March2014 Answers

PA of lower right side
45 has an open apex, no caries seen (I can’t see any pathology in crown portion)
Large oval area of radiolucency surrounding the root of 45, going up to the
periodontal margins on mesial and distal.
Patient’s mother want the tooth to be extracted, because they are going somewhere
1) What should be told to the mother

a. they should have a health check for any systemic disease, because it is strange,
that an apparently sound tooth has such pathology (not sure…the X-ray may
show floating tooth that points towards Langerhan Cell Histiocytosis)
Photo – from the front in centric occlusion

11 seems to be darker, no fillings
)On the PA tooth 11 has a successful endodontic treatment. What is the best
treatment?
a. non-vital bleaching
Middle-age woman has seen a dentist 3 years ago, no treatment was required back
at that time.
Now she is concerned about her teeth. She has money and want her teeth to be fixed.
*Picture
Photo1 – from the front.
Multiple caries on front teeth, but I couldn’t see fillings
Photo 2 – upper arch
14, 15 are missing
Question about the reasons why she got problems with her teeth in since last
dental check-up
A. changes in saliva production (probably Xerostomia (female middle
aged))
2) She had a friend, who did implants in the front and quiet happy with them. She
also wanted 2 implants to replace her missing premolars. What should be
considered when planning implants in that region (in comparison with anterior
region)?( What can complicate the implant placement?)
a. maxillary sinus in the area (Not sure, but in regions of premolars and
1st molar the sinus floor is near, also with age sinus enlarges by
pnuematization)
This bilateral maxillary posterior zone that extends from the second premolar to the
pterygoid plates is located at the base of maxillary sinuses (antra of Highmore).
Embryologically, the hard palate and the alveolar process of maxilla form the barrier
between the maxillary sinus and the oral cavity. The bone height between the floor of the
maxillary sinus and the alveolar crest is routinely analyzed in oral implantology when
posterior maxillary implants are contemplated. An increase of sinus volume or sinus
pneumatization after a loss of posterior tooth/teeth often necessitates vertical bone
augmentation with a sinus lift procedure if dental implants are considered in this area.
The bone of this region is also known to have compromised bone quality (types 3 and 4)
that can increase an implant failure rate
http://www.endoexperience.com/documents/LenTolstunov.pdf
A woman, who has a lot of amalgam fillings, was advised by her naturopath to change
them all for composite. She is allergic to nickel. She also has some problem with the
tooth 17 (lost cusp?)
*Picture
Photo of upper right side, where upper teeth are seen with amalgam restorations
On buccal tissues there is an area of white lines, not the all buccal, just adjacent to 17
1) What is diagnosis of white area on the cheek?

a. Lichenoid reaction
2) What you going to do with amalgam fillings?

replace only on 17 and explain that there is no need to replace all of them
2) Burnishing of amalgam after carving

DENTAL AMALGAM
Burnishing prior to carving provides the removal of the
excess mercury and improves marginal adaptation, and burnishing
after carving improves smoothness.
Philips page 247
https://books.google.com.eg/books?
id=JJfQCgAAQBAJ&pg=PA341&dq=burnishing+of+amalgam&hl=en&sa=X&ved=0ah
UKEwjT4tSEj5vKAhUGWRoKHfdPAZA4ChDoAQgcMAE#v=onepage&q=burnishing
%20of%20amalgam&f=false
Case of erosion. How to pretreat cavity before placing GIC?

a. acid conditioning (polyacrylic acid 10%)
Philips page270
GLASS IONOMER RESTORATIVES
Glass ionomer cements (GICs) are described in some detail
in the discussion of dental cements (see Chapter 14). However,
they are also pertinent to this chapter, since they represent a
class of materials that exhibit chemical bonding to tooth
structure. They consist of a powder, an acid-soluble aluminosilicate
glass, and an aqueous solution of polyacrylic acid
or an analogous polyacid. Ca2+ and aluminum (Al3+) ions
released from the powder react with the carboxylic acid
(-COOH) groups to form divalent salts, which cross-link and
cure the polymeric acid. The same carboxylate groups also
interact strongly with surface Ca2+ ions in enamel or dentin
to effect chemical adhesion to tooth structure. This chemical
adhesion may also be beneficial in terms of resistance to
hydrolytic degradation. A short polyalkenoic acid pretreatment
can be used to clean the tooth surface and to remove
the smear layer, exposing collagen fibrils to a depth of
about 0.5 to 1 micron. Micromechanical bonding of the glass
ionomer components occur by interdiffusion. Most of the
current glass ionomer restorative materials also contain resin
and are referred to as resin-modified glass ionomers (RMGI).
They contain a light-curable acrylic resin that provides for
rapid polymerization at and near the surface, together with
the same bonding mechanisms as are produced with traditional
glass ionomers.
) In the lower premolar pulpal wall:
a. parallel to the occlusal surface (the occlusal surface of premolars is tilted lingually, so
base of the cavity should be parallel to it also Handpiece should be tilted lingually)
0 For mandibular molars and second premolars whose

crowns tilt slightlylingually, this rule dictates that the bur should also
be tilted slightly (5—10 degrees) lingually to conserve the strength of
the lingual cusps
id=VHwP5nZCfbEC&pg=PT40&dq=the+bur+should+be+tilted+lingually&hl=en&sa=X
&ved=0ahUKEwj4ir6vlZvKAhWK5xoKHUgfAYQQ6AEIJDAB#v=onepage&q=the
%20bur%20should%20be%20tilted%20lingually&f=false
removAL smear layer during RCT by EDTA

Walton page265
Tugback (270 from 1000mcq’s, Boucher’s p347)
Tugback is : Fit of the cone in the apical region (tight apical seal)
10) Resistant to acid

a. fluorapatite (Not to be confused with Calcium Flouride as CaF2 is just a reservoir of
Flouride, forms when high con. Of topical fluorides is applied)
A male patient presents having noticed that his teeth are becoming shorter.
The palatal surfaces and incisal edges of the upper incisor teeth are worn. (similar to
Case 60, 61 in Odell) patient has history of alcohol intake
16, 15,14,24,25 are missing
The diagnosis is toothwear caused primarily by erosion. The

cause of the erosion is gastric acid reflux secondary to
gastro-oesophageal reflux disease.
id=49XiGoM78dkC&pg=PA36&dq=active+erosion+of+teeth&hl
=en&sa=X&ved=0ahUKEwiN-
s6grJ3KAhWDwxQKHRMqDIIQ6AEIITAB#v=onepage&q=acti
ve%20erosion%20of%20teeth&f=false
The patient is struggling with money. He wants you to build up his front teeth with
composite. To do so you need to raise his bite.
a. What will you do: make a Dahl appliance so that posterior teeth will erupt
Odell case 61
effects of increased vertical dimension in complete dentures:
id=ZGvegIdicUoC&pg=PA130&dq=effects+of+increased+vertica
l+dimension+in+complete+dentures&hl=en&sa=X&ved=0ahUK
EwistKrJ0J3KAhXHyRQKHYUEDAwQ6AEIITAB#v=onepage&
q=effects%20of%20increased%20vertical%20dimension%20in
%20complete%20dentures&f=false
symptoms of mental nerve compression by the denture borders:

id=GbfwAwAAQBAJ&pg=PA277&dq=symptoms+of+mental+ne
rve+compression+by+the+denture+borders&hl=en&sa=X&ved=
0ahUKEwiM_f7a0Z3KAhUBlxQKHdHuCycQ6AEIHzAB#v=on
epage&q=symptoms%20of%20mental%20nerve%20compression
%20by%20the%20denture%20borders&f=false
A patient has full upper denture. In the lower arch only incisors, canines and premolars.
Lower incisors are very mobile and you agreed on extraction with placement of
immediate denture.
b. alginate (Easy removal of impression as lower incisors are very mobile)
80y.o. woman. She is wearing an upper full denture.
Upper – resorbed ridge. Red elevated spot in the middle.

Lower- only incisors, severely resorbed mandibular ridge
id=vMpLBAAAQBAJ&pg=PA299&dq=anterior+ridge+resorption+led+to+incisive+pa
pilla+lying+over+the+crest+of+the+ridge&hl=en&sa=X&ved=0ahUKEwit_7a9153K
AhXCWhoKHW2KBhIQ6AEIIjAB#v=onepage&q=anterior%20ridge%20resorption
%20led%20to%20incisive%20papilla%20lying%20over%20the%20crest%20of%20the
%20ridge&f=false
When anterior ridge resorption takes place the incisive papilla will lie on the alveolar
ridge crest. This resorption will in turn leads to unretentive denture
A patient is alcoholic. He drank last night and can’t remember
the details, but suffered a blow or trauma(?)
.
1) According to some Australian Medical Guidelines how many drinks per day is
the maximum recommended dose for a male?
for both men and women, the lifetime risk of death from alcohol-related
disease or injury remains below 1 in 100 if no more than two standard drinks
are consumed on each drinking occasion, even if the drinking is daily
How many milliliters of alcohol are in 1 standard drink?

a. 10ml (10 gms or 12.5ml
Ref. Australian guidelines regarding Alcohol drinking
Posteroanterior view of left half of the skull

It was subcondylar fracture for sure
open reduction for treatment of subcondylar fracture
id=gyxTBwAAQBAJ&pg=PA705&dq=open+reduction+for+tr
eatment+of+subcondylar+fracture&hl=en&sa=X&ved=0ahU
KEwjpttO9253KAhUQhhoKHVnSDbEQ6AEIODAF#v=onep
age&q=open%20reduction%20for%20treatment%20of
%20subcondylar%20fracture&f=false
id=F8Y0AwAAQBAJ&pg=PA234&dq=open+reduction+for+treatment+of+subcond
ylar+fracture&hl=en&sa=X&ved=0ahUKEwjpttO9253KAhUQhhoKHVnSDbEQ6A
EIMTAE#v=onepage&q=open%20reduction%20for%20treatment%20of
%20subcondylar%20fracture&f=false
ankylosis may result from subcondylar fracture as along term

consequence
id=du6C3VaE7C0C&pg=PA73&dq=ankylosis+may+result+from
+subcondylar+fracture&hl=en&sa=X&ved=0ahUKEwiE5t_23Z
3KAhXDTBQKHRXvCdkQ6AEIGjAA#v=onepage&q=ankylosis
%20may%20result%20from%20subcondylar
%20fracture&f=false
19y.o. girl with pericoronitis, severe pain in lower 3rd molar
impacted region and wanted it removed. She has a penicillin
allergy (urticaria).
1) What is the incidence of penicillin allergic reaction (urticaria) in population?
a. 5% 3% TG
2) What is the immediate treatment? Hot saline TG& Odell
In several weeks after acute symptoms have subsided you decide to extract lower
3d molar. What antibiotic will you prescribe?
a. Clindamycin 600mg, 1 hour before the procedure
b. Clindamycin 600mg 2(4??) times a day for 5 days
c. Erythromysin for 5 days (can’t remember the dosage)
…But no need of antibiotics if the condition has subsided and pt. is systemically healthy
If the symptoms did not subside, then
TG page 47
An elderly patient has a simple extraction of 16. The
socket has not been healed within 10weeks. Patient is
taking Alendronate(Fosamax)(one of the bisphosphonates):
b. osteoporosis
Why osteoporosis not Pagets which is an indication too? Because
osteoporosis is more common than Pagets in elderly patients.
Moreover, the elderly women are more prone to ostepososis due
to hormonal changes post menopause.
id=UGqjFPQ_LkgC&pg=PA107&dq=uses+of+alendronate&hl=
en&sa=X&ved=0ahUKEwjlmO3qkp_KAhVLbRQKHXvlCikQ6A
EIGjAA#v=onepage&q=uses%20of%20alendronate&f=false
https://books.google.com.eg/books?id=x-f-
kedg9ukC&pg=PA43&dq=uses+of+alendronate&hl=en&sa=X&
ved=0ahUKEwjlmO3qkp_KAhVLbRQKHXvlCikQ6AEILjAD#v=
onepage&q=uses%20of%20alendronate&f=false
1) What is the reason for non-healed socket?
a. bisphosphonate-related osteonecrosis ( drug has affinity for jaws mainly…not
seen in other bone Ref. Odell)
Tg page90
Treatment? Talk to the patient’s physician about
a. stop the medication because all biphosponates causes the
same effect.
4) If the physician will provide this treatment, when do you
expect the socket to heal? 12 months
Ref .TG page 91
A patient has an atrial fibrillation and taking Warfarin.

What is the aim INR for patient with atrial fibrillation?(2) to
avoid stroke.
o INR measurement is a key component in maintaining good control of
warfarin treatment
We regularly monitor the INR of people using warfarin in order to balance the risk of
excessive bleeding (when the INR is too high, meaning that the blood is too thin) against
the risk of clotting or thrombosis (when the INR is too low or the blood is too thick). INR
values over 4.5 increase the risk of major haemorrhage (bleeding), and an INR less than
2 increases the risk of thromboembolism(formation of blood clots within the blood
vessels) and associated conditions such as heart attack and stroke.
 Atrial fibrillation: Target INR range 2.0–3.0;

 Venous thromboembolism: Target INR range 2.0–3.0; and
 Prosthetic heart valves: Target INR range varies between 2.0 and 3.5,
depending on the type of valve replacement and the presence of any other risk
factors.
Ref. Australian guidelines regarding Warfarin therapy
Most of people agreed on INR 2
If you cease warfarin, what is the major risk: Stroke

Refer to previous reference
cardio-vascular accident (It should be Cerebro-vascular accident CVA or
stroke, the patient having Arterial fibrillation have no contraction of atria
stasis of blood in atria small clots (thrombi)are formed lodged into tiny
capillaries of brainCVA
1) How often lingual nerve injury occurs during the

removal of lower 1st molar’s?1:1000
No cases reported
5) Conjunctivitis that dental personnel is likely to contact, is

caused by Adenovirus
https://books.google.com.eg/books?id=u43MTFr7-
m8C&pg=PA228&dq=conjunctivitis+by+adenovirus
%27&hl=en&sa=X&ved=0ahUKEwjr9r3toJ_KAhVJWhQKHSz
wCg4Q6AEIIzAA#v=onepage&q=conjunctivitis%20by
%20adenovirus'&f=false
7) Anesthesia of lower incisors : incisive branch of inferior

alveolar nerve
id=W9tbmWoCdMAC&pg=PA245&dq=incisive+nerve+branch&
hl=en&sa=X&ved=0ahUKEwivjcLioZ_KAhWK6RQKHfKeBB0
Q6AEIRTAH#v=onepage&q=incisive%20nerve
%20branch&f=false
About Nitrous Oxide has has low blood solubility and can
produce hypoxia
id=6cAtBQAAQBAJ&pg=PA153&dq=about+Nitrous+Oxide+ha
s+has+low+blood+solubility+and+can+produce+hypoxia&hl=en
&sa=X&ved=0ahUKEwjwv87wop_KAhVHzRQKHTG-
BcUQ6AEIJzAC#v=onepage&q=about%20Nitrous%20Oxide
%20has%20has%20low%20blood%20solubility%20and%20can
%20produce%20hypoxia&f=false
10) When using Articaine (versus Lignocaine) risk of parasthesia

during IAN block : Most people agreed on 1:200
There is no single reference demonstrates the correct answer
11) Which of the following is NOT characteristic of HIV:
OSTEOSARCOMA
id=SLkiAwAAQBAJ&pg=PA397&dq=HIV+SIGNS+AND+SYM
PTOMS+ORAL+MEDICINE&hl=en&sa=X&ved=0ahUKEwjU
ntKHqZ_KAhUFWhQKHWZODGAQ6AEIMTAE#v=onepage&
q=HIV%20SIGNS%20AND%20SYMPTOMS%20ORAL
%20MEDICINE&f=false
12) Vesico-bullous disorders. What is INCORRECT?

(usually detected by immunoflouroscence
id=yKqgUT4OAokC&pg=PA50&dq=VESICULOBULLOUS+LE
SIONS+ARE+usually+detected+by+immunofluorescence&hl=e
n&sa=X&ved=0ahUKEwjN45j_qZ_KAhXKVxQKHds5CCoQ6A
EIGjAA#v=onepage&q=VESICULOBULLOUS%20LESIONS
%20ARE%20usually%20detected%20by
%20immunofluorescence&f=false
14) What about lingual split technique is INCORRECT?

risk of permanent lingual injury (becos chisel is used to cut the bone rather than bur so
less chances of injury of nerve )
id=xbp2B4fFL7wC&pg=PA246&dq=lingual+split+technique&hl
=en&sa=X&ved=0ahUKEwjY6q3Wqp_KAhVHQBQKHXDbCYo
Q6AEIHzAB#v=onepage&q=lingual%20split
%20technique&f=false
Maximum daily dose of Ibuprofen
a. 2400mg
Ref .TG
Corticosteriods from Tg should be well studied
9 y.o. boy has pain, swelling in infraorbital region, fever 39,8’C.
Tooth 12 is extremely painful to percussion, no caries detected
.
a. RCT (depends if tooth is restorable in the picture)

b.
On other PA (wasn’t given, just text) you see, that tooth 22 has similar presentation, but
no symptoms.
2) What will you do with 22? (???)

Ans. Fissure sealants or composite restoration to prevent caries exposure as overlying
enamel is very thin in cases of dens in dente (not sure)
Photo of teeth in occlusion from the side. Mandibular
proghnathism.
what to tell the patient?

Ask him, if he is not concerned about his occlusion, explain
the diagnosis, the need in treatment and suggest treatment
plan.
27 y.o. male, heavily smoking, has severe gingival soreness,

bleeding from the gums, bad taste, ulcers.: a. ANUG (bad taste )
id=WM67jyzXrAUC&pg=PT194&dq=smoking+causes+acute+n
ecrotising+ulcerative+gingivitis&hl=en&sa=X&ved=0ahUKEwi2
je2ur5_KAhXBWhoKHSXKDvAQ6AEIGjAA#v=onepage&q=sm
oking%20causes%20acute%20necrotising%20ulcerative
%20gingivitis&f=false
Treatrment
a. 0.2% chlorhexidine mouthwash + metronidazole 400mg for 5 days
Ref. TG
1) Where do you probe bifurcation on upper 1st

molar?
a. mesial, distal, buccal (as it has two buccal roots and furcation involvement is usually
on buccal side)
2) 14 y.o. girl has a fever for 2 days, ulcerated interdental papilla.

primary herpetic gingivostomatitis
AUNG affects interdental papilla and marginal gingiva but not
the rest of the oral mucosa(unlike PHGS)
Ref. Carranza page215
Gingivitis progresses into periodontitis

a. sometimes
id=F1Jzi5Z1JbQC&pg=PA451&dq=gingivitis+progresses+somet
imes+into+periodontitis&hl=en&sa=X&ved=0ahUKEwjRk-
HuuJ_KAhUHWRoKHWBmBPE4ChDoAQgZMAA#v=onepage
&q=gingivitis%20progresses%20sometimes%20into
%20periodontitis&f=false
all acid-producing microorganisms cause caries
id=K035mlSXAAsC&pg=PA41&dq=not+all+acid-
producing+microorganisms+cause+caries&hl=en&sa=X&ved=0
ahUKEwiXpIDOup_KAhVJiRoKHWXkDXwQ6AEIIjAB#v=one
page&q=not%20all%20acid-producing%20microorganisms
%20cause%20caries&f=false
Calculus on a buccal surface of 1st maxillary molar because of

a. Stenson’s duct opening (duct of parotid)
8) when doing IAN block in children (in comparison to adults)

injection should be
a. lower (It should be lower n more posterior, mandible in
children has more obtuse angle so a lower position is better, even
in old age it is more obtuse than young adults)
id=gDlYOF_sOK0C&pg=PA34&dq=mandibular+angle+is+obtus
e+in+children&hl=en&sa=X&ved=0ahUKEwiup5bru5_KAhWC
RxoKHbCWAXYQ6AEIGzAA#v=onepage&q=mandibular
%20angle%20is%20obtuse%20in%20children&f=false
What is present in periodontal? Type 1 collagen

https://books.google.com.eg/books?id=BspTzxVK6-
kC&pg=PT1041&dq=type+1+collagen+is+predominant+in+peri
odontal+ligament&hl=en&sa=X&ved=0ahUKEwiBztLuvp_KAh
VBmhQKHWd9BBQQ6AEIIDAB#v=onepage&q=type
%201%20collagen%20is%20predominant%20in%20periodontal
%20ligament&f=false
Carranza
A child has fractured central incisor 1 day ago. Small portion of

pulp is exposed. Treatment?
a. shallow pulpotomy (Cveks Pulpotomy)
Unlike the primary dentition in which the pulpotomy is always at the level of the
pulpal floor, a small carious exposure of the pulp horn of a permanent tooth can be
managed by a superficial pulpotomy of only 1–2 mm. This is based on Cvek’s pulpotomy.
Where there is a large exposure, or multiple exposure sites, a deep pulpotomy
is required to the opening of the root canals, or the level of the CEJ in an anterior
tooth. The exposure site is continuously irrigated until haemostasis occurs, prior to
application of the therapeutic medicament. The therapeutic medicament can be
calcium hydroxide powder or paste or MTA. Antibiotic/corticosteroid (Ledermix®) paste
has also been used.
Cameron page 131
1) .
a. tell her sensation will return and not to come back to see you
b. review in a week
c. review in 1 month
d. review in 3 months
e. review in 12 months
If numbness is more than 3 month: neurotemesis
Spontaneous recovery.
In cases associated with wisdom teeth, Queral-Godoy (2005) found that
most recoveries took place within the first 3 months. At 6 months, one-
half of all of those affected experienced a full recovery.
Persistent paresthesia.
This state is typically classified as altered sensation that lasts longer than
6 months.
Double-blind studies
Double-blind trials[edit]
"Double blind" redirects here. It is not to be confused with double bind.
Double-blind describes an especially stringent way of conducting an experiment which

attempts to eliminate subjective, unrecognized biases carried by an experiment's subjects
(usually human) and conductors. Double-blind studies were first used in 1907 by W. H. R.
Rivers and H. N. Webber in the investigation of the effects of caffeine. [8]
In most cases, double-blind experiments are regarded to achieve a higher standard of

scientific rigor than single-blind or non-blind experiments.
In these double-blind experiments, neither the participants nor the researchers know which
participants belong to the control group, nor the test group. Only after all data have been
recorded (and, in some cases, analyzed) do the researchers learn which participants were
which. Performing an experiment in double-blind fashion can greatly lessen the power of
preconceived notions or physical cues (e.g., the placebo effect, observer
bias, experimenter's bias) to distort the results (by making researchers or participants
behave differently from in everyday life). Random assignment of test subjects to the
experimental and control groups is a critical part of any double-blind research design. The
key that identifies the subjects and which group they belonged to is kept by a third party, and
is not revealed to the researchers until the study is over.
Double-blind methods can be applied to any experimental situation in which there is a

possibility that the results will be affected by conscious or unconscious bias on the part of
researchers, participants, or both. For example, in animal studies, both the carer of the
animals and the assessor of the results have to be blinded; otherwise the carer might treat
control subjects differently and alter the results.[9]
Computer-controlled experiments are sometimes also erroneously referred to as double-

blind experiments, since software may not cause the type of direct bias between researcher
and subject. Development of surveys presented to subjects through computers shows that
bias can easily be built into the process. Voting systems are also examples where bias can
easily be constructed into an apparently simple machine based system. In analogy to the
human researcher described above, the part of the software that provides interaction with
the human is presented to the subject as the blinded researcher, while the part of the
software that defines the key is the third party. An example is theABX test, where the human
subject has to identify an unknown stimulus X as being either A or B.
6) Porcelain veneer finish line:1mm all over

id=yO1IJZyf_DUC&pg=PA19&dq=porcelain+veneer+finish+lin
e+thickness&hl=en&sa=X&redir_esc=y#v=onepage&q=porcelai
n%20veneer%20finish%20line%20thickness&f=false
Gingivectomy
a. false pocket
(similar to 220 from 1000)
The term ”false pocket” stands for,
A. Infra bony pocket
B. Loss of periodontal attachment
C. Hyperplasia of the gum
Cleidocranial disostosis. What should be considered by the dentist?

a. early loss of teeth
b. unerupted and missing teeth (also supernumerary)
c. presence of clefts
(similar to 239 from 1000, but other options)
Adverse affect of Prilocaine: methaemoglobinaemia

id=W2k21o30Eg4C&pg=PA170&dq=Adverse+effect+of+Prilocai
ne+methemoglobinemia&hl=en&sa=X&redir_esc=y#v=onepage
&q=Adverse%20effect%20of%20Prilocaine
%20methemoglobinemia&f=false
What is the underlying factor most commonly associated with
temporomandibular disorders (including bruxism)
a. emotional ( stress)
b. transition to REM sleep
c. occlusal prematurities
stress is the most affecting to TMD

id=g1KooKhxCWEC&pg=PA148&dq=stress+is+the+MAJOR+E
TIOLOGY+OF+TMD&hl=en&sa=X&ved=0ahUKEwjByf6dyJ_
KAhVFRhQKHYaYC_sQ6AEIITAB#v=onepage&q=stress%20is
%20the%20MAJOR%20ETIOLOGY%20OF%20TMD&f=false
Lithium citrate is used for treatment of: deep endogenous
depression
TG page 91
) When considering the dose of the drug, what is INCORRECT?

a. age
b. hepatic function
c. kidney function
d. diabetes type 2
A child came with his mother for treatment claiming latex allergy. Mother tells you that
in 5 days after previous treatment her son developed rash. What should you do?
a. explain that it’s not possible to get allergy after 5 days and use latex gloves
b. use latex free gloves and refer to medical doctor for evaluation
c. do not proceed with any treatment and refer for specialist to investigate the condition
Latex allergy can be Type I/ immediate hypersensitivity or some times Type IV/
delayed H.S
So referral should be done for confirmation of H.S to latex as other things like
rubber caps etc can also cause H.S reaction
Which of the following is TRUE in regards to lateral periodontal

cyst?
a. more common in maxilla
b. in theory it ia a part of dentigorous cyst, that expands along the root (considered a
variant of dentigerous cyst)
c. clinically expansion lateral to the tooth
id=WnhtAwAAQBAJ&pg=PA269&dq=lateral+periodontal+cyst
&hl=en&sa=X&ved=0ahUKEwiCx-
rTgKDKAhUTyBoKHTc5B_MQ6AEIGzAA#v=onepage&q=later
al%20periodontal%20cyst&f=false
Which of the following is NOT TRUE in regard to lateral periodontal cyst**
A. It is more common in anterior region
B. It occurs more in maxilla than mandible
C. Probable origin is from dentigerous cyst which develops laterally
D. Encountered in the cuspid-premolar region of the mandible, derived from the
remnants of the dental lamina
treatment of lateral periodontal cyst

a. enucleation
Pregnancy epulis ( or gingivitis). What is TRUE?

a. growth of anaerobic bacteria due to increased level of hormones
b. elevated levels of estrogen and progesterone
RCT in children. What is INCORRECT?

a. good apical seal(ZOE)
http://ijomdas.com/index.php?journal=ij&page=article&op=view&path%5B
%5D=65&path%5B%5D=pdf_35
In primary teeth, a tight apical seal, complete debridement of the canals and
obliteration of the canal space is not always possible, even in pulpectomies that succeed. Because of open
apices
due to resorption there is no apical barrier that can prevent the extrusion of the fi lling material.
What shows Hepatitis B immunity?

a. surface antigen (HBsAg indicates infectivity)
b. surface antibody (HBsAb)
c. core antigen
d. core antibody
Patient who is receiving treatment for oral cancer. What is

INCORRECT?
a. can suffer from dehydration
b. can suffer from malnutrition
c. extract teeth in pain( FEAR OF OSTEORADIONECROSIS)
d. mucositis
e. hyperbaric oxygen helps
Which of the following have a tendency to recur if not treated
A. Giant cell granuloma
B. Lipoma
C. Fibrous epulis
D. Haematoma
E. Pulp polyps
id=yKqgUT4OAokC&pg=PA165&dq=Giant+cell+granuloma+has+high+recurrence
+rate&hl=en&sa=X&ved=0ahUKEwjwjZLziaDKAhXBVhoKHSa7C6QQ6AEIJjAC
#v=onepage&q=Giant%20cell%20granuloma%20has%20high%20recurrence
%20rate&f=false
A 22 year old woman has acute gingival hypertrophy,

spontaneous bleeding from the gingiva and complains of
weakness and anorexia. Her blood analysis was as follows:
HB=12gm, Neutrophils=90%, Monocytes=1%,
Platelets=250000, WBC=100000, Lymphocytes=9%,
Eosinophils=0%
The most likely diagnosis is
A. Myelogenous leukaemia
B. Infectious mononucleosis /glandular fever/
C. Thrombocytopenic purpura
D. Gingivitis of local aetiological origin
E. Pernicious anaemia /Vitamin B12 deficiency/
id=Q2SP8cOZPvkC&pg=PA401&dq=Myelogenous+leukaemia+manifestations&hl=en&
sa=X&ved=0ahUKEwihhPnsiqDKAhWKhhoKHR3PAx4Q6AEIQDAF#v=onepage&q=
Myelogenous%20leukaemia%20manifestations&f=false
In root canal therapy it is generally accepted that the ideal

root filling
A. Should extend to the level of the apex to minimize irritation
B. Should extend slightly through the apex to ensure a complete seal
C. Should extend to the dento cemental
junction for healing
D. The extension of the filling is not critical
id=996LAgAAQBAJ&pg=PA285&dq=the+ideal+root+filling+should+ex
tend+to+dentinocemental+junction&hl=en&sa=X&ved=0ahUKEwiNn
OaljaDKAhWLHxoKHXDRABMQ6AEIHjAB#v=onepage&q=the%20ideal
%20root%20filling%20should%20extend%20to%20dentinocemental
%20junction&f=false
An advantage of metal-ceramic crowns, compared wit full
ceramic crowns for restoring anterior teeth is
A. Palatal reduction may be of minimal
thickness(0.5mm)
B. Overall conservative for tooth structure
C. Ability to watch the appearance of adjacent natural teeth
D. Less laboratory time
Distortion or change in shape of a cast partial denture clasp

during its clinical use probably indicates that the
A. Ductility was too low
B. Hardness was too great
C. Ultimate tensile strength was too low
D. Tension temperature was too high
E. Elastic limit was exceeded
id=K0Pucp1F_y8C&printsec=frontcover&dq=distortion+of+cast
+clasp+of+partial+denture+due+to+exceeded+elastic+limit&hl=
en&sa=X&ved=0ahUKEwiohv6Jj6DKAhUEhhoKHbPmA94Q6
AEIPzAH#v=onepage&q=elastic%20limit&f=false
Which one of the following types of pain is most likely to be
associated with cranio mandibular disorders
A. Exacerbated pain by hot or cold food
B. Keeps patient awake at night
C. Associated with muscle tenderness
D. Associated with trigger spots related to the trigeminal nerve
Caries which is close to the pulp chamber; on x rays you find

dent in dent; the right treatment is
A. Zinc oxide eugenol cement and amalgam
B. Pulpectomy
C. Pulpotomy
D. Calcium hydroxide on pulp and amalgam
https://books.google.com.eg/books?id=Qs-
JCgAAQBAJ&pg=PA82&dq=caries+close+to+pu
lp+and+dens+in+dente&hl=en&sa=X&ved=0a
hUKEwiH8ITSkKDKAhUFWxoKHSv6DO0Q6AEIIT
AB#v=onepage&q=caries%20close%20to
%20pulp%20and%20dens%20in
%20dente&f=false
The most serious complications which may occur from
abscess of max canine is
A. Cellulitis
B. Cavernous sinus thrombosis
C. Lacrimal duct stenosis
D. Damage to infra orbital nerves
id=meFwBwAAQBAJ&pg=PA63&dq=cavernous
+sinus+thrombosis+due+to+maxillary+canine
+infection&hl=en&sa=X&ved=0ahUKEwiu9cXY
kaDKAhVHOxoKHQn1BasQ6AEIGzAA#v=onepag
e&q=cavernous%20sinus%20thrombosis
%20due%20to%20maxillary%20canine
%20infection&f=false
In complete dentures, cheek biting is most likely a result of
A. Reduced Overjet of posterior
B. Increased vertical dimension
C. Teeth have large cusp inclines
http://www.juniordentist.com/causes-of-
complete-denture-faults-and-failures.html
584. In calculus formatio, the epitaxic concept is one of the

theories. Which of the following is true
A. Mineralisation occurs when calcium and phosphate content is high
B. The presence of matrix would start initiate
formation of nucleus
C. The amorphous materials would convert to calcium phosphate and
hydroxy phosphate
id=NKe1zjbxpvQC&pg=PA73&dq=epitactic+and+calculus+form
ation&hl=en&sa=X&ved=0ahUKEwj6zbLbmKDKAhXBfxoKHV
xiC0s4ChDoAQgeMAE#v=onepage&q=epitactic%20and
%20calculus%20formation&f=false
Occasional sensitivity in a shallow class I amalgam

restoration after two days would be managed by
A. Replace old filing immediately
B. Oxide Zinc and eugenol
C. Using thicker mix of cements
D. Tell patient the discomfort will disappear
after 4 t o6 weeks
1037. Patient complains of finger-like growth on the lateral

aspect of the tongue. The lesion is painless and of normal
colour. The MOST PROBABLE diagnosis is
A. Foliate papillae
B. Filiform papillae
C. Neurofibroma
D. Papilloma
id=061EAwAAQBAJ&pg=PA286&dq=finger-
like+growth+on+the+lateral+aspect+of+the+tongue&hl=en&sa=
X&ved=0ahUKEwjx_oqTm6DKAhXHWhoKHfmPCuMQ6AEIP
jAH#v=onepage&q=finger-like%20growth%20on%20the
%20lateral%20aspect%20of%20the%20tongue&f=false

March2014 Answers

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PA of lower right side

1) What should be told to the mother

Photo – from the front in centric occlusion

1) What is diagnosis of white area on the cheek?

2) What you going to do with amalgam fillings?

2) Burnishing of amalgam after carving

Case of erosion. How to pretreat cavity before placing GIC?

0 For mandibular molars and second premolars whose

removAL smear layer during RCT by EDTA

10) Resistant to acid

The diagnosis is toothwear caused primarily by erosion. The

symptoms of mental nerve compression by the denture borders:

80y.o. woman. She is wearing an upper full denture.

Upper – resorbed ridge. Red elevated spot in the middle.

How many milliliters of alcohol are in 1 standard drink?

Posteroanterior view of left half of the skull

ankylosis may result from subcondylar fracture as along term

A patient has an atrial fibrillation and taking Warfarin.

 Atrial fibrillation: Target INR range 2.0–3.0;

Most of people agreed on INR 2

If you cease warfarin, what is the major risk: Stroke

1) How often lingual nerve injury occurs during the

5) Conjunctivitis that dental personnel is likely to contact, is

7) Anesthesia of lower incisors : incisive branch of inferior

10) When using Articaine (versus Lignocaine) risk of parasthesia

12) Vesico-bullous disorders. What is INCORRECT?

14) What about lingual split technique is INCORRECT?

a. RCT (depends if tooth is restorable in the picture)

2) What will you do with 22? (???)

what to tell the patient?

27 y.o. male, heavily smoking, has severe gingival soreness,

1) Where do you probe bifurcation on upper 1st

2) 14 y.o. girl has a fever for 2 days, ulcerated interdental papilla.

Gingivitis progresses into periodontitis

Calculus on a buccal surface of 1st maxillary molar because of

8) when doing IAN block in children (in comparison to adults)

What is present in periodontal? Type 1 collagen

A child has fractured central incisor 1 day ago. Small portion of

Double-blind describes an especially stringent way of conducting an experiment which

In most cases, double-blind experiments are regarded to achieve a higher standard of

Double-blind methods can be applied to any experimental situation in which there is a

Computer-controlled experiments are sometimes also erroneously referred to as double-

6) Porcelain veneer finish line:1mm all over

Cleidocranial disostosis. What should be considered by the dentist?

Adverse affect of Prilocaine: methaemoglobinaemia

stress is the most affecting to TMD

) When considering the dose of the drug, what is INCORRECT?

Which of the following is TRUE in regards to lateral periodontal

treatment of lateral periodontal cyst

Pregnancy epulis ( or gingivitis). What is TRUE?

RCT in children. What is INCORRECT?

What shows Hepatitis B immunity?

Patient who is receiving treatment for oral cancer. What is

A 22 year old woman has acute gingival hypertrophy,

In root canal therapy it is generally accepted that the ideal

Distortion or change in shape of a cast partial denture clasp

Caries which is close to the pulp chamber; on x rays you find

584. In calculus formatio, the epitaxic concept is one of the

Occasional sensitivity in a shallow class I amalgam

1037. Patient complains of finger-like growth on the lateral

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