Guest guest Posted August 19, 2010 Report Share Posted August 19, 2010 1.yes they do need5.panavia6.RPDFrom: Abdo Aldasher <abdoaldasher1@...>ORE < >Sent: Thu, August 19, 2010 11:26:16 AMSubject: Restorative thanx Prema,any idea about: 1- Nayar core (needs or not a crown afterwards)? 2- DENTAL CREAM USED FOR OVEREXTENDED BORDERS OF A DENTURE? 3.WHAT IS THE CHOICE OF CROWN FOR A TOOTH WITH MOD AMALGAM FILLING AND FRACTURED PALATAL CUSP? 4- UNAESTHETIC CROWN ON INCISOR FIRST THING TO DO? 5- .WHICH CEMENT WOULD YOU USE TO GLUE AN ALUMINIA CORE CERAMIC?OPT:GI.PANAVIA,ZN PHOSPHATE,RMGI,POLY CARBOXYLATE 6- .15 YEAR BOY LOST HIS CENTRAL TOOTH IN SKIING-WHAT IS THE BEST OPT ? (IMPLANT,RESIN BONDED CROWN ,denture ETC) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2010 Report Share Posted August 19, 2010 Please, can you tell me where can I study Nayar core fromthanks!!!gaby From: malki_nsr@...Date: Thu, 19 Aug 2010 03:36:52 -0700Subject: Re: Restorative 1.yes they do need5.panavia6.RPDFrom: Abdo Aldasher <abdoaldasher1@...>ORE < >Sent: Thu, August 19, 2010 11:26:16 AMSubject: Restorative thanx Prema,any idea about: 1- Nayar core (needs or not a crown afterwards)? 2- DENTAL CREAM USED FOR OVEREXTENDED BORDERS OF A DENTURE? 3.WHAT IS THE CHOICE OF CROWN FOR A TOOTH WITH MOD AMALGAM FILLING AND FRACTURED PALATAL CUSP? 4- UNAESTHETIC CROWN ON INCISOR FIRST THING TO DO? 5- .WHICH CEMENT WOULD YOU USE TO GLUE AN ALUMINIA CORE CERAMIC?OPT:GI.PANAVIA,ZN PHOSPHATE,RMGI,POLY CARBOXYLATE 6- .15 YEAR BOY LOST HIS CENTRAL TOOTH IN SKIING-WHAT IS THE BEST OPT ? (IMPLANT,RESIN BONDED CROWN ,denture ETC) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 19, 2010 Report Share Posted August 19, 2010 hi Gurjot How did you answer q.6 as RPD.can you please explain? how to study for such situation based questions? From: gurjot Rakhra <malki_nsr@...> Sent: Thu, 19 August, 2010 12:36:52 AMSubject: Re: Restorative 1.yes they do need 5.panavia 6.RPD From: Abdo Aldasher <abdoaldasher1@...>ORE < >Sent: Thu, August 19, 2010 11:26:16 AMSubject: Restorative thanx Prema,any idea about: 1- Nayar core (needs or not a crown afterwards)? 2- DENTAL CREAM USED FOR OVEREXTENDED BORDERS OF A DENTURE? 3.WHAT IS THE CHOICE OF CROWN FOR A TOOTH WITH MOD AMALGAM FILLING AND FRACTURED PALATAL CUSP? 4- UNAESTHETIC CROWN ON INCISOR FIRST THING TO DO? 5- .WHICH CEMENT WOULD YOU USE TO GLUE AN ALUMINIA CORE CERAMIC?OPT:GI.PANAVIA,ZN PHOSPHATE,RMGI,POLY CARBOXYLATE 6- .15 YEAR BOY LOST HIS CENTRAL TOOTH IN SKIING-WHAT IS THE BEST OPT ? (IMPLANT,RESIN BONDED CROWN ,denture ETC) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 Hi ebtissam, What are the options? > > > > hi dave > > thank u so much > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > ebtisam > > > > ________________________________ > From: dave mustaine <flying_v26@...> > " " < > > Sent: Wednesday, 28 March 2012, 20:31 > Subject: Re: restorative > > >  > 1. Referral timelines > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks) > * non-urgent: all other referrals. > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelines > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment) > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesions > > > ________________________________ > From: ebtessam <ebtessamhamalawy@...> > > Sent: Wednesday, 28 March 2012, 19:37 > Subject: restorative > > >  > > hi all > > need ur help again please: > > 1 time for urgent referal > 2. material used for abfraction lesion restoration > > best regards > ebtisam > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 (((((((( sid its one of the questions below))))))))HI GUYSI WOULD LOVE TO HEAR UR OPINION REGARDING THE FOLLOWING QUESTIONSTHEY ARE NOT EASY AND IT WILL BE EASIER IF WE COULD DO THEM TOGETHERLOOKING FORWARD FOR UR REPLIES 1. A 43year old patient is missing on the upper right the first premolar and molar. He has good oral hygiene and requests a fixed replacement for these teeth. The other teeth on the same side are all moderately restored with MOD amalgam restorations and are vital, except the canine, which has a very large restoration and is root-filled. He has group function. Radiographs show a large sinus cavity and no peri-apical pathology. What would be the restoration of choice for replacement of the missing teeth? A. Implant supported crowns B. A conventional fixed bridge using the 7 and 5 as abutments C. Two conventional cantilevered bridges, using the 7 and 3 as abutments D. A resin-bonded bridge, using the 7 and 5 as abutmen E. A conventional fixed-moveable bridge using the 7 and 5 as abutments 2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck pain B. Excessive tooth wear C. Temporomandibular joint clicking D. Sensitive teeth E. Cheek ridging and tongue scallopingB for it 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics. B. Extract the tooth C. Carry out a pulpotomy. Temporary dressing. D. Carry out a pulpectomy. Temporary dressing E. Establish open drainage 4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer material B. Replace the post crown using a polycarboxylate cement C. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agent E. Arrange to extract the tooth 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crown B. Provision of an all ceramic crown C. Provision of a metal bonded to ceramic crown D. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer 6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study models B. Prescribe fluoride mouth rinse C. Replace the amalgam restorations D. Dietary analysis E. Placement of resin sealant to sensitive teeth 7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride B. Restore the lesions with compomer C. Restore the lesions with micro-filled composite D. Restore the lesions with a hybrid composite E. Restore the lesions with conventional glass-ionomerA i think 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. Pericoronitis B. Apical periodontitis C. Marginal periodontitis D. Reversible pulpitis E. Irreversible pulpitisIts E 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restoration B. Antibiotics C. Extraction D. Root canal therapy E. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiograph B. Biopsy the gingival tissue C. Remove the restoration D. Vitality testing E. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infection B. Contamination of canal(s) with E.faecalis C. Uninstrumented canal D. Vertical root fracture E. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower arches B. A bonded crown C. A composite veneer D. A porcelain veneer E. Non-vital bleaching with carbamide peroxide 14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA? A. As a root end filling material B. As a pulp capping agent C. As a root canal chelating agent rite D. As a mouthwash E. As a dentine bonding agent 15. A patient presents with a history of clicking from their temporomandibular joint. This click occurs mid way through the opening cycle and is consistent. There is some pre-auricular pain and the lateral pterygoid muscle on the affected side is tender to resisted movement test. There is no trismus and the click is not present when the patient opens from an incisor edge to edge relationship, instead of her normal Class I occlusion. The patient would like treatment. The most appropriate occlusal splint for this patient would be: A. Stabilisation splint B. Localised Occlusal Interference Splint C. Bite Raiser D. Soft Bite Guard E. Anterior Repositioner Splin 16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrow B. The post was to short. C. The root canal treatment was failing. D. A vertical root fracture was present. E. There were excessive occlusal loads on the to From: sid <flying_v26@...> Sent: Wednesday, 28 March 2012, 20:48 Subject: Re: restorative Hi ebtissam, What are the options? > > > > hi dave > > thank u so much > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > ebtisam > > > > ________________________________ > From: dave mustaine <flying_v26@...> > " " < > > Sent: Wednesday, 28 March 2012, 20:31 > Subject: Re: restorative > > >  > 1. Referral timelines > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks) > * non-urgent: all other referrals. > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment) > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > ________________________________ > From: ebtessam <ebtessamhamalawy@...> > > Sent: Wednesday, 28 March 2012, 19:37 > Subject: restorative > > >  > > hi all > > need ur help again please: > > 1 time for urgent referal > 2. material used for abfraction lesion restoration > > best regards > ebtisam > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 Question 1.... I think a.... Because dey have emphasised on high caries rate.....as canine is also involved......so any bridge wil have high caries......plzzzzz do correct me if am wrong.... From: ebtessam elhamalawy <ebtessamhamalawy@...>; To: < >; Subject: Re: restorative Sent: Wed, Mar 28, 2012 7:52:10 PM (((((((( sid its one of the questions below))))))))HI GUYSI WOULD LOVE TO HEAR UR OPINION REGARDING THE FOLLOWING QUESTIONSTHEY ARE NOT EASY AND IT WILL BE EASIER IF WE COULD DO THEM TOGETHERLOOKING FORWARD FOR UR REPLIES 1. A 43year old patient is missing on the upper right the first premolar and molar. He has good oral hygiene and requests a fixed replacement for these teeth. The other teeth on the same side are all moderately restored with MOD amalgam restorations and are vital, except the canine, which has a very large restoration and is root-filled. He has group function. Radiographs show a large sinus cavity and no peri-apical pathology. What would be the restoration of choice for replacement of the missing teeth? A. Implant supported crowns B. A conventional fixed bridge using the 7 and 5 as abutments C. Two conventional cantilevered bridges, using the 7 and 3 as abutments D. A resin-bonded bridge, using the 7 and 5 as abutmen E. A conventional fixed-moveable bridge using the 7 and 5 as abutments 2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck pain B. Excessive tooth wear C. Temporomandibular joint clicking D. Sensitive teeth E. Cheek ridging and tongue scallopingB for it 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics. B. Extract the tooth C. Carry out a pulpotomy. Temporary dressing. D. Carry out a pulpectomy. Temporary dressing E. Establish open drainage 4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer material B. Replace the post crown using a polycarboxylate cement C. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agent E. Arrange to extract the tooth 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crown B. Provision of an all ceramic crown C. Provision of a metal bonded to ceramic crown D. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer 6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study models B. Prescribe fluoride mouth rinse C. Replace the amalgam restorations D. Dietary analysis E. Placement of resin sealant to sensitive teeth 7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride B. Restore the lesions with compomer C. Restore the lesions with micro-filled composite D. Restore the lesions with a hybrid composite E. Restore the lesions with conventional glass-ionomerA i think 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. Pericoronitis B. Apical periodontitis C. Marginal periodontitis D. Reversible pulpitis E. Irreversible pulpitisIts E 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restoration B. Antibiotics C. Extraction D. Root canal therapy E. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiograph B. Biopsy the gingival tissue C. Remove the restoration D. Vitality testing E. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infection B. Contamination of canal(s) with E.faecalis C. Uninstrumented canal D. Vertical root fracture E. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower arches B. A bonded crown C. A composite veneer D. A porcelain veneer E. Non-vital bleaching with carbamide peroxide 14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA? A. As a root end filling material B. As a pulp capping agent C. As a root canal chelating agent rite D. As a mouthwash E. As a dentine bonding agent 15. A patient presents with a history of clicking from their temporomandibular joint. This click occurs mid way through the opening cycle and is consistent. There is some pre-auricular pain and the lateral pterygoid muscle on the affected side is tender to resisted movement test. There is no trismus and the click is not present when the patient opens from an incisor edge to edge relationship, instead of her normal Class I occlusion. The patient would like treatment. The most appropriate occlusal splint for this patient would be: A. Stabilisation splint B. Localised Occlusal Interference Splint C. Bite Raiser D. Soft Bite Guard E. Anterior Repositioner Splin 16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrow B. The post was to short. C. The root canal treatment was failing. D. A vertical root fracture was present. E. There were excessive occlusal loads on the to From: sid <flying_v26@...> Sent: Wednesday, 28 March 2012, 20:48 Subject: Re: restorative Hi ebtissam, What are the options? > > > > hi dave > > thank u so much > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > ebtisam > > > > ________________________________ > From: dave mustaine <flying_v26@...> > " " < > > Sent: Wednesday, 28 March 2012, 20:31 > Subject: Re: restorative > > >  > 1. Referral timelines > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks) > * non-urgent: all other referrals. > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment) > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > ________________________________ > From: ebtessam <ebtessamhamalawy@...> > > Sent: Wednesday, 28 March 2012, 19:37 > Subject: restorative > > >  > > hi all > > need ur help again please: > > 1 time for urgent referal > 2. material used for abfraction lesion restoration > > best regards > ebtisam > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 Question 4.... E... Vertical fracture has poor prognosis.....correct if wrong..thank u From: ebtessam elhamalawy <ebtessamhamalawy@...>; To: < >; Subject: Re: restorative Sent: Wed, Mar 28, 2012 7:52:10 PM (((((((( sid its one of the questions below))))))))HI GUYSI WOULD LOVE TO HEAR UR OPINION REGARDING THE FOLLOWING QUESTIONSTHEY ARE NOT EASY AND IT WILL BE EASIER IF WE COULD DO THEM TOGETHERLOOKING FORWARD FOR UR REPLIES 1. A 43year old patient is missing on the upper right the first premolar and molar. He has good oral hygiene and requests a fixed replacement for these teeth. The other teeth on the same side are all moderately restored with MOD amalgam restorations and are vital, except the canine, which has a very large restoration and is root-filled. He has group function. Radiographs show a large sinus cavity and no peri-apical pathology. What would be the restoration of choice for replacement of the missing teeth? A. Implant supported crowns B. A conventional fixed bridge using the 7 and 5 as abutments C. Two conventional cantilevered bridges, using the 7 and 3 as abutments D. A resin-bonded bridge, using the 7 and 5 as abutmen E. A conventional fixed-moveable bridge using the 7 and 5 as abutments 2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck pain B. Excessive tooth wear C. Temporomandibular joint clicking D. Sensitive teeth E. Cheek ridging and tongue scallopingB for it 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics. B. Extract the tooth C. Carry out a pulpotomy. Temporary dressing. D. Carry out a pulpectomy. Temporary dressing E. Establish open drainage 4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer material B. Replace the post crown using a polycarboxylate cement C. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agent E. Arrange to extract the tooth 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crown B. Provision of an all ceramic crown C. Provision of a metal bonded to ceramic crown D. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer 6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study models B. Prescribe fluoride mouth rinse C. Replace the amalgam restorations D. Dietary analysis E. Placement of resin sealant to sensitive teeth 7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride B. Restore the lesions with compomer C. Restore the lesions with micro-filled composite D. Restore the lesions with a hybrid composite E. Restore the lesions with conventional glass-ionomerA i think 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. Pericoronitis B. Apical periodontitis C. Marginal periodontitis D. Reversible pulpitis E. Irreversible pulpitisIts E 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restoration B. Antibiotics C. Extraction D. Root canal therapy E. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiograph B. Biopsy the gingival tissue C. Remove the restoration D. Vitality testing E. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infection B. Contamination of canal(s) with E.faecalis C. Uninstrumented canal D. Vertical root fracture E. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower arches B. A bonded crown C. A composite veneer D. A porcelain veneer E. Non-vital bleaching with carbamide peroxide 14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA? A. As a root end filling material B. As a pulp capping agent C. As a root canal chelating agent rite D. As a mouthwash E. As a dentine bonding agent 15. A patient presents with a history of clicking from their temporomandibular joint. This click occurs mid way through the opening cycle and is consistent. There is some pre-auricular pain and the lateral pterygoid muscle on the affected side is tender to resisted movement test. There is no trismus and the click is not present when the patient opens from an incisor edge to edge relationship, instead of her normal Class I occlusion. The patient would like treatment. The most appropriate occlusal splint for this patient would be: A. Stabilisation splint B. Localised Occlusal Interference Splint C. Bite Raiser D. Soft Bite Guard E. Anterior Repositioner Splin 16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrow B. The post was to short. C. The root canal treatment was failing. D. A vertical root fracture was present. E. There were excessive occlusal loads on the to From: sid <flying_v26@...> Sent: Wednesday, 28 March 2012, 20:48 Subject: Re: restorative Hi ebtissam, What are the options? > > > > hi dave > > thank u so much > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > ebtisam > > > > ________________________________ > From: dave mustaine <flying_v26@...> > " " < > > Sent: Wednesday, 28 March 2012, 20:31 > Subject: Re: restorative > > >  > 1. Referral timelines > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks) > * non-urgent: all other referrals. > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment) > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > ________________________________ > From: ebtessam <ebtessamhamalawy@...> > > Sent: Wednesday, 28 March 2012, 19:37 > Subject: restorative > > >  > > hi all > > need ur help again please: > > 1 time for urgent referal > 2. material used for abfraction lesion restoration > > best regards > ebtisam > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 Question 5 ...D .....correct me if wrong..thank u From: ebtessam elhamalawy <ebtessamhamalawy@...>; To: < >; Subject: Re: restorative Sent: Wed, Mar 28, 2012 7:52:10 PM (((((((( sid its one of the questions below))))))))HI GUYSI WOULD LOVE TO HEAR UR OPINION REGARDING THE FOLLOWING QUESTIONSTHEY ARE NOT EASY AND IT WILL BE EASIER IF WE COULD DO THEM TOGETHERLOOKING FORWARD FOR UR REPLIES 1. A 43year old patient is missing on the upper right the first premolar and molar. He has good oral hygiene and requests a fixed replacement for these teeth. The other teeth on the same side are all moderately restored with MOD amalgam restorations and are vital, except the canine, which has a very large restoration and is root-filled. He has group function. Radiographs show a large sinus cavity and no peri-apical pathology. What would be the restoration of choice for replacement of the missing teeth? A. Implant supported crowns B. A conventional fixed bridge using the 7 and 5 as abutments C. Two conventional cantilevered bridges, using the 7 and 3 as abutments D. A resin-bonded bridge, using the 7 and 5 as abutmen E. A conventional fixed-moveable bridge using the 7 and 5 as abutments 2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck pain B. Excessive tooth wear C. Temporomandibular joint clicking D. Sensitive teeth E. Cheek ridging and tongue scallopingB for it 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics. B. Extract the tooth C. Carry out a pulpotomy. Temporary dressing. D. Carry out a pulpectomy. Temporary dressing E. Establish open drainage 4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer material B. Replace the post crown using a polycarboxylate cement C. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agent E. Arrange to extract the tooth 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crown B. Provision of an all ceramic crown C. Provision of a metal bonded to ceramic crown D. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer 6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study models B. Prescribe fluoride mouth rinse C. Replace the amalgam restorations D. Dietary analysis E. Placement of resin sealant to sensitive teeth 7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride B. Restore the lesions with compomer C. Restore the lesions with micro-filled composite D. Restore the lesions with a hybrid composite E. Restore the lesions with conventional glass-ionomerA i think 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. Pericoronitis B. Apical periodontitis C. Marginal periodontitis D. Reversible pulpitis E. Irreversible pulpitisIts E 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restoration B. Antibiotics C. Extraction D. Root canal therapy E. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiograph B. Biopsy the gingival tissue C. Remove the restoration D. Vitality testing E. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infection B. Contamination of canal(s) with E.faecalis C. Uninstrumented canal D. Vertical root fracture E. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower arches B. A bonded crown C. A composite veneer D. A porcelain veneer E. Non-vital bleaching with carbamide peroxide 14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA? A. As a root end filling material B. As a pulp capping agent C. As a root canal chelating agent rite D. As a mouthwash E. As a dentine bonding agent 15. A patient presents with a history of clicking from their temporomandibular joint. This click occurs mid way through the opening cycle and is consistent. There is some pre-auricular pain and the lateral pterygoid muscle on the affected side is tender to resisted movement test. There is no trismus and the click is not present when the patient opens from an incisor edge to edge relationship, instead of her normal Class I occlusion. The patient would like treatment. The most appropriate occlusal splint for this patient would be: A. Stabilisation splint B. Localised Occlusal Interference Splint C. Bite Raiser D. Soft Bite Guard E. Anterior Repositioner Splin 16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrow B. The post was to short. C. The root canal treatment was failing. D. A vertical root fracture was present. E. There were excessive occlusal loads on the to From: sid <flying_v26@...> Sent: Wednesday, 28 March 2012, 20:48 Subject: Re: restorative Hi ebtissam, What are the options? > > > > hi dave > > thank u so much > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > ebtisam > > > > ________________________________ > From: dave mustaine <flying_v26@...> > " " < > > Sent: Wednesday, 28 March 2012, 20:31 > Subject: Re: restorative > > >  > 1. Referral timelines > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks) > * non-urgent: all other referrals. > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment) > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > ________________________________ > From: ebtessam <ebtessamhamalawy@...> > > Sent: Wednesday, 28 March 2012, 19:37 > Subject: restorative > > >  > > hi all > > need ur help again please: > > 1 time for urgent referal > 2. material used for abfraction lesion restoration > > best regards > ebtisam > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 Hi PunkitI agree with you that vertical fracture has poor prognosis and it is always better to extract them but we cant forget that tooth is symptomless and it is always better to conserve tooth and bonding of vertical fractures with gic has some good prognosis.it bond around fracture line preventing the propagation of fracture.I know these option depends on the situation and existing scenario but mostly we extract these teeth i think we should go with it. From: Punkit Sudan <punkitsudan@...> ebtessam elhamalawy <ebtessamhamalawy@...>; Sent: Thursday, 29 March 2012 12:51 AM Subject: Re: restorative Question 4.... E... Vertical fracture has poor prognosis.....correct if wrong..thank u From: ebtessam elhamalawy <ebtessamhamalawy@...>; To: < >; Subject: Re: restorative Sent: Wed, Mar 28, 2012 7:52:10 PM (((((((( sid its one of the questions below))))))))HI GUYSI WOULD LOVE TO HEAR UR OPINION REGARDING THE FOLLOWING QUESTIONSTHEY ARE NOT EASY AND IT WILL BE EASIER IF WE COULD DO THEM TOGETHERLOOKING FORWARD FOR UR REPLIES 1. A 43year old patient is missing on the upper right the first premolar and molar. He has good oral hygiene and requests a fixed replacement for these teeth. The other teeth on the same side are all moderately restored with MOD amalgam restorations and are vital, except the canine, which has a very large restoration and is root-filled. He has group function. Radiographs show a large sinus cavity and no peri-apical pathology. What would be the restoration of choice for replacement of the missing teeth? A. Implant supported crowns B. A conventional fixed bridge using the 7 and 5 as abutments C. Two conventional cantilevered bridges, using the 7 and 3 as abutments D. A resin-bonded bridge, using the 7 and 5 as abutmen E. A conventional fixed-moveable bridge using the 7 and 5 as abutments 2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck pain B. Excessive tooth wear C. Temporomandibular joint clicking D. Sensitive teeth E. Cheek ridging and tongue scallopingB for it 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics. B. Extract the tooth C. Carry out a pulpotomy. Temporary dressing. D. Carry out a pulpectomy. Temporary dressing E. Establish open drainage 4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer material B. Replace the post crown using a polycarboxylate cement C. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agent E. Arrange to extract the tooth 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crown B. Provision of an all ceramic crown C. Provision of a metal bonded to ceramic crown D. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer 6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study models B. Prescribe fluoride mouth rinse C. Replace the amalgam restorations D. Dietary analysis E. Placement of resin sealant to sensitive teeth 7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride B. Restore the lesions with compomer C. Restore the lesions with micro-filled composite D. Restore the lesions with a hybrid composite E. Restore the lesions with conventional glass-ionomerA i think 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. Pericoronitis B. Apical periodontitis C. Marginal periodontitis D. Reversible pulpitis E. Irreversible pulpitisIts E 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restoration B. Antibiotics C. Extraction D. Root canal therapy E. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiograph B. Biopsy the gingival tissue C. Remove the restoration D. Vitality testing E. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infection B. Contamination of canal(s) with E.faecalis C. Uninstrumented canal D. Vertical root fracture E. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower arches B. A bonded crown C. A composite veneer D. A porcelain veneer E. Non-vital bleaching with carbamide peroxide 14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA? A. As a root end filling material B. As a pulp capping agent C. As a root canal chelating agent rite D. As a mouthwash E. As a dentine bonding agent 15. A patient presents with a history of clicking from their temporomandibular joint. This click occurs mid way through the opening cycle and is consistent. There is some pre-auricular pain and the lateral pterygoid muscle on the affected side is tender to resisted movement test. There is no trismus and the click is not present when the patient opens from an incisor edge to edge relationship, instead of her normal Class I occlusion. The patient would like treatment. The most appropriate occlusal splint for this patient would be: A. Stabilisation splint B. Localised Occlusal Interference Splint C. Bite Raiser D. Soft Bite Guard E. Anterior Repositioner Splin 16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrow B. The post was to short. C. The root canal treatment was failing. D. A vertical root fracture was present. E. There were excessive occlusal loads on the to From: sid <flying_v26@...> Sent: Wednesday, 28 March 2012, 20:48 Subject: Re: restorative Hi ebtissam, What are the options? > > > > hi dave > > thank u so much > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > ebtisam > > > > ________________________________ > From: dave mustaine <flying_v26@...> > " " < > > Sent: Wednesday, 28 March 2012, 20:31 > Subject: Re: restorative > > >  > 1. Referral timelines > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks) > * non-urgent: all other referrals. > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment) > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > ________________________________ > From: ebtessam <ebtessamhamalawy@...> > > Sent: Wednesday, 28 March 2012, 19:37 > Subject: restorative > > >  > > hi all > > need ur help again please: > > 1 time for urgent referal > 2. material used for abfraction lesion restoration > > best regards > ebtisam > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2012 Report Share Posted March 28, 2012 1.E 2.B 3.E 4.C 5.D 6.D 7.A 8.E 9.c 10.a 11. 12.d 13.d 14.c 15.e 16.d Hope this helps n please correct me if I am wrong. Regards, Manochithra On 29 Mar 2012 01:07, " Kanika Kohli " <kanika_sahil@...> wrote: Hi PunkitI agree with you that vertical fracture has poor prognosis and it is always better to extract them but we cant forget that tooth is symptomless and it is always better to conserve tooth and bonding of vertical fractures with gic has some good prognosis.it bond around fracture line preventing the propagation of fracture. I know these option depends on the situation and existing scenario but mostly we extract these teeth i think we should go with it. From: Punkit Sudan <punkitsudan@...> ebtessam elhamalawy <ebtessamhamalawy@...>; Sent: Thursday, 29 March 2012 12:51 AM Subject: Re: restorative Question 4.... E... Vertical fracture has poor prognosis.....correct if wrong..thank u _________... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Question 10... Can it be.....obtaining a radiograph....a....to check for endo perio lesion....correct me.... Thank u From: Punkit Sudan <punkitsudan@...>; To: Divya Shetty <rite.to.divs@...>; < >; Subject: Re: Re: restorative Sent: Thu, Mar 29, 2012 7:34:36 AM Hie..... I agree wid u in question 13 can use peroxide in non vital bleeching..i think we use sodium perborate only. As with peroxide chances of internal resorption increases...correct me thanks From: Divya Shetty <rite.to.divs@...>; To: < >; Subject: Re: Re: restorative Sent: Thu, Mar 29, 2012 4:23:24 AM 6. D....Should be dietary analysis...the wear pattern is erosion 8. B...the tooth is tender to percussion... 10. Vitality test? Before removing the restoration 13. E...the palatal restoration is a post rc filling On 29 Mar 2012 06:37, " sid " <flying_v26@...> wrote:  2. Bruxism is a common form of parafunctional activity of which the patient may or may not be aware. It may be important in the development of a treatment plan to determine whether the patient is an active bruxist. The principle clinical sign of active bruxism is: A. Head and / or neck painB. Excessive tooth wearC. Temporomandibular joint clickingD. Sensitive teethE. Cheek ridging and tongue scalloping 3. An adult patient attends your practice complaining of pain and swelling associated with a previously restored upper first premolar tooth. The pain has been present for a number of days and is no longer responding to analgesics. His dentition is otherwise well maintained and his periodontal health is good.What is the most appropriate approach to treatment? A. Antibiotics and analgesics.B. Extract the toothC. Carry out a pulpotomy. Temporary dressing.D. Carry out a pulpectomy. Temporary dressing (its irreversible pulpitis) E. Establish open drainage4. A patient reports that his post crown has fallen out. This crown had been present for many years. You note that there appears to be a hairline vertical fracture of the root. The tooth is symptomless.What is the most sensible approach to treatment? A. Replace the post crown using a resin-reinforced glass ionomer materialB. Replace the post crown using a polycarboxylate cementC. Replace the post crown using a dentine bonding agent and a resin-reinforced glass ionomer material D. Replace the post crown using a resin composite luting agentE. Arrange to extract the tooth (even if the tooth is symptomless at the moment, its prognosis isnt good enough for a post crown) 5. A patient says that he does not like the appearance of his previously root filled upper central incisor tooth. His dentition is otherwise well maintained and his periodontal health is good. The tooth appears to be darker than the adjacent teeth. What is the most appropriate approach to treatment? A. Provision of a post crownB. Provision of an all ceramic crownC. Provision of a metal bonded to ceramic crownD. Carry out a non vital bleaching procedure E. Provision of a porcelain veneer6. A 25 year old male attends for the first time complaining of sensitivity of a number of teeth. On examination, the occlusal surfaces of all the teeth are worn with obvious wear facets on the canines and premolars. Posterior amalgam restorations are proud of the surrounding tooth. What would be the first stage management? A. Take impressions for study modelsB. Prescribe fluoride mouth rinseC. Replace the amalgam restorations D. Dietary analysisE. Placement of resin sealant to sensitive teeth7. A 35 year old male patient who admits to grinding his teeth at night has a number of wedge-shaped cervical (Class V) lesions on his upper premolar teeth. These are causing some sensitivity and are approximately 3mm deep. What is the correct management option? A. Provide tooth brushing instruction and fluoride (restoration of abfarction lesions is the last step of management) B. Restore the lesions with compomerC. Restore the lesions with micro-filled compositeD. Restore the lesions with a hybrid compositeE. Restore the lesions with conventional glass-ionomer 8. A patient attends with pain of four days duration in a carious upper molar tooth. The pain is constant and is not relieved by paracetemol. Sleep has been disturbed by the pain. The tooth is tender to percussion and gives a positive response to Ethyl Chloride. What is the most likely diagnosis? A. PericoronitisB. Apical periodontitisC. Marginal periodontitisD. Reversible pulpitisE. Irreversible pulpitis 9. A 14 year old patient attends with a decayed and extensive hypoplastic LL7. He is a very irregular attender with poor oral health habits. A radiograph shows the presence of an unerupted LL8 and the LL6 is sound. What would be the most appropriate long-term treatment for this tooth? A. Amalgam restorationB. AntibioticsC. ExtractionD. Root canal therapyE. Sedative dressing 10. A 30 yr-old patient attends complaining of occasional pain from the lower left quadrant. Clinical examination reveals an extensively restored dentition with generally good oral hygiene. There is no significant periodontal pocketing other than an isolated defect in the region of the furcation of lower left first molar which is non-mobile. The gingival tissue in this area appears erythematous and slightly hyperplastic with a purulent exudate on probing. From the list below, which is the most appropriate next step? A. Obtain a radiographB. Biopsy the gingival tissueC. Remove the restorationD. Vitality testingE. Prescribe antibiotics 11. A 40 yr old patient had root-canal treatment to his upper first molar. This was performed 6 months ago using contemporary techniques under rubber dam and was crowned after completion of treatment. He attends complaining of continued discomfort from this tooth. Radiographic examination shows each of the three roots to be obturated with a well-condensed filling to the full working length though there is no evidence of in-fill of the periapical lesion when compared to the pre-op view. There is crestal bone loss and no furcal involvement. What is the most likely cause of the continued problem? A. Extra-radicular infectionB. Contamination of canal(s) with E.faecalisC. Uninstrumented canalD. Vertical root fractureE. Perio-endo problem 12. An eight-year-old boy presents with pain of three days duration that has kept him awake. On examination you see a grossly carious lower left 6 and some associated buccal swelling. Which of the following is the most appropriate to give immediate relief of his pain? A. Extract the LL6. B. Gently excavate the caries and obtain drainage. C. Give antibiotics. D. Incise any swelling E. Refer for general anaesthetic 13. A 21 year old female presents for the first time to your practice. She is very upset with the appearance of her upper left central incisor. On examination you find healthy oral hard and soft tissues and excellent oral hygiene. On close examination you can see that the upper left central incisor is slightly greyer than the upper right central incisor and has a composite restoration placed palatally.What is the most appropriate form of treatment given the information you have? A. Bleaching with carbamide peroxide in custom formed trays of upper and lower archesB. A bonded crown C. A composite veneerD. A porcelain veneerE. Non-vital bleaching with carbamide peroxide14. EDTA (ethylene diamine tetra-acetate) has useful roles in certain situations in clinical dentistry. When would you use EDTA?A. As a root end filling materialB. As a pulp capping agentC. As a root canal chelating agent D. As a mouthwashE. As a dentine bonding agent16. A patient presents with a history of a post-crown having fallen out. The post-crown was originally placed fifteen years ago and had been successful up until four months ago since when it has come out and been recemented four times. At recementation there was no evidence of any caries. The patient had been a regular attender and not needed any restorative treatment for the last eight years. Which of the following is the most likely cause for the failure of this crown? A. The post was to narrowB. The post was to short.C. The root canal treatment was failing.D. A vertical root fracture was present. E. There were excessive occlusal loads on the tooth > >> > > > > > hi dave > > > > thank u so much> > > > the only problem is flowable composite was n`t an option so what`s the 2nd best for abfraction > > ebtisam> > > > > > > > ________________________________> > From: dave mustaine flying_v26@> > " " > > Sent: Wednesday, 28 March 2012, 20:31> > Subject: Re: restorative> > > > > >  > > 1. Referral timelines> > * immediate: an acute admission or referral occurring within a few hours, or even more quickly if necessary > > * urgent: the patient is seen within the national target for urgent referrals (currently 2 weeks)> > * non-urgent: all other referrals.> > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelines > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the first line treatment)> > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesions > > > > > > ________________________________> > From: ebtessam ebtessamhamalawy@> > > > Sent: Wednesday, 28 March 2012, 19:37> > Subject: restorative> > > > > >  > > > > hi all> > > > need ur help again please: > > > > 1 time for urgent referal> > 2. material used for abfraction lesion restoration> > > > best regards> > ebtisam> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi divya,Thanks for ur answers6. occlusal surfaces of all the teeth are worn, it can be attrition as well, what do u think?8. B...totally agree with u10. A...Purulent exudate wont give us any response in vitality test, whatever the reason maybe. I was thinking with overall good perio health, its unlikely to have an isolated perio lesion, so it is definitely an endo lesion but to confirm it maybe we should take a radiograph before we remove the restoration13. E is definitely the answer, thanks for correcting Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 hi omarhere are my selections1. E totally agree since LARGE SINUS CI IMPLANT UNLESS BONE GRAFTING IS PROVIDED2. B WHAT DO U THINK???? IF IT WAS MPDS I WOULD HAVE PICKED HEAD AND NECK PAIN BUT SINCE ITS ONLY BRUXISM ( CAUSES PAIN RELATED MAINLY TO MASTICATORY MUSCLES) 3.D4. E5.D6. E 7.C8.E9.C10.A FOR FURCATION TTT THE 2ND STEP TO CLINICAL EXAMINATION IS AN XRAY11.C12.B13.E NON VITAL BLEACHING BEC THE IF WE CONSIDERED OTHER CAUSES IT WOULD PROBABLY BE CARIES RELATED TO THE PALATAL COMPOSITE CAUSING DISCOLORATION EVEN IN THIS CASE EXTERNAL BLEACHING WILL N`T WORK ITS FOR EXTERNAL SURFACE DISCOLORATION.14 C15.E16.D would love to hear ur feedbacksBEST REGARDSEBTISAM From: <o_raafat@...> Sent: Thursday, 29 March 2012, 3:10 Subject: Re: restorative In regards to Q13, I do agree that Non Vital Bleaching would be the correct way to go BUT in the question it states based on the information you have, so I think that was the trick.... no xrays or history of RCT was given, so it's an assumption(although probably correct) that the tooth has had RCT... for Q10... wouldn't the next step be to take an xray? it was stated that there is a perio problem concerning that region and although it says the quadrant is heavily restored it doesn't say the tooth in question is restored, so the next step would be to take an xray see what the underlying issue is, then i'd say prescribe antibiotics due to purulent exudate? any thoughts? What are your opinions on question 1? E...maybe? fixed movable with the 7 and 5? > > > > > > > > > > > > > > > > hi dave > > > > > > > > thank u so much > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > 2nd best for abfraction > > > > ebtisam > > > > > > > > > > > > > > > > ________________________________ > > > > From: dave mustaine flying_v26@ > > > > " " > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > Subject: Re: restorative > > > > > > > > > > > >  > > > > 1. Referral timelines > > > > * immediate: an acute admission or referral occurring within a few > > hours, or even more quickly if necessary > > > > * urgent: the patient is seen within the national target for urgent > > referrals (currently 2 weeks) > > > > * non-urgent: all other referrals. > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelinesà > > ‚ > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > first line treatment) > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesionsà > > ‚ > > > > > > > > > > > > ________________________________ > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > Subject: restorative > > > > > > > > > > > >  > > > > > > > > hi all > > > > > > > > need ur help again please: > > > > > > > > 1 time for urgent referal > > > > 2. material used for abfraction lesion restoration > > > > > > > > best regards > > > > ebtisam > > > > > > > > > > > > > > > > > -- > Dr Sualeh Khan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 please would you explain why it is E for Q13 From: ebtessam elhamalawy <ebtessamhamalawy@...> " " < > Sent: Thursday, 29 March 2012, 10:44 Subject: Re: Re: restorative hi omarhere are my selections1. E totally agree since LARGE SINUS CI IMPLANT UNLESS BONE GRAFTING IS PROVIDED2. B WHAT DO U THINK???? IF IT WAS MPDS I WOULD HAVE PICKED HEAD AND NECK PAIN BUT SINCE ITS ONLY BRUXISM ( CAUSES PAIN RELATED MAINLY TO MASTICATORY MUSCLES) 3.D4. E5.D6. E 7.C8.E9.C10.A FOR FURCATION TTT THE 2ND STEP TO CLINICAL EXAMINATION IS AN XRAY11.C12.B13.E NON VITAL BLEACHING BEC THE IF WE CONSIDERED OTHER CAUSES IT WOULD PROBABLY BE CARIES RELATED TO THE PALATAL COMPOSITE CAUSING DISCOLORATION EVEN IN THIS CASE EXTERNAL BLEACHING WILL N`T WORK ITS FOR EXTERNAL SURFACE DISCOLORATION.14 C15.E16.D would love to hear ur feedbacksBEST REGARDSEBTISAM From: <o_raafat@...> To: Sent: Thursday, 29 March 2012, 3:10 Subject: Re: restorative In regards to Q13, I do agree that Non Vital Bleaching would be the correct way to go BUT in the question it states based on the information you have, so I think that was the trick.... no xrays or history of RCT was given, so it's an assumption(although probably correct) that the tooth has had RCT... for Q10... wouldn't the next step be to take an xray? it was stated that there is a perio problem concerning that region and although it says the quadrant is heavily restored it doesn't say the tooth in question is restored, so the next step would be to take an xray see what the underlying issue is, then i'd say prescribe antibiotics due to purulent exudate? any thoughts? What are your opinions on question 1? E...maybe? fixed movable with the 7 and 5? > > > > > > > > > > > > > > > > hi dave > > > > > > > > thank u so much > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > 2nd best for abfraction > > > > ebtisam > > > > > > > > > > > > > > > > ________________________________ > > > > From: dave mustaine flying_v26@ > > > > " " > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > Subject: Re: restorative > > > > > > > > > > > >  > > > > 1. Referral timelines > > > > * immediate: an acute admission or referral occurring within a few > > hours, or even more quickly if necessary > > > > * urgent: the patient is seen within the national target for urgent > > referrals (currently 2 weeks) > > > > * non-urgent: all other referrals. > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelinesà > > ‚ > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > first line treatment) > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesionsà > > ‚ > > > > > > > > > > > > ________________________________ > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > Subject: restorative > > > > > > > > > > > >  > > > > > > > > hi all > > > > > > > > need ur help again please: > > > > > > > > 1 time for urgent referal > > > > 2. material used for abfraction lesion restoration > > > > > > > > best regards > > > > ebtisam > > > > > > > > > > > > > > > > > -- > Dr Sualeh Khan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 EBTISAM can you please clarify why you selected the answers that you did for Q6 & 7 as oppose to for instance D for 6 and A for 7....are you referring to treatment of dentition and not just the steps in management? would really appreciate your help thank you > > > > > > > > > > > > > > > > > > > > hi dave > > > > > > > > > > thank u so much > > > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > > 2nd best for abfraction > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > From: dave mustaine flying_v26@ > > > > > " " > > > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > > Subject: Re: restorative > > > > > > > > > > > > > > >  > > > > > 1. Referral timelines > > > > > * immediate: an acute admission or referral occurring within a few > > > hours, or even more quickly if necessary > > > > > * urgent: the patient is seen within the national target for urgent > > > referrals (currently 2 weeks) > > > > > * non-urgent: all other referrals. > > > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelinesà > > > ‚ > > > > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > > first line treatment) > > > > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesionsà > > > ‚ > > > > > > > > > > > > > > > ________________________________ > > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > > Subject: restorative > > > > > > > > > > > > > > >  > > > > > > > > > > hi all > > > > > > > > > > need ur help again please: > > > > > > > > > > 1 time for urgent referal > > > > > 2. material used for abfraction lesion restoration > > > > > > > > > > best regards > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > Dr Sualeh Khan > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 and in terms of Q9..the answer is extraction because LL7 is very hypoplastic and so a RCT and crown can't be an option...is my understanding correct? > > > > > > > > > > > > > > > > > > > > > > > > hi dave > > > > > > > > > > > > thank u so much > > > > > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > > > 2nd best for abfraction > > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > From: dave mustaine flying_v26@ > > > > > > " " > > > > > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > > > Subject: Re: restorative > > > > > > > > > > > > > > > > > >  > > > > > > 1. Referral timelines > > > > > > * immediate: an acute admission or referral occurring within a few > > > > hours, or even more quickly if necessary > > > > > > * urgent: the patient is seen within the national target for urgent > > > > referrals (currently 2 weeks) > > > > > > * non-urgent: all other referrals. > > > > > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelinesà > > > > ‚ > > > > > > > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > > > first line treatment) > > > > > > > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesionsà > > > > ‚ > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > > > Subject: restorative > > > > > > > > > > > > > > > > > >  > > > > > > > > > > > > hi all > > > > > > > > > > > > need ur help again please: > > > > > > > > > > > > 1 time for urgent referal > > > > > > 2. material used for abfraction lesion restoration > > > > > > > > > > > > best regards > > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > Dr Sualeh Khan > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi all, For question on bruxism... Question ask what is sign of ACTIVE bruxism.... as we know scalloping tongue , cheek ridge and tooth wear are sign of it.   But what i thought that tooth wear could be sign of past habit so i would choose tongue scalloping and cheek ridge .   Whats your opinion  AanalOn Thu, Mar 29, 2012 at 11:35 AM, mpt765676 <mahmudp@...> wrote:  and in terms of Q9..the answer is extraction because LL7 is very hypoplastic and so a RCT and crown can't be an option...is my understanding correct? > > > > > > > > > > > > > > > > > > > > > > > > hi dave > > > > > > > > > > > > thank u so much > > > > > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > > > 2nd best for abfraction > > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > From: dave mustaine flying_v26@ > > > > > > " " > > > > > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > > > Subject: Re: restorative > > > > > > > > > > > > > > > > > >  > > > > > > 1. Referral timelines > > > > > > * immediate: an acute admission or referral occurring within a few > > > > hours, or even more quickly if necessary > > > > > > * urgent: the patient is seen within the national target for urgent > > > > referrals (currently 2 weeks) > > > > > > * non-urgent: all other referrals. > > > > > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelinesà > > > > ‚ > > > > > > > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > > > first line treatment) > > > > > > > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesionsà > > > > ‚ > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > > > Subject: restorative > > > > > > > > > > > > > > > > > >  > > > > > > > > > > > > hi all > > > > > > > > > > > > need ur help again please: > > > > > > > > > > > > 1 time for urgent referal > > > > > > 2. material used for abfraction lesion restoration > > > > > > > > > > > > best regards > > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > Dr Sualeh Khan > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hii,For Q, 10 As there are multiple restorations present... and they ask for " next step " ... i was confused for vitality test and radiograph... Can anyone explaine?????? AanalOn Thu, Mar 29, 2012 at 10:44 AM, ebtessam elhamalawy <ebtessamhamalawy@...> wrote: hi omarhere are my selections1. E totally agree since LARGE SINUS CI IMPLANT UNLESS BONE GRAFTING IS PROVIDED 2. B WHAT DO U THINK???? IF IT WAS MPDS I WOULD HAVE PICKED HEAD AND NECK PAIN BUT SINCE ITS ONLY BRUXISM ( CAUSES PAIN RELATED MAINLY TO MASTICATORY MUSCLES) 3.D4. E5.D6. E 7.C8.E9.C10.A FOR FURCATION TTT THE 2ND STEP TO CLINICAL EXAMINATION IS AN XRAY11.C12.B13.E NON VITAL BLEACHING BEC THE IF WE CONSIDERED OTHER CAUSES IT WOULD PROBABLY BE CARIES RELATED TO THE PALATAL COMPOSITE CAUSING DISCOLORATION EVEN IN THIS CASE EXTERNAL BLEACHING WILL N`T WORK ITS FOR EXTERNAL SURFACE DISCOLORATION. 14 C15.E16.D would love to hear ur feedbacksBEST REGARDSEBTISAM From: <o_raafat@...> Sent: Thursday, 29 March 2012, 3:10 Subject: Re: restorative In regards to Q13, I do agree that Non Vital Bleaching would be the correct way to go BUT in the question it states based on the information you have, so I think that was the trick.... no xrays or history of RCT was given, so it's an assumption(although probably correct) that the tooth has had RCT... for Q10... wouldn't the next step be to take an xray? it was stated that there is a perio problem concerning that region and although it says the quadrant is heavily restored it doesn't say the tooth in question is restored, so the next step would be to take an xray see what the underlying issue is, then i'd say prescribe antibiotics due to purulent exudate? any thoughts? What are your opinions on question 1? E...maybe? fixed movable with the 7 and 5? > > > > > > > > > > > > > > > > hi dave > > > > > > > > thank u so much > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > 2nd best for abfraction > > > > ebtisam > > > > > > > > > > > > > > > > ________________________________ > > > > From: dave mustaine flying_v26@ > > > > " " > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > Subject: Re: restorative > > > > > > > > > > > >  > > > > 1. Referral timelines > > > > * immediate: an acute admission or referral occurring within a few > > hours, or even more quickly if necessary > > > > * urgent: the patient is seen within the national target for urgent > > referrals (currently 2 weeks) > > > > * non-urgent: all other referrals. > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelinesà > > ‚ > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > first line treatment) > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesionsà > > ‚ > > > > > > > > > > > > ________________________________ > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > Subject: restorative > > > > > > > > > > > >  > > > > > > > > hi all > > > > > > > > need ur help again please: > > > > > > > > 1 time for urgent referal > > > > 2. material used for abfraction lesion restoration > > > > > > > > best regards > > > > ebtisam > > > > > > > > > > > > > > > > > -- > Dr Sualeh Khan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Can anyone plz send me 1000 questions on zahrasalim@... THANKS > > > > > > > > > > > > > > > > > > > > hi dave > > > > > > > > > > thank u so much > > > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > > 2nd best for abfraction > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > From: dave mustaine flying_v26@ > > > > > " " > > > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > > Subject: Re: restorative > > > > > > > > > > > > > > >  > > > > > 1. Referral timelines > > > > > * immediate: an acute admission or referral occurring within a few > > > hours, or even more quickly if necessary > > > > > * urgent: the patient is seen within the national target for urgent > > > referrals (currently 2 weeks) > > > > > * non-urgent: all other referrals. > > > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelinesà > > > ‚ > > > > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > > first line treatment) > > > > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesionsà > > > ‚ > > > > > > > > > > > > > > > ________________________________ > > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > > Subject: restorative > > > > > > > > > > > > > > >  > > > > > > > > > > hi all > > > > > > > > > > need ur help again please: > > > > > > > > > > 1 time for urgent referal > > > > > 2. material used for abfraction lesion restoration > > > > > > > > > > best regards > > > > > ebtisam > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > Dr Sualeh Khan > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi Ebtessam4)Tooth surface loss(TSL) or tooth wear cannot be taken as a sign that the patient is an active bruxist. Even if the cause of the TSL was bruxism the patient may no longer be bruxing. The signs of active bruxism are tongue scalloping and cheek ridging.http://drkam.wordpress.com/2009/09/08/dental-attrition/6)DThanksOn 29 Mar 2012, at 12:41, Aanal Solanki <dr.aanal@...> wrote: Hii,For Q, 10 As there are multiple restorations present... and they ask for "next step" ... i was confused for vitality test and radiograph... Can anyone explaine?????? AanalOn Thu, Mar 29, 2012 at 10:44 AM, ebtessam elhamalawy <ebtessamhamalawy@...> wrote: hi omarhere are my selections1. E totally agree since LARGE SINUS CI IMPLANT UNLESS BONE GRAFTING IS PROVIDED 2. B WHAT DO U THINK???? IF IT WAS MPDS I WOULD HAVE PICKED HEAD AND NECK PAIN BUT SINCE ITS ONLY BRUXISM ( CAUSES PAIN RELATED MAINLY TO MASTICATORY MUSCLES) 3.D4. EY5.D6. E 7.C8.E9.C10.A FOR FURCATION TTT THE 2ND STEP TO CLINICAL EXAMINATION IS AN XRAY11.C12.B13.E NON VITAL BLEACHING BEC THE IF WE CONSIDERED OTHER CAUSES IT WOULD PROBABLY BE CARIES RELATED TO THE PALATAL COMPOSITE CAUSING DISCOLORATION EVEN IN THIS CASE EXTERNAL BLEACHING WILL N`T WORK ITS FOR EXTERNAL SURFACE DISCOLORATION. 14 C15.E16.D would love to hear ur feedbacksBEST REGARDSEBTISAM From: <o_raafat@...> Sent: Thursday, 29 March 2012, 3:10 Subject: Re: restorative In regards to Q13, I do agree that Non Vital Bleaching would be the correct way to go BUT in the question it states based on the information you have, so I think that was the trick.... no xrays or history of RCT was given, so it's an assumption(although probably correct) that the tooth has had RCT... for Q10... wouldn't the next step be to take an xray? it was stated that there is a perio problem concerning that region and although it says the quadrant is heavily restored it doesn't say the tooth in question is restored, so the next step would be to take an xray see what the underlying issue is, then i'd say prescribe antibiotics due to purulent exudate? any thoughts? What are your opinions on question 1? E...maybe? fixed movable with the 7 and 5? > > > > > > > > > > > > > > > > hi dave > > > > > > > > thank u so much > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > 2nd best for abfraction > > > > ebtisam > > > > > > > > > > > > > > > > ________________________________ > > > > From: dave mustaine flying_v26@ > > > > " " > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > Subject: Re: restorative > > > > > > > > > > > >  > > > > 1. Referral timelines > > > > * immediate: an acute admission or referral occurring within a few > > hours, or even more quickly if necessary > > > > * urgent: the patient is seen within the national target for urgent > > referrals (currently 2 weeks) > > > > * non-urgent: all other referrals. > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelinesà > > ‚ > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > first line treatment) > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesionsà > > ‚ > > > > > > > > > > > > ________________________________ > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > Subject: restorative > > > > > > > > > > > >  > > > > > > > > hi all > > > > > > > > need ur help again please: > > > > > > > > 1 time for urgent referal > > > > 2. material used for abfraction lesion restoration > > > > > > > > best regards > > > > ebtisam > > > > > > > > > > > > > > > > > -- > Dr Sualeh Khan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 thanksmiralreally appreciate ur helpebtisam From: Miral <miral_hasan@...> " " < > Sent: Thursday, 29 March 2012, 23:00 Subject: Re: Re: restorative Hi Ebtessam4)Tooth surface loss(TSL) or tooth wear cannot be taken as a sign that the patient is an active bruxist. Even if the cause of the TSL was bruxism the patient may no longer be bruxing. The signs of active bruxism are tongue scalloping and cheek ridging.http://drkam.wordpress.com/2009/09/08/dental-attrition/6)DThanksOn 29 Mar 2012, at 12:41, Aanal Solanki <dr.aanal@...> wrote: Hii,For Q, 10 As there are multiple restorations present... and they ask for "next step" ... i was confused for vitality test and radiograph... Can anyone explaine?????? AanalOn Thu, Mar 29, 2012 at 10:44 AM, ebtessam elhamalawy <ebtessamhamalawy@...> wrote: hi omarhere are my selections1. E totally agree since LARGE SINUS CI IMPLANT UNLESS BONE GRAFTING IS PROVIDED 2. B WHAT DO U THINK???? IF IT WAS MPDS I WOULD HAVE PICKED HEAD AND NECK PAIN BUT SINCE ITS ONLY BRUXISM ( CAUSES PAIN RELATED MAINLY TO MASTICATORY MUSCLES) 3.D4. EY5.D6. E 7.C8.E9.C10.A FOR FURCATION TTT THE 2ND STEP TO CLINICAL EXAMINATION IS AN XRAY11.C12.B13.E NON VITAL BLEACHING BEC THE IF WE CONSIDERED OTHER CAUSES IT WOULD PROBABLY BE CARIES RELATED TO THE PALATAL COMPOSITE CAUSING DISCOLORATION EVEN IN THIS CASE EXTERNAL BLEACHING WILL N`T WORK ITS FOR EXTERNAL SURFACE DISCOLORATION. 14 C15.E16.D would love to hear ur feedbacksBEST REGARDSEBTISAM From: <o_raafat@...> Sent: Thursday, 29 March 2012, 3:10 Subject: Re: restorative In regards to Q13, I do agree that Non Vital Bleaching would be the correct way to go BUT in the question it states based on the information you have, so I think that was the trick.... no xrays or history of RCT was given, so it's an assumption(although probably correct) that the tooth has had RCT... for Q10... wouldn't the next step be to take an xray? it was stated that there is a perio problem concerning that region and although it says the quadrant is heavily restored it doesn't say the tooth in question is restored, so the next step would be to take an xray see what the underlying issue is, then i'd say prescribe antibiotics due to purulent exudate? any thoughts? What are your opinions on question 1? E...maybe? fixed movable with the 7 and 5? > > > > > > > > > > > > > > > > hi dave > > > > > > > > thank u so much > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > 2nd best for abfraction > > > > ebtisam > > > > > > > > > > > > > > > > ________________________________ > > > > From: dave mustaine flying_v26@ > > > > " " > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > Subject: Re: restorative > > > > > > > > > > > >  > > > > 1. Referral timelines > > > > * immediate: an acute admission or referral occurring within a few > > hours, or even more quickly if necessary > > > > * urgent: the patient is seen within the national target for urgent > > referrals (currently 2 weeks) > > > > * non-urgent: all other referrals. > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelinesà > > ‚ > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > first line treatment) > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesionsà > > ‚ > > > > > > > > > > > > ________________________________ > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > Subject: restorative > > > > > > > > > > > >  > > > > > > > > hi all > > > > > > > > need ur help again please: > > > > > > > > 1 time for urgent referal > > > > 2. material used for abfraction lesion restoration > > > > > > > > best regards > > > > ebtisam > > > > > > > > > > > > > > > > > -- > Dr Sualeh Khan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 miralI WOULD LOVE TO HEAR UR FEEDBACK REGARDING THE REST OF THE QUESTIONS From: Miral <miral_hasan@...> " " < > Sent: Thursday, 29 March 2012, 23:00 Subject: Re: Re: restorative Hi Ebtessam4)Tooth surface loss(TSL) or tooth wear cannot be taken as a sign that the patient is an active bruxist. Even if the cause of the TSL was bruxism the patient may no longer be bruxing. The signs of active bruxism are tongue scalloping and cheek ridging.http://drkam.wordpress.com/2009/09/08/dental-attrition/6)DThanksOn 29 Mar 2012, at 12:41, Aanal Solanki <dr.aanal@...> wrote: Hii,For Q, 10 As there are multiple restorations present... and they ask for "next step" ... i was confused for vitality test and radiograph... Can anyone explaine?????? AanalOn Thu, Mar 29, 2012 at 10:44 AM, ebtessam elhamalawy <ebtessamhamalawy@...> wrote: hi omarhere are my selections1. E totally agree since LARGE SINUS CI IMPLANT UNLESS BONE GRAFTING IS PROVIDED 2. B WHAT DO U THINK???? IF IT WAS MPDS I WOULD HAVE PICKED HEAD AND NECK PAIN BUT SINCE ITS ONLY BRUXISM ( CAUSES PAIN RELATED MAINLY TO MASTICATORY MUSCLES) 3.D4. EY5.D6. E 7.C8.E9.C10.A FOR FURCATION TTT THE 2ND STEP TO CLINICAL EXAMINATION IS AN XRAY11.C12.B13.E NON VITAL BLEACHING BEC THE IF WE CONSIDERED OTHER CAUSES IT WOULD PROBABLY BE CARIES RELATED TO THE PALATAL COMPOSITE CAUSING DISCOLORATION EVEN IN THIS CASE EXTERNAL BLEACHING WILL N`T WORK ITS FOR EXTERNAL SURFACE DISCOLORATION. 14 C15.E16.D would love to hear ur feedbacksBEST REGARDSEBTISAM From: <o_raafat@...> Sent: Thursday, 29 March 2012, 3:10 Subject: Re: restorative In regards to Q13, I do agree that Non Vital Bleaching would be the correct way to go BUT in the question it states based on the information you have, so I think that was the trick.... no xrays or history of RCT was given, so it's an assumption(although probably correct) that the tooth has had RCT... for Q10... wouldn't the next step be to take an xray? it was stated that there is a perio problem concerning that region and although it says the quadrant is heavily restored it doesn't say the tooth in question is restored, so the next step would be to take an xray see what the underlying issue is, then i'd say prescribe antibiotics due to purulent exudate? any thoughts? What are your opinions on question 1? E...maybe? fixed movable with the 7 and 5? > > > > > > > > > > > > > > > > hi dave > > > > > > > > thank u so much > > > > > > > > the only problem is flowable composite was n`t an option so what`s the > > 2nd best for abfraction > > > > ebtisam > > > > > > > > > > > > > > > > ________________________________ > > > > From: dave mustaine flying_v26@ > > > > " " > > > > > > Sent: Wednesday, 28 March 2012, 20:31 > > > > Subject: Re: restorative > > > > > > > > > > > >  > > > > 1. Referral timelines > > > > * immediate: an acute admission or referral occurring within a few > > hours, or even more quickly if necessary > > > > * urgent: the patient is seen within the national target for urgent > > referrals (currently 2 weeks) > > > > * non-urgent: all other referrals. > > > > > > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/referral-timelinesà > > ‚ > > > > > > > > > > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > > first line treatment) > > > > > > > > > > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfraction-lesionsà > > ‚ > > > > > > > > > > > > ________________________________ > > > > From: ebtessam ebtessamhamalawy@ > > > > > > > > Sent: Wednesday, 28 March 2012, 19:37 > > > > Subject: restorative > > > > > > > > > > > >  > > > > > > > > hi all > > > > > > > > need ur help again please: > > > > > > > > 1 time for urgent referal > > > > 2. material used for abfraction lesion restoration > > > > > > > > best regards > > > > ebtisam > > > > > > > > > > > > > > > > > -- > Dr Sualeh Khan > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 Hi Ebtisam, here are my answers with some explanations of why I chose what, I gladly welcome any discussion to my choices. 1.E 2.E- It asks for ACTIVE sign, where tooth wear could be due to previous habit that has now stopped but not been treated. 3.D 4.E 5.D- This case it states that it has previously been root filled as oppose to Q13. 6.D 7.A- Any restoration placed will fail and just pop out if the cause is not relieved. 8.B-The tooth is TTP which would indicate a periapical acute lesion, surely they would have stated that the tooth responds to heat if Irreversible pulpitis. 9.C 10.A 11.C- due to MB2 12.B 13.A- I still think E would be the answer if they hadn't said " Given the info. you have 14.C 15.E 16.D > >>> > > > > >>> > > > > >>> > > > > >>> > > > hi dave > >>> > > > > >>> > > > thank u so much > >>> > > > > >>> > > > the only problem is flowable composite was n`t an option so what`s the > >>> > 2nd best for abfraction > >>> > > > ebtisam > >>> > > > > >>> > > > > >>> > > > > >>> > > > ________________________________ > >>> > > > From: dave mustaine flying_v26@ > >>> > > > " " > >>> > > >>> > > > Sent: Wednesday, 28 March 2012, 20:31 > >>> > > > Subject: Re: restorative > >>> > > > > >>> > > > > >>> > > >  > >>> > > > 1. Referral timelines > >>> > > > * immediate: an acute admission or referral occurring within a few > >>> > hours, or even more quickly if necessary > >>> > > > * urgent: the patient is seen within the national target for urgent > >>> > referrals (currently 2 weeks) > >>> > > > * non-urgent: all other referrals. > >>> > > > > >>> > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelinesà > >>> > ‚ > >>> > > > > >>> > > > > >>> > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > >>> > first line treatment) > >>> > > > > >>> > > > > >>> > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesionsà > >>> > ‚ > >>> > > > > >>> > > > > >>> > > > ________________________________ > >>> > > > From: ebtessam ebtessamhamalawy@ > >>> > > > > >>> > > > Sent: Wednesday, 28 March 2012, 19:37 > >>> > > > Subject: restorative > >>> > > > > >>> > > > > >>> > > >  > >>> > > > > >>> > > > hi all > >>> > > > > >>> > > > need ur help again please: > >>> > > > > >>> > > > 1 time for urgent referal > >>> > > > 2. material used for abfraction lesion restoration > >>> > > > > >>> > > > best regards > >>> > > > ebtisam > >>> > > > > >>> > > > >>> > > >>> > > >>> > > >>> > >>> > >>> > >>> -- > >>> Dr Sualeh Khan > >>> > >> > >> > >> > >> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2012 Report Share Posted March 29, 2012 From where u ppl r doing these questions u r discussing about- Sent from my HTC on 3 ------ Reply message -----From: " " <o_raafat@...>Date: Fri, Mar 30, 2012 12:17 amSubject: Re: restorative< >Hi Ebtisam,here are my answers with some explanations of why I chose what, I gladly welcomeany discussion to my choices.1.E2.E- It asks for ACTIVE sign, where tooth wear could be due to previous habitthat has now stopped but not been treated.3.D4.E5.D- This case it states that it has previously been root filled as oppose toQ13.6.D7.A- Any restoration placed will fail and just pop out if the cause is notrelieved.8.B-The tooth is TTP which would indicate a periapical acute lesion, surely theywould have stated that the tooth responds to heat if Irreversible pulpitis.9.C10.A11.C- due to MB212.B13.A- I still think E would be the answer if they hadn't said " Given the info.you have14.C15.E16.D> >>> > >> >>> > > Hi Punkit> >>> > >> >>> > > I agree with you that vertical fracture has poor prognosis and it is> >>> > always better to extract them but we cant forget that tooth is symptomless> >>> > and it is always better to conserve tooth and bonding of vertical fractures> >>> > with gic has some good prognosis.it bond around fracture line preventing> >>> > the propagation of fracture.> >>> > > I know these option depends on the situation and existing scenario but> >>> > mostly we extract these teeth i think we should go with it.> >>> > >> >>> > >> >>> > > ________________________________> >>> > > From: Punkit Sudan punkitsudan@> >>> > > ebtessam elhamalawy ebtessamhamalawy@;> >>> > > >>> > > Sent: Thursday, 29 March 2012 12:51 AM> >>> > > Subject: Re: restorative> >>> > >> >>> > >> >>> > > Â> >>> > > Question 4.... E... Vertical fracture has poor prognosis.....correct if> >>> > wrong..thank u> >>> > >> >>> > >> >>> > >> >>> > > ________________________________> >>> > > From: ebtessam elhamalawy ebtessamhamalawy@;> >>> > > @...;> >>> > > Subject: Re: restorative> >>> > > Sent: Wed, Mar 28, 2012 7:52:10 PM> >>> > >> >>> > >> >>> > > Â> >>> > > (((((((( sid its one of the questions below))))))))> >>> > >> >>> > > HI GUYS> >>> > >> >>> > > I WOULD LOVE TO HEAR UR OPINION REGARDING THE FOLLOWING QUESTIONS> >>> > > THEY ARE NOT EASY AND IT WILL BE EASIER IF WE COULD DO THEM TOGETHER> >>> > > LOOKING FORWARD FOR UR REPLIES> >>> > >> >>> > >> >>> > > 1. A 43year old patient is missing on the upper right the first premolar> >>> > > and molar. He has good oral hygiene and requests a fixed replacement for> >>> > these teeth. The other teeth on the same side are all moderately> >>> > > restored with MOD amalgam restorations and are vital, except the canine,> >>> > which has a very large restoration and is root-filled. He has group> >>> > > function. Radiographs show a large sinus cavity and no peri-apical> >>> > > pathology. What would be the restoration of choice for replacement of> >>> > > the missing teeth?> >>> > > A. Implant supported crowns> >>> > > B. A conventional fixed bridge using the 7 and 5 as abutments> >>> > >> >>> > > C. Two conventional cantilevered bridges, using the 7 and 3 as abutments> >>> > >> >>> > > D. A resin-bonded bridge, using the 7 and 5 as abutmen> >>> > > E. A conventional fixed-moveable bridge using the 7 and 5 as abutmentsÂ> >>> > >> >>> > >> >>> > > 2. Bruxism is a common form of parafunctional activity of which the> >>> > > patient may or may not be aware. It may be important in the development> >>> > > of a treatment plan to determine whether the patient is an active> >>> > > bruxist. The principle clinical sign of active bruxism is:> >>> > > A. Head and / or neck pain> >>> > > B. Excessive tooth wear> >>> > > C. Temporomandibular joint clicking> >>> > > D. Sensitive teeth> >>> > > E. Cheek ridging and tongue scalloping> >>> > > B for it> >>> > > 3. An adult patient attends your practice complaining of pain and> >>> > > swelling associated with a previously restored upper first premolar> >>> > > tooth. The pain has been present for a number of days and is no longer> >>> > > responding to analgesics. His dentition is otherwise well maintained and> >>> > his periodontal health is good.What is the most appropriate approach to> >>> > treatment?> >>> > > A. Antibiotics and analgesics.> >>> > > B. Extract the tooth> >>> > > C. Carry out a pulpotomy. Temporary dressing.> >>> > > D. Carry out a pulpectomy. Temporary dressing> >>> > > E. Establish open drainage> >>> > >> >>> > >> >>> > >> >>> > > 4. A patient reports that his post crown has fallen out. This crown had> >>> > > been present for many years. You note that there appears to be a> >>> > > hairline vertical fracture of the root. The tooth is symptomless.What is> >>> > the most sensible approach to treatment?> >>> > > A. Replace the post crown using a resin-reinforced glass ionomer material> >>> > > B. Replace the post crown using a polycarboxylate cement> >>> > > C. Replace the post crown using a dentine bonding agent and a> >>> > resin-reinforced glass ionomer material> >>> > > D. Replace the post crown using a resin composite luting agent> >>> > > E. Arrange to extract the tooth> >>> > >> >>> > >> >>> > >> >>> > > 5. A patient says that he does not like the appearance of his> >>> > > previously root filled upper central incisor tooth. His dentition is> >>> > > otherwise well maintained and his periodontal health is good. The tooth> >>> > > appears to be darker than the adjacent teeth. What is the most> >>> > > appropriate approach to treatment?> >>> > > A. Provision of a post crown> >>> > > B. Provision of an all ceramic crown> >>> > > C. Provision of a metal bonded to ceramic crown> >>> > > D. Carry out a non vital bleaching procedure> >>> > > E. Provision of a porcelain veneer> >>> > >> >>> > >> >>> > >> >>> > > 6. A 25 year old male attends for the first time complaining of> >>> > > sensitivity of a number of teeth. On examination, the occlusal surfaces> >>> > > of all the teeth are worn with obvious wear facets on the canines and> >>> > > premolars. Posterior amalgam restorations are proud of the surrounding> >>> > > tooth. What would be the first stage management?> >>> > > A. Take impressions for study models> >>> > > B. Prescribe fluoride mouth rinse> >>> > > C. Replace the amalgam restorations> >>> > > D. Dietary analysis> >>> > > E. Placement of resin sealant to sensitive teeth> >>> > >> >>> > >> >>> > >> >>> > > 7. A 35 year old male patient who admits to grinding his teeth at night> >>> > > has a number of wedge-shaped cervical (Class V) lesions on his upper> >>> > > premolar teeth. These are causing some sensitivity and are approximately> >>> > 3mm deep. What is the correct management option?> >>> > > A. Provide tooth brushing instruction and fluoride> >>> > > B. Restore the lesions with compomer> >>> > > C. Restore the lesions with micro-filled composite> >>> > > D. Restore the lesions with a hybrid composite> >>> > > E. Restore the lesions with conventional glass-ionomer> >>> > > A i think> >>> > > 8. A patient attends with pain of four days duration in a carious upper> >>> > > molar tooth. The pain is constant and is not relieved by paracetemol.> >>> > > Sleep has been disturbed by the pain. The tooth is tender to percussion> >>> > > and gives a positive response to Ethyl Chloride. What is the most likely> >>> > diagnosis?> >>> > > A. Pericoronitis> >>> > > B. Apical periodontitis> >>> > > C. Marginal periodontitis> >>> > > D. Reversible pulpitis> >>> > > E. Irreversible pulpitis> >>> > > Its E> >>> > > 9. A 14 year old patient attends with a decayed and extensive> >>> > > hypoplastic LL7. He is a very irregular attender with poor oral health> >>> > > habits. A radiograph shows the presence of an unerupted LL8 and the LL6> >>> > > is sound. What would be the most appropriate long-term treatment for> >>> > > this tooth?> >>> > > A. Amalgam restoration> >>> > > B. Antibiotics> >>> > > C. Extraction> >>> > > D. Root canal therapy> >>> > > E. Sedative dressing> >>> > >> >>> > >> >>> > >> >>> > >> >>> > > 10. A 30 yr-old patient attends complaining of occasional pain from the> >>> > > lower left quadrant. Clinical examination reveals an extensively> >>> > > restored dentition with generally good oral hygiene. There is no> >>> > > significant periodontal pocketing other than an isolated defect in the> >>> > > region of the furcation of lower left first molar which is non-mobile.> >>> > > The gingival tissue in this area appears erythematous and slightly> >>> > > hyperplastic with a purulent exudate on probing. From the list below,> >>> > > which is the most appropriate next step?> >>> > > A. Obtain a radiograph> >>> > > B. Biopsy the gingival tissue> >>> > > C. Remove the restoration> >>> > > D. Vitality testing> >>> > > E. Prescribe antibiotics> >>> > >> >>> > >> >>> > >> >>> > > 11. A 40 yr old patient had root-canal treatment to his upper first> >>> > > molar. This was performed 6 months ago using contemporary techniques> >>> > > under rubber dam and was crowned after completion of treatment. He> >>> > > attends complaining of continued discomfort from this tooth.> >>> > > Radiographic examination shows each of the three roots to be obturated> >>> > > with a well-condensed filling to the full working length though there is> >>> > no evidence of in-fill of the periapical lesion when compared to the> >>> > > pre-op view. There is crestal bone loss and no furcal involvement.. What> >>> > > is the most likely cause of the continued problem?> >>> > > A. Extra-radicular infection> >>> > > B. Contamination of canal(s) with E.faecalis> >>> > > C. Uninstrumented canal> >>> > > D. Vertical root fracture> >>> > > E. Perio-endo problem> >>> > >> >>> > >> >>> > >> >>> > > 12. An eight-year-old boy presents with pain of three days duration that> >>> > has kept him awake. On examination you see a grossly carious lower Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2012 Report Share Posted March 30, 2012 HELLO EVERYONE i thnk number 6 the answer would be A as first step in managment because in wear the first thing we do is take impression for study models so we could record the wear over time. > >>> > > > > >>> > > > > >>> > > > > >>> > > > hi dave > >>> > > > > >>> > > > thank u so much > >>> > > > > >>> > > > the only problem is flowable composite was n`t an option so what`s the > >>> > 2nd best for abfraction > >>> > > > ebtisam > >>> > > > > >>> > > > > >>> > > > > >>> > > > ________________________________ > >>> > > > From: dave mustaine flying_v26@ > >>> > > > " " > >>> > > >>> > > > Sent: Wednesday, 28 March 2012, 20:31 > >>> > > > Subject: Re: restorative > >>> > > > > >>> > > > > >>> > > >  > >>> > > > 1. Referral timelines > >>> > > > * immediate: an acute admission or referral occurring within a few > >>> > hours, or even more quickly if necessary > >>> > > > * urgent: the patient is seen within the national target for urgent > >>> > referrals (currently 2 weeks) > >>> > > > * non-urgent: all other referrals. > >>> > > > > >>> > http://publications.nice.org.uk/referral-guidelines-for-suspected-cancer-cg27/re\ ferral-timelinesà > >>> > ‚ > >>> > > > > >>> > > > > >>> > > > 2. Flowable composite (occlusal adjustment and cleaning advice is the > >>> > first line treatment) > >>> > > > > >>> > > > > >>> > http://www.dentalaegis.com/id/2011/06/esthetic-and-predictable-treatment-of-abfr\ action-lesionsà > >>> > ‚ > >>> > > > > >>> > > > > >>> > > > ________________________________ > >>> > > > From: ebtessam ebtessamhamalawy@ > >>> > > > > >>> > > > Sent: Wednesday, 28 March 2012, 19:37 > >>> > > > Subject: restorative > >>> > > > > >>> > > > > >>> > > >  > >>> > > > > >>> > > > hi all > >>> > > > > >>> > > > need ur help again please: > >>> > > > > >>> > > > 1 time for urgent referal > >>> > > > 2. material used for abfraction lesion restoration > >>> > > > > >>> > > > best regards > >>> > > > ebtisam > >>> > > > > >>> > > > >>> > > >>> > > >>> > > >>> > >>> > >>> > >>> -- > >>> Dr Sualeh Khan > >>> > >> > >> > >> > >> > > > Quote Link to comment Share on other sites More sharing options...
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