DSCE HIGH YIELD Krystal B

Purpose of dialysis Remove potential toxicities from blood

IL-1 Inflammatory cytokine
Cyclosporine Immunosuppressant used in transplant patients. Causes gingival hyperplasia
Periodontal disease and diabetes Glucose level increased
Cause for cement failure Increased solubility
Before trimming teeth on stone cast for immediate Mark a line 3 mm above the free gingival margin
denture, you must
What analgesic can be safely given to someone Tylenol (acetaminophen) ONLY. NOT NSAIDS nor aspirin
w/kidney disease
Patients on dialysis. Where do you take their blood Not on the side where the shunt was placed for dialysis
pressure?
How do you prevent syncope Trendelenburg position
How do you treat syncope Trendelenburg position. If breathing present, crush ammonia ampule under nose and
admin oxygen. If no breathing, start BLS
Best position of a finish line on a short clinical crown Subgingival? Or At gingival margin?
Child with fibrous dysplasia, what do you do next Some lesions stabilize. Some lesions grow. Surgical removal when its an esthetic
concern. For children, surgical intervention should be delayed for as long as possible
What does pneumatization look like

Treatment of someone who has allergy to barbiturate Antihistamine

Can you treat a patient who had hep A one year ago?
Panorex: gasting rings?
When are immediate dentures evaluated
How long do you keep dressing on after perio
treatment?
Treatment for primary herpetic gingivostomatitis
Long term antibiotic therapy can result in
Ortho treatment can result in
Symptoms of eagles syndrome
Purpose of coating dies by lab in construction of fixed
partials
Yes
24 hours, (72 hours?) 1 week, 1 month. Every 3 months
Pack is kept for 1 week after surgery
Palliative bc you only treat fever and pain
candida
Extertion root resorption or recession
facial pain, especially while swallowing, turning the head, or opening the mouth.
Other symptoms may include dysphagia, dysphonia, otalgia, headache, dizziness,
and transient syncope.
Elongation of styloid process//mineralization of stylohyoid ligament
To allow space for cement

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Identify vertical root fracture

Contraindication for patient w/hyperthyroid Epinephrine

White stained teeth: fluorosis

Opalescent hue: dentinogenesis imperfecta

Figure 2-103 Dentinogenesis imperfecta.

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 Radiograph of dentition exhibiting bulbous crowns, cervical constriction, and
obliterated pulp canals and chambers.

Enamel flaking: amelogenesis imperfecta

Figure 2-89 Hypoplastic amelogenesis imperfecta, generalized pitted pattern.

Figure 2-93 Hypoplastic amelogenesis imperfecta,

rough pattern.
Small, yellow teeth with rough enamel surface, open
contact points, significant attrition, and anterior open
bite.

Figure 2-92 Hypoplastic amelogenesis imperfecta, autosomal dominant

smooth pattern.
Radiograph of the same patient depicted in Figure 2-91. Note the thin peripheral
outline of radiopaque enamel. (Courtesy of Dr. John G. Stephenson.)

Figure 2-94 Hypoplastic amelogenesis imperfecta,

rough pattern.
Radiograph of the same patient as depicted in Figure
2-93. Note the impacted tooth and the thin peripheral
outline of radiodense enamel.

Figure 2-96 Hypomaturation amelogenesis imperfecta, snowcapped pattern.

Dentition exhibiting zone of white opaque enamel in the incisal and occlusal one
fourth of the enamel surface. (Courtesy of Dr. Heddie O. Sedano.)

Figure 2-95 Hypomaturation amelogenesis

imperfecta.
Dentition exhibiting mottled, opaque white enamel
with scattered areas of brown discoloration.

Best treatment for tetracycline stain Porcelain veneers

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Facial reduction for PFM crown 1.5 mm
Identify pulp stones. Whats complication to this? Makes RCT complicated

FIGURE 11-7
Calcifications (pulp stones [or denticles]) are visualized in the chambers. Their
discrete appearance surrounded by radiolucent spaces shows these calcifications to
be natural and not formed in response to irritation. (Courtesy Dr. T. Gound.)

Can transillumination be used to identify cracks? yes

Can pocket depth be determined from xray? No
Traumatic ulcer. What is treatment when this occurs Observe and Re-evaluate
after extraction?

Figure 2-1 Acute traumatic ulcer.

Patient with tenderness anterior to earlobe Inflammation of stensons duct

A patient has diabetes. He forgot to take insulin but Patient would get worse
ate a good breakfast. If you gave him sugar, what
would happen
After sc/rp, patient notices more spaces between teeth. Decreased swelling of gingival
Why?
x-ray with herring bone effect. Whats wrong? Film placed backwards
What film requires least amount of radiation E speed
How much epi can you give a patient with BP 160/110 None! Dont give tx. Refer to physician
Type of pontic to replace a premolar Modified ridge lap pontic

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Patient with history of slow growing mandible for 10 Hyperpituitarism
years
Patient w/history of weight gain, deepening voice, dry Hypothyroidism
skin
Exopthalmos hyperthyroidism
Patient with hyperpigmentation of oral cavity Addisons

Figure 17-29 Addison's disease.

Diffuse pigmentation of the floor of the mouth and ventral tongue in a patient with
Addison's disease. (Courtesy of Dr. George Blozis.)
HYPOADRENALISM
Treatment of addisons Corticosteroid replacement therapy
Recurrent ulcers that heal with scarring Major apthous ulcers
Treatment of major apthae Corticosteroids
Supernumerary teeth Gardners (clavicles present) or cleidocranial dysplasia
Tx of mucocele Surgical removal
Patient with terrible perio, when should immediate After perio intervention
denture be constructed
Why porcelain teeth should never appose natural Attrition
dentition
Best teeth to appose natural dentition Acrylic
Clinical picture of 14 y.o. with inflamed gingival Leukemia
Best way to communicate outcome with lab tech Diagnostic wax up
Ideal amount of undercut required for circumferential .01 inch

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clasp
Reason for gingivitis during pregnancy Pregnancy exaggerates gingival response to plaque. Due to increase in estrogen and
progesterone
Treatment of extra oral abscess which is Hot compress
non-odontogenic in origin.
Tx of ranula Surgical removal
Identify basal cell carcinoma

Figure 10-131 Basal cell carcinoma.

Noduloulcerative lesion of the upper lip demonstrating telangiectasia and small
ulceration.

Patient with no hair, no teeth Ectodermal dysplasia

Biopsy shows hyperkeratosis, dysplasia, no invasion Precancer hyperkeratosis ???
Tx for geographic tongue None
Identify nicotinic stomatitis

Figure 10-84 Nicotine stomatitis.

This extensive leathery, white change of the hard palate in a pipe smoker is
sprinkled throughout with numerous red papules, which represent inflamed salivary
duct openings. The gingival mucosa also is keratotic.

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Identify varicose tongue. Is this normal? Is it sign of
aging?

Figure 1-27 Varicosities.

Multiple purple dilated veins on the ventral and lateral surface of the tongue.
This is normal and a part of aging
Patient has a short crown. Which cement is best? Resin cement
When do you not use a thyroid collar When taking a panorex
How often is autoclave checked Once a week
121 degrees at 15-20 psi for 20 min Check for b. Stearothermophillus

Reason sealants fail Contamination

Tx of candidiasis Nystatin
Tx of lichen planus corticosteroids
If patient becomes unconscious, what do you check Breathing
first
CPRplacement of palm and fingers Palm on lower sternum, fingers on xiphoid process
Are teeth vital in Ameloblastomas? yes
Sickle cell anemia Increase fatigue, increase in bone marrow space. Decreased trabeculation
The following reduce radiation dose Rectangular collimation, E speed, higher kV or constant beam, lead apron, quality
assurance program
Static before processing can result in Dark spot or lines on x ray
Identify thrombocytopenia
Identify mucus retention cyst Radiopaque
Identify mental ridge

FIG. 9-45 Mental ridge (arrows) on the anterior surface of the mandible, seen
as a radiopaque ridge.

Normal blood values Platelets: 150,000-400,000

RBC: 4.6 -6.2 million
Hg: 13 mg
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 WBC: 9,700
Picture of max central and lateral. Why might bridge Bending of bridge
fracture?
Amalgam needs to be replaced. Whats ideal Onlay
restoration
identify erosion

Figure 2-15 Erosion.

Extensive loss of buccal and occlusal tooth structure. Note that the amalgam margins
are above the surface of the dentin.
Patient must avoid foods with low pH
Identify mesiodens
Treatment of mesiodens Surgical removal and ortho consult
Why might a patient be taking lovastatin and vasotec? Lovastatin is cholesterol lowering
Vasotec is antihypertensive
Patient faints and is unconscious in chair. What do Ensure open airway
you do?
What radiograph to visualize sinus Waters view
Purpose of try in for immediate dentures VDO
When is reline of immediate denture performed by 6 months and 10 months
laboratory
When is alternate cast technique done After processing denture
Advantage of immediate denture esthetics
Should treatment be delayed in uncontrolled diabetic Of course!
Identify retentive and bracing arm
What causes loss of lamina dura Hyperpituitarism, hyperparathyroidism, osteomalacia, paget, fibrous dysplasia
Petechiae of soft palate can be caused by Infectious mono

Figure 7-21 Infectiousmononucleosis.

Numerous petechiae of the soft palate. (Courtesy of Dr. George Blozis.)
Hyperemia of tooth Reddish dentin. Tooth appears dark
Test for heparin vs warfarin Heparin: PTT
Warfarin: PT and INR
What ant biotic can cause red spots on the arm Penicillin
Repeatedly adjusting clasps on RPD will cause clasp Increased metal fatigue OR increased modulus of elasticity
breakage due to
Syncope vs anaphylaxis Syncope: loss of consciousness due to decreased oxygen flow

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 Anaphylaxis: allergic reaction causing closure of airways
The lab tech surveys which cast Master cast
Distobuccal cusp of mand molar occludes with Central fossa
Correction of recession on canine Lateral reposition flap/sliding flap
Patient on long term tetracycline therapy. Returns Clotrimazole
complaining of burning tongue. Smear results are
yeast and fungi. Whats treatment
Identify anemia based on lab values Hb less than 12.5
Symptoms of Hyperpituitarism Excess hormones (gigantism, acromegaly, etc)
Pleomorphic adenoma Most common salivary neoplasm

Figure 11-33 Pleomorphic adenomas.

Slowly growing tumor of the parotid gland.

Symptoms of MI Burning chest, numb arm, pain in jaw (NOT pounding heart)
Treatment of bells palsy Histamine and vasodilators may shorten duration. As well as systemic
corticosteroids and hyperbaric oxygen therapy. Surgical decompression. Topical
ocular antibiotics and artificial tears to prevent corneal ulceration. Recovery in 6
months usually
A pregnant woman is allergic to penicillin. What do clindamycin
you premedicate her with?
HIV patient with purple red lesion on ventral tongue Kaposi
Treatment of dry socket Eugenol impregnated pellet. Do NOT curette
Tx of oroantral fistula Buccal slide flap
Which is not an etchant or conditioner BIS GMA is NOT (yes to citric, maleic, phosphoric acid_
Stopped at page 14 of journal document hudental2008@yahoo.comteeth08
Fusion vs gemination Fusion: two buds. Gemination- one root
Periapical cemental dysplasia

Figure 88 Periapical cementoosseous dysplasia.

CDC Requires protection of staff//changing of gloves after each patient

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Identify nutrient canals

Fig. 15-18.
Nutrient canal. A, These canals are frequently prominent between the roots of the
mandibular incisors, and they terminate as small foramina on the crest of the
interseptal bone. B, The prominent nutrient canal (arrow) in this view could be
mistaken for a fracture. C, The prominence of this unusually large nutrient canal or
accessory foramen (arrow) is produced by directing the x-rays parallel to the canal.

Expired or aged film will appear Too light

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TABLE 4-1 Intraoral Projection or Technique Errors
Histo of fibroma Nodular mass of CT covered by squamous epithelium
Full lower denture with over extended distobuccal Masseter
flange causing denture to dislodge. What muscle is
impinged?
Coumadin test PT
Tx of dentigerous cyst Surgical removal of cyst and tooth
Sialolith is visible on x-ray. What duct is this? wartons
You are having difficulty selecting shade for PFM. Decrease gray and decrease hue
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You should
What are usual complications after insertion Working or non-working interference
If you notice occlusal interference after insertion, At insertion
when should you make adjustments?
Best teeth to appose natural dentition Acrylic
Patient had slow growing jaw for 10 years Hyperpituitarism
2nd molar below plane of occlusion Ankylosis
Outcome of direct pulp cap would be better in young Young teeth
or old teeth?
After SC/RP, Long junctional epi is formed
Purpose of palatal expander Corrects crossbite
What is NOT an acceptable surface disinfectant? Alcohol based (phenol, chlorine, and iodine is acceptable)
Ideal amount of undercut for circumferential clasp .010
What is effect of hydrochlorothiazide on a) no effect on periodontium
a) periodontium b) decreased retention of complete denture bc of decreased salivation
b) complete denture
Composite to close diastema hybrid
Clinical picture of guttapercha introduced to sinus Therefore its a perio abscess
tract. It does not go to apex
Patient with tenderness anterior to earlobe. I/O exam Stimulate parotid gland checking for exudate
reveals inflamat of stensons duct. What do you do
Clinical picture of PM with enamel hyperplasia. What Trauma or infection of primary tooth
could this be caused by
Focal sclerosing osteomyelitis AKA condensing
osteitis Localized areas of bone sclerosis associated with the apices of teeth with pulpitis
(from large carious lesions or deep coronal restorations) or pulpal necrosis are
termed condensing osteitis.

Figure 3-53 Condensing osteitis.

Increased areas of radiodensity surrounding the apices of the nonvital mandibular
first molar.
Most stable impression material PVS
Most accurate impression material Reversible hydrocolloid
Disadvantage of irreversible hydrocolloid dehydration
Tooth to receive PFM crown is sensitive to cold. What Glass ionomer //polycarboxylate
is cement of choice
Size of post should not exceed 1/3 diameter of canal
What type of fluoride should NOT be used by patient Acidulated phosphate fluoride
wearing PFM crowns
X-ray of patient with RCT on both centrals. Left
central looks incompletely filled. Look closer for the
vertical fracture
Lab report of hyperkeratosis, dysplasia, no invasion Precancer hyperkeratosis
Panorexgasting rings ??
You are going to restore crown and down. The crown Not less than length of crown 11 mm
is 11 mm. how long will the down be?
Disadvantage of PFM over all ceramic Esthetics
Disadvantage of all ceramic over PFM Tooth reduction
Post op sensitivity due after crown placement Leakage of microorganisms?/
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Most injurious cement to pulp Zinc phosphate
Reason for cement failure Solubility
Which cement does not form chemical bond with Zinc phosphate
tooth
What cement should you use with a short crown Resin cement
Tx of lichen planus corticosteroids
X ray of 3 lower splinted teeth. Whats purpose For perio stabilization for more comfort for patient
You diagnose patient with bells palsy. What do you do Refer to neurologist
next
Tx of medial palatal cyst Surgical removal
Rx of heart shape RL between 8 and 9. both teeth are Incisive canal cyst
vital
Know SLOB when asked to identify canal Mesiolingual canal (on repeats)
Identify hereditary telangiectasia AD, diagnosed bc of freq nosebleeds. These papules BLANCH

Figure 16-24 Hereditary hemorrhagic telangiectasias (HHT).

The tongue of this patient shows multiple red papules, which represent superficial
collections of dilated capillary spaces.
Identify black hairy tongue. How do you treat it?
A black appearance of the dorsal surface of the tongue; caused by elongated filiform
papillae (with accumulation of keratin on filiform) and an accumulation of dark
pigments, microorganisms, and food debris.

Usually associated w/smokers. Caused by: Antibiotic therapy, Poor oral

hygiene, General debilitation, Radiation therapy, Use of oxidizing
mouthwashes or antacids, Overgrowth of fungal or bacterial organisms

Treatment: this is benign. Eliminate predisposing factors. Perform excellent OH.

Tongue straper
Identify: horizontal striations on tongue Maybe:

Figure 7-43 HIV-associated oral hairy leukoplakia (OHL).

Vertical streaks of keratin along the lateral border of the tongue.

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 Figure 9-35 Contact stomatitis from cinnamon flavoring.
Left lateral border of the tongue demonstrating linear rows of hyperkeratosis that
resemble oral hairy leukoplakia.

Figure 10-60 Homogeneous or thick leukoplakia.

A diffuse, corrugated white patch on the right ventral surface of the tongue and floor
of mouth.
Granular cell tumor

Figure 12-79 Granular cell tumor

Submucosal nodule on the dorsum of the tongue.

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 Figure 16-80 Erythema migrans.
Striking involvement of the dorsal and lateral surfaces of the tongue.

Figure 16-91 Lichen planus.

With involvement of the dorsal tongue by reticular lichen planus, the characteristic
interlacing striae seen in the buccal mucosal lesions are usually not present. Instead,
smooth, white plaques are typically observed replacing the normal papillary surface
of the tongue.

What is inside ranula? Mucous fluid

Identify midline mandibular fracture Notice step between 24 and 25
Rinn system
A film-positioning device with aiming capability made from a combination of
plastic and stainless steel that is especially suited to the paralleling technique.
Will acid etch allow for chemical bonding No
Do calcium channel blockers cause gingival Yes
enlargement
Is the tongue space given consideration when setting No
maxillary denture teeth?
Maximum amount of unsupported porcelain when 2 mm
making a PFM
Denture patient complains of cheek biting. Whats Posteriors edge to edge.
problem and how do you treat To correct: grind buccal of lower posterior
Turner tooth

Figure 16-24 Enamel hypocalcification (Turner's tooth).

Image of mandibular teeth with lingual appliance, Tipping them labially
banded molars, lingually inclined laterals. Whats
appliance doing
Whats sequence of tx for relining complete dentures Build up posterior occlusion, then reline
that show wear
HIV treatment No invasive procedures unless CD4 and platelets are in good range
Tx of lingual tonsils Salt water rinses
Best tx for epulis fissuratum Surgical removal and new dentures
Enlarged nose, mandible, extremities, dry skin, voice hyperpituitary
change
Tx of angioedema antihistamines
Tx of ASYMPTOMATIC lichen planus None. Corticosteroids if symptomatic
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Identify nasal fossa

FIG. 9-18 The anterior floor of the nasal fossa (arrows) appears as opaque lines
extending laterally from the anterior nasal spine.

FIG. 9-31 The anterior border of the maxillary sinus (white arrows) crosses the
floor of the nasal fossa (black arrow).
2 very swollen tonsils normal color. Whats this due to Probably viral infection
Tx of traumatic bone cyst Surgical exploration
Who regulates eyewear protection for dentist OSHA
Thermal food burn
Tx: palliative

Figure 8-14 Thermal food burn.

Area of yellow epithelial necrosis of the posterior soft palate on the left side.
Damage was due to attempted ingestion of hot pizza.
Best results for guided tissue regeneration Class II furcation

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Actinomycosis

Figure 5-29 Actinomycosis.

Draining fistula of the right submandibular area.
~sulfur granules
Tx of liver clot (blood clot) after extraction Remove, irrigate, pressure, re-eval
Surveyor table tilted around 30 degrees. What will this For predesigned casts???
do
Measure attached gingival From gingival margin to MGJ. Deduct pocket depth
Punched out RLs in skull Multiple myeloma
When can nonrigid connectors be used in FPDs Short spans, where preps arent parallel
When are semi precision attachments used When definite parallelism between abutments is not attainable w/conventional clasps
Patient is taking ibuprofen for many months. Woke up Platelet count
one morning, rubbed eyes, noticed red patch. What
test will you order
Immature white blood cells Leukemia
What emergency may you expect from a patient Shock
taking prednisone
Image of red bloody swelling between upper anterior
teeth

Figure 12-37 Peripheral giant cell granuloma.

Nodular reddish-purple mass of the maxillary gingiva. (Courtesy of Dr. Lewis
Claman.)
Papillary hyperplasia:
Due to ill fitting denture, poor denture hygiene,
wearing denture 24 hours a day

Figure 12-16 Inflammatory papillary hyperplasia.

Erythematous, pebbly appearance of the palatal vault.

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Normal pulse
Normal respiration
Page 63-71 questions
Gluteraldehyde: high level disinfectant capable of
killing spores
Sturge-weber
Figure 17-11 Plummer-Vinson syndrome.
The diffuse papillary atrophy of the dorsal tongue is
characteristic of the oral changes. (From Neville BW,
Damm DD, White DK: Color atlas of clinical oral
pathology, ed 2, Philadelphia, 1999, Lippincott,
Williams & Wilkins.)
Patient w/ Hyperpituitarism may complain of
Pulse: 60-100/ respiration: 14-20
Figure 12-98 Sturge-Weber angiomatosis.
Port wine stain of the left face, including involvement along the ophthalmic branch
of the trigeminal nerve. The patient also was mentally retarded and had a seizure
disorder.
Figure 12-100 Sturge-Weber angiomatosis.
Unilateral vascular involvement of the soft palate.
Be careful bc severe hemorrhage
Iron deficiency anemia
Figure 17-12 Pernicious anemia.
A, The dorsal tongue shows Erythema and atrophy. B, After therapy with vitamin
B12, the mucosal alteration resolved.
Orthalgia (joint pain) and fatigue
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Hutchinsons incisors and mulberry molars Congenital Syphilis

Patient has paralysis of left side of face, slurring of Stroke

speech. Whats he suffering from? What is treatment
Tx: TPA.

Most predictable margin in PFM crown prep Metal collar 1 mm

Tetracycline- not given under age 7

What is extravasation cyst? Aka traumatic bone cyst
Minimum time period after first extraction appointment Text says 3-4 weeks
that you have to wait before making impressions for
final denture
Which statement is NOT true for immediate vs D
conventional dentures
a. immediate has lesser appointments
b. patients have more difficulty
adapting to immediate dentures
c. esthetics are only reason for
constructing immediates
d. immediates require less bone
removal
Impression tray type that gives most predictable result Individualized trays WITH tooth stops
for final impression
Whats reason for try in for immediate dentures
The trial denture bases are tried in the mouth and used to verify vertical dimension
of occlusion and centric relation as with complete dentures.
Sequence for removing denture after teeth have been One day, three days, one week
removed
Should there be occlusal discrepancies when the Do selective occlusal grinding
immediate denture is fitted, you would
Whats sequence of selective grinding Centric occlusion >working >balancing > protrusive
When can chairside relines and tissue conditioners be Anytime
done
Should occlusal adjusting be required, what teeth do
you grind
Instructions for patient after delivery of immediate Wear denture until appointment the next day
Whats recommended time after teeth have been 3 months
extracted for lab reline
When impressions for reline are made, small Trim projections flush with the ridge
projections of impression material are seen projecting
into extraction sites. You will
A patient has arthritis. What is the main reason for Dexterity limitations
NOT utilizing precision attachments
Long term rxn to wearing ill fitting denture: would it Epulis
be papillary hyperplasia or epulis?
Mechanism of action of Triamterene Conserve potassium
Purpose of norpace (disopyramide phosphate) Anti-arrythmatic
When a patient is taking a diuretic, what else should Potassium
they also be taking
Histologically, epulus is made of Fibrous tissue
Case : why monoplane teeth utilized for patients lower Small overbite and wide overjet
partial
Case: Thrombocytopenia
WBC 9700, PLATELETS 27,000. SPONT
BLEEDING. WHATS PROBLEM
Burning tongue in uncontrolled diabetic Malnutrition
Advantage of rectangular cone Smaller area of tissue radiated
PA of posterior teeth that look like crown preps Amelogenesis imperfecta

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 Figure 16-87 Lichen planus.
The interlacing white lines are typical of reticular lichen planus involving the
posterior buccal mucosa, the most common site of oral involvement.

Clinical slide of tongue that shows nothing worth Sjogrens (supposed to realize that tongue is dry)
noting. Informed that the patient is suffering from
rheumatoid arthritis
*in hypercementosis, the PDL is intact
FIG. 9-58 Coronoid process of the mandible (arrows) superimposed on the
maxillary tuberosity.

Figure 16-8 Hereditary benign intraepithelial dyskeratosis (HBID).

LAB VALUES: ABNORMAL MITOSIS BUT

INTACT BASEMENT MEMBRANE
Condition characterized by osteomas Gardners
How will decreased kVp affect quality of radiograph Affects detail

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FIGURE 4-10.
Anterior floor of the mouth. Observe the plica
sublingualis overlying the sublingual gland. Dots
represent area where sublingual ducts open into the
floor. Region of incisive glands (A).
Figure 16-70 Erythema multiforme.
Diffuse ulcerations and erosions involving the dorsal
surface of this patient's tongue.
FIGURE 4-11.
Floor of the mouth. Observe large sublingual caruncula indicating opening of the
submandibular duct at the base of the lingual frenum. Of special interest are the
mandibular tori.
Thickening of maxillary sinus:
FIG. 26-2
Sinusitis results in generalized thickening of the mucosa, which makes the internal
structure of the maxillary sinus more radiopaque. (Compare the internal radiopacity
of the maxillary sinus [A] with the normal sinus, B.)
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 A prominent and painful superior genial tubercle (A, arrowheads) is surgically
exposed (B) and excised (C). Cephalometric radiographs (D and E) show the
thinness of the mandible. In D, notice that the superior genial tubercle (arrow) is
higher than the crest of the bony ridge. Notice also the extreme interarch distance at
the rest position. E, After the tubercle had been removed.

Patient asks how much time from initial appointment to 3 months ?

making impressions for final denture (immediate
If immediate dentures do not seat completely at Wait 24 hours
insertion appointment, you would do what? (If PIP is
not an option)
If you were making a temporary crown, and how to undercontour
over contour vs undercontour. Which would you do
Patient complains of difficulty when making S and Maxillary incisors placed too far superiorly
V sounds. Whats the problem
Patient complains that one side of denture contacts Dimensional changes during curing
before other side. What is the cause?
How many mm should major connector be from the Maxilla: 6 mm
free gingival Mandible: 4 mm
Advantage of RPD vs FPD Hygiene
Plebolith Thrombus or concretion in vein
Is metronidazole useful in tx of AA yes
Figure 3-47 Acute osteomyelitis.
Ill-defined area of radiolucency of the right body of the mandible.

PA w/lack of density. How do you correct this error? Increase mA

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Osteopetrosis (marble bone disease)
Clinical slide of patient holding film in max ant and
cone pointing down from above nose. Resultant image
will appear
Epsteins pearls
Reddish brown color of canine is referred to as
Osteoradionecrosis of the left mandible. This patient had a full course of
tumoricidal radiotherapy for squamous cell carcinoma. The dentition was removed
at the time of the cancer resection. This patient was prepared for treatment of the
osteoradionecrosis with pre- and postoperative hyperbaric oxygen treatments. A,
Exposed devital bone along alveolar ridge of left mandible.
Foreshortened
Figure 1-52 Epstein's pearls.
Small keratin-filled cysts at the junction of the hard and soft palates. (From Neville
BW, Damm DD, White DK: Color atlas of clinical oral pathology, ed 2,
Philadelphia, 1999, Williams & Wilkins.)
Chroma
FIG. 9-56 External oblique ridge (arrows), seen as a radiopaque line near the
alveolar crest in the mandibular third molar region.
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