2015/2016/2017 Flashcards
What would lead you to the conclusion that a patient has gen aggressive perio ?
- no medical conditions
- age
- more than 3 teeth
- included that re not the 6’s and incisors
- rapid progression
what are the clinical and lab investigations for Gen agress perio?
- full history (including family history)
- full intra oral exam - including full perio exam
- microb analysis of the sample (oral rinse)
How would the prognosis of each individual teeth in agressive perio be assessed?
- pocket depths
- LOA
- mobility
- furcation involvement
What water should be used in the final stages of the washer disinfector and why?why would you not use mains water?
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 .
Why would mechanical root surface debridement not be successful in eliminating pocket bacteria?
- incomplete RSD- with difficult access
- pathogens may not fully be removed from the area
- lack of flushing pocket
Why would antibiotics not be successful?
- may be inactive
- may be resisted by the biofilms
- super infection
- may be inadequate drug concentration
How would you manage a periodontal abscess?
- give LA
- incise and drain
- rinse with saline solution
- sub gingival debridment
- review/antibiotics
- XLA
How would you bond composite to a tooth? Give 2 dental materials and examples?
- conditioner- acid etch 37% phosporic acid
2. dentine bonding agent- prime and bond
What are 3 reason why a post core would debond?
- post fracture
- core fracture
- root fracture
- caries
- traumatic fracture
fracture occurs at junction of post and core?
- lack or loss of tooth structure required
- inadequate furrel
- bruxism truma
- high occlusal
WHat are 3 ways of removing a fractured post that that is visable?
- ultrasonic tip
- moskito forceps
- masseron kit
What are 5 reasons for a composit restoration to give transient sensitivity to thermal stimuli?
- deep cavity
- pulp exposure
- uncured rsin at bottom of restoration
- insuficciant coolant on preperation
- contraction pourosity
What could you do to prevent transient sensitivity?
- pulp cap
- lots of coolant on prep
- small incurements of comp
- indirect restoration
- liner
what would you diagnose if a patient attends with inflammed ging which extends into the mucogingival margin?
desquamative gingivitis
What conditions are linked with with squamative gingivitis?
pemphigus
phemphigoid
lichenplanus
What 2 factors contribute to suqamitve gingivitis?
SLS
plaque
What 2 topicaal treatments can you use for suqamative gingivitis?
betamethasone mouthwash
tacrolimus ointment
A child has swallowed flouride toothpaste, what would you ask mum?
what age is child?
what is the concentration of the tooth paste?
how much tooth paste has been ingested?
When did it happen?
What treatment would you suggest to the patient if toxic dose has been ingested?
to give child calcium and attend hospital
Name 2 heamostaic agents?
ferric sulphate
cellulose
What other teatment options is there ?
removable partial denture
bridge
orthodontics
combined
list 5 possible treatment options for impacted perm molars?
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
what are the 8 elements of the preventative programme?
- radiographs
- toothbrushing instructions
- strength of fluoride in the toothpaste
- F varnish
- F suppliment
- diet advice
- FS
- sugar free medication
What would you splint for an extrusion?
2 weeks flexible
What 4 tests would you carry out apart from a radiograph ?
EPT
Ethyl chloride
Mobility
TTP
How much CPD must be completed - total and verifiable?
250 hours within 5 years
75 hours which are verifiable
what are the 4 components of clinical guidance other than the audit?
education and training risk management openness research and development clincial effectiveness
What are the possible complications of and overjet?
trauma risk
difficulty with speech
difficulty with function
psychological aspects
What test would you carry out prior to ariving at the diagnosis of trigeminal neuraligia?
IAN block to rule out TMD
full neurological exam
FBC
What drug would you give for Tri neuro?
carbamazepine
What exam would you carry out every 3 months ?
use scale to monitor pain
When would you consider surgical managment of tri neurology?
no improvement with prolonged carbamazepine
medication causing side effects
what would be a type of surgery for tri neuro?
balloon compression
3 local causes of intraoral staining?
amalgam tattoo
malignant melanoma
nevus
Give 3 generalised causes of intraoral pigmentation?
smoking
hormonal imbalance
racial pigmentation
Name 2 types of haemangiomas?
capillary
cavernous
What is the histological difference between capillary and cavernous haemangiomas?
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.
What are the 4 parameters of SIRS?
- temp below 35 or above 38
- white blood count under 4 or over 11
- pulse over 90 BPM
- respiratory rate over 20 `
How many of the SIRs do you need to diagnose?
2/4
Apart from site, what are 4 things which should be taken into consideration of a facial swelling?
- airway compromise
- heat
- size
- colour
- dehydration
- fatigue
What would you do if you suspect SIRS?
urgent referral
What briefe intervention is used for alcohol screening?
Alcohol brief intervention-
- raise the issue about if they drink
- screen and give feedback about risks
- listen to rediness to change
- suitable referral/advice
4 responses to stress?
direct action
seek information
do nothing
coping
What are the primary and seconday appraisals for stress?
initial assesmnet of stressor
reaction to the primary appraisal
What is the cycle of behaviour change?
pre-contemplation contemplation preparation action progress/relapse
Legislation for decontamination?
COSHH
H&S at work 1974
NHS regulations 2010
Medical device directive
What is capacity ?
Ability to-
- retain memory of decision
- make a reasoned decision
- understand a decision
- ability to act
- communicate decision
