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90 Cards in this Set
- Front
- Back
"How much wood can a woodchuck chuck?" depends on what three factors?
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1. Woodchuck's apetite
2. Composition of wood being chucked 3. Speed of chucking |
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An early stage tooth crypt has the following properties:
Occurs from birth to adolescence May look like pathology (uni/bi)lateral, corticated (RL/RO) with 'circumflex' radiopacity (crown/root) formation incomplete |
bilateral, RL, root
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Stafne's bone cyst is another name for ___
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developmental lingual mandibular/salivary gland depression
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Stafne's bone cysts occurs on the (buccal/lingual) of the (anterior/posterior) mandible
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lingual, posterior
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True or False, Stafne's bone cyst is pathologic
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False... tricky...
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Stafne's bone cyst is (superior/inferior) to the mylohyoid ridge and mandibular canal
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inferior
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What should be used to treat a developmental lingual mandibular/salivary gland depression?
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nothing, no treatment req.
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Fibrous healing defects are periapical (RO/RL) associated with root canal treatment
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RL
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A patient walks in and you take a radiograph. You notice he recently had a root canal on #10 and there appears to be a RL line around the periapical region of the tooth. The patient says there is no pain there. What is wrong? How should you treat it?
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fibrous healing defect, no treatment
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Radiolucent lesions are also called what?
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rarefying osteitis
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Radiopaque lesions are also called what? (3 different terms)
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sclerosing osteitis, condensing osteitis, focal sclerosing osteitis
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(acute/chronic) periapical lesions tend to be more painful
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acute
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Inflammatory response of the PDL to pulpal irritation due to trauma or via root canal is called what?
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apical periodontitis
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(vital/non-vital) tooth is also known as reversible pulpitis
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vital
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What is the primary inflammatory infiltrate in apical periodontitis?
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lymphocytes
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True or False, apical periodontitis may not show any abnormal radiographic findings
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true
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A (narrow/wide) PDL space indicates pulp necrosis
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wide
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What is one main treatment option for non-vital teeth with acute apical periodontitis?
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RCT
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True or False, acute apical periodontitis causes pain with hot and cold, but not percussion
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False, there is percussion pain
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(acute/chronic) apical periodontitis presents with pain
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acute
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True or False, apical abscesses tend to form and lie dormant without spreading
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false, they spread through the periapical foramen into the periapical tissues
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A painful, localized collection of ___ causes pus formation at the root apex with an apical abscess
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neutrophils
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Which comes first; pain from an apical abscess or radiographic evidence of the abscess?
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pain
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Erosion of cortical bone is typically seen ___ days after an apical abscess forms
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10
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Which of these are acceptable treatments for an apical abscess
A. drainage B. antibiotics C. RCT D. extraction |
All of these! Depends on the stage, severity, etc.
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Chronic apical abscess, apical granuloma, apical cyst, and apical condensing osteitis are all associated with (vital/non-vital) teeth
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non-vital
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A periapical ____ is an advanced form of chronic apical periodontitis
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granuloma
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What symptoms are associated with periapical granulomas?
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It is asymptomatic
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True or False, if a percussion test is negative, then the person cannot have a periapical granuloma
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False, a patient may have a negative percussion test and still have this
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A discrete focus of chronically inflamed granulation tissue that forms in the bone at the tooth apex is what?
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periapical granuloma
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Periapical granulomas will appear less than __ cm in diameter
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1cm
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Periapical granulomas are (RO/RL)
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RL
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A true cyst is lined with what type of cells?
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stratified squamous epithelium
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True or False, periapical cysts (radicular cysts) are painless unless they are infected
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True
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periapical cysts originate from what?
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apical granulomas
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Periapical cysts expand (quickly/slowly)
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slowly
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periapical cysts will appear larger than __ cm
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1
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True or False, periapical cysts tend to form without effecting the actual integrity of the root itself, only the surrounding bone
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False, over time, the root will resorb
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What is the name for a small proliferation of granulation tissue?
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parulis (gum boil)
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True or False, in chronic periapical abscesses, the infection spreads to slowly that the tooth shows virtually no clinical symptoms
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false, the tooth might be loose or tender to percussion
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If someone has chronic apical abscess without fistula, then their ___ died naturally
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pulp
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Apical condensing osteitis is also called what?
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focal sclerosing osteomyelitis
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What are the causes of apical condensing osteitis?
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pulpitis or pulpal necrosis
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With apical condensing osteitis, the tooth is (vital/non-vital)
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non-vital
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apical condensing osteitis appear as (RO/RL) masses of sclerotic bone
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RO
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With apical condensing osteitis, (the entire/half/none of) root is visible
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the entire
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A patient's radiograph shows a wide PDL, indistinct LD, sclerotic border, and hyercementosis around tooth # 19. What is the most likely diagnosis?
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apical condensing osteitis
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True or False, Idiopathic Osteosclerosis requires a RCT
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False, no treatment required
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Where does Idiopathic Osteosclerosis usually occur?
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canine-premolar region
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With Periapical Cemental Dysplasia, the teeth are (vital/non-vital)
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vital
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Periapical Cemental Dysplasia is a benign, reactive, (fast/slow) growling lesion, connective proliferation thought to originate from cellular elements in the ___
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slow, PDL
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With Periapical Cemental Dysplasia, there is destruction of the ___ in periapical region, replacement of normal bone with fibrous tissue (RL), and cementum or osseous material (RO)
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lamina dura
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The following describes which stage of Periapical Cemental Dysplasia?
Widening of PDL space, destruction of LD, or well defined RL lesion A. Early B. Mixed C. Late |
A. Early
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The following describes which stage of Periapical Cemental Dysplasia?
RL and RO A. Early B. Mixed C. Late |
B. Mixed
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The following describes which stage of Periapical Cemental Dysplasia?
more mature, RO mass with thin RL borders A. Early B. Mixed C. Late |
C. Late
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What is the ideal treatment for Periapical Cemental Dysplasia?
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None, no treatment required
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Hypercementosis is caused by excess deposition of what?
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cementum
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Hypercementosis causes (shrinkage/enlargement) of the root
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enlargement
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Hypercementosis makes extractions (harder/easier)
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harder
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What are the clinical symptoms of Hypercementosis?
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There are none!
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Hypercementosis is also called what?
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cementum hyperplasia
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Hypercementosis usually occurs around the (coronal/apical) portion of the root
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apical
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With a Cementoblastoma, the tooth is (vital/no-vital)
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vital
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If a tooth has a large mass of cementum or cementum-like tissue on the root, it is likely what?
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Cementoblastoma
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A Cementoblastoma is (fast/slow) growing
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slow
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Cementoblastoma occur before what age? (normally)
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25
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True or False, a Cementoblastoma only surrounds the root
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False, it ALSO replaces the root itself!
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A Cementoblastoma is RO with a (RO/RL) periphery
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RL
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What is this known as? (the tooth in the depression)
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early stage tooth crypt
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This is known as ___ bone cyst or what other name?
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Stafne's
Developmental Lingual Mandibular/Salivary Gland Depression |
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What is this known as? (periapical region around the right tooth)
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fibrous healing defect
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What is this?
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fibrous healing defect
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What is this lesion?
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acute apical periodontitis
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What is this lesion?
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periapical granuloma
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What is this lesion?
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periapical granuloma
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What is this lesion?
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periapical cyst
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What is this lesion?
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apical cyst
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What is this lesion?
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apical cyst
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Is this RL spot normal or a cyst?
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normal
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What is this lesion?
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Apical condensing osteitis
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What is this lesion?
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Idiopathic osteosclerosis
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What is this lesion?
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idiopathic osteosclerosis
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What is this lesion? (same in all pictures)
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periapical cemental dysplasia
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What is this lesion? (orange and blue)
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orange - early stage periapical cemental dysplasia
blue - late stage periapical cemental dysplasia |
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What is this lesion? (look at both roots)
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Hypercementosis
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What is this lesion?
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hypercementosis
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What is this lesion?
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Hypercementosis
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What is this lesion?
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Hypercementosis
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What is this lesion?
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Cementoblastoma
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What is this lesion?
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Cementoblastoma
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