General

Question 1

What is enamel pearl?

Answer 1

ectopic formation of enamel tissue

Question 2

What does a 6-10 crown taper indicates?

Answer 2

• sufficient retention and resistance to displacement

Question 3

What defines generalised gingivitis based on the BSP periodontal guidelines?

Answer 3

Code 0/1/2
>30% BoP

Question 4

What would you use to cement a composite onlay?

Answer 4

• Nexus (dual cure composite)

Question 5

What would you use to cement an MCC?

Answer 5

Aquacem (glass ionomer luting cement)

Question 6

What is your rationale for the proposed treatment plan

Answer 6

• the initial focus was on achieving a healthy dentition by addressing caries, stabilising gingival health and preventing further toothwear and then restoring the function and aesthetics using composite build ups and partial dentures.

Question 7

what are the risk factors contributing to the patient’s health issues and how do they influence the treatment plan?

Answer 7

• the patient history of bruxism until 2019 likely contributed to the tooth wear and fracture, this needs restorative treatment and prevention of onset of this situation again by educating the patient
• Lack of flossing - increases the risk of plaque acumulation

Question 8

considering the patients flexible working schedule and social events how will you ensure compliance with long term maintenance appointments?

Answer 8

Flexible scheduling options ,to accommodate the patient working schedule

Question 9

how would you manage the amalgam tattoo?

Answer 9

monitor and document in notes and let the patient know , do nothing as it is asymptomatic

Question 10

What strategies will be employed to optimise the fit and retention of the cobalt chromium partial dentures and how will their effectiveness be evaluated?

Answer 10

• careful impression taking
• precise fabrication
• adjustments during try in stage
• patient feedback to achieve patient satisfaction

Question 11

On what would the long term prognosis of treatment be?

Answer 11

• this depends on several factors including the prognosis of the teeth and the patient compliance with oral and denture hygiene
• overall the long term prognosis is good, the denture might compromise the remaining teeth and if they fall out a new partial denture can be made accomodating the remaining teeth
• restorations should have good prognosis if the patient complied with the oral hygiene and had regular check ups