OSCE Flashcards

1
Q

when do primary teeth start to erupt?

A

6 months

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2
Q

what primary teeth erupt first?

A

lower As

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3
Q

when is the full primary dentition complete?

A

2 1/2 years

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4
Q

when does the permanent dentition begin to erupt?

A

6 years

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5
Q

when do the 1s erupt?

A

age 7

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6
Q

when do the 2s erupt?

A

age 8

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7
Q

when do the 3s erupt?

A

lower - 9
upper - 11

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8
Q

when do the 4s erupt?

A

age 10

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9
Q

when do 5s erupt?

A

age 11

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10
Q

when do 6s erupt?

A

age 6

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11
Q

when do 7s erupt?

A

age 12

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12
Q

at what age are all incisors in?

A

9

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13
Q

what are 6 features of the primary dentition positioning?

A

spaces anteriors
primate spacing
shallow overjet and overbite
class I molar relationship
primary lower D wider than upper D
vertical inclination of anteriors

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14
Q

how is caries diagnosed radiographically?

A

E - limited to enamel
D1 - outer 1/3 dentine
D2 - middle 1/3 dentine
D3 - inner 1/3 dentine
P - reached pulp

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15
Q

what are the 4 clinical presentations of dentine?

A

soft
hard
leathery
firm

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16
Q

what strength is fluoride varnish (Duraphat)?

A

22600ppm

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17
Q

when is fluoride varnish applied?

A

normal - 2 times a year
caries risk - 4 times a year

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18
Q

what are the measurements of duraphat varnish 26000ppm?

A

2-5 years - 0.25ml
5-7 years - 0.4ml

19
Q

prior to placing fluoride varnish what must you ask the patient?

A

allergy to stiffen plasters/ elastoplast
asthma history of hospitalisation

20
Q

what are the 2 types of fissure sealants?

A

resin based
GI

21
Q

when would you use a GI fissure sealant?

A

poor cooperation

22
Q

when are resin fissure sealants applied by protocol?

A

all permanent molars after eruption

23
Q

what is SDF used as?

A

desensitising
caries arrest

24
Q

when would you use Hall technique?

A

asymptomatic
proximal lesions
occlusal lesions (if poor cooperation)
band of normal dentine

25
when would you NOT use Hall technique?
pain/ infection caries reached pulp arrested caries
26
what is selective caries removal?
leaving caries at base and clear margins so tertiary dentine forms
27
what technique can be used for selective caries removal?
ART
28
what is the aim of site-specific prevention?
stop enamel caries progressing and promote remineralisation of early lesions
29
what is stage 1 of stepwise caries removal?
gain access and remove superficial caries - enough for a good marginal seal place temporary GI restoration
30
in stepwise excavation, why is only superficial caries removed?
inhibits further progression of residual caries reactionary dentine can be laid down
31
what is stage 2 of stepwise caries removal?
6-12 months later access cavity restore with permanent restoration
32
what should happen between stage 1 and 2 of stepwise caries removal?
increased distance from pulp to caries reactionary dentine has been laid down
33
what material is not acceptable for a multi surface lesion?
GI
34
how would you manage an initial occlusal lesion in a primary molar?
fissure seal
35
how would you manage an advanced occlusal lesion in a primary molar?
Selective caries removal Hall technique
36
how would you manage an initial proximal lesion in a primary molar?
site specific prevention fissure sealant
37
how would you manage an advanced proximal lesion in a primary molar?
Hall technique selective caries removal
38
how would you manage an initial occlusal lesion in a permanent molar?
fissure sealant
39
how would you manage a moderate occlusal lesion in a permenant molar?
selective caries removal complete caries removal
40
how would you manage an extensive occlusal lesion in a permanent molar?
stepwise caries removal
41
how would you manage an initial proximal lesion in a permanent molar?
site specific prevention fissure sealant
42
how would you manage a moderate proximal lesion in a permanent molar?
selective caries removal complete caries removal
43
how would you manage an extensive proximal lesion in a permanent molar?
stepwise caries removal