Random Flashcards

1
Q

Beading in RPD does what

A

maxillary major connector of an RPD and maintains tissue contact to prevent food impaction.
It involves scribing a 0.5 mm rounded groove in the cast at the borders of the major connector.

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2
Q

PDL made of

A

sharpey fibers

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3
Q

infection in canine space usually due to what teeth

A

max incisors and canines
swelling of upper lip, canine fossa and periorbital tissue

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4
Q

____ It is commonly used to diagnose thromboses and thrombotic disorders.

A

D-dimers

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5
Q

dental collapse during etching means

A

remove smear layer, create micro-porosities, expose collagen, and widen dentinal tubules.

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6
Q

Guide planes determine what?

A

path of insertion and maximize retention of RPD

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7
Q

epidermal growth factor EGF stimulates cell growth by what receptors

A

by tyrosine kinases.

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8
Q

When patient taking IV bisphosphonates, can you extract teeth

A

NO, avoid at all
not even wait or drug holiday can manage BRONJ

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9
Q

Components of resin composite

A

Bis-GMA, silane (coupling agent) , silica(filler material), UV stabilizer

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10
Q

Inferential statistics

A

involves making conclusions based on outcomes of study

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11
Q

Carbon dioxide is primarily transported as _____ from tissues to the lungs.

A

bicarbonate

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12
Q

nasal cavity infection caused by what teeth

A

max molars and second premolars

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13
Q

Active immunity

A

when a person is directly exposed to a disease or organism, acquires the disease, and develops immunity to the pathogen.

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14
Q

The most common area for metastasis for prostate cancer is the

A

bone

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15
Q

A tingling sensation in the hands and wrist pain are symptoms associated with _____ syndrome.

A

carpel tunner

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16
Q

artificial immunity

A

vaccine

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17
Q

A posterior crossbite with a functional shift should be corrected

A

as soon as possible prior to palatal suture fusion.

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18
Q

The palatal suture can fuse as

A

early as 11 to 17 years old

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19
Q

Passive immunity

A
  • when person received active antibodies from another source like nother to child passed through fetus or breast milk
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20
Q

buccal space infections caused by what teeth

A

bicuspid and molar infections

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21
Q

One of the most common musculoskeletal injuries in dentists is

A

trapezius muscle pain

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22
Q

What test is best to test Myocardial infarction

A

First lime: cardiac troponins (Troponin i and C) but they take 2 WEEKS to normalize
2ND LINE: CREATINE PHOSPHOKINASE-MB (CPK-MB) takes 48-72 HOURS after myocardial ischemia.

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23
Q
A
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24
Q

why titanium most modern dental implant

A

are biocompatible and have the ability to osseointegrate with bone.

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25
Midline diastema under 2 mm closed by
canines if more than 2 mm needs ortho treatment
26
Fin on tooth crown means
J-hook margin
27
most common caner in US for men
1. skin cancer 2. prostate cancer
28
permanent immunity
when active immunity last longer than passive (not common)
29
permanent premolars closes what
leeway space
30
Over time, the curve of Spee typically ______as the bite typically becomes deeper with age.
deepens
31
out of Gow-gates and akinosi which one anesthesize more nerves?
Gow-gates: it also does auricotemporal nerve
32
____ is the second most common oral infection
Aspergillosis is a fungal infection that presents as a black or yellow necrotic ulcerative lesion on the palate or posterior tongue 1st = candidiasis
33
dosage for diazepam for oral sedation before appointment?
one 5mg tablet at bedtime on the night before the dental appointment, or one 5mg tablet 1 hour before the appointment.
34
After an extraction, a bucco-lingual ridge collapse of ____% is expected.
40-60
35
routine test for pt with hepatitis
Alanine aminotransferase, alkaline phosphatase, and bilirubin tests
36
Alanine aminotransferase (ALT) is an enzyme the liver uses___? Elevated alt means?
to make glycogen. Elevated ALT levels indicate active hepatocyte damage
37
Alkaline phosphatase (ALP) is an enzyme the body uses ?? Elevated ALP means
to break down protein. The liver is one of the main sources for ALP; therefore, elevated levels of it can suggest damage to the liver or hepatitis.
38
Nitrous contraindicated in pt
COPD, emphysma, upper respiratory infection but NOT asthma
39
myospasm
myospasm is a sudden, involuntary tonic contraction of a muscle will present with pain at rest, active and passive restricted range of motion, and a muscle that is painful to palpation
40
what can be used to diagnose the symptoms of myospasm
Electromyography
41
The recommended follow-up for dental trauma involving subluxation or luxation ____ weeks
is two weeks.
42
why not give nitrous oxide to pregnant women
due to its ability to slow cell division and oxidize vitamin B12, a critical vitamin for folate synthesis.
43
steps after implant placement,
hemostasis inflammation proliferation maturation/remodeling
44
time frame for hemostasis in implant placement - inflammation - proliferation - maturation/remodelin
minutes to hours inflammation: hours-seven das proliferation: one-six weeks - maturation/remodelin: six weeks-years
45
Wht happens in proliferation step of implant placeent
Junctional epithelium around implant evident at 2 weeks Tissue maturation and collagen fiber organization are evident at 4-6 weeks Formation of biologic width and barrier epithelium evident at 6 weeks
46
Mallory-Weiss tear
is a mucosal esophageal tear commonly where the stomach meets the esophagus at the gastroesophageal junction. This tear is most commonly caused by long term coughing or vomiting.
47
Boerhaave’s syndrome is a
spontaneous rupture of the esophagus caused by built up internal pressure associated with vomiting
48
Dental water lines should be flushed when?
2 min beginning of the day and minnimum of 20 seconds between patients Bacterial load should be less than 500 colonies forming units/mL
49
Rhematoid arthritis what type of hypersensitivity
type 3
50
Findings of Cerebrovascular accident (stroke)
BE FAST B: Balance (dizziness, headache) E: Eyes (loss of vision or blurry vision in one or both eyes) F: Face (facial numbness or droop) A: Arm (arm numbness or weakness) S: Speech (difficulty with speech, slurred speech) T: Time (to call 911)
51
Streptococcal pharyngitis causes
sore throat, temperature greater than 100.4°F, tonsillar exudate, and enlarged cervical lymph nodes.
52
Bacterial endocarditis occurs when bacteria
enters the bloodstream and travels to the heart. The bacteria attach to the damaged heart valves or tissue and cause a life threatening inflammation.
53
Viscous lidocaine (Lidoderm® ) is a t
topical local anesthetic that can be used for temporary pain relief.
54
A common oral side effect of radiation therapy is oral mucosa?
mucositis, which can lead to painful ulcerations and infections in the oral mucosa.
55
Overdentures supported by osseointegrated implants
increased maintainence of posterior alveolar bone
56
between maxilla and mandible which one has poor osseointegration and why?
maxillary overdentures have been shown to have slower and poorer osseointegration due to the decreased bone density found in the posterior maxilla.
57
tomes process
histologic landmark on secretory end of ameloblasts
58
Striae retzius
incremental growth lines found on developing enamel which represents successive apposition of enamel and weekly variation in mineralization
59
Herptetic whitlow
They resolve on their own on your fingers caused by herpes simplex virus acyclovir are effective in early stage latent resides in dorsal root ganglion
60
minimum amount of attached gingiva required for proper hygiene maintenance of an implant is
1mm attached gingiva, 2 mm keratinized gingiva
61
How can SSRis icrease bleding risk?
serotonin is inhibited which is imp for platelet function, resulting in blood clotting impairment
62
what is Amyloidosis and causes what?
Amyloidosis causes a build up of protein in the cardiac tissue. most commonly causes restrictive cardiomyopathy
63
what is condylotomy done for
procedure where the mandibular ramus is cut vertically and the condyle is repositioned to increase joint space.
64
Vitamin K dependent factors
Fac 2, 7, 9, 10 (Factor 2: prothrombin)
65
Types of pain: 1. Neuropathic 2. Referred 3. Chronic 4. Psychosomatic
1. Neuropathic pain is due to damage of the nervous system and is usually burning and tingling in sensation. 2. Dental pain can be felt at a site other than the origin of the pain. 3. Chronic pain is described as pain that lasts longer than 3 months despite medical intervention. 4. person’s emotional and mental stress causes physical pain.
66
Rentention in detures for what type of forces
vertical displacement away from denture-bearing areas - by direct retainer such as clasps
67
support detures for what type of forces
Support is the resistance to vertical movement of the denture base toward the ridge -provided by rest seats
68
Vertical dimension of occlusion (VDO) is determined with
measurements from wax rims, facial esthetics, and phonetic tests.
69
stability detures for what type of forces
Resistance to horizontal or rotational forces - provided by a metal framework and denture base
70
Structure in tooth bearing RPD is provided by
denture base and underlying framework
71
Glassgow coma scale
eye-opening, motor and verbal response
72
Wrought wire clasps are recommended
for teeth with concerns of providing too much stress or torque on the abutment teeth
73
Mallampati score assesses
how much of the patient’s soft palate and uvula is visible during tongue protrusion.
74
radix paramolars
additional third root located mesiobuccally
75
radix entomolaris
additional third root located distolingual in the mandibular first molar
76
Intracoronal clasps
indicated for extreme esthetic demands, do not provide stress relief to distal extension RPDs
77
Behcet’s disease symptoms
oral lesions, knee enlargement, and neck swelling.
78
Zirconia crystal structure that is disorganized and is opaque
monoclinic
79
zirconia crystal structure that is more ordered configuration and increased tanslucency
cubic phase
80
zirconia crystal structure that is formed by heated monoclinic zirconia and stabilizer
tetragonal
81
difference between indirect pulp cap and direct pulp cap
Indirect: when not pulp exposure you see pinkish : use Calcium hydroxide Direct: when pulp exposure: use MTA
82
Hypopnea
decreased breathing with: 1. Over a 30% reduction in airflow 2. Lasting 10 seconds or more 3. 4% or greater desaturation in oxygen levels
83
IN OSA, F/M more prone?
Male 2-3 times
84
Key symptoms of hypothyroidism
Lethargy
85
Key symptoms of hyperthyroidism
increase appetite, insomnia, anxiety
86
Synersis
decrease/shrinkage of material due to loss of water
87
Inhibition
increase in size through absorption of water
88