2019

Question 1

What is duty of candour?

Answer 1

Statuary legal duty to be open and honest with patients or thier families when something has gone wrong or may lead to significant harm in the future

Question 2

Clinical assessment for implants?

Answer 2

-alveolar ridge and bone levels
-space for implant
- space between implan and adjacent tooth should be 1.5mm
-anatomical considerations like ID nerve and lingual nerve, maxillary sinus
-

Question 3

Alternatives to implant?

Answer 3

Bridge
RPD
Rct post core if retained root
Refer to ortho to open / close space
Composite build ups and camouflage
-

Question 4

Occlusal analysis?

Answer 4

Basic occlusal assessment
Skeletal patttern
Molar/incisor relationship
Rcp=ICP
Check contacts
Teeth in protrusive movements and lateral excursions

Question 5

Why are canines used for lateral guidance?

Answer 5

-long roots
-distance from hinge/TMJ
-distance from muscle
-highly innervated

Question 6

How to restore 3 to be used for canine guidance

Answer 6

Build up till contact is only on 3 in lateral excisions on Woking side

Question 7

Perio surgery indications

Answer 7

Persistent perio despite ohi and non surgical perio tx
-crown lengthening , gummy smile
Bony defects

Question 8

Splinting for avulsion and subluxation

Answer 8

Splint for 2 weeks using adjacent teeth for flexibility

Question 9

Antibiotics for 14 year olds with avulsion

Answer 9

Over 12 so doxycycline 200mg twice a day for 1 days then 100mg twice a day for 10 days
If under 12 amoxcillin 500mg 3 times a day for 5 days

Question 10

How to do id block?

Answer 10

Identify landmarks -pterygomandibular Raphae, medial pterygoid muscle and coronoid notch internal oblique ridge
Long needle with bevel 32mm 25g , keep taut
Come from opposite premolars
Sharp pain if felt if you hit the id nerve

Question 11

Sedation assessment ?

Answer 11

MDAS, ASA
Weigh height bmi
MH meds allergies
Their anxiety an dental history
Palattion of Venus
Escort , childcare transport
Don’t do anything for 24 hours, no driving no machinery dont eat

Question 12

If pt is really needle phobic name 2 ways to get them to have cannulation

Answer 12

Premed diazepam , temezepam,
Inhalation sedation
Hypnosis

Question 13

Discoloured tooth after endo?

Answer 13

From overprep , sealer
Manageby internal bleaching , composite veneer or indirect veneer
Bleaching better as cheaper , minimally invasive ,

Question 14

CE mark?

Answer 14

Allows products to be sold in Europe and eea
Awarded though notified body, competent authority and premarking testing with iso 10993 guideline s
Report to RIDOR or COSHH