مناقشات (7,6) فبراير 2022

Pt had deep amalgam restlration on premolar with good retention, after 1
month the Pt. Return with severe pain, what is the likely cause ?
Pulp involvement ✅✅✅
Amalgam expansion
Moisture contamination before condensation
Moisture contamination after condensation
In try-in visit for Inlay ceramic restoration, require minor correction, what ia
the appropriate next step ?
Correct before cementation ✅✅✅
Correct after final cementation
Correct with temporary cement
Remake
Pt with ill fitting Complete denture for 5 years, and heavy tobbacco smoker,
had erythematous lesion beneath the denture, what ia the likely
diagnosis ?
Oral cancer
Candidal infection✅✅✅
Bacterial infection
Viral infection
Pt with Complete denture and smoker, had well demarcated erythematus
lesion underneath, diagnosis ?
Denture stomatitis✅✅✅
Inflammatory hyperplasia
Chemical reaction
Tooth bonded RPD, abutment with Mid buccal undercut, which is the
suitable clasp ?
RPI✅✅✅
RPA
Circumferential clasp
Clasp for mesially tilted 37 & 47, suitable clasp ?
Ring ✅✅✅
Acker
Destructive clasp for unbounded suddle
Ring
Acker ✅✅✅
Wrought wire
RPI
Gap between distal rest and guiding plate, consequence ?
Rest fracture
Tipping of the abutment ✅✅✅
Lack of support
Venearl test postive
Prednisone
Antiviral
Antibiotic✅✅✅
Antifungal
Flappy tissue in the crest of mandibular ridge,

Mucostatic impression ✅✅✅
Mucocompressive impression
Bone augmentin
Vetobulplasty
Large inoperable palatal torus ,
U shaped connector✅✅✅
Anteroposterior palatal straps
Palatal coverage
Which is best for custom made temporary anterior crown:
Bis-acrylic resin
Something carbonate
PMMA✅✅✅
Diameter of NITI file No. 30 with 0.04 taper at D9
،0.66✅✅
5mm diameter implant replacing central incisor, after few weeks, pt.
Complains from bleeding with brushing and pain, normal probing depth
around implant, normal to percussion and paplation, adjacent tooth
respond normal to percussion and palpation, however, Implant had slight
sensitivity to lateral percussion, what s te likely cause ?
Inability of pt to maintain OH
Improper distance with adjacent tooth✅✅
Injury to ASAN
Pt with gingivtis on reduced periodontium which is the correct protocol for
such a case ?
Scaling and OHI rvery 6-12 months✅✅
Sc/Rp every 3 months
Sc/Rp every 4 months
Pt. Referred from orthodontist for Sc/Rp for patient before ortho
treatment, upon examination lower central had rescission, (PIC) best
Management ,
CT graft
Orthodontic treatment
Scaling and root planing✅✅
Most common surgery for mandibular deficiency treatment .
BSSO ✅✅
Vertical split osteotomy
Upper canine occlude between lower lateral an canine, molar class likely to
be
Class II✅✅✅
Class III
Class I
Pt blood pressure 90/67 mmgh, how to manage ,
Set chair upright
Set chair that head below and legs up✅✅
Continue monitoring BP
Continue dental treatment

Case of severe attrition .
Ortho, crowns
Crown lenghting, crowns✅✅✅
Endo, bleaching, crowns
⁦⁦ Decreased VD ,
Angular chelitis ✅
⁦ Increased VD ,
Clicking when speaking✅
Diameter of NITI file No. 30 with 0.04 taper at D9
0.66✅
Prohy jet ,
Safe on implant ✅
Prophy jet ,
Supragingival calculus removal ✅
Universal currete angle ,,
90degree ✅
Bacteria in failed endo, (twice in same exam)
E. Faecalis ✅
Myxedema coma, management

Preserve body temperature
Wet packs
1-In orderto conserve body heat✅✅✅
Side effect of spary for angina ,
_ Xerostomia✅
_ Burning sensation
_ Altered taste
HBV survival time in normal temperature ,
_ 8months
_ 1week ✅
_ 8hours
_ up to 6 months
Restorative material of choice of cooperative pedo pt .
_ Composite ✅
_ Amalgam
_ RMGI
_ SSC
3units FPD try-in with rocking, how to management
_ Split and resolder
_ Remake ✅
_ Cement
3unit FPD try-in with spring in one abutment, management
Split and resolder

Remove the sprang abutment
Remake
Cement with force
FPD with open margin, management
Remake✅
Polishing the margins
Adjusting the preparation
FPD with open margin, management
Remake✅
Polishing the margins
Adjusting the preparation
When there’s games in
proximal margin - what to do ?
1- porcaline
We can add porcaline to the margins and fire it
2- cast metal restoration
Burnishing to the margins
3 crown or bridge
Remade
Crown on central incisor, pt complain form incisal opaqueness, cause ,?
Reduction in one plane

Incorrect shade selection ✅
Excessive firing
Desqamtauve gingivtis, eye ulcers, genital ulcers, diagnosis ?
Mucous membrane phemphegoid✅
Pemphigus valgaris
Oral, skin, genital, and eye ulcers ,
Behcet ✅
MMP
Endo outcome (radiolucency decreased, clinically no symptoms)
Healing✅
Multiple periodontal abcesses, associated with ?
Uncontrolled DM✅
Poor oral Hygiene
After Scaling and root cv, pt with multiple swellings, likely cause ?
Remaining subgingival calculus sealed on .✅
Irrigation was done by saline only
Ulcers develop after insertion of complete denture after ,
2-1days✅
4-3days
6-5days
8-7days
MRONJ case with pus and pain ,
Resection, no debridement in options
CHX
Antibiotic✅
Dentegerous Cyst, whole ramus is involved, management ?
Marsupalization✅
Resection
Eneculation
Most common malignancy of lower lip
Low grade adenocarcinoma
Acinic cell carcinoma
Mucoepidermoid carcinoma
Adenoid cystic carcinoma
Prevent candida in pt. with xerostomia
Pilocarpine ✅
Antifungal
Antibiotic
Growing pt. Present as Class II with vertical maxillary excess, proper
management ?
High pull headgear✅
Fixed appliances
Deep curve of spee in growing pt, proper management
Anterior bite plane ✅

Posterior bite plane
Fixed orthodontic appliances
Frankel III effect ,
Enhance maxillary growth
Enhance mandibular growth
Restrict chin growth ✅
Restric maxillary growt
Def. Of incisal angle?
The incisal angle is the angle between the incisal edge and the mesial or distal surface of an anterior
tooth.✅
⁦ ⁩For instruments sterilized by Type B autoclave, how long ut can be stored ?
30days✅
⁦ ⁩Distance between ceph. film and midsaggital plane of the pt ?.
15cm✅
Material of choice for pulpotomy ,
MTA✅
HBV carrier confirmed by ,
HBsAg✅
Amalgam weak phase
Gamma 1
Gamma 2✅
Beta 1
Beta 2
Endo perio lesions 3 Qs
.1Diagnosis
.2Management
.3Periapical radiograph and management
Read about it ✅
Bilateral 3rd molar impaction crossing the IAN, managament ,
Coronectomy✅
Trauma, pt. with pin point exposure
Direct pulp capping✅
Trauma, splint for lateral luxation ,
3-2weeks semi rigid (No 4 weeks no flexible)✅
Why silver point obturation is considered below standards of care ,
Inability bacterial tight seal✅

مناقشات (7,6) فبراير 2022

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Pt had deep amalgam restlration on premolar with good retention, after 1

Pulp involvement ✅✅✅

Moisture contamination before condensation

Moisture contamination after condensation

the appropriate next step ?

Correct before cementation ✅✅✅

Correct after final cementation

Correct with temporary cement

had erythematous lesion beneath the denture, what ia the likely

Pt with Complete denture and smoker, had well demarcated erythematus

lesion underneath, diagnosis ?

Clasp for mesially tilted 37 & 47, suitable clasp ?

Destructive clasp for unbounded suddle

Gap between distal rest and guiding plate, consequence ?

Tipping of the abutment ✅✅✅

Venearl test postive

Flappy tissue in the crest of mandibular ridge,

Large inoperable palatal torus ,

Anteroposterior palatal straps

Which is best for custom made temporary anterior crown:

Diameter of NITI file No. 30 with 0.04 taper at D9

around implant, normal to percussion and paplation, adjacent tooth

respond normal to percussion and palpation, however, Implant had slight

sensitivity to lateral percussion, what s te likely cause ?

Improper distance with adjacent tooth✅✅

Scaling and OHI rvery 6-12 months✅✅

Sc/Rp every 3 months

Sc/Rp every 4 months

treatment, upon examination lower central had rescission, (PIC) best

Scaling and root planing✅✅

Most common surgery for mandibular deficiency treatment .

Vertical split osteotomy

Pt blood pressure 90/67 mmgh, how to manage ,

Set chair upright

Set chair that head below and legs up✅✅

Continue dental treatment

Crown lenghting, crowns✅✅✅

Endo, bleaching, crowns

Clicking when speaking✅

Diameter of NITI file No. 30 with 0.04 taper at D9

Supragingival calculus removal ✅

Universal currete angle ,,

Bacteria in failed endo, (twice in same exam)

Myxedema coma, management

1-In orderto conserve body heat✅✅✅

Side effect of spary for angina ,

HBV survival time in normal temperature ,

Restorative material of choice of cooperative pedo pt .

3units FPD try-in with rocking, how to management

_ Split and resolder

3unit FPD try-in with spring in one abutment, management

Split and resolder

Cement with force

FPD with open margin, management

Polishing the margins

Adjusting the preparation

FPD with open margin, management

Polishing the margins

Adjusting the preparation