Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 1if conscious give oral glucoseSent from my BlackBerry® smartphoneFrom: "pearltooth32" <pearltooth32@...>Sender: Date: Mon, 19 Mar 2012 23:35:55 -0000< >Reply Subject: Tricky quest 1 please help me with these tricky questions: 1.Patient is insulin dependent diabetic, complains of faint after prolonged dentalsession, what is best to give, (SAQ)Oral GlucoseIV GlucagonInsulinIM Glucagon ( i think this one) 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give?IM GlucagonOral Glucose ( i think this one)GTNHydrocortisoneepam3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed?Copy denturesHard relineSoft reline ( i think this one)Construction of new dentures4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment optionMOD-Onlay InlayDirect composite MODLExtract and options for replacement Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 hi rahul Thats what i had a doubt about que 1 soif patient is conscious and still type 1 DM we go for oral glucose ? > > 1if conscious give oral glucose > Sent from my BlackBerry® smartphone > > Tricky quest 1 > > please help me with these tricky questions: > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental > session, what is best to give, (SAQ) > Oral Glucose > IV Glucagon > Insulin > IM Glucagon ( i think this one) > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? > IM Glucagon > Oral Glucose ( i think this one) > GTN > Hydrocortisone > epam > > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? > Copy dentures > Hard reline > Soft reline ( i think this one) > Construction of new dentures > > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option > MOD-Onlay > Inlay > Direct composite MODL > Extract and options for replacement > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 Yes as per scullySent from my BlackBerry® smartphoneFrom: "pearltooth32" <pearltooth32@...>Sender: Date: Mon, 19 Mar 2012 23:54:59 -0000< >Reply Subject: Re: Tricky quest 1 hi rahulThats what i had a doubt about que 1 soif patient is conscious and still type 1 DM we go for oral glucose ? >> 1if conscious give oral glucose> Sent from my BlackBerry® smartphone> > Tricky quest 1> > please help me with these tricky questions: > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental> session, what is best to give, (SAQ)> Oral Glucose> IV Glucagon> Insulin> IM Glucagon ( i think this one) > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give?> IM Glucagon> Oral Glucose ( i think this one)> GTN> Hydrocortisone> epam> > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed?> Copy dentures> Hard reline> Soft reline ( i think this one)> Construction of new dentures> > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option> MOD-Onlay > Inlay> Direct composite MODL> Extract and options for replacement> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 thanks > > > > 1if conscious give oral glucose > > Sent from my BlackBerry® smartphone > > > > Tricky quest 1 > > > > please help me with these tricky questions: > > > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental > > session, what is best to give, (SAQ) > > Oral Glucose > > IV Glucagon > > Insulin > > IM Glucagon ( i think this one) > > > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? > > IM Glucagon > > Oral Glucose ( i think this one) > > GTN > > Hydrocortisone > > epam > > > > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? > > Copy dentures > > Hard reline > > Soft reline ( i think this one) > > Construction of new dentures > > > > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option > > MOD-Onlay > > Inlay > > Direct composite MODL > > Extract and options for replacement > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 very good questions 1.if patient is conscious then we go foe oral glucoseand then im glucagon2.i was confused as could be adrenal crisis but since pulse still palpable so will go for oral glucose and if nt conscious then we will go for sterile glucose ivstill no improvenment then hydrocortisone.in adrenal crisis pulse is weak or unpalpable then we will go for hydrocortisone.3.why nt copy denture.4,mod onlay.i guess. From: pearltooth32 <pearltooth32@...> Sent: Monday, 19 March 2012 11:35 PM Subject: Tricky quest 1 please help me with these tricky questions: 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental session, what is best to give, (SAQ) Oral Glucose IV Glucagon Insulin IM Glucagon ( i think this one) 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? IM Glucagon Oral Glucose ( i think this one) GTN Hydrocortisone epam 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? Copy dentures Hard reline Soft reline ( i think this one) Construction of new dentures 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option MOD-Onlay Inlay Direct composite MODL Extract and options for replacement Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 We cannot copy because dentures r uncomfortable. Sent from my BlackBerry® smartphoneFrom: Kanika Kohli <kanika_sahil@...>Sender: Date: Tue, 20 Mar 2012 08:03:22 +0800 (SGT) < >Reply Subject: Re: Tricky quest 1 very good questions 1.if patient is conscious then we go foe oral glucoseand then im glucagon2.i was confused as could be adrenal crisis but since pulse still palpable so will go for oral glucose and if nt conscious then we will go for sterile glucose ivstill no improvenment then hydrocortisone.in adrenal crisis pulse is weak or unpalpable then we will go for hydrocortisone.3.why nt copy denture.4,mod onlay.i guess. From: pearltooth32 <pearltooth32@...> Sent: Monday, 19 March 2012 11:35 PM Subject: Tricky quest 1 please help me with these tricky questions: 1.Patient is insulin dependent diabetic, complains of faint after prolonged dentalsession, what is best to give, (SAQ)Oral GlucoseIV GlucagonInsulinIM Glucagon ( i think this one) 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give?IM GlucagonOral Glucose ( i think this one)GTNHydrocortisoneepam3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed?Copy denturesHard relineSoft reline ( i think this one)Construction of new dentures4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment optionMOD-Onlay InlayDirect composite MODLExtract and options for replacement Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 ok rahul so we will go for soft reline then. From: "rahulsushilgandhi@..." <rahulsushilgandhi@...> Sent: Tuesday, 20 March 2012 12:07 AM Subject: Re: Tricky quest 1 We cannot copy because dentures r uncomfortable. Sent from my BlackBerry® smartphoneFrom: Kanika Kohli <kanika_sahil@...> Sender: Date: Tue, 20 Mar 2012 08:03:22 +0800 (SGT) < >Reply Subject: Re: Tricky quest 1 very good questions 1.if patient is conscious then we go foe oral glucoseand then im glucagon2.i was confused as could be adrenal crisis but since pulse still palpable so will go for oral glucose and if nt conscious then we will go for sterile glucose ivstill no improvenment then hydrocortisone.in adrenal crisis pulse is weak or unpalpable then we will go for hydrocortisone.3.why nt copy denture.4,mod onlay.i guess. From: pearltooth32 <pearltooth32@...> Sent: Monday, 19 March 2012 11:35 PM Subject: Tricky quest 1 please help me with these tricky questions: 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental session, what is best to give, (SAQ) Oral Glucose IV Glucagon Insulin IM Glucagon ( i think this one) 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? IM Glucagon Oral Glucose ( i think this one) GTN Hydrocortisone epam 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? Copy dentures Hard reline Soft reline ( i think this one) Construction of new dentures 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option MOD-Onlay Inlay Direct composite MODL Extract and options for replacement Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 HIIN BOTH THE FIRST CASES THE PT IS UNCONSCIOUS RIGHT ,( HE FAINTED)SO FOR BOTH I WILL GO WITH IM GLUCAGON IF HE WAS CONSCIOUS THEN ORAL GLUCOSE WOULD BE THE CHOICE.3. SOFT LINEAR4. the choices are wired since only a thin buccal cusp remains then 1. Inlay is Contraindicated bec it depends on the frictional parallelism between the opposing cavity walls 2. composite will n`t be able to withstand high forces especially since the lost cusp is the upper functional palatal cusp unless its covered with a crown afterwards and used as a core . so it can`t be the answer 3 onlay the choice u mentioned said MOD WHAT ABOUT PALATAL CUSP 4. SO THE ONLY REASONABLE IS THE FOURTH BUT ACCORDING TO TH RECENT TREND IN RESTORATIVE DENTISTRY ( CONSERVATION OF TOOTH STRUCTURE) ITS NOT IDEAL A full coverage would seem appropriate regarding u have an adequate furrel effect.correct me if i am wrongbet regardsebtisam From: pearltooth32 <pearltooth32@...> Sent: Monday, 19 March 2012, 23:35 Subject: Tricky quest 1 please help me with these tricky questions: 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental session, what is best to give, (SAQ) Oral Glucose IV Glucagon Insulin IM Glucagon ( i think this one) 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? IM Glucagon Oral Glucose ( i think this one) GTN Hydrocortisone epam 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? Copy dentures Hard reline Soft reline ( i think this one) Construction of new dentures 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option MOD-Onlay Inlay Direct composite MODL Extract and options for replacement Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 Hi ebtessamI dnt agree with your second ans giving im glucose as we normally gave it to hypogycemic patient and for the management of sudden loss of conciousness in absence of obvious diagnosis and pulse remain pulpable i would go with oral glucose first.so wht do u think for for 4? From: ebtessam elhamalawy <ebtessamhamalawy@...> " " < > Sent: Tuesday, 20 March 2012 12:25 AM Subject: Re: Tricky quest 1 HIIN BOTH THE FIRST CASES THE PT IS UNCONSCIOUS RIGHT ,( HE FAINTED)SO FOR BOTH I WILL GO WITH IM GLUCAGON IF HE WAS CONSCIOUS THEN ORAL GLUCOSE WOULD BE THE CHOICE.3. SOFT LINEAR4. the choices are wired since only a thin buccal cusp remains then 1. Inlay is Contraindicated bec it depends on the frictional parallelism between the opposing cavity walls 2. composite will n`t be able to withstand high forces especially since the lost cusp is the upper functional palatal cusp unless its covered with a crown afterwards and used as a core . so it can`t be the answer 3 onlay the choice u mentioned said MOD WHAT ABOUT PALATAL CUSP 4. SO THE ONLY REASONABLE IS THE FOURTH BUT ACCORDING TO TH RECENT TREND IN RESTORATIVE DENTISTRY ( CONSERVATION OF TOOTH STRUCTURE) ITS NOT IDEAL A full coverage would seem appropriate regarding u have an adequate furrel effect.correct me if i am wrongbet regardsebtisam From: pearltooth32 <pearltooth32@...> Sent: Monday, 19 March 2012, 23:35 Subject: Tricky quest 1 please help me with these tricky questions: 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental session, what is best to give, (SAQ) Oral Glucose IV Glucagon Insulin IM Glucagon ( i think this one) 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? IM Glucagon Oral Glucose ( i think this one) GTN Hydrocortisone epam 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? Copy dentures Hard reline Soft reline ( i think this one) Construction of new dentures 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option MOD-Onlay Inlay Direct composite MODL Extract and options for replacement Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 HI KANIKA HOW WILL U GIVE ORAL GLUCOSE TO AN UNCONSCIOUS PTEBTISAM From: Kanika Kohli <kanika_sahil@...> " " < > Sent: Tuesday, 20 March 2012, 0:37 Subject: Re: Tricky quest 1 Hi ebtessamI dnt agree with your second ans giving im glucose as we normally gave it to hypogycemic patient and for the management of sudden loss of conciousness in absence of obvious diagnosis and pulse remain pulpable i would go with oral glucose first.so wht do u think for for 4? From: ebtessam elhamalawy <ebtessamhamalawy@...> " " < > Sent: Tuesday, 20 March 2012 12:25 AM Subject: Re: Tricky quest 1 HIIN BOTH THE FIRST CASES THE PT IS UNCONSCIOUS RIGHT ,( HE FAINTED)SO FOR BOTH I WILL GO WITH IM GLUCAGON IF HE WAS CONSCIOUS THEN ORAL GLUCOSE WOULD BE THE CHOICE.3. SOFT LINEAR4. the choices are wired since only a thin buccal cusp remains then 1. Inlay is Contraindicated bec it depends on the frictional parallelism between the opposing cavity walls 2. composite will n`t be able to withstand high forces especially since the lost cusp is the upper functional palatal cusp unless its covered with a crown afterwards and used as a core . so it can`t be the answer 3 onlay the choice u mentioned said MOD WHAT ABOUT PALATAL CUSP 4. SO THE ONLY REASONABLE IS THE FOURTH BUT ACCORDING TO TH RECENT TREND IN RESTORATIVE DENTISTRY ( CONSERVATION OF TOOTH STRUCTURE) ITS NOT IDEAL A full coverage would seem appropriate regarding u have an adequate furrel effect.correct me if i am wrongbet regardsebtisam From: pearltooth32 <pearltooth32@...> Sent: Monday, 19 March 2012, 23:35 Subject: Tricky quest 1 please help me with these tricky questions: 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental session, what is best to give, (SAQ) Oral Glucose IV Glucagon Insulin IM Glucagon ( i think this one) 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? IM Glucagon Oral Glucose ( i think this one) GTN Hydrocortisone epam 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? Copy dentures Hard reline Soft reline ( i think this one) Construction of new dentures 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option MOD-Onlay Inlay Direct composite MODL Extract and options for replacement Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 Hi, For the first question the patient 'complains' of faint.. which means he/she is still conscious, hence u can give oral glucose, but u ll have to switch to i.m glucagon if the patient becomes unconscious.. 2nd quest: the patient has fainted.. u can't give anything orally to patient who is not conscious, isn't it.. now comes the question about diagnosis.. gtn is out of the question- its for cardiac pain/ conscious patient. diazepam- we don't give in dental setting but its for status epilepticus, hydrocortisone- an adrenal crisis is a very rare emergency and is preceded by anxiety, even though its possible that a patient can be anxious in the waiting room, its highly unlikely that it will cause an adrenal crisis. hypoglycemia is the only option that fits, since the patient is unconscious, I.M glucagon will have to be given. other causes of collapse can be a syncope- t/t would be raise patients legs, give oxygen (but they've not given such an option). or a cardiac arrest, which is excluded here because the patient has a pulse.. Hope this helps, Regards, Smriti > > Hi ebtessam > I dnt agree with your second ans giving im glucose as we normally gave it to hypogycemic patient and for the management of sudden loss of conciousness in absence of obvious diagnosis  and pulse remain pulpable i would go with oral glucose first. > > so wht do u think for for 4? > > > ________________________________ > From: ebtessam elhamalawy <ebtessamhamalawy@...> > " " < > > Sent: Tuesday, 20 March 2012 12:25 AM > Subject: Re: Tricky quest 1 > > >  > > > HI > > IN BOTH THE FIRST CASES THE PT IS UNCONSCIOUS RIGHT ,( HE FAINTED) > SO FOR BOTH I WILL GO WITH > IM GLUCAGON IF HE WAS CONSCIOUS THEN ORAL GLUCOSE WOULD BE THE CHOICE. > > 3. SOFT LINEAR > > 4.   the choices are wired >    since only a thin buccal cusp remains then 1. Inlay is Contraindicated bec it depends on the frictional parallelism between the opposing cavity walls >                                         \                              2. composite will n`t be able to withstand high forces especially since the lost cusp is the upper functional palatal cusp unless its covered with a crown afterwards and used as a core . so it can`t be the answer >                                         \                                 3 onlay the choice u mentioned said MOD WHAT ABOUT PALATAL CUSP >                                         \                                   4. SO THE ONLY REASONABLE IS THE FOURTH BUT ACCORDING TO TH RECENT TREND IN RESTORATIVE DENTISTRY ( CONSERVATION OF TOOTH STRUCTURE) ITS NOT IDEAL > A full coverage would seem appropriate regarding u have an adequate furrel effect. > > correct me if i am wrong > bet regards > ebtisam > > > ________________________________ > From: pearltooth32 <pearltooth32@...> > > Sent: Monday, 19 March 2012, 23:35 > Subject: Tricky quest 1 > > >  > please help me with these tricky questions: > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental > session, what is best to give, (SAQ) > Oral Glucose > IV Glucagon > Insulin > IM Glucagon ( i think this one) > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? > IM Glucagon > Oral Glucose ( i think this one) > GTN > Hydrocortisone > epam > > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? > Copy dentures > Hard reline > Soft reline ( i think this one) > Construction of new dentures > > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option > MOD-Onlay > Inlay > Direct composite MODL > Extract and options for replacement > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2012 Report Share Posted March 19, 2012 Thanks doc for your eloborate reply.now its clear to me.Thanks again.i was bit confused because in skully it says if patient is nt completely unconscious give oral glucose and yup faint is loss of consciousness and we cnt give oral glucose.Thanks again.Sent from Samsung Mobile --- Tricky quest 1 > > > Â > please help me with these tricky questions: > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental > session, what is best to give, (SAQ) > Oral Glucose > IV Glucagon > Insulin > IM Glucagon ( i think this one) > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? > IM Glucagon > Oral Glucose ( i think this one) > GTN > Hydrocortisone > epam > > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? > Copy dentures > Hard reline > Soft reline ( i think this one) > Construction of new dentures > > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option > MOD-Onlay > Inlay > Direct composite MODL > Extract and options for replacement > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 Hi docCan you please give your views on a question which drug causes ulceration?Though i know its nicorandil and in skully it says its its a potassium channel blocker but its a potassium channel activatorSo wht shd be the ans as othet options are ace inhibitors and ca channel blockerIs it ace inhibitor ad nicorandil act as so...Can u please clearify it?Sent from Samsung Mobile --- Re: Tricky quest 1 From: doc_smriti CC: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 Hi Kanika, The drugs causing ulceration are nicorandil, like u said, or NSAIDS.. I ve not heard of amiodarone or any other K+ channel blocker causing ulcers. Can you please provide the page no and edition of scully. I ll have to check.. Regards, Smriti Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 At what degree does guttapercha dissolveSent from my BlackBerry® smartphoneFrom: "kanika_sahil@..." <kanika_sahil@...>Sender: Date: Tue, 20 Mar 2012 05:56:57 +0000 (UTC)< >Reply Subject: Re: Tricky quest 1 Thanks doc for your eloborate reply.now its clear to me.Thanks again.i was bit confused because in skully it says if patient is nt completely unconscious give oral glucose and yup faint is loss of consciousness and we cnt give oral glucose.Thanks again.Sent from Samsung Mobile --- Tricky quest 1 > > > Â > please help me with these tricky questions: > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental > session, what is best to give, (SAQ) > Oral Glucose > IV Glucagon > Insulin > IM Glucagon ( i think this one) > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? > IM Glucagon > Oral Glucose ( i think this one) > GTN > Hydrocortisone > epam > > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? > Copy dentures > Hard reline > Soft reline ( i think this one) > Construction of new dentures > > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option > MOD-Onlay > Inlay > Direct composite MODL > Extract and options for replacement > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 thanks every one for answers. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 gutapercha becomes soft at 65º and melts at 100º (Churchilll pocket book) > > > > Hi ebtessam > > I dnt agree with your second ans giving im glucose as we normally gave it to hypogycemic patient and for the management of sudden loss of conciousness in absence of obvious diagnosis  and pulse remain pulpable i would go with oral glucose first. > > > > so wht do u think for for 4? > > > > > > ________________________________ > > From: ebtessam elhamalawy <ebtessamhamalawy@> > > " <mailto:%40> " < <mailto:%40> > > > Sent: Tuesday, 20 March 2012 12:25 AM > > Subject: Re: Tricky quest 1 > > > > > >  > > > > > > HI > > > > IN BOTH THE FIRST CASES THE PT IS UNCONSCIOUS RIGHT ,( HE FAINTED) > > SO FOR BOTH I WILL GO WITH > > IM GLUCAGON IF HE WAS CONSCIOUS THEN ORAL GLUCOSE WOULD BE THE CHOICE. > > > > 3. SOFT LINEAR > > > > 4.   the choices are wired > >    since only a thin buccal cusp remains then 1. Inlay is Contraindicated bec it depends on the frictional parallelism between the opposing cavity walls > >                     \                     \                     \          2. composite will n`t be able to withstand high forces especially since the lost cusp is the upper functional palatal cusp unless its covered with a crown afterwards and used as a core . so it can`t be the answer > >                     \                     \                     \             3 onlay the choice u mentioned said MOD WHAT ABOUT PALATAL CUSP > >                     \                     \                     \               4. SO THE ONLY REASONABLE IS THE FOURTH BUT ACCORDING TO TH RECENT TREND IN RESTORATIVE DENTISTRY ( CONSERVATION OF TOOTH STRUCTURE) ITS NOT IDEAL > > A full coverage would seem appropriate regarding u have an adequate furrel effect. > > > > correct me if i am wrong > > bet regards > > ebtisam > > > > > > ________________________________ > > From: pearltooth32 <pearltooth32@> > > <mailto:%40> > > Sent: Monday, 19 March 2012, 23:35 > > Subject: Tricky quest 1 > > > > > >  > > please help me with these tricky questions: > > > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental > > session, what is best to give, (SAQ) > > Oral Glucose > > IV Glucagon > > Insulin > > IM Glucagon ( i think this one) > > > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? > > IM Glucagon > > Oral Glucose ( i think this one) > > GTN > > Hydrocortisone > > epam > > > > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? > > Copy dentures > > Hard reline > > Soft reline ( i think this one) > > Construction of new dentures > > > > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option > > MOD-Onlay > > Inlay > > Direct composite MODL > > Extract and options for replacement > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 100 ? From: "rahulsushilgandhi@..." <rahulsushilgandhi@...> Sent: Tuesday, 20 March 2012, 9:21 Subject: Re: Tricky quest 1 At what degree does guttapercha dissolveSent from my BlackBerry® smartphoneFrom: "kanika_sahil@..." <kanika_sahil@...> Sender: Date: Tue, 20 Mar 2012 05:56:57 +0000 (UTC)< >Reply Subject: Re: Tricky quest 1 Thanks doc for your eloborate reply.now its clear to me.Thanks again.i was bit confused because in skully it says if patient is nt completely unconscious give oral glucose and yup faint is loss of consciousness and we cnt give oral glucose.Thanks again.Sent from Samsung Mobile --- Tricky quest 1 > > > Â > please help me with these tricky questions: > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental > session, what is best to give, (SAQ) > Oral Glucose > IV Glucagon > Insulin > IM Glucagon ( i think this one) > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? > IM Glucagon > Oral Glucose ( i think this one) > GTN > Hydrocortisone > epam > > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? > Copy dentures > Hard reline > Soft reline ( i think this one) > Construction of new dentures > > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option > MOD-Onlay > Inlay > Direct composite MODL > Extract and options for replacement > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 sorry i mean to say c so gutapercha becomes soft at 65cº and melts at 100cº > > > > > > Hi ebtessam > > > I dnt agree with your second ans giving im glucose as we normally gave it to hypogycemic patient and for the management of sudden loss of conciousness in absence of obvious diagnosis  and pulse remain pulpable i would go with oral glucose first. > > > > > > so wht do u think for for 4? > > > > > > > > > ________________________________ > > > From: ebtessam elhamalawy <ebtessamhamalawy@> > > > " <mailto:%40> " < <mailto:%40> > > > > Sent: Tuesday, 20 March 2012 12:25 AM > > > Subject: Re: Tricky quest 1 > > > > > > > > >  > > > > > > > > > HI > > > > > > IN BOTH THE FIRST CASES THE PT IS UNCONSCIOUS RIGHT ,( HE FAINTED) > > > SO FOR BOTH I WILL GO WITH > > > IM GLUCAGON IF HE WAS CONSCIOUS THEN ORAL GLUCOSE WOULD BE THE CHOICE. > > > > > > 3. SOFT LINEAR > > > > > > 4.   the choices are wired > > >    since only a thin buccal cusp remains then 1. Inlay is Contraindicated bec it depends on the frictional parallelism between the opposing cavity walls > > >                     \                     \                     \          2. composite will n`t be able to withstand high forces especially since the lost cusp is the upper functional palatal cusp unless its covered with a crown afterwards and used as a core . so it can`t be the answer > > >                     \                     \                     \             3 onlay the choice u mentioned said MOD WHAT ABOUT PALATAL CUSP > > >                     \                     \                     \               4. SO THE ONLY REASONABLE IS THE FOURTH BUT ACCORDING TO TH RECENT TREND IN RESTORATIVE DENTISTRY ( CONSERVATION OF TOOTH STRUCTURE) ITS NOT IDEAL > > > A full coverage would seem appropriate regarding u have an adequate furrel effect. > > > > > > correct me if i am wrong > > > bet regards > > > ebtisam > > > > > > > > > ________________________________ > > > From: pearltooth32 <pearltooth32@> > > > <mailto:%40> > > > Sent: Monday, 19 March 2012, 23:35 > > > Subject: Tricky quest 1 > > > > > > > > >  > > > please help me with these tricky questions: > > > > > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental > > > session, what is best to give, (SAQ) > > > Oral Glucose > > > IV Glucagon > > > Insulin > > > IM Glucagon ( i think this one) > > > > > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give? > > > IM Glucagon > > > Oral Glucose ( i think this one) > > > GTN > > > Hydrocortisone > > > epam > > > > > > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed? > > > Copy dentures > > > Hard reline > > > Soft reline ( i think this one) > > > Construction of new dentures > > > > > > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option > > > MOD-Onlay > > > Inlay > > > Direct composite MODL > > > Extract and options for replacement > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2012 Report Share Posted March 20, 2012 55-60 Sent on my BlackBerry® from VodafoneFrom: ARTHUR TADEVOSYAN <arthur_tadevosyan@...>Sender: Date: Tue, 20 Mar 2012 09:56:10 +0000 (GMT) < >Reply Subject: Re: Tricky quest 1 100 ? From: "rahulsushilgandhi@..." <rahulsushilgandhi@...> Sent: Tuesday, 20 March 2012, 9:21 Subject: Re: Tricky quest 1 At what degree does guttapercha dissolveSent from my BlackBerry® smartphoneFrom: "kanika_sahil@..." <kanika_sahil@...>Sender: Date: Tue, 20 Mar 2012 05:56:57 +0000 (UTC)< >Reply Subject: Re: Tricky quest 1 Thanks doc for your eloborate reply.now its clear to me.Thanks again.i was bit confused because in skully it says if patient is nt completely unconscious give oral glucose and yup faint is loss of consciousness and we cnt give oral glucose.Thanks again.Sent from Samsung Mobile --- Tricky quest 1> > > Â > please help me with these tricky questions: > > 1.Patient is insulin dependent diabetic, complains of faint after prolonged dental> session, what is best to give, (SAQ)> Oral Glucose> IV Glucagon> Insulin> IM Glucagon ( i think this one) > > 2. Patient is waiting in waiting room and collapse and faints. Patient is cold, clammy, but pulse is good. What do you give?> IM Glucagon> Oral Glucose ( i think this one)> GTN> Hydrocortisone> epam> > 3. A 90-year old gentleman presented to clinic who is edentulous and has dentures upper and lower full 15-years old. Denture bit uncomfortable, tooth structures little bit worn out, freeway space 2-4mm, polished surfaces satisfactory and occlusal wear minimal. How would you proceed?> Copy dentures> Hard reline> Soft reline ( i think this one)> Construction of new dentures> > 4.Patient had trauma on 14 (vital pulp), only thin buccal cusp remaining, best treatment option> MOD-Onlay > Inlay> Direct composite MODL> Extract and options for replacement> Quote Link to comment Share on other sites More sharing options...
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