Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 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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