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1
Q

Components of clincal goverance

A

openess
clinical audit
research and development
education and training
risk managment
clincial effectiveness

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2
Q

Steps in audit

A

identify prob or issue
set criteria and standrards
observe current practice
compare performance with standards
identifyy changes and implement
reviw audic, set recall intervals

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3
Q

Topicals for cpd

A

radiation protection and radiation
decon
medical emergency
complaints handling
legal and ethical

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4
Q

Veriable CPD

A

100 (10 eery 2years)

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5
Q

3 dimensions of NHS scotland

A

GDP
PDS
Hospital setting

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6
Q

6 dimensions of healthcare

A

Timely
Effective
Equitable
Efficient
Person centred
Safe

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7
Q

Clincial Goverance

A

a sysyemic approach to mainintaing and approving the quality of patient care in the healthcare system

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8
Q

Suspect non accidental injury

A

the story does not add up
delay in seeking tx
behaviour between child and mother
other injuries elese where unusal

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9
Q

Effect of trauma on primary teeth

A

delayed exfoliation
infection and pain
discolouration

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10
Q

Effect of trauma on permanenet teeth

A

ectopic eruption
enamel defects - hypominerialisation, hyperplasia
delayed eruption
crown/ root damage
ankylosis

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11
Q

conditions causing hypodontia

A

down syndrome
ectodermal dysplasia
cleft lip and palate

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12
Q

What does flurosis look like

A

yellow/brown discoluration
chalky appearance/ mottled appearance

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13
Q

Tx for fluorisis

A

microabrasion
bleaching
porcelain venners
composite

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14
Q

How does flurosis works

A

it slows down demineralisation preventing the developemnt of carious lesions
it promotres remineralisation by making enamel more resistant to acid attacks
stops bacterial metabolism (caries inhibiting)

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15
Q

Causes of desquamtive ging

A

pemphigoid
pemphigus
lichen planus

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16
Q

Local casues of desquamtive gin

A

SLS
plq

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17
Q

tx for desquamative ging

A

OHI and good plq control
difflam (anti inf) - bezydamine mw
tacrolimus ointment
metamethasone mw

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18
Q

Acheive haemostasis

A

apply pressure with damp gauze
sutures
diathermy
surgicel
La with vasoconstirctor

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19
Q

Risk factors for bleeding

A

anticogulants
liver diseses
bleeding disorder
alcoohlism

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20
Q

Maxiallary tuberosity fracture symptoms

A

tear in palate
nose
visual mobility

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21
Q

Maxillary tuberosity tx

A

dissect out and close wound
reducing and staiblising

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22
Q

OAC symptoms

A

blunt probe
bubbling of socket
change in sound, echo
direct vision

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23
Q

OAC tx

A

small = encourage clot to form, suture margins
Large - close by buccal advacnement flap, suture, nose blowing insructions

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24
Q

Root in anturm symptoms

A

Radiographically confirm

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25
Root in antrum tx
Rasie flap irrigate cureete suction retirieve roots - endoscopically, Caldwell luc approach Suture back down the flap
26
Causes of denture stomamtis
poor oh and denture hyg keeping denture in at night smoker poor diet ill fitting dentures immunosuppressed
27
Bacteria causing denture stomatitis
candia albicans candida glabrata candia tropcalis
28
Topical tx for denture stomatitis
miconazole or nystatin
29
Initial tx
Provide oh insturctions and denture hyg diet smoking advice
30
RPI
mesial occlusal rest distal proxmial plate i bar clasp
31
How does RPI work
the denture moves towrds the mucosa when under occlsual load, the denture bearing area presses into mucosa and rotates aroudnd the mesial rest Both the distal proximal plate and I bar clasp disengage from abutment tooth and prevents torque
32
Tx for vertical bony defect
surgical regernation - GTR, bone graft Pocket climnation with osseous regernation RSD Elimination - tunnelling, hemisection, XLA
33
Mechanism of vetical bony defect
apical enf of the pocket is beleow the alveolar crest and located in intradental bone casued by localsied - calc, subging plq, overhanging rests, occlusion accumulation of plq bacteria ininates an inflammatory respones which can enter the underlying connnective tissue and bone casuing bone resoprtion 1 wall, 2 wall, 3 wall
34
What to look for for implant assessing
medical hx implications - immunosuppressed, cardiac defect, bisphosphonates smoker perio health and oral hyg bone quality and quantity smile line progonosis of other teeth
35
Trauama stamp
percussion note mobility sinus colour displacement PA
36
Shillings test
for vit b12 defiecincy
37
For pygoenic granuoloma what is a common diagnosis
perpiheral giant cell granuoloma
38
What candidosis is high malginancy rate
chronic hyperplasitc candidiosis
39
Peak age of eryhtema multiforme
20-30 years
40
Mumps
bilateral painful parotid swelling
41
Is pempigus pre cancerous
no
42
What can temporal arteries lead to?
Blindness
43
What disease is koplik's spots found
measles (buccal mucosa and small white spots with red ring)
44
Bullous pemphigoid vs mucous meberane
Bullous = just skin lesions Mucous memebrane = ulcers, red ging and conjunctivitis
45
Herpangia
Coxsackie A infection
46
Kapsi's Sarcoma
rare cancer - HHV 8 small, painlish purplish discououred patterns on skin and mouth
47
Herpangina
coxsackie virus - small blisters or ulcers roof of mouth/throat young children fever and headache
48
Hand, foot and mouth
cosackie virus viral infection that lasts 7-10days contagious - spots/ bumps
49
Site of action for metronidazole
inhibits nucelic acid synthesis
50
Site of action of amoxicillin
cell wall synthesis
51
What type of biopsy for non healing ulcers > 3weeks that are poteintal SCC
incisional biopsy
52
reasons for failed post and core
root fracture crown fracture caries perio resorption perforation
53
Fracture of post and core at the junction
inadequate ferrule trauma - bruxist tooth strucutre loss bacterial interaction
54
Naggar core
amlagam or composite used in posterior teeth pulp chamber small and loss of marginal ridge core extended down root canal tooth by removing 2-3mm
55
Removing post
ultrasonic tip eggler forceps mosquito forceps
56
Manage perio abscess
sub ging insutrmentation just short of base of pocket to prevent itrogenic damage drain abscess through incision or perio pocket 0.2% chx mouthwash antio biotics if spread - pen V 250mg or amxoi 500mg XLA poor progonosis teeth carry out HPT at follow up
57
Causes of erosion
Bullumia GORD Xerostomia Acidic fruits/carbonated drinks Meds Habits - grinding Ashtma inhaler
58
Management of erosion
take full dental, medical and social hx Diet anaylsis High strength toothpaste 2800ppm Durphat varnish OHI and diet advice Desenstising agents if sens
59
Features of try in stage of proths
shade mould speech aesthetics stability retention Free way space
60
Principles of caries removal
identify carious lesion and remove enamel Remove enamel to establish extent of caries at ACJ and smooth margins Remove peripheral caries in dentine from ADJ and circumerferntially deeper Remove deep caries over pulp area Outline form modification Intrnal design modification
61
signs and symptoms of TMD
Trismus Clicking/popping Crepitus Tender MOM Headaches Earachees JAw pain linea alba tongue scappoling attrition
62
Muscles to palpate for TMD
masster and temporalis
63
Management of TMD
soft diet remove stresses physio Tens Soft splint Support jaw when yawning chew food in small pieces avoid chewing gum
64
4 components of SIRS
temp <36 or >38 HR >90/min resp >20 breaths WBC <4 x10^9 or >12x10^9
65
signs of inflammation
size site heat temp swelling colour texture
66
Zygomatic fracture signs and symptoms
visual disturbance numbness dystopia diplopia subconjuctional haemorraghe asymmerty
67
Radiophraph for zygomatic fracture
submentovertiex radiopgraph
68
Managemetn of zygomatic fractutre
Do nothing Closed reduction Open reduction and internal fixation
69
White plq that scraps off leaving read area
pseudomembranous candidosis
70
Medical conditions that cause pseudomembranous candidodsis
Diabetes HIV Immunocompromsied
71
Fluconzale interactions
warfarin - increases bleeding risk Midazolam - incseased sedation Simvasatin - leads to death of muscle fibres (rhabdomyolosis)
72
HPV for oral cancer
16 and 18
73
Ludwig's angina
spreading in the submandibular region airway mangement required, IV antibiotics and surgical drainage
74
Tx for ameloblastoma
surgical resection
75
fractured mandible
OPT and PA
76
% of permanenet damage to lingual nerve
0.5%
77
Unknown white patch biopsy required
incisonal biopsy
78
What age can you supply 50000ppm toothpaste
age 16years and over
79
Tx for primary herpes infection
paracetamol acylovir if significant infection or immunocompromised
80
Malocclusion for cleft lip and palate
Class III
81
Low birth weight associated with
hypodontia
82
Intrusion trauma injury
likely to damage the permanent successor
83
Red complex organisms in perio
P. gingivalis, T.forsythia, T.denticola

FINALS!!! (20 decks)

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