DSCE HIGH YIELD Krystal BPurpose 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? Yes Panorex: gasting rings? When are immediate dentures evaluated 24 hours, (72 hours?) 1 week, 1 month. Every 3 months How long do you keep dressing on after perio Pack is kept for 1 week after surgery treatment? Treatment for primary herpetic gingivostomatitis Palliative bc you only treat fever and pain Long term antibiotic therapy can result in candida Ortho treatment can result in Extertion root resorption or recession Symptoms of eagles syndrome 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 Purpose of coating dies by lab in construction of fixed To allow space for cement partials 1 Kben Identify vertical root fracture Contraindication for patient w/hyperthyroid Epinephrine White stained teeth: fluorosis Opalescent hue: dentinogenesis imperfecta Figure 2-103 ♦ Dentinogenesis imperfecta. 2 Kben 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 3 Kben 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! Don’t give tx. Refer to physician Type of pontic to replace a premolar Modified ridge lap pontic 4 Kben 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 5 Kben 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. 6 Kben 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 CPR—placement 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 7 Kben WBC: 9,700 Picture of max central and lateral. Why might bridge Bending of bridge fracture? Amalgam needs to be replaced. What’s 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 ♦ Infectiousæmononucleosis. 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 癩 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 8 Kben 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. What’s 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
[email protected] 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 9 Kben 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 10 Kben 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 11 Kben 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 it’s 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 Panorex—gasting 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?/ 12 Kben 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. What’s 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. 13 Kben 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. 14 Kben 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. What’s 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. What’s appliance doing What’s 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 15 Kben 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. What’s 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 16 Kben 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 RL’s in skull Multiple myeloma When can nonrigid connectors be used in FPDs Short spans, where preps aren’t 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. 17 Kben Normal pulse Normal respiration Pulse: 60-100/ respiration: 14-20 Page 63-71 questions Gluteraldehyde: high level disinfectant capable of killing spores Sturge-weber 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 17-11 ♦ 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 Figure 17-12 ♦ Pernicious anemia. pathology, ed 2, Philadelphia, 1999, Lippincott, A, The dorsal tongue shows Erythema and atrophy. B, After therapy with vitamin Williams & Wilkins.) B12, the mucosal alteration resolved. Patient w/ Hyperpituitarism may complain of Orthalgia (joint pain) and fatigue 18 Kben Hutchinson’s incisors and mulberry molars Congenital Syphilis Patient has paralysis of left side of face, slurring of Stroke speech. What’s 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 What’s 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 What’s 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 What’s 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 19 Kben 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 Gardner’s How will decreased kVp affect quality of radiograph Affects detail 20 Kben FIGURE 4-10. FIGURE 4-11. Anterior floor of the mouth. Observe the plica Floor of the mouth. Observe large sublingual caruncula indicating opening of the sublingualis overlying the sublingual gland. Dots submandibular duct at the base of the lingual frenum. Of special interest are the represent area where sublingual ducts open into the mandibular tori. floor. Region of incisive glands (A). Thickening of maxillary sinus: Figure 16-70 ♦ Erythema multiforme. Diffuse ulcerations and erosions involving the dorsal FIG. 26-2 surface of this patient's tongue. 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.) 21 Kben 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. What’s 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 22 Kben 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. Osteopetrosis (marble bone disease) Clinical slide of patient holding film in max ant and Foreshortened cone pointing down from above nose. Resultant image will appear Epsteins pearls 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.) Reddish brown color of canine is referred to as Chroma FIG. 9-56 External oblique ridge (arrows), seen as a radiopaque line near the alveolar crest in the mandibular third molar region. 23 Kben