Mock Paper Flashcards
what two things do you need to know about an enamel-dentine-pulp fracture before you decide if a pulp cap or pulpotomy is most appropriate treatment
size of exposure
length of time since injury occurred
stages of pulpotomy on anterior tooth
rubber dam
remove pulp tissue 2-3mm radius around exposed area
assess bleeding (want to see normal bleeding and rate)
haemostasis with saline soaked cotton wool roll
cover with non-setting CaOH
seal with GI
cover with composite restoration
favourable radiographic signs 6 months after a pulpotomy
continued root development
continued thickening of dentine in the root walls
apical development and no pathology
after a pulpotomy of permanent immature tooth the tooth is now symptomatic and is painful to bite on and there is a lump with pus
what is management
dental dam
extirpation
dress with CaOH
refer to paediatric dentistry
apexification with MTA
female has fractured neck of femur and is on medication to prevent another fracture, what medication will this be?
antiresorptive drugs - bisphosphonates/denosumab
vitamin supplements - vitamin D
four ways how MRONJ can be prevented
patient education
OHI
high fluoride toothpaste
making patient dentally fit prior to starting drugs
removing risk factors
smoking cessation
non-invasive alternative treatments
10 management options for MRONJ
conservative approach and careful monitoring
specific OHI in relation to areas of exposed bone
antiseptic mouthwash
occasionally antibiotics
minimal surgical debridement
primary closure
remove traumatic causes
consult with GMP to check if any drug replacement
symptomatic relief
topical preparations
investigations - radiographs
onward referral to secondary care
4 passive uses of a URA
space maintainer
habit deterrent
retention
overbite reduction
components of URA for space maintainer for maintaining spaces of 14 and 24
adams clasps 16 and 26 0.7mm HSSW
southend clasps 11 21 0.7mm HSSW
acrylic baseplate extending onto the edentulous space
name another type of space maintainer that can be used (not baseplate on URA)
fixed palatal or nance arch
band and loop
name 4 active URA components designed to move teeth
palatal finger spring
buccal canine retractor
Z spring
expansion screw
roberts retractor
8 signs of good wear of URA
wearing on entering
speech with appliance in
proficient handling
good fit
worn appearance of acrylic
indentations on palatal mucosa
signs of tooth movement
active component passive
absence of excess salivation
hypodontia of 22 and 23 but space is quite small, they want implant but what alternative options
resin bonded bridge
removable partial denture
aesthetic issues with replacing 22 and 23 but space is small and list 2 ways to fix this issue
space wider than 1 pontic but too narrow to fit 2 in
orthodontic tooth movement
prosthetic camouflage
3 general factors before referring someone for implants
patient understands what is likely to be involved and is willing to comply with treatment
patient has good oral hygiene
smoking
cost
lack of viable bone or alternatively availability of suitable bone
periodontal history
history of contact sports
3 local factors that will be assessed for implant treatment planning
bone height
bone width
root position of adjacent teeth
soft tissue adequacy
smile line
local periodontal health/plaque control
gingival biotype
3 potential complications that you would warn patients about when consenting them for an implant retained bridge
implant failure
periimplantitis
periimplant mucositis
screw fracture
crown/porcelain chipping/fracture
recession
need for replacement
likely cause of gingival recession in lower anteriors
traumatic overbite
where in patients mouth apart from lower anterior gingival region would you expect to see signs of problems caused by a deep overbite
palatal gingiva of upper anteriors
why are lower incisors more at risk of recession
thin gingival biotype
thin buccal plate
with gingival recession what other things may your patient complain about
poor aesthetics
dentine hypersensitivity
root caries
with gingival recession patient, what 5 investigations would you do after history, exam and charting
BPE
full mouth
plaque and bleeding scores
periodontal pocket chart
mobility scores
periapical radiographs
impressions for study casts
sensibility testing
photograph
2 general approaches to a patients initial treatment for recession/overbite/mobility
hygiene phase therapy (step 1 BSP guidelines)
upper anterior bite raising appliance for night time use
at re-evaluation of recession and mobility there are no deep pockets but still mobile what you can use
splinting
