Guest guest Posted March 30, 2012 Report Share Posted March 30, 2012 I agree with the other except for 6 where I go for E Dietary analysis :)Sent from my iPadOn 29 Mar 2012, at 23:48, ebtessam elhamalawy <ebtessamhamalawy@...> wrote: 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? > > > > 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 > > > > > > 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 (its irreversible pulpitis) > > 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 (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 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 (restoration of > > abfarction lesions is the last step of management) > > 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 > > > > > > 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 > > > > > > 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 h Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2012 Report Share Posted March 30, 2012 so u will chooseIRREVERSABLE PULPITIS INSTEAD OF APICAL PERODONTITIS EVEN WHEN THEY SAID THE TOOTH IS TTP EBTISAM From: Miral <miral_hasan@...> To: " " < > Sent: Friday, 30 March 2012, 10:25 Subject: Re: Re: restorative I agree with the other except for 6 where I go for E Dietary analysis :)Sent from my iPadOn 29 Mar 2012, at 23:48, ebtessam elhamalawy <ebtessamhamalawy@...> wrote: 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? > > > > 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 > > > > > > 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 (its irreversible pulpitis) > > 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 (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 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 (restoration of > > abfarction lesions is the last step of management) > > 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 > > > > > > 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 > > > > > > 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 h Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2012 Report Share Posted March 30, 2012 HI AGAININ A TOOTH WITH AN APICAL PERIODONTITIS WILL IT RESPONDE TO PULP TESTING ??????EBTISAM 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 31, 2012 Report Share Posted March 31, 2012 Hi Nebia,I think reaction to ethyl chloride may only indicate that one or more root canal is still viable since it is a molar:)Sent from my iPadOn 31 Mar 2012, at 09:49, "Nebia Leila imene" <imene.nebia@...> wrote: sorry, but for the qs 8 what the ethyl chloride is used for, isn't a way to know that it is a marginal periodontitis please if someone can correct me if it is wrong... imeneé > >>>> > > >>>> > 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 > >>>> > > >>>> > > >>>> > 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 (its irreversible pulpitis) > >>>> > 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 (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 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 (restoration of > >>>> > abfarction lesions is the last step of management) > >>>> > 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 > >>>> > > >>>> > > >>>> > 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 > >>>> > > >>>> > > >>>> > 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 h > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2012 Report Share Posted March 31, 2012 thanks for the answer so the answer is apical periodontitis i think imene > > > >>>> > > > > >>>> > 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 > > > >>>> > > > > >>>> > > > > >>>> > 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 (its irreversible pulpitis) > > > >>>> > 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 (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 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 (restoration of > > > >>>> > abfarction lesions is the last step of management) > > > >>>> > 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 > > > >>>> > > > > >>>> > > > > >>>> > 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 > > > >>>> > > > > >>>> > > > > >>>> > 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 h > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2012 Report Share Posted March 31, 2012 Why not irreversible pulpitis ?Sent from my iPadOn 31 Mar 2012, at 18:58, "Nebia Leila imene" <imene.nebia@...> wrote: thanks for the answer so the answer is apical periodontitis i think imene > > > >>>> > > > > >>>> > 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 > > > >>>> > > > > >>>> > > > > >>>> > 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 (its irreversible pulpitis) > > > >>>> > 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 (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 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 (restoration of > > > >>>> > abfarction lesions is the last step of management) > > > >>>> > B. Restore the lesions with compomer > > > >>>> > C. Restore the lesions with micro-filled composite > > > >>>> > D. Restore the lesions with a hybrid Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2012 Report Share Posted March 31, 2012 sometimes in the multirooted, one root is in the stage of periapicale periodontitis (TTP) and the other root is in the stage of irreversible pulpitis and hasn't necrotised yet, so in the diagnostic we give the most advanced one: periapicale periodontitis hope that it's clear have studied that in my postgraduated books imene > > > > > >>>> > > > > > > >>>> > 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 > > > > > >>>> > > > > > > >>>> > > > > > > >>>> > 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 (its irreversible pulpitis) > > > > > >>>> > 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 (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 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 (restoration of > > > > > >>>> > abfarction lesions is the last step of management) > > > > > >>>> > B. Restore the lesions with compomer > > > > > >>>> > C. Restore the lesions with micro-filled composite > > > > > >>>> > D. Restore the lesions with a hybrid > Quote Link to comment Share on other sites More sharing options...
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