Repeat Question-Lilly Pullitzer

RED FONT = ANSWERS ADDED AFTER RESEARCH; Green Highlighted # = REPEAT QUESTION

If you want to study from PDF you can download this file: LILLY-PULLITZER

May 2019:
1.Molecular mechanism for HPV (inactive protongene)? Inactivate proto-oncogene P53
Expression of high-risk HPV E6 and E7 genes in primary human keratinocytes effectively
facilitates their immortalization (59, 96). … They can undergo malignant progression after extended
growth in tissue culture or when additional oncogenes such as ras or fos are expressed
2. Insulin- fastest acting insulin but shortest duration of action
Fast acting insulin includes lispro, aspart (NovoLog), Glulisine (Apidra)
3. Articaine max carpule for 150 lb guy = 6 carpules
Max dose is 3.2mg/lb or 7mg/kg
Math —> (3.2mg x 150lb )= 480mg for max dose, now since Articaine is 4%, it becomes 40mg/ml. Now
you will do (40mg/ml x 1.8ml)= 72mg a carpule. So do 480mg/72mg= 6.666 and round down to 6 carpules
max.
4. Recommended tylenol dosage for kid (10-12mg per kg every 3 hours, 25 mg for every 6 hours)
10-15mg q 4-6 hours
5. polyacrylic acid GI component
Glass-ionomer cements are based on the reaction of silicate glass-powder
(calciumaluminofluorosilicate glass) and polyacrylic acid, an ionomer.
6. Molar uprighting (why difficult in adults)
Will cause interference in occlusion/need to fix occlusion
7. Transposition (canine in lateral spot)
8. 38%N2O, how much is nitrogen? 25.3% Nitrogen
N2O is made up of 3 molecules total, and the nitrogen is 2 of the 3 molecules for 1 N2O so therefore the
% of nitrogen would be ⅔ of the total % of N2O.
Math → (⅔) x 38% = 25.3% of Nitrogen ( & therefore 12.7% Oxygen)
9. Ameloblastic fibro- odontoma picture
10. which teeth get caries first in children: incisors and 1st molars11. if doing a prep and pulpal floor is perpendicular, which likely to expose? max 1st molar (medial
inclination of Max 1st molar makes it more susceptible to pulpal exposure)
12. what is wheezing? inflammation/vibration
Difficulty exhaling
13. amount of epi that you give % for anaphylaxis? 0.3%
0.2-0.5mL for adults ; 0.01 mL for kids
14. Non rigid 6 unit, when can you use? (in pier FPD)
15. what is the best casting for RPD? Strongest removable framework (gold-pallidium titanium),
Type 4 Casting
16. External splinting favored over internal splinting why? Less reduction; allow healing of the PDL,
maintain tooth position
○ Internal Splint – inside cavity pre
○ External Splint – No involving tooth preparation, usually confined to anterior teeth – allow
healing of the pdL, maintain tooth position
17. class II ANB is larger
18. labial bow, what does that do?
Labial bow in retainer retrudes the anterior teeth
19. Calculate attachment loss
Determine attachment loss by calculating measurement of CEJ to sulcus (depth of pocket)
Ex. recession is 2mm and probing depth is 1mm, attachment loss = 3mm
20. what most likely to injure during distal wedge? Lingual nerve
21. what teeth are anesthetized when IANB? Long buccal?
IANB anesthetize mandibular teeth and surrounding hard and soft tissue up to the midline
(does not reach buccal soft tissue of molars)
Long buccal gets the buccal soft tissue of molars
22. Pt is getting a buccal vestibulopathy, what kind of dissection would you do? Supraperiosteal
23. If you give someone bag ventilation not connected to oxygen, what is the amount of oxygen they’re
receiving- 21%
24. Proportional relationship of width of pontic in FPD related to the width of the fpd span
25. Bacteria that causes root caries – Strep Mutans, Lactobacillus, Actinobacillus
26. Molar tipping- most common negative effect – occlusal interference27. Primary teeth most involved in perio – 1st mandibular molar
28. Half life calculation
29. Why do you aspirate bone lesion before surgical exploration- To check if its a vascular lesion
06/05/19:
1.know pterygomandibular raphe and muscle junctions
The pterygomandibular raphe (pterygomandibular ligament) is a ligamentous band of the
buccopharyngeal fascia, attached superiorly to the pterygoid hamulus of the medial pterygoid plate and
inferiorly to the posterior end of the mylohyoid line of the mandible.
● Its medial surface is covered by the mucous membrane of the mouth.
● Its lateral surface is separated from the ramus of the mandible by a quantity of adipose
tissue.
● Its posterior border gives attachment to the superior pharyngeal constrictor muscle.
● Its anterior border attaches to the posterior edge of the buccinator.
2. Border molding lingual flange – MYLOHYOID
3. radiograph of pterygomaxillary fissure- teardrop
4. Eagle syndrome – calcified stylohyoid ligament
5. radiograph stylohyoid
6. know ectodermal dysplasia- congenital anodontia/ hypodontia, sweat hair and skin gland
problems
7. % roots of MB root maxillary molar
Maxillary 1st molar: 40% for 3, 60% for 4
Maxillary 2nd molar: 60% for 3 and 40 % for 4
Mandibular 1st molar: 70 % for 3, 30% for 4
Mandibular 2nd molar: 90 % for 3 and 5% for 4
8. rectangular wire in orthodontics – advantage is rotation of crown and root
Control crown and root movement – torque
9. know desensitization a treatment or process that diminishes emotional responsiveness to a
negative, aversive or positive stimulus after repeated exposure to it.
Systematic desensitization- 3 steps: Construct a hierarchy, relaxation exercises, associate components of
hierarchy with relaxation state

10. what does tin do in porcelain making? (has something to do with corrosion in amalgam)
(In PFM, the metal has indium which is tin and iron – oxidative elements for porcelain to bond with
alloy) – provide chemical bonding11. diabetic patient what do you tell him prior to IV sedation? (TQ- about eating and medications) No
eating or taking medication prior to sedation
12. ALOT of endo and ethics
13. Where is the A in cephalometric SNA – the deepest point in the maxillary concavity
14. know how to treat cytomegalovirus – Ganciclovir or valacyclovir
15. two questions on ectodermal dysplasia – sparse hair; missing teeth
Ectodermal dysplasia = X-linked conditions in which there are abnormalities of 2 or more ectodermal
structures (ex. Hair (sparse hair), teeth, nails, sweat glands (will have hypohydrotic child = sweating
dysfunction, abnormal reduction of sweating due to heat), salivary glands, cranial-facial structure, digits).
During tooth bud development, it frequently results in congenitally absent teeth (in many cases, a lack
of a permanent set and/or in the growth of teeth that are peg-shaped or pointed.
Teeth develop abnormally causing anodontia or oligodontia (partial). Retained primary teeth.
CONICAL shaped anterior teeth.
● Having hypodontia (FEWER number of teeth) will cause alveolar bone deficiency
(prevent/undermine formation of alveolus)
● Less teeth, reduced alveolar ridge development so the vertical dimension of the lower face is
reduced
16. radiograph showing dentinal dysplasia – normal color teeth, PARL, Short blunted apices

17. adrenal gland for hair loss

18. drug that prevents bleeding and fibrinolysis after surgical extraction – Tranexamic Acid?
19. know ludwigs angina – emergency
Serious bilateral cellulitis (CT infection) of the floor of the mouth (submandibular and sublingual
spaces), if left untreated may obstruct the airways and has complications including edema of
glottis.
20. kid skeletal class 3 what most likely decreases with age? ANB21. gingival floor most likely recurrent caries
● Gingival margin of class II through class V restorations is where the recurrent caries showed up
the most

22. better fracture resistance for amalgam: beveling Axio-Pulpal line angle
Resistance: 1st = Flat floors, rounded angles (bevel in axiopulpal line angles to reduce stress and
increase resistance)
Retention: 1st = BL walls converge, 2nd = retention grooves/occlusal dovetail
23. Dovetail or beveling axio-pulpal line angle
– Dovetail occlusal = retention for amalgam
– Beveling axio-pulpal line angle = resistance of fracture for amalgam
24. know substance P relation to opioids- substance P is pain receptor that is blocked by opioids
– Both endogenous opioids and somatostatin inhibit the release of substance P from central and
peripheral endings.
25. Mandibular NOT Maxillary related to ear pain – high occlusion can refer pain to ear
26. Potassium (K+) sparing diuretics (Midamor, Dyrenium)
27. Lisinopril causes unproductive cough? Yes, Its an ACE Inhibitor.
28. Disadvantage of band and loop——–> No vertical occlusal stop
29. Posterior cross bite, where you should place the bands Lingual of maxillary and buccal of
mandibular
30. Slob rule with vertical angulations – if same direction its lingual
31. What palatal groove is associated with the most periodontal disease? Palatogingival groove (or
radicular lingual groove (RLG)) most common on maxillary lateral incisors
32. Bisphosphonates – for multiple myeloma
33. OS Instruments:
-Max lateral – #65 Bayonet-shaped forceps or #150 maxillary universal forceps
-Premolar- Mandibular → #74 ash forcep or #151A; Maxillary → #150 max universal
-Cryer elevator and east/west elevator – to remove root tips in mandibular molars
Day 2 is case studies: some said they kinda got rocked and the questions dealt a lot with Orthodontics.
(6/05/19):
-didn’t get specific questions from her (not that close to her lol) but did get the name of the docs she
studied from and she said she had about 40% TQs from those on Day 1 but No TQs for Day 2 and that it
was hard.
-there was a lot of oral path and pharm
-i also had a lot of ethics so reading the ADA code is really your best betJune 2019:
1.Know gemination, fusion and transposition
Gemination: Tooth gemination is a dental phenomenon that appears to be two teeth developed from
one. There is one main crown with a cleft in it that, within the incisal third of the crown, looks like two
teeth, though it is not two teeth. The number of the teeth in the arch will be normal. (1 root 2 crowns)

Fusion: Union of two adjacent teeth in both primary and permanent dentitions. The number of teeth in the
arch will be one less. (2 roots 1 crown)
Transposition: is used to refer to an interchange in the position of two adjacent teeth within the same
quadrant of the dental arch.
Question: What is seen here? It was canine and PM switched positions. Transposition

2.Know canine guidance classifications! A picture asking me what it was and mine was Class 2
• Class I—the maxillary permanent canine should occlude
directly in the embrasure between mandibular canine and
first premolar.
• Class II—the maxillary permanent canine occludes in
front of the embrasure between mandibular canine and first
premolar.
• Class III—the maxillary permanent canine occludes
behind the embrasure between mandibular canine and first premolar.
3.how do sealants bond on enamel? Mechanical4.Many questions with endo diagnosis of pulpal and apical. They were so easy and straightforward just
know differences
○ know the symptoms for reversible, irreversible, and whether its necrosis.
■ Reversible Pulpitis: inflammation should resolve and the pulp return to normal;
response to thermal testing is severe, momentary pain lasting 1-2 sec after
removal of stimulus
■ Symptomatic Irreversible Pulpitis: vital inflamed pulp is incapable of healing.
Additional descriptors include: moderate to severe pain that lingers from thermal
testing, spontaneous pain, referred pain.
■ Pulp Necrosis: indicates death of the dental pulp. The pulp is usually
nonresponsive to pulp testing.
○ Know that percussion is how you diagnose if its symptomatic apical perio
○ Know chronic perio has a sinus tract
○ Know EPT doesn’t give you pulpal status nor does it not give you pulp health.
5.Patient with HIV gets refused for treatment by dentist, what does this violate from ADA code of
conduct? Justice
○ (Know ALL codes of conduct I had diff examples about 7 questions)
6.Patient had crown and want to check pulpal diagnosis. What do you use? Thermal Test
7.How to distinguish endo lesion from perio lesion? Percussion
8.Silane coupling agents will bind with hydroxyl groups in filler.
● The silanols coordinate with metal hydroxyl groups on the inorganic surface to form an oxane
bond with elimination of water.
9.What is EDTA? Chelating agent- removes smear layer (inorganic material)

10.What causes ankylosis? Replacement resorption
11.After RCT, you make a post space with drill and use paper point to dry canal. You see blood on paper
point what does that mean? Ledge formed (was only option that would lead to a perforation)
12.Light transillumination shows both cracked tooth & craze lines*
○ Used for diagnosing cracked tooth.
○ Cracked tooth → only half of the tooth will light up (until it hits the fracture line)
○ Craze lines → the entire tooth will light up still
13.Max dose for 2% lidocaine with 1:100,000 epinephrine? 7 mg/kg for adult; 4.4 mg/kg for pediatrics
14.Critical pH of developing cavity? pH 5.515.What incision do you do on an edentulous patient to remove tori?Incision on ridge near tori and flap
it
○ Vertical flaps
○ Incision on the tori
○ Incision on ridge near tori and flap it (I chose this because I know you avoid vertical
flaps on lingual because of Lingual n injury. You also don’t flap right on top of tori.) if
patient has teeth the answer would include an incision around teeth in sulcus and then
flap it.
16.What dental anomaly would result in a delay of eruption? Dilaceration

17.Which represents position on the spectral wavelength? Hue
18.When get infection in premolar mandibular area and lingual plate is intact and drains where? Buccal
area?
○ Submental area (my brain was fried at this point and I was in between this and buccal
area so didn’t care just chose this but not sure)
○ Submandibular area—–> would only drain here only if the tooth was a 2nd Molar or 3rd
molar that have their roots BELOW the mylohyoid m. and the LINGUAL plate gets
perforated from the periapical infection.
○ Sublingual area—–> would only drain here only if the tooth was a mandibular PM and 1st
Molar that have their roots ABOVE the mylohyoid m. and the LINGUAL plate gets
perforated from the periapical infection.
○ Buccal area——>should be this answer because the lingual plate was intact so it
could not have drained in any of the areas listed above other than the buccal area.
19.Random questions, like what’s “Shaping” for Behavioral management – providing positive
reinforcement for the approximation of behavior you are trying to achieve
20.Difference in primary root size and permanent? Slender and longer roots
21.What lesion if it involved a tooth would widen the pdl? Osteosarcoma
22.Mandibular molar had 3 canals, took xray from mesial aspect what’s the order you see the canals?
Mesial lingual-mesial buccal-distal
23.Primary teeth most often involved in perio? 1st mandibular molar
24.Another question order of primary teeth most affected by caries (listed in order) 1st Mandibular
Molars > 1st Maxillary Molars > 2nd Mandibular Molars > 2nd Maxillary Molars
25.3 loss of attachment calculations – like probing 6mm, FGM 2mm apical to CEJ how much attachment
was lost? 8mm
26.The proportional relationship of the width of the pontic in FPD. related to the width of the fpd span27.what bacteria initiates caries? S. mutans
28.What bacteria progresses caries but doesn’t initiate them? lactobacillus
29.bacteria in perio of pregnant lady? Prevotella intermedia
30.Molecular mechanism of HPV? MOA for DNA Virus – inhibit proto-oncogenes P53, and works on
human keratinocytes
31.articaine max carpules for 154 lb? 6 carpules
○ Articaine (4%) – 7mg/kg max recommended dose
■ 154/2.2 = 70kg
■ 70 x 7mg = 490
■ 490/72 = 6.88888
32.Recommended tylenol dose for kids per day (25-50 3x a day?)? 5x daily Tylenol (10-15mg every 4-6
hours)
33.Something about a buccal vestibulopathy what kind of dissection? supraperiosteal
○ Vestibuloplasty – can be performed to increase the depth of the vestibule using skin
grafts – used for denture/RPD fabrication
○ Incision made on the alveolar ridge and a supraperiosteal dissection is made to the
depth.
34.Insulin short acting = lispro, Aspart & Glulisine
○ Short Acting: Lispro (15mins), Aspart (15min), Glulisine (15min)
○ Long Acting: NPH (1-4hr), Glargine (1-4hr), Detemir (1-4hr)
35.Glass ionomer polyacrylic Acid → is the ionomer portion of the GI
36.A couple questions on molar up righting → will cause interference in occlusion/need to fix
occlusion
37.A few questions on glass ionomer (advantages/how it works)
○ Low stress bearing areas
○ Less wear resistance
○ Releases fluoride
○ High Caries Risk patients – Class V
38.Labial bow does what? Labial bow in retainer retrudes the anterior teeth
○ Is present anterior to the maxillary incisors, extending distally to eliminate the pressure
from the buccal musculature – metal part that lays flush across the anterior incisors.39.One advantage of External vs internal splint? allow healing of the PDL, maintain tooth position
○ Internal Splint – inside cavity pre
○ External Splint – No involving tooth preparation, usually confined to anterior teeth – allow
healing of the pdL, maintain tooth position
40.Class 2 girl ANB will be larger? ANB
○ ANB – 2 to 4 degrees Class I
○ >5 degrees Class II
○ <1 degree Class III
41.Epinephrine Amount for anaphylaxis? 0.3
○ 0.2 to 0.5 adults to treat anaphylaxis
○ .01 mL kids to treat anaphylaxis
42.Tipping questions (ortho)
○ Easiest/fastest tooth movement
○ Center of rotation at root apex
43.Most common reason to not do distal wedge? Not enough keratinized tissue
44.What gets numbed with IAN and what gets numbed with lingual?
○ IAN – Everything, but soft tissue of the molars
○ Lingual – lingual gingiva and adjacent mucosa of the mandible
45.Bohn nodules
○ Multiple small gingival nodules resulting from cystification of rests of dental
lamina.
○ Cysts of newborns
46.Macrocytic anemia is vitamin B deficiency
○ Microcytic – Iron deficiency
○ B-12 – Pernicious anemia
○ Aplastic Anemia – Bone Marrow defect/Not enough new blood cells
47.Why do you bag instruments before sterilizing? To allow them to remain sterilized after the cycle
48.Picture of geographic tongue (it was a picture with only lateral
border of tongue showing and looked like similar to SCC but wasn’t
they were tricky) it affects the filiform papilla

49. X-ray zygomatic process (yellow line on pano →)
50.Two different questions pointing to pano saying what is this
radiolucent line indicating? Airspace (its when patient doesn’t put
tongue on roof of mouth and creates airspace)
51.X-ray transposition (lateral and canine switched in x-ray →)
○ When teeth within the same quadrant switch position – difficult to treat
52.X-ray taurodontism (enlarged pulp chamber as seen below)
53.Gingival margin trimmer vs hatchet: Both Enamel Hatchet and Gingival Margin Trimmer are hatches
but GMT has curved blade and angled cutting edge while Enamel Hatchet has cutting edge in plane of
handle. Main advantage of using GMT is the curved angle of the blade
● Gingival margin trimmer – designed to produce a proper bevel on gingival enamel margins of
proximo-occlusal preparations. The blade is curved (similar to a spoon excavator) and the
primary cutting edge is at an angle to the axis of the blade.
● Hatchet – The ordinary hatchet has the cutting edge of the blade directed in the same plane as
that of the long axis of the handle and is bibeveled; used primarily on anterior teeth for preparing
retentive areas.54.Lots of asthma questions
○ No NSAIDS (aspirin) – contraindicated because they produce leukotrienes that
aggravate asthma
○ No Oxygen during an asthma attack – paper bag
○ Brocho-dilator for treatment – Thylophyille, Lovobuterol,
○ Adenosine is contraindicated
○ Aminophiline used to treat severe asthma
○ Wheezing on expiration
55.What exactly wheezing is in asthma patient not just noise on exhalation like how the noise is made
○ Options where about inflammation in bronchioles
○ Narrowing of the airways from swelling, mucous and muscle retention.. When
asthmatic patient is breathing out
○ The overreaction or hyper-responsiveness of the airways results in bronchospasm, which
is excessive contraction or spasm of the bronchial smooth muscle. The airways also
become inflamed with swelling of the bronchial mucous membrane (mucosa) and
secretion of excessive thick mucus that is difficult to expel. It is part of the evaluation
process to identify the role of each of these physiologic components in asthma.
56.Know what causes orthostatic hypotension: a person’s blood pressure suddenly falls when
standing up quickly or stretching. Can also be a side effect of nitroglycerin tablets.
57.Crevicular fluid antibody: IgG
58.Most frequent oral cancer that metastasis? Squamous cell carcinoma
59.Peds ortho distal step = class II molar relationship in permanent dentition
60.know the billing stuff (bundling, upcoding, etc).
● Unbundling: separating of dental procedure into component parts with each part having a
charge so that the cumulative charge of the components is greater than the total charge to
patients who are NOT beneficiaries of a dental benefit plan for the same procedure.
● Bundling: opposite of unbundling & can occur on the insurance carrier end. It’s the systematic
combining of distinct dental procedures by third-party payers that results in a reduced benefit for
the patient/beneficiary. Ex. dentist charging separately for core build up and crown but insurance
company combining the two saying a core build up is part of a crown.
● Upcoding: or overcoding is defined by the ADA as “reporting a more complex and/or higher
cost procedure than was actually performed.”
● Downcoding: is defined by the ADA as “a practice of third-party payers in which the benefit code
has been changed to a less complex and/or lower cost procedure than was reported except
where delineated in contract agreements.”
61.Pic of ameloblastic fibro-odontoma (to the right →)62.Mostly hypertensive meds, diabetes, and hypothyroidism
63.Mumps transmission includes? Airborne pathogen
64.Why is heparin given IV?
○ Contraindicated IM – due to hematomas, pain
○ To reverse heparin you give protamine sulfate
○ CI with Ginko Biloba
65.If you compare the radiation dose of person working in nuclear power plant and that of a dental
assistant (or whoever takes x-ray in a dental setting), how much will the dosage of that person be? 1/5
times of the nuclear worker (question and answer from DanMan file 2019 question 724)
○ 50msv/year (0.05sv/year)– is the standard that people should have (the max
radiation dosage for a dental professional per year)
○ Workers of nuclear plant, how much radiation permitted yearly = 5 rem/ 5000 mrem
yearly (on average, a nuclear worker receives approx. 150 mrem (0.15 rem) of
occupational exposure a year)
○ 1 sv = 100 rem
66.Leukoedema?
○ Bi-lateral opacification of the buccal mucosa
○ Goes away when you stretch it
67. Not a reason why a post would break- because of the material of the post
○ (yes to not enough ferrule, parafunctional habits, occlusion).
68. MOA montelukast- is a selective leukotriene receptor antagonist of the cysteinyl leukotriene
CysLT 1 receptor which blocks leukotrienes activities to cause asthma symptoms.
○ Leukotriene receptor antagonist used to treat asthma and seasonal allergies
○ Montelukast inhibits bronchoconstriction due to antigen challenge.
Day 2
1.Old women 86 years old came in with dry mouth, red inflamed tongue with white stuff that wipes off. Her
chief complaint was lower left PM area was in extreme spontaneous pain. What was the cause?
○ Xray was pano, you had to squint and see that there was radiolucency around apex,
answer was symptomatic apical periodontitis
○ What was her tongue issue? Candidiasis, lichen planus.
○ Her son called and said she fell on ice and chipped composite that was distal of #8,
which you again had to squint and see it was small, and only a small composite. What do
you do? I said replace composite. Options had full ceramic crown, veneer. I thought
since she’s old and it was a small composite you wouldn’t just do a crown for it.○ What would be the least thing you would use for a placement of crown #18? Field
Porcelain crown
2. 25 year old male came in with meds amitriptyline for depression. Chief complaint is lump on post
palate. He also had lesions on tongue. cross bite on right.
○ what angle classification is he?
■ Class 1
■ Class 2 mod 1
■ Class 2 mod 2 (it was hard to tell but he was def this)
○ What can be done to fix his cross bite?
■ Buccal tipping of max (his teeth were lingually tipped and pushing them buccal
would resolve it)
○ Why was his enamel white spotted?
■ Amelogenesis imperfecta
■ Dentinogenesis imperfect
■ Fluorosis
■ I was in between fluorosis and amelogenesis
imperfecta. I chose Fluorosis because it didn’t
seem so bad like a defect in enamel. Looked
similar to this nothing severe
3.Patient came in with cervical lesions and smoking for 22 packs/years
with crazy amount of cavities. #8 RCT and lingual amalgam. Know if medications cause xerosomia or was
it smoking 22 packs a year.
4.Mechanism of ibuprofen- Non-selective cox-1 & cox- 2 that Reversibly Binds
5.Mechanism of carbamazepine- sodium channel blocker
○ Tx: Trigeminal Neuralgia and Manic depressive illness
6.RPD design which one can’t you do for distal extension of 29. 29 has existing DO composite, what
would you do for RPD? Change restoration to amalgam or Survey crown
7.Rita case
8.Man was shot. Wife is his caregiver? because he’s legally incompetent.
9.Old lady with ugly teeth but good bones and gums? gingivitis?
● She also was on a million meds and had impacted third molars and pain in left premolar vestibule
and lower lip but couldn’t see shit in pano.. what was the cause of pain? Periocoronitis, abscess
of premolar, cyst of third molars referred pain
● Other dentist told old lady to get veneers on 5 and 12, what do you tell her? “If you’re interested
in cosmetics let me tell you all your options”10.Girl with a million piercings in pano, 24 and 25 feel loose? due to trauma of tongue ring
○ first step- patient education
○ identify tongue ring in pano
11.Canine classifications!
○ Class 1: when the mesial slope of the maxillary canine coincides with the distal
slope of the mandibular canine. Maxillary Canine sits perfectly in the embrasure
space between the mandibular 1st PM and canine.
12.Crossbite due to what?
○ Angle Class III malocclusion usually associated with anterior cross bite
■ Reverse Overjet – Anterior crossbite (usually class III)
○ Posterior Crossbite
■ Dental – patient with adequate palatal width
■ Skeletal – inadequate palatal width
○ Unilateral crossbites are usually due to a mandibular shift
13. Not ideal overjet and overbite due to what? Pacifiers and Finger Sucking or Primary Canine Loss
○ Pacifiers and finger sucking may cause increased overjet, decreased overbite and
posterior crossbite
○ Primary canine loss – increased overbite – after lingual collapse, the mandibular incisors
erupt further, increasing overbite.
14.Kid with ADHD
○ Medication could be:
■ Methylphenidate (Concerta, Ritalin, Metadate)
■ Nausea, hypertension
■ Atomoxetine (Straterra)
■ Hypertension, dry mouth, nausea
■ Amphetamine/dextroamphetamine (Adderall)
■ Adverse: Dry mouth, headache, nausea, hypertension
○ Treatment Modifications:
■ Depends on age and severity
■ Shorter Appointments
■ Step-by-Step verbal reinforcement
June 2019:
1.Ankylosis → replacement resorption
2.Apex closes → 2.5- 3.5 years after eruption3.Freys Syndrome – auriculotemporal syndrome when nerve is damaged causing sympathetic
fibers to cause eating and flushing of the face, while parasympathetic fibers cause increase in
salivation unilaterally. Use minor’s starch- iodine test. Treatment includes surgery, atropine
medication (local injections) and scopolamine creams.
4.Potassium (K+) sparing diuretics: Midamor and Dyrenium
5.root caries → glass ionomer
6.glass ionomer → zinc oxide (acts as the antibacterial activity when added to glass ionomer cement)
7.LED composite light vs halogen curing light: LED curing light faster for curing materials and more
lightweight, portable, and effective compared to the halogen curing lights.
What is NOT an advantage of LED cure in comparison to Halogen? Curing Depth
● LED: produce a blue light in the 400-500 nm range, with a peak wavelength of about 460nm.
They are more lightweight, portable and effective compared to the halogen curing lights. They
produce less heat and do not require a fan to cool it. LED curing lights cure material much faster
than halogen lamps. Light intensity is 1,000 mW/cm2
● Halogen: most frequent polymerization source used in dental offices. It provides a blue light
between 400- 500nm, with an intensity of 400-600 mW/cm2. Drawbacks include: large amount of
heat it generates so it needs a built in ventilating fan, larger unit, must be plugged in (cannot be
cordless), time needed to fully cure the material is much more than the LED curing light.
8.Monteleukast leukotrienes – inhibit leukotrienes for the treatment of asthma
9.Sulfonamide – compete with PABA in folic acid synthesis, decreasing folic acid
10.Sulfonylureas → increase insulin release from beta cells of pancreas
11.beta 1 agonist doesn’t do what? Doesn’t act as a smooth muscle relaxant to be used for treating
asthma or COPD (that is Beta-2 Agonists job)
● Beta-1 agonist ARE medications that increases the heart rate and blood pressure. Beta-1
agonists stimulate adenylyl cyclase activity and opening of calcium channels. Cardiac
stimulants.
● Beta-1 agonists are used for Bradycardia (slow heart rate), Bradyarrhythmias, Acute
Heart Failure and Cardiogenic Shock.
12.acute herpetic gingivostomatitis → primary herpes, HSV 1 or 2, children and adults
● Symptoms include: Malaise, fever, lymphadenopathy, vesicles in oral cavity, gingival
swelling/erythema, can remain latent, reactivation with UV exposure/ trauma/
immunosuppression
13.infective mononucleosis – EBV
14.ludwigs angina → emergency
● Serious bilateral cellulitis (CT infection) of the floor of the mouth (submandibular and
sublingual spaces), if left untreated may obstruct the airways and has complications
including edema of glottis.15.cleidocranial dysplasia vs. mandibulofacial Dysostosis (MDF) AKA Treacher Collins Syndrome: With
Treacher collins syndrome (MDF) patient will have hypoplasia (missing) zygomatic bone whereas
with Cleidocranial dysplasia the patient will have hypoplasia (missing) clavicle.
● Cleidocranial Dysplasia: Multiple unerupted supernumerary teeth, Retention of primary teeth,
delayed eruption of permanent teeth, Missing clavicle. It is the delayed ossification of midline
structures. Will give you very narrow facial structures.
● Mandibulofacial Dysostosis (MDF) (Treacher Collins Syndrome): Mandibular hypoplasia,
malformed ear, lower eyelids, ear pinna. No mental retardation associated with the syndrome.
Will have ear abnormalities. Loss (hypoplasia) of the zygomatic bone.
16.whose most likely to need general anesthesia? 2 year old with early childhood caries
17.anterior crossbite non skeletal caused by what? Maxillary tipping lingual and mandibular tipping
buccal (Angles class III Malocclusion)
● Skeletal deformation: Maxilla not completely developed (most common tooth involved is
maxillary lateral, fix this ASAP regardless of age)
● Non skeletal deformation: Maxillary tipping lingual, and mandibular tipping buccal (Angles
Class III malocclusion)
18.class III furcation down to within 5mm of apex → extract and implant
19.what’s the max dose of lidocaine (in mg) for a 12 year old thats 16 kg? 70.4mg of lidocaine
● Math: 16kg X (4.4 mg/kg) =70.4 mg
June 11th & 12th
***Do Mastermind (everyone who claimed they had the shitty version of the exam and had no TQs later
on found out that a lot of the TQs were on this document that they hadn’t looked at…. So basically do
Mastermind and Super doc and you will be gucci)
1.Bimaxillary protrusion know what it is. (Two questions)
● one a definition: Bimaxillary protrusion refers to a protrusive dentoalveolar position of maxillary
and mandibular dental arches that produces a convex facial profile. both mandibular and
maxillary dentoalveolar protruding.
● one was an answer of when to use class 2 correcting maxilla gear? Bimaxillary Protrusion
2.Seizures – encephalotrigeminal telangiectasia
3.Cognitive restructuring? psychotherapeutic process of learning to identify and dispute irrational
or maladaptive thoughts (talking about everything you’re afraid of)4.Ameloblastoma vs fibroma: Ameloblastoma is a true odontogenic tumor whereas Fibroma is a
connective tissue tumor that is NOT really a tumor.
● Ameloblastoma: most common TRUE odontogenic tumor, benign but aggressive. Multilocular
radiolucency, superimposed over posterior teeth and more common in the posterior mandible.
Often associated with impacted teeth.
● Fibroma: most common CT tumor, Reactive, NOT TRUE tumor. Caused by chronic trauma or
irritation. Fibrous hyperplasia of oral mucosa. (could be keratinized white nodule on palate) Firm,
smooth, pink, elevated papule/nodule. Common site is the TONGUE → due to trauma.
5.Primary first mandibular for most cause of space loss mandibular 2nd molar cause of space loss.
● Premature loss of posterior teeth priority: 2nd Molar > 1st Molar > Canine > Incisor
6.Least recurring: irritational fibroma (is most common CT tumor) AOT (Adenomatoid Odontogenic
Tumor)
7.Lamina dura = 6 weeks in utero
8.Which one affects saliva production when using alpha? It will act on nicotinic or muscarinic ganglion
-Anticholinergics MOA = inhibit binding of acetylcholine to muscarinic and nicotinic receptors.
These receptors are found in eye, secretory glands and nerve endings to smooth muscle cells.
9.PMN (Neutrophils) In crevicular fluid of periodontitis
10.Which orthodontic appliance is tissue and tooth? Nance appliance (NOT quad helix)
11.What doesn’t cause Hypertension? Corticosteroids? – No they cause drug-induced hypertension- TR;
maybe Mecamylamine and Hexamethonium that are ganglionic blockers and produce orthostatic
HYPOtension? -TR
12.Ethics exceeds legal duties
13.Stimulus changes behavior for modification
14.What % of MB2 root in maxillary 1st molar? 20,40,60,80
● Maxillary 1st Molar: 40% for 3 roots, 60% for 4 roots
15. Macroglossia caused by all the following except? amyloidosis, hypothyroidism, acromegaly, or
hyperparathyroidism
16.Lateral perio cyst → roots of mandibular premolars
17.Neurofibroma → mandibular Premolars
18. What’s stronger ibuprofen 600 or Tylenol 500——> you need RX for Ibuprofen 600mg
19.Lower canine facially positioned – gingival recession
20.What’s not causing her recession on 6? Systemic – (yes was brush,erosion, ortho)21.Diabetes type 1- ketoacidosis with hyperglycemia (ketone breath)
22. Most common dental emergency- syncope
23.Most common lymphoma of the jaw? The most common Primary Intraosseous Lymphoma is
non-Hodgkin’s large cell type.
24.Histoplasmosis resembles ? Recurrent herpes, painful ulcers look like cancer
25.Side effects of nitroglycerin – headache, orthostatic hypotension, flushing
26.Multiple neuro sarcomas in what disease? Neurofibromatosis (Von Recklinghausen’s disease)
27.Lower Canine far facially positioned- mobility or recession? Recession
28.40 year old posterior crossbite- surgery? Palatal expander – Surgery (Suture osteotomy?)
29.Mucocele – what to do? Exfoliative biopsy? Excisional, incisional
30.Patient need analgesic- to give except: ibuprofen, tramadol, Tylenol, Tylenol 3…. I put tramadol, but
it may be Tylenol 3?
● Tramadol monotherapy does not usually provide adequate analgesia.
31.Too dark pic- too much developer
32.Little contrast and light pic: too little exposure time
33.Least affected by water? Pvs, siloxane, polyether
34.Intrusion: wait to erupt or splint ? reposition and splint if permanent tooth intruded 5mm
35.Where ankylosis happens- external replacement Replacement resorption
36.Symptoms of Transient Ischemic Attack (TIA) → tingling fingers light headed and disoriented then
pass out
37.Most common neoplasm → adenocarcinoma
38.Tylenol and aspirin are antipyretic and analgesic (anti inflammatory never tylenol)
39.ORN mandible only
40.Know clinical trial
● Use randomization and blinding to compare effects of treatment with non-treatment. This is the
Gold Standard for establishing cause and effect. Trials to evaluate the effectiveness and
safety of medications or medical devices by monitoring their effects on large groups of people.41.Know cross sectional Vs cohort → cross sectional studies cannot distinguish between cause and
effect whereas cohort studies can.
● Cross sectional: epidemiological study that looks at the entire population at one point in time.
Cross sectional studies are used to determine prevalence. They are relatively quick and easy but
do NOT permit distinction between cause and effect.
● Cohort: prospective study of one or more samples. Cohort studies are used to study incidence,
causes, and prognosis. Because they measure events in chronological order they can be used
to distinguish between cause and effect.
42. Where to detect furcation maxillary molar- midfacial, mesiopalatal, mid distal
43.Know modified Widman flap uses and procedure
● it’s full thickness
● Expose roots for planing to have direct vision.
44.First sign of multiple myeloma – bone pain
45.Distractive osteogenesis (DO) is hard because of time (long term follow up; 2 hospital
procedures) and patient/parent compliance
46.Potassium (K+) sparing diuretic- spironolactone (also aldosterone antagonist), also Midamor and
Dyrenium
47.If patient had kidney dialysis when do you dentally treat them? 1 day after
48.Short abutment in FPD- what to do? Full crown (for better retention), reverse 3/4 crown, inlay, or
onlay?
49.AOT → rare recurrence
50.10-21 days before early periodontitis (initial early established )
July 2019
1.Retruded tongue- problem with retaining mandibular denture
● If the tongue is in a retruded position, the denture will be unstable, has no retention and will be
easily dislodged.
2.Remove hyperplastic tissue → before fabricating new complete denture
3.Flabby tuberosities-resect
4.Lateral sliding flap- increase attached gingiva for anteriors (AKA pedicle flap)
5.neurapraxia definition = mild injury with not axonal damage, spontaneous recovery within 4 weeks
● Neurapraxia is a disorder of the peripheral nervous system in which there is a temporary loss of
motor and sensory function due to blockage of nerve conduction, usually lasting an average of six
to eight weeks before full recovery.6.First treatment for NUG- Chlorhexidine rinse with Debridement (only give antibiotics if patient has
systemic disease like HIV or is running a fever)—-> If ABX needed, use Metronidazole
7.Best area for osseointegration – mandibular anterior
8.Triad- glossoptosis, retrognathic mandibular, micrognathia (also high arch palate, cleft palate or absent
gag reflex) – Pierre Robin Syndrome
9.Phenothiazide – tardive dyskinesia
10.Kelly Combination syndrome – when you have a maxillary complete denture over mandibular
Class 1 Kennedy RPD.
● Has 5 characteristics: overgrowth of maxillary tuberosity, papillary hyperplasia of hard palate,
bone loss in maxillary anterior, mandibular anteriors super erupt, and bone loss under distal
extension of mandibular
11.have Hyperplastic (flabby) tissue, what kind of impression ( closed mouth impression, high adhesive
material, high pressure , take at rest position)
12.most common type of candidiasis in denture wearers? Denture stomatitis
13.Hypodontia face effects → mid face
14.know turners – most common in mandibular premolars
15.picture of skull of multiple myeloma (punched out lesions) →
16.median rhomboid glossitis – candidiasis atrophy of filiform papillae
17.Muscle attachments (lots of these)
18.picture of kid with herpes →
19.Fordyce granules-sebaceous glands
20.Palatal groove of which tooth is associated with periodontitis – maxillary lateral incisors
Palatogingival groove (or radicular lingual groove (RLG)) most common on maxillary
lateral incisors
21.Endo lots of them
22.Recently placed gold inlay on upper tooth which is opposing lower amalgam, what is the most
common reason for pain afterwards? Galvanic Shock
● Galvanic shock sensitivity = choose this if only question says opposing dissimilar metal
23.different metals in alloy, decrease thermal expansion24.Tooth #30 has huge MOD amalgam that is deep, it hurts when he eats french bread. What is the
cause? Root Fracture (Fractured Tooth)
25.know signs of shock (see list below)
● Cool, clammy skin
● Pale or ashen skin
● Rapid pulse
● Rapid breathing
● Nausea or vomiting
● Enlarged pupils
● Weakness or fatigue
● Dizziness or fainting
● Changes in mental status or behavior, such as anxiousness or agitation
26.know MOA of propranolol – non selective beta blocker that reduces cardiac output and inhibits
renin secretion
27.Ptergonandibular raphe ! 4 questions! Know their muscles (mesial is the mouth, lateral is the
ramus, anterior is the buccinator, and posterior is the superior pharyngeal constrictor)
28.needle is inserted where in IANB. (muscle – buccinator, infection – pterygomandibular space)
29.Dentinal dysplasia (DD) vs dentinogenesis imperfecta (DI) vs Amelogenesis imperfecta (AI) =
Amelogenesis imperfecta affects the ENAMEL of teeth, Dentinogenesis imperfecta and Dentinal
Dysplasia both affect the DENTIN of teeth. Imperfectas (DI & AI) can be treated with restorations
whereas Dentinal Dysplasia CANNOT.
● Dentinal Dysplasia: Loss in organization of dentin in primary and permanent teeth. It is
Autosomal Dominant and has 2 types. Teeth are NOT good candidates for restorations.
○ Type 1 “rootless teeth”. Normal coronal enamel and dentin, roots shortened due to
disorganized radicular dentin, teeth mobile and premature exfoliation. Chevron pulps and
short roots in permanent dentition; obliterated pulp chambers in primary teeth.
○ Type 2 (resembles dentinogenesis imperfecta) in that root length is normal, but crowns
are blue-brown translucent, bulbous, and have cervical constriction. Again primary teeth
have obliterated pulp; permanent teeth have thistle tube and contain pulp stones.
● Dentinogenesis Imperfecta (DI): Autosomal Dominant, affects formation of dentin, may be seen
with osteogenesis imperfecta. Has blue brown discoloration/translucence (Blue Sclera), bulbous
crowns with cervical constriction and early obliteration of pulp and canals. Shell tooth appearance
(normal enamel, thin dentin, large pulp chamber). Teeth are very prone to damage and breakage
like with amelogenesis imperfecta. Treatment for these teeth include full coverage of teeth with
close to normal shaped crowns and roots, overlay denture.
● Amelogenesis Imperfecta (AI): Amelogenesis imperfecta is a group of rare genetic conditions in
which the outer layer of the teeth (enamel) fails to develop properly. People with amelogenesis
imperfecta will have small, yellow, or brown teeth that are very prone to damage and breakage.
They will show rapid attrition, excessive calculus deposition and gingival hyperplasia. Is usually
Autosomal Dominant. Can cause hypoplastic pitting enamel.30.SNA/ SNB
● SNA This angle represents the relative anterioposterior position of the maxilla to the cranial base
● SNB This angle represents the relative anterioposterior position of the mandible to the cranial
base
● SNA-SNB = ANB which is the angle that represents the relative A/P position of the maxilla to the
mandible and is used to find skeletal class. Normal ANB is 2-3 degrees. (Class I)
31.which did point A stand for ? deepest concavity of maxilla
32.Which LA for a pregnant person? Mepivacaine (no epinephrine in it therefore no Vasoconstrictive
properties)
33.Which doesn’t involve ions- propranolol
34.Amicar- what is it? aminocaproic acid is used to promote blood clotting, used during or after
surgery when excessive bleeding is expected.
35.Benzodiazepines MOA → (Key word is FREQUENCY) Enhance GABA binding to GABA receptor,
increase frequency of chloride channel opening → decrease neuronal firing
36.Know recall interval for periodontitis in adults – 3 months
37. Ulcerated papilla- NUG (ANUG)
38.sedation of pulp- zinc eugenol
39.when do you not use calcium hydroxide? is contraindicated in pulpotomy in a child (primary teeth)
because it causes irritation of the pulp, leading to internal resorption in primary teeth; also
contraindicated in adults whose pulp has been symptomatic for the last month.
40.Difference between treatment for aggressive periodontitis and NUG – attachment loss is seen much
more in aggressive periodontitis.
● The treatment difference would be the use of ANTIBIOTICS. For Aggressive periodontitis
you do Surgery (SRP) with Tetracycline, Metronidazole w/ amoxicillin (different combo of
antibiotics) whereas with NUG you start with Debridement, Chlorhexidine rinse and OHI
(and only prescribe antibiotics if pt has HIV or fever)
41.Root canal obliteration (calcified canal) → Pulp canal obliteration (calcified canal) does not, in
itself, indicate need for treatment. It is seen in Dentinogenesis imperfecta and dentinal dysplasia.
42.Amyloidosis is? disease that occurs when a substance called amyloid builds up in your organs.
Oral manifestations are Macroglossia, decreased mobility, yellow nodule on lateral surface. Also
has deposition on salivary gland leading to xerostomia.43. pic of pedunculated wart
44.ankylosis or pulpal obliteration if extraoral dry time is long
45.Root canal response times
● Vitality Scanner (EPT)
○ Normal response ranges are: Incisors 10–40, Bicuspids 20–50, Molars 30–70, Necrotic
80
46.Addison’s – hypotension, hyperpigmentation due to adrenal insufficiency
47.Peutz-Jegher’s Syndrome- internal polyps
48.hypercementosis and possibly hyperparathyroidism
● Hypercementosis: excess deposition of cementum on normal radicular cementum.
● Hyperparathyroidism: is a condition in which one or more of the parathyroid glands become
overactive and secrete too much parathyroid hormone (PTH). This causes the levels of calcium in
the blood to rise, a condition known as hypercalcemia. (Secondary HPT caused by renal failure)
49.Type of Anchorage and diastema closure – finger springs for mesiodistal tipping
50.rectangular wire purpose – movement of crown and root
51. indirect sympathomimetic – amphetamines, tyramines, ephedrine
52. CDC or EPA for controlling water lines
53.pubertal gingivitis and treatment- OHI
54. Definition of chronic abscess – (key word is SINUS TRACT) Chronic Apical Abscess is an
inflammatory reaction to pulpal infection and necrosis characterized by gradual onset, little or no
discomfort and an intermittent discharge of pus through an associated sinus tract.
55. Turn over if long junctional epithelium → Will be formed on cementum & is re-established in 1-3
weeks
56. Black men not correct for HPV highest incidence—-> White girls
57. Ferric sulfate left at apex. What will happen to it? Ferric sulphate, produces local and reversible
inflammatory response to oral soft tissues, but no toxic or harmful effects have been published in
dental or medical literature.The most common radiographic finding seen was internal resorption
and calcific metamorphosis. Ferric sulfate is a very strong haemostatic agent.58. lateral translation mounted in semi- adjustable articulate, what movement will make—> White gurls
● Working side contact during laterotrusion
● Lateral translation movement or bennett angle
○ Bennett angle → angle described by the orbiting condyle during laterotrusive movements.
Semi-adjustable articulators allow for a bennett angle movement only in a straight line.
59. occlusal waxing?
60. neurapraxia= mild injury with not axonal damage, spontaneous recovery within 4 weeks
61. acute radiation exposure symptoms = nausea, vomiting, headache, and diarrhea
62. amantadine- antiviral and antiparkinson
63. Naloxone what type of intrinsic and affinity = NO intrinsic activity, HIGH Affinity
● Used to treat morphine (opioid) overdose, antagonist
64. multiple questions on sign of opioid overdose
● Symptoms: respiratory depression, euphoria, sedation, dysphoria (unease), analgesia,
antitussive, constipation, urinary retention, vomiting/nausea (trigger medullary CTZ)
● Overdose: coma, miosis (pupil constrict, pin-point pupils), hypothermia, respiratory depression
(loss of sensitivity of medullary respiratory center to CO2
), hypotension
65. side effects of nitroglycerin = headache, orthostatic hypotension, flushing
66. enlarged skull, dementia …. what syndrome? Alzheimer’s
67. Type of radiation for MRI—-> Radiowaves
68. Bunch of questions about articulator settings
69. Red complex bacteria = P. gingivalis, Tannerella forsythia, treponema denticola
70. NUG with fever and lymphadenopathy do all except? chemotherapeutic rinse, debridement, steroids,
antibiotics (such as penicillin or metronidazole)
71. Most likely type of root to have a ledge (short, long, curved, thin)
72. Know all about specificity, sensitivity
● Specificity: percent of persons without the disease who are correctly classified as not having it
○ True Negative (TN)-Those who are ACTUALLY disease free
○ False positive (FP)- Those that are misdiagnosed as not as being disease free
● Sensitivity: percent of persons with the disease who are correctly classified as having the
disease
○ True Positive (TP) – Those that actually have it
○ False negative (FN) – Those that are misdiagnosed as not having it
73.for taking CR what do you want in your bite registration ( cusp tips? Slight show-through)74. Why do you adjust the articulator 1 mm open on the second molar? Had this question and went with
the answer that talked about making it easier to correct the balanced occlusion or something like
that… the other answer choices didn’t seem right. -TR
75. Which of the following only work on cyclooxygenase
76. 14 year old boy. Did RCT #30 still painful. Osteosarcoma? (this one is painful swelling) Fibrous
dysphasia (this one is not painful swelling)
77. Mandibular canine was more facial what will happen? ( recession, excessive mobility, overbite and
excessive?)
78. Mandibular extrusion causes what in the anterior? Causes increased anterior facial height with the
Extrusion of posterior teeth causes the mandible to rotate downward and back in the absence of growth.
79.Relation of incisors during s-ch-z sounds( in contact, almost contacting) —> Closest speaking
space, determines VDO.
80. Anterior teeth contact when they making s-Chris-z sound ( overbite….) —> Excessive VDO
81. Patient has excessive scar due to electric shock on face at the angle of mouth. How does it affect
dentition (move facial, improper arch form?) Scarring from electrical burn = lingual inclination of teeth
or Decreased VDO (both correct hopefully) — From DanMan File 2019
82. 4 Q on prophylactic antibiotic?
Preventive (prophylactic) antibiotics prior to a dental procedure are advised for patients with:
1. Artificial/prosthetic heart valves
2. History of infective endocarditis
3. Certain specific, serious congenital (present from birth) heart conditions, including:
○ unrepaired or incompletely repaired cyanotic congenital heart disease, including those
with palliative shunts and conduits
○ a completely repaired congenital heart defect with prosthetic material or device, whether
placed by surgery or by catheter intervention, during the first six months after the
procedure
○ any repaired congenital heart defect with residual defect at the site or adjacent to the site
of a prosthetic patch or a prosthetic device
4. Cardiac transplant that develops a problem in a heart valve.
83. Least likely in osteogenesis imperfecta → scalloping at dej? (it is considered the brittle bone
disease)
84. Confidence interval because why? You need to be in the 95%
● A 95% confidence interval is a range of values that you can be 95% certain contains the true
mean of the population. This is not the same as a range that contains 95% of the values.85. Null hypothesis was self study vs. conventional study (attending lecture). What is the independent
variable ? Self Study or Attending Lecture = Independent Variable
● A researcher conducting a research between student’s self studying and those attending lectures
what is the independent variable? students participating in research, material studied, Students
results, Lecture of self study
○ ATTENDING LECTURE or SELF STUDY (INDEPENDENT VARIABLE)**
○ STUDENTS RESULT (DEPENDENT VARIABLE)
86. Clindamycin prophylactic dose → Adults: 600mg orally 1 hour prior to appointment; Children:
20mg/kg orally 1 hour prior to appointment
87. What to use when cementing veneers → dual cure (resin cement)
88. Fixed rpd using premolar as abutment with short clinic crown that is non various. What you do to tooth
( I lay, mod only, reverse 3/4 crown, full crown)
89. Lateral flap used for → increase attached gingiva for anteriors (AKA pedicle flap); used for root
coverage on gingival recession teeth.
90. Radiograph makes what to bone? ( under/over estimates none change) underestimate (It cannot
show you the F/L width of the alveolar bone -TR)
Question from mastermind #217: Xray taken of a guy with a crater defect, what is true? Xray
underestimates the real size of the crater.
91. Most common factor of caries ( decreased saliva, bacteria present)
92. Patient has no carious lesions but has a high amount of strep mutants in biology test → means they
are high caries risk
93. Primary dentition first molar has something → wide contact or wide occlusal table
94. At 4 years of age 2nd perm premolar is not coming in least likely for ( resorbed roots, has occlusal
restoration)
95. Which is not a succedaneous tooth → first molar
96. Canine and incisor contacting at working movement but non working side does not contact ( group
function , protrusive, anterior, balanced)
97. Flabby tissue anterior taking impression what do you do ( closed mouth impression, high adhesive
material, high pressure , take at rest position)
98. Max complete/ man rpd where do you want contact for lateral working movement? Balanced
occlusion
99. Draw 2mm line for custom tray everywhere except?? Posterior palatal seal area100. Best material for large graft (replace a lot of the mandible)? ( autogenous graft, freeze dried
(allogenic graft))
101. Sulfonamide MOA—> interferes with folic acid synthesis by preventing addition of
para-aminobenzoic acid (PABA) into the folic acid molecule through competing for the enzyme
dihydropteroate synthetase.
102. MOA antilogust (sp?) drug?
103. Ulcers everywhere palate and throat → primary, aphthous
104. Vertical Fractured tooth but patient is asymptomatic and pulp is healthy, what do you do? rct
(contraindicated), extract, crown
105. Splint mandibular incisors why? patient uncomfortable with mobility, help with perio?
106. Use for maxillary premolar #17, 23, 150,151
107. Opaque at Incisal 1/3 of crown why? Under reduced
108. Facial reduction of veneer? 0.5mm
109. Most hygienic Pontic → Sanitary/hygienic pontic and conical (Both are most hygenic pontics,
but not that esthetic at all.
110. Ensure best pontic how? scratch the cast, passive fit with tissue, gold at gingival
111. Percent of stannous fluoride given at office? 8%
112. Internal bleaching how long do you wait before facial bonding? 1 week
113. Intrusion 5 mm what do you do? Observe for primary, permanent – orthodontics
114. Best x-ray: short Wavelength, High Energy
● Filtration is a mechanism where the low quality, long wavelength x-rays are absorbed from the
exiting beam.
115. Pulpotomy on molar, places cotton pellets but still bleeding what do you do? remove extra tissue
tags and add more cotton pellet, use lido, use hemostatic agent?
116. Self reabsorbed suture that last the longest? chronic, chromic gut, silk
117. What will fuse like epiphyseal plate? fontanelles, synchondrosis
118. 40 year old with posterior cross bite. What treatment? quad helix, palatal expander, suture
osteotomy?119. What causes hemorrhaging after radiation exposure? ( neutropenia, methem)
● radiation depletes the body of platelets.
120. Patient gets maxillary denture and immediate starts salivate. What system? ( reflexive, sympathetic..
something like that?)
121. Pedal edema, high diastolic, shortness of breath = copd, CHF (Congestive Heart Failure)
122. What is the mesio-distal dimension of implant from adjacent tooth? 3mm, 1.5mm
(implant to adjacent tooth = 1.5mm; implant to implant distance = 3mm)
123. What gives ledging during endo procedure?
A. Jumping too quick from small to large hand file
B. Using high RPM on rotary handpiece
124. What is the purpose of a facebow?Translates relationship of maxilla to terminal hinge axis
July 18, 19, 20:
1.Ton of questions on CPR
● Compression rate in CPR = 120/minute
● Minimum depth to which you have to compress the chest? 1.5 inches
● Performing CPR and the chest is NOT rising, why? The head is not tilted and chin lifted up
enough to clear the airway from the tongue, you hand is not holding the mask all the way
sealed, more options I can’t remember.
2.Calculate amount of epi in 1.7cc 2% lidocaine 1:50,000 → Answer was 34mcg
3.A lot of questions on beta blockers
4.Worst type of force for a single implant (choices were vertical, horizontal, oblique, axial) → horizontal
5.Radiograph 25 year old kid giant radiopacity on distal root of molar, no symptoms tooth was
vital. → didn’t know if it was cementoblastoma or complex odontoma
6.Radiograph of nutrient canal →
7.Simple endo diagnosis questions8.Most frequently impacted tooth (3rd molars weren’t an option) → Mandibular 3rd Molar > Maxillary
3rd Molar > Maxillary Canine
9.Most frequently missing tooth → 3rd Molars > Mandibular 2nd PM > Maxillary Lateral Incisors >
Maxillary 2nd PM
10.Which tooth has most consistent number of canals? Maxillary Central and Maxillary Lateral
Incisors
11.Fusion vs gemination question (Fusion = Two Separate Canals)
● Gemination: Tooth gemination is a dental phenomenon that appears to be
two teeth developed from one. There is one main crown with a cleft in it
that, within the incisal third of the crown, looks like two teeth, though it is not
two teeth. The number of the teeth in the arch will be normal. (1 root 2
crowns)
● Fusion: Union of two adjacent teeth in both primary and permanent
dentitions. The number of teeth in the arch will be one less. (2 roots 1
crown)
12.A case scenario with a radiograph of the skull it was super hard to see but it was either multiple
myeloma or Paget’s disease (I believe it was Paget’s)
● Multiple Myeloma = punched out lesions
● Paget’s Disease = cotton wool appearance
13.Max 3rd molar with divergent roots → hemisection
14.Extracting mandibular 3rd molar and distal root disappears.. which space did it go into..
pterygomandibular space (submandibular space)
15.Trismus which muscle is affected.. Choices were lateral pterygoid, medial pterygoid, masseter,
buccinator, temporalis
16.Some Periocoronitis question about what would it look like if it turned into chronic → a mild persistent
inflammation of the area; Chronic Pericoronitis is seen on x-ray as flame-like appearance distal to
the mandibular 3rd molar.17.Some random surgery (I think intraoral vertical Ramus osteotomy.. don’t quote me on that) which
nerve can it damage.. inferior alveolar nerve.. other choice was lingual nerve, mylohyoid, submental
18.You perforate the sinus during an extraction and a root tip goes in, what do you do? I put take a pano
and inform the patient.. other choices were make the perforation bigger and try to extract it, do nothing,
and some other answer that was wrong
19.Case scenario about an old lady that had radiation for cancer and has a diastema and wants to close
it. #8 had an apicoectomy and the root was super short and #9 had RCT also but the root wasn’t as short.
What do you do to close the space? Veneers (I put this), extract and implants (obv not), full coverage
crowns (didn’t put this because crown:root ratio would’ve been fucked), ortho, don’t treat her
20.Another case where a guy had a huge Caries on #29 and was in pain but had 65gry of radiation or
something in the past. What do you do? RCT (I put this), pulpotomy, Extract, leave it alone
21.Question on how to extract mandibular premolar.. 151 forceps
22.Which tooth most common for alveolar osteitis (dry socket).. choices were mandibular 3rd molar,
mandibular 1st molar, max 3rd molar, another tooth
23.All except question on how to treat dry socket.. I think the answer dealt with prescribing antibiotics
24.Most common reason for fracture of kids 1-3 years old or something like that.. uncoordinated
movements
25.A question on what nerve is a branch of the (can’t remember the name of the nerve might have
been infraorbital) but choices were PSA, MSA, ASA, and two RANDOM fucking nerves I’ve never heard
of on my life I picked one of the random ones that sounded like it dealt with the upper lip
● The infraorbital nerve emerges from the infraorbital foramen and gives off four branches: the
inferior palpebral, external nasal, internal nasal, and the superior labial branches, which are
sensory to the lower eyelid, cheek, and upper lip.
26.Patient had ecchymosis in her right eye after you gave a maxillary injection what happened? I put
blunt trauma unrelated to procedure, other choices all had to do with injecting into the artery. I don’t
think my answer is correct but the choices all sounded the same so

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