Board Review Biological width Pedo: 0-2mm normally; 0-4mm if next to an erupting

permanent tooth or exfoliating primary tooth How much for max NO: flow rate 4-6
L/min; in children, increase by 10% increments, maintenance is usually at 30%
Orofacial Clefts

Cleft Lip: 25%, 4-5 weeks in utero

o

defect between medial nasal process and maxillary process

o

unilateral 80%, bilateral 20%; 1:1000 births

Cleft palate: 25%, 6-8 weeks in utero

o

lack of fusion between palatal shelves

o

1:2000 births

Both 50% Ectodermal dysplasia: "heritable conditions in which there are

abnormalities of two or more ectodermal structures such as the hair, teeth, nails,
sweat glands, cranial-facial structure, digits and other parts of the body."

Congenitally missing teeth, peg shaped, or pointed, defective enamel

Also have frontal bossing, thin brittle hair/nails, light skin, cannot perspire

cannot regulate body temperature Bleeding values:

Bleeding: 1-3 minutes

PT: 10-13 seconds; extrinsic pathway

INR: 0.8-1.2; (INR=PTtest/PTnormal)

o

in patients on anticoagulation therapy- 2.0-3.0

PTT: 25-29 seconds; intrinsic pathway

Platelet count: 150k-450k / L

o

Oral agents that alter/suppress platelet function include: aspirin, clopidogrel,

cilostazol, ticlopidine, and prasugrel Bone graft

Autograft

same person; from intraoral sites (maxillary tuberosity marrow, osseous coagulum,
bone blend); also iliac bone

Allograft
o

uDFDBA

osteoconductive (outside cells penetrate scaffold and form new bone)

o

DFDBA

osteogenic (contanes MMPs that induce formation of new bone)

Xenograft

BioOss

anorganic bovine-derived bone

osteoconductive Cosmetic dentistry

Hue

the color

Chroma

the purity/saturation of the color; high

rich, low

dull

Value

lightness or darkness of the color; light tint, dark

shade

Class III cavity in two proximal teeth: Drill: BIG to small; Fill: small to BIG Local
anesthetic in children:
4.4mg/kg
= maximum recommended dose of anesthetic

kg X 4.4mg/kg = Xmg max

%anes x 10 x 1.8 = Xmg/cartridge

Xmg max / Xmg/cartridge = max # of cartridges ANUG

caused by fusiform bacilli (spirochetes)

Painful, bleeding gingiva, blunted papillae, pseudomembrane, fetid breath, high

fever

Tx: remove pseudomembrane, calculus, Abts if lymphadenopathy/fever, CHX; reeval in 1-2 days (more debridement) then in 5 days for another re-eval Herpetic
gingivostomatitis

within 3 days of onset: treat with Acyclovir 15mg/kg 5 times per day for 7 days

All patients: palliative care: plaque removal, systemic NSAIDS, and topical
anesthetics

Contagious when vesicles are present Ameloblastoma

adult, odontogenic, molar region, benign, aggressive, recurrent, external swelling

Mucus retnsion cysts

blockage of salivary duct by sialolith (salivary stone); blueish; on palate, Buccal

mucosa, upper lip

Called a ranula if on floor of mouth

Do not confuse with mucocele (mucous extravasion phenomenon)

nodule of saliva due to escape from duct of salivary gland

Which gland (parotid, submandibular, or sublngual) is a sialoth most common Which

space is not involved in ludwig

s angina? (submental submandibular, retropharyngeal, or submental) Impression

materials

Irreversible hydrocolloid (alginate)

rapid set, pour immediately, not accurate (dx casts only)

Reversible hydrocolloid (agar)

hydrophilic, long working time, accurate, pour immediately; no custom tray but
requires special equipment, tears easily

Polysulfide polymer (for complete dentures)

high tear strength, smells, messy, good reproducibility, pour within 45 minutes;
H2O is a byproduct

contraction

Condensation silicone (?)

short setting time, pour immediately; EtOH is a byproduct

dimensional contraction; base+acc

Addition silicone (VPS)

no byproducts

dimensional stability, low tear strength, fewer voids when poured immediately

Polyether (Impregum)

base and accelerator; no byproducts

excellent dimensional stability; pour soon Malleability

deform (without fracture) under compressive strength; ability to form a thin sheet;
gold is malleable

Greatest malleability to least: gold, silver, lead, copper, aluminium, tin, platinum,
zinc, iron, and nickel Ductilty

deform (without fracture) under tensile strength; ability to stretch into wire

greatest ductility to least: gold, silver, platinum, iron,nickel, copper, aluminium, zinc,
tin, and lead. Gold inlay/onlay

divergent walls (2-5 degrees per wall), 30 degree bevel margins for better fit, skirt

extend beyond line angle RPD classifications

class I

bilateral edentulous area posterior to remaining teeth

class II

unilateral edentulous area posterior to remaining teeth

class III

unilateral edentulous area with natural teeth anterior and posterior

class IV

single bilateral edentulous area with natural teeth remaining on both sides RPD
components

Major connector

connect all rpd components on one side to those on other side

Minor connector

stabilization

Rest

support

Clasp arms

stabilization (middle 1/3) and retention (gingival 1/3)

Epidemiology definitions

Incidence - measure of the

risk
of developing some new condition within a specified period of time

Prevelance - measure of the total number of cases of disease in a population

Sensitivy - measures the proportion of actual positives which are correctly identified
as such

Specificity - proportion of negatives which are correctly identified (e.g. the

percentage of healthy people who are correctly identified as not having the
condition). Pictures Dentinogenesis Imperfecta Lymphoid epithelial cyst

odontogenic origin Cemetoblastoma

RO mass that replaces root; tooth is removed with lesion Periapical CementoOsseous dysplasia

vital, lower anteriors, middle age women, RL then RO; no symptoms

Florid Osseous dysplasia involves entire jaw Migratory glossitis Nicotinic Stomatitis
Questions

Pt with inlay has pain during biting..no radiographic evidence

m-d cusp fracture

poor prognosis
o

MD fracture cant be seen radiographically because the fracture line is not in the
plane of occlusion

Cracked tooth with more symptom to---cold,heat,pressure (hard to reproduce),

sweets, acidic foods also
o

Commonly lower first molar

o

Dx: stain, transillumination, tooth slooth, air to detect where pain from crack occurs
o

Tx

healthy/reversible


splint/observe or crown (temporary then permanent);

irreversible/necrosis

endo, core (no post if possible, crown

Most common area of fracture in children: symphysis, condyle, coronoid

Apical root closes in about 3 years from eruption

o

Eruption occurs through gingiva with root completion

o

From calcification to root completion: 10 years (canine 13 years)

Tooth with most favorable prognosis---small internal resorption

Esthetic analysis, face divided:

o

Vertically by 5 (4 planes)
o

Horizontally - 3 (2 planes)
o

Frankfort horizontal line - porion to orbitale

o

Campers line
- occlusal rim parallel to ala tragus line

Sterilization

must kill spores of spore-forming bacteria (Bacillus and Clostridium)

o

Bacillus spores are the benchmark organism for sterilization

o

most destructive to carbide instruments----steam heat 250 degrees for 15-20

minutes; denaturation
o

dry heat

does not Corrode or dull instruments; only glass and metal; 320 degrees for 1-2 hrs
o

cold sterilization

soak in chemical then rinse in sterile water; 10 hrs to kill spores with 2%
glutaraldehyde

Disinfection

antimicrobial kills or stops growth of pathogens; applies to inanimate objects

o

Mycobacterium tuberculosis is the the benchmark organism for disinfectants; spores

are not killed
o

Something about disinfecting a surface, I think you leave it for 10 minutes then wipe

Antisepsis

applied to living tissue; alcohol

Orange stain is important ---to change chroma

Most common staining on porcelain