Tx Planning Exam

Front 1

What is the act or process of identifying or determining the nature and cause of a disease or injury through evaluation of patient Hx, Examination, and review of laboratory data?

Back 1

Diagnosis
(the opinion derived from such an evaluation)

Front 2

What is a Chief Complaint?

Back 2

The description of the problem as perceived and stated by the patient.
1st question for the patient.
Does Not reflect the main pathology, but reveals patient's main concern.

Front 3

What are the 4 categories of CC?

Back 3

1. Comfort (pain, sensitivity, swelling)
2. Function (difficulty in mastication or speech)
3. Social (bad taste or odor)
4. Appearance (fractured or unattractive teeth or restorations, discoloration)

Front 4

What are Tx plans driven by?

Back 4

Chief Complaint
Diagnosis
(findings that are not pathology and are not intended to be treated or that have no impact on the treatment plan, Should Not be a Part of the Diagnosis)

Front 5

T/F
All components in the diagnosis must be addressed in the Tx plan. Findings may or may not be treated, but they should be documented.

Back 5

True

Front 6

What should we look at regarding lip position?

Back 6

Whether lips are competent/ incompetent (lips can be closed.are close) and whether they are habitually apart or together

Front 7

What is the golden proportion?

Back 7

Lateral incisor is 62% of the width of the CI
Canine is 62% of the (apparent) width of the LI
PM1 is 62% of the (apparent) width of the canine

Front 8

What is going on with someone who can open more or less than 40mm?

Back 8

< 40mm = Limited Opening
> 40mm = Physiological

Front 9

What does "Referral of myofascial Trigger point pain to the teeth" mean?

Back 9

Muscle pain can mimic tooth pain, which is difficult to Dx

Front 10

What is the Interocclusal space (freeway space) in Class I pts and Class II pts?

Back 10

Class I = 2-3 mm
Class II = more than that

Front 11

What is an occluding vertical dimension that results in an excessive interocclusal distance when the mandible is in the rest position and in a reduced interridge distance when the teeth are in contact?

Back 11

Overclosure

Front 12

________ & ________ define Anterior Guidance

Back 12

Overjet & Overbite

Front 13

Primary Trauma from occlusion. Periodontal injury produced around teeth with a Previously Healthy Periodontium after:
1.
2.
3.
4.
5.

Back 13

1. Insertion of a High Filling
2. Insertion of a prosthetic replacement that creates excessive forces on abutment and antagonistic teeth
3. Drifting movement or Extrusion of teeth into spaces created by unreplaced missing teeth
4. Orthodontic movement of teeth into Functionally unacceptable positions

Front 14

What is the adaptive capacity of the tissues to withstand occlusal forces in Impaired by Bone Loss resulting from Marginal Inflammation?

Back 14

Secondary Trauma from Occlusion

Front 15

What does Fremitus?

Back 15

Movement on Palpation

Front 16

What must be documented in the Extra-oral examination?

Back 16

1. Facial Symmetry
2. Vertical Dimension
3. Smile analysis
4. Muscle and TMJ evaluation
5. (range of Motion) -not sure if this must be documented

Front 17

What do you check for when you present your Roentgen (xray)?

Back 17

1. Perio Status
2. Endodontic Status
3. Caries
4. Quality of restorations
5. Other pathologies and findings

Front 18

T/F
Only findings that will be treated or that may impact the Tx plan should be diagnosed.

Back 18

True (otherwise note as a finding)

Front 19

What are the different Dx categories?

Back 19

1. General health (medical)
2. Aesthetic diagnosis (gummy smile, reverse smile line, incompetent lips)
3. Occ diagnosis (primary or secondary occlusal trauma, deep bite, loss of VD, TMD)
4. Periodontal diagnosis
5. Operative diagnosis (caries, missing teeth)
6. Endodontic diagnosis (PA lesions)
7. Other Roentgenic/pathologic diagnosis (hard or soft tissue lesions, salivary gland dsfunction)

Front 20

What conditions are associated w/Highest Risk of Endocarditis and must use Antibiotic Premedication?

Back 20

1. Prosthetic Cardiac valves
2. Previous infective endocarditis
3. Cardiac transplant recipients who develop cardiac valculopathy
4. Congenital heart disease

Front 21

What are the objectives of the stabilization phase?

Back 21

1. Control the disease process
2. Educate the patient
3. Establish patient-Dr relationship (One of the Most Important aspects of this phase)

Front 22

How much sound dentin is recommended for ferrule effect?

Back 22

1.5 - 2 mm
Limitations:
Biologic Width

Front 23

When retreating a RCT, the main factor to consider re success is any deviations/perforations from original root form (i.e. respected not respected). What is the difference between the success of these two?

Back 23

Root canal morphology Respected and no PA lesion = 91.6% success
Root canal morphology NOT Respected and no PA lesion = 84.4% success
Root canalmorphology Respected w/PA lesion = 83.8% success
Root canal morphology NOT Respected w/PA lesion = 40% success

Front 24

When considering Post and core which type of post distributes the stress more evenly and tends to prevent untreatable root fracture?

Back 24

Fiber post with composite core, because it is bonded to root.

Front 25

What is the difference in survival of PFM & ACC crowns?

Back 25

PFM = 95.6 % 5 yr survival
ACC = 93.3 % 5 yr survival

Front 26

For ACC, which type has the lowest 5 yr survival?
a) Densely Sintered Alumina
b) Glass Ceramic
c) Reinforced Glass Ceramic
d) Inceram

Back 26

Glass Ceramic has 87.5% survival
(others ~95%)

Front 27

What are the most prevalent crown complications?

Back 27

ACC = Loss of vitality 2.1%, Caries 1.8%, Framework fracture 5.7%

PFM = Loss of vitality 2.1%, Caries 3.2%, Ceramic chipping 5.7%
Why more caries w/PFM? Most ceramic crowns can be bound more securely to the tooth/better sealed
Loss of vitality due to removal of tooth structure

Front 28

What are the classes of remaining coronal structure on crowned endo treated teeth?

Back 28

Type 1: Most of the crown, 2 mm wall thickness, class I cavity prep
Type 2: At least 2 walls, 2 mm wall thickness
Type 3: Everything that is not type 1 or type 2

Front 29

Where does supra eruption of unopposed teeth occur most commonly?

Back 29

Maxilla
(associated w/reduction in PDL

Front 30

What happens when you have no resetoration?

Back 30

Drifting Teeth
Poor interproximal contacts
Pockets near tipped teeth
Supra-eruption

Front 31

When you have no restoration you get tipping, explain.

Back 31

Teeth mesial to extraction site

Front 32

Where does supra eruption of unopposed teeth occur most commonly?

Back 32

Maxilla
(associated w/reduction in PDL

Front 33

What happens when you have no resetoration?

Back 33

Drifting Teeth
Poor interproximal contacts
Pockets near tipped teeth
Supra-eruption

Front 34

When you have no restoration you get tipping, explain.

Back 34

Teeth mesial to extraction site

Front 35

What is the odds ration for failure of implants in smokers?

Back 35

2.64
(augmented sites in smokers 3.61)

Front 36

What are the teeth supported FPD complications at 5 years?

Back 36

1. Loss of vitality 6.1% b/c of correction for path of insertion
2. Caries 4.8%
3. Loss of retention 3.3% more forces than in a single crown

Front 37

What is the statistics for FPD for complications in framework & ceramic chipping?

Back 37

Veneer or framework fracture 6.5% ACC, 1.6% PFM
Ceramic chipping or fracture 13.6% ACC, 2.9% PFM

Front 38

What is the success rate for single implant supported crown?

Back 38

94.5% 5 yr
89.4% 10 yr

Front 39

What is the success rate of FPD?

Back 39

93.8% 5 yr
89.2% 10 yr

Front 40

What is the success rate for RC retreatment w/post & core & crown?

Back 40

83.8% for 2 yrs

Front 41

How do you minimize stress in the bone with implants?

Back 41

Use longer & wider implants

Front 42

Approximately how wide is an anterior tooth compared to its width?

Back 42

~80% of length

Front 43

What is a positive smile line?

Back 43

Upper teeth should follow lower lip of patient

Front 44

T/F
Long axis of teeth is slightly towards the midline (never straight)

Back 44

True

Front 45

Where should the gingival zenith be?

Back 45

should be slightly towards the distal (not in the middle)

Front 46

Where should interproximal contacts be as you work your way back from the midline?

Back 46

Should move slightly more apical as you move from midline back (looking at facial)

Front 47

What causes pathologic tooth migration?

Back 47

1. destruction of the PDL
2. Gingival overgrowth
3. Occlusal factors
4. Soft tissue pressure
5. Extrusive forces
6. Habits