cause bleeding
OSHA requires autoclaves to be tested how often? - Answer- weekly
Kidney patient - prescribe what? - Answer- acetaminomphen
Identify:
[Picture]
*Arrow to RPD clasp that is cervical to HOC - Answer- retentive clasp [Show Less]