Last Month

Question 1

3 common types of tooth wear

Answer 1

Attrition
Abrasion
Erosion

Question 2

Tooth wear, also termed______, is a normal ______ that occurs with ______ but must be considered ______ when the degree of ______ creates functional, aesthetic, or dental ______ problems.

Answer 2

tooth surface loss/ physiological process /aging/pathologic/destruction=loss/sensitivity

Question 3

Common Appearance of tooth wear

Answer 3

Smooth and shiny wear facets

Question 4

A patient presents with sensitivity in the front teeth and a chief complaint of chipped incisal edges from teeth 14 to 24. Clinical examination reveals glossing of the palatal surfaces and loss of palatal tooth structure. How would you address the patient’s concerns and proceed with management?

Answer 4

Answer: Patient Care/ Tooth wear

-  I can  apply fluoride treatment today to strengthen your enamel and reduce sensitivity.
- More regularly dental visit such as every 3 months to monitor tooth wear and caries risks.

-  after vomiting, rinse with baking soda mouthrinse
-  you can switch to a desensitizing toothpaste, like Sensodyne.
- Fluoride at home: a 0.5% fluoride daily rinse.

- Avoid acidic foods or drinks, and carbohydate beverages

Question 5

Thuc quan

Answer 5

Esophagus n ɪ’sɒfəgəs

esophageal adj ɪˌsɒfə’dʒiːəl

Question 6

Preparation of Patient before RadioTherapy:

Answer 6

• Dental Examination …..
• sharp edges …….
• Prophylaxis and Fluoride applied
• Smoking and alcohol should be encouraged to stop.
• To prevent Effects:
  
  • Fluoride at home: 1% fluoride rinse for 5 mins each day to decrease rampant caries.
  • Infections: Rinse at least 10 times a day with saline, 2 times with chlorhexidine. Nystatin for Candidas.
  • Maintain an adequate nutritious status. pt should be weighted weekly.
  • Physiotherapy exercises for mouth opening
  • More regularly dental checkup to monitor/ observe/ follow up effects of radiations in mouth, such as: mucositis, trismus, dry mouth, osteoradionecrosis.

Question 7

Tuan thu

Answer 7

Adherence

Question 8

A patient currently on vacation out of the province calls your office requesting antibiotics for dental pain. He reports no swelling but describes persistent pain. The patient was last seen in your office two months ago, and no x-rays were taken at that time. How would you handle this situation?

Question 9

A patient presented for an emergency visit following the removal of a palatal exostosis three days ago. The patient reports taking ibuprofen 400 mg but continues to experience severe pain and is requesting Percocet. The patient has a documented history of drug abuse. How to manage?

Answer 9

Gather information 3 (the pain, the cause, the drug)
Explain the need of clinical examination
Pain Management Procedure

Question 10

In the middle of a busy day, your dental assistant approaches you for a private

matter. Her mother had periodontal surgery done yesterday and they have been

prescribed ibuprofen 400mg for the pain, but the mother is still in severe pain,

the periodontists office is closed till the end of the week. The assistant is asking

you to prescribe percocet to ease the pain until the weekend. How would you

proceed?

Question 11

The manager of your office is planning to promote the clinic on social media and TV
channels, she approached you to take your recommendation on how she can
formulate the advertisement

Write down the steps and regulations that should be followed

Answer 11

3. Communication/Advertisement

Adhere to

Responsibility

3 main keys

Question 12

When asking about a sensitive topic like drug abuse, you should approach the conversation with___, ______, ______.

Answer 12

empathy, professionalism, and without judgment

Question 13

Psychological

Answer 13

Tam ly

Question 14

Progress notes: steps

Question 15

Progress note for 11 incisal third fracture for a patient with a language barrier. His daughter can speak fluently English and patient is comfortable with daughter translating for him.

Question 16

A problem the dentist frequently encounters (most commonly a child) is ——————

Another difficulty is the patient with —————-

Answer 16

uncooperative patient / fear of the dentist

multiple medical problems

Question 17

General anesthesia vs sedation vs local anesthesia

Answer 17

General Anesthesia: Unconscious. You are completely unaware of the procedure.

Sedation: Can range from mild relaxation to deeper levels where you are minimally responsive but still conscious.

Depth of Sedation: Less deep than general anesthesia.

Question 18

Prescribe antibiotics if systemic involvement: signs and symptoms ?

Answer 18

Lymphadenopathy, swelling, fever

Question 19

What are nonodontogenic pain?

Answer 19

Muscle
Neural

Question 20

Diagnostic Tests

Question 21

Lymphadenopathy?

Answer 21

Swollen Lymph nodes

Question 22

Pulpal diagnosis? Which one is most painful? Reversible vs irreversible?

Question 23

Apicoectomy?

Answer 23

Root-end resection

Question 24

I’ve read some things online about root canals causing health problems, even cancer.

Answer 24

Treatment Options

Question 25

What Are the Alternatives to Root Canal Treatment?

Answer 25

Treatment options/endodontics

Question 26

Prevent synonym

Answer 26

prophylactic n something used to prevent disease / thuoc du phong

Prophylactic adj

prophylaxis

In short: prophy

Question 27

Răng nghi ngờ

Answer 27

Tooth in question

Question 28

Dull pain vs throbbing pain

Answer 28

Dau nhe nhe
Dau nhuc nhoi

Question 29

Bisphosphates

Answer 29

a class of drugs that help prevent bone loss and strengthen bones.

Question 30

bệnh loãng xương

Answer 30

osteoporosis

Question 31

Treatment of ONJ is ———— and at present there are no evidence-based guidelines. But the overall incidence appears to be low.

Answer 31

Problematic, difficult, challenging

Question 32

Kĩ thuật gây tê không đau

Answer 32

Painless injection technique

Question 33

Biopsy

Answer 33

Removal of the tissue for further examination under the microscope

Question 34

Bacteria­ feed­ on­ the­ food­ you­ eat,­especially­ sugars­ and­ ________.

­The­bacteria ­produce­ ———- ­, and ­this­———-­ the­ tooth­ causing ————-.­

Answer 34

Starches

Acid

dissolves

cavities

Question 35

Fluoride concern

Question 36

During a root canal treatment on tooth 16, a file broke in the apical third of the palatal root. How would you handle this situation?

Answer 36

Patient/Documentation/endo note

Question 37

Your associate proposed an online advertisement stating that Dr. Green specializes in clear aligners and offering a chance to win a trip to Hawaii for referring patients. How would you address and manage this situation?

Question 38

A patient presents today with bleeding gums and mobile teeth. He has a medical history of diabetes managed with metformin, and his last recorded HbA1c, taken a year ago, was 11. How would you address this situation?

Question 39

A patient with strong cultural and religious beliefs, presented to your office today for emergency exam. Clinical exam reveals non-restorable lower molar that is causing his pain. You explained to the patient that this tooth has to be extracted. The patient is reluctant to undergo a dental treatment that involves removing a part of his body due to his faith’s teachings that emphasize treating the body as sacred and avoiding unnecessary alterations.

Question 40

How to dismiss a patient?

Question 41

Your patient for the past 6 years, came for a recall checkup, you did a clinical exam and found a white lesion on the lateral surface of the tongue, you suspect that it could be leukoplakia and you sent a
biopsy to the lab. The results came back positive for squamous cell carcinoma.
Discuss your findings with patient and break the news.

Question 42

Drug‐Induced Gingival Enlargement. How to manage?

Question 43

Smoking effects

Answer 43

• “Smoking damagesyour overal health. It is a major cause of lung disease , heart disease, stroke, and many types of cancer.”
  • Smoking harms your oral health. It increases the risk of oral and throat cancer, makes gum disease worse, slows healing after dental treatments, increases the chance of implant failure, and stains your teeth.”

Question 44

Cannabis Effects

Answer 44

A. Effects on Brain function

-  memory loss and cognitive impairment. It can harm your ability to think and make decisions.


B. Effects on Oral Health:


Cannabis use increases the risk of oral cancer 

increasesrisk of cavities and gum disease because Smoking cannabis can cause dry mouth, and stimulates appetite (obesity)

Cannabis may reduce the effectiveness of local anesthesia, making it harder to numb the area during procedures."(brain effects)

Cannabis could cause slower healing and a higher risk of complications after procedures like extractions or periodontal treatments."

Question 45

Cannabiseffect on local anesthesia

Answer 45

Cannabis may reduce the effectiveness of local anesthesia

Question 46

CBCT is a type of x-ray? CBCT vs CT scans?

Answer 46

Yes, CBCT (Cone Beam Computed Tomography) is a type of X-ray imaging. It uses a cone-shaped X-ray beam to capture multiple images from different angles, which are then reconstructed into a 3D representation of the scanned area. Unlike traditional 2D dental X-rays, CBCT provides a more detailed view of bone structures, teeth, nerves, and soft tissues, making it especially useful for implant planning, endodontics, TMJ evaluation, and orthodontics.

While CBCT uses X-rays, it typically delivers lower radiation doses than conventional medical CT scans but more than standard dental radiographs. Proper justification and radiation safety measures should always be considered when prescribing CBCT scans.

Question 47

How to quit smoking

Answer 47

• Medication:(pharmacotherapy)
  
  • Nicotine Replacement Therapy: providing small, controlled doses of nicotine
  • Non-Nicotine Medications
    
    • Bupropion (Zyban): An antidepressant that helps reduce cravings and withdrawal symptoms.
    • Varenicline (Chantix): Blocks nicotine receptors in the brain
• Psychotherapy: consulting service, and support groups, practicing stress management techniques.

Question 48

side effect of Bisphosphates

Question 49

Risks of Opioids?

Answer 49

addiction, abuse, misuse and taking too much can cause overdose, slowed breathing, and even death.

They may also make you feel drowsy or tired, which can be dangerous if you’re driving or operating machinery.

If mixed with alcohol or other medications, these effects can be even more harmful.

Question 50

Opioid agreement

Answer 50

Single Prescriber: Only one dentist or healthcare professional should prescribe opioids to the patient to avoid overlapping prescriptions.

Single Pharmacy: All opioid prescriptions should be filled at a single pharmacy to prevent misuse or obtaining medications from multiple sources.

Follow Instructions: Patients must strictly adhere to the dosage and directions provided by the prescriber.

Understand Risks: Patients need to acknowledge and understand the potential dangers and consequences of opioid use, including dependency and side effects.

Consulting with Physician: The physician may request lab tests ( urine, saliva, or blood) before or during treatment to monitor the patient’s use of the medication and ensure safety.

Question 51

Patient is late in the office, has a red face and is breathless. He said that the frontal tooth is broken and wants to fix you took the second reading and is 200 over 110 patient is uncontrolled and is not taking any medication and haven’t seen the physician in a while. Manage the situation.

Question 52

Patients reports with orofacial pain . Patient is taking metformin
for diabetes and amlodipine for hypertension. You diagnosed the
patient with TMJ disorder and refer to specialist.
Write progress note!

Question 53

A 10-year-old child visits the clinic with his mother for an exam.

Dental History:
The child previously had rampant caries, which required treatment under general anesthesia four years ago. He has also missed multiple follow-up appointments for routine dental care.

Social History:
The family faces financial difficulties, and the mother works six days a week, making it challenging to prioritize dental visits. Additionally, she lives far from the clinic, which further complicates access to care.

Discuss preventive measures using social determinants.

Answer 53

1. Ask GA
2. Ask oral and dietary habits
3. Discuss preventive measures
4. Address social factors

Question 54

Patient, 35 years old medically healthy female came for dental check-up. Clinical examination shows multiple carious lesions. She is mother of 2 children and busy working 6 days a week to provide for the family. Missed several appointments for regular care.
Discuss the preventive measures using social determinants.

Question 55

A 70-year-old patient using a cane visits your office to inquire about dental implants. She has a complete denture of upper teeth and teeth 33 and 43 in the lower jaw. Her medical history includes progressive multiple sclerosis, and she is undergoing physical therapy due to arm and leg weakness. She reports electric shock-like pain in her neck when moving her head, and her dominant right arm and leg are affected. She is specifically interested in fixed dental solutions.
Consult about the treatment she mentioned and ongoing oral care.

Question 56

A 35 year old man came for treatment of recession in 33. A free gingival graft
surgery was performed for tooth number #33. Write the post operative instructions and the possible complications that can be expected.

Question 57

Caries Management for 0-5 year old? or from 6 years up?

Answer 57