BDS3 Flashcards

1
Q

what is the most important factor for long term success of crown?

A

coronal seal

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2
Q

why is porcelain better than ceromer crown if retention prep not good?

A

better bond

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3
Q

what is the best articulator for registering occlusion?

A

fully adjustable

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4
Q

biological width components

A

CT
JE
2mm

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5
Q

dry socket incidence

A

2-3%

20-30% L8s

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6
Q

incidence of osteonecrosis with bisphosphonates

A

1/1000

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7
Q

what walled bone regeneration is best?

A

3 walled

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8
Q

affect crown forces?

A

direction

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9
Q

pan angulation

A

vertical beam up 8 degrees (-8)

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10
Q

christensen phenomenon

A

occlusal rims
protrusion, gap appears on posterior teeth in natural dentition
can lead to instability in complete dentures if not compensated for

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11
Q

CP incidence

A

1/600

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12
Q

tx for OA

A

NSAIDs

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13
Q

irregular pulse

A

AF

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14
Q

multi-iscahemic

A

loss of sensation L face and R upper limb

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15
Q

where does the lingual nerve run?

A

between the MP and the mandible

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16
Q

what to use for a sclerotic canal?

A

EDTA chelating 17%

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17
Q

cleaning blood spillage

A

NaOCl/dischlorisocyanurate 10 000ppm

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18
Q

glycolysis

A

glucose to pyruvate, NADH and ATP

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19
Q

what produces the most lactate?

A

sucrose

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20
Q

fct of glycocalyx

A

adhesion and protection

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21
Q

niche

A

behaviour of organism in ecological env

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22
Q

what does LA bind to?

A

voltage gated Na+ channels

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23
Q

why reduce drug dosage in elderly?

A

reduced excretory capacity in kidney

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24
Q

which joints affected in RA?

A

MCP and PIP joints

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25
Q

what is kVP?

A

peak kilovoltage

max V applied across xray tube

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26
Q

what is the greatest danger of osteoporosis?

A

vertebral fracture

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27
Q

canine crown prep buccal reduction

A

2 plane

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28
Q

RCP

A

condyles in their most posterior position and teeth contact

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29
Q

width of Al filtration

A

<70kV 1.5

>70kV 2.5

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30
Q

line of reference for anterior oblique occlusals

A

upper - ala-tragus

lower - corner of mouth tragus

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31
Q

Bennett angle

A

angle formed by sagittal plane and path of mandibular condyle during lateral movement when viewed in horizontal plane

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32
Q

types of CP

A

spastic
ataxic
combined
dyskinetic

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33
Q

how to make veneer more adhesive

A

lab with 10% acid

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34
Q

what does deamination of a.a. produce and when does it occur?

A

ketone acids and ammonia

broken down in excess of protein intake

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35
Q

what is it called when after cognitive theory they adhere to OH?

A

implementation intention

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36
Q

primary aim of audit

A

improve healthcare - ensure standards are being met

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37
Q

blood test for anaemia

A

FBC

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38
Q

which nodes would an oesophageal infection spread to?

A

deep cervical

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39
Q

what organism is ABHR not effective against?

A

c diff

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40
Q

most useful voltage with a 60kV machine?

A

58

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41
Q

venous canula infection?

A

staph epidermidis

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42
Q

most important thing to tell radiographer

A

clinical findings

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43
Q

oral complication of palsy

A

bruxism

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44
Q

oral manifestation of leukaemia

A

gingival bleeding

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45
Q

how to reduce trauma to pulp during Rx procedure

A

coolant

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46
Q

eye effect of DM

A

maculopathy

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47
Q

retruded axis

A

dynamic relationship during which the mandible opens and closes on a reproducible hinge axis

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48
Q

chroma

A

intensity of colour

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49
Q

high sugar supply

A

lactate is preferentially formed under anaerobic conditions

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50
Q

what can the zygomatic process of maxilla on pan be confused with?

A

posterior border of MS

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51
Q

when is synthesis of EPS in plaque greatest?

A

when sucrose present

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52
Q

premolar shape access cavity

A

oblong

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53
Q

bilateral ankle swelling that gets worse as day goes on

A

congestive heart failure

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54
Q

liver cirrhosis

A

disorganised liver repair

55
Q

fast irregular pulse and acutely breathless

A

AF

56
Q

where is emergency airway located?

A

between thyroid and cricoid cartilages

57
Q

which muscles help to retain dentures in correct position?

A

buccinator and orbicularis oris

58
Q

what is the best material for restoring occlusal surfaces?

A

gold

59
Q

horizontal magnification of anterior teeth in pan

A

pt too far back in machine - closer to source

60
Q

high F food and drinks

A

spinach
tea
tomatoes
cucumbers

61
Q

rationale for ABs in perio

A

PDD predominantly caused by bacteria

62
Q

problems limiting AB usefulness in perio

A

resistance
reaching targeted bacteria
penetrating biofilm
allergies

63
Q

indications for systemic ABs for perio disease

A
immunocompromised
aggressive infection
systemic symptoms
NG
adjunctive therapy required
64
Q

what does the quality of photons depend on?

A

distance

65
Q

test for c albicans

A

germ tube formation test

the chromogenic agar colony colour is blue green

66
Q

biofilm formation

A

adhesion
colonisation
accumulation to form complex community
dispersal

67
Q

legislation governing waste

A

Controlled waste regulations 2012
Hazardous waste directive 2005
Env protection act 1990
Waste (Scotland) regulations 2011

68
Q

cognitive tests for dementia

A

MMSE
Blessed dementia scale
GPCOG
miniCOG

69
Q

MDT

A

team of individuals from a wide variety of disciplines/specialties who work alongside each other in order to provide the best and holistic care for the pt

70
Q

factors of deprivation

A
unemployment
crime
housing
income
education
health
geographic access to services
71
Q

springiness

A

can undergo large deflections without permanent deformation

72
Q

rigidity

A

stress/strain ratio

amount of stress required to cause a change in shape

73
Q

waste transfer note

A

for non-hazardous waste

keep for 2yrs

74
Q

formula for force in wire

A

proportional to deflection x radius4/length3

75
Q

radiology coin test

A

reveal problems with film fogging
flash expose it
6 coins
uncover each coin at 30s intervals
if no outlines - no fogging has occurred and there is a working time of at least 2mins
if can see coin outline then safelight bad

76
Q

shimstock

A

8um mosquito forceps

77
Q

articulating paper

A

20um millers forceps

78
Q

when does ossification of skull begin?

A

wk 8-9

79
Q

smoking legislation

A

Prohibition of smoking in public places 2006

tobacco and primary medical services act 2010 - no fags from vending machines

80
Q

denture bearing area mandible

A

buccal shelf

81
Q

lying back in chair feeling lightheaded

A

decreased baroreceptors

82
Q

when is lactate formed?

A

under anaerobic conditions

83
Q

occlusal trauma

A

tooth mobility which is progressively increasing/tooth mobility with symptoms and radiographic evidence of increased PDL width

84
Q

factors influencing substantivity of CHX

A
absorption to oral surfaces
maintenance of antimicrobial activity
slow neutralisation
other drugs
food and drink
SLS
85
Q

lewy bodies

A

spherical protein deposits in the neurons, stops normal propagation

86
Q

toxic F dose

A

1mg/kg

87
Q

potentially lethal dose

A

5mg/kg

88
Q

certainly lethal dose

A

32-64mg/kg

89
Q

15mg/kg+

A

hospital
IV calcium gluconate
cardiac monitoring

90
Q

consequences of adverse occlusal forces

A

fractured cusp
attrition
dislodged Rxs
increased mobility

91
Q

how to reinforce anchorage with a FA?

A

TPA

92
Q

PVS advantages

A

low permanent deformation
more accurate
higher tear strength

93
Q

crazing

A

stresses from differences in thermal expansion of base and acrylic teeth

94
Q

types of porosity acrylic

A

gaseous
crazing
contraction
granulation

95
Q

steam penetration test strip colour change

A

from yellow to blue

96
Q

null hypothesis

A

when making a definitive statement impossible to prove

instead a false statement can be made (null) which is then disproven

97
Q

reproducibility of elastomers

A

20u

98
Q

incisal guidance angle

A

angle condyle makes to horizontal plane

view from lateral aspect when teeth protruded edge to edge

99
Q

calculating units

A

% x vol (ml)/1000

100
Q

perio and neutrophils

A

impaired neutrophil chemotaxis

101
Q

diabetes insipidus

A

lack of ADH

lots of dilute urine

102
Q

levans

A

group of fructans which are a group of carbohydrate polymers of fructose forming a non-structural long chain carbohydrate

103
Q

dextran

A

complex branched glucan composed of chains a1,3 and 1,6 glycosidic linkages

104
Q

CoCr properties

A
high hardness
high YM
low density
low ductility
difficult to adjust as work hardens rapidly
high shrinkage
105
Q

why should you avoid sedation in diabetes?

A

masks symptoms of hypoglycaemia

106
Q

demographic factors

A

characteristics of a pop, expressed statistically

107
Q

hypertension value

A

over 140/90

108
Q

IV Bisphosphonates

A

ibandronic acid
zolendronic acid
pamidronate

109
Q

disinfection

A

destruction of pathogenic or other organisms by physical/chemical means

110
Q

how to prevent RR endo

A

good seal of GP canal orifice with GI

111
Q

posteriors on one side horizontally magnified in pan

A

pt moved away from machine at that point

112
Q

where is inferior border of MS?

A

horizontal above molars

113
Q

stroke

A

damage to CNS

114
Q

non-stroke

A

damage to peripheral

115
Q

which antibiotic interferes least with warfarin?

A

amoxicillin

116
Q

meds that cause xerostomia

A
tricyclics
antihistamines
anticholinergics
diuretics
antipsychotics
SSRIs
BZDs
117
Q

stroke

A

acute focal neurological deficit resulting from cerebrovascular disease and lasting >24hrs or causing earlier death
infarction/haemorrhage - hypoxia of brain tissue

118
Q

dental aspects of stroke

A
impaired mobility/dexterity
communication difficulties
loss of protective reflexes
cognitive impairment
facial paralysis
119
Q

stroke RFs

A

alcohol
hypertension
smoking
IHD

120
Q

stroke prevention

A

reduce risk factors

thrombotic prophylaxis - aspirin

121
Q

dental aspects of CF

A
delayed dental development
enamel opacities
increased calculus
less caries and perio due to thick saliva with high ammonia levels
no GA
increased bleeding - liver impairment
tetracycline staining
diet
122
Q

cardinal signs of parkinsons

A

bradykinesia
postural instability
muscle rigidity
resting tremor

123
Q

dental aspects of parkinsons

A
dry mouth - anticholinergics
access
mask like face - communication
impaired dexterity
dysphagia
association with dementia
124
Q

social view of disability

A

society must respond to medical problems
society is the issue
needs to adapt

125
Q

medical view of disability

A

people with disability are issue, need tx/care

should adapt to env and society

126
Q

Disability Discrimination Act 2004

A

protects disabled people from discrimination and prejudice

127
Q

biofilm definition

A

microbial populations and their products enclosed in an EPS matrix (polymers) of microbial origin, adherent to each other/surfaces

128
Q

azoles resistance

A

overprescribed
can’t penetrate biofilm
efflux pumps for extrusion of antimicrobial
lysozyme/hydrolytic enzymes in vesicles that destroy antifungals

129
Q

p gingivalis adherence

A

fimbriae

130
Q

s mutans adherence

A

insoluble glucans

131
Q

candida adherence

A

ECM

132
Q

3 things for sucessful colonisation

A

adherence
substrate for energy
correct env - pH, O2, temp

133
Q

2 characteristics of biofilm ECM that causes resistance to antimicrobials

A

glucans

glycocalyx