plz help me with some qs

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plz friends help me with answering this questions34.

.. reason for

tingling of hands and feet during treatement of long standing procedures ?65Person with swollen salivary glands+swollen

lips+ swollen gingiva…diagnosis69.

Photo of two canines completely

abraded/attrited with gingival recession and cerv.abrasion -

Give 1 advantage of having these two teeth

alone -

Give 2 disadvantages to having these two teeth

alone -

T/t options for this patient other than RPD -

If overdentures are given the how would you

obtain stability for this denture- 2 ways -

4 advantages of overdentures for this patient. 70.

Fracture (mid-palatal) of denture -

4 patient related factors leading to it -

4 dentist related factors leading to it -

Give 2 ways of overcoming this fracture 71.

Picture of 14 yr old girl with erosion of

Buccal surfaces of molar -

3 types of non carious tooth loss -

What do you think this is -

What disorder would you expect in this -

4 ways in which you will monitor tooth wear -

What is the most important advice that you

will give in this?From: gurjot Rakhra <malki_nsr@...>dentaljournalclub Sent: Sun, March 20, 2011 12:26:38 PMSubject: Re: [D.J.C.] (unknown)

Thanks Chitra forsharing your great experience .

________________________________

From: Chitra Pandurangan <chitrapandurangan@...>

dentaljournalclub

Sent: Sat, March 19, 2011 5:07:33 PM

Subject: [D.J.C.] (unknown)

Dear All

I realised recently that I have been one of the lucky few who passed out

of the ORE.It is definitely a big relief but wonder if it was my hard work or

the stroke of luck or destiny which had a major hand in my success.

I am sure the exam feedback would have been uploaded

already so I would like to just share my thoughts about this unpredictable exam.

First and foremost is the OSCE'S

Communication Osce

There is no other way than just practising all the points

again and again within 4 min.So after you get all the right information about a

particular OSCE keep practising with a study partner every single day till the

very end becos in the exam we have no time to think.The study partner can

pretend to be a grumpy patient or a talkative patient or a secretive patient and

this may help for treatment planning as well.

For all the skill OSCE it is very important to read in detail from

different textbooks or journals.Opinions from people who have passed may help

but sometimes they can be wrong as well so always cross check the information

you have received.Osces like referral letter,prescriptions and other written

ones ,its important to write them and practice within 4 mins.

Medical Emergencies

Obviously the rhesus guidelines have to be read thourougly but also

read pathophysiology of all the emergencies in detail,pharmocology of the

emergency drugs and in every emergency try to question yourself WHY .For eg why

does someone get an asthma attack,how does it happen,WHY some people get,why we

give salbutamol.So basically if you are able to answer all the why's and how's

you are fine.Make sure you are familiar with all the emergency equipments and

also how to use them including the bag valve mask and Oxygen.If you have access

to a hospital skills lab that would be very good so that you can practice the

BLS and also IV,IM and suturing which will help for Osces as well.

Manikin

CUT AS MANY TEETH AS POSSIBLE.But what is also important is you know

exactly what is required for the exam before you cut teeth.I personally feel

Fred's course is good.But also look at the british books for pictures of class 2

,3 and crowns so that you have an idea.It is important to read the theory behind

it so that even if you make a mistake you realise and can manage the examiners

with confidence.So there is no point in cutting 100 teeth without knowing the

perfect prep or you will master a preparation which is wrong.

In the exam the first thing is obviously to try and finish all the

exercises so timing is very important.Secondly no big blunders.Even if one

exercise goes really bad dont worry becos if the other 2 go very well you will

still pass.So always start with the exercise which you are comfortable with and

do it slowly becos if that goes well you will gain some confidence.Examiners

like people who are honest and who are able to point out their faults,so if you

feel something is not right tell them that and how you can manage it

clinically.Practice the exercises which are most likely as much as possible and

towards the end make sure do lot of mock exams with 3 exercises and 21/2

hrs.Dont try to save few hundred pounds on teeth and end up losing few

thousands.So practice atleast for 2 months.

Treatment Planning

This exam I feel is very unpredictable becos proper feedback from

GDC is not available so I think we should really raise that issue with the

GDC.But again read as much as possible from all the restorative books so that

you have a sound clinical knowledge.Then read Odell.If you have access to Dental

Update journals they are very good.Most important dont trust anybody but trust

only the books or articles becos nobody knows what the examiners want.

In treatment planning it is important to keep it very simple.So

discuss different types of cases everyday.

History taking - Odell will definitely help but make a list of questions for

each clinical situation and just be thorough coz again there is no time to

think.Even if the patient is talkative dont worry becos they will give u all the

information you need and you dont have to ask 100 questions.If we follow the

pattern given in the Royal college course and ask few questions under eacn

heading I think history taking will be fine.Never interrupt the patient if they

are giving relevant information even if you feel you have a lot to ask as

otherwise the examiners will feel you are a poor listener. Cut in only if you

feel the patient is going of on a tangent.

Treatment Planning

Always have patient history and the chief complaint at the back

of mind when you are looking at the investigations.For eg this december case was

very tricky as patient had symptoms of apical periodontitis but couldnt point at

the tooth.The radiograph was also normal I think vitality was negative.In such

situations put the blame on the provided investigations as we have to trust them

blindly as we cant examine the patient.So tell the patient your history tells me

this and reports tell the opposite but most likely the reason for your pain is

.......but I can confirm it only after i do some more tests or look at that

tooth.

The format that helps for treatment planning is

Discuss the medical issues and how it can be relevant to dental treatment.

Then what is the cause for the patient's problem or what are the likely

causes.If no treatment done what can happen.

What emergency treatment can be done if possible and long term management of the

problem

Then just briefly discuss the other issues like OHI ,Smoking

cessation,malocclusion or TSL if noticed.What I have realised is they dont

want us to show our knowledge there but just talk in a simple manner and have a

conversation with the patient rather than a long boring talk about the patient's

condition.So always involve the patient.Even if we are not able to finish good

communication skills are appreciated.

At the end of the day we need that extra bit of

luck.But what I would like to suggest is dont just cling onto ORE try ur level

best but dont get disheartened if you are not getting through cos its not ur

fault.Always keep looking for other options and have a plan B becos this country

has lot of opportunites but we have to find them.For people who havent made it

this time ,dont worry,Its okay if we lose a battle but I am sure you will

finally win the war.There is hope at the end of the tunnel ,look beyond ORE

...........

I just hope and pray that all the deserving people get

what they want.I am sorry if I havent written anything worthwhile but I will be

happy to help(ph 01224324368) but as I said dont trust anybody..

Regards

Chitra