Exame Flashcards

(227 cards)

1
Q

Materia alba

A

Accumulation or aggregation of micro organisms, desquamated epithelial cells, blood cells and food debris loosely adherent to surfaces of plaques, teeth, gingiva or dental appliances

Can be reservoir of pathogen

(Or all incorrect)

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2
Q

Parts of removable dentures (not bridges) are

A

Connector

Clasp

Retainer

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3
Q

Stephon’s curve

A

Allows visualisation of changes in oral pH (decrease in pH) after consumption of different types of carbohydrates

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4
Q

Excessive bleeding after tooth extraction can be due to

A

Cancer chemotherapy

Coagulation defects

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5
Q

Which of these are anomalous teeth in shape

A

Hunghtison’s teeth

Dens confuses

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6
Q

What is a “crown”

A

Restorative appliance to substitute part of the destructed teeth

Fixed prosthetics

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7
Q

Infiltration anaesthesia

A

Trimecaine

Xylocaine

Articaine

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8
Q

What is a Pontic

A

Substitute of the tooth

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9
Q

Accompanied with relative high fever

A

herpes gingivostomatitis

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10
Q

What of the following are not mesenchymal tumours

A

Verruca

Adenoblastoma

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11
Q

Which factors affect more caries development

A

Frequency of sugar

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12
Q

What is angle class I

A

Normocclusion

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13
Q

What is the most cariogenic organisms in the mouth flora

A

Streptococcus mutant

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14
Q

What is a malignant epithelial tumour

A

Spinaloma

Basaloma

Adenocarcinoma

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15
Q

At what age do 1st premolar usually appear

A

10 years

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16
Q

At what age do temporary teeth erupts

A

6 months

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17
Q

Fluoride

A

According to WHO they are good for the prevention of the caries

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18
Q

Two molar roots

A

2nd lower molars

1st lower molars

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19
Q

Epulis

A

Inflammatory changes

Hormonal changes

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20
Q

Diffuse channel

A

Pores in enamel

Hormonal changes

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21
Q

Why dentures are required

A

Eating

Speaking

Facial expression

Appearance

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22
Q

By aphtae are not affected

A

Hard palate

Gingival margins

Dorsum of the tongue

Vermillion zone

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23
Q

Which disease has high risk of pathological bleeding

A

DH

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24
Q

Which wounds in the face can be treated with primary suture

A

Non penetrating wounds

Superficial injuries

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25
If a tooth is totally displaced from its socked
Must be kept in a wet place to reclaim its humidity during transportation
26
The 1st permanent central incisors erupt usually at
7 years old
27
Causes of purulent inflammation of oral cavity and face are
Teeth with gangrenous pulp, root and root fragments Inflammation of cyst Fractures and facial injuries Pericoronities
28
Sign of Vincent
Anaesthesia or pars thesis of lower lip Caused by pressure or inflammation or tumour in mandible channel
29
Precancerous lesions in oral cavity
Can be caused by irritation and chronic inflammation Create a certain predisposition to cancer Are also cheilitis actinica, keratoma senile, Cornu cutaneum
30
The 1st permanent molar erupts
6 years
31
Best material for fissure sealing is
Silver amalgam Liquid, light-eating composite material
32
Recommend daily number of NaF tablets for child >4 is
4 tablets
33
Recommended daily number of NaF tablets for a child >4 years is
1 tablet
34
Dental calculus
Provides a fixed nidus for accumulation of bacterial plaque Holds the plaque against the gingiva Formed due to the mineralisation of dental plaque
35
To make a resection of the apex of the dental root (with a small cytogranuloma around it) we use
Horizontal section Portsch (cystectomy, endodontic treat)
36
Which type of projection do we use more at fracture of lower jaw
Orthopontonogram
37
The symbol/sign of mandibular right 1st premolar in debit system is
44
38
The symbol of temporary mandibular left 2nd incisor in the 2 digit system is
72
39
Temporary 1st molar usually erupts at
12 m
40
Long lasting fluoridation can lower dental caries
40 - 70%
41
Recommended content of F- drinking water (as a prevention of caries)
1 mg/l
42
The main 2 forms of periodontal disease are
Gingivitis Periodontitis
43
Why dentures are necessary
To minimise the risk of caries by preventing food stagnation Important feature of the face Tongue and lips to form some of the sounds of the speech Prevent lifting, rotation or even eruption of teeth
44
A partial denture is
Restoration, removable by the patient Replace of natural teeth in mandible Replace of natural teeth in maxilla
45
Immediate dentures
Denture constructed before teeth extraction
46
The 4 sorts of treatment of malignant tumours
Surgery Radiation Antineoplastic chemotherapy Immunotherapy
47
Diplopoda and/or enophthalmos are a symptom of
Fracture of lower orbital wall and/or zygomaticomaxillary complex "Blow out fracture" of the orbit
48
Excision of the wound in the face
Should not be performed In some cases only when extremely destroyed tissues are present
49
Fracture of the root
in apical and middle 1/3 are able to repair themselves
50
Four clinical signs of inflammation
Pain - dolor Redness -rubror Temperature -calor Mass - tumour
51
Osteomyelitis of the jaw
More often in mandible due to dense bone In the suppurations inflammation of BH of bone
52
Which anaesthetic belong to mucosal/topical
Gingicaine Tetracaine
53
If the patient is after MI/ pregnancy we are able to extract tooth or another operation
After 6 m
54
If we want to extract a too the risky patients
Sclerosis multiplex DM
55
Symbol for permanent mandibular left 2nd incision in the 2 digit system
32
56
Benign mesenchymal tumour
Grow slowly and expansive
57
Mesenchymal tumour is not
By this method lower systemic effect -effects of chemo. agents
58
Premature loss of any tooth may cause
Gingival damage Certain sibilance in speech
59
Partial dentures can be classified in
Tooth - born Mucosa - born Tooth - mucosa born
60
Leukoplakia is
Pre-malignancy of mucous mm
61
Translucent dentin which is produced by chronic irritation of caries is
Selenotic zone of dentin of bottom of caries cavity
62
Release of pain with acute apical periodontitis is achieved
By drainage of periapical space
63
Febrile system upset is characteristic clinical feature for
Herpetic gingivitis
64
Main histological features of white lesions are
Abnormal keratinisation Variable hyper and hypoplasia of epithelium Variable degree of disordered maturation of epithelium
65
Function of dental pulp
Sensitivity Nutrition Defence Dentiogenesis
66
Main cause of periodontal disease
Dental microbial plaque
67
Temporary cavities usually except at
16 months
68
Name of pulp cells responsible for denteogenesis
Odontoblasts
69
Radiographic examination is necessary in diagnosing
Deep caries Pulpitis Apical periodontitis Cyst
70
LeFort picture
Lower sub-zygomatic fracture Upper sub-zygomatic fracture Supra-zygomatic fracture
71
In bleeding of cheeks which vessels should be ligate
Facial artery
72
Sutures for deep layers of wound
Catgut Vicryl
73
Treatment for partial dislocation (subluxation)
Teeth should be reduced to normal position and fixed with plastic materials/casts to the surrounding teeth
74
Secondary dentin
Formed after eruption of teeth
75
Most common treatment for abscess in face
Incision and drainage ATB therapy
76
What should be done first to a patient
Restore cardiac and breathing function
77
What can we see in radio-diagnostic methods in facial fractures
Asymmetry of face Bone fragments overlapping causing "double-density" Cortical defect or diastolic entire Non an atomic linear lucencies
78
What are the indirect radiographic signs of facial fractures
ST swelling Peri-orbital or intracranial air Fluid in paranasal sinus
79
Meanings
Saddler: in kennedy's classification- partial removable denture Retainer - in bridges - fixed partial and removable partial Pontic: only in bridges (fixed partial) Connector: fixed partial + removable partial Abutment : fixed partial
80
How can microbes reach the pulp
Dentine tubules Pulp exposure Apical foramen
81
Fur is partial missing in
Atrophy of filiform papillae Psoriasis Geographic tongue Scarlet fever
82
Fur is diminished in
Vit B deficiency Iron deficiency Toxic allergy
83
Blow out fracture
Fracture of orbital floor
84
Fixed partial dentures consist of
Retainer Connector Pontic Abutment
85
We need to suture after both extraction patients with
DM HT
86
Most remarkable entry of microbes into pulp is by
Dental caries
87
Nerve is sensitive by which disease
Herpes zoster Herpes simplex
88
Gingivitis is due to
Sugar intake Malnutrition during pregnancy Frequency of sugar
89
Dissociation of enamel
pH = 5.2
90
Angular stomatitis
Iron deficiency Vitamin B deficiency Candida albicans Staphylococcus aureus
91
Smooth tongue
Atrophy papillae Iron deficiency Vitamin B deficiency
92
Bein's Elevator
Simple root extraction in maxilla and mandible
93
Leclure's elevator
For extraction of the 3rd molars
94
Borry winter's and schlemer's elevator
Extraction of only mandible roots
95
Most common cause of gingival bleeding
Poor hygiene Vitamin C deficiency
96
Treatment of orofacial inflammation
Invasion Drainage ATB
97
What kind of anaesthesia is used in stomatology
Regional (nerve trunk) Infiltration Topical/mucosal
98
Which projection in radiography is used for nasomaxillary fractures
Semi-axial or Wattern view
99
Picture of dental forceps
Left molar dental forceps
100
Fibroma
Dis tends the bone, disroots the teeth Due to chronic mucosal irritation
101
Mandibular fracture
Vincent's sign Facial nerve injury Pain Dental fractures Facial/occlusal deformities
102
Hairy leukoplakia occurs in
HIV patients Immunosuppressed patients
103
Amalgam is the best material for
Distal teeth
104
The forceps can be
Curved Straight
105
Xerostomia occurs in
Sjögren's syndrome High radiation Anti epileptic drugs
106
Dentition deficits
Lower 3rd molar
107
Radicular cyst treatment
Surgery (extraction, elevation)
108
Lingual stomatitis
Due to iron deficiency Plummer-Vinson disease
109
If tongue is read
Lichen ruber planum -glossitis
110
Drainage of abscess when
Cysts are present
111
What can you get when you have gangrene
Cyst inflammation Pulp inflammation / necrosis
112
The forceps can be
Curved Straight
113
Xerostomia occurs in
Sjögren's syndrome High radiation Anti epileptic drugs
114
Dentition deficits
Lower 3rd molar
115
Radicular cyst treatment
Surgery (extraction, elevation)
116
Lingual stomatitis
Due to iron deficiency Plummer-Vinson disease
117
Radicular cyst
Hard tissue development of cyst
118
How to diagnose tongue carcinoma
History, Biopsy
119
Too the concussion
Sensitive to P and T changes No pathological movement
120
Saliva's function are
Self cleaning teeth Redimatization of initial caries in tooth surface Maintains optimal pH in oral cavity by buffering its capacity
121
What causes gingivostomatitis
HSV-1
122
Dry gangrene
Complication of tooth extraction Present in problems of coagulation
123
The sizes of extra-oral x-Ray picture and often are
15-18cm 24-29 cm
124
Pulp gangrene
Responds to hot stimulus Symptoms pass
125
Dry socket
Osteitis of socket following tooth removal, usually 2-4 days after extraction Socket is inflamed and exposed bone is usually visible Exocrine factor and regional lymphadenitis are present Therapy: gently cleaning, irrigating and draining of socket for several days
126
Most often x-Ray method used in dentistry
Extra oral
127
Which one of the following is not apical disease:
Dental caries
128
Name de 15th tooth
Deciduous right upper 2nd premolar
129
Name 51st tooth
Deciduous right upper central incisor
130
Name the different planes
Craniofacial III Sub-zygomatic II Trans-maxillary I
131
What's the following instrument and what is its use
Extraction forceps for lower molars (curved)
132
Fibroma is
Small, localised, slightly raised nodule <10mm, typically occurring in vestibule With smooth surface similar in colour to surrounding mucosa Always asymptomatic Microscopically hypo cellular fibrous tissue that doesn't invade surrounding tissue Excision is curative
133
1 root teeth
Incisors Canines Lower premolars Upper 2nd premolar
134
2 root teeth
Lower molars Upper 1st premolars
135
3 root teeth
Upper molars
136
Heimlich's manouvre
Used after aspiration of tooth
137
Valsalve's examination after extraction of premolars and molars in upper jaw
Get patient to try to blow out again closed nose, if air bubbles pass through empty socket in to CC If positive then closure of communication is possible with Buccaneers advancement flap
138
What is trismus
Max physiological distance between incisors of upper and lower jaw is restricted 40-60mm is the normal amplitude
139
What is an apical abscess
Acute inflammation of tooth socket with pus formation Accompanied with pain, tenderness to enervation Therapy:drainage of pus via root canal, incision of fluctuant abscess or extraction
140
Causes of lymphadenitis
Common: dental abscess, pericoronitis, tonsillitis Rare: TB, atypical myelobacteria, AIDS, toxoplasmosis, actinomycosis, sarcoidosis, cat scratch fever, syphilis
141
What is cervicofacial actinomycosis
Caused by actinomyces israeli, usually SC forming chronic sinus with ours containing sulphur granule Therapy: combined : penicillin + surgical
142
What is an odontogenic fistula
Natural drainage of an abscess which perforated spontaneously mucosa or skin
143
Enumerate some ST cysts in cornicofacial region
Mucoceles Ranula Neck cysts Dermoid/epidermoid cysts
144
Apicoectomy
Common surgical aid to endodontics In LA: incision/elevation mucoperiosteal flap -> cystic and granulation tissue removed Indicated when : teeth with infection due to apical cyst, roof perf. And fracture in apical 1/3, teeth with past crown and apical pathologies, when breaking in the root enamel
145
What is sialadenitis
Inflammation of radiopaque stones with SG in most cases Acute bacterial Viral Recurrent - mirbus player
146
What is sialothiliasis
Formation of radiopaque stones within SG
147
What is sialosis
Painless swelling of SG, mostly bilateral with low saliva
148
What are dental implants
Alloplastic materials that can be incorporated into the jaw bone replacing natural teeth Materials include: titanium, coated with hydroxyapatite, plasma-sprayed titanium inert and biocompatible material Types: superiosteal, transosteal
149
Gingival enlargement may occur in
Acute leukaemia Side effect of drugs
150
What is a true periodontal pocket
Space between gingiva and part of dental root covered with bone socket
151
Enumerate tips and goal of periodontal surgery
Curative Preventive Cosmetic
152
Explain zaigmondi system
┘upper right Q └ upper left Q ┐lower right Q ┌ lower left Q
153
Haderup system
More for maxillae Less for mandible
154
Mandible teeth
First to erupt in temporary dentition and in permanent dentition with exception of premolars Subject of osteomyelitis and Subject to fractures
155
Child should have
8 teeth by the end of the 1st year 16 teeth by the end of 2nd year All temporary teeth erupted by 30 months
156
Disorders of hard tissues include
Dental caries Tooth wear Developmental defects Trauma
157
Developmental debts may be
Acquired: - intrinsic factors: inf. Diseases, disruption of vital membranes, mineral metabolism, hormones metabolism - extrinsic factors: injury, infection - enamel disturb: hypoplasia, hypo-mineralisation - congenital syphilis - fluorosis - tetracycline teeth Hereditary: tooth no, shape, size, structure - amelogenesis imperfecta - Dentiogenesis imperfecta
158
What are ameloblasts
Special cells of dental pulp responsible for tooth development
159
What is the meaning of "ring bone rule"
If you see a fracture or a dislocation in a ring bone or its equivalent, look for another fracture
160
Sources of inflammation of pulp-pulpitis
Main source of various dentin Less frequently apical foramen Overheating during prosthetic crown perforation Acute/chronic traumatic irritation of teeth
161
Acute pulpitis
Reversible: sharp pain to irritation (stops when stimuli is removed) Irreversible: intense T sensitivity, spontaneous pain, sensitive to P Upper teeth: pain in temporal/frontal area Lower teeth: ear and occipital areas Treatment: pulpetomy (partial), pulpectomy (total), tooth extraction
162
Chronic pulpitis
Chronic inflammation Treatment depends on removing disease pulp and root canal killing Clinical symptoms are very mild
163
Necrosis gangrene
Consequence of irreversible pulpitis, traumatic injury, chemical injury Penetration of microorganisms with dry necrosis No response to cold stimulus Pain in hot stimulus Colour change to grey Usually asymptomatic
164
Microbes penetrate into necrotic pulp through
Caries cavity Apex Blood stream
165
Periapical lesion develops
Once the pulp dies (infection through the periodontium) Acute apical periodontitis Chronic apical periodontitis Chronic apical periodontitis with acute symptom Apical cyst
166
Chronic apical periodontitis
Typical formation of granulation tissue in periapical area Larger abscesses present Diffuse process on x-Ray or localised Pain is not a feature, unless it changes into an acute process Treatment - conservative: endodontic root canal; surgical resection of tooth apex and curettage of granulation tissue - surgical: extraction
167
Morphology of caries process
Earliest clinical evidence: white spot lesions Continued acid attack: Enamel change from smooth and cavitation When reaches dentin enamel function As destruction approaches pulp
168
Positive complication of deep caries
Pulpitis Necrosis gangrene Periodontitis Osteitis Periostitis Abscess formation
169
Changes between natural and artificial teeth
Natural : firmly rooted Artificial : rest on alveolar ridges
170
The prosthesis should
Contribute to mastication Increase ability of patient to enumerate Restore and preserve contacts between abutment and approximating teeth Maintain position of opposite teeth and health of supporting structures
171
Advantage of bridges
Don't require support from mucosa Only occupy same space as natural teeth Withstand greater masticatory loads than dentures Patients not aware of them Bridge in situ for 24h
172
Disadvantages of bridges
Confined to short spans bounded by healthy teeth Time consuming contraction require great precision Not easily cleared since they are fixed If damage repair is costly
173
What is Kennedy classification
Classification of partial denture based on the relationship of saddles to natural teeth I. Bilateral free-end saddles posterior to the natural teeth II unilateral free-end posterior to the natural teeth III abounded unilateral having natural teeth at each end IV a banded saddle anterior to the natural teeth
174
Enumerate disadvantages of partial dentures
Can cause caries and gingivitis Can damage supporting tissues of teeth by filling too closely into gingival crevices May loosen natural teeth by leakage Can cause traumatic damage to the mucosa
175
Enumerate advantages of partial dentures
Can be constructed for any case Cheaper More easily cleared More easily repaired Don't involve normally much preparation of natural teeth
176
Meaning of edentulous
When someone looses all his teeth
177
Concerning cleft palate
Basic problem: inability to close at will nasopharynx from oral pharynx Treatment combined with plastic surgeon and orthodontist and speech therapist
178
Classification of dental abnormalities
Dental: position, number, site, shape Bite Dental arches Skeleton
179
Describe anomalies at position = posture of the teeth
Anomalous shift Anomalous eruption (dytopia) Rotation Supra-occlusion Intra-occlusion Transposition Impaction retention
180
Anomalies in tooth number
Hyperdontia Hypodontia Anodontia
181
Anomalies in tooth size
Macrodontia Microdontia
182
Anomalies of bite
Horizontal open bite Vertical open bite Deep bite Closed bite Reverse bite Edge to edge bite
183
The root movement is
A periodontal ligament phenomenon Occur when: compressed PDL causes cellular changes into osteoclasts -> removed bone
184
Orthodontic removable appliances
Active - more mechanical - orthodontic plates Passive - functional - changes extent and direction of orofacial growth Advantages: treat malocclusion in deciduous, mixed and early permanent dentition, possible to take off Disadvantages: incompetence to produce precise control
185
Orthodontic fixed appliances
Active arch wires: stainless steel, cobalt-chromium, nickel-titanium Major advantage: precision of control of tooth movement (permanent dentition) Disadvantages: need of excellent oral hygiene to prevent bacterial plaque and gingivitis
186
Most common performed surgeries
Sagittarius split osteotomy of mandible Le foret I osteotomy of maxilla
187
Stability of osteotomy den by
Internal fixation Wire fixation
188
Midfacial osteotomy
Performed at the le fort I, II, III, in cleft lip and palate patients Able to move and rotate maxilla in all directions
189
Bimaxillary correction
Combination of mandibular and maxillary osteotomies Indicated in almost 60% of all orthognathic surgeries
190
CV complications expected in patients with
Ischemic HD States of post MI HT Hyperthyroidism
191
CV main risk
High supply of adrenaline Heart rhythm disorders in digitalised patients Attack of angina pectoris or MI
192
Recommendations to avoid bleeding
Info about actual state of hemocoagulation -> max 1.5 INR Treat postoperative wound by suture, weal, hemostatin, fibrin tissue, glues, anti-fibrotic In hemodialysis patients -> surgical procedures carried in the day after dialysis
193
Patients with enhanced ability to infect
After transplantation Rheumatic arthritis Multiple sclerosis Inflamed bowel disease DH Hepatopathy/ nephropathy AIDS
194
Focal infection
Normally simple infection of dental origin
195
Impaired wound healing
Typical in diabetics Long-term corticosteroid therapy Nutritional deficiency/cachexia
196
Attack states happen in
Epilepsy Glaucoma Bronchial asthma
197
Risk of transmission of viral infection
Highest in viral hepatitis (B, C) and HIV
198
Oncologie patients present
Oral mucous manifestations High risk of infection High risk of post-extraction bleeding When cachectic all surgeries are contraindicated High curiosity Low ability of wound healing Danger of osteomyelitis development
199
Initial threshold of dosage irradiation
50 Gy
200
Concerning irradiation treatment patients
Extraction in areas of straight irradiation performed minimally 7-10 days before the onset of the radiotherapy Avoid extract during radiotherapy Only performed prosthodontic restoration after 3-4 m after radiotherapy was finished Recommended not to wear removable dentures during radiotherapy
201
Atypical facial pain
Continuos, deep, diffuse pain of variable intensity and severity with no obvious pathology Mainly affects females 40-50 years Treat:TCA
202
Trigeminal neuralgia
Severe paroxysmal pain lasting seconds in 1 or > branches of the V nerve Response to carbamazepine (diagnostic) tt: peripheral injection of local anaesthesia solution: infraorbital, alveolar int. nerve block Carbamazepine, phenytoin and baclofen
203
Glossopharyngeal neuralgia
V neuralgia, triggered by swallowing, coughing and chewing
204
Temporal arthritis
Vascular pain syndrome mainly in elderly: unilateral and/or jaw pain Clinical affect any artery mainly temporal/occipital branches of ECA Clinical symptom:thickened/ tender artery, low pulsation High ESR, height C-reactive protein, temporal artery biopsy tt: systemic steroids : high dose of prednisolone
205
Cluster headache
Unilateral pain mainly in ocular, frontal and temporal regions Last 30-90 min accompanied with rhinorrhea, lacrimation, conjunct injection Alcohol may be a precipitant
206
Acute temporal joint dislocation
Hippocrates's manoeuvre (thumbs pressure to molar region)
207
Which are the predominant components of resident oral microflora
Bacteria
208
Major origins of odontogenic infection
Periapical Periodontal
209
Temporomandibular disorders
Symptoms: jaw pain/ noice, headache, truisms, chewing Basic classification: I. Masticatory mm disorders myositis, myofascial pain II. Temporomandibular joint disorders derangement of condyle-disc complex III. Chronic mandibular hypo-mobility ankylosis, mm. contraction IV. Growth disorders congenital/development, neoplasia Initial H: conservative, reversible and non invasive analgesics, antidepressant, tranquilliser, sedative, muscle relaxant When changes are permanent or conservative treat is non-effect -> surgery or arthroscopic surgery
210
Metastatic infection is
Am infection that occurs at a location separate from the portal entry of the bacteria Several conditions: susceptible location, bacteria sending, high quantity of bacteria , high duration of bacteremia
211
Dental procedure ps with bacteremia risk
Dental extractions Implant placement and tooth re-implantation Surgical/non-surgical periodontal procedures Endodontic instrumental beyond the root apex or endodontic surgery Initial placement of orthodontic bands Intraligmentary injection Prophylaxis when bleeding is expected Sub-gingival placement of ATB fibres or strips
212
Zygomatic-frontal and frontal-nasal lesions
Type III LeFort
213
Metastasis of tumours
Inoculation Blood stream Different histological features Lymphatics
214
Angular cheilitis
Protein deficiency Ca deficiency
215
White patches
Candida Leukoplakia
216
Oligodontia
Abnormal teeth number
217
Symptoms of acute pulpitis
Attacks of spontaneous pain
218
Saliva
Reservoir of Fluor Calcium Phosphate Antacid
219
Fibroma
Metastasis Slow growth
220
Smooth and red tongue due to papillary atrophy, typical of
Lichen tongue Fe deficiency anemia
221
Fracture in zygomaticofrontal and zygomaticnasal
LeFort II LeFort III
222
Metastasis of tumours
By inoculation Via bloodstream Their histological features are different from the primary tumour Via lymphatic vessels
223
Angular cheilitis
Protein deficiency Ca deficiency Candida infection Tuberculosis
224
White patches
Candida infection Leukoplakia
225
Diffuse channels
Parallel to dentine Roots of enamel spaces
226
Peripheral cause of gingivitis and varices forms of periodontitis
Bacterial
227
What are town's fingers
Odontoblasts process in dentin