DSCE HIGH YIELD Krystal B

Purpose of dialysis Remove potential toxicities from blood

IL-1 Inflammatory cytokine
Cyclosporine Immunosuppressant used in transplant patients. Causes gingival hyperplasia
CYCLOSPORINE IS AN IMMUNISUPPRESANT THAT IS USED IN
TRANSPLANT PT. CAUSES GINGIVAL HYPERPLASIA
Periodontal disease and diabetes Glucose level increased
Cause for cement failure Increased solubility eka
Before trimming teeth on stone cast for immediate Mark a line 3 mm above the free gingival margin
denture, you must
What analgesic can be safely given to someone Tylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin
w/kidney disease NSAIDS ARE THE MAJOR CAUSE OF RENAL INSUFFICIENCY IN THE
ELDERLY. NSAIDS WILL DECREASE THE SYNTHESIS OF RENAL
PROSTAGLANDINSTHE PROSTAGLANDINS WOULD VASODILATE
RENAL ARTERIES, BUT IF THEY ARE NOT BEING PRODUCED THEN
THERE IS A REDUCTION IN RENAL BLOOD FLOW.
IF A PT HAS A KIDNEY DZ GIVE THEM ACETOMINOPHEN FOR
ANALGESIATHATS IT!
Patients on dialysis. Where do you take their blood Not on the side where the shunt was placed for dialysis
pressure?
How do you prevent syncope Trendelenburg position. PT SHOULD BE IN THE SUPINE POSITION WITH THE
FEET SLIGHTLY HIGHER THAN THE HEAD
How do you treat syncope Trendelenburg position. If breathing present, crush ammonia ampule under nose and
admin oxygen. If no breathing, start BLS
Best position of a finish line on a short clinical crown Subgingival? Or At gingival margin? eka
Child with fibrous dysplasia, what do you do next Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic
concern. For children, surgical intervention should be delayed for as long as possible
What does pneumatization look like

Treatment of someone who has allergy to barbiturate Antihistamine(Benadryl)

Can you treat a patient who had hep A one year ago?
Panorex: gasting rings?
When are immediate dentures evaluated
How long do you keep dressing on after perio
treatment?
Treatment for primary herpetic gingivostomatitis
Long term antibiotic therapy can result in
Ortho treatment can result in
Symptoms of eagles syndrome
Purpose of coating dies by lab in construction of fixed
partials
Yes
eka
24 hours, (72 hours?) 1 week, 1 month. Every 3 months eka
Pack is kept for 1 week after surgery
Palliative bc you only treat fever and pain (treat the pain)
WE CAN ONLY TX FEVER AND PAIN FOR PRIMARY HERPETIC
GINGIVOSTOMATITIS
Candida (pt. was taking penicillin and had burning mouth)
Extertion root resorption or recession eka
facial pain, especially while swallowing, pain when turning the head, or opening the
mouth. Other symptoms may include dysphagia, dysphonia, otalgia(EAR PAIN),
headache, dizziness, and transient syncope.
Elongation of styloid process//mineralization of stylohyoid ligament
To allow space for cement

1 Kben
Identify vertical root fracture

VERTICAL ROOT FRACTURES WILL HAVE J SHAPED APPEARANCE AND

WILL ENCOMPASS THE ENTIRE ROOT eka

Contraindication for patient w/hyperthyroid Epinephrine eka

White stained teeth: fluorosis

Opalescent hue: dentinogenesis imperfecta

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 Figure 2-103 Dentinogenesis imperfecta.
Radiograph of dentition exhibiting bulbous crowns, cervical constriction, and
obliterated pulp canals and chambers.

Enamel flaking: amelogenesis imperfecta

Figure 2-89 Hypoplastic amelogenesis imperfecta, generalized pitted pattern.

Figure 2-93 Hypoplastic amelogenesis imperfecta,

rough pattern.
Small, yellow teeth with rough enamel surface, open
contact points, significant attrition, and anterior open
bite.

Figure 2-92 Hypoplastic amelogenesis imperfecta, autosomal dominant

smooth pattern.
Radiograph of the same patient depicted in Figure 2-91. Note the thin peripheral
outline of radiopaque enamel. (Courtesy of Dr. John G. Stephenson.)

Figure 2-94 Hypoplastic amelogenesis imperfecta,

rough pattern.
Radiograph of the same patient as depicted in Figure
2-93. Note the impacted tooth and the thin peripheral
outline of radiodense enamel.

Figure 2-96 Hypomaturation amelogenesis imperfecta, snowcapped pattern.

Dentition exhibiting zone of white opaque enamel in the incisal and occlusal one
fourth of the enamel surface. (Courtesy of Dr. Heddie O. Sedano.)

Figure 2-95 Hypomaturation amelogenesis

imperfecta.
Dentition exhibiting mottled, opaque white enamel
with scattered areas of brown discoloration.

Best treatment for tetracycline stain Porcelain veneers

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Facial reduction for PFM crown 1.5 mm
Identify pulp stones. Whats complication to this? Makes RCT complicated

FIGURE 11-7
Calcifications (pulp stones [or denticles]) are visualized in the chambers. Their
discrete appearance surrounded by radiolucent spaces shows these calcifications to
be natural and not formed in response to irritation. (Courtesy Dr. T. Gound.)

Can transillumination be used to identify cracks? yes

Can pocket depth be determined from xray? No
Traumatic ulcer. What is treatment when this occurs Observe and Re-evaluate
after extraction?

Figure 2-1 Acute traumatic ulcer.

Patient with tenderness anterior to earlobe Inflammation of stensons duct

A patient has diabetes. He forgot to take insulin but ate Patient would get worse
a good breakfast. If you gave him sugar, what would
happen
After sc/rp, patient notices more spaces between teeth. Decreased swelling of gingival
Why?
x-ray with herring bone effect(tire track appearance). Film placed backwards eka
Whats wrong?
What film requires least amount of radiation E speed
How much epi can you give a patient with BP 160/110 None! Dont give tx. Refer to physician

4 Kben
Type of pontic to replace a premolar (bridge 7-10) Modified ridge lap pontic

Patient with history of slow growing mandible for 10 Hyperpituitarism eka

years
Patient w/history of weight gain, deepening voice, dry Hypothyroidism
skin
Exopthalmos hyperthyroidism
Patient with hyperpigmentation of oral cavity Addisons

Figure 17-29 Addison's disease.

Diffuse pigmentation of the floor of the mouth and ventral tongue in a patient with
Addison's disease. (Courtesy of Dr. George Blozis.)
HYPOADRENALISM eka
Treatment of addisons Corticosteroid replacement therapy
Recurrent ulcers that heal with scarring Major apthous ulcersMAJOR APHTHOUS HEALS WITH SCARRING
Treatment of major apthae Corticosteroids
Supernumerary teeth Gardners (clavicles present) or cleidocranial dysplasia
Tx of mucocele Surgical removal
Patient with terrible perio, when should immediate After perio intervention
denture be constructed
Why porcelain teeth should never appose natural Attrition
dentition
Best teeth to appose natural dentition Acrylic
Clinical picture of 14 y.o. with inflamed gingival Leukemia eka (fatigue, low platelets, high WBCs)

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Best way to communicate outcome with lab tech Diagnostic wax up
Ideal amount of undercut required for circumferential .01 inch
clasp
Reason for gingivitis during pregnancy Pregnancy exaggerates gingival response to plaque. Due to increase in estrogen and
progesterone
Treatment of extra oral abscess which is non- Hot compress
odontogenic in origin.
Tx of ranula Surgical removal
Identify basal cell carcinoma

Figure 10-131 Basal cell carcinoma.

Noduloulcerative lesion of the upper lip demonstrating telangiectasia and small
ulceration.

Patient with no hair, no teeth Ectodermal dysplasia

Biopsy shows hyperkeratosis, dysplasia, no invasion Precancer hyperkeratosis ??? eka
Tx for geographic tongue None
Identify nicotinic stomatitis

Figure 10-84 Nicotine stomatitis.

This extensive leathery, white change of the hard palate in a pipe smoker is sprinkled
throughout with numerous red papules, which represent inflamed salivary duct
openings. The gingival mucosa also is keratotic.

Identify varicose tongue. Is this normal? Is it sign of

aging? 2 questions on varicose veins
Know phelibitis- most serious side effect? Pulmonary
emboli?

Figure 1-27 Varicosities.

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Patient has a short crown. Which cement is best?
When do you not use a thyroid collar
How often is autoclave checked
Multiple purple dilated veins on the ventral and lateral surface of the tongue.
This is normal and a part of aging
Resin cement
When taking a panorex
Once a week
121 degrees at 15-20 psi for 20 min Check for b. Stearothermophillus

Reason sealants fail Contamination

Tx of candidiasis Nyastatin
Tx of lichen planus corticosteroids
If patient becomes unconscious, what do you check Breathing
first
CPRplacement of palm and fingers Palm on lower sternum, fingers on xiphoid process
Are teeth vital in ameloblastomas? yes
Sickle cell anemia (black male) Increase fatigue, increase in bone marrow space. Decreased trabeculation eka
The following reduce radiation dose Rectangular collimation, E speed, higher kV or constant beam, lead apron, quality
assurance program
Static before processing can result in Dark spot or lines on x ray
Identify thrombocytopenia eka
Identify mucus retention cyst Radioopaque, unilocular lesion in the max sinus eka
Identify mental ridge

FIG. 9-45 Mental ridge (arrows) on the anterior surface of the mandible, seen
as a radiopaque ridge.

Normal blood values Platelets: 150,000-400,000 eka

Platelets RBC: 4.6 -6.2 million
RBCs Hg: 13 mg
WBCs WBC: 9,700
Hg
Picture of max central and lateral. Why might bridge Bending of bridge
fracture?
Amalgam needs to be replaced. Whats ideal Onlay
restoration
identify erosion
- Had a question to identify either erosion of
abrasion

Figure 2-15 Erosion.

Extensive loss of buccal and occlusal tooth structure. Note that the amalgam margins
are above the surface of the dentin.
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 Patient must avoid foods with low pH
Identify mesiodens
Treatment of mesiodens Surgical removal and ortho consult
Why might a patient be taking lovastatin an vasotec? Lovastatin is cholesterol lowering
Vasotec is antihypertensive
Patient faints and is unconscious in chair. What do you Ensure open airway
do?
What radiograph to visualize sinus Waters view
Purpose of try in for immediate dentures VDO (look below)
When is reline of immediate denture performed by 3 to 6 months
laboratory
When is alternate cast technique done After processing denture
Advantage of immediate denture Esthetics
Should treatment be delayed in uncontrolled diabetic Of course! (medical consult)
Identify retentive and bracing arm

What causes loss of lamina dura eka Hyperpituitarism, hyperparathyroidism, osteomalacia, pagets, fibrous dysplasia
LOSS OF LAMINA DURA CAN BE SEEN IN HYPERPITUITARISM, PAGETS,
FIBROUS DYSPLASIA, OSTEOMALACIA AND HYPERPARATHYROIDISM
Petechiae of soft palate can be caused by Infectious mono

Figure 7-21 Infectious mononucleosis.

Numerous petechiae of the soft palate. (Courtesy of Dr. George Blozis.)
INFECTIOUS MONO HAS NUMEROUS PETECHIAE ON THE SOFT PALATE
Hyperemia of tooth Reddish dentin. Tooth appears dark
Test for heparin vs warfarin Heparin: PTT HEPARIN IS AN ANTICOAGULANT. HEPARIN IS FOUND IN
MAST CELLS AND PREVENT FUTURE CLOTS FROM FORMING
Warfarin/coumadin: PT and INR
What antibiotic can cause red spots on the arm Penicillin
Repeatedly adjusting clasps on RPD will cause clasp Increased metal fatigue OR increased modulus of elasticity
breakage due to
Syncope vs anaphlylaxis Syncope: loss of consciousness due to decreased oxygen flow
Anaphylaxis: allergic reaction causing closure of airways
8 Kben
The lab tech surveys which cast Master cast
Distobuccal cusp of mand molar occludes with Central fossa
Correction of recession on canine Lateral reposition flap/sliding flap
Patient on long term tetracycline therapy. Returns Clotrimazole
complaining of burning tongue. Smear results are
yeast and fungi. Whats treatment
Identify anemia based on lab values Hb less than 12.5
Symptoms of hyperpituitarism Excess hormones (gigantism, acromegaly, etc)
Pleiormorphic adenoma Most common salivary neoplasm

Figure 11-33 Pleomorphic adenoma.

Slowly growing tumor of the parotid gland.

Symptoms of MI Burning chest, numb arm, pain in jaw (NOT pounding heart)
Treatment of bells palsy eka Histamine and vasodilators may shorten duration. As well as systemic
corticosteroids and hyperbaric oxygen therapy. Surgical decompression. Topical
ocular antibiotics and artificial tears to prevent corneal ulceration. Recovery in 6
months usually
Pregnant women is allergic to penicillin. What do you Clindamycin
premedicate her with?
HIV patient with purple red lesion on ventral tongue Kaposi
Treatment of dry socket Iodofrom gauze with Eugenol impregnanted pellet. Do NOT curette
Tx of oroantral fistula Buccal slide flap
Which is not an etchant or conditioner BIS GMA is NOT (yes to citric, maleic, phosphoric acid_
BINDING MATERIAL IN MICROFILLED RESINS IS BISGMA
Stopped at page 14 of journal document hudental2008@yahoo.comteeth08
Fusion vs germination Fusion: two buds. Germination- one root

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Figure 2-55 Fusion.
Double tooth in the place of the mandibular right lateral
incisor and cuspid.

Figure 2-56 Fusion.

Radiographic view of double tooth in the place of the
mandibular central and lateral incisors. Note separate
root canals.

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Figure 2-52 Bilateral gemination.
Two double teeth. The tooth count was normal when
each anomalous tooth was counted as one.
GEMINATION NORMAL TOOTH COUNT

Figure 2-54 Gemination.

Same patient as depicted in Figure 2-53. Note the bifid
crown and shared root canal.

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Periapical cemental dysplasia

Figure 88 Periapical cementoosseous dysplasia.

CDC Requires protection of staff//changing of gloves after each patient

Identify nutrient canals

Fig. 15-18.
Nutrient canal. A, These canals are frequently prominent between the roots of the
mandibular incisors, and they terminate as small foramina on the crest of the
interseptal bone. B, The prominent nutrient canal (arrow) in this view could be
mistaken for a fracture. C, The prominence of this unusually large nutrient canal or
accessory foramen (arrow) is produced by directing the x-rays parallel to the canal.

Expired or aged film will appear To light

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TABLE 4-1 Intraoral Projection or Technique Errors eka
Histo of fibroma Nodular mass of CT covered by squamous epi
Full lower denture with over extended distobuccal Masseter
flange causing denture to dislodge. What muscle is
impinged?
Trouble swallowing- distolingual
Coumadin test PT
Tx of dentigerous cyst Surgical removal of cyst and tooth
Sialolith is visible on xray. What duct is this? Wartons
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You are having difficulty selecting shade for PFM.
You should
What are usual complications after insertion
If you notice occlusial interference after insertion,
when should you make adjustments?
Best teeth to appose natural dentition
Patient had slow growing jaw for 10 years
2nd molar below plane of occlusion
Outcome of direct pulp cap would be better in young
or old teeth?
After SC/RP
Purpose of palatal expander
What is NOT an acceptable surface disinfectant?
Ideal amount of undercut for circumferential clasp
What is effect of hydrocholorithiazide on
a) periodontium
b) complete denture
Composite to close diastema
Clinical picture of gutta percha introduced to sinus
tract. It does not go to apex
Patient with tenderness anterior to earlobe. I/O exam
reveals inflamm of stensons duct. What do you do
Clinical picture of PM with enamel hyperplasia. What
could this be caused by
Focal sclerosing osteomyelitis AKA condensing
osteitis
Decrease gray and decrease hue eka
Working or non-working interference
At insertion
Acrylic
Hyperpituitarism
Ankylosis
Young teeth
Long junctional epi is formed
Corrects crossbite
FIGURE 1-13
Posterior crossbite exists when the maxillary posterior
teeth are lingually positioned relative to the mandibular
teeth, as in this patient. Posterior crossbite most often
reflects a narrow maxillary dental arch but can arise
from other causes.
Alcohol based (phenol, chlorine, and iodine is acceptable)
.010
a) no effect on periodontium
b) decreased retention of complete denture bc of decreased salivation
Hybrid
Therefore its a perio abscess
Stimulate paratid gland checking for exudates
Trauma or infection of primary tooth
Localized areas of bone sclerosis associated with the apices of teeth with pulpitis
(from large carious lesions or deep coronal restorations) or pulpal necrosis are
termed condensing osteitis.
CONDENSING OSTEITIS IS A LOCALIZED AREA OF BONE SCLEROSIS
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 THAT CAN BE SEEN IN TEETH WITH PULPITIS, LARGE CARIOUS
LESIONS OR DEEP CORONAL RESTORATIONS

Figure 3-53 Condensing osteitis.

Increased areas of radiodensity surrounding the apices of the nonvital mandibular
first molar.
Most stable impression material PVS
Most accurate impression material Reversible hydrocolloid
Disadvantage of irreversible hydrocolloid Dehydration
Tooth to receive PFM crown is sensitive to cold. What Glass ionomer //polycarboxylate
is cement of choice
Size of post should not exceed 1/3 diameter of canal
What type of fluoride should NOT be used by patient Acidulated phosphate fluoride
wearing PFM crowns
xray of patient with RCT on both centrals. Left central
looks incompletely filled. Look closer for the vertical
fracture
Lab report of hyperkeratosis, dysplasia, no invasion Precancer hyperkeratosis
Panorexgasting rings ??
You are going to restore crown and down. The crown Not less than length of crown 11 mm
is 11 mm. how long will the down be?
Disadvantage of PFM over all ceramic Esthetics
Disadvantage of all ceramic over PFM Tooth reduction
Post op sensitivity due after crown placement Leakage of microorganisms?/
Most injurious cement to pulp Zinc phosphate
Reason for cement failure Solubility
Which cement does not form chemical bone with Zinc phosphate
tooth MECHANICAL BOND IS FORMED WITH PHOSPHORIC ACID
What cement should you use with a short crown Resin cementRESIN CEMENT SHOULD BE USED ON SHORT CLINICAL
CROWNS
Tx of lichen planus Corticosteroids LICHEN PLANUS CAN BE TXED WITH CORTICOSTERIODS
X ray of 3 lower splinted teeth. Whats purpose For perio stabilization for more comfort for patient
You diagnose patient with bells palsy. What do you do Refer to neurologist
next
Tx of medial palatal cyst Surgical removal
Rx of heart shape RL between 8 and 9. both teeth are Incisive canal cyst
vital
Know SLOB when asked to identify canal Mesiolingual canal (on repeats)
Identify hereditary telangiectasia AD, diagnosed bc of freq nosebleeds. These papules BLANCH

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 Figure 16-24 Hereditary hemorrhagic telangiectasia (HHT).
The tongue of this patient shows multiple red papules, which represent superficial
collections of dilated capillary spaces.
Identify black hairy tongue. How do you treat it?
a black appearance of the dorsal surface of the tongue; caused by elongated filiform
papillae (with accumulation of keratin on filiform) and an accumulation of dark
pigments, microorganisms, and food debris.

Usually associated w/smokers. Caused by: Antibiotic therapy,Poor oral

hygiene, General debilitation, Radiation therapy, Use of oxidizing
mouthwashes or antacids, Overgrowth of fungal or bacterial organisms

Treatment: this is benign. Eliminate predisposing factors. Perform excellent OH.

Tongue scraper
Identify: horizontal striations on tongue Maybe:

Figure 7-43 HIV-associated oral hairy leukoplakia (OHL).

Vertical streaks of keratin along the lateral border of the tongue.

Figure 9-35 Contact stomatitis from cinnamon flavoring.

Left lateral border of the tongue demonstrating linear rows of hyperkeratosis that
resemble oral hairy leukoplakia.

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 Figure 10-60 Homogeneous or thick leukoplakia.
A diffuse, corrugated white patch on the right ventral surface of the tongue and floor
of mouth.
Granular cell tumor

Figure 12-79 Granular cell tumor.

Submucosal nodule on the dorsum of the tongue.

Figure 16-80 Erythema migrans.

Striking involvement of the dorsal and lateral surfaces of the tongue.

Figure 16-91 Lichen planus.

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 With involvement of the dorsal tongue by reticular lichen planus, the characteristic
interlacing striae seen in the buccal mucosal lesions are usually not present. Instead,
smooth, white plaques are typically observed replacing the normal papillary surface
of the tongue.

What is inside ranula? Mucous fluid

Identify midline mandibular fracture Notice step between 24 and 25
Rinn system
a film-positioning device with aiming capability made from a combination of plastic
and stainless steel that is especially suited to the paralleling technique.
Will acid etch allow for chemical bonding No
Do calcium channel blockers cause gingival Yes
enlargement(nifedipine)
Is the tongue space given consideration when setting No
denture teeth?
Maximum amount of unsupported enamel when 2 mm
making a PFM
Denture patient complains of cheek biting. Whats Posteriors edge to edge.
problem and how do you treat To correct: grind buccal of lower posterior
Turner tooth

Figure 16-24 Enamel hypocalcification (Turner's tooth).

Image of mandibular teeth with lingual appliance, Tipping them labially
banded molars, lingually inclined laters. Whats
appliance doing (metal maxillary appliance)
Whats sequence of tx for relining complete dentures Build up posterior occlusion, then reline
that show wear
HIV treatment No invasive procedures unless CD4 and platelets are in good range
Tx of lingual tonsils Salt water rinses
Best tx for epulus fissuratum Surgical removal and new dentures
Enlarged nose, mandible, extremities, dry skin, voice Hyperpituitary
change
Tx of angioedema Antihistamines
Tx of ASYMPTOMATIC lichen planus None. Corticosteroids if symptomatic
Identify nasal fossa

FIG. 9-18 The anterior floor of the nasal fossa (arrows) appears as opaque lines
extending laterally from the anterior nasal spine.

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2 very swollen tonsils normal color. Whats this due to
Tx of traumatic bone cyst
Who regulates eyewear protection for dentist
Thermal food burn (blister on the lower lip)
Tx: palliative
Best results for guided tissue regeneration
Actinomycosis
Tx of liver clot (blood clot) after extraction
Surveyor table tilted around 30 degrees. What will this
do
Measure attached gingival
Punched out RLs in skull
When can nonrigid connectors be used in FPDs
When are semi precision attachments used
Patient is taking ibuprofen for many months. Woke up
one morning, rubbed eyes, noticed red patch. What
FIG. 9-31 The anterior border of the maxillary sinus (white arrows) crosses the
floor of the nasal fossa (black arrow).
Probably viral infection
Surgical exploration
OSHA
Figure 8-14 Thermal food burn.
Area of yellow epithelial necrosis of the posterior soft palate on the left side.
Damage was due to attempted ingestion of hot pizza.
Class II furcation
Figure 5-29 Actinomycosis.
Draining fistula of the right submandibular area.
~sulfur granules
Remove, irrigate, pressure, re-eval
For predesigned casts???
From gingival margin to MGJ. Deduct pocket depth
Multiple myeloma
Short spans, where preps arent parallel
When definite parallelism between abutments is not attainable w/conventional clasps
Platelet count
19 Kben
test will you order
Immature white blood cells Leukemia
What emergency may you expect from a patient taking Shock
prednisone(choices gingival bleeding, hypotension,
gingival hyperplasia)
Image of red bloody swelling between upper anterior
teeth

Figure 12-37 Peripheral giant cell granuloma.

Nodular reddish-purple mass of the maxillary gingiva. (Courtesy of Dr. Lewis
Claman.)
Papillary hyperplasia:
Due to ill fitting denture, poor denture hygience,
wearing denture 24 hours a day

Figure 12-16 Inflammatory papillary hyperplasia.

Erythematous, pebbly appearance of the palatal vault.
Normal pulse
Normal respiration Pulse: 60-100/ respiration: 14-20
Page 63-71 questions

Gluteraldehyde: high level disinfectant capable of

killing spores
Sturge-weber
-had a question about a young male who had intraoral
and facial lesions that were red

Figure 12-98 Sturge-Weber angiomatosis.

Port wine stain of the left face, including involvement along the ophthalmic branch
of the trigeminal nerve. The patient also was mentally retarded and had a seizure
disorder.

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 Figure 12-100 Sturge-Weber angiomatosis.
Unilateral vascular involvement of the soft palate.
Be careful bc severe hemorrhage

Iron deficiency anemia

Figure 17-11 Plummer-Vinson syndrome.

The diffuse papillary atrophy of the dorsal tongue is
characteristic of the oral changes. (From Neville BW,
Damm DD, White DK: Color atlas of clinical oral
pathology, ed 2, Philadelphia, 1999, Lippincott,
Williams & Wilkins.)
Figure 17-12 Pernicious anemia.
A, The dorsal tongue shows erythema and atrophy. B, After therapy with vitamin
B12, the mucosal alteration resolved.

Patient w/hyperpituitarism may complain of Orthalgia (joint pain) and fatigue

Hutchingsons incisors and mulberry molars Syphillus

Patient has paralysis of left side of face, slurring of Stroke

speech. Whats he suffering from? What is treatment
Tx: TPA.

Most predictable margin in PFM crown prep Metal collar 1 mm

Tetracycline- not given under age 7 Choices were birth-3 months, birth to 5 years, after 6 years
What is extravasation cyst? Aka traumatic bone cyst
Minimum time period after first extraction appointment Text says 3-4 weeks
that you have to wait before making impressions for
final denture
Which statement is NOT true for immediate vs D
conventional dentures
a. immediate has lesser appointments
b. patients have more difficulty
adapting to immediate dentures
c. esthetics are only reason for
constructing immediates
d. immediates require less bone
removal
Impression tray type that gives most predictable result Individualized trays WITHOUT tooth stops
21 Kben
for final impression
Whats reason for try in for immediate dentures
The trial denture bases are tried in the mouth and used to verify vertical dimension
of occlusion and centric relation as with complete dentures.
Sequence for removing denture after teeth have been One day, three days, one week
removed
Should there be occlusial discrepencies when the Do selective occlusial grinding
immediate denture is fitted, you would
Whats sequence of selective grinding Centric occlusion >working >balancing > protrusive
When can chairside relines and tissue conditioners be Anytime
done
Should occlusial adjusting be required, what teeth do Palatal of upper anteriors and buccal of upper posteriors
you grind
Instructions for patient after delivery of immediate Wear denture until appointment the next day
Whats recommended time after teeth have been 3 months
extracted for lab reline
When impressions for reline is made, small projections Trim projections flush with the ridge
of impression material are seen projecting into
extraction sites. You will
A patient has arthritis. What is the main reason for Dexterity limitations
NOT utilizing precision attachments
Long term rxn to wearing ill fitting denture: would it Epulus
be papillary hyperplasia or epulus?
Mechanism of action of Triamterene Conserve potassium
Purpose of norpace (disopyramide phosphate) Anti-arrythmatic
When a patient is taking adiuretic, what else should Potassium
they also be taking
Histologically, epulus is made of Fibrous tissue
Case : why monoplane teeth utilizied for patients lower Small overbite and wide overjet
partial
Case: Thrombocytopenia
WBC 9700, PLATELETS 27,000. SPONT
BLEEDING. WHATS PROBLEM
Burning tongue in uncontrolled diabetic Malnutrition
Advantage of rectangular cone Smaller area of tissue radiated
PA of posterior teeth that look like crown preps Amelogenesis imperfecta
Figure 16-87 Lichen planus.
The interlacing white lines are typical of reticular lichen planus involving the
posterior buccal mucosa, the most common site of oral involvement.

Clinical slide of tongue that shows nothing worth Sjogrens (supposed to realize that tongue is dry)
noting. Informed that the patient is suffering from
rheumatoid arthritis
*in hypercementosis, the PDL is intact

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LAB VALUES: ABNORMAL MITOSIS BUT
INTACT BASEMENT MEMBRANE
Condition characterized by osteomas
How will decreased kVp affect quality of radiograph
FIG. 9-58 Coronoid process of the mandible (arrows) superimposed on the
maxillary tuberosity.
Figure 16-8 Hereditary benign intraepithelial dyskeratosis (HBID).
Gardners
OSTEOMAS ARE BENIGN TUMORS OF MATURE COMPACT OF
CANCELLOUS BONE
OSTEOMAS ARE USUALLY ASYMPTOMATIC. WILL HAVE COLONIC
POLYPS WHICH MAY DEVELOP INTO INVASIVE ADENOCARCINOMA.
MAY HAVE ERPIDERMOID CYSTS
Figure 14-60 Gardner syndrome.
Panoramic radiograph showing multiple osteomas of
the mandible.
Affects detail
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FIGURE 4-10.
Anterior floor of the mouth. Observe the plica
sublingualis overlying the sublingual gland. Dots
represent area where sublingual ducts open into the
floor. Region of incisive glands (A).
Figure 16-70 Erythema multiforme.
Diffuse ulcerations and erosions involving the dorsal
surface of this patient's tongue.
FIGURE 4-11.
Floor of the mouth. Observe large sublingual caruncula indicating opening of the
submandibular duct at the base of the lingual frenulum. Of special interest are the
mandibular tori.
Thickening of maxillary sinus:
FIG. 26-2
Sinusitis results in generalized thickening of the mucosa, which makes the internal
structure of the maxillary sinus more radiopaque. (Compare the internal radiopacity
of the maxillary sinus [A] with the normal sinus, B.)
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 A prominent and painful superior genial tubercle (A, arrowheads) is surgically
exposed (B) and excised (C). Cephalometric radiographs (D and E) show the
thinness of the mandible. In D, notice that the superior genial tubercle (arrow) is
higher than the crest of the bony ridge. Notice also the extreme interarch distance at
the rest position. E, After the tubercle had been removed.

Patient asks how much time from initial appointment to ?5-6 months
making impressions for final denture (immediate
If immediate dentures do not seat completely at Wait 24 hours
insertion appointment, you would do what? (If PIP is
not an option)
If you were making a temporary crown, and how to Undercontour
over contour vs undercontour. Which would you do
Patient complains of difficulty when making S and Maxillary incisors placed too far superiorly
V sounds. Whats the problem
Patient complains that one side of denture contacts Dimensional changes during curing
before other side. What is the cause?
How many mm should major connector be from the Maxilla: 6 mm
free gingival Mandible: 4 mm
Advantage of RPD vs FPD Hygiene
Plebolith Thrombus or concretion in vein
Is metronidazole useful in tx of AA Yes
Figure 3-47 Acute osteomyelitis.
Ill-defined area of radiolucency of the right body of the mandible.

PA w/lack of density. How do you correct this error? Increase mA

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Osteopetrosis (marble bone disease)
Clinical slide of patient holding film in max ant and
cone pointing down from above nose. Resultant image
will appear
Epsteins pearls
Reddish brown color of canine is referred to as
Osteoradionecrosis of the left mandible. This patient had a full course of
tumoricidal radiotherapy for squamous cell carcinoma. The dentition was removed
at the time of the cancer resection. This patient was prepared for treatment of the
osteoradionecrosis with pre- and postoperative hyperbaric oxygen treatments. A,
Exposed devital bone along alveolar ridge of left mandible.
Foreshortened
Figure 1-52 Epstein's pearls.
Small keratin-filled cysts at the junction of the hard and soft palates. (From Neville
BW, Damm DD, White DK: Color atlas of clinical oral pathology, ed 2,
Philadelphia, 1999, Williams & Wilkins.)
Bohns nodules are scattered throughout the palate. Pears are in the midline
Chroma
FIG. 9-56 External oblique ridge (arrows), seen as a radiopaque line near the
alveolar crest in the mandibular third molar region.
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The questions showed a child with primary dentition and asked what determined the amount of prophylaxis: patients age, patients weight, half
the adult does, full adult dose? I said patients weight?

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Know the difference between recurrent apthous, recurrent herpes, and primary herpetic gingivostomatitis
Know the difference between polycemia vera and Von Willebrands disease
Do you prophylaxis for rheumatic heart disease and MI?

Recurrent aphthous stomatitis (RAS) can be distinguished from other diseases with similar-appearing oral lesions, such
as certain oral bacteria or herpes simplex, by their tendency to recur, and their multiplicity and chronicity. Recurrent
aphthous stomatitis is one of the most common oral conditions. At least 10% of the population has it, and women are
more often affected than men. About 3040% of patients with recurrent aphthae report a family history.

Herpes simplex (Ancient Greek: herpes, lit. "creeping") is a viral disease caused by both Herpes simplex virus
type 1 (HSV-1) and type 2 (HSV-2). Infection with the herpes virus is categorized into one of several distinct disorders
based on the site of infection. Oral herpes, the visible symptoms of which are colloquially called cold sores or fever
blisters, is an infection of the face or mouth. Oral herpes is the most common form of infection. Oral Herpes usually
appears visibly on the lip but can also occur, hidden from view, inside the mouth on the attached gingiva (the "gums") as
Herpes Gingivalis. Recurrent infections (outbreaks) may occur from time to time, especially in times of immune
impairment such as HIV and cancer-related immune suppression.[2] However, after several years, outbreaks become less
severe and more sporadic, and some people will become perpetually asymptomatic and will no longer experience
outbreaks, though they may still be contagious to others. Treatments with antivirals can reduce viral shedding and
alleviate the severity of symptomatic episodes.

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Gingivostomatitis (also known as primary herpetic gingivostomatitis) is a combination of gingivitis and stomatitis, or an
inflammation of the oral mucosa and gingiva.[1] Herpetic gingivostomatitis is often the initial presentation during the first
("primary") herpes simplex infection. It is of greater severity than herpes labialis (cold sores) which is often the
subsequent presentations. "Primary herpetic gingivostomatitis is the most common viral infection of the mouth".

Polycythemia vera (also known as erythremia, or primary polycythemia)[1] is a blood disorder in which the bone
marrow makes too many red blood cells.[1] It may also result in the overproduction of white blood cells and platelets.
Most of the health concerns associated with polycythemia vera are caused by the blood being thicker as a result of the
increased red blood cells. It is more common in the elderly and may be symptomatic or asymptomatic.

Von Willebrand disease (vWD) is the most common hereditary coagulation abnormality described in humans, although
it can also be acquired as a result of other medical conditions. It arises from a qualitative or quantitative deficiency of
von Willebrand factor (vWF), a multimeric protein that is required for platelet adhesion.

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