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33 Cards in this Set
- Front
- Back
What is second to third molars in frequency of impaction?
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maxillary permanent canines |
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When does canine palatal impaction usually occur?
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Cusp tip of permanent canine is just mesial to or overlaying the distal half of the long axis of the root of the permanent lateral incisor |
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Maxillary permanent canine impaction: frequency and gender
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3X more in females, 1-2 percent of population |
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what is treatment of maxillary impacted perm canine?
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remove primary canine if perm canine has 2/3 root development
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What are the odds an impacted canine successfully repositions?
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if displaced perm canine overlap of adjacent lateral incisor not beyond midline of lateral, chances for canine normal repoistioning after primary canine extraction is 85 to 90 percent. if canine overlap is beyond lateral incisor long axis, successful repositioning is 60 percent 78 percent of ectopically erupting permanent canines normalized within 12 months after removal of the primary canines |
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In terms of dental development, when do supernumerary teeth occur?
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initiation, proliferation stages |
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how often does a supernumerary in the primary dentition result in supernumerary in permanent dentition?
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33 percent |
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What percent of supernumerary teeth are found in maxillary arch? |
90 percent |
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what percent of mesiodens erupt spontaneously? |
25 percent |
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tubular vs conical mesiodens: which erupts more often?
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conical has a better chance of eruptin |
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what percentage of newborns have Epstein's pearls?
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75-80 percent |
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What are Epstein pearls? where do you find them?
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Median palatal raphe area, trapped epithelial remnants |
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What are dental lamina cysts? where do you find them? |
crests of dental ridges, remnants of dental lamina |
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Where are bohn's nodules? what are they?
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Buccal/lingual aspects of ridge, remnants of salivary gland epithelium
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what are Epstein's pearls, dental lamina cyst, and bohn's nodules filled with? |
keratin |
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Where do you usually find congenital epulis of the newborn? |
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how do you treat congenital epulis? |
excision |
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excisional vs incisional biopsy
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Excisional biopsies: performed on small lesions, less than 1 cm in size, for the total removal of affected tissue. Incisional biopsies: performed when a malignancy is suspected, lesion is large in size, or diffuse in nature |
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what is the fixative biopsy samples are placed in?
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formalin ten percent |
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what percent of the population has ankyloglossia?
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4-10 percent |
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what sounds are hard for ankyglossed patients?
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s,z,t,d,l,j,zh,ch,th,dg and hard to roll an R
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what are the four classifications of maxillary frenums?
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1) mucosal (frenal fibers are attached up to the mucogingival junction) 2) gingival (fibers are inserted within attached gingiva) 3) papillary (fibers extending into the interdental papilla) 4) papilla penetrating (fibers cross the alveolar process and extend up to the palatine papilla) |
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what type of maxillary frenums are most common?
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mucosal and gingival
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when should you surgically intervene for maxillary frenum?
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papilla blanches when upper lip is pulled or it causes a diastema wider than 2 mm
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natal vs neonatal teeth definition
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neonatal: erupt within 30 days of life |
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Which syndromes have neonatal/natal molars
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pfieffer and histiocytosis X |
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what is the condition where natal/neonatal teeth rub the tongue? |
riga fede disease |
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what is more common natal or neonatal?
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natal 3:1 |
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thought process behind retrieving a fractured root tip?
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if the fractured root tip can be removed easily, it should be removed. If the root tip is very small, located deep in the socket, situated in close proximity to the permanent successor, or unable to be retrieved after several attempts, it is best left to be resorbed.
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with infections of the upper portion of the face, what should be ruled out because its symptoms are similar to odontogenic infection?
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sinusitis |
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how much more often are supernumerary teeth found in the maxillary arch vs the mandibular arch?
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ten times more often in maxillary arch |
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do you always have to extract primary supernumerary teeth?
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no, Primary mesiodens usually will erupt and does not need surgery, as the surgical intervention may disrupt or damage the underlying developing permanent teeth. erupted primary tooth mesiodens typically are left to shed normally upon the eruption of the permanent dentition |
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can cytobrush technique, fine needle aspiration, and exfoliative cytology make a definitive diagnosis?
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no, they may assist in making a diagnosis, but they are considered adjunctive tests because they do not establish a definitive diagnosis |