Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi.. 86...dentine sensitivity...as pain by cold..n till stimulus remains..also on blowing air. 91..trigeminal neuralgia..as pain described as stabbing..which is characteristic of trigeminal neuralgia... Correct me if wrong From: Kanika Kohli <kanika_sahil@...>; To: < >; Subject: omsg question Sent: Thu, Mar 29, 2012 3:56:48 PM need your opinionsQ121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? A. Class I mod 1 B. Class II C. Class III mod 2D. class iii mod 1Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi ShipraI completely agree with the first one.but yes it could be trigeminal nurelgia but what i was thinking is it lasts for few seconds only.so thinking of chronic pulpitis.may be i am wrong. From: Shipra Bapna <bapnashipra@...> " " < > Sent: Thursday, 29 March 2012 5:15 PM Subject: Re: omsg question Hi.. 86...dentine sensitivity...as pain by cold..n till stimulus remains..also on blowing air. 91..trigeminal neuralgia..as pain described as stabbing..which is characteristic of trigeminal neuralgia... Correct me if wrong From: Kanika Kohli <kanika_sahil@...>; To: < >; Subject: omsg question Sent: Thu, Mar 29, 2012 3:56:48 PM need your opinionsQ121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? A. Class I mod 1 B. Class II C. Class III mod 2D. class iii mod 1Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 1.D 2.A 3.E From: Kanika Kohli <kanika_sahil@...>" " < > Sent: Thursday, 29 March 2012, 16:56Subject: omsg question need your opinions Q121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? A. Class I mod 1 B. Class II C. Class III mod 2 D. class iii mod 1 Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 This is what i am saying and in question its for 2-3 min and patient awake whole night as well.Sent from Samsung Mobile --- Re: omsg question From: Shipra Bapna CC: Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 hey kanika acc to question stimulus is cold not suitable for irreversible pulpitis and on examination no caries, no crack,no fracture and when u examine the pt pain persist after that,due to trigger zone From: "kanika_sahil@..." <kanika_sahil@...> Sent: Thursday, 29 March 2012, 17:46Subject: Re: omsg question This is what i am saying and in question its for 2-3 min and patient awake whole night as well.Sent from Samsung Mobile --- Re: omsg question From: Shipra Bapna CC: Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Fair enough harpreet..I wld like to ask u why did u choose class 3 for 121 From: Harpreet Bhela <harpreetbhela@...>; To: < >; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 4:52:59 PM hey kanika acc to question stimulus is cold not suitable for irreversible pulpitis and on examination no caries, no crack,no fracture and when u examine the pt pain persist after that,due to trigger zone From: " kanika_sahil@... " <kanika_sahil@...> Sent: Thursday, 29 March 2012, 17:46Subject: Re: omsg question This is what i am saying and in question its for 2-3 min and patient awake whole night as well.Sent from Samsung Mobile --- Re: omsg question From: Shipra Bapna CC: Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 I think in kennedy...most posterior saddle is considered so.....class 3 Mod 1....as not crossing mid line...correct if rong.....thank u From: Shipra Bapna <bapnashipra@...>; To: < >; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 4:15:28 PM Hi.. 86...dentine sensitivity...as pain by cold..n till stimulus remains..also on blowing air. 91..trigeminal neuralgia..as pain described as stabbing..which is characteristic of trigeminal neuralgia... Correct me if wrong From: Kanika Kohli <kanika_sahil@...>; To: < >; Subject: omsg question Sent: Thu, Mar 29, 2012 3:56:48 PM need your opinionsQ121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? A. Class I mod 1 B. Class II C. Class III mod 2D. class iii mod 1Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi But I was thinking that the trigger for trigeminal neuralgia is extra oral ?? Geeta > > hey kanika acc to question stimulus is cold not suitable for irreversible pulpitis and on examination no caries, no crack,no fracture and when u examine the pt pain persist after that,due to trigger zone > > > > ________________________________ > From: " kanika_sahil@... " <kanika_sahil@...> > > Sent: Thursday, 29 March 2012, 17:46 > Subject: Re: omsg question > > Â > This is what i am saying and in question its for 2-3 min and patient awake whole night as well. > > > Sent from Samsung Mobile > > --- Re: omsg question From: Shipra Bapna CC: > > Â > Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 because his premolars are extracted means it is class 3,as, in class 3 teeth are present ant and post to edentulous space and now he has lost his incisor which is an addition to class 3 so it is class 3 mod 1. From: Shipra Bapna <bapnashipra@...>" " < > Sent: Thursday, 29 March 2012, 17:56Subject: Re: omsg question Fair enough harpreet..I wld like to ask u why did u choose class 3 for 121 From: Harpreet Bhela <harpreetbhela@...>; < >; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 4:52:59 PM hey kanika acc to question stimulus is cold not suitable for irreversible pulpitis and on examination no caries, no crack,no fracture and when u examine the pt pain persist after that,due to trigger zone From: "kanika_sahil@..." <kanika_sahil@...> Sent: Thursday, 29 March 2012, 17:46Subject: Re: omsg question This is what i am saying and in question its for 2-3 min and patient awake whole night as well.Sent from Samsung Mobile --- Re: omsg question From: Shipra Bapna CC: Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 There are some points that act as trigger,because when u touch them pain starts,and these zones r near nose,lips,eye,ear or inside the mouth.regards, harpreet From: geetasinghani <geeta.singhani@...> Sent: Thursday, 29 March 2012, 18:03Subject: Re: omsg question Hi But I was thinking that the trigger for trigeminal neuralgia is extra oral ?? Geeta>> hey kanika acc to question stimulus is cold not suitable for irreversible pulpitis and on examination no caries, no crack,no fracture and when u examine the pt pain persist after that,due to trigger zone> > > > ________________________________> From: "kanika_sahil@..." <kanika_sahil@...>> > Sent: Thursday, 29 March 2012, 17:46> Subject: Re: omsg question> > Â > This is what i am saying and in question its for 2-3 min and patient awake whole night as well.> > > Sent from Samsung Mobile > > --- Re: omsg question From: Shipra Bapna CC: > > Â > Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 From: Shipra Bapna <bapnashipra@...>; To: harpreetbhela@... <harpreetbhela@...>; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 5:14:39 PM But won't it b class 3 mod 2..as premolars hav been bilaterally extracted.. N also incisors lost..it total we have 3edentolous areas.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 please can you explain what do u mean by saying as it doesnt cross the midline , is there any diffrence thenmany thanks From: Punkit Sudan <punkitsudan@...> Shipra Bapna <bapnashipra@...>; Sent: Thursday, March 29, 2012 7:03 PM Subject: Re: omsg question I think in kennedy...most posterior saddle is considered so.....class 3 Mod 1....as not crossing mid line...correct if rong.....thank u From: Shipra Bapna <bapnashipra@...>; To: < >; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 4:15:28 PM Hi.. 86...dentine sensitivity...as pain by cold..n till stimulus remains..also on blowing air. 91..trigeminal neuralgia..as pain described as stabbing..which is characteristic of trigeminal neuralgia... Correct me if wrong From: Kanika Kohli <kanika_sahil@...>; To: < >; Subject: omsg question Sent: Thu, Mar 29, 2012 3:56:48 PM need your opinionsQ121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? A. Class I mod 1 B. Class II C. Class III mod 2D. class iii mod 1Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Right harpreet.Thanks all for your opinions.Sent from Samsung Mobile --- Re: omsg question From: Shipra Bapna CC: Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 if pm r extracted from one side or both side it doesnt make any difference it is class 3 and one additional space other than this is in incisor area,hence mod 1. From: Shipra Bapna <bapnashipra@...>" " < > Sent: Thursday, 29 March 2012, 18:15Subject: Fw: Re: omsg question From: Shipra Bapna <bapnashipra@...>; harpreetbhela@... <harpreetbhela@...>; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 5:14:39 PM But won't it b class 3 mod 2..as premolars hav been bilaterally extracted..N also incisors lost..it total we have 3edentolous areas.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Its class 3 mod 2.. Both premolars have been extracted... On 29 Mar 2012 21:26, " Kanika Kohli " <kanika_sahil@...> wrote: > > > > need your opinions > > Q121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. > Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? > A. Class I mod 1 > B. Class II > C. Class III mod 2 > D. class iii mod 1 > > Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. > What is the most likely cause of the patient’s pain? > A. Acute/reversible pulpitis > B. Dentine sensitivity > C. Chronic/irreversible pulpitis > D. Atypical odontalgia > E. Trigeminal neuralgia > > Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. > What is the most likely cause of the patient’s pain? > A. Acute/reversible pulpitis > B. Dentine sensitivity > C. Chronic/irreversible pulpitis > D. Atypical odontalgia > E. Trigeminal neuralgia > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hello I think its class 3mod 2. As u have 2 edentulous areas afyer deciding the class ! Can u please elaborate . Sent from on Android From: Harpreet Bhela <harpreetbhela@...>; To: < >; Subject: Re: Re: omsg question Sent: Thu, Mar 29, 2012 5:31:26 PM if pm r extracted from one side or both side it doesnt make any difference it is class 3 and one additional space other than this is in incisor area,hence mod 1. From: Shipra Bapna <bapnashipra@...> " " < > Sent: Thursday, 29 March 2012, 18:15Subject: Fw: Re: omsg question From: Shipra Bapna <bapnashipra@...>; harpreetbhela@... <harpreetbhela@...>; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 5:14:39 PM But won't it b class 3 mod 2..as premolars hav been bilaterally extracted..N also incisors lost..it total we have 3edentolous areas.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 From: Shipra Bapna <bapnashipra@...>; To: harpreetbhela@... <harpreetbhela@...>; Subject: Re: Re: omsg question Sent: Thu, Mar 29, 2012 6:01:11 PM Of course it makes a diff..as the definition of Kennedy class 3is unilateral edentulousbarea with natural teeth anterior and posterior to it..which means it indicates a single edentulous area which does not cross the midline of the arch..hence its class 3..now if there is another premolar missing n both incisors missing which add up to mods...hence class 3 mod 2 From: Harpreet Bhela <harpreetbhela@...>; To: < >; Subject: Re: Re: omsg question Sent: Thu, Mar 29, 2012 5:31:26 PM if pm r extracted from one side or both side it doesnt make any difference it is class 3 and one additional space other than this is in incisor area,hence mod 1. From: Shipra Bapna <bapnashipra@...> " " < > Sent: Thursday, 29 March 2012, 18:15Subject: Fw: Re: omsg question From: Shipra Bapna <bapnashipra@...>; harpreetbhela@... <harpreetbhela@...>; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 5:14:39 PM But won't it b class 3 mod 2..as premolars hav been bilaterally extracted..N also incisors lost..it total we have 3edentolous areas.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 thanks From: Shipra Bapna <bapnashipra@...> " " < > Sent: Thursday, March 29, 2012 8:01 PM Subject: Fw: Re: Re: omsg question From: Shipra Bapna <bapnashipra@...>; To: harpreetbhela@... <harpreetbhela@...>; Subject: Re: Re: omsg question Sent: Thu, Mar 29, 2012 6:01:11 PM Of course it makes a diff..as the definition of Kennedy class 3is unilateral edentulousbarea with natural teeth anterior and posterior to it..which means it indicates a single edentulous area which does not cross the midline of the arch..hence its class 3..now if there is another premolar missing n both incisors missing which add up to mods...hence class 3 mod 2 From: Harpreet Bhela <harpreetbhela@...>; To: < >; Subject: Re: Re: omsg question Sent: Thu, Mar 29, 2012 5:31:26 PM if pm r extracted from one side or both side it doesnt make any difference it is class 3 and one additional space other than this is in incisor area,hence mod 1. From: Shipra Bapna <bapnashipra@...>" " < > Sent: Thursday, 29 March 2012, 18:15Subject: Fw: Re: omsg question From: Shipra Bapna <bapnashipra@...>; harpreetbhela@... <harpreetbhela@...>; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 5:14:39 PM But won't it b class 3 mod 2..as premolars hav been bilaterally extracted..N also incisors lost..it total we have 3edentolous areas.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 ok got it.thanx a lot:-) From: Shipra Bapna <bapnashipra@...>" " < > Sent: Thursday, 29 March 2012, 19:01Subject: Fw: Re: Re: omsg question From: Shipra Bapna <bapnashipra@...>; harpreetbhela@... <harpreetbhela@...>; Subject: Re: Re: omsg question Sent: Thu, Mar 29, 2012 6:01:11 PM Of course it makes a diff..as the definition of Kennedy class 3is unilateral edentulousbarea with natural teeth anterior and posterior to it..which means it indicates a single edentulous area which does not cross the midline of the arch..hence its class 3..now if there is another premolar missing n both incisors missing which add up to mods...hence class 3 mod 2 From: Harpreet Bhela <harpreetbhela@...>; < >; Subject: Re: Re: omsg question Sent: Thu, Mar 29, 2012 5:31:26 PM if pm r extracted from one side or both side it doesnt make any difference it is class 3 and one additional space other than this is in incisor area,hence mod 1. From: Shipra Bapna <bapnashipra@...>" " < > Sent: Thursday, 29 March 2012, 18:15Subject: Fw: Re: omsg question From: Shipra Bapna <bapnashipra@...>; harpreetbhela@... <harpreetbhela@...>; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 5:14:39 PM But won't it b class 3 mod 2..as premolars hav been bilaterally extracted..N also incisors lost..it total we have 3edentolous areas.. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 AM JUST WONDERING..THE PATIENT LOST A PREMOLAR INITIALLY AND THEN LOST THE UPPER CENTRAL INCISORS..HE WAS A KENNEDY CLASS III BEFORE THE ACCIDENT...BUT AFTER THE ACCIDENT HE IS EDENTULOUS IN THE ANTERIOR REGION...SO THAT MAKES IT THE WORST HIT AREA..SO WONT HE BE A KENNEDY CLASS IV... BUT THATS NOT LISTED AS AN OPTION???? YOUR FEEDBACK ON THIS WILL BE HIGHLY APPRECIATED...ASAP.....On 29 Mar 2012, at 17:31, Kanika Kohli wrote: Hi ShipraI completely agree with the first one.but yes it could be trigeminal nurelgia but what i was thinking is it lasts for few seconds only.so thinking of chronic pulpitis.may be i am wrong. From: Shipra Bapna <bapnashipra@...> " " < > Sent: Thursday, 29 March 2012 5:15 PM Subject: Re: omsg question Hi.. 86...dentine sensitivity...as pain by cold..n till stimulus remains..also on blowing air. 91..trigeminal neuralgia..as pain described as stabbing..which is characteristic of trigeminal neuralgia... Correct me if wrong From: Kanika Kohli <kanika_sahil@...>; To: < >; Subject: omsg question Sent: Thu, Mar 29, 2012 3:56:48 PM need your opinionsQ121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? A. Class I mod 1 B. Class II C. Class III mod 2D. class iii mod 1Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 AM JUST WONDERING..THE PATIENT LOST A PREMOLAR INITIALLY AND THEN LOST THE UPPER CENTRAL INCISORS..HE WAS A KENNEDY CLASS III BEFORE THE ACCIDENT...BUT AFTER THE ACCIDENT HE IS EDENTULOUS IN THE ANTERIOR REGION...SO THAT MAKES IT THE WORST HIT AREA..SO WONT HE BE A KENNEDY CLASS IV... BUT THATS NOT LISTED AS AN OPTION???? YOUR FEEDBACK ON THIS WILL BE HIGHLY APPRECIATED...ASAP....On 29 Mar 2012, at 18:29, kanika_sahil@... wrote: Right harpreet.Thanks all for your opinions.Sent from Samsung Mobile --- Re: omsg question From: Shipra Bapna CC: Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi SaurabBecause you consider always from posterior area to determine your classSo in this case he has spaces in anterior incisor region ,left premolar , right premolar Premolars are posterior so it's class 3 as Its unilateral bounded saddleThen u look for extra spaces Which are 2 extra spaces( premolar on the opposite side and incisor )So I think it's class 3 div 2If its only the premolars extracted without this accident involving his central incisor it would be class 3 div 1If only premolar extracted then it's class 3Correct me if I'm wrong in this matter plz Sent from my iPadOn 29 Mar 2012, at 21:38, saurab virdi <saurabvirdi@...> wrote: AM JUST WONDERING..THE PATIENT LOST A PREMOLAR INITIALLY AND THEN LOST THE UPPER CENTRAL INCISORS..HE WAS A KENNEDY CLASS III BEFORE THE ACCIDENT...BUT AFTER THE ACCIDENT HE IS EDENTULOUS IN THE ANTERIOR REGION...SO THAT MAKES IT THE WORST HIT AREA..SO WONT HE BE A KENNEDY CLASS IV... BUT THATS NOT LISTED AS AN OPTION???? YOUR FEEDBACK ON THIS WILL BE HIGHLY APPRECIATED...ASAP....On 29 Mar 2012, at 18:29, kanika_sahil@... wrote: Right harpreet.Thanks all for your opinions.Sent from Samsung Mobile --- Re: omsg question From: Shipra Bapna CC: Hi kanika..if u go through trigeminal neuralgia in masters it has been mentioned it is usuaualy of seconds duration pg 228vol 1 = Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 121 class 3 div 286 Dentine sensitivity91 trigeminal neuralgiaSent from my iPadOn 29 Mar 2012, at 18:24, Farah Hasan <farahghassanhasan@...> wrote: please can you explain what do u mean by saying as it doesnt cross the midline , is there any diffrence thenmany thanks From: Punkit Sudan <punkitsudan@...> Shipra Bapna <bapnashipra@...>; Sent: Thursday, March 29, 2012 7:03 PM Subject: Re: omsg question I think in kennedy...most posterior saddle is considered so.....class 3 Mod 1....as not crossing mid line...correct if rong.....thank u From: Shipra Bapna <bapnashipra@...>; To: < >; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 4:15:28 PM Hi.. 86...dentine sensitivity...as pain by cold..n till stimulus remains..also on blowing air. 91..trigeminal neuralgia..as pain described as stabbing..which is characteristic of trigeminal neuralgia... Correct me if wrong From: Kanika Kohli <kanika_sahil@...>; To: < >; Subject: omsg question Sent: Thu, Mar 29, 2012 3:56:48 PM need your opinionsQ121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? A. Class I mod 1 B. Class II C. Class III mod 2D. class iii mod 1Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia = Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 hi , i agree with you for the first two but for 3 tri neuralgia the pain is felt in parts of the face...here the pt can locate it to teeth....and there is a large restoration as well....so i would go for IRREVERSIBLE PULPITIS.... From: Balsam_Majid <balsam_majid@...> " " < > Sent: Thursday, 29 March 2012 10:12 PM Subject: Re: omsg question 121 class 3 div 286 Dentine sensitivity91 trigeminal neuralgiaSent from my iPadOn 29 Mar 2012, at 18:24, Farah Hasan <farahghassanhasan@...> wrote: please can you explain what do u mean by saying as it doesnt cross the midline , is there any diffrence thenmany thanks From: Punkit Sudan <punkitsudan@...> Shipra Bapna <bapnashipra@...>; Sent: Thursday, March 29, 2012 7:03 PM Subject: Re: omsg question I think in kennedy...most posterior saddle is considered so.....class 3 Mod 1....as not crossing mid line...correct if rong.....thank u From: Shipra Bapna <bapnashipra@...>; To: < >; Subject: Re: omsg question Sent: Thu, Mar 29, 2012 4:15:28 PM Hi.. 86...dentine sensitivity...as pain by cold..n till stimulus remains..also on blowing air. 91..trigeminal neuralgia..as pain described as stabbing..which is characteristic of trigeminal neuralgia... Correct me if wrong From: Kanika Kohli <kanika_sahil@...>; To: < >; Subject: omsg question Sent: Thu, Mar 29, 2012 3:56:48 PM need your opinionsQ121 You are working as a general practitioner and you have referred a 13 year old for an orthodontic opinion. Your orthodontic colleague has recommended the extraction of the upper second premolars. You undertake these under local anesthesia without incident. A week later the child is booked in as an emergency. He has fallen off his bike and the maxillofacial SHO at the local hospital was forced to extract the upper incisors as they so badly damaged. Orthodontic treatment has been abandoned and you are now considering a referral to the restorative department of the dental school for an opinion. You need to write a referral letter to the restorative Consultant. Other than those described, the rest of the dentition is intact. What Kennedy classification will you use to describe the child’s tooth loss? A. Class I mod 1 B. Class II C. Class III mod 2D. class iii mod 1Q86 A 55 year old female presents at your surgery complaining of a sharp pain of no more than a few minutes duration arising from her lower incisors. The pain only occurs when she eats or drinks cold or sweet foods and only lasts for as long as the stimulus is present. A previous dentist applied a varnish to the teeth affected which seemed to help. The teeth indicated by the patient appear healthy but when you blow air onto them the patient experiences the pain. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia Q91 An 80 year old male presents at your surgery complaining of a sharp stabbing pain of no more than 2-3 minutes duration arising from his upper left pre-molar region. The pain can be brought on by cold stimuli but also occurs spontaneously and has been sufficiently severe to wake the patient from sleep. He has tried taking paracetemol but this has been of no benefit. On examination the patient has a heavily restored upper left 4, which is vital to electrical pulp testing and shows no radiographic evidence of caries. Blowing cold air onto the tooth produces the pain but the pain also occurs spontaneously when you are examining the patient. There is no evidence of a crack or fracture in the tooth itself. What is the most likely cause of the patient’s pain? A. Acute/reversible pulpitis B. Dentine sensitivity C. Chronic/irreversible pulpitis D. Atypical odontalgia E. Trigeminal neuralgia = Quote Link to comment Share on other sites More sharing options...
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