MDS PREP
Perforation which has poorest prognosis is one that occur at
1) Furcation
2) Apical third
3) Coronal third
4) Middle third of root
Endodontics
Answer: 1
Perforations that occur in the furcation area of multi-rooted teeth have the poorest prognosis due to the complexity of the anatomy and the difficulty in achieving adequate sealing and healing. Furcation involvement often leads to periodontal issues and complicates treatment options, making it more challenging to maintain the tooth.
D2 on the endodontic file indicates
1) Diameter at tip of instrument
2) Angle of instrument
3) Length of instrument
4) 1/100th mm at end of cutting blade
Endodontics
Answer: 4
The designation "D2" on an endodontic file indicates the diameter of the file at
the tip, measured in hundredths of a millimeter. This helps clinicians select
the appropriate file size for root canal treatment.
The success of a root canal filling is best assessed
1. Clinical observation
2. Size of gutta-percha cone used
3. Radiographs
4. By the diameter of root canal reamer
Endodontics Answer: 1
The success of a root canal filling is primarily assessed through clinical
observation, which includes monitoring for signs of pain, swelling, and
infection. While radiographs and the size of the gutta-percha cone used can
provide additional information, the ultimate determinant of success is the
patient's symptom resolution and the absence of pathology.
Enlargement of the calcified canals is done with
1. EDTA
2. Calcium hydroxide
3. Sodium hypochlorite
4. Sodium chloride
Endodontics
Answer: 1
EDTA (ethylenediaminetetraacetic acid) is a chelating agent commonly used in endodontics to remove the smear layer and facilitate the enlargement of calcified canals. It helps in dissolving inorganic components of the dentin, making it easier to access and clean the root canal system.
In class IV anterior tooth fracture
1. No treatment possible
2. Treatment to be given but it is problematic
3. No treatment required
4. None of the above
Endodontics
Answer: 2
Class IV: Crown Fracture with Pulp Involvement
Description: Extensive fracture involving enamel,
dentin, and pulp, often with significant loss of tooth structure.
Endodontic Consideration: Endodontic treatment is
necessary due to pulp exposure. The tooth may require additional
restorative procedures after root canal therapy to restore function and
aesthetics.
Stabilisation of avulses tooth requires
1) 1-2 weeks
2) 2-3 weeks
3) 4-6 weeks
4) More than 6 weeks
Endodontics
Answer: 1
The stabilization of an avulsed tooth typically requires a period of 1-2 weeks. During this time, the tooth is often replanted and stabilized to allow for healing and reattachment of the periodontal ligament.
While combining NaOCH and H2O2 as irrigants
1) H2O2 should be used last
2) NaOCH should be used last
3) First irrigation should be done by normal saline
4) NaOCH and H2O2 should never be used simultaneously
Endodontics Answer: 2
Because residual H2O2 might react with debris and produce gas that can cause continuous pain.
Pulp exposures of crowns come under which class according to WHO nomenclature
1. 873.60
2. 873.61
3. 873.62
4. 873.63
Endodontics
Answer: 3
Explanation: According to the WHO classification of dental injuries, pulp exposures due to crown fractures are classified under 873.62. This classification helps in standardizing the terminology used in dental trauma, allowing for better communication and understanding among dental professionals.873.60 - Pulp Exposure due to TraumaThis code refers to cases where the pulp is exposed as a result of trauma to the tooth. It does not specify whether the pulp is vital or non-vital, but it indicates that there is a direct exposure of the pulp tissue.873.61 - Avulsion of ToothThis code is used for cases where a tooth has been completely displaced from its socket (avulsed). In avulsion cases, the pulp is typically exposed, and immediate re-implantation is critical for the best prognosis. This classification highlights the severity of the injury and the need for urgent treatment.873.62 - Crown Fracture with Pulp InvolvementThis code refers to fractures of the crown of the tooth that involve the pulp. It indicates that the fracture has extended into the pulp chamber, necessitating treatment such as root canal therapy.873.63 - Crown Fracture without Pulp InvolvementThis code is used for crown fractures that do not involve the pulp. In these cases, the injury is limited to the enamel and dentin, and the pulp remains intact.