Important For Revision
Important For Revision
36. Facial angle in Ceph is between Frankfort Horizontal and Nasion-Pogonion- 87.8 degrees (MOST
IMPORTANT)
37. Frankfurt Horizontal plane touches Porion and Orbitale
38. Angle of convexity is Nasion to point A and Point A to Pogonion Ideally 0 degrees can range -8.5
to 10 degrees
39. Inter- incisal angle Average reading = 135.4°, range = 130 to 150.5° Angle decreased in class 1
bimaxillary protrusion & class 2 div 1 malocculsion Increased in class 2 div 2 case
40. Coronal Caries and Root Caries- S Mutans. If H/O Coronal Caries, Root Caries have more chance
41. Deep Caries – Lactobacillus
42. Salivarius has no role in caries progression
43. Infected root canals- varidans
44. Reinfected root canals- e. fecalis
45. Initiation of gingivitis- actinomyces Viscosus
46. Aggressive periodontitis- agrigatibacter actinomycetemcomitans . Antibiotics a must (AMOX+
Metro and in case of allergy Clindamycin or Doxycycline)
47. Chronic periodontitis- prevotella intermedia. ESTROGEN HELPS IN ITS GROWTH. PREGNANCY,
PUBERTY AND ORAL CONTRACEPTIVE USE PROMOTES P. Intermedia
48. ANUG- Proliferation of Spirochetes and Fusiformis. FEVER, ANTIBIOTICS. NO FEVER, SRP only.
49. Veilonella converts lactate in to propionic acid
50. Calculus harbors plaque. NO OTHER ROLE IN GINGIVITIS
51. No plaque- no problem, except desquamative gingivitis
52. PVS is the best material for impressions. CAN BE POURED AFTER A WEEK. BEST DIMENSIONAL
STABILITY. CAN BE USED FOR BITE REGISTRATION.
53. Irreversible hydrocolloid can not be used for cast restorations or final impression
54. Polyether is hard material and dimensional changes occur if water comes in contact
55. Pour hydrosulphide after 20-30 min but before 1 hour
56. Agar is reversible hydrocolloid and has good reproducibility. Can be used for cast restorations.
MUST BE POURED IMMEDIATELY. ONLY ONE CAST IS POSSIBLE.
57. Salbutamol is first drug for acute asthmatic attack. IF NO RESPONSE, THEN EPINEPHRINE
58. Epinephrine is first drug in anaphylaxis. BUT DIPHENHYDRAMINE IS REQUIRED FOR ANTIGEN-
ANTIBODY REACTION ALONG WITH IT.
59. Banana, Nuts and avocado cross allergenicity with Latex
60. Spina Bifida- patient may have latex allergy
61. Sterile water for surgical extraction (NO WATER FROM UNIT SUPPLY IN ORAL SURGERY)
62.
63. No air no tap water for surgery only sterile water or saline
64. 47 degrees is the optimum temperature for implant placement.
65. Post should be equal to the size of crown to be replaced. Must not compromise the apical gutta-
percha seal.
66. Recapitulation is necessary in step back technique with recapitulation file or master apical file
67. Minor connectors keep the clasp assembly together and connects it with rest of the RPD
68. Lithium dislicate connector is 4X4, all other are 3X3
69. Attenuation of X Rays in the body part causes radiopacity and reduced attenuation causes
radiolucency
70. Shoulder prep 90 degrees and 1.2 mm for PFM, 0.9 to 1.0 mm for all porcelain
71. Zirconia prep Chamfer 0.5 to 0.6 mm
72. Zirconia can be cemented with RMGICs
73. In case of allergy discontinue Topical or Systemic medicine immediately
74. Metabisulphite allergy- don’t use LA cartridge with epinephrine
75. Ectopic eruption sequences: Its max first molar>max canine>mand canine>mand second
premolar>max lateral.... Most common to least common
76. Sensitivity of a Test....> % of persons having the disease True Positive/TP+ False Negative X 100%
77. Specificity ....> % of persons not having the disease True Negative/TN+FP X 100%
78. After RCT of Posteriors Cusp Coverage is required…. By Crown, Onlay, or Amalgam Cusp
Coverage
79. Cusp fracture after RCT is because of excessive coronal structure removal
80. The fracture occurs most frequently as a consequence of an extensive restoration undermining a
cusp. The undermined cusp then is completely sheared off under the forces of mastication or
parafunctional habits. NON FUNCTIONAL CUSPS FRACTURE COMMONLY
81. Aldosterone release and presence of insulin causes uptake of potassium from blood
stream causing hypokalemia
82. Overextended max denture results in sore throat
83. 330 and 245 burs are used in cavity preparation
84. MRONJ and ORNJ have similar clinical pattern
85. IOPA of max canine in periapical region lateral wall of nasal fossa and anterior border of
maxillary sinus form an inverted Y known as “inverted Y OF ENNIS”
86. Radio Sensitiv (Most to Least):
Blood-forming organs
Reproductive organs
Skin
Bone and teeth
Muscle
Least sensitive: Nervous system
87. Contemplation in cigarette smoking quitting- Patients is thinking to quit, but doesn’t have
enough motivation.
88. A pier abutment is a natural tooth located between 2 terminal abutments for example..if u
have a missing 1st premolar and missing 1st molar, the 2nd premolar would be the pier
abutment that is located between the canine and 2nd molar.
89. In a crown or bridge to make the crown look narrower, move line angles more facially
and increase the interproximal embrasure. For making the crown look broader, vice
versa.
90. Working side interference: reduce de lingual incline of the buccal cusps of maxilary molars and
inner incline of lingual cusps of mandibular molars. Nonworking side interference: grind only the
inner incline of the buccal cusps of mandibular molars. In reality u should never reduce the
primary centric holding cusps (lingual of max.)
91. cheek bite with reduced overlap of posterior teeth.
92. In trial, phonetics is tried to check the setup.
93. In Vertical phonetics is tried to check the physiological vertical height.
94. Condylar guidance can’t be altered.
95. Custom incisal guidance is required when maxillary canine is a part of prosthesis.
96. Metal Porcelain bond is chemical
97. PVS light bodied can be used to take the patient’s bite record, but must not be covering the soft
tissue
98. First arch syndromes are congenital defects caused by a failure of neural crest cells to migrate
into the first pharyngeal arch. They can produce facial anomalies. Examples of first arch
syndromes include Treacher Collins syndrome and Pierre Robin syndrome.
99. The second pharyngeal arch will form the elements of the first part of the neck. The skeletal
components comprise the styloid process of the temporal bone and the stapes, as well as the
upper part of the hyoid bone (the body and the lesser cornu). The muscles which will originate
are the stylohyoid muscle, stapedius muscle, the posterior belly of the dygastric muscle, the
anterior and posterior auricular muscles and the muscles of facial expression. Innervation
derives from the facial nerve.
100. pharyngeal cleft 1: develops into the external auditory meatus (the corresponding 1st
pharyngeal pouch develops into the auditory (or Eustacian) tube, and the intervening ...
Anomalous development of the derivatives of pouches 3 and/or 4 can result in ectopic or absent
parathyroid, thymic, or parafollicular thyroid tissue.
101. Head Tilt Chin Lift, pull the tongue and clear the airway…. Basic Life Support Protocol
105. CBCT and Lateral Ceph has equal effective dose and is minimal
107. Histiocytosis X:
Eosinophilic granuloma, also known as pulmonary histiocytosis X (PHX) or pulmonary
Langerhans cell histiocytosis X (PLCH), is an uncommon interstitial lung disease that is
epidemiologically related to tobacco smoking. It chiefly affects young adults, primarily occurring
in the third or fourth decades of life.
LCH was formerly known as “histiocytosis X”, a term that grouped three major syndromes,
which are now considered as clinical variants of the same disease: the eosinophilic granuloma
(unifocal LCH with a solitary bone lesion), the Hand-Schüller-Christian disease (multifocal LCH
with the classic triad of skull lesions, exophtalmos, and diabetes insipidus) and the Letterer-Siwe
disease (fulminant LCH with multiple organ involvement) . The aetiology of LCH remains
unknown, and it is still uncertain whether LCH is a neoplastic disorder, suggested by the
monoclonality in lesions, or a reactive disorder resulting from a dysregulation of the immune
system.
Langerhans cell histiocytosis (LCH) represents a spectrum of rare disorders characterised by
idiopathic infiltration and accumulation of abnormal histiocytes (i.e. the Langerhans cells) within
various tissues (bone marrow, skin, central nervous system, lung, liver, spleen, lymph nodes)
causing focal or systemic effects. LCH predominates in children and its annual incidence is
estimated at 4.6 per million in children under 14 years of age.
108. Amphetamines:
109. UNCONTROLLED TIPPING: Crot at Cres, crown and root move is opposite
directions.
CONTROLLED TIPPING: Crot at the tooth apex, crown moves in the direction of
applied force but root gets minimally displaced.
110. If the force is passing through the center of mass, the whole body moves in a straight
line, in a parallel fashion. Here all the points of the body get displaced equally from the initial
position. This is called BODILY MOVEMENT or TRANSLATION.
TRANSLATION: Crot at infinity, both crown and root move in the same direction equally.
111. TORQUE: Crot at the incisal edge, root moves in the direction of
the applied force and the crown moves minimally.
Since the tooth is embedded in the alveolar bone, the force applied acts
at a distance from the Cres. This is termed the MOMENT and is the
product of force times the perpendicular distance from the point of
application of force to the Cres, measured in gm-mm.
The ratio of moment produced to force applied is called MOMENT TO
FORCE RATIO and determines the type of tooth movement.
112. If we apply two forces equal in magnitude and opposite in direction, the moment
created is called the MOMENT OF A COUPLE. The moment of the couple is the product of one of
the forces times the distance between the two forces. This distance is called the MOMENT ARM
OF THE COUPLE.
113. The TMA wires generate low forces and have a greater range of action when compared
to stainless steel. Ni- Ti Wires have greater range of action as compared to TMA.
114. Ni-Ti give higher friction resistance when compared to S.S wire engaged in S.S brackets.
115.
116. MRI is the best diagnostic aid in TMJ Disc derangement cases
118. Reverse Towne and OPG are the best X-Rays for Mandibular Fractures
119. Ferrule is the most important consideration while restoring an endodontically treated
tooth with an extracoronal restoration
120. Endodontically treated teeth may fracture because of excessive tooth material removal
during endodontic procedures
121. 1.00 PPM is the minimal concentration of Fluoride which may lead to mild fluorosis
122. To check the efficacy of your autoclave- Perform Spore test on daily basis
123. For Hep-B case, after use bag instruments, sterilize, wash, bag again and sterilize again
124. Color indicators don’t give surety for sterility, they only confirm that a load has been run
125. Use 1:10 sodium hypochlorite solution to disinfect impressions
126. ALWAYS use sterile water or saline for irrigation in Surgical extraction while cutting the
bone.
127. In case of emergency never place a pregnant woman in supine position. Place in left
lateral position to avoid compression on inferior vena cava by gravid uterus.
128. In the Trendelenburg position, the body is laid supine, or flat on the back on a 15-30
degree incline with the feet elevated above the head. The reverse Trendelenburg position,
similarly, places the body supine on an incline but with the head now being elevated.
129. For Syncope: patient is in a supine position with the feet elevated slightly. Assess airway
and circulation: Assess the patient's breathing and airway patency and adjust the head and jaw
position accordingly; monitor the pulse and blood pressure. Provide definitive care: Administer
oxygen.
130. 500 CFU/mL is standard for public drinking water and the <500 CFU/mL
(Recommended) and 200 CFU/mL is goal recommended level for dental treatment water.
Monitoring can be performed with commercial self-contained test kits or commercial water-
testing laboratories.
131. At the beginning of each workday, dental unit lines and devices should be purged with
air or flushed with water for at least two minutes prior to attaching handpieces, scalers, air
water syringe tips or other devices. The dental unit lines and devices should be flushed between
each patient for a minimum of 20 seconds. (2017 Recommendations)
132. No Pulpal procedure without Rubberdam
133. Rubberdam is recommended in most of the operative dentistry procedures as well
134. Close holes in Rubberdam, papillae will be visible
135. Distant holes in rubberdam, wrinkles on the rubberdam
136. In a Child Pulse Check: On the neck (carotid artery pulse). The carotid artery runs along
either side of the throat (windpipe). Run your fingers about halfway down the neck and press
gently to the left or right side of the windpipe (carefully avoiding the Adam's apple in teen boys).
Press gently. You should feel the pulse. If not, try again or on the other side.
137. Pulse rate in Children and adults
138. Brachial pulse: located on the inside of the upper arm near the elbow, frequently used
in place of carotid pulse in infants(Brachial Artery)
139. In anatomy, the left and right common carotid arteries (carotids) are arteries
that supply the head and neck with oxygenated blood; they divide in the neck to form the
external and internal carotid arteries. Carotid pulse: located in the neck (carotid artery). The
carotid artery should be palpated gently and while the patient is sitting or lying down.
Stimulating its baroreceptors with low palpitation can provoke severe bradycardia or even stop
the heart in some sensitive persons. Also, a person's two carotid arteries should not be palpated
at the same time. Doing so may limit the flow of blood to the head, possibly leading to fainting
or brain ischemia. It can be felt between the anterior border of the sternocleidomastoid muscle,
above the hyoid bone and lateral to the thyroid cartilage.
141. In comparison with conventional radiography, CBCT has a higher sensitivity, specificity,
positive predictive value and negative predictive value in diagnosis of internal root resorption.
However this difference is not significant.
142. The most appropriate method to prevent root
canal obstruction during the instrumentation
phase of endodontic treatment is to
A. obtain adequate access.
B. use a chelating agent.
C. irrigate copiously. (CONFIRMED CORRECT ANSWER)
D. use reamers instead of files.
143. Impetigo resembles Cigarette Burn
144. Osteogenesis Imperfecta may be misdiagnosed as Battered Child Syndrome
145. Spousal Abuse- If Woman pleads not to report and you are treating only, then RESPECT
THE PRIVACY.
146. Spousal Abuse- If Woman pleads not to report and you are Referring to another doctor,
then REPORT THE TRUTH.
147. Clindamycin, Penicillin and derivatives are Category B in pregnancy. Metronidazole is
Category B2. Azithromycin is Category B. Clarithromycin is Category C.
Category A
Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first
trimester of pregnancy (and there is no evidence of risk in later trimesters).
Category B
Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no
adequate and well-controlled studies in pregnant women.
Category C
Animal reproduction studies have shown an adverse effect on the fetus and there are no
adequate and well-controlled studies in humans, but potential benefits may warrant use of the
drug in pregnant women despite potential risks.
Category D
There is positive evidence of human fetal risk based on adverse reaction data from
investigational or marketing experience or studies in humans, but potential benefits may
warrant use of the drug in pregnant women despite potential risks.
Category X
Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive
evidence of human fetal risk based on adverse reaction data from investigational or marketing
experience, and the risks involved in use of the drug in pregnant women clearly outweigh
potential benefits.
149. PEP, or post-exposure prophylaxis, is a short course of HIV medicines taken very
soon after a possible exposure to HIV to prevent the virus from taking hold in your body.
Must be started within 72 hours after exposure to HIV, or it won’t work. Every hour
counts. Ideal is 2 hours.
PEP should be used only in emergency situations.
150. Needle stick Injury, WASH, LET IT BLEED, DON’T SQUEEZE, GET PEP Immediately.
151. Bisphosphonates don’t need dose adjustment. No need for hyperbaric oxygen.
Hyperbaric only in Radiotherapy.
152. Naloxone is thought to act as a competitive antagonist at mc, κ, and σ opiate receptors
in the CNS; it is thought that the drug has the highest affinity for the μ receptor.
Oraverse is phentolamine mesylate, used to reverse the numbness from Local Anesthesia.
common side effects of phentolamine mesylate for injection include:
Agonists activate receptors to produce the desired response. Conventional agonists increase the
proportion of activated receptors. Inverse agonists stabilize the receptor in its inactive
conformation and act similarly to competitive antagonists. Many hormones, neurotransmitters
(eg, acetylcholine, histamine, norepinephrine), and drugs (eg, morphine, phenylephrine,
isoproterenol, benzodiazepines, barbiturates) act as agonists.
Antagonists prevent receptor activation. Preventing activation has many effects. Antagonists
increase cellular function if they block the action of a substance that normally decreases cellular
function. Antagonists decrease cellular function if they block the action of a substance that
normally increases cellular function.
In competitive antagonism, binding of the antagonist to the receptor prevents binding of the
agonist to the receptor.
In reversible competitive antagonism, agonist and antagonist form short-lasting bonds with the
receptor, and a steady state among agonist, antagonist, and receptor is reached. Such antagonism
can be overcome by increasing the concentration of the agonist. For example, naloxone (an
opioid receptor antagonist that is structurally similar to morphine), when given shortly before or
after morphine, blocks morphine’s effects. However, competitive antagonism by naloxone can be
overcome by giving more morphine.
Structural analogs of agonist molecules frequently have agonist and antagonist properties; such
drugs are called partial (low-efficacy) agonists, or agonist-antagonists. For example, pentazocine
activates opioid receptors but blocks their activation by other opioids. Thus, pentazocine
provides opioid effects but blunts the effects of another opioid if the opioid is given while
pentazocine is still bound. A drug that acts as a partial agonist in one tissue may act as a full
agonist in another.
155. Platform switching to keep the microgap away from implant- bone interface and to
minimize the bone loss. Smaller size abutments used as compared to implant diameter.
156. Immediate implant loading is advocated. Implants can be placed in infected sockets
immediately post extraction. (NEW CONCEPT)
157.
158. RED COMPLEX BACTERIA: The three members of the red complex are: Porphyromonas
gingivalis. Tannerella forsythia.
159. The orange complex includes bacteria which, as “bridge species”, form a link between
the early colonizers and the highly pathogenic bacteria of the red complex. The pathogenic
potential of these marker bacteria is significantly increased as a result of the production of
various toxins and enzymes.
161. Accessory gland is attached to Parotid. Found is a small population. Minor glands are
MINOR SALIVARY GLANDS NEVER CALLED ACCESSORY GLANDS
167. The process that kills most vegetative bacteria as well as some fungi is called:
cleaning
low-level disinfection
high-level disinfection
sterilization
168. Biological monitoring for sterilizers requires:
the use of chemically modified paper strips which show colour change when subjected to appropriate heat and press
a sample containing a nonpathogenic virus which is placed in the sterilizer and then cultured after a sterilization cycle
a sample containing endospores which is placed in the sterilizer and then cultured after a sterilization cycle
a swab for culture from a randomly selected instrument which has gone through a sterilization cycle
169. Which of the following is NOT a common side effect from a tricyclic antidepressan
Orthostatic hypotension
Increased urination
Xerostomia
Confusion
170. A dentist who has a condition that might affect their ability to practice safely and competently should
retire
171. Trifurcation involvement has better prognosis if there is wider separation of roots.
172. Three walled defect and class II furcation are best candidates for GTR.
173. Mesioangular mandibular third molar is easy to be removed whereas distoangular maxillary third
molar is easy to be removed.
174.
175.