‫ ابريل‬1 ‫مناقشة‬

1- the best for luting porcelain veneer which will be in

aesthetic anterior zone:
light cure composite ✅
dual cure composite

2-Most annoying site of scaling is

For pt : upper centrals
For dentist: upper-molars

pemphigus valgaris affect more: 3-

A-Lingual mucosa
B-proximal
C-Buccal mucosa✅
D-floor of mouth

4- Patient with ectodermal dysplasia, with multiple missing

teeth. planning for fixed removable appliance. what is the
?sequence of treatment
.A. Deliver a fixed appliance first then removable
.B. Deliver both together

C. Deliver removable appliances first then fixed. ✅

5- A 16 - year - old girl attends the clinic complaining that she is unhappy
With her appearance. She feels that her maxillary anterior teeth are
splayed and
there IS a space between her upper and lower front teeth. The postenor
teeth
are In normal occlusion Which of the following can be the possible cause?

A- Tongue thrust ✅
B- Thumb sucking
C- Previous trauma
D- Relapsed orthodontic treatment

6- The dentist plans to extract a tooth of a 65 - year - old man

Radiographic evaluation: Showed increased opacity around the apices of
some tooth roots.
Which of the following can explained this observation
A. Physiologic tooth migration
B. Physiologic remodeling of cementum with age
C. Bone deposition due to age andecclusal forces 3
D. Continuous deposition of cementum throughout life **

) D ‫يحتاج صورة االشعة (بس غالبا اإلجابة‬

7- How to reduce torque forces on mesially tilted 37 abutment for a
bridge?
 7-Pt with class II lost his post teeth in one said and the other side
!? have occlusal wear what to do
bite equilibrium of the side with teeth and do the rpd >>
according to it ✅

8- ..Patient with severe bone resorption and prognathic appearance

A.Neutro occlusion
B.Lingualized occlusion
C.Use teeth with angulation 20 degree

D.Use teeth with angulation 0 degree

9- Patient with ectodermal dysplasia, with multiple missing teeth.

planning for fixed removable appliance. what is the sequence of
?treatment
.A. Deliver a fixed appliance first then removable
.B. Deliver both together

.C. Deliver removable appliances first then fixed

10- What do interventional trials on diabetic patients with periodontitis

?showed
A. Non - surgical periodontal therapy has a negative implant on HbAIc
B. Non - surgical periodontal therapy resulting in up - regulation of TNFO
C. scaling and root planing increased the risk of myocardial infarction in
diabetic
patient
D. Combination of scaling hand root planing, and doxycycline result in a
reduction in HbA1c
A patient presented to the clinic requesting replacing a missing lower
right posterior tooth with a fixed prosthesis. On examination. tooth # 46
was missing, tooth #47 was mesially tilted (30 degrees to the occlusal
plane).The plan was to replace this missing tooth with a 3 - unit fixed
.dental prosthesis
Which of the following complications would most likely affect the long
term
?prognosis of this prosthesis
A. Sensitivity

B. Pulp exposure ✅
C. Irreversible pulpits
D. Short distal axial wall

11- What determines spread od infection

Mucsle attatchment ✅
Tooth position

12- 12year- old boy presented to the dental clinic with high grade fever
generalized malaise. Oral examina.on showed diffuse erythematous
involvement of the gingiva and spherical gray vesicle in the lip and
tongue, which appeared 2 days ago
?Which of the following will be the most appropriate management
A -systemic an.bio.cs
B .periodontal therapy

C.antiviral therapy and supportive care ✅

D .chlorhexidine mouthwash prescrip.on

..13- Patient with severe bone resorption and prognathic appearance

A.Neutro occlusion
B.Lingualized occlusion
C.Use teeth with angulation 20 degree

D.Use teeth with angulation 0 degree ✅

14 -Dr received special tray 3-4 mm shot is some areas what

impression materialto use ?!

A-Something sulfide
B- Putty pvs
C-Regular pvs

D-Green wax ✅

DR . AHMED OSMAN
‫دعواتكم لي‬
 ‫مناقشة ‪ ٥‬أبريل‬

‫‪ impact canine‬اجا صوره بانورما وصوره‪ :‬ويقول لج وين️✳️✳‬

‫‪ buccal or palatal‬خيارين ماتذكرهم اتذكر بس اذا‬

‫🏾👆🏾👆‬
‫تقريبا نفس هاي بس أوضح يعني نازل تحت قريب ع االوكلوزن كان‬
‫‪ palatal‬واتوقع الجواب‬
‫الن هاي أقرب صوره حصلتها‬

‫‪Palatal‬‬ ‫✅🏾👇🏾👇‬
 ‫✅🏾👇🏾👇‬
‫‪Buccal‬‬

‫✅✅‬ ‫️⬅‬
‫**اكثر شئ ممكن يوضح الجهة الروت ريزوربشن لالترال‪..‬‬

‫✅✅‬ ‫️⬅‬
‫‪palatal‬‬ ‫يعني اذا صار له امتصاص بيكون‬
‫‪buccal‬‬ ‫االمتصاص اقل بيكون‬

‫جاء سوال عن ‪ band pushers‬حق االطفال؟‬ ‫🛑‬

‫جاب صوره وانت سمي االداه‬
‫🛑سال ايش هذه؟؟🏾👇🏾👇‬
 ✅✅
Fordyes granules
 ‫🛑‬
‫جابو عن تسسلسل االمباكتد من األكثر لالقل؟‬
 ‫🛑‬
‫جابو اقل سن ‪ missing‬اي واحد؟‬
 ✅✅
Central
most impacted**
Lower8
Lower 3
 Most conginital missing
Wisdom
Lower 5
Upper 2

✅✅✅✅
Upper 5

🛑Tooth with post and core. Advantage of post?

Build up of core✅✅
Transmit force to tooth

🛑Gloves 'gown 'mask ✅✅

‫بس تختاري االشياء اللي الزم تلبسيها أثناء الشغل يعني مش مطلوب الترتيب‬

🛑Advantage of wearing gloves

‫✅✅الزم خالل الجراحه الطبيب يلبس‬
‫بديل لغسل اليدين‬

🛑Determine the space infection:

Ptrygomandibular

✅✅
Submandibular

👇🏾👇🏾
Infratemporal
🛑Which tootn cause the infection?
👇🏾👇🏾

✅✅
Canine
✳️✳️A 17 - year - old patient, with a prognathic mandible, reports to the Dental
Clinic. The dental surgeon wants to ascertain whether skeletal growth has
subsided to adult levels. Which of the following would be the most accurate
method to determine whether the growth has stopped or is still continuing?

✅✅
A. Facial photographs
B. Hand wrist radiographs
C. Dental maturation status
D. Serial cephalometric radiographs

👇🏾👇🏾
**The purpose of hand and wrist radiograph analysis is to determine parameters
such as patient's skeletal age, the amount of growth left and to determine
whether to use functional appliance or to wait until growth ceased and performed
extraction or surgery.

➡️ hand and wrist ✅✅

**‫ اذا يسالونكم عن‬skeltal growth .

✅✅
If they ask about development growth
It will be cephalo

🛑Material used to remove gutta percha :

‫ من ضمن الخيارات‬chloroform✅✅

🛑In lower incisors there's a chance to found another canal, what's the canal?
Lingual✅
Buccal
Mesial
Distal

🛑Type of head gear movment

Intermittent ✅
‫‪🛑Red file :‬‬
‫✅ ‪25‬‬
‫‪30‬‬
‫‪35‬‬

‫‪ flaxabile:‬اي االدوات اكتر️✳🛑‬

‫✅✅الريمار‬
‫الباربربد برش‬
‫االتش فايل او‬
‫الكي فايل‬
 ✅
**File with negative rake?
K-file

✅
File with positive rake?
H-file

🌱Positivity of rake angle

H more
Then

🌱
K file
More cutting efficiency
H
Then

🌱
K
Flexibility
Re
Reamer
Then
K
Then
H

k flex= rhomboid
• K =squre • H= tear drop • Remear=triangular
K file.... pushing + reaming
H file .... only push & pull

✅✅✅✅
K file = negative rake angle
H file = positive rake angle + K-3 file

✳️✳️🛑X-ray for child came with avulsion:

Occlusal

✳️✳️
Panorama
Panorama+ 2pa
Cbct
 👇🏾👇🏾
**luxation
🛑X-ray for vertical bone loss:
Vertical bitewing✅✅
Panorama

PA

🛑PT come to clinic to extract and he want to replace immediately, which pontic
Ovate✅✅
will use?

Ridge lap
Conical
Sanitary

🛑Pic: palm thumb

🛑Pic: cross arch

🛑Pt come to clinic to extract #25 he want 3 unit fixed, what is the best option?
Modified ridge lap✅✅
Ridge lap
Sanitary
Conical

🛑HbsAg‫اقراؤا كل شي عنه‬
** acute infection ➡️HbsAg +ve
(Igm antihbc +ve &hbsAg +ve )

chronic infection =
(hbsAg +ve & -ve igm antihbc)

‫جاب حاله وشرح طويل وجاب نوع منه وسال شو المريض ماتذكر؟‬ 🛑
Quid halix ‫اجابه السوال‬
🛑In overdenture which of these hold the denture?
Locator abutment✅✅
Implant analogue

**Locator abutments are designed for use with overdentures or partial dentures
retained in whole or in part by dental implants in the mandible or maxilla. They

✅✅
offer multiple levels of retention and low vertical profile. The self-aligning design
enables patients to easily seat their dentures

🛑Pt with spaced tooth, the brush he will use it :

Brush > space ✅✅
Brush < space
Brush = space

👇🏾👇🏾
Brush = tooth width

**‫مريض عنده مسافات بين األسنان ايش نوع الفرشاه اللي يستخدمها‬
‫الفرشاه اكبر من المسافه بين األسنان‬
‫الفرشاه اصغر من المسافه‬
‫الفرشاه مساويه للمسافه‬
‫الفرشاه مساويه لحجم السن‬

🛑X-ray for incline root, what's the complication may occur during RCT ?
Ledge✅✅
Perforation

🛑At distal side:

1 wall

✅✅
2 wall
3 wall
Circumferential

**‫ لمن يكون ال‬defect ٤ ‫في ال‬

4 wall defect circumferential ( extraction socket )

👇🏾👇🏾‫**نفس السؤال‬
🛑CBCT image of tooth no 37 (superior view) showing bone loss 3mm diameter
from distal margin extending medially, lingually and distally. Numbers of walls
involved in this bone wall defect are:
A. 1 wall
B. 4 walls
C. 2 walls
D. 3 walls✅✅
🛑‫ تحضير لخط االنتهاء عند ال‬marginal gingiva for subgingival crown
1-2✅✅
The least distance between marginal and Cristal bone :

3-4
5-6

🛑Attached gingiva and unattached gingiva separate at :

MGJ✅✅
Gingival sulcus

Crestal bone

✳️✳️🛑‫ التحضير االفضل لحواف ال‬crown

Subgingival
1mm supragingival
0,5 mm supragingival
🛑Best anesthesia for children come to extract?
lidocaine 2%✅✅
🛑Child come to extract, which type you should avoid ?
Lidocaine

✅✅
Prilocaine
Bupvicaine
Articaine

🛑Read about asprin and haparin

🛑Pt with sickle cell come for extraction:
1-Inhalation sedation
2-Anesthesia with adrenaline
3-borbanet
4- nitrous oxide

👇🏾👇🏾
‫نعطيه نتروز لتخفيف الضغط النفسي‬
‫ومايدخل بدورة نقص اكسجة‬
‫و االنهيليشن هو نفسه النيتروز‬

‫**السؤال شو يلي ما بتعطي‬

 ‫💕‬
‫🏾🙏‬
‫‪Dr.Afnan‬‬
‫اذكروني بدعوة‬
‫مريضه اجت العيادة وكان عندها تقويم وخلصت من المعالجه وع السطوح ال‬labial ‫في بقع بيضاء بسيطه وبقايا من سمنت االلصاق‬

✅
‫شو التدبير ؟؟‬
1. Microabrasion
2. Walking blech
3.chirsid blech

‫ مريض اجا العيادة وعنده‬Rpd ‫وال‬clap ‫ اللي ع السن‬circumferential ‫انكسر من ناحية ال‬buccal ‫فقط‬

✅
‫ شو الخيار ال‬samplist ‫لنكمل ال‬clasp ‫نفسه ؟؟‬
1. Wrought wire.
2.Rpi
3.Rpa

3-Which antibodies find in the serum of blood

Anti-SSA autoantibody detection in which?
-Sjogren syndrome
-Systemic Lupus erythermatous

‫مريض خلع سنته وح ناخد سنته علشان نتعلم عليها بالعيادة ح تحطيها في اي محلول‬
If with amalgame in formiln
If without autoclave

pantient you did for him scaling and after 2 days he came with fever and swelling in lower.17
?five what is your mangment
A. Topical antibiotic

✅
Scaling and root planting .2
scaling and root planting with systemic antibotic 3
analgsic.4

:Pt with pulmonary edema ,avoid use

✅
Rubber dam
Inhalation O2

🔄
.‫مريض جاء للعياده عشان الخلع ولما بدانا نشتغل صار له فقدان وعي مفاجئ وهو مابيعني من اي امراض ايش المعالجه المناسبه‬

‫ ملي جرام‬٣٠ ‫_ ميدوزالم‬٢ ‫ملي جرام‬١٠ ‫_ديزبام‬١

✅
Patient have diabetics. And hypertension. Which type of cord use?
Alumina

✅
Pt have antibodies in his muscles:
Systemic lupus Erythematous
Sojern syndrome
 ✅
AH plus working time:
4 hr
6 hr
8 hr

‫ مريض سل جاء ولسه نتجيه الفحص ماطلعت وجاء يشتكي من‬periodental diseas ‫الدكتور ايش يعمل مع المريض‬
‫_يشتغل له فورا‬١.
‫يأجل لما تطلع نتيجه الفحص‬-٢.
‫_نعطيه مضاد حيوي وبعدين نشتغل له‬٣

Pt with sickle cell come for extraction:

1-Inhalation sedation
2-Anesthesia with adrenaline
3-borbanet
4- nitrous oxide

✅
‫لو كانت‬ANB‫الزاويه كبيره شو يعني‬

🌼🌼🌼🌼🌼
2 ‫يعني كالس‬

👉 *A-N-B Mean = 2*
ANB ↑ Skeletal Class II

👉
ANB ↓ Skeletal Class III
*S-N-A Mean=82*
SNA ↑ Protrusive Mx

👉
SNA ↓ Retrusive Mx
*S-N-B Mean= 80*
SNB ↑ Prognathic Mn
SNB ↓ Retrognathic Mn

✅
TB bacteria remain in clinic for ?
4-6 hr

‫هاد السؤال بقول‬

✅
‫عند تعقيم االدوات لماذا ال‬emmersion ‫ بمحلول التعقيم افضل من ال‬spray ??
1.‫الن ال‬emmersion ‫بغطي كل سطح االداة فبكون شامل التعقيم‬
2. ‫الن ال‬component ‫المحلول تكون فعالة اكتر‬

‫ مريض عنده‬tumor ‫ ب قبه الحنك ايش نوع‬major connect ‫اللي ممكن نستخدمه‬

✅
١_ horse
٢_anterior posterior.
٣_palatal
 ‫مريض عملنا له حشوه كمبوزت ل ‪ .upper incisor‬وكملنا وعملنا ‪ polishing‬ورجعنا حطينا ‪ bond‬وطبقه كمبوزت من جديده‬
‫عشان ‪ integrity‬ايش اسم هذه العمليه‬

‫✅‬
‫‪re_itched_١‬‬
‫‪.rebonding_٢‬‬
‫‪contored-٣‬‬

‫✅‬
‫اي المواد المطاطيه التاليه تكون ال‪ tear strength‬عاليه جدا عندها ؟؟‬
‫‪Polysulfid .1‬‬
‫‪polyfinil.2‬‬
‫‪Condensation rubber 3‬‬
‫‪polyetr.4‬‬

‫✅‬
‫‪ gracy:‬بأداة‬
‫موازي لسطح السن الذي نقوم بتقليحه ‪1.shrank‬‬
‫موازي للمحور الطولي للسن ‪2.shrank‬‬
‫سطح السن ‪3.shrank slightly tilt tward‬‬

‫من الطبيب ‪ consent‬ع اسنانه ومن دون ‪ braces‬اجا مريض العيادة وطلب من الطبيب بدو يركب‬

‫✅‬
‫اليش؟؟ ‪ violation‬بهالحاله المريض عمل‬
‫‪1. Autonomy‬‬
‫‪2. Beneficent‬‬
‫‪3.nonmaleficence‬‬
‫‪3.justic‬‬

‫منعملو على؟؟ ‪test‬عند دراسة فعالية محلول او دواء (نسيت بالزبط شو كان كاتب) ال‬

‫✅✅‬
‫‪١. Spores‬‬
‫‪2.bactria‬‬
‫‪3. Biofilm‬‬

‫✅✅‬
‫?‪Pt with amalgam restoration with pin came after long time with pain why‬‬
‫‪Pulp exposure‬‬

‫‪ frame‬وال آخر مرحلة عند تسلیم تجربه ‪work‬الزم نحضر مكانها ع السن قبل مانعمل لل ‪ Rpd‬لل ‪ rest‬ال‬

‫الجهاز للمريض ؟؟‬

‫قبل التجربة ✅✅‬

‫) ع السن ‪ rest‬نسيت السؤال بالزبط بس كان بيحكي عن الوقت االنسب لتحضير مكان ال‬

‫أثناء تحضیر سن ل ‪ crown‬بالغنا بتخفيض السطح ال ‪ occlussal‬فال ‪ retention‬لل ‪ crown‬رح يكون قليل‬
‫النحل المشكله شو االنسب ؟ ؟ ؟ ؟‬
 ✅✅
‫ بشكل متقارب‬proximal ‫ نحضر السطوح ال‬.1
‫ بال‬crown J groove .2
‫ نختار نوع سمنت يحل المشكله‬.3
. . .‫نسيتها‬.4

🛑Imbibition of alginate
In dentistry, syneresis is the expulsion of water or other liquid molecules from dental impression
materials (alginate for example) after an impression has been taken. ... The opposite process

✅✅
ofsyneresis is imbibition, meaning, a material that absorbs water molecules from the
surrounding

Hutchinson of syphylis
Hutchinson teeth is a sign of congenitalsyphilis, which occurs when a pregnant mother transmits

✅✅
syphilis to her child in utero or at birth. The condition is noticeable when a child's permanent
teeth come in. The incisors and molars take on a triangular or peglike appearance

✅✅✅
Determine infection transmition
Muscle attachement

TMJ Wilkes
Wilkes Classification

Wilkes in 1989, classified ID into 5 stages:

Stage I-Early reducing disk displacement

Stage II - Late reducing disk displacement

Stage III - Non reducing disk displacement

acute/subacute

Stage IV - Nonreducing disk displacement-chronic

Stage V- Nonreducing disk displacement-chronic with

osteoarthrosis. ✅✅
🛑weber syndrome symptoms
Sturge-Weber syndrome (SWS) is a neurological disorder marked by a distinctive port-wine
stain on the forehead, scalp, or around the eye. This stain is a birthmark caused by an
overabundance of capillaries near the surface of the skin. Blood vessels on the same side of the
brain as the stain may also be affected.In some children, abnormal vessels don’t cause any
symptoms. In others, they can cause the following symptoms:

developmental delays
cognitive impairment
seizures
weakness on one side of the body
paralysi

🛑ludwing angina pic and which space‫؟‬

Ludwig's angina is a form of severe diffuse cellulitis with bilateral involvement, primarily of the
submandibular space with the sublingual and submental spaces

🛑pyogenic granoluma ttt...?

Nonmedical treatment of pyogenic granulomas (PGs) most commonly consists of shave
removal and electrocautery or surgical excision with primary closure.
Removal of the lesion is indicated for bleeding due to trauma, discomfort, cosmetic distress, and
diagnostic biopsy. The lesion may be completely removed during
.biopsy

🛑ridge mapping
measure buccolingual bone width

🛑direct and indirect sequela of CD

Direct sequelae

" Mucosal reactions

" Oral galvanic currents

" Altered taste perception

" Burning mouth syndrome

" Gagging

" Residual ridge reduction

Periodontal disease & caries of abutments

Indirect sequelae:atrophy of masticatory muscles

Masticatory function depends on the skeletal muscular force and the facility with which the
patient is able to coordinate oral functional movements during mastication

" In complete denture wearers, particularly in women

atrophy of masseter and medial pterygoid muscle is seen 1 The decrease in bite force and
chewing efficiency results in impaired masticatory function.
As

🛑mucocele and ranula

Ranula floor of the mouth
Mucocel in minor glands

🛑burkitt’s lymphoma
Burkitt's lymphoma - Main clinical manifestations: o Intraoral findings: ulcerations, pain, swelling,
tooth mobility o Extraoral findings: facial asymmetry, cervical/submandibular/submental
lymphadenopathy - Common Location: tonsils, salivary glands

🛑erythema multiforme
Erythema multiforme is a hypersensitivity reaction usually triggered by infections, most
commonly herpes simplex virus (HSV). I

The oral manifestations of the spectrum of EM range from tender superficial erythematous and
hyperkeratotic plaques to painful deep hemorrhagic bullae and erosions. Other mucosal
surfaces including ocular, nasal, pharyngeal, laryngeal, upper respiratory, and anogenital may
be involved

🛑dentinogensis imperfecta
💡Type 1.. DI..
dentinogenisis imperfecta features?

📍occurs with osteogenesis imperfecta,

an inherited defect in collagen formation

🔆 results in osteoporotic brittle bones, bowing of the limbs, bitemporal bossing, and blue
sclera.

🔆 Primary teeth tend to be more

severely affected than permanent teeth.
🔆Periapical radiolucencies, bulbous crowns, obliteration of pulp chambers, root fractures.
An amber translucent tooth color is common.

💡Type 2..DI..
🔆hereditary opalescent dentin
🔆Not associated with osteogenesis
🔆both primary and permanent dentitions
🔆bulbous crowns, obliteration of pulp chambers and
are equally affected

root fractures.

💡 type 3 is rare
📍bell-shaped crowns, especially in the permanen.
📍teeth with a shell-like appearance
✅✅✅
and multiple pulp exposures

‫ اجاني كمان بحالة فقدان كبير العظم لمريض‬cd 🔄

‫الزم نحقق‬
Canin oclossal
Balanced oclussal

🛑epsten pearls
Epstein Pearls

Very common

• Yellow-white epithelial cysts on roof of mouth

- One to several

Benign epithelial cysts

No treatment needed

• Resolve spontaneously in 2-3 wks

🛑UNC-15 and neighbor’s probe + puncher pic

 ‫صورهم ✅✅‬
‫‪🛑MRONJ‬‬

‫‪🛑paget’s disease‬‬
‫يجي السناريو تبعه ان لتزم تغير الطقم له كل فتره‬

‫النه اصال يحصل له تغير بالعظم‬ ‫✅✅‬

🛑bowel disease
 ‫ ابريل‬٧ ‫منافشه‬

1 - patient needs fixed bridge for lower 6 and the upper 6 is supererupted so what will be the
most harmful movement ?
A-protrusive ✅
B-working
C-non working
D-lateral

2-‫ سنة وال يعاني من تسوس ومدكل فت‬١١ ‫؟؟ كم نسبة الفلورايد بمعجون االسنان لطفل عمره‬
٥٠٠ ‫ غسول فم‬0,05 + ‫ معجون اسنان‬mouth wash✅✅✅
٥٠٠ ‫ غسول‬5 + ‫معجون اسنان‬
١٠٠٠ ‫ غسول غم‬0,05+ ‫معجون‬
١٠٠٠ ‫ غسول فم‬٥ + ‫معجون‬

3- ‫ في سؤال عن ال‬crossbite
‫ مريض راح للعيادة مع‬latral crossbite ‫ بعدين‬. ‫من جه وحدة الدكتور الحض ان المندبل فيه انحراف عن موقعه االصلي‬
‫ الدكتور اثناء الفحص وجد‬bilatral crossbite in centric occlusion
‫الخيارات كانت تتكلم على التوسيع‬
A- bilateral✅
B-unilateral

4-‫ اجاني سؤال عن‬quad helix .. ‫نوع ال‬applience

Fixed✅

5-While arranging missing teeth for a prosthesis irt 11 21 , the tip of max. anteriors should be
parallel to
• upper labial arch✅🤝
• Lower labial arch
• Upper gingival margin
• Lower gingival margin

6-What the landmark that help in arrange the teeth in anterior posterior position for CD ?

If said only centrals will choose insicive papilla

If said anteriorposterior will choose alla of the

7-Which nerve may damage during implant for posterior teeth ??

Inferior alveloar nerve
✅✅

8-. Muscle ‫اللي تحدد‬. Boundaries of cd?

Maxilla : orbicularis oris
Buccinator and canius
Mandible : buccinator and temporalis tendons
Ptergyomandibular raphe and superior constrictor of the pharynx

9-Sequence of comon missing teeth?

The most common congenitally missing permanent teeth with the exception of the maxil- lary
and mandibular third molars, are the mandibular second premolars, followed by the max-
illary lateral incisors, and the maxillary second premolars.

10-Pt with history of tuberculosis infection ... now under no medical treatment
came for checkup ... which one is a must to wear by the dentist .
A .face mask ✅
(respiratory mask N95)
B. Face shield
C. Gloves

11•During extraction which alveolar bone is most susceptible to fracture?

Mand incisor
upper canine ✅✅
mand post

Picture of infraorbital space infection

Picture of unilateral cleft lip and palate
 ‫مناقشة ‪ ٨‬ابريل‬

‫حشوة املغم الزمها تصليح بايش نصلحها ؟‬

‫قياس سنبلة غيتس غلدن رقم‪ 1‬؟‬

‫✅✅ ‪0.50‬‬
‫مريض شرب كمية عالية من الفلور شو الزم نعمل‬

‫✅✅‬
‫طفل عمرو شهر كم نعطيه فلورايد ؟‬

no need for fluoride supplements before 6 months ✅

‫دكتور حط ايدو وهيا ملوثه ع الكرسي ايش الزم يعمل ؟‬

clean and disinfect immediately ✅✅

‫طبعة البولي سلفيت ؟‬

Bad sulfer odour

High tear strength ! ( read about the polysulfide)

if the space less than 7 we use lingual plate

if more than 7 we use lingual bar

✅✅
‫اقل سن انحسار ؟‬
‫سؤال أسنان فيها تآكل شو بدنا نرجع ؟‬

! ‫شفة مشقوقة عم طبقة متأذية‬

3 layers ✅✅

‫سؤال موضع باالنجليزي‬

66. Pic of large cut in the upper lip and asking about layers of suturing?

‫و سؤال عن ال اترشن‬

‫ليش صعب نعمل تطوبل تاج بالرحى التانية السفلية ؟‬

difficulty in crown lengthening in lower second molar !?

Difficulty to access and multiroot ✅✅

‫اجا مريض طفل مع أبو و المريض بدو يغير بدو يروح على دكتور تاني شو بدك تعطي من النسخ صور ؟‬

‫اعطي نسخة مع االحتفاظ باالصل‬

82) Pt. asked for copy of all his dental records to show them to another dentist ?

• Give him some of copy

• Give him some of original

• Give all copy ✅✅

• Give all original

‫تعريف الماستر فايل ؟‬

Definition of master file in endo !?

defined the master apical file (MAF) size as enlarging the apical portion of the root canal system
three sizes larger than the first file that bound at working length. This was accomplished after
coronal flaring of the root canal system

✅✅

‫و مريض راح يشيك على سنانو كان في متهدم كتير و بدو قلع شو بتعمل؟‬

Chief complain

History (medical & dental )

Examination ( extra& intra oral & radiographic)

Emergency ttt & relief pain first

OHI

✅✅

‫اجا سؤال عالحساسية من الربر دام؟‬

438-*young healthy pt came to clinic for RCT after placemnt of rubber dam after 30 mintues pt
started

difficulty breathing and tachychardia .. what condition does the pt has?

A)anxietya g

B)allergy reaction

C)undignosed asthmatic pt

D)undiagnosed pulmonery disease

 ‫سؤال عن التيبر؟‬

‫سؤال عن طول زرعة؟‬

‫اقل تخفيض للحدود القاطعة تيجان خزف؟‬

Minimum marginal tooth reduction in full porcelain crown?

1.5✅✅

‫افضل انذار لكسور الجذور االفقية؟‬

The best prognosis for fractures of horizontal roots?

‫افضل انذار لكسور الجذور االفقية؟‬

The best diagnostic sign for fractures of horizontal roots?

1_Increased mobility and/or displacement of the coronal fragment (but this may also resemble
displacement of the entire tooth without a root fracture).

2_Tenderness to percussion may indicate injury to the PDL, such as concussion or subluxation of
the coronal fragment.

3_Transient coronal discoloration may occur, either red or grey.

4_Bleeding from the gingival sulcus may indicate subluxation of the coronal fragment

✅✅
‫مسبر التدرج فيه ‪ 123578910‬ايش اسمه؟‬

‫✅✅‬
‫مريض عم تشتغلو اندو حس بطعمة الكلور ايش يلي صار؟‬

‫اجا سؤال على سن في حركة من الدرجة التانية و عمق الجيب ‪ 10‬ملم‬

‫و خراج حول الذروة شو إنذار السن ؟‬

‫?! ‪what is the prognosis‬‬

‫✅✅ ‪hopeless tooth indicate extraction‬‬

‫تصنيف االنحسارات و ميلر للحركة؟‬

‫سؤال عن حجم كرية الدم الحمراء؟‬ Volume or size of red blood cell✅✅
‫جاني سؤال عن البنسلين على ايش بأثر؟‬

‫?‪a question about penicillin, what effect‬‬

‫✅✅‪Inhibit bactrial cell wall‬‬

‫مريض ياخد اموكسيسلين و حصلو دياريا ايش الزم نعمل !؟‬

‫‪stop the amoxicillin‬‬

‫✅✅ ‪and prescribe Flagyl‬‬

‫‪To stop the proliferation of difficult Clostridium tetanus‬‬

‫‪It is an anaerobic‬‬

‫فقط ‪Denture repair + Cd sequela‬‬

‫‪read about it‬‬

‫جاني سؤال بيدو بيشنت جا العيادة والدنتست يحكيله قصة وقت االنسثيزيا ايش هذي الخطوة كانت اختيارات جديدة مو من التجميعات‬
‫(تشتيت ) اتذكر مر علي من اول? ‪distract‬بس االجابة‬

‫✅✅‬

‫في سؤالين من اختباري السابق بس ما عرفت وش االجوبة جت بيشنت وطلبت ان بسرعة تبغى العالج بدون موعد الن عندها عيال‬
‫صغار في البيت وما تبغى تتطول عليهم وش التصرف الصح في هذي الحالة‬

‫على حسب الخيارات‬

‫✅✅‪grade IV‬وفاالكسراي ووااضح معناه ‪furcation‬والبروب طالع من ال ‪furcation‬جاب صورة‬

‫‪desmopression‬وكل شي طبيعي عنده وياخذ ‪pt have sever bleeding‬‬

‫فكانت االجابة‬hemophilia

( ‫الدواء يستعمل لدى األشخاص الذين يعانون من مشاكل في تخثر الدم مثل مرض فون ويليبراند‬Von Willebrand)
(Hemophilia)

‫جاب صورة‬ plastic scaler ‫وفي ايش نستخدمه واالجابة‬implant

✅✅

Pt with sickle cell come for extraction: (contraindication)

1-Inhalation sedation

2-Anesthesia with adrenaline 1:100 000 ✅✅

3-borbanet

4- nitrous oxide
 ‫و وقت الخلع مايحس بالم ابدا في السنتسن ولكن مع ‪IANB With lingual‬برضو كيس سيناريو يحتاج خلع ‪ 46,47‬واعطيناه‬
‫الفورسيبس فقط يحس بالم في ‪ 47‬فايش نعطيه‬

‫الخيارات كانت‬

‫‪A- again IANB‬‬

‫‪B- Again lingual‬‬

‫‪c- again both‬‬

‫✅✅‪D- long buccal‬‬

‫ومادري ايش االجابة الصح ‪A1-A2 -B1 - B2‬واالختيارات ‪tilted‬تحتاج ريستوريشن والثيرد ‪x-ray #47‬ذا السؤال جاب‬
‫ماكانت الصورة واضحة‬

‫بالتوفيق للجمييع‬
‫د‪ /‬نور‬
 ‫ أبريل‬٩ ‫مناقشة‬

▶️11 years old, has avulsed lower second incisor before 45 minutes, you
decided to replace it after depridement and cleaning, what will you do ?

A- RCT followed by splinting ✅✅

B- pulpotomy followed by splinting
C- immediate splinting followed by RCT
D- i don't remember the forth choise "sorry"

▶️Primary first lower right molar, after removal of caries >> pinpoint
mechanically exposed pulp, what will you do ?

A- pulp capping with calcium hydroxide ✅✅

B- pulpotomy
C- pulpoctomy
D- extraction

▶️Patient in early mixed dentition, with unilateral crossbite, your treatment ?

A- skeletal expansion✅✅
B- dental expansion
C- delay the treatment until complete eruption of all permanent teeth
D- headgear
▶️ Patient with the following cephalometric measures :
SNA was normal
SNB was decreased
ANB was increased
mandibular plane angle was decreased
upper incisor angle with SN plane was decreased
what is your diagnosis ?

A- skeletal Class I

✅✅
B- skeletal Class II div. 1
C- skeletal Class II div. 2
D- skeletal Class III

🌼🌼🌼🌼🌼
👉 *A-N-B Mean = 2*
ANB ↑ Skeletal Class II

👉
ANB ↓ Skeletal Class III
*S-N-A Mean=82*
SNA ↑ Protrusive Mx

👉
SNA ↓ Retrusive Mx
*S-N-B Mean= 80*
SNB ↑ Prognathic Mn
SNB ↓ Retrognathic Mn

▶️Most irritant base or liner to the pulp :

A- zinc phosphate✅✅
B- zinc polycarboxylate
C- zinc oxide
D- glass ionomer

▶️Cavo-surface angle for amalgam restoration :

A- 90✅✅
B- 45
C- 70
D- 110

▶️ Sectional casted post and core is common in :

A- incisors
B- canines
C- premolars
D- molars ✅✅

▶️ C-shaped root is common in :

A- upper first molar
B- upper second molar

✅✅
C- lower first molar
D- lower second molar

▶️ Finishing line for full metal crown :

A- chamfer✅✅
B- shoulder
C- heavy beveled shoulder
D- reverse beveled shoulder

▶️ The most important advantage for shoulder finish line in PFM " porcelain
fused to metal " is :

A- facilitate taking fine detailed impression after preparation

B- give enough space for porcelain in cervical area ✅✅
C- facilitate cast pouring and die preparation in laboratory
D- facilitate waxing and carving of die

✳️✳️28- Old female after using of many dentures came to your clinic suffering
from pain and ulcer in denture bearing areas and asking for new denture. after
examination, you found anetrior undercuts in incisors area, as well as bilaterally
posteriorly in retromolar bad areas. what will you do ?

A- relief anterior undercut + surgical correction of posterior undercut

B- relief posterior undercut + surgical correction of anterior undercut
C- third choise was either combined anterior and posterior surgical correction or
combined relief
D- i forgot the forth choise, i'm sorry
▶️ Optimal time for mouth wash rinsing with chlorhexidine 0.12
✅✅
A- 15 seconds
B- 30 seconds
C- 45 seconds
D- 60 seconds

▶️ Bone resorption in furcation area, what is it called ?

A- furcation involvement✅✅
B- periapical cyst
C- periodontal cyst
D- periapical abscess

▶️ Young male with multiple attritions and pulp obliterations with hereditary
background :

A- dentinogenesis imperfecta ✅✅
B- amelogenesis imperfecta
C- regional odontiplasia
D- syphylis

▶️ Long senario and history about remavable partial denture, and asked about
the component that distributes the occlusal forces on supporting structures and
prevent " tissue ward " movement of denture :

A- rest✅✅
B- retentive arm
C- reciprocal arm
D- indirect retainer
▶️ Patient under orthodontic treatment, his complaint was pink discolorization of
crown, what is the most common cause ?

A- internal resorption ✅✅
B- pulp necrosis
C- decalcification
D- attrition

34- Intraoral image for missed lower first primary molar and asked about the type
of apace maintainer :

A- band and loop ✅✅

B- lingual arch
C- RPD
D- bilatral band and loop

‫ نخلع ال‬D ‫ ويكون ال‬E ‫موجود‬ ➡️➡️ band and loop

‫ إذا خلعنا‬D ‫ وكان ال‬E ‫ = موجود‬band and loop

‫ اذا خلعنا‬E ‫ وكان ال‬D ‫ = موجود‬reverse band and loop(‫ طالع‬6‫)هذا في حالة ال‬

‫ما طلع وخلعنا‬6‫اما لوكان ال‬E. ‫ يبقى نسوي‬distal shoo

‫كمل بقا لو خلعت‬e bilateral ‫و االسنان الدايمه ال ادام طلعت‬
Lingual arch

👍🏻
✅✅✅✅✅✅✅✅✅
.. ‫ ولو خلعنا‬uper ant ‫ بنستخدم‬nance apliance

✳️✳️35- Patient came to you after previous stressful procedure complaining of

burning sensation and discomfort of the lip, on examination you found ulcers and
vesicles on lip and attached gingiva, what is your diagnosis ?

A- major aphthous clcer

B- minor aphthous ulcer
C- herpes simplex
D- allergy
▶️Branch of internal carotid artery :
A- ophthalmic artery✅✅
B- superfacial temporal artery
C- posterior auricular artery
D- lingual artery
▶️* Pulp vitality test initiates which fibers?
( C fibers✅✅
_ afferent
_ efferent )
✳️✳️▶️* Crown with redness & gingival inflammation after placement why ?
▶️* File10 D16 ?
🌼🌼🌼🌼🌼
What is the D 15 for file 25 ?
‫المعادلة‬

‫‪ :‬الزم يكون عندك اثنين من المعطيات‬

‫)‪ -١‬رقم الفايل ‪ ،‬مثال ( ‪10,25,50,70‬‬

‫)‪ ( D8 , D15 , D4‬كم ‪ ،‬مثال ‪ -٢ D‬رقم ال‬

‫اول شي ناخذ رقم الفايل ونحوله مثال فايل‬

‫رقم ‪0,25 = 25/100 <<<< 25‬‬

‫‪ D15‬مثال ‪ D ،‬بعده نحول ال‬

‫‪ d‬نضرب الرقم الثابت الي هو ‪ 0.02‬ب رقم ال‬

‫‪0.02 x 15 = 0.30‬‬

‫‪ d‬بعدها نجمع الفايل الي طلعناه مع ال‬

‫‪0.25+0.30 = 0.55‬‬

‫?‪▶️* Best sterilization for instruments‬‬

‫‪( dry heat‬‬

‫✅✅‬
‫‪_ chemicals‬‬
‫‪Moist heat‬‬
▶️* Patient with edema in legs & shortness of breath which disease ?
Congestive heart disease✅✅
▶️* What's the first step of respective osseus surgery ?
Vertical grooving✅✅
▶️* The most common surgery for setback of the mandible ?
BSSO✅✅

_Bilateral sagittal split osteotomy used to setback or forward mandible movement

_Transoral vertical ramus osteotomy used only setback of mandible

Dr.Afnan 💕
‫اذكروني بدعوة🏾🙏‬
 ‫أبريل‬١٠ ‫مناقشة‬

1. * Class 2 with deep overbite treatment ?? ( Headgear✅✅ _ extraction upper 4 _

orthognathic surgery )
 2. Treatment of NUG
Removal of necrotic tissue by sterile cotton+scaling +antibiotic✅
3. Pic. Furcation defect class 2 prognosis (fair ✅✅
_ questionable _ poor )

4. * Pic. 1- wall bony defect

 5. * Treatment of chronic periodontitis
SRP sub and supra gingival +ab✅

6. Type of bacteria for aggressive periodontitis

Aggregatibacter actinomycetemcomitans✅✅

7. Bacteria for inial caries

streptococcus mutans ✅✅

8. * Prophylaxis for infective endocarditis (amoxicillin✅✅+metronidazole)

9. * Best direct retainer for distal extension RPD

RPI ✅

10. * Amalgam tooth for training management ?

put in formaline 10% then saline✅✅

🦷 without amalgam = medical waste

🦷 with amalgam = Hazard

🦷 for preclinic: A: with amalgam= 10% formalin for 2 weeks

B: without amalgam= clean and disinfect then autoclave for 40 min

Vomiting consider: infectious

Vomiting consider: infectious

Discard Paper towel in : Hazard & infectious clinical waste

Vomiting in chair: follow manufacture instruction

Vomit in the floor: intermediate level disinfectant

Dental unit waterline should be flushed at the beginning and the end for 2 min.
Between patients: 20-30 sec.
 11. Implant retained crown with foul odor why ? Loose crown ✅

12. Ideal biologic width mesio distal with crown lengthening ?

2.04✅✅

13. In healthy gingiva where is gingival marginl coronal to CEJ )✅✅

On tooth 28, the gingival margin is at the level of the CEJ. On teeth 25 to 27, thegingival
margin covers the CEJ

14. 65. A pic of Verruciform Xanthoma caused by

a- Virus
b- Immunosuppression✅✅
c- Trauma
d- Allergy

15. Master cone number 20 diameter at the tip

- 0.02
- 0.2✅✅
-2
- 20

Diameter at the tip (D0 ) =number of file /100

16. Which type of impression with high tear resistance ( alginate _ polyether_ pvs )
polysulfide ✅✅

17. Alternation of VDO can be done in _centric relation

_ Maximum intercuspation ✅✅

18. Pic. attrition

 19. Pic.kennedy class 2 mod.1 ask about position of indirect retainer
Perpendicular to fulcrum line✅✅

20. Hypertensive patient with Nifidipine & gingival enlargement ... management (change
drug _ ask physician to change the drug ✅✅ _ scaling OHI )

21. Non corrosive sterilization technique ( gluteraldhyde )

dry heat✅

22. Brown discoloration with irrigation ?

Chx ✅✅
23. Lateral movement of the mandible to right ( right mesial pterygoid
_ left lateral pterygoid✅✅
_ temporalis muscles

24. Gagging with anew CD why ?

over extended lingual flanges ✅✅
 25. * Margin of metal ceramic crown without coring
-shoulder
_ chamfer ✅✅
_ beveled

) myxedema coma ( ‫ حصله اغماء السبب‬hypothyroidism ‫مريض عنده‬ .26

27. pseudo class 3 best described as ?

Skeletal class 1✅✅

28. Child extracting all primary teeth except lower 2 molars which type of space
maintainer !?
lingual arch ✅✅

band and loop ‫ موجود‬E ‫ ويكون ال‬D ‫نخلع ال‬

band and loop = ‫ موجود‬E ‫ وكان ال‬D ‫إذا خلعنا‬

)‫ طالع‬6‫(هذا في حالة ال‬reverse band and loop = ‫ موجود‬D ‫ وكان ال‬E ‫اذا خلعنا‬

distal shoo ‫ يبقى نسوي‬.E‫ما طلع وخلعنا‬6‫اما لوكان ال‬

‫ و االسنان الدايمه ال ادام طلعت‬e bilateral‫كمل بقا لو خلعت‬

Lingual arch

nance apliance ‫ بنستخدم‬uper ant ‫ ولو خلعنا‬..

✅✅✅✅✅✅✅✅✅

29. Child extracting lower E with erupting 6 what space maintainer? Reverse band &
loop✅✅

30. Upper central with distal caries & mesial glass ionomer best treatment (veneer _ full
coverage ✅✅
_ composite )

31. * Best diagnostic for VRF ( staining

_ surgical flap✅(exploratory surgery)
_ others )
 non_ vital bleaching ‫* سؤال عن‬ .32

Vital bleaching :

In office : 30-35% H202

Home applied :10-15% carbamide peroxide

Non vital bleaching.

 In office : 30-35 % H2o2

Walking bleach :
Na perborate.

gingival index ‫سؤال عن‬ .33

34. Gingivitis classification

 35. Pt have antibodies in his muscles: Systemic lupus ✅✅Erythematous Sojern
syndrome

36. Patient complaining of pain after 2 days of CD insertion why ? ( Overextended flanges
)

37. Pt have antibodies in his muscles: Systemic lupus Erythematous Sojern

syndrom✅✅✅

“Muscle antibodies is usually abscent in systemic lupus erythmstous “

38. 15- Tooth discoloration due to trauma
How do bleaching?
Vital
✅✅Non vital
Microabrasion
39. Pt have antibodies in his muscles: Systemic lupus Erythematous. Sojern
syndrome✅✅✅
 ‫ ابريل‬١١ ‫مناقشة‬

🔷lichen planus .. Treatment Corticosteroids Corticosteroids may reduce

inflammation related to oral lichen planus. One of these forms may be
recommended: Topical. Mouthwash, ointment or gel is applied directly to the

✅✅✅
mucous membrane — the preferred method. Oral. Corticosteroids are taken as a
pill for a limited amount of time

🔷leukoplakia
‫ صح‬can not be wiped of ‫ انها‬candida ‫الفرق بينها و بين‬
 🔷
bohn’s nodules-٣‫‏‬
🔷‫جاب تعريف وقال هذا تعرف ايش‬- ٤
pulse oximetry

pulse oximeters measure the amount of red and infrared light in an area of
pulsatile blood flow. Because red light is primarily absorbed by deoxygenated

✅✅✅
blood and infrared light is primarily absorbed by oxygenated blood, the ratio of
absorption can be measured.
**100. Which of the following devices can be used to measure the oxygen

✅✅✅
concentra.on in the pulp?
A.pulse oximetry
B . electric pulp tester
C . electronic apex locator
D . laser Doppler flowmetry

🔷‫ايش افضل‬-٥
remove semer layers ‫ انا جاوبت‬MTAD

✅✅✅
‫ وكان بين الخيارات‬EDTA
chlorohexdine MTDA
🔷‫سؤال عن‬-٦
✅✅✅
crown fractures uncomplet
‫يكون بدون مايفتح البلب ‪**Uncomplicated‬‬
‫مع البلب اكسبوجر ‪Complicated‬‬
‫‪-٧‬جاب صوره وقال ايش دي األداء تستخدم🔷‬
‫✅✅✅‪naber’s probe‬‬
‫‪ -٨‬سؤال عن🔷‬
‫✅✅✅‬
‫‪ provides vertical support‬انه يزود الطقم ايش وبين الخيارات ولي جاوبته انا ‪rest‬‬
🔷‫جاب لي تعريفات ال‬-٩
support and stability ✅✅✅

🔷‫اول‬‎ ‫ متى‬-١٠ intra utrine first step of formation ‫ ومتى يوقف الرضاعه🔶🔶🔶🔶بعد‬+ ‫لطفل‬
‫ شهر‬١٢✅✅✅✅
‫‪mm‬انه زايد ‪-١١ free way space 1‬جاب سؤال الصراحه مافهمته كثير والكن يتكلم ‪‎‬عن🔷‬
‫من ‪ ٢:٣‬وهوا اكيد هيوضح فالسؤال اكتر ‪normal space‬هوا المفروض ال‬
‫والعكس ‪ vertical dimention of occlusion‬لو زاد اكتر من كده هتقل‬
 ✅✅✅‫ سؤال عن مريض القلب قبل ماتبدا تعالجه ايش تعطيه‬-١٢🔷

🔷‫ سؤال كان فيه‬-١٣

In cast➡️ indelible pencil
t burnisher ‫ لطقم كأنه لثباته ب‬soft and hard

In pt➡️ t burnisher✅✅✅

🔷١٤-‫ ‏‬what matirial acid base reaction

‫ انا جاوبت‬GIC✅✅✅✅
 ‫🔷‬
‫✅✅✅✅‬
‫‏‪ contraindiction -١٥‬دواء للحامل وماكان موجود بالخيارات ال ‪ aspirin‬وال‬
‫‪diclofonate‬‬
‫‪ -١٦‬سؤال عن🔷‬
‫✅✅✅‬
‫وهذا الي جاوبته ‪ hydroxapatite‬وكان بين الخيارات ‪enamel inorganic‬‬
 ✅✅👇🏾
Dentin
‫‪-١٧‬ثالثه اسئله عن🔷‬
‫وجايب حاالت متى تستخدم وايش ال ‪ vital and non vital‬اقرو عنه انه ‪bleaching materials‬‬

‫🏾👇🏾👇✅✅✅‬
‫سواء بالمنزل او بالعياده مهم ‪materials.‬‬
 ✅✅✅‫ جايب عنها مثل الشرح وقايل ايش هذا وين يصير‬dentinogenesis -١٨‫🔷‏‬
💡
?dentinogenisis imperfecta features

📍
..Type 1.. DI
,occurs with osteogenesis imperfecta
an inherited defect in collagen formation

results in osteoporotic brittle bones, bowing of the limbs, bitemporal bossing,🔆

.and blue sclera

Primary teeth tend to be more 🔆

.severely affected than permanent teeth

Periapical radiolucencies, bulbous crowns, obliteration of pulp chambers, root 🔆

.fractures
 ‫🔷‬
‫✅✅✅‬
‫‪-١٩‬سؤالين عن ال‬
‫‪ warfrin‬اقرو عنه‬

‫اهم حاجه فيه مريض اللي هيدخل ‪ major sugery inr 2:3.5 maximum‬ولو اعلى ‪physicioon‬‬
‫‪consultation‬‬

‫🔷‬
‫✅✅✅✅‬
‫‪ -٢٠‬ايش الدواء الي يعمل‬
‫‪ staining tooth‬انا جاوبت ‪trtracycline‬‬

‫🔷‬
‫✅✅✅✅‬
‫‪-٢١‬جاني سؤالين حاالت وراه بعض وايش تستخدم وايش نوع ودي االمور وصراحه ماذاكرته بس كان يتكلم‬
‫عن ‪ semi and fully adjustable‬اقرو عنهم‬
 ‫🔷‬
‫😅‬
‫‪ -٢٢‬جاني سؤال عن مريضه راحت العياده وفيها الم ودكتور بيسوي لها الجلسه بس هيا قالت عيالها بالبيت‬

‫✅✅✅‬
‫ماتقدر حاليا ايش تسوي‬
‫تتصل على عيالها وتقولهم انه بتتأخر تطمنهم‬
‫وال الدكتور يعصب ويبطل يشتغل لها‬
‫وال يصرف لها دواء من غير مايشوف الحاله‬
‫يحولها لدكتور اخر‬
 🔴
what characteristic happen when snap removal of ioreversible hydrocolloid-1

✅✅✅
impression from mouth
A-low tear resistane

🔴
✅✅✅
. angle between blade and lower shank in universal curette-2
A-90
B-60
C-45
 🔴
✅✅✅
. angle between blade and sharp stone during sharping-3
A-100-110

instrument use with pushing moshing-4🔴

✅✅✅
A-gracy
B-chisel
?techniqe to remove gingival s.. from pocket-5 🔴
✅✅✅
A-scalling
B-root planing

🔴
✅✅✅
.increase antibiotic resistance
A-mutation
✳️✳️🔴6-First action of dr when see child abuse mark?
Report record treatment✅✅✅✅

**Child neglect and abuse steps...4Rs

Recognize.
Record.
Report.
Refer.

🔴7-embryonic week when tooth start develop?

B-6. ✅✅✅
A-2.

C-10
d-14

🔴8-After crown lenghtening (1ml between marginal restoration and bone ) what
to do next? ✳️✳️✳️
A-close flap and suturing
B-increase more 3 ml
C-excision from gingiva

🔴9-Tooth 14 natural. 15 pontic. 16implant What the cause of debonding ?

✳️✳️✳️
A-improper cementation technique
B-improper design
🔴10- raspberry like oral manifestation for?
✅✅✅✅
A-eplus fissuratum
B-denture stomatitis c_papillary hyperplasia

**Inflammatory papillary hyperplasia: This condition usually occurs in

the hard palate. Its pathogenesis is uncertain but seems to be related to
the use of maladjusted dentures, poor oral hygiene and denture overuse.
Clinically it is a pathognomonic lesion, with a raspberry appearance,
small erythematous nodule, which could lead to palate burning sensation.
It occurs as a mucosal inflammatory response

🔴11- minimum bone loss to confirm 2ry occlusal trauma?

B-30-50✅✅✅
A-10-20%

C-60-80
D->80%
🔴12-short crown margin during metal try in?
A-remake✅✅✅
B-soldring

Soldring ‫لما يكون فيه كسر بالرست‬ ✅

🔴13-most common cause of dailure of fixed parital denture?
A-secondry caries ✅✅✅
B-peridontally incolved.

🔴14-how many centric occlusal contact of molar ?

A-2

✅✅✅
B-3
C-4
D-5
🔴15-definition of critical item. ✅
🔴16-which root for resection in upper first molar?
B-distobuccal ✅✅✅
A-palatal

C-mesiobiccal
🔴17-composition of RC-p.. ‫مني فاكرة االسم‬
‎ ‫ كل الخيارات‬edeta✅✅✅
A-edeta.+sodium hupochlorite+....
‫فيها‬

RC-prep= canal lubricant, EDTA+ urea peroxide + glycol-bases Glyde (

wax-based)

🔴18-external resorption ttt?

✳️✳️✳️
Rct or periodontal endodontic depending on the location 🙏🏽
 ‫‪Dr.Afnan‬‬
‫اذكروني بدعوة‬
 ‫ ابريل‬١٣ ‫مناقشة‬

🌙
✅
19-internal
‫‏‬ resorption obturation tech ?
Thermoplastic technique obtura 2

🌙20-type of wound in 4 corner flap?

A-clean✅✅
b-contaminated.
🌙21-RCT end in?
A-radiographic apex
b-anatomic apex ✅✅
c-minor contriction
d-major consritction .

🌙22-smallest diameter in root canal?

A-apical constriction.✅✅
🌙23-diameter of k-file.
A-0.02 ✅✅
B-0.2
C-2

🌙24-ground glass appearance.

✅
Fibrous dysplasia (orange peal )
🌙25-tooth concussion management.
Soft diet +follow up 1 year ✅
**Fibrous dysplasia 4 types
1/ monostototic : one bone
2/ polyostotic: two or more bones
3/ albright’s syndrome: multiple lesions,hyperthyroidism
4/ craniofacial

✳️✳️🌙26-pt on bisphosphonate need 3 tooth extraction in dofferent 2 quadrant.

B-extract in one quaderent then the next afrer 3 month.✳️✳️
A-extract in one quaderent then the next quadrant afrer 2 week .

🌙27-best type of x-ray for canine impaction.

CBCT ✅✅
🌙28-high reading of platlate count ?
A-20000

✅✅
b-30000
c-100000
d-50000

C & normal (150 000 : 400 000) ✅✅

🌙Unpasteurized milk> scrofula✅✅
🌙Fremitus classification
🌙Collaboration definition
🌙Eruptiom cyst in 9 months baby managment
Leave it to rupture spontaniously (no ttt) ✅✅
🌙Sequence of one quadrant maxillary extraction:
b-post. To ant.✅✅ (87542163)✅✅
a-anterior to posterior

c- canine then ant. Then posteriors

 ✅✅
**‫الخلفي قبل االمامي والعلوي قبل السفلي‬

🌙Adhesive in CD patient used for what type of palate?

A) u-shaped palate
B) V-shaped palate

✅✅
C) Cleft palate
D) Flat palate
🌙Modulus of elasticity
 ➡️
➡️
Low modulous more elastic ‫ليونه عاليه‬ High modulous
more stiff ‫زي الزجاج‬
✳️✳️🌙Patient under stress presented to the clinic complaining of pain clinical
examination revealed tender masseter muscle and occlusion interference. Whats
the FIRST STEP in your managment:
a-prescribe analgesics
b-night guard
c-reassure the patient the pain will subside
d-occlusal adjusment to fix the interference

🌙Leeway space uses in orthodontics

🌙Best restoration for class 5 cavity
a-Rmgi✅✅
b-gic

🌙Functional technique :
b-selective pressure✅✅
a plaster stent

C- window technique
d-pressure free mucostatic
🌙Orange peel apearance:
a-fibrous displasia✅✅
b-florid cemento osseous dysplasia
c-focal COD

🌙Tooth with post and vertical distobuccal root fracture what’s your managment?
A-perodontal surgery

✅✅
b-rct
c-surgical root canal treatment

🌙Best x ray to detect impacted canine position:

Cbct✅✅
Panorama
 ‫💕‬
‫🏾🙏‬
‫‪Dr.Afnan‬‬
‫اذكروني بدعوة‬
 ‫ابريل‬14 ‫مناقشة‬

1. Enamel pearls negative effect

2. Patient with class 3 maxilla is hypoplastic and mandible is normal what’s your
managment:
a-head gear✅✅✅
b-protaction face mask

***3. 11 years old patient came to the clinic complaining of unilateral posterior crossbite on
examination there’s midline shift and bilateral crossbite what’s your management:
a-cross elastics
b-slow maxillary expansion✅✅✅
c-rapid.
4. Patient presented to the clinic complaining of difficulty in swallowing and bald area
posteriorly in the tongue what’s the diagnosis:
There was lab tests results
a-pernicious anemia
b-foliate deficiency
c-plummer vinson syndrome✅✅✅
5. Regarding Polyether impression material:
a-less dimensionally stable than polysulphide
b-absorbs water✅✅✅
6. At the try in stage of metal crown there was 0.3 deficiency in the margin, occlusion and
other things were perfect what’s your managment:
a-take new impression and remake
b- reline the inner surface
c-close it with thick lutting cement

7. SNA- normal
SNB-increased
ANB-decreased
Incisor to SN-increased
What’s the classification class 3✅✅✅✅
8. Calculate amoxicillin dose (100mg/5ml) for 30 kg kid
a-6-15ml✅✅✅30×1/2= 15 ‫و‬30×1\4= 7
b15-20ml

9. What happens for supracrestal epithelial attachment after scalling

a-increase
b-decrease
c-remain the same
d-extend then retract

10. Colibater artery✅✅✅✅

11. New perio classification long cases
https://youtu.be/Yeq6LO3q4Vo

when they ask you about STAGE: you should know 2 things : - cal”attachment loss”
- RBL”radiographic bone loss”
• stage 1 : mild cal 1-2 , RBL <15%
Dose calculation

• stage 2: moderate cal 3-4, RBL coronal third loss

• stage 3: sever cal >=5 , RBL till middle third loss
• stage 4: very sever cal>5 , RBL till apical third loss
when ask you about GRADE , they mean percentage % of bone loss /pt age , in th

Q he will mention age of pt , if the result : • Grade A : result <0.5 slow bone loss
• Grade B : result 0.5-1 moderate
• Grade C : result >1 rapid

12. What produces MMP?

13. Amount of flouride in dentrifices ✅✅✅✅

14. What do we use in locating and refining c shaped canals? ultrasonics tip✅✅✅
15. Patient came to the clinic for a restoration of an endodontic treated molar with
minimal tooth loss structure and mesial and distal incipent caries whats the most
appropriate restoration:
a-MOD cast inlay
b-MOD cast onlay
c-full crowm
d-3/4 crown
 ‫ابريل‬15 ‫مناقشة‬
1. How to measure metal thickness? Iwanson metal caliper✅✅✅

2. how to transfer the impression to the lab? disinfect the impression with
gluteraldehyde ? = to prevent cross infection✅✅✅✅

3. Managment of 2 mm oroantral communication Suture because it’s 2✅✅✅✅

4. Plasma cell gingivitis✅✅✅

5. Unncontrolled Diabetic patient presented with swelling:

A-admit to hospital and do ct scan
B-refer to the physician to control the DM✅✅✅✅‫ابعد الشر وغني له‬
6. MMP origin✅✅✅

7. Diagnosis of bone loss:

a-periapical
b-vertical bitewing

8. Roots of primary molars

Long divegent ✅✅short convergent

9. Inflammation of soft and hard tissue aroun the implant:

Perimplantitis✅✅✅
Peri implant mucositis soft tissue just
10. How to increase crown retention? Increase surface area
Avoid over tapered
Follow occlusal anatomical prep✅ roughness surface✅✅✅

11. Canal length 22 mm whats the length of post

15
17✅✅✅
19
22
12. X ray with circular mid root radiolucency no signs and symptoms:
a-rct
b-take another xray with different angulation or cbct✅✅✅
13. X ray with fixed mid root radiolucency there’s no signs and symptoms :
a-rct✅✅✅✅ ‫باجماع جميع االطراف‬
b-fixation of the root
 ‫ أبريل‬17 ‫مناقشة‬ 🌙
1.Papillon–Lefèvre syndrome (PLS) is a rare autosomal recessive disorder, characterized by
diffuse palmoplantar keratoderma and precocious aggressive periodontitis, leading to
premature loss of deciduous and permanent dentition at a very young age Palm and planter
hyperkeratosis Rapid destructive peridontal disease ✅✅✅✅

2.- Parkinson’s Pt he has tremors what oral hygiene aid can help him ?electric tooth
brush✅✅✅

3.- Erythema multiform and herpes labiales✅✅✅✅

4.- Rehmeutaid arthritis✅✅✅
5.- Paget and denture✅✅✅
6.- Ectodermal dysplasia Missing teeth✅✅✅Patient with ectodermal dysplasia,
with multiple missing teeth. planning for fixed removable appliance. what is the
sequence of treatment?
A. Deliver a fixed appliance first then removable.
B. Deliver both together.
C. Deliver removable appliances first then fixed.✅ ‫دا سؤال تبعه ودي اجابته‬

7. dislocation of disc and TMJ classification 3Q✅✅✅

***8.- Periodontal Cell in remodeling bone ?Osteoblast ?or fibroblast ?

9.Wegener’s granulomatosis = (strawberry gingivitis)✅✅✅

10.measure gingival thickness by what instrument ?

Caliper ✅✅✅✅
probe
explorer
11.- Nabers ?for fuŕcation

12.- currets angle blade with shank ?90✅✅✅

14.- biological width ?2.04✅✅✅2.04

Epithelial 0.97
CT 1.07

15.- CAL ?Recession + pocket depth✅✅✅

16.- sickle scaler ?For the removal of supragingival calculus✅✅✅✅

17.- universal and area specific Two cuting edg✅✅✅

18.- - DP preservation flap✅✅(19) A 42 - year - man presents to the Dental Clinic with
penodontibs.
Cljntcal examination reveals a 3 - wall infrabony defect that needs pramolars
bone grafbng mestal to mandibular second premolar. Suffieent Interdental
between first and second premolars was observed. '&ich of vs the
penodontal flap of ch0tce tn this case?
A, Partial thtc*ness flap
B, Aptcally displaced flap
C Papilla preservation flap ✅✅✅
O. Laterany positioned flap
19.- Ultrasonic scaler is contraindication with ? Infectious pulmonary disease ✅✅
HTn
DM✅✅
20.- minimum microbes in 1 mm in waterline ?
1000
5000
7000
300✅✅✅
21.- microbes in water line ?
- microbes in water line ?‫حاولت اجمع اكبر قدر من البكتيريا اللي عدت عليا لو حد حابب يزود حاجه يكون مشكور‬
bacteria
In water line lengionella pnemophilla ✅✅✅
In aggressive periodontitis A .actinomycetemcomitans
In chronic perodontitis p. Gingivalis
Anug /Anup T. Denticola , fusospirochetal
In pergnancy p. Intermedia
periimplantitis A.actinomycetemcomitans,p.gingivalis , p.intermedia
PDL abscess p.nuleatum ,p.gingivalisp.intermedia, Tforthesia
caries initiation strept mutans
enamel caries Gm+ve strept
Dentin lactobacillous
Root caries actinomycetemcometans
1st endo polymicrobial anaerobic
Re endo E.faecalis
22.- washing hands in seconds ?
20-30 ✅✅✅
40-60
60-90

23. root bacteria✅✅✅

24.-veracity = truthfulness✅✅✅✅- autonomy confess Pt to use

amalgam -veracity truthfulness
25.- HIV prophylaxis for how many weeks after exposure Maybe 4 weeks✅✅✅
You must start the treatment as soon as possible after you've been exposed to
HIV, ideally within a few hours. The medicines must be taken every day for 28 days (4
weeks). PEP is unlikely to work if it's started after 3 days (72 hours) and it won't usually be
prescribed after this time.

26.- Consent must be written✅✅✅

27.- HBV many Q about it antigen and antibody infectivity HBV infectious = HBsAg
Acute HBV = HBsAg + IgM
Chronic HBV = HBsAg + IgG Vaccinated = Anti-HBs
Recovery from HBV = Anti-HBs + IgG✅✅✅
28.- Most common disease transmission between health care ?
HIV
HBV✅✅✅
HCV

29.- TB respiratory mask N95✅✅✅

30.- MD diameter of max first premolar?

7✅✅✅
11
9
6
31.Autism Pt consent from who ? From Parent✅✅✅

32.- Cement implant minimum inter arch space?8 mm✅✅✅

 ‫ أبريل‬18 ‫مناقشة‬ 🌙
Wax up for tooth for cast .1 ◻️
Who the tooth level of the gingival margins of same level

✅✅
Central lateral
Central canine
Central canine

Pt with RCT poor in frist molar teeth befor 4 year with preapical radiolucency around all .2 ◻️
roots

✅✅
?What the management
Surgical retretment
Non surgical
Surgical resection for root
‫) تقول الدكتوره‬Lesion large(

Pt with furcation grade 2 in second molar and furcation class 1 in frist molar .. in the .3🟨
radiograph
?Waht we will see

✅✅
Root trunk of 6 long and root trunk of 7 short
up righting and 7 mesially telted 6
‫الباقي مامتذكره‬‎
bone loss in 7‫ الخيار الثاني اقرب شي لكميه ال‬‎

🟨
Pt with ozzing after extraction .4
What the test

✅✅
RBC
INR
PTT
 ‫مش متذكره الباقي‬‎

What is the significance for existence for systemic disease .5 🟨

Bad tast

✅✅
Hairy tongue
Bleeding without local factor
Calculus

During impression happend distortion for impreesion .6 🟨

and when repeat ageen
Same distortion in the same area
What the reason

✅✅
Movement pt
Undercut
Problem in powder liquid ratio
Proplem in the temperature

‫اخترت االندركت عشان هوا عاده كذا مره والديستورشن في نفس البوينت‬‎

Pt with submandibular welling .7 🟨

Poorly contror diabetic and sever truisms what the management
RMI
Antibiotic and come again

✅✅admitted to the hospital and CT

‫بيشن مسوي كل التيستات وكانت نورمال‬‎🟨.8
RBC PT ‫مامتذكره التيستات بس جايب‬‎
‫وكلهم نورمال وسال البيشن ايش عنده‬‎
Pt what he has

✅✅
Hsv
Erythema multiform
Hiv
Lups systemic

Pt with. Implant in when Radiographic examination for bone loss .9 🟨

? What the degree of critical bone loss
0.5
1.5

✳️✳️
1
2
 🟨
the best during for impression material .10
High mixing time low setting time

✅✅
Increase working time increase sitting time
Decrease working time increase setting time

a ‫الجينات‬
b ‫سيليكون‬

🟨.11
✅✅ 8
? Lingual bar minimums distance from MG -

6
5

12.🟨- Porcelain chipping with over prep tooth why✳️✳️

13.🟨- To measure metal thickness ?
Willi Gauge

✅✅
boolys gauge
iwanson caliber

🟨
👉
14. - Rebase and remake , reline
Relining movement of denture + dislodgement of denture Anterior or posterior

Rebase 👉 porosity in fitting surface or any discrepancies in fitting surface

Remake 👉 large discrepancies & disharmony of denture + incorrect VD
‫في ادمن االدمنز في الصفحة أضاف‬
excessive movement

✅✅
‫أتأكد منها‬

15.🟨Wrong anterior guidance lead to ? Poor Esthetic and phonetics I think ✅✅

16.🟨- Diameter of dentinal tubules near the pulp in um ?

2✅✅
1

3
4um

17.🟨Silver point , parallel post and tapered

endodontic filling material of choice was **silver points**, alone or in combination with gutta
percha (GP). Silver points had a
number of characteristics which were appreciated by dentists of the day. The rigidity of the

✅✅
points made them easy to handle and place

18.🟨metallic sound ? Intrusion

lateral loxation ✅✅

20.🟨squeeze nose and blow through it to posterior seal ?

Anterior region of posterior seal ✅✅
lateral posterior seal

21.🟨plus Ah - epoxy resin✅✅

22.🟨sodium preobrate in what type of

Waking✅✅
bleaching ?

vital
in office
23.🟨first thing to check is ?
proximal contact ✅✅
marginal
fit
occlusion

24. 🟨balanced occ and mutually protected and canine guidance read about it✅✅

🟨
25. metal try In was good marginal fit in cementation visit was open margin porcelain what

✅✅
the cause ?
Distortion during porcelain firing
fail impression …

🟨
26. PFM crown witch bur ?
Ceramic =Dimond .

✅✅
carbed = metal

27.🟨minutes in etching tooth with phosphoric acid for tooth receiving veneer?
20✅✅
30
40
50
28. 🟨hydrophilic acid for etching veneer
‫ لو‬composite veneer ➡️phosphoric acid
If feldspathic porcelain veneer ➡️9% hydrofluric acid
Gi➡️10% polyacylic acid
✅✅✅
29.🟨microabrasion 12 flutes carbide ✅✅

30.🟨- j shape VRF extraction many Qs about it

🟨- j shape VRF extraction many Qs about it

✅✅
j shape radiolucency+ long deep pocket in specific area +multiple rct failure =vrf

🟨
💡
31. Dxx and apexfication
Apexification is the induction of a calcific barrier (or the creation of an artificial barrier)
across an open apex in a case involving pulp necrosis with or without a periapical lesion.

📍Apexification involves removal of the necrotic pulp, followed by debridement of the canal
🔹W/L slightly short of the radiographic apex.
and irrigation with 1.25% NaOCl and dry with paper point.

and placement of an antimicrobial Medicament MTA. either a powder or paste

🦋moist cotton pellet is placed in the canal to ensure setting.

📍The patient is recalled when the MTA has set
✅✅
(at least 24 hours) for obturation and placement of the permanent restoration

33.🟨- Trauma Pedo and adult (read about it)✅✅

34.🟨hyrax and hass

Hass = tissue support

➡️
Hyrax = tooth support

➡️
Hyrax fixed appliance , rapid expansion , tooth supported
Hass tissue supported, rigid appliance , slow max expansion by opening midpalatal

✅✅✅
suture in 10:14 days

" ً‫الحز َن إذا شئت سهال‬

َ ‫“اللهم ال سهل إال ما جعلته سهالً وانت تجع ُل‬
 ‫ أبريل‬19 ‫مناقشة‬ 🌙
1.- Ridge mapping ✅✅✅

🟣
✅
2. Clipper for thickness of metal
Iwanson caliper

🟣
3.nasoplatine block pic
4.pt with ulcers appier for days 🟣
disappear with topical steroid, came to you asking why
this time not disappeared with topical steroid, what is your management ?
A. Interlesional steriod

✅✅✅
B. Antifungal
C. Systemic steroid
D. Topical analgesic

5.Pt with AMOXICLINE dose in 6 🟣

days feel vomiting and diarrhoea what is your
management?
A. Stop AMOXICLINE and replace with funcozole

✅✅✅
B. Contnioue AMOXICLINE and ad metranidazole
C. Stop AMOXICLINE and replace with metronidazole
D. Contnioue AMOXICLINE and add fluncozole

6.🟣
‎ ‫ نهاية السؤال‬،‫ بس صيغة مختلفة‬،‫وجاء سؤال اللي تكرر حق الحرمة اللي عندها ألم وعيالها ف البيت‬
‫قال‬
: what is the patient's responsibility ?
A. Tell information only about pain
B. Cut the treatment and call her child every 5 minutes
C. Tell the doctor everything about her medical condition ✅✅✅
7.🟣
✅✅✅
Pt has cancer and his son told you to treat his father as infection,
Tell him the truth

8.🟣
‎
‫اسمها‬ ‫في سؤال اول مرة اشوفه عن حاجه‬

wets classification
‫والخيارات كانت حاجات م عرفتها‬

May be Wilks classification or wits appraisal ✳️✳️✳️

9.- displacement with reduction,....... Clicking ✅✅✅

✅✅✅
10.- root furcation perforation 4 questions
11.what is the indicated of 🟣incomplete pulptomy?
A. Pain
B. Uncontrolled himorrage

what is the indicated of 🟣

incomplete pulptomy?
A. Pain
B. Uncontrolled himorrage

‫ إذا كان السؤال‬post oprative indicator

✅✅✅
‫ يبقى‬A
‫ اذا أثناء الشغل يبقى الجواب‬B

12.- pt VIP how to treating🟣

Equally as a regular patient ✅✅

13.🟣- pt with good health, missing #11 what is the best replacement :
A. FPD

✅✅
B. RPD
C. CANTILEVER FPD
D. implant support fixed partial denture

C... 👍
 Implant ‫نقول صح‬
‫ لو الخيار من دون‬support fixed partial denture

14.- 🟣gold inlay for 3 years pt came with pain what is the cause
15.- 🟣gold inlay for 3 years pt came with pain what is the cause
‫ ممكن‬Microleakage in cement /‫ او‬caries ✅✅

16.🟣complicated dental fructure, involving pulp✅✅✅ not involved pulp

coronal part of root.. apical part

" 10 questions about dental trauma"

 🟣best for canine impaction CBCT✅✅✅✅
17.-

18.🟣‫ال‬
‎ ‫ السؤال اللي يقول سوينا كل خطوات‬implant ‫ موجود ف ملف الذهبي‬،‫وناقص خطوة اش هي‬،

🚨
year, medically fit, came for replacement of missing upper right central incisor with-43 :]
an implant supported crown. Clinical evaluation was done for the implant site followed by
radiographic evaluation including cone beam computerized tomography, also upper and
lower primary impressions were taken for fabrication of diagnostic casts mounted on a semi
?adjustable articulator. Which of the following is essential missing investigation
A.complete blood count
B.magnetic resonance imaging

✅✅
C.use of a fully adjustable articulator
D diagnostic waxing and surgical template

19.-🟣 autonomy definition and paternilsm ✅✅✅

 🟣
20. pt late for his appointment about 90 minutes, he get angry and want to complain, what
is the doctor saying?

✅✅✅
- pt angry and dentist refuse ttt
- pt came late for his appointment
- pt is different sex
- pt is different relegion

🟣
21. Best of crown position?
A. Above gingival crest
B. below gingival crest
C. On gingiva
D. Supra or sub ‫ماني متذكر الخيارات بالحرف بس هي كذا‬،

Best position in general without any consideration is supragingival

‫ بحسب ال‬ethatic
‫ اذا كان‬anterior ‫ يبقى‬b

🧐 ✅✅
‫ اذا كان‬posterior ‫ يبقى‬A
‫ لو مازكر شي عن ال‬ethatic ‫ نختار‬C
 🟣1 question about periodntal stage✅✅✅
22.
23.-🟣 what is the 3D vitra colours..?
- chroma hue value

✅✅✅
- chroma value hue
- value hue chroma
- value chroma hue
‎ ‫ كل الخيارات م بدأ‬hue
‫ب‬

👉
👉
3d vhc
Classic hcv

24.Pt get CD for 5 years with bad oral 🟣 hygiene and after remov the denture what is firs
management?
 ✅✅✅
A. Alvouplasty
B. Tissue recovery program
C. gingivoplasty

A & c ‫ خطأ الن‬plasty ‫تعني تصحيح بدون سبب مرضي يعني تصحيح لل‬esthetic ‫اكتر‬

25.Pt with RPD missing 44 and 46 🟣what is 45: pier abutment✅✅✅

26.‎- 🟣‫ وسؤال يقولك دكتور ماخذ احتياطاته وحذر مع المريض والدليل انه رفع‬upper lip slowly ‫بعد م قاله المريض ب‬
medical history ، ‫وش تتوقع قال المريض للدكتور خاله ياخذ حذره؟‬
A. HIV.

✅✅✅
B. Reccurnt hsv
C. Labial herbs
D. ANUG

27.- 🟣pic of Williams prob

28.- 🟣what is the second call of secondary caries? Recurrent caries✅✅✅

29.- 🟣why do water during preparation tooth?
Protect pulp from heat generation✅✅✅

30.- 🟣dose of ibuprofen for child✅✅4-10 mg/KG

🟣Pt with prosthitc valve with no allergic history of medications, what is best prophylactic,

Amoxicillin 2g before 1 hr
Child 50mg befor 1 hr
✅✅

- 🟣Pt extraction 2nd mand molar before 2 days, there is sever pain what best treatment

✅✅

- 🟣different btw Anug and gingivitis :

A. Redness of gingiva
B. Ertheyma of gingiva
C. Swilling of gingiva
D. Bad odur ✅✅✅

🟣Pt with latex allergy what's is best for obturation :

A. Gp
B. Resolien ✅✅✅
C. ‫نسيت‬

🟣5 questiones about appliance

‫ اقرو عن‬Orthodontic appliances ✅

-🟣Bur with metal and bur with porcline

Metal = carbide
Porcline = Dimond

🟣Bur use with Endodontic through crown

Tengestine carbid✅✅✅

- 🟣minocyline A.b in pocket for how long days,

10 days ✅✅

-Hbv stay in wall of clinic for 🟣:

7 hours
7 days✅✅✅
5 hours
5 days

- 🟣Hbv when it's chronic and when it's active and recovery time ‫يمكن سؤالين عنهم‬،

Test use it for HBV:

🟣HBsAg (Hepatitis B surface antigen) A "positive" or "reactive" HBsAg test result means that
the person is infected with hepatitis B. This test can detect the actual presence of the hepatitis B
virus (called the “surface antigen”) in your blood.
🟣HBcAg (core antigen) is a hepatitis B viral protein, It is an indicator of active viral replication;
this means the person infected with Hepatitis B can likely transmit the virus on to another
person (i.e. the person is infectious) and HBcAg is considered "particulate" and it does not
circulate in the blood
🟣HBeAg is the “soluble” or extractable part of the “core” antigen of the hepatitis B virus (HBV).
The presence of HBeAg indicates that the virus is actively multiplying and is highly contagious.
🟣 anti-HBe is also reactive, this means the individual is in the process of healing and is less
contagious.
..

🟣3 or 5 questions about j lesion with x-ray,

j shape radiolucency+ long deep pocket in specific area +multiple rct failure =vrf

Vertical root fracture ✅✅

- 🟣ct scan with pt has orbital floor fracture, what do u suspect :

Double vision✅✅✅
Hemorrge

- 🟣pt has punch in his left side what the fracture will happen?
A. Left angle and right condyl ✅✅✅
B. Right angle and left condyle
C. Left body and right condyl
D. ‫وحاجه زيهم‬

‫دايما البوكس الكسر في الكوندايلر عكس البوكس‬

‫الي يعطيك بوكس من جهة حيكسرلك الزاويه من نفس الجهة والكوندايلر الجهة المعاكسه‬
🟣
Type of bacteria: ‫ أبريل مختصره وواضحه‬17 ‫اقروها من مناقشة‬

🟣
What will happen with relineng and rebasing :
- increase VD✅✅
- increase thickness
‫وخيارات ثانية نسيتها ‪-‬‬
🟣Pic. Modified pen grasp ✅✅

🟣X-ray of cemento osseous dysplasia ✅✅

🟣Pulp vitality test initiates which fibers

C fibers ✅✅✅
afferent
efferent

🟣Patient spit on the dental chair

✅✅✅
Vomiting in chair =follow instruction
Split in chair = intermediate

Vomiting = contaminated
Vomiting + bleeding = infectious

* 🟣Doctor got certificate without attending course which ethics violated

✅✅
*veracity*

* 🟣Crown with redness & gingival inflammation after placement why ?

*Violation of biological width*

*Over contour*

✅✅

D16 of file 10
0.42✅✅
..
..
File 10 ÷100= 0.10
‫ و‬d16 = 16 × 0.02 = 0.32
‫نجمعهم‬
= 0.42

* 🟣Best sterilization for instruments (

dry heat ✅✅ _ no corrosion

chemicals

🟣‫ أسئلة عن‬perio classfication stages &

grades

when they ask you about stage you should know 2 things ( cal”attachment loss” |
RBL”radiographic bone loss)

•stage 1 : mild cal 1-2 , RBL <15%

•stage 2: moderate cal 3-4, RBL coronal third loss

•stage 3: sever cal >=5 , RBL till middle third loss

•stage 4: very sever cal>5 , RBL till apical third loss

when ask you about grade , they mean percentage % of bone loss /pt age , in the Q he will
mention age of pt , if the result :

•Grade A : result <0.5 slow bone loss

•Grade B : result 0.5-1 moderate

•Grade C : result >1 rapid

‫ في أشياء بتأثر في سرعة فقدان العضم‬bone loss

‫ زي‬smocking and diabetes
 last thing how we evaluate the periodontitis :

•stable pocket depth <4 healthy, Bleeding on probing <10%

•in progress pocket depth <4 healthy, Bleeding on probing >10%

•unstable pocket depth >4 unhealthy , Bleeding on probing >10%

‫نجي لكيف بيطرح السؤال راح اجيبلكم سؤال جاني باالختبار‬:

12y pt have attachment loss 3-4 and 30% bone loss ?
stage ll grade c
‫ ليش قلنا‬grade c
‫ بنقسم ال‬bone loss ‫ يعني‬١ ‫ يعني اكثر من‬2.5 ‫ على عمر المريض ونشوف طلع‬rapid bone loss stage c
* 🟣‫ سؤال عن‬compomer

Endo ‫🟣 اسئله معظمها من الذهبي‬

* 🟣Patient with edema in legs & shortness of breath which disease

Congestive heart failure ✅✅

* 🟣Recent investigations about diabetic & periodontitis ‫مكرر من المناقشات‬

‫✅ شوفو المناقشات‬

🟣* Pic. Hatchinson teeth

Congenital syphilis✅
 ‫ ابريل‬٢١ ‫مناقشة‬

(3) Which of the following represents the early sign of gingival inflammation?

✅✅✅✅
A. Gingival swelling
B. Gingival bleeding upon probing
C. Color changes of gingival tissues
D. Decreased crevicular fluid production rate
*🟣 Patient missing 4 ,6 how to replace with fixed prosthesis & tooth 5 is called

✅✅
??
Pier abutment

🟣What's the first step of respective osseus surgery ?

vertical grooving ✅✅

🟣setback of the mandible ?

✅✅✅
The most common surgery for
BSSO
✳️✳️✳️Class 2 with deep overbite treatment ??
extraction upper 4✳️
Headgear

orthognathic surgery ✳️✳️

🟣white line
✅✅✅✅
pic of a red lesion surrounded by under the tounge a symptomatic
Lichen p
Lichen erythematos
Erythema multifor
‎ ‫و تاني‬
‫خيار‬
 🟣
➡️➡️
_ Pic of white lesion under the toung also asymptomatic ‫مش فاكره االجابه بس هو كان‬
‫كان فيها‬ ‫طالب انك حتبدا المانجمنت ب ايش‬

✅✅✅
intrligonal steroids .‫حقن ضمن اآلفه‬
‫تحقني ستيرويد جوا الليجون‬
exisional biopsy
Antifungal
‫؟‪🟣white lesion at the porder of the tounge type of biopsy‬‬
‫✅✅✅‪Incicinal‬‬

‫✅✅‬
‫**على اي اساس بختار ‪incisional or excisional‬؟؟‬
‫حجم و موقع الليجون‬

‫🟣‬
‫و معاها سيمبتومز تانيه و سأل اي فحص نعمله عشان نتأكد الدياجنوز ‪_ clapping finger‬‬
‫كان في خيار واحد ليه عالقه بالكارديو اخترتو‪..‎‬‬

‫✅✅‬
‫الخيارات كانت‬
‫‪Chest X-ray‬‬
‫‪Blood pressure‬‬
‫‪ECG‬‬

‫‪ chest x-ray‬اذا اإلختيارات مافيها**‬

‫‪ ECG‬نختار‬
 🟣
_ lady have ulcers in buccal and gingival mucosa and also in genital and
urinnogenital parts
How do u confirm the diagnosis

✅✅✅
Kawasaki
Immunoflorecence
‎
‫فاكراهم‬ ‫و تاني خيارين مش‬

🟣modification of gracy to suite working in restricted mouth opening✳️✳️✳️

‫‪mm‬اخترت انو زادو طولو ‪٣‬‬
‫‪angle‬او نغيرال‬

‫️➡‬
‫سؤالين و اكس راي ايوا واحد من االسئله انها ممكن تعمل ايه ‪enamel pearl‬‬

‫✅✅✅‬
‫و التاني كان انو اكتر حاجه في سنه بتظهر و الخيارات كانت موالرز كلها‬
‫وصوره اكس راي و ايش الليجون‬
Pic of pericronitise Lady came with🟣 recurrent episodes of pain what's the

➡️
managment?

✅✅✅
‫الخيارات كانت‬
surgical excesion ‫اخترت سيرجيكل عشان ريكرنت‬

Irrigations ‫و تمشي‬
Antibiotics
Antibiotics and analgesics

_🟣What's metamerism✅✅✅
🟣What's Staphen curve✅✅✅✅
🟣4 questions in stage and grade of periodontites
‎‫ اتنين ما فيهم نسبة‬bone
‎ ‫ بس واحده فيها‬smoker ND diabtic
‫انو‬
‎ ‫ الخيارات فيه كانت‬grade a or b
‫انو‬
‎ ‫ و التانيه‬diabatic
‫انو‬

✅✅✅✅
Grad b or c
‫ زاكروها من الملف حق‬NPD ‫واضحة‬
** New PDL Classification

🟣
✅✅✅ 😭😭😭
- which tooth we use rotation movement to extract
Max central ‫اخير سؤال عرفناه‬
max lateral
mand central
mandibular lateral

🟣 Management of unilateral cross bite

maxillary ridge resorption ‫اتجاه‬ 🟣
Superior laterally
Superior medially ✅✅✅
Inferior laterally
Inferior medially

🟣diabtic pt with ulcer pentrat the palate what's the main cause?
Syphilis...✅✅✅
AAC ‫و كمان حاجتين ا‬
🟣pt 4 months after surgical extraction came with pain and fluctioant swelling in
buccal vistbul
cortical bone f

✅✅✅‫🥲🥺 عشان في سويلينق‬

Or
Preostial abcess

_🟣2 cases aboute pt with material valve replacement with allargy to penicillin
‎‫واحده خياراتها انتي بيوتك مختلفه‬

➡️➡️➡️ ✅✅✅
‎ ‫ وواحده‬clindamycine with deferente doses(200_300_600_2000mg
‫كلها‬
Clindamycine 600

🟣
➡️➡️
_ submandibular space infection

🔆🔆🔆
‎ ‫جا سؤالين في البيز‬tooth ‫و ال‬structure‫ و ال‬muscle boundary
‫ال‬ lower 7and
8 The submandibular space is bounded anteriorly and laterally by the
mandible, medially by the anterior belly of the digastric muscles, superiorly by the
mylohyoid muscle and s 1 glaa r inferiorly by the hyoid bone
🟣side effect of using mouth wash contain alcohol?
Desquamative ulcerative✅✅✅
 🟣probe appears under gingiva what type of gingiva?
➡️➡️Thin biotype✅✅
_

_🟣 good oral hygiene with recession in anterior central

➡️➡️
‎
‫دياجنوز‬ ‫سؤالين مره مانجمنت و مره‬

✳️✳️✳️
‫ كان في ده و‬truma from occlusion‫مش فاكره الباقي‬SRP
SURGICAL FLAP
NO TTT
EXTRACTION
🟣Contraindication of anterior biteplane?
Open bite✅✅✅

🟣 ➡️➡️➡️‫اقرو المانجمنت بتاعهم‬

✅✅✅
_ class 3 class 2 ortho managment and cephalometry
‫النو جا بكذا عمر‬ ‫كلو‬

🟣
pt with a very small open bite the orthodontist ttt plane was 18 months the pt
refuse and wanted to do another faster treatment..

✅✅✅
Crown lengthening
Adjust occlusal plane
‎ ‫ف الصوره كانت حاجه بسيطه‬
‫جد‬
he destance between center of 🟣🟣 implant to natural tooth
1

✅✅✅ ➡️
1.5
3.5 ‫ المسافه الكافيه لالمبلنت‬7 ‫سنتر اوف امبالنت ايوا اللي هي نفسها نص‬
2.5

🟣the part of implant u insert after the second surgery

Cover screw

✅✅✅
Custom abutment
Healing abutment
Fixtur
 🟣white line
✅✅✅
pic of a red lesion surrounded by under the tounge a symptomatic
Lichen p
Lichen erythematos

➡️
Erythema multifor
‎ ‫ و تاني‬Reassurance
‫خيار‬
And pain killer
 ‫💕‬
‫🏾🙏🏾🙏‬
‫‪Dr.Afnan‬‬
‫اذكروني بدعوة‬
 ‫🌙‬
‫مناقشة ‪ 22‬أبريل‬

‫✅✅✅ ?‪1.🟣Supernumerary teeth most common area‬‬

‫‪🟣.2‬جاني سؤال عن ‪ lefort 2‬واتكرر مره ثانيه 🟣✅✅✅‬

‫‪.3‬يقولك تشتكي المريضه انه االسنان طويله‪ ،،‬ف وش اسم نوع الفالب‪✅✅✅ ،،‬‬
 ‫‪🟣.4‬جاني سؤال كم ‪✅✅✅ minimum between implant = 3mm‬‬
‫‪✳️.5‬جاتني اسئله كثير عن البيريو اذا صار عنده ‪ bleeding‬بعضهم فيه ريسينش وبعضهم ال ويقولك البوكت عنده كذا ف وش‬
‫العالج‬
‫االجابات تجيك‬
‫‪Scaling and polishing give instructions-‬‬
‫‪scaling and polishing -‬‬

‫️✳‬
‫‪scaling and polishing and anti betic description -‬‬
‫وحده تشخيص مختلف‬ ‫مثل هالسؤال تكرر كثير بس كل‬

‫‪.6‬االثكس جاني سؤالين تقريبا🟣‬

‫سؤال يقولك انت غصبت واحد انه يسوي تقويم بدون موافقته وش يعتبر ** جاوبتها ‪✅✅🎉autonomy‬‬
‫وجاني تعريف ‪🟣 nonmaleficence‬‬
‫كانت االجابه *** ‪✅✅do not harm‬‬
‫‪.7‬جاني سؤال غريب يقولك وش السيكونس 🟣 حق االستراكشن برايمري توث ✅✅✅‬
 ‫كانت االجابات‬.8
, submandiblar
, sublingual

✅✅✅
‫ناسي وش االجابتين الباقيه‬
Infra orbital

submandiblar ‫*** جاوبت‬

 ‫جاني سؤال غبنه مدري وش يبي‬.9

➡️➡️
‫يقولك وش لون‬

✅✅✅
D0
D0 for yellow = 0.20
, blue ,
, white
red
Yellow file 20(
)D0=20/100=0.2

🟣
10. ‫كان فالخيارات‬ 🤷🏻‍♂️
‫وهذي الصوره يقول جت وناسي السؤال بالضبط غالبا الدايقنوسز‬

✅✅✅
- gingival recession -
Generalized Aggressive Periodontitis
drifting teeth
11.Which of the following is the function of the instrument -bands for space
maintainers ?

✅✅✅
A. Initially to push the band by the dentist the end for nal positioning of th nd by
dentist
B. Initially to push the band by asking the pa.ent to bite it
C .At the end for nal positioning of the band by asking the patient to bite on it

12.Which of the following is the function of the instrument -bands for space
maintainers ?

✅✅
A. Initially to push the band by the dentist the end for Final positioning of the end by
dentist
B. Initially to push the band by asking the pa.ent to bite it
C .At the end for nal positioning of the band by asking the patient to bite on it
13.‫جاني سؤال افضل طريقه تقفل فيها النيدل‬

✅✅✅✅
‫اجابتين تو هاند‬
‫واجابتين ون هاند‬
‫االجابه الي جاوبته واعتقد انها‬
‫صحيحه ون هاند و بتب حق السيرنج‬

Scoop techniques
Method for capping needles that involves placing the needle cover on a flat surface, then
inserting the needle into it without touching needle or cover; intended to prevent accidental
needle-stick.
 ‫✅✅✅‬
‫‪ class i‬وجاه سؤال تعريف‪14.‬‬
‫‪Molar relation‬‬

‫✅✅‬
‫جاني سؤال عن كالس ون مال اكلوجن بيتميز ب ايه و من ضمن الخيارات انو تيث مال االيمنت وال بيرفكت االيمنت‪15.‬‬
‫‪Malaligment‬‬

‫✅✅✅‬
‫وشو الكالسفيكشن ‪ missing 13 ,14 , 24‬وجاه سؤال يقولك‪16.‬‬
‫‪Class 3 modifica1‬‬
 ‫✅✅‬
‫جاني سؤال‪17.‬‬
‫يقول شلت كثير من الكيريز قريب من البلب وش تحط لينر النه بتحط املقم جاوبتها كالسيوم هايدوكسايد‬

‫وسؤال ثاني عن الكومبست جاوبتها كالسيوم هايدروكسايد‬ ‫✅✅‬

‫السؤال الثاني ترا يلخبطك باالجوبه جايب كالسيوم هايدروكسايد وكالسيوم مدري وشو ثانيه‬
‫سؤال يقولك وش المواد اذا بتسوي تبيض لسن نيكروتيك ؟؟‪18.‬‬

‫✅✅✅‬
‫ثالثه اجابات مواد مع مويه‬
‫واالجابه الرابعه ( فيسفوريك اسيد ‪ +‬بيكاربونيت ابتايت ) ** هذي الي جاوبتها‬

‫✅✅✅‬
‫واحد عنده ازمه وزادت بعد ماحطيتله الربر دام وش تسوي له‪19.‬‬
‫تعطيه اكسجين ‪-‬‬
‫تحطه سوباين بوسشن ‪-‬‬
‫اجابتين بعيده‬
‫‪Rubber dam contraindicated for asthma pt‬‬

‫وجاني سؤال امبلنت تكرر من اخر اختبار ‪ 2‬امبالنت يسالك يقولك االمبلنت الي بالصوره العريضه وش فيها مشكله وفيه بون‪20.‬‬
‫ريسوربشن‬

‫✅✅‬
‫طبعا الصوره مب مره واضحه مدري اذا جاك او ال‬
‫‪Priimplanitis‬‬

‫تاكد منها ‪ implantilitis‬تقريبا االجابه كانت ‪ odor‬سؤال واحد مركب امبلنت قبل ‪ 3‬شهور وصارت تتحرك وفيها‪21.‬‬ ‫✅✅‬
‫امبلنت جاني عليه اسئله كثير‬

‫‪22.neighbor probe‬‬ ‫‪✅✅ furcation‬‬

‫صورته ‪23.UNC 15‬‬ ‫✅✅‬
‫وجات ‪ 3‬اسئله عن االنجري بالنيدل للطبيب سؤالين وش تسوي ووحده للمريض وش تقوله اذا جرحت نفسك ودمك جاه عليه‪24.‬‬
‫?‪Blood from dentist‬‬

‫✅✅✅ 🙏🥺🥲😅‬
‫يعتذر منو ويروحو يفحصو حالهم‬
‫من االمراض المعدية والسارية‬

‫✅✅✅‬
‫صح جاني سؤالين تكرر يقولك وش االشعه الي تطلع بروكزيمال كاريز‪25.‬‬
‫‪Bite wing‬‬

‫صح جاه سؤال يقولك الوركنق لينث ‪ 21‬وبعد االنسترومنتيشن صار ‪ 18‬ملل وش السبب كانت من ضمن االجابات صار ليدج‪26.‬‬

‫✅✅✅‬
‫او بيرفوريشن‬
‫جاوبتها ليدج **‬

‫‪27.‬‬‫️✳️✳️✳‬ ‫االجوبه كانت يقولك ‪ PSR‬توقعت يقصد ال ‪ chartning‬جاني سؤال يقولك كم قسم يتقسم‬

‫️✳️✳️✳‬
‫‪-2 ، 4 ، 6 ، 8‬‬
‫جاوبتها ‪** 6‬‬
 ‫👍‬
‫✅✅‬
‫هذي جات يعطيك سيناريو واضح يقولك انها حامل اصال بالسيناريو جاوبتها بالصدفه‪28.‬‬
‫‪pyogenic granuloma‬‬

‫✅✅✅‬
‫عالجها‬
‫‪complete surgical‬‬

‫‪.29‬سأل عن إسمها 🟣 ‪✅✅ undercut gauges‬‬

✅✅✅
? type of cleft ‫سال عن‬.30
Unilateral cleft lip and palate
 ‫‪Pic‬‬ ‫‪🟣implant direct custom impression.31‬‬
‫هاد بسموه‬

‫✅✅✅‬
‫‪Verification jig‬‬

‫✅✅‬
‫اخد الطبعة‬ ‫اي هاد بثبتو الزرعات مع بعض قبل‬
‫اتكرر‬
‫عشان لما يفكو الطبعة يطلع االمبريشن كوبينغ ثابت بين الزرعات و خصوصا محاورها‬
‫بالذات بالجسور فوق الزرعات‬
 ‫️✳️✳️✳‬
‫جاني سؤال يقولك كم قسم يتقسم ‪ chartning‬توقعت يقصد ال ‪ PSR‬االجوبه كانت يقولك‬ ‫‪.32‬‬

‫✅✅‬
‫‪8 ، 6 ، 4 ، 2-‬‬
‫** جاوبتها ‪6‬‬
‫هو‬
‫‪)Periodontal Screening and recording (PSR‬‬
‫الشارتينغ اذا حسب مافهمت السؤال فهو ست مواقع لكل سن‬
 ‫‪✅✳️.33‬‬
‫‪✳️✳️✳️canal‬‬
‫نفس السؤال بس يقولك وش الخطاء الي باالشعه وجايب صوره اشعه ل سن ‪ 15‬جاوبتها ‪missing‬‬

‫✅✅‬
‫‪.34‬جاب نفسها بس صوره طفل بشفايفه الي تحت‬
 🌙
‫ أبريل‬24 ‫مناقشة‬

‫ فناحية‬bone loss ‫ وحاطط صورتها فاالشعه في‬absess wirh deep pocket 7m ‫صوره لسنه معمولها انبدو وفيها‬.1
‫ واالندو شكله كويس‬deep pocket‫ال‬

✅✅
? How to manage
Debroidment by flap
Surgical endo retreatmenr
Extraction
Non surgical retratment

carious cusp tips of molar ٢ ‫صوره فيها‬.2

? Which class
2
4

✅✅
5
6

? How to trace sinus tract.3

✅✅
K file
Gatta percha 25
Paper point 30

Buccal Mucosa ulcers and lip ulcers.4

✅✅✅
: with Edema surrounded by erthematous hollow scattered over th hands and feets
erythema multiform
Lupus
Herpes
Bullous pemphegoid

? Where Periodontal ligament cells present in.5

☑️☑️
A )periodontal ligament , alveolar bone , cementum , gingiva

➖➖➖➖
B ) periodontal ligament , cementum , alveolar bone
 : Serisl extraction sequecse for ortho.6
A)Primary canine , primary first molar only

✅✅
B) lateral ,primary canine ,primary molar
C) latal c d 4
D) primary canine , primary first molar , primary second molar , permanent first premolar
 ‫‪: Late stage renal disease complai bad breath what is called.7‬‬

‫✅‬
‫‪Halitosis‬‬
‫‪Ammnia breath‬‬

‫✅✅‬
‫‪.8‬ايوه افتكرت مكانش حساب جرعات كان‬

‫🌸🌸‬
‫حساب جرعة المخدر بال ‪ mg‬لطفل وزنه ‪ ٢٠‬ضربت ‪٨٨= ٤.٤*٢٠‬‬
‫مريض وزنه ‪ ٥٧‬كغ ‪.‬بدنا نعطيه مخدر ليدوكائين ‪ %٢‬مع ايبنفرين ‪. 1:100000‬المطلوب‪:‬‬
 ‫‪-١‬ماهي هي الجرعة القصوى بال مغ‬
‫‪ -٢‬ماهو عدد الكاربوالت‬
‫‪-٣‬مالحجم الكلي المسموح اعطاؤه بال مل‬
‫‪-٤‬ماهي هي كمية االيبنفرين الكلية‬
‫الحل ‪:‬‬
‫‪%٢‬تعني‬
‫كل ‪ ١٠٠‬مل محلول مخدر تحوي (‪٢‬غ =‪ ٢٠٠٠‬مغ ) ليدوكائين‬
‫معناها الكاربولة اللي حجمها ‪ ١.٨‬مل تحوي ‪ x‬مثال‬

‫👈‬
‫‪X= 1.8 × 2000 ÷ 100 = 36 mg‬‬

‫👈‬
‫‪ ٥٤‬مغ‬ ‫وبالمثل ‪%٣‬‬
‫‪ ٧٢‬مغ‬ ‫‪%٤‬‬
‫الجرعة القصوى =وزن المريض × ‪٧‬‬

‫‪ ٣٩٩ = ٧ × ٥٧‬مغ‬
‫‪ -٢‬عدد الكاربوالت نقسم الجرعة القصوى على كمية المخدر بالكاربولة‬
‫‪N = 399 ÷ 36 = 11.08‬‬
‫يعني ‪ ١١‬كاربولة‬
‫‪ - ٣‬الحجم الكلي = عدد الكاربوالت × حجم الكاربولة الواحدة‬
‫= ‪ ١٩.٩٥ = ١١.٠٨ × ١.٨‬مل‬
‫‪ 100000: 1 - ٤‬تعني‬
‫كل ‪ ١٠٠٠٠٠‬مل تحوي (‪١‬غ =‪١٠٠٠‬مغ ايبنفرين)‬
‫معناها‬
‫ال ‪ ١٩.٩٥‬مل تحوي ‪ Y‬مثال‬
‫‪Y = 19.95 × 1000 ÷ 100000‬‬
‫= ‪ mg 0.2 < 0.1995‬مقبول‬
‫طالما اقل من ‪( mg 0.2‬الكمية القصوى للشخص السليم)‬

‫🌸💐😅‬
‫(وتكون ‪ mg 0.04‬عند مرضى القلب)‬

‫🌸️❤💝💐‬ ‫🌸💐💝️❤‬
‫للجميع مع اخوكم الدكتور‬ ‫ويسعد اوقاتكم بالماث‬
‫شادي الحول‬

‫✅‬
‫‪: Etching for felspathic porcelain veneer.9‬‬
‫‪hydrofluric acid 9%‬‬

‫✅✅✅‬
‫‪: Etching for felspathic porcelain veneer.10‬‬
‫‪hydrofluric acid 9%‬‬

‫✅‬
‫‪: Lithium dicelicate cement.11‬‬
‫‪Resin‬‬
‫‪Gi‬‬
 ‫ بس صيغه مختلفه‬sigren ‫جالي سؤال افتكرته بمناسبه‬.12
: ‫ عنده‬sjogren‫عيان ال‬
High caies index

✅✅
Low percentage of gigival disease
High incidence of gingival inflammation and caries

🙏🏻✳️✳️✳️
13.large red lesion on tongue in histo dentritic melanotic cells ‫ كانت الخيارات‬melanoma,
melanoacanthosis ‫ اخترت‬melnoma ‫عدلت السوال العفو‬

14.‫ كان في سؤال امتى نقول ان في‬generalized periodontitis : attachment loss 30% ➖➖➖
50 %

✳️✳️✳️✳️
70% ‫ مش فاكره اوي كان‬bone loss ‫ وال‬attachment loss ‫ وال‬amount of affected tooth ‫معلش مش فاكره‬
‫اوي بس دورو فيها برده‬

15.Atrumatic reservative tratment (ARt)

‫اقراوا واتوسعوا في الموضوع‬
16.in porcelain fused metal porcelain end with the contact finish line ➡️ collar less✅✅
 ‫مناقشة ‪ 24‬أبريل‬‫🌙‬
‫‪.‬وشخص جا لمراجعه دوريه في االشعة تبين رديولوسانس صغير في الماندبل ‪ .‬ومافي اي شكو او اعراض‬
‫ايش اسوي ‪:.‬‬

‫✅✅‬
‫_انسيشن ‪ .‬بايوبسي‬
‫_اطمئنة واجيبه مقابلة بعد شهر‬

‫‪.2‬وشخص ياخد كيموثيرابي ‪ .‬ايش اللي بيكون عندو‬

‫_اوستيو بروزيس وشي بالشكل دا‬

‫✅‬
‫_ديرماتايتس او تقريبا تحسس ف الجلد‬
‫وخيارين حاحاول اتذكرهم كان مره قرأت انه تطلعاهم او ‪ mucositise‬؟‬

‫‪.3‬جا سؤال لو خلعت سن بالغلط كيف اتصرف ‪✅Tell the pt .‬‬

‫‪.4‬وبنقيس االلفيولر بون بي شنو ‪ .‬حاطين صورتها ‪ .‬مطلوب االسم؟؟‪✅✅Ridge mapping =calliper‬‬
‫‪.5‬والرقم الرابع يرمز ل ايش‬
‫لينقس ‪.‬‬
‫ويدس‬
‫اكسيال‬

‫🛑‬
‫✅✅‬
‫‪Pt with history of trauma, now he has difficulty in moving tmj w facial deformity *5 .5‬‬
‫‪ankylosis ,‬‬
‫‪?? or osterarcoma‬‬

‫‪.6‬سؤال سن ‪٢٦‬كراون ‪.‬‬

‫في مشكله لما اقفل الفك واعمل بروتروشن ‪ .‬ايش المشكلة ‪.‬‬
‫‪ .‬الكسب انكالين لي وين‬
‫‪-‬بكال‬

‫✅✅‬
‫_ميسيال‬
‫‪Lingual‬‬
‫وكدا الخيارت‬
 ‫‪If there is lingual incline , will affect the contact‬‬

‫🟣‬
‫✅✅✅‬
‫‪ .7‬وتاني سؤال ان رادولوسنس في اللور ماندبل ايش تتوقع ‪.‬‬
‫منتال فورامين‬

‫‪?How do we differentiate between granuloma and cyst.8‬‬

‫✅‬
‫_‪Is it a histo‬‬
‫‪Vitality Test‬‬
‫_‪percussion‬‬
‫_ ‪And another fourth option‬‬

‫‪ .9‬جايب صورة لفك سفلي ال لور سفن ‪ .‬بس كراون مافي اي روت ومافي راديولوسنس ‪.‬‬ ‫🟣‬
‫️✳️✳️✳‬
‫ايش التشخيص‬
‫? ‪Dentogenesis imprefects‬‬

‫🟣‬
‫وطفل حصل له انتروشن لالنتيرير ‪9.‬‬
‫ايش اسوي‬
‫اعمل ليه اكستروشن واسبلين_‬
‫اكستراكشن_‬

‫✅✅‬
‫اخليه كدا_‬
‫فلو اب بعد شهر_‬
 ✅✅✅
10.‫ ايش بنراعي لما نعطي انترا بلب‬. ‫ بالنسبه لالنترا بلب جاني‬.
. _‫نحقن ببطء اخترت‬

🟣
✅✅
11. Endo trated tooth obturation should end at :
Anatomical apex
Radiographic

12. 🌙21-RCT end in?

A-radiographic apex

✅✅
b-anatomic apex
c-minor contriction
d-major consritction .

🟣
13. ‫ صوره الشعه سنه معمولها‬over ended obturation extended beyond the apex ‫كانها‬
thermoplasrisized or excessive sealer material ‫ بس كتير وعامله‬periapical radiolucency

✅✅
Pt complain of dull pain related to this tooth what is the managment :
Trephination
Non surgical endo retreatment
Surgical endodontic retreatment
Analgesic antibiotic and follow up

14.2.5 ‫ لو في‬mm above pulp dentin 🟣, amalgum restoration will be used what to applu first :
✅✅
Gi base
Cavity varnish
Etching

15.The color of an object appears different under different light sources what is the name of
this phenominon

✅✅✅
Metsmerism

🟣normal what to do:

✅✅
16.Minmal Intusion tooth 2 mm than
Follow up
2 weeks splinting
Endo
4 weeks splinting

🟣
17, Class 3 skeletal for ortho ttt
With prognathic mand
Normal maxilla :

✅✅
Head gear
Chin cup

🟣
➡️ ✅✅
18. Mesially tilterd 7 with missing 6
What to ise to avoid pulp exposure non rigid connector

🟣
✅☑️➖
19. Wound dehiscence
Osteonecrosis
Osteomyelitis

🟣
20. ‫سؤال متى تكلم المريض انك كسرت فايل‬
‫الخيارات‬
‫قبل‬

✅✅
/‫بعد‬
/‫مباشره‬
/‫او ماتكلمه‬

✅✅✅
21.skeletal class 2
headgear

22.🟣Strigh canal ‫ بايش نعملها‬clanging ‫ و الخيارات‬shaping

Hfil ✅✅
Gats

Ramer
Ultrasonic

23.🟣Add a substance to the hand, sterilization, cleaning, or disinfection✅✅✅

🟣
✳️✳️✳️
‫او‬/ ‫تخدير مع موسع اوعيه دمويه‬/ ‫ مريض لوكيميا قبل الخلع ايش تعطيه الخيارات كلها مختلفه يعني خيار اوكسجين‬.24
‫تحوله الخصائي اوعيه دمويه‬

✅✅✅anti fungal ‫ وبيقول اي العالج اللي هتكتبه للحاله دي؟‬angular chelitis ‫🟣صوره فيها‬.25
.26

Osteonecrosis ✅✅✅
27.At which stage the lateral peg shape defect occur :
Histodifferentiation

✅
Morphodifferntiation
Proliferation

28.🟣Tooth too dark➡️ value✅✅✅

 🟣 ➡️ ➡️
➡️
29. Histodifferentiation early bell stage dentin formation

✅✅✅✅
Morphodifferntiation calcification and root formation
 ‫ ابريل‬25 ‫مناقشة‬

Time can leave amalgam without polishing

A)1hr

B)24 ✅
C)48

Metal ceramic crown on Lower mandible fracture

A) Heavy

B) occlusal load ✅

C) Inadequate metal ceramic bond

Difference between cementum and bone Cementum

A) has no collagen Cementum

B) has no lymph &blood vessels ✅✅

C) Bone has no collagen

Another question about how to solve problem of opened

proximal contact when u place metal -ceramic fpd
something like -close it with glazed cement “ idont remember-

4. glazed porcelain crown on cementation there is open contact

proximally , what to do?
A- apply composite proximally
B- apply porcelain proximally

C- apply glazed material proximally

D- nothing to do
 Pregnant women in 7 week what analgesics u can use
A) Aspire
B) Acetaminophen ✅
C) Ibuprofen
D) don’t remember the 4 choice.....

Oral lesion associated with chemotherapy

A) Mucositis ✅
B) Osteonecrosis ... ...

Oral mucositis is a common complication of cancer

chemotherapy. It begins 5-10 days after the initiation of
chemotherapy and lasts 7-14 days.

A dentist refer aptient to his collageous to do proper

treatment ,the other dentist examine the pt and discus with her
the treatment she need , and refer her back to the first dentist , Pt
ask . the later dentist if he can do this ttt , he answer No?

A) Non -beneficence ✅
B) Autonomy Legal

Right lateral shift of crown when occlude :

A) Cause Distal of palate cusp move buccally ✅

B) Mesial of palate cusp move palatally
 Least tooth missed Upper

A) premolars ✅

B) Upper incisors

C) Canine.

(Placement of rest seat without parallel measurement)

I think they mean survey

A) incorrect rest seat length✅✅
B) Undercut Fracture

What happen when do rest sit before guiding plane?

A- insufficient size rest✅✅

B- insufficient size plane
C-fracture
Type of pin used in primary molar tooth✅✅
 After composite prep u found that the distance from pulp is only
0.5, type of sealer
A) Caoh
B) varnish
C) resin ✅
Same Q but the restoration is amalgam.

composite >>> ‫ نعمل‬resin ✅

Amalgam >>> ‫ نعمل‬varnish ✅
 Can cause gingival tumor (disease)?

A) HPV ✅
B) HIV
C) HSV
Pic submandible infection
‫؟‬Submandibular space infection is acute cellulitis of the soft tissues below the mouth. Symptoms
include pain, dysphagia, and potentially fatal airway obstruction.

✅✅✅✅
Diagnosis usually is clinical. Treatment includes airway management, surgical drainage, and IV
antibiotics.
Probe 1,2,3,5✅✅✅
-Pic scaler angulation
 ✅✅✅
- Sub scaler angulation

➡️90✅✅✅
Cavosurface angle for amalgam
epinephrine dose for cardiac patient 💟0.04mg✅✅✅➡️➡️➡️0.04
Normal pt. 0.2mg

➡️
✅✅✅
- Def class 1 malocclusion Class 1 > Same as normal occlusion but characterized by
crowding, rotations, and other positional irregularities.

➡️➡️
✅✅✅
- Def class 1 malocclusion Class1Same as normal occlusion but characterized by

🔶 ✅✅✅
crowding, rotations, and other positional irregularities. -
Tt class 2 malocclusionClass 2 max protrousion 1/facebowtherapy 2/functional app
(activator)
Class 2 manddeficiency
 ➡️➡️➡️
Functional app fixed or removable Tt
Class lll
1- growth modification
*retraction of maxilla by ( head ger)
* mandibular stimulas
__FIX APPLANCE
_REAMOVABLE APPLANCE lik ( activator.. Bionator.. Frankel.. Twin block)
2- ortgodontic comofluge
3- surgical
Lik ( saggital split oestotomy)

➡️➡️1mm✅✅✅
implant and sinus space
 ➡️➡️➡️4 mm✅✅✅
Implant with 7mm space
‫‪Working and non working side‬‬ ‫✅✅✅‬

‫‪- Dry heat‬‬‫جاني هالسؤال ويسال عن افضل ستراليزيشن ل ستيل انسترومينت️➡️➡️➡️➡✅✅‬

‫✅✅✅‬
‫كان من ضمن الخيارات‬
‫‪dry heat‬‬
‫‪, outoclave‬‬
 ➡️➡️Calcium hydroxide
✅✅✅
.. Best material for Apexification
Mta

Clasps ✅✅
Read aboout

- Antibiotic Prophylaxis
50-year-old woman comes to the clinic complaining of a continuous burning feeling of the
tongue. She
reports taking an antibiotic as prescribed by her physician. The dentist notes diffuse loss of the
filiform
papillae of the dorsal tongue with redness, giving it a bald appearance.

Which of the following is the best method used to obtain and confirm the most likely diagnosis?
A Culture

💟💟💟
B. Serology
c.Exfoliative cytology

D. Saliva for diagnostics

🟥pic about disclosing agent_

‫جات نفس الصورة‬

✅
🟥Distance from CEJ to
✅✅bone crest is 2mm
Normal bone level -
Reduced bone - periodontitis-

🟥After gingival osseous recontoring surgery ,in iterproximal area there is some areas with
,vertical bone defect and other S are : horizontal iterproximal ✅✅

flattening-
Radicular blending Bone gradualizing

🟥Force of sickle scaler

Pull ✅✅
Push

Combined
push

🟥Most accurate x ray for 4 years Pt With apical lesion :

Bite wing
Pa

Detection of lesions of caries.

• Monitoring the progression of dental caries.
• Assessment of existing restorations.
• Assessment of the periodontal
Most accurate radiograph for bone loss = vertical bitewings

🟥Length of scaler shank to do scaling posteriorly for Pt with trismus

✳️✳️

🟥Diameter of k file tip

0.2mm✅✅
#And h file same same
#Rotary file
.04
Or. 06

🟥Length of central incisor cervico occlusally:

١١ ‫ الى‬١٠ ‫من‬
✅✅

🟥Time of healing after crown lengthining to do prosthesis : 3 months ✅✅

1week
1month
6months
🟥Type of bone in posterior maxilla : D3 & D4 ✅✅
🟥Scenario of Pt with this lab results , having shortness of breath , what is the reason that
high blood pressure- ✅
:made u stope the procedure PR=78 O =93% Pb =178/121 Cause shortness of breath at laying-

✳️✳️
cough_

🟥Pedo Pt ,increase Ptt &bt what he have :

a.Hemophilia A
b.Thrombocytopenia
c.Leukaemia
✳️✳️

🟥Fractured file at coronal third :

a.remove- ✅✅
b.bypass-

🟥When to do bleaching after composite restoration :

A.1year
B.6months ✳️✳️

🟥Cephalometric analysis used for what :

A.Bolys widths

B.Anteroposterio skeletal evaluation ✅✅

🟥Tooth with gingival line I think 5 : with crown , how u can but rubber dam :
B.No need Clasps on 4& 5 - -✳️✳️
A.6&4,
 🟥
The dis adv of silver points : ‫جاب صوره وسأل عن‬
🟥Picture about edamatous gingiva , there is metal ceramic fpd extended more subgingivally
____biologic width ✅✅

🟥:In mouth breather the most affected site :

B.upper maxillary gingiva ✅✅
A.lower mandibular gingiva-

C.posterior mucosa-
🟥‫ جاتني نفس الصوره دي‬Pt with hiv came for u after 1week from previous dental visit , on
examination u found this tongue abnormality , lesion is non painful & not be scrubbed ? What u
can do :

✅✅
A-Give him antifungal ttt
B-Refere the pt to physician as this may be progression of disease
C-Reassure Pt and give home mouth wash
 ‫بسم هللا مناقشه‬

‫و ‪ internal resorption‬عالجه وتشخيصه‬ ‫🟨‬

‫‪Ttt: RCt‬‬
‫‪X ray..‬‬
‫‪Thermoplastisized obturation tech‬‬

‫طفل وزنه ‪ ٢٠‬كم مل من البنج‪ lidocaine‬تعطيه من دون‪epnephrien‬‬ ‫🟨‬

‫نضرب وزن المريض ب ‪ ٤.٤‬مغ‪/‬كغ بحالتين‬
‫‪ -١‬لما يكون طفل عمرو تحت ‪ ١٠‬سنوات‬
‫‪ -٢‬لما يكون المخدر بدون مقبض ‪without VC‬‬
‫ونضرب ب ‪ ٧‬مغ‪/‬كغ لما يكون بالغ والمخدر مع مقبض ‪with VC‬‬
‫بيطلع معنا رقم هوه الجرعة القصوى(‪)mg‬‬
‫لما يطلب عدد الكاربوالت نقسم الرقم السابق ع ‪( 36‬كمية المخدر بالكاربولة اللي حجمها ‪ ml 1.8‬وتركيز المخدر فيها ‪)%2‬‬
‫د‪.‬شادي الحول‬

‫🟨خالل جلسة التجريب الكراون طلع قصير في سن ‪ lower 5‬ايش ال ‪ Wall‬اللي فيهو المشكلة ️✳️✳‬
‫ايش التست اللي نعمله للتفريق بين ‪ apical periodontitis‬و ‪ ...abical abscess‬الخيارات فيها ‪radiograph‬‬ ‫🟨‬
‫️♥️♥‬
‫و ‪ mobility teast‬و‬
‫‪percotion teast‬‬

‫🟨‬
‫✅✅‬
‫بيشنت بياخد اسبرين ايش تسوي له قبل الشغل‬
‫‪BT test‬‬

‫اذا البيشنت بياخد‬

‫‪) Aspirin > Bleeding time( BT‬‬

 Warfarin > INR + PT

Renal dieseas, heparin > PTT

✅
Liver disease > BT + PT

‫ في سن واحد‬gingval abscess‫ و‬CAL ‫ من يومين وجات عندها‬SRP ‫المريضة اللي سوت‬ 🟨

‫ لي نفس السن‬rescaling ‫نطمن البيشنت ونعمل‬

🟨
‫ حول االمبالن‬hart tissue ‫ وال‬soft ‫اسم الحاله اللي عندها التهاب في‬

Peri-implantitis is a dental disease resulting in inflammation of the soft and hard gum tissues
surrounding a dentalimplant. Peri-implantitis is associated with loss of bone structure around

✅✅✅✅✅
the inflamed gum supporting the tooth implan

Pri implantities mucositites ➡️ only soft tissue

Pri implantities➡️ soft + hard tissue

‫ اللي تسويه‬emergancy ‫ ايش اإلجراء ال‬aciut abscess ‫بيشنت عنده‬ 🟨:

draining and incident

‫ كسر سنه وظاهر بسيط جداً من البلب من دون أعراض ايش تسوي له‬٨ ‫بيشنت عمره‬ 🟨
✅✅ Direct pulp capping

Primary = pulptomy
Permanent = direct pulp capping

✳️✳️ inter pulp injection ‫🟨ايش أفضل شي مع‬

?Center of rotation in molars‫🟨🟨‏‬
A in the forcation‫‏‬
♥️♥️B above the forcation‫‏‬
Ccornal part of the roots‫‏‬
D in the crown‫‏‬

…‫دعواتكم‬
‫دكتور عبدالرحيم‬
‫‏‪ :‬االندو جه اغلبه من االسئله بتاعت الذهبي بس خللي بالك ساعات بيجي عكسها‬
‫الزم تبقي عارف الفرق بين ال‬
‫‪Reversible‬‬
‫‪Irreversible pulpitis‬‬
‫وبين ال‬
‫‪Symptomatic and asymptomatic apical periodontitis‬‬
‫‪ cases‬دي جات علي هيئه‬
‫في اكتر من خمس اسئله‬
‫حابعتلكم اللي افتكره ان شاءهللا‬

‫ذاكروا ال‬
‫‪Stages‬‬
‫كويس اوي ‪Grades‬‬

‫جات اسئلة زي‬

‫ ارقام‬grace curretts
Blade angle
‫اسماء البكتيريا كلها جات‬
‫منهم سؤال‬
Periodontitis associated with molar incisor area.which type of bacteria
‫طبعا عايز بكتيريا‬

‫ هنا جمعت لكم اهم البكتيريا واهم معلومة عنها باختصار شديد‬:

1- Aggregatibacter actinomycetemcomitans ( AA) : Aggressive periodontitis

‫ احفظوها انو اسم البكتريا واللي تسيبه كله بحرف ال‬A

2- Porphyromonas gingivalis ( P. gingivalis) :

Chronic periodontitis

‫ احفظوها الكلمه الثانيه على وزن‬gingivitis ‫ واذا طولت مدة الجنجفايتس وما تم عالجه يصير‬Chronic periodontitis
3- Treponema denticola ( T. denticola ) :
( ANUG/ANUP )

Acute necrotizing ulcerative gingivitis

Acute necrotizing ulcerative periodontitis

‫حفظها بطريقة وربط ماله اساس علمي بالحياه بس قدعنه ان‬ denticola ‫ الكوال يسبب‬،) 🥤 ‫ نهايتها ( كوال‬ulceration ‫سوا‬
‫جنجفايتس او بيرودونتايتس‬

4- Tannerella forsythia ( T. Forsythia ):

Nonmotile, gram-negative rod

‫حرف ال‬F ‫ يعني‬false ‫ يعني‬negative

5- Prevotella intermedia ( P. intermedia) :

Pregnancy gingivitis

‫ احفظوها ان حرف‬p ‫ اول حرف بالبكتريا وال‬Pregnancy. ،، ‫ ( وكمان‬inter ) ‫يعني داخل البطن نونو‬ 🤰🏻
6- Actinomyces : healthy gingiva , root caries

7- Streptococcus mutans ( S. mutans ) : coronal caries

8- Streptococcus salivarius ( S. salivarius) : most common oral bacteria, resides on tongue

9- pseudomonas , staph : implants

‫ اي غلط فيها تواصلوا معاي على الخاص‬:

0569496022
◦

💟_major connector of upper has torrus paltinus

Anterior palatal strap, ✔️
Anterio posterio strap ✔️

💟_what will happen if under prepared occlussal reductiin.✳️✳️✳️

Fracture of functional cusp✅✅

💟‫تركيز الهيدروفلوريك اسيد اللي بيستخدم في لصق السيراميك"" العدسات وااليماكس‬

10_ 9.5% ✔️

Localized agg.periodontits
 ‫*واحده ابنها ‪ ٤‬سنين بلع خمسين ملجم فلواريد ماذا تفعل؟‬

‫دكتور نضف السنترال ل فايل ‪ ٩٠‬بطريقه ستيب باك‬ ‫💟‬

‫ماستر فايل ‪55‬‬

‫️✳️✳️✳️✔‬
‫ماهو مقاس الجاتا بيركا او الفايل المناسب؟‬
‫‪ 55‬من العادي‬
‫وال ‪55‬‬
‫‪taper. 04‬‬
‫وال خمسين من العادي‬
‫وال ‪٥٥‬تيير ‪.‬‬
‫‪04.‬‬

‫💟‬
‫✅‬ ‫️♂‍🏻🤦‬
‫مركب لواحد ربر دام وهوب لقيته تعب و اتشنج في وجهه‬
‫‪type 1‬‬ ‫نوع الحساسيه ايه ‪ Type‬كام‬
 💟
?Erosion or abrasion or abfraction ‫*واحد بيمص لميون كثير‬
 :Tooth wear is the result of three processes

,)abrasion (wear produced by interaction between teeth and other materials

✔️✔️
attrition (wear through tooth-tooth contact) and
erosion (dissolution of hard tissue by acidic substances). A further process (abfraction)
might potentiate wear by abrasion and/or erosio

☸️☸️☸️☸️☸️blumia ‫بيبقي التاكل علي انهو سطح‬

💟Ph of ca.hydoxide
12.5✔️

💟H2 by prouduct
From which Impression material

✅✅
Pvs,, polyniyl siloxan

graves disease ‫جاتني الصوره دي حطيت‬

 ‫بسم هللا‬
…‫ عبالرحيم‬.‫دعواتكم د‬

✳️✳️
In canine area there are multible radiolucency like rise
What is ttt

simple or compound ‫ وسال عن نوع الفراكشر‬mandibular fracture ‫جاب صورة‬

‫جاني صورة‬
ginigiva in lower canine side ‫ورم في‬
‫ وطلب اسمه‬mashroom like lesion ‫والوصف كان‬

Pygonic granuloma
 ‫ حنسوي‬٣ ‫ وحاطاه في حليب قبل‬avulsion ‫ حصل ليهو‬central ‫طفله جات تبكي مع امها وامها شايله سن‬

Why we don’t use idoform to immerse instruments

Other qu
Idopholr not good in sterlaization

A. Not effective with blood and tissue

B. Decrease effectifness with time ✔️✔️

☝🏼
‫سؤال مشابه‬

‫بيشن غسيل كلى متى اشتغل له‬

✔️✔️
One day before dialysis
,One day after
In the same day

Drug make facial deformity for pregnant woman

Iboprofin
‫وكذا دواء اخر نسيتهم‬

Hight dose of asprin

✅✅ *‫ ايش اعمل الخيارات كانت اشتغل له بعد اسبوع وال اشتغل له بعد شهر وال *اشتغل له لمن يتشافى‬tb ‫بيشن عنده‬
TB patient with active disease ,, you started treat him .435
? what’s the management

✅✅✅✅✅
postpone treatment for 2 weeks*
under medication
active tb —> emergency should isolated from other pts☀

in active tb—>> treat him normally

pulp irritation ‫سوال عن الماده اللي لو وضعناها تحت الحشوه تعمل‬

✔️✔️
Zoe
Zinc phosphate
Calcium hydroxide

‫اجاني سوال لبنت كل شي فاسنانها طبيعي بس اللثه لونها احمر كتير وكلها‬
‫وفي بليدنج وقت تنظف اسنانها بالفرشاه‬
‫شو السبب‬
‫ ولتسوي يوميا بالفلوس‬:

✔️✔️
Pt had truma , central incisor appeares long than other central
Extrusion
Intrusion
Avulsion
 ‫حطو الوان فايل في صوره سريعه‬

‫جاني سوال كومبليت قال البيشن عنده موبيليني فاالسنان السفليه االماميه ايه نوع ال ‪major connector‬‬

‫️✔️✔️✔‬
‫‪Lingual bar‬‬
‫‪Lingual strap‬‬
‫ما اتذكر‬

‫‪Peir abutment‬‬

‫بيشن عامل كومبوسيت فالسنترال المكسور وسقط منه جزء عايزين نصلحه سال عن الزاويه كم كان غير واضح السوال‬
Canin buccaly anf palatal by xray

How to know

‫ علشان كده في االشعة دي ال‬lateral ‫ بتاع ال‬root ‫ بتاعه عن ال‬crown ‫ واضح ال‬canine ‫ بيبقى ال‬palatal ‫لما بيبقي‬
canine Palatal to lateral
💟‫‏‬Pregnant women in 3rd trimester came with inflammation somewhere in the oral cavity
‫‏‬Clindamycin✅✅
‫ ‏‬luconazole
F
‫‏‬Clarithromycin

💟🛑D16 of file 10
0.42✅✅
..Dx - D0 = (X -0) × taper
..
File 10 ÷100= 0.10
‫ و‬d16 = 16 × 0.02 = 0.32
‫نجمعهم‬
= 0.42

Multiple sclerosis seen in ☸️☸️☸️

‫‏‬Trismus••
‫‏‬Bilateral ankylos

Definition of clinical bioethics

🛑Type of GiC luting cement
‫‏‬Type 1✅✅

☸️‫‏‬Differentiations between periapical granuloma and periapical cyst

‫‏‬Histopathology✅✅
‫‏‬Xray

‫ ‏‬itality
V
‫‏‬Can’t remember

🛑Tracing of maxillary sinus

‫‏‬Using 20-30 gutta percha✅✅

🛑Missing E with present 6

‫‏‬Band and loop✅✅
‫‏‬Reverse band and loop
‫ ‏‬istal shoe
D
‫‏‬Crown and loop

💟Lesion in gingiva pyogenic granuloma

‫‏‬Excisional biopsy ✅
‫‏‬Incisional biopsy

🛑‫‏‬Asthmatic pt got anxious came with 2 inhalers one vasodilator salbutamol and other steroid
inhaler
‫‏‬When became anxious about to get attack which one to give

I‫‏‬nhaler salbutamol vasodilator ✅✅

‫‏‬Inhaler steroid

💟Sickle cell anemia pt coming for major dental procedure what do u prepare before procedure
‫‏‬Antibiotics prophylaxis ✅
‫‏‬Platelets

‫‏‬Can’t remember the rest

💟‫‏‬Dentigerous cyst- doesn’t mention it but explains it:: ttt was a weird case
‫ ‏‬arsupulization••
M
‫‏‬Enucleati
‫علي حسب المعطيات‬
Size of cysts
🛑Patient with episodes of recurrence of erythema multiform from Herpes
‫‏‬Acyclovir was my answer✅✅

🛑💟Pt takes topical steroid for lesion but it’s the helping the lesion subside
‫‏‬Systemic steroids✅

🛑Time can leave amalgam without polishing

24✅✅
1hr

48
Amalgam 24 ‫معلومة‬
Gic 24
RMGIC immediately

🛑 Metal ceramic crown on Lower mandible fracture

✅✅ Heavy occlusal load
Inadequate metal ceramic bond

💡💡
)…All porcelain failures (chipping

✅✅ 📍
.Keep porcelain metal junction away from centric contacts

⛔⛔
to prevent chipping of porcelain in retainer at the ceramometal junction

👉🏻
?what is the cause of chipping in labial surface of porcelain

👉🏻
.high occlusion force

👉🏻
thick porcelain layer

👉🏻
.Fusing the opaque coat of porcelain too low temperature or too short time

👉🏻
. contamination perior to opeque applications
formation of oxide layer lead to degreasing the bond

Bacteria in necrotic pulp💟

✅ Anaerobic
Facultative

Fast acid

Difference between cementum and bone 💟

Cementum has no collagen
 ✅ Cementum has no lymph &blood vessels
Bone has no collagen
‫في خيار رابع‬‎

Metal ceramic FPD , its well fit in the lab when the technician test it , but on the Pt there is ☸️
difficulty in placing it
tight contact interpriximally-
All the other options about lab procedure

Scenario of pt with natural lower teeth ,exhibit mobility , all upper teeth present , lower ☸️
. posterior missed
I remember one option : treat the lower teeth &place lower over denture

Another question about how to solve problem of opened proximal contact when u place metal ☸️
😓
-ceramic fpd
something like -close it with glazed cement “ idont remember-
 💟
✅
Oral lesion associated with chemotherapy
Mucositis
Osteronecrosis

Right lateral shift of crown when occlude 💟

✅
: Cause
Distal of palate cusp move buccally
Mesial of palate cusp move palatally

A dentist refer aptient to his collageous to do proper treatment ,the other dentist examine the 💟
pt and discus with her the treatment she need , and refer her back to the first dentist , Pt ask the

✅
. later dentist if he can do this ttt , he answer No
No -beneficence
Autonomy

Legal

💟
✅
Type of pin used in primary molar tooth
Short one

💟
✅
Least tooth missed
Upper premolars
Upper incisors
Canine
 If there's lower central we choose it

🤷🏻‍♀️(I think they mean survey

✅✅ incorrect rest seat length
) Placement of rest seat without parallel meaurment

Undercut
Fracture

✅✅
After composite prep u found that the distance from pulp is only 0.5, type of sealer
caoh_
varnish-

👆🏻
resin-
Same Q but the restoration is amalgam

💟
‫سؤال صورة أشعه‬‎
 Taurodontism

💟
✅
Bacteria in water line how much
500>

bacteria In water line ➡️lengionella pnemophilla

💟Kennedy classification
Go a read

💟Reversible &irrversible, symptomatic and a symptomatic , necrotic pulp ____scenarios (about

✅ ‫ورقات‬٦ ‫فايل االندو‬
6Q) read about it and how to differentiate

💟Best pulp test ___cold✅

❤️Where pt feel sensitivity more —cervical ,✅crown middle third , Incisal
 ‫بسم هللا‬
..‫دعواتكم‬
‫ عبدالرحيم‬.‫د‬

✔️✔️
which tooth we use round movement to extract-
Max central
max lateral
mand central
‫ دي‬mandibular lateral

_pic of pericronitise Lady came with recurrent episodes of pain what's the managment?

🛑_pic of pericronitise Lady came

with recurrent episodes of pain what's the managment?

1: irrigation with saline & remove depris & analgesic to reliefe pain
2 : operceolotomy
3: finally if recurrent extraction
_What's muramtism?
‫اختالف اللون مع اختالف الضوء‬

Two colors match under onelights

_What's Staphen curve?

The Stephan Curve is a graph that shows what happens after the consumption of sugar in
relation to dental caries.

✔️✔️
pic of a red lesion surrounded by white line under the tounge a symptomatic
Lichen p
Lichen erythematos
Erythema multifor
‎ ‫و تاني‬
‫خيار‬

_Pic of white lesion under the toung also asymptomatic ‫مش فاكره االجابه بس هو كان طالب انك حتبدا‬
‫المانجمنت ب ايش‬

Biopsy

_white lesion at the porder of the tounge type of biopsy

_clapping finger ‫و معاها سيمبتومز تانيه و سأل اي فحص نعمله عشان نتأكد الدياجنوز‬
‎
‫اخترتو‬ ‫كان في خيار واحد ليه عالقه بالكارديو‬

_lady have ulcers in buccal and gingival mucosa and also in genital and urinnogenital parts
How do u confirm the diagnosis
Kawasaki
Immunoflorecence
‎
‫فاكراهم‬ ‫و تاني خيارين مش‬

_modification of gracy to suite working in restricted mouth opening

Icrease lengths

enamel pearl?
An enamel pearl is a condition of teeth where enamel is found in locations whereenamel is
not supposed to be, such as on a root surface. They are usually found in the area between
roots, which is called a furcation, of molars
 ‫بسم االه‬

‫ عبداارحيم‬.‫ د‬.‫دعواتكم‬

💟
✅✅
Pregnant women in 3rd trimester came with inflammation somewhere in the oral cavity‫ ‏‬:
Clindamycin‫‏‬
Fluconazole‫‏‬
Clarithromycin‫‏‬

🛑💟 :

✅✅
D16 of file 10
0.42

..
..
File 10 ÷100= 0.10
d16 = 16 × 0.02 = 0.32 ‫و‬
‫نجمعهم‬
0.42 =

Difinition of clinical bioethics?

💟Reversible &irrversible, symptomatic and a symptomatic , necrotic pulp ____scenarios

(about 6Q) read about it and how to differentiate

‫الفايل االزرق في تلغرام‬

 Kennedy classification 💟 :
Go a read

✅Best pulp test ___cold💟 :

❤️
✅crown middle third , Incisal—
Where pt feel sensitivity more
cervical ,

💟
✅
Bacteria in water line how much

➡️lengionella pnemophilla
500>
bacteria In water line

💟‫أشعه‬
‎ ‫سؤال صورة‬
Taurodontism

💟After composite prep u found that the distance from pulp is only 0.5, type of sealer
_caoh✅
-varnish

👆🏻but the restoration is amalgam

-resin
Same Q

💟Placement of rest seat without parallel meaurment 🤷🏻‍♀️(I think they mean survey )
incorrect rest seat length ✅
Undercut
Fracture

💟Type of pin used in primary molar tooth

Short one ✅
💟Least tooth missed
Upper premolars ✅
Upper incisors
Canine

If there's lower central we choose it

💟Right lateral shift of crown when occlude

Distal of palate cusp move buccally ✅
Cause :

Mesial of palate cusp move palatally

💟A dentist refer aptient to his collageous to do proper treatment ,the other dentist examine
the pt and discus with her the treatment she need , and refer her back to the first dentist , Pt

✅
ask the later dentist if he can do this ttt , he answer No .
No -beneficence
Autonomy
Legal

💟Pregnant women in 7 week what analgesics u can use

Acetaminophen ✅
Asprine

Ibuoprofen
.....don’t remember the 4 choice

💟
‫اضافه‬
Drug with pregnant:
*Contraindicated*
Asprin with high dose
Ibuprofen
Diclophenac
*Indicated*
Acetaminophen is usually use
Asprin with low dose

💟Oral lesion associated with chemotherapy

Mucositis ✅
Osteronecrosis
☸️Another question about how to solve problem of opened proximal contact when u place
-something like -close it with glazed cement “ idont remember 😓
metal -ceramic fpd

‫ نغلقها ب‬0.3 ‫ اذا اقل من‬glazed gic

‫ اذا اكثر‬remake
Or glazed porcelain too

💟Difference between cementum and bone

Cementum has no lymph &blood vessels ✅
Cementum has no collagen

Bone has no collagen

‎ ‫في خيار‬
‫رابع‬

💟Bacteria in necrotic pulp

Anaerobic ✅
Facultative

Fast acid

💟Metal ceramic crown on Lower mandible fracture

Heavy occlusal load ✅
Inadequate metal ceramic bond

‫معلومه‬

💡💡
All porcelain failures (chipping…)

📍 ✅✅
Keep porcelain metal junction away from centric contacts.

⛔⛔
to prevent chipping of porcelain in retainer at the ceramometal junction

👉🏻
what is the cause of chipping in labial surface of porcelain?

👉🏻
high occlusion force.

👉🏻
thick porcelain layer

👉🏻
Fusing the opaque coat of porcelain too low temperature or too short time.

👉🏻
contamination perior to opeque applications .
formation of oxide layer lead to degreasing the bond

💟Time can leave amalgam without polishing

24✅
1hr

48

‫معلومه‬
Amalgam 24
Gic 24
RMGIC immediately
💟Pt takes topical steroid for lesion but it’s the helping the lesion subside
‫‏‬Systemic steroids✅

💟Patient with episodes of recurrence of erythema multiform from Herpes

‫‏‬Acyclovir ✅✅was my answer

💟‫‏‬Dentigerous cyst- doesn’t mention it but explains it:: ttt was a weird case
‫ ‏‬arsupulization••
M
‫‏‬Enucleati
‫علي حسب المعطيات‬
Size of cysts

💟‫‏‬Asthmatic pt got anxious came with 2 inhalers one vasodilator salbutamol and other
steroid inhaler
‫‏‬When became anxious about to get attack which one to give

I‫‏‬nhaler salbutamol vasodilator ✅

‫‏‬Inhaler steroid

💟Sickle cell anemia pt coming for major dental procedure what do u prepare before
procedure

✅
‫‏‬Platelets
‫‏‬Antibiotics prophylaxis
‫‏‬Can’t remember the rest

💟Lesion in gingiva pyogenic granuloma

‫‏‬Excisional biopsy ✅
‫‏‬Incisional biopsy

💟Missing E with present 6

‫‏‬Band and loop✅
‫ ‏‬everse band and loop
R
‫‏‬Distal shoe
‫‏‬Crown and loop

‫معلومه‬
‫ إذا خلعنا‬D ‫ وكان ال‬E ‫ = موجود‬band and loop

‫ اذا خلعنا‬E ‫ وكان ال‬D ‫ = موجود‬reverse band and loop(‫ طالع‬6‫)هذا في حالة ال‬

‫ما طلع وخلعنا‬6‫اما لوكان ال‬E. ‫ يبقى نسوي‬distal shoo

☸️‫‏‬Differentiations between periapical granuloma and periapical cyst
‫‏‬Histopathology✔️✔️
‫‏‬Xray

‫ ‏‬itality
V
‫‏‬Can’t remember

💟Type of GiC luting cement

‫‏‬Type 1

💟Multiple sclerosis seen in

‫‏‬Trismus••✅
‫‏‬Bilateral ankylos