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BDS4 > 2015/2016/2017 > Flashcards

2015/2016/2017 Flashcards

1
Q

What would lead you to the conclusion that a patient has gen aggressive perio ?

A
  • no medical conditions
  • age
  • more than 3 teeth
  • included that re not the 6’s and incisors
  • rapid progression
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2
Q

what are the clinical and lab investigations for Gen agress perio?

A
  • full history (including family history)
  • full intra oral exam - including full perio exam
  • microb analysis of the sample (oral rinse)
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3
Q

How would the prognosis of each individual teeth in agressive perio be assessed?

A
  • pocket depths
  • LOA
  • mobility
  • furcation involvement
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4
Q

What water should be used in the final stages of the washer disinfector and why?why would you not use mains water?

A

demineralised -reverse osmosis, sterile

it is low in mineral content compare to that of the mains water. these minerals can damage devices and provide rough surfaces for microbs to cling to .

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5
Q

Why would mechanical root surface debridement not be successful in eliminating pocket bacteria?

A
  • incomplete RSD- with difficult access
  • pathogens may not fully be removed from the area
  • lack of flushing pocket
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6
Q

Why would antibiotics not be successful?

A
  • may be inactive
  • may be resisted by the biofilms
  • super infection
  • may be inadequate drug concentration
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7
Q

How would you manage a periodontal abscess?

A
  1. give LA
  2. incise and drain
  3. rinse with saline solution
  4. sub gingival debridment
  5. review/antibiotics
  6. XLA
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8
Q

How would you bond composite to a tooth? Give 2 dental materials and examples?

A
  1. conditioner- acid etch 37% phosporic acid

2. dentine bonding agent- prime and bond

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9
Q

What are 3 reason why a post core would debond?

A
  • post fracture
  • core fracture
  • root fracture
  • caries
  • traumatic fracture
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10
Q

fracture occurs at junction of post and core?

A
  • lack or loss of tooth structure required
  • inadequate furrel
  • bruxism truma
  • high occlusal
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11
Q

WHat are 3 ways of removing a fractured post that that is visable?

A
  • ultrasonic tip
  • moskito forceps
  • masseron kit
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12
Q

What are 5 reasons for a composit restoration to give transient sensitivity to thermal stimuli?

A
  • deep cavity
  • pulp exposure
  • uncured rsin at bottom of restoration
  • insuficciant coolant on preperation
  • contraction pourosity
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13
Q

What could you do to prevent transient sensitivity?

A
  • pulp cap
  • lots of coolant on prep
  • small incurements of comp
  • indirect restoration
  • liner
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14
Q

what would you diagnose if a patient attends with inflammed ging which extends into the mucogingival margin?

A

desquamative gingivitis

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15
Q

What conditions are linked with with squamative gingivitis?

A

pemphigus
phemphigoid
lichenplanus

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16
Q

What 2 factors contribute to suqamitve gingivitis?

A

SLS

plaque

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17
Q

What 2 topicaal treatments can you use for suqamative gingivitis?

A

betamethasone mouthwash

tacrolimus ointment

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18
Q

A child has swallowed flouride toothpaste, what would you ask mum?

A

what age is child?
what is the concentration of the tooth paste?
how much tooth paste has been ingested?
When did it happen?

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19
Q

What treatment would you suggest to the patient if toxic dose has been ingested?

A

to give child calcium and attend hospital

20
Q

Name 2 heamostaic agents?

A

ferric sulphate

cellulose

21
Q

What other teatment options is there ?

A

removable partial denture
bridge
orthodontics
combined

22
Q

list 5 possible treatment options for impacted perm molars?

A

leave and monitor
ELA of E to allow for further eruptoion
remove distal aspect of E
ortho appliance attached to the E to allow for eruptionortho seperator

23
Q

what are the 8 elements of the preventative programme?

A
  • radiographs
  • toothbrushing instructions
  • strength of fluoride in the toothpaste
  • F varnish
  • F suppliment
  • diet advice
  • FS
  • sugar free medication
24
Q

What would you splint for an extrusion?

A

2 weeks flexible

25
Q

What 4 tests would you carry out apart from a radiograph ?

A

EPT
Ethyl chloride
Mobility
TTP

26
Q

How much CPD must be completed - total and verifiable?

A

250 hours within 5 years

75 hours which are verifiable

27
Q

what are the 4 components of clinical guidance other than the audit?

A 
education and training 
risk management 
openness 
research and development 
clincial effectiveness
28
Q

What are the possible complications of and overjet?

A

trauma risk
difficulty with speech
difficulty with function
psychological aspects

29
Q

What test would you carry out prior to ariving at the diagnosis of trigeminal neuraligia?

A

IAN block to rule out TMD

full neurological exam

FBC

30
Q

What drug would you give for Tri neuro?

A

carbamazepine

31
Q

What exam would you carry out every 3 months ?

A

use scale to monitor pain

32
Q

When would you consider surgical managment of tri neurology?

A

no improvement with prolonged carbamazepine

medication causing side effects

33
Q

what would be a type of surgery for tri neuro?

A

balloon compression

34
Q

3 local causes of intraoral staining?

A

amalgam tattoo
malignant melanoma
nevus

35
Q

Give 3 generalised causes of intraoral pigmentation?

A

smoking
hormonal imbalance
racial pigmentation

36
Q

Name 2 types of haemangiomas?

A

capillary

cavernous

37
Q

What is the histological difference between capillary and cavernous haemangiomas?

A

Capillay - are non capsulated aggregates of closely packed, thin walled capillaries with epithelial lining which is sseperated by connective tissue

Cavernous-are encapsulated nodular mass comprimised of dilated, cavernous vascular spaces with endothelial lining seperated by connective tissue,, smooth muscle surrounded the vascular spaces.

38
Q

What are the 4 parameters of SIRS?

A
  1. temp below 35 or above 38
  2. white blood count under 4 or over 11
  3. pulse over 90 BPM
  4. respiratory rate over 20 `
39
Q

How many of the SIRs do you need to diagnose?

A

2/4

40
Q

Apart from site, what are 4 things which should be taken into consideration of a facial swelling?

A
  • airway compromise
  • heat
  • size
  • colour
  • dehydration
  • fatigue
41
Q

What would you do if you suspect SIRS?

A

urgent referral

42
Q

What briefe intervention is used for alcohol screening?

A

Alcohol brief intervention-

  • raise the issue about if they drink
  • screen and give feedback about risks
  • listen to rediness to change
  • suitable referral/advice
43
Q

4 responses to stress?

A

direct action
seek information
do nothing
coping

44
Q

What are the primary and seconday appraisals for stress?

A

initial assesmnet of stressor

reaction to the primary appraisal

45
Q

What is the cycle of behaviour change?

A 
pre-contemplation 
contemplation 
preparation 
action 
progress/relapse
46
Q

Legislation for decontamination?

A

COSHH
H&S at work 1974
NHS regulations 2010
Medical device directive

47
Q

What is capacity ?

A

Ability to-

  • retain memory of decision
  • make a reasoned decision
  • understand a decision
  • ability to act
  • communicate decision

BDS4 (11 decks)

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