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OSCE (DSE) Graded A

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OSCE (DSE) Graded A True/False and Key Points 1. Nifedipine Causes Gingival Hyperplasia: ️ True 2. Calcium Channel Blockers: - Amlodipine - Diltiazem - Verapamil - "Dipines" 3. Dilantin (Phenytoin): Anti-convulsant 4. Cyclosporine: Immunosuppressant --- ### Clinical Scenarios and Resp...

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  • August 30, 2024
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  • 2024/2025
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  • OSCE Graded A
  • OSCE Graded A
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OSCE (DSE) Graded A
True/False and Key Points



1. Nifedipine Causes Gingival Hyperplasia: ✔️ True



2. Calcium Channel Blockers:

- Amlodipine

- Diltiazem

- Verapamil

- "Dipines"



3. Dilantin (Phenytoin): Anti-convulsant



4. Cyclosporine: Immunosuppressant



---



### Clinical Scenarios and Responses



5. Large Space Between Teeth (#11 and #12):

- What to do? ✔️ Leave it alone.



6. Cauliflower Nodule on Dorsal Tongue:

- Diagnosis: ✔️ Papilloma.

- Treatment for Mucocele: ✔️ Excise with salivary gland remnants.



7. Problem with Resin Bonded Bridges: ✔️ Debonding.

,8. Treatment Timing After Hepatitis A/Jaundice: ✔️ 1 week.



9. Allergic Reaction to Barbiturate on Lip:

- What to give? ✔️ Antihistamines (Benadryl).



10. Patient Not Liking Canine and Premolar Appearance:

- Diagnosis: ✔️ Hypoplasia.



11. Facial Erosion on Teeth Cause: ✔️ Acidic beverages.



12. Amelogenesis Imperfecta X-ray Findings: ✔️ (Additional research may be needed.)



---



### Dental Findings Associated with Conditions



13. Blue Sclera and Dental Findings: ✔️ Dentinogenesis Imperfecta.

- Characteristics:

- Short roots

- Bulbous bell crowns

- Obliterated pulps

- Blue sclera



14. Hyperthyroid Symptoms (Exclusion):

- Correct Answer: ✔️ Fatigue.



15. Minimum Axial Reduction for Crown: ✔️ 1.5 mm.

,16. Replacing #9 Crown Measurement: ✔️ 2 mm.



17. Maximum Unsupported Porcelain Allowed: ✔️ 2 mm.



18. Cyclosporine and Gingival Hyperplasia: ✔️ True.



---



### Treatment Protocols



19. Most Important Treatment for ANUG: ✔️ Debridement. (Antibiotics may be considered if
debridement cannot be done.)



20. Treatment for Gingival Hyperplasia: ✔️ Gingivectomy.



21. Patient Presents with Liver Clot: ✔️ Irrigate, apply pressure, reassess.



22. Temporary Crown Contouring for Gingival Health: ✔️ Undercontour.



23. Upper and Lower Crowns Patient Issue: ✔️ Impingement on gums/gum health. (Other choices
included incorrect overjet/overbite, improper contour of crowns.)



24. Denture-Related Pain on Swallowing: ✔️ Overextension of lingual flange.



---



### Treatment Decisions and Dental Materials



25. Space Between Premolar and 3rd Molar with Class 2 Mobility: ✔️ Implant.

, 26. Missing #2 and #3; Class 3 Mobility on #1 Treatment Plan: ✔️ Extract #1 and consider implant for #3
or #2 & #3.



27. Crown Color Selection Challenge: ✔️ Choose something with lower shade saturation and less gray.

- Definitions:

- Chroma = saturation

- Value = gray level (bright/dark)

- Hue = color



28. Worst Place for Implant: ✔️ Maxillary posterior.



29. Best Place for Implant: ✔️ Mandibular posterior or anterior.



30. Best Long-Term Prognosis for an Implant: ✔️ Mandibular posterior or anterior.



31. Worst Cement for Deep Restoration: ✔️ Zinc phosphate.



32. BW X-ray of Tooth with Amalgam and Pain with Hot/Cold: ✔️ Deep amalgam filling.



33. Leave Perio Pack Duration: ✔️ 1 week.



Picture of an epulis fissuratum. How do you treat this before making a new denture? ✔️Excision.

[Other answer choices: Apply tissue conditioner, leave lesion alone, prescribe antibiotics]



Reason for perio flap? ✔️Access for instrumentation



Maxillary tori in denture patient. What do you do before making a new denture? ✔️Remove it

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