2020

Question 1

What are the 4 white lines?

Answer 1

-zygomatic buttress
-floor of maxillary sinus
-posterior border of sinus and hard palate

Question 2

Advantages of OPT?

Answer 2

Can see whole dentition including bony structures like condyle and coronoid process
Less dose than CBCT
Good pt tolerance
Generally lose dose do radiation
Can be used for ortho processed and prognosis of 6;s and position of 8’s
Easier to explain to pts
Can see accidental findings like cyts and tumours

Question 3

Disadvantages of OPT

Answer 3

2D
Hard to see caries
Expensive
Pt needs to be still
Can lack finer detail
Technique sensitive
Positioning of some teeth like canines may require images like periapical

Question 4

Syndromes associated with hypodontia

Answer 4

Ectodermal dysplasia
So look at nails hair and dry skin
Take careful history
If unsure refer / contact GP

Question 5

Clinical governance of pts who are irregular attenders?

Answer 5

-why, any issues
-consider safeguarding and child protection
-speak to safeguarding lead
-if suspect abuse look at triangle of danger and bruising of soft tissues
-social services
-gdc standard 8.5 -raise concerns
-take correct actions
-assess child’s behaviour with mum and other siblings
-

Question 6

Ethics of irregular attenders?

Answer 6

• under gdc stadard 8 raise concerns
  -consent gillick competence if under 16
  -document good record keeping like Was Not Bought
  Documents of child preoection and referrals
  Confidentiality
  Nice guidelines 3 month recall

Question 7

Tx for hypodontia?

Answer 7

• ortho for space closure or opening
  -canines camouflaged
  -dentures , RBB, implants
  -minimise TSL,
  -3 month recall