What is an oral side effect of Prozac?
xerostomia
How do steroids effect wound healing?
causes delayed wound healing
What should be done
... [Show More] with a patient with a previous history of high blood pressure and comes in for their appointment with reading of 160/116?
refer the patient to their physician immediately
Premedication regimine
2g Amoxicillin
600 mg Clindamycin
Patient comes in for appointment who needs premed, and they took 300 mg 1 hour prior to their appointment. What would you do?
administer another 300 mg and wait 1 hr prior to treatment (because their clindamycin premed is 600mg 1hr prior to treatment)
What is a PAN used for?
- look at location of 3rd molars
- impactions
- pathology
- NOT FOR BONE LOSS
Items containing fluoride?
- tea
- pork
- fish
What type of water does not contain fluoride?
well water
Know the papilla of the tongue
- filiform (most numerous, very small)
- fungiform (mushroom shape, contain taste buds)
- circumvallate (larger mushroom shaped, contain taste buds, on anterior side of sulcus terminalis)
- foliate (leaf shaped, lateral border of tongue)
What is hairy tongue caused by?
elongation of the filiform papillae
Delayed eruption may be caused by
delayed exfoliation
Identify mandibular canal radiographically
radiolucent, long dark area outlined with dense cortical bone, located above or parallel to the inferior border of the mandible
What is thickened lamina dura caused by? is this appearance normal?
- caused by trauma
- not normal
Know film errors
- elongation: too little vertical angulation
- foreshortening: too much vertical angulation
- cone cut: PID not aligned with censor
- overlap: incorrect horizontal angulation
Identify median rhomboid glossitis
rhombus shaped, central denuded area of the tongue with red appearance
What is the treatment for black hair tongue?
brush it
What is a vitality test used for?
testing to see if the pulp is vital or not (applying cold air on cotton swap and pushing it against the tooth; if the pulp is vital it hurts, if its necrotic you would not feel anything)
What are Hutchinson's incisors caused by?
Syphillis, NOT biting on bobby pins
Identify lingual varicosities.. are they normal?
yes they're normal
How long should ultrasonic units be flushed?
20 seconds
What provides proof of sterilization? Spore test or autoclave tape?
Spore test
What does autoclave tape tell you?
that it has reached proper temperature
Hep B vaccination also protects you from?
Hep D
What can chlorhexidine cause?
staining, increased calculus deposits
What instrument should you use to work on mandibular anterior gingiva?
- 1/2 gracey
- columbia
- sickle ultrasonic
What drug causes bleeding?
Aspirin
What does the 2nd premolar replace?
the 2nd deciduous molar
What would you do for fordyce granules?
leave alone; normal
is a bifurcated maxillary canine normal?
yes
What would you do for lingual erosion?
rinse with sodium bicarbonate
Stannous fluoride is not found in which of the following? tea, pork, well water, or fish?
well water
Which is the only root that would be incomplete at age 15?
the second molar
Presents with a firm lesion on the ventral surface of the tongue? ranula, benign, or malignant?
?
what is the panorex best used for?
position of 3rd molars
What is wrong with the PANO picture?
patient should not have on a thyroid collar when taking a PAN
What can prednisone cause?
delayed wound healing
How old is a patient with 2nd premolar, 1st molar, and 2nd molars are unerupted?
11 years old
Does ankylosis of the tongue result in nutrition issues?
no
What would recession to the apex of #24-25 be a result of?
AIDS
Exaggerated gingival enlargement could be the result of what?
uncontrolled diabetes
What degree should the shank of the instrument be when scaling subgingivally?
70 degrees
What should be done with safety glasses after each patient?
washed
Does lingual candidiasis of lateral tongue wipe off?
yes
What does leukoedema look like?
white spot of buccal mucosa disappears when the cheek is stretched
What type of drug is Procardia?
calcium channel blocker
What is procardia used for?
for high blood pressure
What does procardia cause intraorally?
gingival enlargement
What would mandibular anterior, facial, bright pink and enlarged gingiva indicate?
pregnancy gingivitis
Are bifurcated mandibular premolars normal?
yes
What drink can cause facial erosion?
fruit juice
What does median rhomboid glossitis look like?
red lump in center of posterior portion of tongue
What is the treatment for median rhomboid glossitis?
antifungals
Know what cross bite looks like
...
Know classes of occlusion
Class I: mesiobuccal cusp of maxillary first molar occludes with buccal groove of mandibular first molar
Class II: buccal groove of mandibular first molar is distal to the mesiobuccal cusp of maxillary fits molar
Class III: buccal groove of mandibular first molar is mesial to the mesiobuccal cusp of maxillary first molar
Why would there be a white triangle covering all the mandibular anteriors and chin on a PAN?
If the mouth looks smiley then the chin was too low, if the mouth looked frowning then the chin was too high
FDA regulates
fluoride content in bottled water
medications that cause increased bleeding?
anticoagulants (warfarin, heparin), antiplatelets (aspirin, plavix), blood modifiers (xarelto, eliquis, pradaxa)
medications that cause gingival hyperplasia?
- anti-seizure: Dilantin
- calcium channel blockers: Norvask, Procardia (used to control BP)
- Cyclosporine (used an immunosuppressant)
Determine age of patient by teeth present
...
Determine which tooth is present in mixed dentition
...
distinguishing between between leukoplakia and candida?
candida wipes off but leukoplakia doesn't
clinical pictures of fluorosis, abrasion, pyogenic granuloma, redness on palate, what are some likely causes?
ill-fitting denture, tobacco, stain, linea alba
a patient on an anti-hypertensive is most likely to experience what problem in the dental chair?
orthostatic hypotension
what causes a diastema?
genetics
x-ray pit falls
- patient moves
- cone moves
- film moves
aspirin burn
- chemical injury
- white plaque lesion
- can be wiped off
- leaving a bleeding raw base
- will heal once chemical is removed
amelogenesis imperfecta
- enamel is found to be defective
- discolorations, pitting, thinner enamel, "flakes off"
- etiology: genetics
- defect in the mineralization, deposition, and hardening of enamel layers
mucogingival junction
- sharply defined scalloped junction between pinker attached gingiva and redder alveolar mucosa
enamel projection (enamel pearl)
- misplaced ameloblasts migrate to the root area
- produces enamel pearl on CEJ or furcation area
pyogenic granuloma
- benign
- tissue response to trauma, local irritation, hormonal changes
- appear in pregnancy due to increase in hormones
- puberty and pregnancy
- composed of hyper plastic granulation tissue
etiology of diastema?
genetic
when do maxillary centrals erupt?
7-8
when do mandibular centrals erupt?
6-7
when do maxillary laterals erupt?
8-9
when do mandibular laterals erupt?
7-8
when do maxillary canines erupt?
11-12
when do mandibular canines erupt?
9-10
when do maxillary first premolars erupt?
10-11
when do mandibular first premolars erupt?
10-12
when do maxillary second premolars erupt?
10-12 [Show Less]