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33 Cards in this Set

  • Front
  • Back
What is second to third molars in frequency of impaction?

maxillary permanent canines
When does canine palatal impaction usually occur?

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
Maxillary permanent canine impaction: frequency and gender

3X more in females, 1-2 percent of population

what is treatment of maxillary impacted perm canine?
remove primary canine if perm canine has 2/3 root development
What are the odds an impacted canine successfully repositions?

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

In terms of dental development, when do supernumerary teeth occur?

initiation, proliferation stages
how often does a supernumerary in the primary dentition result in supernumerary in permanent dentition?

33 percent

What percent of supernumerary teeth are found in maxillary arch?

90 percent

what percent of mesiodens erupt spontaneously?

25 percent
tubular vs conical mesiodens: which erupts more often?

conical has a better chance of eruptin
what percentage of newborns have Epstein's pearls?

75-80 percent
What are Epstein pearls? where do you find them?

Median palatal raphe area, trapped epithelial remnants

What are dental lamina cysts? where do you find them?

crests of dental ridges, remnants of dental lamina

Where are bohn's nodules? what are they?



Buccal/lingual aspects of ridge, remnants of salivary gland epithelium



what are Epstein's pearls, dental lamina cyst, and bohn's nodules filled with?

keratin

Where do you usually find congenital epulis of the newborn?


anterior maxilla ridge




how do you treat congenital epulis?

excision
excisional vs incisional biopsy

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

what is the fixative biopsy samples are placed in?

formalin ten percent
what percent of the population has ankyloglossia?

4-10 percent

what sounds are hard for ankyglossed patients?
s,z,t,d,l,j,zh,ch,th,dg and hard to roll an R
what are the four classifications of maxillary frenums?

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)

what type of maxillary frenums are most common?
mucosal and gingival
when should you surgically intervene for maxillary frenum?
papilla blanches when upper lip is pulled or it causes a diastema wider than 2 mm
natal vs neonatal teeth definition


natal: present at birth


neonatal: erupt within 30 days of life



Which syndromes have neonatal/natal molars

pfieffer and histiocytosis X

what is the condition where natal/neonatal teeth rub the tongue?

riga fede disease
what is more common natal or neonatal?

natal 3:1
thought process behind retrieving a fractured root tip?
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.
with infections of the upper portion of the face, what should be ruled out because its symptoms are similar to odontogenic infection?

sinusitis
how much more often are supernumerary teeth found in the maxillary arch vs the mandibular arch?

ten times more often in maxillary arch
do you always have to extract primary supernumerary teeth?

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
can cytobrush technique, fine needle aspiration, and exfoliative cytology make a definitive diagnosis?

no, they may assist in making a diagnosis, but they are considered adjunctive tests because they do not establish a definitive diagnosis