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Dental OSCE Verified A+ - Immunosuppressant drug used in transplant patients that causes gingival hyperplasia ️ Cyclosporine. - How is periodontal disease related to diabetes? ️ Glucose levels are increased. - Cause for cement failure? ️ Increased solubility of the cement. - Before trimming...

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  • 30 de agosto de 2024
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- Immunosuppressant drug used in transplant patients that causes gingival hyperplasia ✔️
Cyclosporine.



- How is periodontal disease related to diabetes? ✔️ Glucose levels are increased.



- Cause for cement failure? ✔️ Increased solubility of the cement.



- Before trimming teeth on a stone cast for an immediate denture, you must first... ✔️ Mark a line 3
mm above the free gingival margin.



- Which analgesic(s) is safe for a patient with kidney disease? ✔️ Tylenol (acetaminophen) ONLY.



- NOT NSAIDs OR ASPIRIN.



- For patients on dialysis, where do you take their blood pressure? ✔️ On the arm opposite of the
shunt.



- How do you prevent syncope? ✔️ Trendelenburg position. (feet higher than head)



- How do you treat syncope if breathing? ✔️ Place the patient in the Trendelenburg position. (flat/feet
higher than head)



- If not breathing? ✔️ Start BLS.



- Treatment of a child with fibrous dysplasia? ✔️ For kids, prolong surgical intervention as long as
possible.

,- Some lesions will stabilize & some lesions will grow. Only surgically remove if esthetics are a concern.



- Note: Fibrous dysplasia is an uncommon bone disorder in which scar-like (fibrous) tissue develops in
place of normal bone. This can weaken the affected bone & cause deformations or fractures.



- Radiographic appearance: orange peel if late stage.



- Treatment of barbiturate allergic reaction. ✔️ Antihistamine (synergic reaction to barbiturate).



- Can you treat a patient who had Hepatitis A one year ago? ✔️ Yes. They can be treated "1 week after
having jaundice."



- At what intervals are intermediate dentures evaluated? ✔️

- 24 hrs.

- 72 hrs.

- 1 week

- 1 month

- Every 3 months.



- How long to keep a dressing on after periodontal treatment? ✔️ Pack is kept in for 1 week after
surgery.



- TX for primary herpetic gingivostomatitis? ✔️ Palliative only - you only treat for fever and pain.



- Eagles Syndrome symptoms ✔️ Pain while swallowing, turning head, or mouth opening.



- May include dysphagia, dysphonia, otalgia, headaches, dizziness.



- The elongation of the styloid process// mineralization of the stylohyoid ligament.

,- Epinephrine/vasoconstrictors are contraindicated in patients with ____________. They would
exacerbate the symptoms. ✔️ Hyperthyroid.



- "Opalescent hue" ✔️ Dentinogenesis imperfecta.



- Radiographic findings of Dentinogenesis Imperfecta. ✔️

- Bulbous crowns.

- Obliterated canals & pulp chambers.

- Cervical constrictions.



- Amelogenesis imperfecta heredity ✔️ Dominant/recessive/X-linked.



- Hypomaturation amelogenesis imperfecta manifests clinically as... ✔️ "Snowcapped" pattern.



- Hypoplastic amelogenesis imperfecta manifests clinically as... ✔️ A generalized/localized pitted
pattern on enamel typically.



- Can be smooth/pitted/or rough.

- Can be AD, AR, X-linked.



- Best TX for tetracycline stain ✔️ Veneers.



- Facial reduction for a PFM crown? ✔️ 1.5 mm.



- This is the same for lingual reduction.



- If a traumatic ulcer is formed after extraction, what is the treatment? ✔️ Observe//Re-evaluate (2
weeks).

, - Patient with tenderness anterior to ear lobe? ✔️ Inflamed Stenson's duct (Parotid duct).



- After SRP, a patient notices more spaces between teeth. Why? ✔️ Decreased swelling of the gingiva.



- Radiograph with a herringbone effect. Why? ✔️ Film was placed backwards.



- Film that requires the least amount of radiation? ✔️ E-speed.



- How much epi can be given to a patient with BP of 160/110? ✔️ None. Don't treat this patient. Refer
to physician.



- Patient with a history of slow-growing mandible for 10 years, this is indicative of... ✔️ Hyper
pituitarism.



- Patient with a history of weight gain, deepening voice, dry skin ✔️ Hypothyroidism.



- Hashimoto's - autoimmune thyroiditis.



- Exophthalmos is a sign of ✔️ Bulging eyes. Graves disease -- hyperthyroidism.



- Patient with diffuse pigmentation on the FOM & ventral of tongue ✔️ Addison's disease.



- Hypoadrenalism.



- TX of Addison's (or of adrenal crisis)? ✔️ Corticosteroid replacement therapy.



- Three uses of corticosteroids? ✔️

- 1. Anti-inflammatory: for allergic reactions like swelling, redness, arthritis, asthma.

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