Lennox-Gastaut syndrome (LGS)
a) Epilepsy
b) Angeltectasis
c) Supraventricular tachycardia
a) Epilepsy
complex, rare, and severe type of epilepsy
Antibiotics for 13yo after re-implant
doxycycline not tetracycline?
Function of NaF soaking before reimplant
inhibit osteoclasts
Decrease chance of ankylosis (replacement resorption)
Best type of mouth guard
a) Type 1
b) Type 2
c) Type 3
a) type 1 is custom
Elevated urine in hypophosphatasia
phosphoethanolamine
Effects in blood for anorexia
low blood pressure
amt of time after bleaching for restoration
2wks
amt of time before pulp testing
1 week
Amt of time before re-implant w best prognosis–15min? 30min?
15 min
For best success with reimplantation, out of socket time should be no more
than what for best outcome?
15 min
max lateral mineralizatio
10-12 months
Cells found in normal non-inflamed pulp tissue:
a. Neutrophils
b. B-lymphocytes
c. T-lymphocytes
d. Macrophages
a. Neutrophils
what in saliva assists in remineralization
alkaline proteins?
pacifier use–
SIDs
increased PTT
Hemophilia
ortho line separating cranium from face–
sella to nasion
FHP points
porion to orbitale
presentation of febrile seizure:
gen tonic-clonic
ortho line separating cranium from face
sella to nasion
FHP points
porion to orbitale
Class III has
negative ANB
1st line analgesic for min-mod pain post restorative in a 5 yo
NSAIDs? tylenol?
presentation of febrile seizure
gen tonic-clonic
age of calcification begins for primary teeth-
14-18 wks
primary tooth most space loss before 1st perm molar erupts
Maxillary 2nd primary molar
collagen synthesis issue
epidermous bullosa
Mandibular fracture at 5yo that would most affect growth in adolescent spurt
condyle
caries causing bacteria other than MS–
s. sobrinus, lactobacilli
more filler causes what
more strength, hardness, less shrinkage, less wear, less fracture
MOA of CHX
disrupts membranes
GIC contributes to remineralization how
-
time of onset for LA affected by
pKa
ppl can understand them but have issues w l/z/ch/th
4yo
VPI has issues w word
car
canine relationship best predictor
of diastema
what is active surveillance
close monitoring and prevention
passive immobilization
- use of of device
- active is by a person
caries causing bacteria other than MS
s. sobrinus, lactobacilli
critical instrument
scaler
4 wk splinting for root fracture, what type of healing is expected at 1 yr?
Hard-tissue
class 2 prep difference from perm
no need to bevel due to enamel rods slope
up
Decrease radiation exposure w/
rectangular collimation
diff btw total etch and self etch
total is more acidic, better etching
formocresol
bactericidal and stops bleeding
Mode of action of CHX
disrupts membranes
incidence
new cases( chance of getting it)
sensitivity
true positive: positives correctly identified as positives
Fluoride supplementation for 2yo w <0.3ppm in water
0.25
max amt Fluoride supplement to r
120mg
Fluoride supplementation for 2yo w <0.3ppm in water
0.25
no spacing in primary dentition what % will have crowding
66%
don’t give Ml paste to allergy to milk proteins
doesn’t matter for lactose
intolerant!
product in enamel/subenamel lesions as a result of application of varnish
fluoroapatite
randomization of participants
cohort
skeletal growth timing
width changes the least amt, A/P depth changes the most/longest
acyanotic heart defect
ASD, VSD, AVSD, Stenosis, Coarctation
Critical instrument
Periodontal scaler
SE of steam autoclave
corrosion, dulling
class 2 prep difference from permanent
no need to bevel due to enamel rods slope
up
difference in morphology primary vs. perm teeth
primary constricted occlusal table and
cervical, inc M/D width
diff btw total etch and self etch
total is more acidic, better etching
formocresol
bactericidal and stops bleeding
dolichofacial: clockwise rotation MN. Brachiofacial: counterclockwise
-
type II statistical error
- acceptance of a false null hypothesis.
- type I is a rejected TRUE null hypothesis
incidence
new cases (chance of getting it)
sensitivity
positives correctly identified as positives
least indicative of caries risk?
a. bmi
b. plaque
c. snacks
bmi
high caries risk associated w/
enamel defects
(other choices were mod risk–SHCN,
recent immigrant, plaque)
nasal DDAVP
to raise factor 8
radiograph interval for 10 yo with no caries:
12-24 months
don’t give Ml paste to allergy to milk proteins
doesn’t matter for lactose
intolerant!
product in enamel/sub enamel lesions as result of application of varnish
fluoroapatite
randomization of participants
cohort
metabolic syndrome associated with
Hyperthyroidism?
most common impacted tooth after 3rd molars
MX canines
% of supernumerary that erupt
25%
% ectopic molars that correct spontaneously
66%
sleep apnea causes what
behavioral disorders
reversal for meperidine (opioid)
Naloxone 0.1 mg/kg***
most common ankylosed tooth
Mandibular 1st primary molar
sedation med w/ analgesia
meperidine (opioid)
best predictor of future caries is
past caries
hep B vaccine given at birth
-
dose for ibuprofen
4-10 mg/kg every 6-8 hrs as needed
sign of vaso-occlusive crisis
pain
deepest layer of dens invaginatus
pulp?
herpangina is caused by
coxsackie
bacteria in LAP
A.A.
smokeless tobacc
inc root caries in teenagers
least indicative of caries risk?
a. bmi
b. plaque
c. snacks
a. bmi
effect of oral burn
microstomia
suturing face to oral laceration
skin first? muscle?
type of suture causes most immune response
silk
tx for periodontitis
tetracycline/penicillin/amox + *metronidazole
apert syndrome has
class 3 occlusion w anterior open bite
fluoride gel tray, how long?
Book says 1-4 min, I put 2min, 4min?
primary host defense mech for perio
neutrophils*
most common impacted tooth after 3rd molars
Maxillary canines
primary tooth indication for nonvital pulp therapy
percussion sensitive
increase retention of class 3 restorations on primary teeth
place dovetail
how does resin infiltration work?
Capillary action
after 3-5 min what does N2O do
dissolve in serum
disinfection of alginate
iodophors
Breast milk
NPO 4 hrs before sedation
xylocaine compared to lidocaine
better bone penetration
mitochondrial disorders
high risk of malignant hyperthermia
best allergy test for latex?
assay
crepitus of TMJ
osteoarthritis
thickness of mouthguards
3-4mm
Cells found in immature dental pulp
Mesenchymal stem cells
Impression materials can be disinfected in less than 10 minutes with:
a) Hypochlorite
b) Glutalderhyde
a) Hypochlorite
Smokeless tobacco use in teens causes:
a. Root caries
b. incisal erosion
c. enamel hypoplasia
a. inc root caries in teenagers
congenital epulis
-
timing of appliance placement after oral burn
10-14 days
Neutropenia and oral mucositis are oral symptoms of what bacteria?
a. H. Influenzae
b. Pseudomonas
c. Staph aureus
d. Strep viridans
d. Strep viridans
3,4 - methylenedioxyamphetamine causes:
a. hypotension
b. bradycardia
c. constricted pupils
d. hyperthermia
d. hyperthermia
C. difficile caused by?
Clindamycin
ALL causes gingivitis
-
Neuroblastoma most common in first yr of life
-
aperts syndrome has
class 3 occlusion w/ anterior open bite
Age child can walk alone:
a. 10 mo
b. 14 mo
c. 19 mo
b. 14 mo
primary host defense mech for periodontitis
neutrophils
commonly seen in teeth traumatized w open apex
pulp canal obliteration
primary tooth indication for nonvital pulp therapy
percussion sensitive
vegetarians have lower B12
-
increase retention of class 3 restorations on primary teeth
place dovetail
how does resin infiltration work
Capillary action
Serial extractions start with
primary mand canine
disinfection of alginate
iodophors
Breast milk NPO?
NPO 4 hrs before sedation
xylocaine compared to lidocaine
better bone penetration
wheezing lower airway blockage on
expiration
bacteria associated with mucositis and neutropenia?
Strep viridans
Incidence
number of new cases in a population
% with generalized spacing?
2/3 (Baume type 1)
Crepitus in TMJ associated with
osteoarthritis
TSD is a main stay
-
Acute asthma attack?
give albuterol
Latex allergy most reliable test?
skin test.. assay?
No spacing in primary dentition, what % of lower incisor crowding??
66%
was NOT a choice? 50%, 75%, 100%
Acyanotic heart defect?
ASD, TOF, transposition of arteries
Mass of maxillary anterior area in infancy?
Congenital epulis
Ellis von Crevold also has?
Ectodermal dysplasia
Nasal DDAVP can treat?
Hemophilia
Medication for ADHD?
Methylphenidate
Fragile X syndrome?
Developmental delay
Calcification for primary teeth start what time in utero?
14-19wks
Sucking habit for how long/ day causes changes?
a. 1-3hrs
b. 4-6hrs
c. 7-9hrs
b. 4-6hrs
Negative ANB indicates?
Class III
Cranial base and separates face and cranium?
F-H, S-N, B-N??
VPI difficulty saying what word?
a. button
b. car
c. lamb
d. mouse
b. car
Children with localized aggressive perio may have hx with what?
a. Otitis media
b. pharyngitis
c. candidiasis
d. herpes labialis
-
Chronic OSA associated with?
a. behavioral problems
b. sinus infections
a. behavioral problems
Treacher Collins
A.D.
Chondrectodermal dysplasia associated with?
Ectodermal dysplasia
Breast fed children have decreased what for first 4 mo?
Respiratory infections
Oral commissure injury can cause microstomia
appliance delivered after 10-
14 days
Success of crown fracture associated with?
concomitant luxation injury
Immature teeth luxation injuries associated with?
Pulp Canal Obliteration
Pedo partial can be given for what reason?
a. esthetics
b. speech
c. function
a. esthetics
Crown-root fracture after 1 year with splint for 4 mos … expect what type of
healing?
a. hard-tissue
b. connective tissue
a. hard-tissue
Small carious exposure on primary tooth
do pulpotomy
Xylitol, CHX, fluoride mech, CPP ACP
-
Stimulus response?
-
Incidence
number of new cases in a population
Morbidity/mortality with moderate sedation from?
a. Larygospasm
b. LA overdose
c. opioid overdose
d. vomiting
a. Larygospasm
Contraindication with Sickle Cell Anemia?
a. acetaminophen
b. aspirin
c. N2O
d. LA with vasoconstrictor
b. aspirin
Latex allergy most reliable test?
skin test ? assay?
No spacing in primary dentition, what % of lower incisor crowding??
66%
was NOT a choice? 50%, 75%, 100%
What works with platelets to form initial platelet aggregation?
a) tissue factor
b) coagulation factor
c) fibrin
d) plasminogen (?)
-
Medication for ADHD?
Methylphenidate
NNSH most important
age of cessation (duration)
Oral commissure injury can cause microstomia
appliance delivered after 10-14 days
Cleft lip is failure of what fusion?
Maxillary & medial nasal prominences
careful b/c prominence, NOT frontonasal & maxillary processes
Pedo partial can be given for what reason?
Esthetics , (not function, speech)
Crown-root fracture after 1 year with split for 4 mo … expect what type of
healing?
Hard-tissue*, connective tissue
MTA in pulpotomy teeth vs other medicaments?
See early exfoliation, PCO, hard tissue bridging*
Yellow color change to trauma tooth, do what?
Observe
Reduce radiation by?
D-speed, rectangular collimator*, low kvp, short cone
Most effective dose radiation from?
BW, pan, lateral ceph, CBCT*
GI helps remin by?
Release of Ca+(?)
Total etch vs self-etch?
Total is M\more acidic and better enamel etching
Primary vs permanent differences?
Primary wider M-D vs occlusal cervical?
What dictates external form of class 2 prep?
Larger pulp, thinner enamel, buccal bulge
Higher filler % does what to composite?
Increase fracture hardness
Composite in primary teeth fail due to?
recurrent caries*, wear
Diode laser vs electrosurgery for frenectomy ?
Lack of heat
Radiographs for 10 yr old recall with no visible surfaces and low caries?
12-24mos
Passive immobilization?
Papoose board*, hand guarding, head holding
What behavior technique continues to be used?
Tell-show-do
Articaine advantage in children?
Lower paresthesia, more diffuse in bone*
Sound of lower airway obstruction/ (infection ?)
Wheezing*, stridor, crackling
Light curing does what (mechanism)
initiates polymerization?
Reason for failure of sealants?
Isolation
What to use for IRT?
GI
What placed for added retention on primary teeth?
Dovetail
Sign of non-vital pulp therapy?
Percussion ( + )*, intrapulpal calcification,
external root resorption
Resin infiltration works by what action?
Capillary
Most common tumor in age 1?
Neuroblastoma
Oral sign of ALL?
Linear gingival erythema, mucosal petechiae, mobility of teeth
Herpangina caused by?
Coxsackie
Koplik’s spots associated with?
Rubeola*, rubella
Interferes with bacterial protein synthesis?
Cephalosporin, macrolides,
sulfonamides
Age on onset of HSV - 1 infection?
2-4 yrs
Interferes with bacterial protein synthesis?
Cephalosporin, macrolides*, sulfonamides
Age on onset of HSV-1 infection?
2-4 yrs
Most reliable reporter of patient’s pain?
Mom*, patient, peer, sibling
Sugared drink is what % of daily diet for children?
30%? 40%???
Febrile NUG patient?
Metronidozole
Know true+, true -
true positivite = sensitivity
Most common drug given for mild to moderate pain?
NSAID (Acetaminophen?)
Which sedative drug has analgesic properties, too?
Mepiridine
Nitrous within 3-5 min?
Diffusion in serum ·
Component of saliva that helps in remin?
Basic alkaline proteins, carbonic
anhydrase, igA, glycoprotein something??
Dose of Naloxone and know that naloxone is for opioids
for meperidine 0.1mg/kg
High risk factor?
Enamel.white spot (all others moderate)
Active surveillance
caries monitoring & prevention
Component of saliva that helps in remin?
Basic alkaline proteins, carbonic anhydrase, igA, glycoprotein something??
What is not correlated with increased caries?
Increase carbs, increase carbonated soda, obesity*
High risk factor?
Enamel white spot (all others moderate)
Odontogenic infection associated with gram + cocci
(groups A, B, G? - all
choices gram +)
Kawasaki disease has?
Oropharynx erythema (something like that?), strawberry tongue w~s not an answer
What does baby get before leaving hospital?
Hep B
What is >85% but <95%?
Overweight
Suture from laceratrion on face, start .. ?
Muscle
Kawasaki disease has?
Oropharynx erythema.
strawberry tongue was not an option
Logical reasoning at what stage?
Concrete
Anaphylaxis associated with?
Mast cells and basophils
Suture from laceration on face, start .. ?
Muscle?
Fluorosis occurs at what stage?
Calcification
What is caused by Hertwig’s epithelial root sheath to invaginate to proper
horizontal position?
Taurondontism*, dens evaginatus, talon cusp
Dens in dente can have what material lined by?
Enamel
Premature exfoliation caused by?
Acrodynia
Pacifier use?
Decrease otitis media, deceases SIDS*
Whatcan have randomization?
Case cohort, case studies, cross-sectional
What can have randomization?
Case cohort, case studies, cross-sectional
Low protein diet for?
PKU
Metabolic syndrome correlated with?
Diabetes Type II
What can have randomization?
Case cohort*, case studies, cross-sectional
Anaphylaxis is what type of reaction?
Acute Type 1
What is most like N2O?
Hydroxyzine (anti-hystamine)
Mitochondrial disorder can be correlated with
malignant hyperthermia
What suture has the highest risk for infection?
silk
Complication of obese kids with GA?
Aspiration during intubation*,
mainstem bronchus intubation, post-op laryngeal edema
Max fluoride Rx
120 mg
ADHD med
methylphenidate
Strict vegetarian, you are missing out on?
Vit B12
NPO guidelines for breastmilk?
4hrs
What bacteria is also associated with caries (not MS)?
S. sobrinus
Where could you place an implant in a 10 yr old child?
Mandibular anterior
What condition could you place an implant in a child?
Ectodermal dysplasia
Radiation to H & N can cause spontaneous what with no known dose levels?
Genetic modification
What % of injuries in child abuse can dentist identify?
50%
Premature loss of mand 2nd primary molar causes what to perm 1st?
Mesial lingual tipping
What primary tooth has worst space loss?
Max 2nd
Aggressive perio) with not as much bone loss expected due to presence of?
IgG
What changes the least in adolescence?
Intermolar width*, intercanine width
Fear of separation peaks at?
13-18 mo
Aggressive perio with not as much bone loss expected due to presence of?
IgG
Onset of LA determined by?
pKa
Waterlines in dental units per infection control guidelines need?
500 CFU/ml
How long after bleaching should you wait to place a composite?
24 hr, 72 hrs,
1 week, 1 month
Time to wait after pulp therapy that you could get false negative pulp response?
1 mo, 2 mo, 3 mo
Tetracycline does what?
Decreases osteoclastic activity
How long after bleaching should you wait to place a composite?
24 hr, 72 hrs, 1 week, 1 month
previous answer 2wks?
Some question about how to tell if active TB infection?
Bacilli+ test(?), lungs only symptom…
