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3rd yr- CP3 > Exam > Flashcards

Exam Flashcards

1
Q

List some indications for an MCC

A
  1. If aesthetics are a concern
  2. Good patient compliance
  3. Good oral hygiene
  4. Root canal done
  5. Post and core done
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2
Q

List some contra indications of an MCC

A
  1. Subgingival caries
  2. Short crown length
  3. No ferrule of 0.5-2mm
  4. Large pulp
  5. Bruxism
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3
Q

List some indications for an FVC

A
  1. Aesthetics NOT a concern
  2. Bruxism
  3. lArge pulp
  4. Root canal done
  5. Post and core done
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4
Q

List some contra indications of an FVC

A
  1. Subgingival caries
  2. Short crown length
  3. No ferrule of 0.5-2mm
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5
Q

List the stages of clinical assessment for a patient we might place a crown on

A
  1. . Extra oral exam
  2. Intra oral exam
  3. Occlusion
  4. Dental chart
  5. BPE and sub gingival health
  6. Special test
  7. Differential Diagnosis
  8. patient preference
  9. Do you need to Reorganise occlusion ?
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6
Q

Describe the loose criteria that determines if RCT has been a success

A
  1. Absence of pain swelling and other symptoms
  2. No associated sinus tract
  3. No loss of function of the tooth
  4. Radiogrpahic evidence of a normal PDL around the root
  5. A reduction in the size of the lesion
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7
Q

Describe the loose criteria that determines if RCT has failed

A
  1. Pain, swelling and other symptoms
  2. Lesion remained the same size or only slightly demined
  3. Ainus tract
  4. Loss of function
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8
Q

List the stages of placing a rubber dam

A
  1. Floss the contact points
  2. Select a clamp a nd thread a safely line
  3. Try clamp over tooth carefully
  4. Punch holes into the rubber sheet
  5. Clamp the most distal tooth
  6. Stretch rubber dam over and around the wings of the clasp
  7. Flosss down the mesially position hole and secure using a widget
  8. Apply dam Frame
  9. Place napkin/gauze between patient’s skin & dam
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9
Q

When placing a rubber dam for an Endodontics procedure what else should you do

A

Use oraseal around the tooth

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10
Q

Name the different clasps

A 
C
EW
L
K
JW
G
PW
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11
Q

What is another name for the c clasp

A

Buttetrfly claps

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12
Q

What is a butterfly clasp used for

A

Incisors and canines

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13
Q

What is an EW clasp used for

A

Incisors canines and premolars

IS wingless

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14
Q

What is an L clasp used for

A

Large haw premolar

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15
Q

What is a K clasp used for

A

Molars

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16
Q

What is a JW clasp used for

A

Large molars with deep gingival fit

Is wingless

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17
Q

What is a G clasp used for

A

Small third molars
Deciduous molars
Premolars and canines

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18
Q

What is a PW clasp used for

A

Large molars

Is wingless

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19
Q

What are the advantages of using a rubber dam

A
  1. Airway protection
  2. Crossi infection control
  3. Aseptic field
  4. Soft tissue protection
  5. Prevents contamination of bonding surfaces.
  6. Soft tissue retraction
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20
Q

What are the disadvantages of using a rubber dam

A
  1. New range of skills to acquire
  2. LA might be needed
  3. Potentila for gingival trauma
  4. Shade taking compromised
  5. Potential for claustrophobia.
  6. Potential latex allergy.
  7. Increased treatment costs, time, materials and equipment required.
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21
Q

How do we determine the working length using a radiograph

A

Working length is at the apical constriction, 0.5 – 2mm away from the radiographic apex

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22
Q

When examine a patients occlusion what do you ask yourself

A
  1. What is the patients angles incisor relationship
  2. Does the patent have a stable ICP
  3. Does the patient have a cross bite
  4. Are there any interferences in ICP or lateral excursion
  5. What class do the patient’s incisors fall under?
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23
Q

What can be some intra oral signs of adverse occlusion

A
  1. Cheek ridging
  2. Tongue scalloping
  3. Evidence of wear
  4. Fracture e
  5. mobility
  6. Drifting
  7. Overeruption
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24
Q

What would you need to record if models of teeth would have fit together but you have now prepped a tooth making it unclear how they fit together

A

Blue mousse over top of the prep and getting patient to close together in ICP

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25
Q

If there is significant wear and no clear position of models what would you record

A

Full arch wax/ Blue mousse in RCP

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26
Q

If there are too many missing teeth and there is no stable ICP what would you record

A

Wax rims in edentulous spaces & blue mousse

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27
Q

What are the advantages of using alginate to take impressions

A
  1. Ease of manipulation,
  2. minimal equipment needed,
  3. economical, rapid setting.
28
Q

What are the disadvantages of using alginate to take impressions

A
  1. Susceptible to dimensional change,
  2. tears easily,
  3. ls not as accurate as other materials.
29
Q

When assessing an impression what are we looking for

A
  1. All teeth present
  2. Material is set and tray is sufficiently loaded
  3. No air blows in impression
  4. No voids, pulls or drags have affected margin details
  5. No tears or rough surfaces at margin
  6. No tooth contact with tray
  7. Sufficient surface detail
  8. check for functional depth
30
Q

How do we disinfect and pack impressions

A
  1. Rinse under tap with slow running water.
  2. Disinfect with a proprietary disinfect or hypochlorite for 10 minutes.
  3. Rinse again with running water.
  4. Wrap in damp gauze for alginate.
  5. Sealable bag.
31
Q

What option do we have when replacing a tooth

A
  1. Do nothin
  2. Denture/ temperature denture
  3. Bridge
  4. Implant
  5. Orthodontics
  6. Transplantation
32
Q

What are some adverse effects of doing nothin when thinking of replacing a tooth

A
  1. Drifting
  2. Over eruption
  3. Loss of aesthetics
  4. Loss of function
33
Q

What are some adverse effects of placing a denture when thinking of replacing a tooth

A
  1. Low compliance
  2. Discomfort
  3. Plaque retention
  4. Not fixed
  5. Bone loss
34
Q

What are some adverse effects of making a bridge when thinking of replacing a tooth

A
  1. Needs high motivation and oral hygiene

2. Bone loss

35
Q

What are some adverse effects of placing an implant when thinking of replacing a tooth

A
  1. Very invasive
  2. Need to keep very clean
  3. Rejection
36
Q

What are some adverse effects of orthodontics when thinking of replacing a tooth

A

plaque retention

37
Q

When looking at an abutment tooth what are we checking

A
  1. Perio status
  2. Cornoral tooth status
  3. Endodontics status
38
Q

Name the 3 ratings we give when assessing the quality of a radiograph

A
  1. Grade 1- excellent
  2. Grade 2- Diagnostically acceptable
  3. Grade 3- Unacceptable
39
Q

Describe a grade 1 radiograph

A

No errors of patient preparation, exposure, positioning or processing

40
Q

Describe a grade 2 radiograph

A

Some errors of patient preparation, exposure, positioning or processing which do not detract from the diagnostic utility of xray

41
Q

Describe a grade 3 radiograph

A

errors of patient preparation, exposure, positioning or processing which render the xray undiagnostic

42
Q

List the 3 broad categories that can lead to radiographic error

A
  1. patient preparation errors
  2. Processing/ film handling errors
  3. Problems with the radiographs
43
Q

Talk though the stages of a radiographic report

A
  1. Identify patient
  2. Check film date
  3. Right left orientation
  4. Assess film quality
  5. Any artefact which could be mistaken for pathology
  6. Ascertain whether normal anatomical feature or variation of normal
  7. Systematically check the radiograph for pathology
44
Q

Name the different types of radiographs

A
  1. Bitewings
  2. Periapicals
  3. Panoramics
45
Q

Describe bitewings

A

They should show crowns of maxillary and mandibular teeth and superficial bone

46
Q

What are bitewings used for

A

Caries diagnosis

47
Q

When taking a special test as well as the tooth you are assessing which other tooth should you check

A

A contralateral and adjacent teeth

48
Q

Give examples of special tests

A
  1. Tendernes to percussion
  2. Ethyl chloride
  3. Electric pulp test
  4. Tooth sleuth
  5. Fibre optic transillumination
49
Q

What do we use to assess a patients caries risk

A
  1. Medical history
  2. Anxiety
  3. Diety
  4. Family
  5. Where they live
  6. Orthodontic appliance
  7. Education
50
Q

Name the different types of tooth wear

A

Attrition
Abrasion
Erosion

51
Q

What is attrition

A

Wear of the teeth due to tooth to tooth contact

52
Q

How can we identify attrition

A
  1. Incisal wear
  2. Wear facets
  3. What off cups
53
Q

What is abrasion

A
  1. Wear of teeth due to non tooth to tooth contact
54
Q

How can we identify abrasion

A

Cervical wear/ wedge shaped cavities/ recession

55
Q

What is erosion

A

Dissolution of tooth tissue due to acid attack NOT from bacteria

56
Q

What an erosion be caused by

A

Intrisinc and extrinsic factors

57
Q

How can we identify erosion

A
  1. Loss of surface anatomy
  2. Increased incisal translucency
  3. Chipping of incisal edges
  4. Palatal hollows
  5. Areas where the enamel is absent
  6. Expsore of the pulp
58
Q

Why might we remove teeth

A
  1. Hopeless prognosis
  2. Tooth is liable to cause symptoms
  3. Risk of infection to systemic sites
  4. Mobility and lack of periodontal support
  5. Loss of function
  6. Orthodontics
  7. Interferes with prosthesis
  8. Traumatise mucosa
59
Q

What are some advantages of extraction

A
  1. Quick
  2. Cheap
  3. Immediate relief
  4. Easy
  5. Shortened dental arch
60
Q

What are some advantages of Restoring over extraction

A
  1. More conservative
  2. Maintains bone level
  3. Maintains aesthetics and function
  4. Prevents drifting and over eruption
61
Q

What are some disadvantages of extraction

A
  1. May result in loss of the bone levels
  2. Less conservative
  3. Drifting and over eruption
  4. Could be traumatic
62
Q

What are some disadvantages of Restoring over extraction

A
  1. Recurrent disease
  2. Restorative escalator
  3. May need many appointments
  4. Exacerbate dentinal disease
  5. Marginal leakage
  6. Technique sensitive
63
Q

When radiographically assessing the tooth what might make it difficult to extract

A
  1. Bent roots
  2. Close to nerve
  3. Ankylosis or sclerosis
  4. Close to antrum
  5. Thin bone
  6. Root filled teeth
  7. Heavily restored teeth and impacted teeth
  8. Fractured teeth
64
Q

How do we check the tooth has been fully extracted

A
  1. Check apices of teeth
  2. Look in the socket
  3. Check using a radiograph
65
Q

How do we aid Haemostasis

A
  1. Compress the socket to recover bone
  2. Place gauze, tightly rolled over socket to absorb the blood
  3. Get patient to bite down and hold
  4. Give post op instruction
  5. Confirm bleeding has stopped and throw gauze away
66
Q

What can you do if the bleeding doesn’t stop

A

Surgicel

67
Q

What post op advice should we give the patient

A
  1. Try not to rinse in the next 24 hours
  2. Rinse with salt water
  3. No alcohol AND smoking
  4. Try not to touch the area too much with your tongue
  5. No vigorous exercise
  6. No hot drinks

3rd yr- CP3 (1 decks)

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