CDH 4.2 +4.3

Question 1

How would you manage an enamel fracture in a child?

Answer 1

Smooth and restore

Review in 3-4 weeks

Question 2

How would you manage an enamel-dentine fracture in a child?

Answer 2

Identify fragments
Smooth and restore
Review in 6-8 weeks

Question 3

How would you manage a complicated crown fracture in a child?

Answer 3

Partial (or cervical) pulpotomy with non-setting CaOH paste and restore and review
OR
Extract and review at 1 year

Question 4

Why would you not extract an apical fragment of a primary tooth following a root fracture and displacement of tooth?

Answer 4

Potential to damage underlying permanent tooth if use elevators to remove primary root

Question 5

What is subluxation?

Answer 5

When tooth is bumped and mobile but not moved out of position

Question 6

How would you manage lateral luxation with no occlusal interference in a child?

Answer 6

Observe - allow to reposition spontaneously

Question 7

How would you manage lateral luxation with occlusal interference in a child?

Answer 7

Reposition with flexible splint for 4 weeks
OR
Extract as indicated in severe displacement in the labial direction

Question 8

How would you manage intrusion in a child?

Answer 8

Allow for spontaneous repositioning in 6-12 months

Possibility of it to re-erupt

Question 9

What is the radiographic interpretation of a root apex displaced towards the labial bone in an intrusion injury?

Answer 9

Root apex can be seen and looks shorter than the contralateral tooth

Question 10

What is the radiographic interpretation of a root apex displaced into developing tooth germ in an intrusion injury?

Answer 10

Root apex cannot be seen and tooth looks elongated

Question 11

What type of injury is it when there is a communication of alveolar socket wall?

Answer 11

Crushing injury

Question 12

What is a resorbable root dressing for a primary tooth?

Answer 12

Zinc oxide/ eugenol paste

Question 13

What are the primary trauma complications on permanent teeth?

Answer 13

Enamel hypoplasia/ hypomineralisation 
Crown/root dilaceration 
Pulp necrosis/ infection
Irregular/ delayed/ failed eruption of perm teeth 
Arrested development of perm teeth

Question 14

What are the colours of enamel hypoplasia discolouration?

Answer 14

White spot
Yellow-brown spot
Pitting

Question 15

What is the management of enamel hypoplasia?

Answer 15

No tx
Vital whitening
Acid-pumice micro abrasion - if only superficial
Localised composite

Question 16

What is the difference between an impairment and disability?

Answer 16

Impairment = medical condition/ impairment 
Disability = restrictions caused by society through discrimination, ignorance, prejudice

Question 17

What type of dentistry is it when visiting patients in their homes?

Answer 17

Domiciliary dentistry

Question 18

What drug is used for sedation taken orally?

Answer 18

Temazepam