Explain the demineralization – remineralization cycle in the formation of dental caries.

(5)
What is critical pH? (2)
What are the methods to prevent dental caries initiation and progression? (8)

How do you differentiate primary teeth from permanent teeth? (5)

Explain the development of occlusion during primary dentition period. (7)
List the self correction anomalies during primary dentition period. (3)

What are the indications of pulpotomy? (5)

Explain briefly the techniques of pulpotomy. (5)
Explain the procedure of formocresol pulpotomy in detail. (5)

Mouth breathing
Dentofacial feature
Etiology
Treatment

Primary herpetic gingivostomatitis

Etiology
Treatment

Caries on 75.
What modification for cavity preparation?
Suitable material and why.

SS Crown
Indication
Procedure

Management of a 4-year-old hysterical child in the waiting room

[Behavior management? General anesthesia?]

Dental caries, controlled by diet [Dietary advice]

Preventive advice for fixed appliance

Diet - caries

Behavior management for anxious patient, 4-year-old (5m)

Bleeding disorder

A mother brings a child of 5 years old with grossly carious anterior teeth. Feeds child with
sweetened milk 4 times a day, supervised brushing 2 times a day with non-fluoridated
toothpaste.
What is your diagnosis? Justify your answer. (5m) [Nursing bottle caries]
What is the difference between this and other forms of Early Childhood Caries? (5 m)
What is the management and prevention of this case? (15 m)
Describe briefly about the materials that may be used to restore the tooth. Explain each briefly.
(5m)
13-year-old patient complain of pain on lower right back tooth for past 3 days. Pain is sharp,
continuous and throbbing, kept the child awake at night. Visited a few dentists for restoration
but child is uncooperative at times during treatment. Given a bottle of milk or juice each night
just before sleeping until he was 3 years old. Full set of primary dentition (20 teeth). All teeth
have caries except lower anteriors. There is a lingual fistula IRT 84 with pain on percussion
and grade 1 mobility.
Identify type of caries. Justify your answer. (5)
Why do you think lower anteriors free from caries? (2)
What counselling (including diet) should be given to parent? (7)
What non-pharmacological method of behavioural management do you suggest? (5)
What is your diagnosis on 84? Explain how you would attempt to preserve the tooth and
briefly describe the treatment procedure. (7)

How do you classify child patients according to Frankle’s Behaviour Rating Scale? (5)
What are the non-pharmalogical means of managing the child patient on dental chair during
routine dental care? Explain each in detail. (10)

Explain the remineralization – demineralization cycle in dental caries initiation. (5)

What are the means to detect dental caries on tooth surface? Explain in brief. (8)
List the 4 practical pillars in prevention of dental caries. (2)

A 4-year-old boy attends AIMST dental clinic for the first time with his parents for a routine
dental check-up.
List and describe any 4 non-pharmacological behaviour modification techniques that would
be ideal while treating this patient. (2+8)
List children according to Frankel’s behaviour rating scale. (2)
List any 3 treatments procedures done on first dental visit. (3)

Differentiate rampant and nursing bottle caries. (7)

Discuss the 4 pillars of preventive dentistry in pediatric patients. (8)

A 12-year-old patient’s mother complains of chipped upper front tooth. History of decay in his
upper front tooth region that chipped off while biting apple. There was intermittent dull pain
during night since 2 days that relieved on Panadol. No associate swelling or bleeding. Frankel’s
behaviour raring is definitely negative. Fractured distal aspect of the crown noticed with
respect to 11. The associated gingiva appears to be slightly inflamed. There is no mobility but
the tooth is slightly tender on percussion.
List the features found in definitely negative patient. (1)
Explain aversive conditioning in behaviour management techniques. List any 4 physical
restraints. (6+4)
Mention any 4 drugs with dosages that can be used in pharmacological behaviour
management. (4)
Mention your treatment plan for 11. Discuss its step by step management. (1+9)
Name any 5 intracanal medicaments that can be used in management of 11. (5)