Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 hi all need ur help again please: 1 time for urgent referal 2. material used for abfraction lesion restoration best regards ebtisam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 1. Referral timelinesimmediate: an acute admission or referral occurring within a few hours, or even more quickly if necessaryurgent: the patient is seen within the national target for urgent referrals (currently 2 weeks)non-urgent: all other referrals.http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment)http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions From: ebtessam <ebtessamhamalawy@...> Sent: Wednesday, 28 March 2012, 19:37 Subject: restorative hi all need ur help again please: 1 time for urgent referal 2. material used for abfraction lesion restoration best regards ebtisam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 hi dave thank u so muchthe only problem is flowable composite was n`t an option so what`s the 2nd best for abfractionebtisam From: dave mustaine <flying_v26@...> " " < > Sent: Wednesday, 28 March 2012, 20:31 Subject: Re: restorative 1. Referral timelinesimmediate: an acute admission or referral occurring within a few hours, or even more quickly if necessaryurgent: the patient is seen within the national target for urgent referrals (currently 2 weeks)non-urgent: all other referrals.http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment)http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions From: ebtessam <ebtessamhamalawy@...> Sent: Wednesday, 28 March 2012, 19:37 Subject: restorative hi all need ur help again please: 1 time for urgent referal 2. material used for abfraction lesion restoration best regards ebtisam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is:A. Head and / or neck painB. Excessive tooth wearC. Temporomandibular joint clickingD. Sensitive teethE. Cheek ridging and tongue scalloping3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment?A. Antibiotics and analgesics.B. Extract the toothC. Carry out a pulpotomy. Temporary dressing.D. Carry out a pulpectomy. Temporary dressing (its irreversible pulpitis)E. Establish open drainage4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment?A. Replace the post crown using a resin-reinforced glass ionomer materialB. Replace the post crown using a polycarboxylate cementC. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer materialD. Replace the post crown using a resin composite luting agentE. Arrange to extract the tooth (even if the tooth is symptomless at the moment, its prognosis isnt good enough for a post crown)5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment?A. Provision of a post crownB. Provision of an all ceramic crownC. Provision of a metal bonded to ceramic crownD. Carry out a non vital bleaching procedureE. Provision of a porcelain veneer6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management?A. Take impressions for study modelsB. Prescribe fluoride mouth rinseC. Replace the amalgam restorationsD. Dietary analysisE. Placement of resin sealant to sensitive teeth7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option?A. Provide tooth brushing instruction and fluoride (restoration of abfarction lesions is the last step of management)B. Restore the lesions with compomerC. Restore the lesions with micro-filled compositeD. Restore the lesions with a hybrid compositeE. Restore the lesions with conventional glass-ionomer8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis?A. PericoronitisB. Apical periodontitisC. Marginal periodontitisD. Reversible pulpitisE. Irreversible pulpitis9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth?A. Amalgam restorationB. AntibioticsC. ExtractionD. Root canal therapyE. Sedative dressing10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step?A. Obtain a radiographB. Biopsy the gingival tissueC. Remove the restorationD. Vitality testingE. Prescribe antibiotics11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem?A. Extra-radicular infectionB. Contamination of canal(s) with E.faecalisC. Uninstrumented canalD. Vertical root fractureE. Perio-endo problem12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have?A. Bleaching with carbamide peroxide in custom formed trays of upper and lower archesB. A bonded crownC. A composite veneerD. A porcelain veneerE. Non-vital bleaching with carbamide peroxide14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry.When would you use EDTA?A. As a root end filling materialB. As a pulp capping agentC. As a root canal chelating agentD. As a mouthwashE. As a dentine bonding agent16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown?A. The post was to narrowB. The post was to short.C. The root canal treatment was failing.D. A vertical root fracture was present.E. There were excessive occlusal loads on the tooth> >> > > > > > hi dave > > > > thank u so much> > > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction> > ebtisam> > > > > > > > ________________________________> > From: dave mustaine flying_v26@> > " " > > Sent: Wednesday, 28 March 2012, 20:31> > Subject: Re: restorative> > > > > >  > > 1. Referral timelines> > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary> > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks)> > * non-urgent: all other referrals.> > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment)> > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > > > > ________________________________> > From: ebtessam ebtessamhamalawy@> > > > Sent: Wednesday, 28 March 2012, 19:37> > Subject: restorative> > > > > >  > > > > hi all> > > > need ur help again please:> > > > 1 time for urgent referal> > 2. material used for abfraction lesion restoration> > > > best regards> > ebtisam> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 Hifor Question # 13: I am going to go for Non Vital bleaching because if the tooth is grey that indicates pulpal necrosis and importantly there is a filling palatally as well, that indicates the possibility of the tooth already root treated. So for this one I think non vital bleaching would be a better choice. please correct me if I am wrong. I would like to know everyone;s take on that. Sualeh On Thu, Mar 29, 2012 at 2:07 AM, sid <flying_v26@...> wrote: 2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck painB. Excessive tooth wearC. Temporomandibular joint clickingD. Sensitive teethE. Cheek ridging and tongue scalloping 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics.B. Extract the toothC. Carry out a pulpotomy. Temporary dressing.D. Carry out a pulpectomy. Temporary dressing (its irreversible pulpitis) E. Establish open drainage4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer materialB. Replace the post crown using a polycarboxylate cementC. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agentE. Arrange to extract the tooth (even if the tooth is symptomless at the moment, its prognosis isnt good enough for a post crown) 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crownB. Provision of an all ceramic crownC. Provision of a metal bonded to ceramic crownD. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study modelsB. Prescribe fluoride mouth rinseC. Replace the amalgam restorations D. Dietary analysisE. Placement of resin sealant to sensitive teeth7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride (restoration of abfarction lesions is the last step of management) B. Restore the lesions with compomerC. Restore the lesions with micro-filled compositeD. Restore the lesions with a hybrid compositeE. Restore the lesions with conventional glass-ionomer 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. PericoronitisB. Apical periodontitisC. Marginal periodontitisD. Reversible pulpitisE. Irreversible pulpitis 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restorationB. AntibioticsC. ExtractionD. Root canal therapyE. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiographB. Biopsy the gingival tissueC. Remove the restorationD. Vitality testingE. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infectionB. Contamination of canal(s) with E.faecalisC. Uninstrumented canalD. Vertical root fractureE. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower archesB. A bonded crown C. A composite veneerD. A porcelain veneerE. Non-vital bleaching with carbamide peroxide14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA?A. As a root end filling materialB. As a pulp capping agentC. As a root canal chelating agent D. As a mouthwashE. As a dentine bonding agent16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrowB. The post was to short.C. The root canal treatment was failing.D. A vertical root fracture was present. E. There were excessive occlusal loads on the tooth > >> > > > > > hi dave > > > > thank u so much> > > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > > ebtisam> > > > > > > > ________________________________> > From: dave mustaine flying_v26@> > " " > > Sent: Wednesday, 28 March 2012, 20:31> > Subject: Re: restorative> > > > > >  > > 1. Referral timelines> > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks)> > * non-urgent: all other referrals.> > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment)> > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > > > > ________________________________> > From: ebtessam ebtessamhamalawy@> > > > Sent: Wednesday, 28 March 2012, 19:37> > Subject: restorative> > > > > >  > > > > hi all> > > > need ur help again please: > > > > 1 time for urgent referal> > 2. material used for abfraction lesion restoration> > > > best regards> > ebtisam> >> -- Dr Sualeh Khan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 In regards to Q13, I do agree that Non Vital Bleaching would be the correct way to go BUT in the question it states based on the information you have, so I think that was the trick.... no xrays or history of RCT was given, so it's an assumption(although probably correct) that the tooth has had RCT... for Q10... wouldn't the next step be to take an xray? it was stated that there is a perio problem concerning that region and although it says the quadrant is heavily restored it doesn't say the tooth in question is restored, so the next step would be to take an xray see what the underlying issue is, then i'd say prescribe antibiotics due to purulent exudate? any thoughts? What are your opinions on question 1? E...maybe? fixed movable with the 7 and 5? > > > > > > > > > > > > > > > > hi dave > > > > > > > > thank u so much > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > 2nd best for abfraction > > > > ebtisam > > > > > > > > > > > > > > > > ________________________________ > > > > From: dave mustaine flying_v26@ > > > > " " > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > Subject: Re: restorative > > > > > > > > > > > >  > > > > 1. Referral timelines > > > > * immediate: an acute admission or referral occurring within a few > > hours, or even more quickly if necessary > > > > * urgent: the patient is seen within the national target for urgent > > referrals (currently 2 weeks) > > > > * non-urgent: all other referrals. > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelinesà > > ‚ > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > first line treatment) > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesionsà > > ‚ > > > > > > > > > > > > ________________________________ > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > Subject: restorative > > > > > > > > > > > >  > > > > > > > > hi all > > > > > > > > need ur help again please: > > > > > > > > 1 time for urgent referal > > > > 2. material used for abfraction lesion restoration > > > > > > > > best regards > > > > ebtisam > > > > > > > > > > > > > > > > > -- > Dr Sualeh Khan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 Yes I agree with you on ques 1 & 10.Makes sense.SualehOn 29 Mar 2012, at 03:10, "" <o_raafat@...> wrote: In regards to Q13, I do agree that Non Vital Bleaching would be the correct way to go BUT in the question it states based on the information you have, so I think that was the trick.... no xrays or history of RCT was given, so it's an assumption(although probably correct) that the tooth has had RCT... for Q10... wouldn't the next step be to take an xray? it was stated that there is a perio problem concerning that region and although it says the quadrant is heavily restored it doesn't say the tooth in question is restored, so the next step would be to take an xray see what the underlying issue is, then i'd say prescribe antibiotics due to purulent exudate? any thoughts? What are your opinions on question 1? E...maybe? fixed movable with the 7 and 5? > > > > > > > > > > > > > > > > hi dave > > > > > > > > thank u so much > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > 2nd best for abfraction > > > > ebtisam > > > > > > > > > > > > > > > > ________________________________ > > > > From: dave mustaine flying_v26@ > > > > " " > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > Subject: Re: restorative > > > > > > > > > > > >  > > > > 1. Referral timelines > > > > * immediate: an acute admission or referral occurring within a few > > hours, or even more quickly if necessary > > > > * urgent: the patient is seen within the national target for urgent > > referrals (currently 2 weeks) > > > > * non-urgent: all other referrals. > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelinesà > > ‚ > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > first line treatment) > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesionsà > > ‚ > > > > > > > > > > > > ________________________________ > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > Subject: restorative > > > > > > > > > > > >  > > > > > > > > hi all > > > > > > > > need ur help again please: > > > > > > > > 1 time for urgent referal > > > > 2. material used for abfraction lesion restoration > > > > > > > > best regards > > > > ebtisam > > > > > > > > > > > > > > > > > -- > Dr Sualeh Khan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 6. D....Should be dietary analysis...the wear pattern is erosion 8. B...the tooth is tender to percussion... 10. Vitality test? Before removing the restoration 13. E...the palatal restoration is a post rc filling On 29 Mar 2012 06:37, " sid " <flying_v26@...> wrote: 2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck painB. Excessive tooth wearC. Temporomandibular joint clickingD. Sensitive teethE. Cheek ridging and tongue scalloping 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics.B. Extract the toothC. Carry out a pulpotomy. Temporary dressing.D. Carry out a pulpectomy. Temporary dressing (its irreversible pulpitis) E. Establish open drainage4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer materialB. Replace the post crown using a polycarboxylate cementC. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agentE. Arrange to extract the tooth (even if the tooth is symptomless at the moment, its prognosis isnt good enough for a post crown) 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crownB. Provision of an all ceramic crownC. Provision of a metal bonded to ceramic crownD. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study modelsB. Prescribe fluoride mouth rinseC. Replace the amalgam restorations D. Dietary analysisE. Placement of resin sealant to sensitive teeth7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride (restoration of abfarction lesions is the last step of management) B. Restore the lesions with compomerC. Restore the lesions with micro-filled compositeD. Restore the lesions with a hybrid compositeE. Restore the lesions with conventional glass-ionomer 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. PericoronitisB. Apical periodontitisC. Marginal periodontitisD. Reversible pulpitisE. Irreversible pulpitis 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restorationB. AntibioticsC. ExtractionD. Root canal therapyE. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiographB. Biopsy the gingival tissueC. Remove the restorationD. Vitality testingE. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infectionB. Contamination of canal(s) with E.faecalisC. Uninstrumented canalD. Vertical root fractureE. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower archesB. A bonded crown C. A composite veneerD. A porcelain veneerE. Non-vital bleaching with carbamide peroxide14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA?A. As a root end filling materialB. As a pulp capping agentC. As a root canal chelating agent D. As a mouthwashE. As a dentine bonding agent16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrowB. The post was to short.C. The root canal treatment was failing.D. A vertical root fracture was present. E. There were excessive occlusal loads on the tooth > >> > > > > > hi dave > > > > thank u so much> > > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > > ebtisam> > > > > > > > ________________________________> > From: dave mustaine flying_v26@> > " " > > Sent: Wednesday, 28 March 2012, 20:31> > Subject: Re: restorative> > > > > >  > > 1. Referral timelines> > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks)> > * non-urgent: all other referrals.> > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment)> > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > > > > ________________________________> > From: ebtessam ebtessamhamalawy@> > > > Sent: Wednesday, 28 March 2012, 19:37> > Subject: restorative> > > > > >  > > > > hi all> > > > need ur help again please: > > > > 1 time for urgent referal> > 2. material used for abfraction lesion restoration> > > > best regards> > ebtisam> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hie..... I agree wid u in question 13 can use peroxide in non vital bleeching..i think we use sodium perborate only. As with peroxide chances of internal resorption increases...correct me thanks From: Divya Shetty <rite.to.divs@...>; To: < >; Subject: Re: Re: restorative Sent: Thu, Mar 29, 2012 4:23:24 AM 6. D....Should be dietary analysis...the wear pattern is erosion 8. B...the tooth is tender to percussion... 10. Vitality test? Before removing the restoration 13. E...the palatal restoration is a post rc filling On 29 Mar 2012 06:37, " sid " <flying_v26@...> wrote:  2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck painB. Excessive tooth wearC. Temporomandibular joint clickingD. Sensitive teethE. Cheek ridging and tongue scalloping 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics.B. Extract the toothC. Carry out a pulpotomy. Temporary dressing.D. Carry out a pulpectomy. Temporary dressing (its irreversible pulpitis) E. Establish open drainage4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer materialB. Replace the post crown using a polycarboxylate cementC. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agentE. Arrange to extract the tooth (even if the tooth is symptomless at the moment, its prognosis isnt good enough for a post crown) 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crownB. Provision of an all ceramic crownC. Provision of a metal bonded to ceramic crownD. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study modelsB. Prescribe fluoride mouth rinseC. Replace the amalgam restorations D. Dietary analysisE. Placement of resin sealant to sensitive teeth7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride (restoration of abfarction lesions is the last step of management) B. Restore the lesions with compomerC. Restore the lesions with micro-filled compositeD. Restore the lesions with a hybrid compositeE. Restore the lesions with conventional glass-ionomer 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. PericoronitisB. Apical periodontitisC. Marginal periodontitisD. Reversible pulpitisE. Irreversible pulpitis 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restorationB. AntibioticsC. ExtractionD. Root canal therapyE. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiographB. Biopsy the gingival tissueC. Remove the restorationD. Vitality testingE. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infectionB. Contamination of canal(s) with E.faecalisC. Uninstrumented canalD. Vertical root fractureE. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower archesB. A bonded crown C. A composite veneerD. A porcelain veneerE. Non-vital bleaching with carbamide peroxide14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA?A. As a root end filling materialB. As a pulp capping agentC. As a root canal chelating agent D. As a mouthwashE. As a dentine bonding agent16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrowB. The post was to short.C. The root canal treatment was failing.D. A vertical root fracture was present. E. There were excessive occlusal loads on the tooth > >> > > > > > hi dave > > > > thank u so much> > > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > > ebtisam> > > > > > > > ________________________________> > From: dave mustaine flying_v26@> > " " > > Sent: Wednesday, 28 March 2012, 20:31> > Subject: Re: restorative> > > > > >  > > 1. Referral timelines> > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks)> > * non-urgent: all other referrals.> > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment)> > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > > > > ________________________________> > From: ebtessam ebtessamhamalawy@> > > > Sent: Wednesday, 28 March 2012, 19:37> > Subject: restorative> > > > > >  > > > > hi all> > > > need ur help again please: > > > > 1 time for urgent referal> > 2. material used for abfraction lesion restoration> > > > best regards> > ebtisam> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi Ebtisam, here are my answers with some explanations of why I chose what, I gladly welcome any discussion to my choices. 1.E 2.E- It asks for ACTIVE sign, where tooth wear could be due to previous habit that has now stopped but not been treated. 3.D 4.E 5.D- This case it states that it has previously been root filled as oppose to Q13. 6.B- Fl mouth rinse will help with the sensitivity. 7.A- Any restoration placed will fail and just pop out if the cause is not relieved. 8.B-The tooth is TTP which would indicate a periapical acute lesion, surely they would have stated that the tooth responds to heat if Irreversible pulpitis. 9.C 10.A 11.C- due to MB2 12.B 13.A- I still think E would be the answer if they hadn't said " Given the info. you have 14.C 15.E 16.D > > > > > > > > > > > > > > > > > > > > > > > > hi dave > > > > > > > > > > > > thank u so much > > > > > > > > > > > > the only problem is flowable composite was n`t an option so what`s > > the > > > > 2nd best for abfraction > > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > From: dave mustaine flying_v26@ > > > > > > " " > > > > > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > > > Subject: Re: restorative > > > > > > > > > > > > > > > > > >  > > > > > > 1. Referral timelines > > > > > > * immediate: an acute admission or referral occurring within a > > few > > > > hours, or even more quickly if necessary > > > > > > * urgent: the patient is seen within the national target for > > urgent > > > > referrals (currently 2 weeks) > > > > > > * non-urgent: all other referrals. > > > > > > > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelines > > à > > > > ‚ > > > > > > > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is > > the > > > > first line treatment) > > > > > > > > > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesions > > à > > > > ‚ > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > > > Subject: restorative > > > > > > > > > > > > > > > > > >  > > > > > > > > > > > > hi all > > > > > > > > > > > > need ur help again please: > > > > > > > > > > > > 1 time for urgent referal > > > > > > 2. material used for abfraction lesion restoration > > > > > > > > > > > > best regards > > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > Dr Sualeh Khan > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2012 Report Share Posted March 30, 2012 HI ebtissam for the qs 8 i think the answer is C, as the ethyl chloride is used as a local anaesthetic, so it releves pain and for the qs n 14 is C, EDTA is a chelating agent used as a irrigation solution during root therapy ( master 2 p 65) please correct me if i'm wrong imene > > >>> > > > > > >>> > > > > > >>> > > > > > >>> > > > hi dave > > >>> > > > > > >>> > > > thank u so much > > >>> > > > > > >>> > > > the only problem is flowable composite was n`t an option so what`s the > > >>> > 2nd best for abfraction > > >>> > > > ebtisam > > >>> > > > > > >>> > > > > > >>> > > > > > >>> > > > ________________________________ > > >>> > > > From: dave mustaine flying_v26@ > > >>> > > > " " > > >>> > > > >>> > > > Sent: Wednesday, 28 March 2012, 20:31 > > >>> > > > Subject: Re: restorative > > >>> > > > > > >>> > > > > > >>> > > >  > > >>> > > > 1. Referral timelines > > >>> > > > * immediate: an acute admission or referral occurring within a few > > >>> > hours, or even more quickly if necessary > > >>> > > > * urgent: the patient is seen within the national target for urgent > > >>> > referrals (currently 2 weeks) > > >>> > > > * non-urgent: all other referrals. > > >>> > > > > > >>> > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelinesà > > >>> > ‚ > > >>> > > > > > >>> > > > > > >>> > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > >>> > first line treatment) > > >>> > > > > > >>> > > > > > >>> > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesionsà > > >>> > ‚ > > >>> > > > > > >>> > > > > > >>> > > > ________________________________ > > >>> > > > From: ebtessam ebtessamhamalawy@ > > >>> > > > > > >>> > > > Sent: Wednesday, 28 March 2012, 19:37 > > >>> > > > Subject: restorative > > >>> > > > > > >>> > > > > > >>> > > >  > > >>> > > > > > >>> > > > hi all > > >>> > > > > > >>> > > > need ur help again please: > > >>> > > > > > >>> > > > 1 time for urgent referal > > >>> > > > 2. material used for abfraction lesion restoration > > >>> > > > > > >>> > > > best regards > > >>> > > > ebtisam > > >>> > > > > > >>> > > > > >>> > > > >>> > > > >>> > > > >>> > > >>> > > >>> > > >>> -- > > >>> Dr Sualeh Khan > > >>> > > >> > > >> > > >> > > >> > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2012 Report Share Posted March 31, 2012 sorry, but for the qs 8 what the ethyl chloride is used for, isn't a way to know that it is a marginal periodontitis please if someone can correct me if it is wrong... imeneé > >>>> > > >>>> > 2. Bruxism is a common form of parafunctional activity of which the > >>>> > patient may or may not be aware. It may be important in the development of > >>>> > a treatment plan to determine whether the patient is an active bruxist. The > >>>> > principle clinical sign of active bruxism is: > >>>> > A. Head and / or neck pain > >>>> > B. Excessive tooth wear > >>>> > C. Temporomandibular joint clicking > >>>> > D. Sensitive teeth > >>>> > E. Cheek ridging and tongue scalloping > >>>> > > >>>> > > >>>> > 3. An adult patient attends your practice complaining of pain and swelling > >>>> > associated with a previously restored upper first premolar tooth. The pain > >>>> > has been present for a number of days and is no longer responding to > >>>> > analgesics. His dentition is otherwise well maintained and his periodontal > >>>> > health is good.What is the most appropriate approach to treatment? > >>>> > > >>>> > A. Antibiotics and analgesics. > >>>> > B. Extract the tooth > >>>> > C. Carry out a pulpotomy. Temporary dressing. > >>>> > D. Carry out a pulpectomy. Temporary dressing (its irreversible pulpitis) > >>>> > E. Establish open drainage > >>>> > > >>>> > > >>>> > 4. A patient reports that his post crown has fallen out. This crown had > >>>> > been present for many years. You note that there appears to be a hairline > >>>> > vertical fracture of the root. The tooth is symptomless.What is the most > >>>> > sensible approach to treatment? > >>>> > > >>>> > A. Replace the post crown using a resin-reinforced glass ionomer material > >>>> > B. Replace the post crown using a polycarboxylate cement > >>>> > C. Replace the post crown using a dentine bonding agent and a > >>>> > resin-reinforced glass ionomer material > >>>> > D. Replace the post crown using a resin composite luting agent > >>>> > E. Arrange to extract the tooth (even if the tooth is symptomless at the > >>>> > moment, its prognosis isnt good enough for a post crown) > >>>> > > >>>> > > >>>> > 5. A patient says that he does not like the appearance of his previously > >>>> > root filled upper central incisor tooth. His dentition is otherwise well > >>>> > maintained and his periodontal health is good. The tooth appears to be > >>>> > darker than the adjacent teeth. What is the most appropriate approach to > >>>> > treatment? > >>>> > > >>>> > A. Provision of a post crown > >>>> > B. Provision of an all ceramic crown > >>>> > C. Provision of a metal bonded to ceramic crown > >>>> > D. Carry out a non vital bleaching procedure > >>>> > E. Provision of a porcelain veneer > >>>> > > >>>> > > >>>> > 6. A 25 year old male attends for the first time complaining of > >>>> > sensitivity of a number of teeth. On examination, the occlusal surfaces of > >>>> > all the teeth are worn with obvious wear facets on the canines and > >>>> > premolars. Posterior amalgam restorations are proud of the surrounding > >>>> > tooth. What would be the first stage management? > >>>> > > >>>> > A. Take impressions for study models > >>>> > B. Prescribe fluoride mouth rinse > >>>> > C. Replace the amalgam restorations > >>>> > D. Dietary analysis > >>>> > E. Placement of resin sealant to sensitive teeth > >>>> > > >>>> > > >>>> > 7. A 35 year old male patient who admits to grinding his teeth at night > >>>> > has a number of wedge-shaped cervical (Class V) lesions on his upper > >>>> > premolar teeth. These are causing some sensitivity and are approximately > >>>> > 3mm deep. What is the correct management option? > >>>> > > >>>> > A. Provide tooth brushing instruction and fluoride (restoration of > >>>> > abfarction lesions is the last step of management) > >>>> > B. Restore the lesions with compomer > >>>> > C. Restore the lesions with micro-filled composite > >>>> > D. Restore the lesions with a hybrid composite > >>>> > E. Restore the lesions with conventional glass-ionomer > >>>> > > >>>> > > >>>> > 8. A patient attends with pain of four days duration in a carious upper > >>>> > molar tooth. The pain is constant and is not relieved by paracetemol. Sleep > >>>> > has been disturbed by the pain. The tooth is tender to percussion and gives > >>>> > a positive response to Ethyl Chloride. What is the most likely diagnosis? > >>>> > > >>>> > A. Pericoronitis > >>>> > B. Apical periodontitis > >>>> > C. Marginal periodontitis > >>>> > D. Reversible pulpitis > >>>> > E. Irreversible pulpitis > >>>> > > >>>> > > >>>> > 9. A 14 year old patient attends with a decayed and extensive hypoplastic > >>>> > LL7. He is a very irregular attender with poor oral health habits. A > >>>> > radiograph shows the presence of an unerupted LL8 and the LL6 is sound. > >>>> > What would be the most appropriate long-term treatment for this tooth? > >>>> > A. Amalgam restoration > >>>> > B. Antibiotics > >>>> > C. Extraction > >>>> > D. Root canal therapy > >>>> > E. Sedative dressing > >>>> > > >>>> > > >>>> > 10. A 30 yr-old patient attends complaining of occasional pain from the > >>>> > lower left quadrant. Clinical examination reveals an extensively restored > >>>> > dentition with generally good oral hygiene. There is no significant > >>>> > periodontal pocketing other than an isolated defect in the region of the > >>>> > furcation of lower left first molar which is non-mobile. The gingival > >>>> > tissue in this area appears erythematous and slightly hyperplastic with a > >>>> > purulent exudate on probing. From the list below, which is the most > >>>> > appropriate next step? > >>>> > A. Obtain a radiograph > >>>> > B. Biopsy the gingival tissue > >>>> > C. Remove the restoration > >>>> > D. Vitality testing > >>>> > E. Prescribe antibiotics > >>>> > > >>>> > > >>>> > 11. A 40 yr old patient had root-canal treatment to his upper first molar. > >>>> > This was performed 6 months ago using contemporary techniques under rubber > >>>> > dam and was crowned after completion of treatment. He attends complaining > >>>> > of continued discomfort from this tooth. Radiographic examination shows > >>>> > each of the three roots to be obturated with a well-condensed filling to > >>>> > the full working length though there is no evidence of in-fill of the > >>>> > periapical lesion when compared to the pre-op view. There is crestal bone > >>>> > loss and no furcal involvement. What is the most likely cause of the > >>>> > continued problem? > >>>> > > >>>> > A. Extra-radicular infection > >>>> > B. Contamination of canal(s) with E.faecalis > >>>> > C. Uninstrumented canal > >>>> > D. Vertical root fracture > >>>> > E. Perio-endo problem > >>>> > * > >>>> > * > >>>> > 12. An eight-year-old boy presents with pain of three days duration that > >>>> > has kept him awake. On examination you see a grossly carious lower left 6 > >>>> > and some associated buccal swelling. Which of the following is the most > >>>> > appropriate to give immediate relief of h > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2012 Report Share Posted April 1, 2012 Thanks a lotSent from my iPadOn 31 Mar 2012, at 21:00, "Nebia Leila imene" <imene.nebia@...> wrote: sometimes in the multirooted, one root is in the stage of periapicale periodontitis (TTP) and the other root is in the stage of irreversible pulpitis and hasn't necrotised yet, so in the diagnostic we give the most advanced one: periapicale periodontitis hope that it's clear have studied that in my postgraduated books imene > > > > > >>>> > > > > > > >>>> > 2. Bruxism is a common form of parafunctional activity of which the > > > > > >>>> > patient may or may not be aware. It may be important in the development of > > > > > >>>> > a treatment plan to determine whether the patient is an active bruxist. The > > > > > >>>> > principle clinical sign of active bruxism is: > > > > > >>>> > A. Head and / or neck pain > > > > > >>>> > B. Excessive tooth wear > > > > > >>>> > C. Temporomandibular joint clicking > > > > > >>>> > D. Sensitive teeth > > > > > >>>> > E. Cheek ridging and tongue scalloping > > > > > >>>> > > > > > > >>>> > > > > > > >>>> > 3. An adult patient attends your practice complaining of pain and swelling > > > > > >>>> > associated with a previously restored upper first premolar tooth. The pain > > > > > >>>> > has been present for a number of days and is no longer responding to > > > > > >>>> > analgesics. His dentition is otherwise well maintained and his periodontal > > > > > >>>> > health is good.What is the most appropriate approach to treatment? > > > > > >>>> > > > > > > >>>> > A. Antibiotics and analgesics. > > > > > >>>> > B. Extract the tooth > > > > > >>>> > C. Carry out a pulpotomy. Temporary dressing. > > > > > >>>> > D. Carry out a pulpectomy. Temporary dressing (its irreversible pulpitis) > > > > > >>>> > E. Establish open drainage > > > > > >>>> > > > > > > >>>> > > > > > > >>>> > 4. A patient reports that his post crown has fallen out. This crown had > > > > > >>>> > been present for many years. You note that there appears to be a hairline > > > > > >>>> > vertical fracture of the root. The tooth is symptomless.What is the most > > > > > >>>> > sensible approach to treatment? > > > > > >>>> > > > > > > >>>> > A. Replace the post crown using a resin-reinforced glass ionomer material > > > > > >>>> > B. Replace the post crown using a polycarboxylate cement > > > > > >>>> > C. Replace the post crown using a dentine bonding agent and a > > > > > >>>> > resin-reinforced glass ionomer material > > > > > >>>> > D. Replace the post crown using a resin composite luting agent > > > > > >>>> > E. Arrange to extract the tooth (even if the tooth is symptomless at the > > > > > >>>> > moment, its prognosis isnt good enough for a post crown) > > > > > >>>> > > > > > > >>>> > > > > > > >>>> > 5. A patient says that he does not like the appearance of his previously > > > > > >>>> > root filled upper central incisor tooth. His dentition is otherwise well > > > > > >>>> > maintained and his periodontal health is good. The tooth appears to be > > > > > >>>> > darker than the adjacent teeth. What is the most appropriate approach to > > > > > >>>> > treatment? > > > > > >>>> > > > > > > >>>> > A. Provision of a post crown > > > > > >>>> > B. Provision of an all ceramic crown > > > > > >>>> > C. Provision of a metal bonded to ceramic crown > > > > > >>>> > D. Carry out a non vital bleaching procedure > > > > > >>>> > E. Provision of a porcelain veneer > > > > > >>>> > > > > > > >>>> > > > > > > >>>> > 6. A 25 year old male attends for the first time complaining of > > > > > >>>> > sensitivity of a number of teeth. On examination, the occlusal surfaces of > > > > > >>>> > all the teeth are worn with obvious wear facets on the canines and > > > > > >>>> > premolars. Posterior amalgam restorations are proud of the surrounding > > > > > >>>> > tooth. What would be the first stage management? > > > > > >>>> > > > > > > >>>> > A. Take impressions for study models > > > > > >>>> > B. Prescribe fluoride mouth rinse > > > > > >>>> > C. Replace the amalgam restorations > > > > > >>>> > D. Dietary analysis > > > > > >>>> > E. Placement of resin sealant to sensitive teeth > > > > > >>>> > > > > > > >>>> > > > > > > >>>> > 7. A 35 year old male patient who admits to grinding his teeth at night > > > > > >>>> > has a number of wedge-shaped cervical (Class V) lesions on his upper > > > > > >>>> > premolar teeth. These are causing some sensitivity and are approximately > > > > > >>>> > 3mm deep. What is the correct management option? > > > > > >>>> > > > > > > >>>> > A. Provide tooth brushing instruction and fluoride (restoration of > > > > > >>>> > abfarction lesions is the last step of management) > > > > > >>>> > B. Restore the lesions with compomer > > > > > >>>> > C. Restore the lesions with micro-filled composite > > > > > >>>> > D. Restore the lesions with a hybrid > = Quote Link to comment Share on other sites More sharing options...
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