2022/2021

Question 1

Describe odontomes?

Answer 1

-benign hamartoma formed from Odontogenic and mesenchymal epithelium
-non neoplasticism Odontogenic benign tumour composed of dental hard and soft tissue
- asymptomatic swelling , pain and swelling once exposed , assymetric tooth eruption
- radiopaque mass of haphazard dental tissues

Question 2

Histopathological features of odontomes?

Answer 2

• dental hard tissues of enamel and dentine
• compound and complex odontomes
  -compound-similar to tooth as similar layering as dentine enamel and pulp
  -complex- structure is more disorganised

Question 3

Clinical features of pemphigus vulgaris

Answer 3

-blisters/bullae
- erythema
-large shallow non healing ulcers

Question 4

Symptoms of pemphigus vulgaris

Answer 4

-pain
-soreness
-bleeding
-blisters
-lesions
-burning

Question 5

Hisopathological features of pemphigus vulgaris?

Answer 5

Separation of cells within prickle cell layer causing blisters
Intra oral epithelium separation with fluid seen as blisters and ulceration
Presence of inflammatory cells causing pain and inflammation

Question 6

How to manage pemphigus vulgaris

Answer 6

Rule out cancer
IMMUNOSUPPRESSION topical and systemic steroids like predisnolone and azathioprine
Refer to rheumatology
Good ohi

Question 7

How to assess numbness?

Answer 7

Do a cranial nerve test
Test sensory nerves of mandibular branch of trigeminal
Sharp blunt test
2 point discrimination
Gustatory response
Use other side as a control

Question 8

How to pre-operatively assess risk of nerve injury

Answer 8

-1/4 opt
-CBCT to see relation to see relation of roots of 8 to id nerve

Question 9

How to know if roots of 8 are close to ID nerve?

Answer 9

-loss of cortication of nerve canal
-deviation of roots
‘-narrowing of roots

Question 10

Features of crohns?

Answer 10

Ulceration ,glossisits, swelling, tissue tags, cobblestone mucosa, fissures and ulcers, angular Che lit is, weight loss, rectal bleeding

Question 11

Histological findings of crohns

Answer 11

Granulomas present not in UC
Lymphocytic infiltrate is patchy and heavy in places
Goblet cells present

Question 12

What other 2 diseases are histologically similar to crohns

Answer 12

Sarcoidosis and wegeners

Question 13

How to fully assess a pt with crohns

Answer 13

Full blood count
CRP, ESR,ACE,
Gut antibodies
Haemantics like b12 and folate and iron
Colonoscopy
Abdominal CT
Stool test
Chest x ray to eliminate sarcoidosis /tb

Question 14

What is rivaroxaban

Answer 14

An anticoagulant so blood thinner and should be stopped at least 24 hours before extraction to prevent excessive bleeding or impaired haemostats