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Important For Revision

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0% found this document useful (0 votes)
24 views23 pages

Important For Revision

Uploaded by

Naghman Zuberi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

1

1. Easiest Cement to be removed from subgingival area- Zinc Phosphate


2. Difficult to remove cement from subgingival area- Resin
3. Highest concentration of antibiotic in crevicular fluid – tetracyclines
4. Highest concentration of antibiotic in bone – Clindamycin
5. Antibiotic shows action against collagenase – tetracycline group
6. Hypoglossul nerve supplies Tongue Muscles, except palatoglossus, which is supplied by Vagus
7. Facial N. or Trigeminal nerve, if severed won’t affect the movement of tongue
8. If there is a loss of function on one side (unilateral paralysis), the tongue will point toward the
affected side
9. If Facial Nerve will be severed after exiting from mastoid foramen, taste sensation and salivary
secretion of submandibular gland won’t be affected
10. No Cavitation on proximal caries, no restoration
11. Highest Radiation from CT Scan, lowest from CBCT and Lateral Ceph
12. Natural Source Highest Radiation from Radon
13. X- Rays are not mono energetic
14. Functional crossbites should always be corrected immediately No Matter Anterior No Matter
Posterior
15. In distal extension and Anterior Extension dentures, indirect retainers help in preventing tissue
away movement
16. Platform switching keeps microgap away from the bone-implant interface and smaller diameter
abutments used on larger abutment implants
17. Lidocaine and Prilocaine are category B local anesthetics in pregnancy. Lidocaine with 1:100,000
epinephrine in longer duration procedure. Prilocaine plain in short duration procedures
18. Lidocaine is best in pediatrics.
19. Hematoma may form in PSA. Cold Compress. May Lead to Trismus the next day
20. Positive aspiration or intra-vessel injection may be in IANB
21. Gow- Gates not recommended in Children. Anesthetizes whole of Mandibular Nerve. No Need
for Buccal anesthesia
22. Composite filling sensitivity- microleakage
23. Tonsillith may be visible on ramus in an OPG
24. Parotid nerve supply- Glossopharyngeal Inferior Salivatory nucleus
25. Highest Sugar Consumption by Brain. Hypoglycemia may cause brain damage. Must be treated
immediately, in conscious by oral carbohydrates and in unconscious by glucagon.
26. Deaths under GA by poor airway management
27. Emphysema from lip to clavicle after perio surgery is normal. Assurance to patient. No
Intervention.
28. Local anesthesia duration- by less vascularity, less vasodilator ability and high protein binding
29. Local anesthesia onset depends upon partition coefficient and dissociation constant
30. Cobalt-Oxide is blue pigment – gives translucency in porcelain
31. Greening of porcelain because of Silver
32. Spherical alloys require less mercury and set fast. Give worst contact, so use anatomical wedges
and ultra thin matrix bands
33. Pediatric Dose of Acetaminophen 10-15 mg/ kg, Max 65 mg/ Kg
34. Pediatric dose of Ibuprofen 10 mg/ kg

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35. Remember these chart by Heart

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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

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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.

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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.

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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

102. Displaced zygomatic fracture may cause trismus


103. In Subcondylar fracture, upon opening deviation towards the affected side and
contralateral open bite. In Bilateral fracture, anterior open bite

104. Retroclination of upper incisors make bite registration a problem in Myofunctional


appliances construction.

105. CBCT and Lateral Ceph has equal effective dose and is minimal

106. VonWillibrand Disease, Aspirin Therapy and Dabigatran Therapy, BT is prolonged

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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:

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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.

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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.

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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

117. CT Scan is of no use in TMJ Discs derangements and Mandibuar fractures

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.

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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.

140. An article reports that subjects receiving


chlorhexidine varnish had significantly lower

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(p<0.05) Streptococcus mutans levels than did


those receiving fluoride varnish. What type of
reporting error is of the most concern when
interpreting these results?
A. Type II (ß) error.
B. Type I (ß) error.
C. Type II (α) error.
D. Type I (α) error.

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.

148. FDA Pregnancy Categories

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

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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.

153. Flumazenil also known as flumazepil, is a selective GABAA receptor antagonist


administered via injection or intranasally. Therapeutically, it acts as both an antagonist and
antidote to benzodiazepines (particularly in cases of overdose), through competitive inhibition.

Oraverse is phentolamine mesylate, used to reverse the numbness from Local Anesthesia.
common side effects of phentolamine mesylate for injection include:

 acute and prolonged hypotensive episodes


 fast heart rate
 cardiac arrhythmias
 weakness
 dizziness
 flushing
 dizziness upon standing (orthostatic hypotension)
 stuffy nose
 nausea
 vomiting
 diarrhea

154. Agonists and antagonists

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.

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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.

Receptor antagonists can be classified as reversible or irreversible. Reversible antagonists readily


dissociate from their receptor; irreversible antagonists form a stable, permanent or nearly
permanent chemical bond with their receptor (eg, by alkylation). Pseudo-irreversible antagonists
slowly dissociate from their receptor.

In competitive antagonism, binding of the antagonist to the receptor prevents binding of the
agonist to the receptor.

In noncompetitive antagonism, agonist and antagonist can be bound simultaneously, but


antagonist binding reduces or prevents the action of the agonist.

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)

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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.

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160. Whartin tumor in parotid but Wharton duct is in submandibular

161. Accessory gland is attached to Parotid. Found is a small population. Minor glands are
MINOR SALIVARY GLANDS NEVER CALLED ACCESSORY GLANDS

162. GO THROUGH ICDAS SYSTEM:

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163. Gingivitis Stages

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164. A 16 year-old has just completed orthodontic treatment and requests


that her wisdom teeth be extracted to prevent relapse crowding of her
lower incisors. The most appropriate management is to:

not extract the molars for this reason

extract the teeth when the roots are 1/3 formed

extract the teeth when the roots are 2/3 formed

extract the teeth when the roots are completely formed

extract the teeth when they are partly erupted

165. Patient has a right to access their record

166. A 78 year-old patient has a history of stroke, resulting in


hemiplegia. Obtaining informed consent for an extraction begins by:

consulting a family member

consulting the patient’s physician

determining who has legal power of attorney

assuming the patient has capacity

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:

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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

Actually there will be problem in passing the urine

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.

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175.

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