MDS PREP
Which aspect of instrument determines whether to remove gross deposits of calculus
1) Angulation and flexibility of blade
2) Angulation and flexibilty of shank
3) Angulation and length of blade
4) Angulation and length of shank
Periodontics
Answer: 2
The angulation and flexibility of the shank are crucial in determining the ability of an instrument to remove gross deposits of calculus. The shank of a dental instrument, such as a scaler or curette, must be designed to allow for proper access and manipulation around the curves and contours of teeth to effectively remove calculus. While the blade also plays a role, the shank's design is more influential in reaching and adapting to the tooth's surface.
A Gracey curette is said to be correctly adapted when the
1. Handle is parallel to the long axis of the tooth
2. Angle of blade to the tooth is 40
3. Lower shank is parallel with the tooth surface being sealed
4. None of the above
Periodontics
Answer: 3
The Gracey curette is a dental instrument used for subgingival scaling and root planing. Correct adaptation of the curette involves placing it at the correct angle to the tooth surface to effectively remove plaque and calculus. The lower shank of the curette should be parallel with the tooth surface to allow for proper engagement with the tooth structure.
The most prominent immunoglobulin in sulcular fluid is
l . Ig A
2. Ig E
3. Ig M
4. Ig G
Periodontics
Answer: 4
The most prominent immunoglobulin in sulcular fluid is IgG.
Sulcular fluid is the fluid found in the space between the tooth and the
surrounding gingival tissue. It contains various immunoglobulins that contribute
to the local immune defense against oral pathogens. While IgA is the most common
immunoglobulin found in saliva, which is closely related to the oral cavity, the
most prominent immunoglobulin in sulcular fluid is actually IgG. IgG is the most
abundant antibody in the blood and can be found in various bodily fluids,
including sulcular fluid, where it provides protection against infections and
inflammation. IgE is associated with allergic reactions, IgM with early immune
responses, and IgA with mucosal surfaces
Not a contributing factor for ANUG
1. Pericoronal flap
2. Poor oral hygiene
3. Smoking
4. Aphthous ulcers
Periodontics
Answer: 4
Aphthous ulcers are not a contributing factor for ANUG.
Vestibular extension procedure results in
1. Increase in width of keratinised attached gingiva
2. Decrease in width of keratinised attached gingiva
3. Increase in width of non-keratinised attached gingiva
4. Decrease in width of non-keratinised attached gingiva
Periodontics
Answer: 3
Vestibular extension procedure results in an increase in width of non-keratinised
attached gingiva
The vestibular extension procedure is a surgical treatment that involves the
apical movement of the vestibular mucosal tissue to increase the width of
attached gingival tissue around a tooth. This procedure typically does not alter
the width of the keratinized attached gingiva, which is the tissue that is
directly connected to the tooth surface. Instead, it primarily increases the
non-keratinized attached gingival width, which is the part of the gingival
tissue that is not directly attached to the tooth but is still important for
periodontal health and aesthetics.
Sensitivity of roots after periodontal surgery results from all of the following except
1) Exposed dentine tubules
2) Exposed cementum
3) Formation of plaque
4) None of the above
Periodontics
Answer: 2
After periodontal surgery, root sensitivity is primarily due to the exposure of dentin tubules (option 1). When the root surface is exposed, the dentin becomes sensitive to stimuli because the tubules can transmit sensations to the pulp.
Exposed cementum (option 2) is less likely to cause sensitivity because cementum is not as innervated as dentin. Formation of plaque (option 3) can lead to sensitivity as it may irritate the surrounding tissues and contribute to inflammation.
Treatment of necrotizing ulcerative gingivitis includes
1. penicillin therapy and dietary counselling
2. mouthwash and analgesics
3. debridement and oral hygiene instructions
4. analgesics and antibiotics
Periodontics
Answer: 3
The treatment for necrotizing ulcerative gingivitis (NUG) typically involves debridement to remove necrotic tissue and improve oral hygiene. Providing oral hygiene instructions is also crucial to prevent recurrence.
The periodontal fiber group which inserts into two adjacent teeth is the
1. transseptal group
2. circular group
3. horizontal group
4. oblique group
Periodontics
Answer: 1
The transseptal fibers are a type of periodontal ligament fiber that run between the cementum of adjacent teeth. They help maintain the interproximal relationship between teeth and provide support to the gingival tissue. These fibers are important for the stability of the dental arch and help resist the forces that may cause teeth to drift apart.
Circular group fibers encircle the tooth.
Horizontal group fibers run horizontally between the
tooth and the alveolar bone.
Oblique group fibers run from the cementum to the bone
at an angle, providing resistance to vertical forces.