2015/2016/2017

Question 1

What would lead you to the conclusion that a patient has gen aggressive perio ?

Answer 1

• no medical conditions
• age
• more than 3 teeth
• included that re not the 6’s and incisors
• rapid progression

Question 2

what are the clinical and lab investigations for Gen agress perio?

Answer 2

• full history (including family history)
• full intra oral exam - including full perio exam
• microb analysis of the sample (oral rinse)

Question 3

How would the prognosis of each individual teeth in agressive perio be assessed?

Answer 3

• pocket depths
• LOA
• mobility
• furcation involvement

Question 4

What water should be used in the final stages of the washer disinfector and why?why would you not use mains water?

Answer 4

demineralised -reverse osmosis, sterile

it is low in mineral content compare to that of the mains water. these minerals can damage devices and provide rough surfaces for microbs to cling to .

Question 5

Why would mechanical root surface debridement not be successful in eliminating pocket bacteria?

Answer 5

• incomplete RSD- with difficult access
• pathogens may not fully be removed from the area
• lack of flushing pocket

Question 6

Why would antibiotics not be successful?

Answer 6

• may be inactive
• may be resisted by the biofilms
• super infection
• may be inadequate drug concentration

Question 7

How would you manage a periodontal abscess?

Answer 7

1. give LA
2. incise and drain
3. rinse with saline solution
4. sub gingival debridment
5. review/antibiotics
6. XLA

Question 8

How would you bond composite to a tooth? Give 2 dental materials and examples?

Answer 8

1. conditioner- acid etch 37% phosporic acid

2. dentine bonding agent- prime and bond

Question 9

What are 3 reason why a post core would debond?

Answer 9

• post fracture
• core fracture
• root fracture
• caries
• traumatic fracture

Question 10

fracture occurs at junction of post and core?

Answer 10

• lack or loss of tooth structure required
• inadequate furrel
• bruxism truma
• high occlusal

Question 11

WHat are 3 ways of removing a fractured post that that is visable?

Answer 11

• ultrasonic tip
• moskito forceps
• masseron kit

Question 12

What are 5 reasons for a composit restoration to give transient sensitivity to thermal stimuli?

Answer 12

• deep cavity
• pulp exposure
• uncured rsin at bottom of restoration
• insuficciant coolant on preperation
• contraction pourosity

Question 13

What could you do to prevent transient sensitivity?

Answer 13

• pulp cap
• lots of coolant on prep
• small incurements of comp
• indirect restoration
• liner

Question 14

what would you diagnose if a patient attends with inflammed ging which extends into the mucogingival margin?

Answer 14

desquamative gingivitis

Question 15

What conditions are linked with with squamative gingivitis?

Answer 15

pemphigus
phemphigoid
lichenplanus

Question 16

What 2 factors contribute to suqamitve gingivitis?

Answer 16

SLS

plaque

Question 17

What 2 topicaal treatments can you use for suqamative gingivitis?

Answer 17

betamethasone mouthwash

tacrolimus ointment

Question 18

A child has swallowed flouride toothpaste, what would you ask mum?

Answer 18

what age is child?
what is the concentration of the tooth paste?
how much tooth paste has been ingested?
When did it happen?

Question 19

What treatment would you suggest to the patient if toxic dose has been ingested?

Answer 19

to give child calcium and attend hospital

Question 20

Name 2 heamostaic agents?

Answer 20

ferric sulphate

cellulose

Question 21

What other teatment options is there ?

Answer 21

removable partial denture
bridge
orthodontics
combined

Question 22

list 5 possible treatment options for impacted perm molars?

Answer 22

leave and monitor
ELA of E to allow for further eruptoion
remove distal aspect of E
ortho appliance attached to the E to allow for eruptionortho seperator

Question 23

what are the 8 elements of the preventative programme?

Answer 23

• radiographs
• toothbrushing instructions
• strength of fluoride in the toothpaste
• F varnish
• F suppliment
• diet advice
• FS
• sugar free medication

Question 24

What would you splint for an extrusion?

Answer 24

2 weeks flexible

Question 25

What 4 tests would you carry out apart from a radiograph ?

Answer 25

EPT Ethyl chloride Mobility TTP

Question 26

How much CPD must be completed - total and verifiable?

Answer 26

250 hours within 5 years | 75 hours which are verifiable

Question 27

what are the 4 components of clinical guidance other than the audit?

Answer 27

``` education and training risk management openness research and development clincial effectiveness ```

Question 28

What are the possible complications of and overjet?

Answer 28

trauma risk difficulty with speech difficulty with function psychological aspects

Question 29

What test would you carry out prior to ariving at the diagnosis of trigeminal neuraligia?

Answer 29

IAN block to rule out TMD full neurological exam FBC

Question 30

What drug would you give for Tri neuro?

Answer 30

carbamazepine

Question 31

What exam would you carry out every 3 months ?

Answer 31

use scale to monitor pain

Question 32

When would you consider surgical managment of tri neurology?

Answer 32

no improvement with prolonged carbamazepine medication causing side effects

Question 33

what would be a type of surgery for tri neuro?

Answer 33

balloon compression

Question 34

3 local causes of intraoral staining?

Answer 34

amalgam tattoo malignant melanoma nevus

Question 35

Give 3 generalised causes of intraoral pigmentation?

Answer 35

smoking hormonal imbalance racial pigmentation

Question 36

Name 2 types of haemangiomas?

Answer 36

capillary | cavernous

Question 37

What is the histological difference between capillary and cavernous haemangiomas?

Answer 37

Capillay - are non capsulated aggregates of closely packed, thin walled capillaries with epithelial lining which is sseperated by connective tissue Cavernous-are encapsulated nodular mass comprimised of dilated, cavernous vascular spaces with endothelial lining seperated by connective tissue,, smooth muscle surrounded the vascular spaces.

Question 38

What are the 4 parameters of SIRS?

Answer 38

1. temp below 35 or above 38 2. white blood count under 4 or over 11 3. pulse over 90 BPM 4. respiratory rate over 20 `

Question 39

How many of the SIRs do you need to diagnose?

Answer 39

2/4

Question 40

Apart from site, what are 4 things which should be taken into consideration of a facial swelling?

Answer 40

- airway compromise - heat - size - colour - dehydration - fatigue

Question 41

What would you do if you suspect SIRS?

Answer 41

urgent referral

Question 42

What briefe intervention is used for alcohol screening?

Answer 42

Alcohol brief intervention- * raise the issue about if they drink * screen and give feedback about risks * listen to rediness to change * suitable referral/advice

Question 43

4 responses to stress?

Answer 43

direct action seek information do nothing coping

Question 44

What are the primary and seconday appraisals for stress?

Answer 44

initial assesmnet of stressor reaction to the primary appraisal

Question 45

What is the cycle of behaviour change?

Answer 45

``` pre-contemplation contemplation preparation action progress/relapse ```

Question 46

Legislation for decontamination?

Answer 46

COSHH H&S at work 1974 NHS regulations 2010 Medical device directive

Question 47

What is capacity ?

Answer 47

Ability to- - retain memory of decision - make a reasoned decision - understand a decision - ability to act - communicate decision