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
Q

Midline diastema under 2 mm closed by

A

canines
if more than 2 mm needs ortho treatment

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26
Q

Fin on tooth crown means

A

J-hook margin

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27
Q

most common caner in US for men

A
  1. skin cancer
  2. prostate cancer
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28
Q

permanent immunity

A

when active immunity last longer than passive (not common)

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29
Q

permanent premolars closes what

A

leeway space

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30
Q

Over time, the curve of Spee typically ______as the bite typically becomes deeper with age.

A

deepens

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31
Q

out of Gow-gates and akinosi which one anesthesize more nerves?

A

Gow-gates: it also does auricotemporal nerve

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32
Q

____ is the second most common oral infection

A

Aspergillosis is a fungal infection that presents as a black or yellow necrotic ulcerative lesion on the palate or posterior tongue
1st = candidiasis

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33
Q

dosage for diazepam for oral sedation before appointment?

A

one 5mg tablet at bedtime on the night before the dental appointment, or one 5mg tablet 1 hour before the appointment.

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34
Q

After an extraction, a bucco-lingual ridge collapse of ____% is expected.

A

40-60

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35
Q

routine test for pt with hepatitis

A

Alanine aminotransferase, alkaline phosphatase, and bilirubin tests

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36
Q

Alanine aminotransferase (ALT) is an enzyme the liver uses___?
Elevated alt means?

A

to make glycogen. Elevated ALT levels indicate active hepatocyte damage

37
Q

Alkaline phosphatase (ALP) is an enzyme the body uses ??
Elevated ALP means

A

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
Q

Nitrous contraindicated in pt

A

COPD, emphysma, upper respiratory infection but NOT asthma

39
Q

myospasm

A

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
Q

what can be used to diagnose the symptoms of myospasm

A

Electromyography

41
Q

The recommended follow-up for dental trauma involving subluxation or luxation ____ weeks

A

is two weeks.

42
Q

why not give nitrous oxide to pregnant women

A

due to its ability to slow cell division and oxidize vitamin B12, a critical vitamin for folate synthesis.

43
Q

steps after implant placement,

A

hemostasis
inflammation
proliferation
maturation/remodeling

44
Q

time frame for hemostasis in implant placement
- inflammation
- proliferation
- maturation/remodelin

A

minutes to hours
inflammation: hours-seven das
proliferation: one-six weeks
- maturation/remodelin: six weeks-years

45
Q

Wht happens in proliferation step of implant placeent

A

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
Q

Mallory-Weiss tear

A

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
Q

Boerhaave’s syndrome is a

A

spontaneous rupture of the esophagus caused by built up internal pressure associated with vomiting

48
Q

Dental water lines should be flushed when?

A

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
Q

Rhematoid arthritis what type of hypersensitivity

A

type 3

50
Q

Findings of Cerebrovascular accident (stroke)

A

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
Q

Streptococcal pharyngitis causes

A

sore throat, temperature greater than 100.4°F, tonsillar exudate, and enlarged cervical lymph nodes.

52
Q

Bacterial endocarditis occurs when bacteria

A

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
Q

Viscous lidocaine (Lidoderm® ) is a t

A

topical local anesthetic that can be used for temporary pain relief.

54
Q

A common oral side effect of radiation therapy is oral mucosa?

A

mucositis, which can lead to painful ulcerations and infections in the oral mucosa.

55
Q

Overdentures supported by osseointegrated implants

A

increased maintainence of posterior alveolar bone

56
Q

between maxilla and mandible which one has poor osseointegration and why?

A

maxillary overdentures have been shown to have slower and poorer osseointegration due to the decreased bone density found in the posterior maxilla.

57
Q

tomes process

A

histologic landmark on secretory end of ameloblasts

58
Q

Striae retzius

A

incremental growth lines found on developing enamel which represents successive apposition of enamel and weekly variation in mineralization

59
Q

Herptetic whitlow

A

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
Q

minimum amount of attached gingiva required for proper hygiene maintenance of an implant is

A

1mm attached gingiva, 2 mm keratinized gingiva

61
Q

How can SSRis icrease bleding risk?

A

serotonin is inhibited which is imp for platelet function, resulting in blood clotting impairment

62
Q

what is Amyloidosis and causes what?

A

Amyloidosis causes a build up of protein in the cardiac tissue.
most commonly causes restrictive cardiomyopathy

63
Q

what is condylotomy done for

A

procedure where the mandibular ramus is cut vertically and the condyle is repositioned to increase joint space.

64
Q

Vitamin K dependent factors

A

Fac 2, 7, 9, 10
(Factor 2: prothrombin)

65
Q

Types of pain:
1. Neuropathic
2. Referred
3. Chronic
4. Psychosomatic

A
  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
Q

Rentention in detures for what type of forces

A

vertical displacement away from denture-bearing areas
- by direct retainer such as clasps

67
Q

support detures for what type of forces

A

Support is the resistance to vertical movement of the denture base toward the ridge
-provided by rest seats

68
Q

Vertical dimension of occlusion (VDO) is determined with

A

measurements from wax rims, facial esthetics, and phonetic tests.

69
Q

stability detures for what type of forces

A

Resistance to horizontal or rotational forces
- provided by a metal framework and denture base

70
Q

Structure in tooth bearing RPD is provided by

A

denture base and underlying framework

71
Q

Glassgow coma scale

A

eye-opening, motor and verbal response

72
Q

Wrought wire clasps are recommended

A

for teeth with concerns of providing too much stress or torque on the abutment teeth

73
Q

Mallampati score assesses

A

how much of the patient’s soft palate and uvula is visible during tongue protrusion.

74
Q

radix paramolars

A

additional third root located mesiobuccally

75
Q

radix entomolaris

A

additional third root located distolingual in the mandibular first molar

76
Q

Intracoronal clasps

A

indicated for extreme esthetic demands, do not provide stress relief to distal extension RPDs

77
Q

Behcet’s disease symptoms

A

oral lesions, knee enlargement, and neck swelling.

78
Q

Zirconia crystal structure that is disorganized and is opaque

A

monoclinic

79
Q

zirconia crystal structure that is more ordered configuration and increased tanslucency

A

cubic phase

80
Q

zirconia crystal structure that is formed by heated monoclinic zirconia and stabilizer

A

tetragonal

81
Q

difference between indirect pulp cap and direct pulp cap

A

Indirect: when not pulp exposure you see pinkish : use Calcium hydroxide

Direct: when pulp exposure: use MTA

82
Q

Hypopnea

A

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
Q

IN OSA, F/M more prone?

A

Male 2-3 times

84
Q

Key symptoms of hypothyroidism

A

Lethargy

85
Q

Key symptoms of hyperthyroidism

A

increase appetite, insomnia, anxiety

86
Q

Synersis

A

decrease/shrinkage of material due to loss of water

87
Q

Inhibition

A

increase in size through absorption of water

88
Q
A