MDS PREP
what %age of NaF is used in iontophoresis:
1.1%
2.2%
3.3%
4.4%
Periodontics
Answer: 2
2% NaF is used in iontophoresis. This fluoride treatments brings about granular precipitation in dentinal tubules and reduces tubular diameter.
Which of the following roots are most likely to have flutings in their mesial surfaces which will make thorough root planning difficult?
1. Maxillary central incisor
2. Mandibular second premolar
3. Maxillary first premolar
4. Mandibular canine
Periodontics Answer: 3
The maxillary first premolar often has developmental grooves and flutings on the
mesial surface that can complicate thorough root planing and make it more
challenging to fully debride the root surface.
Craters in facial and lingual interdental bone are best eliminated by
1) Gingivectomy
2) Osseous reconturing
3) Osseous regeneration procedure
4) Curettage
Periodontics
Answer: 3
Craters in the facial and lingual interdental bone are typically associated with periodontal disease and result from the loss of bone due to inflammation and infection. Osseous regeneration procedures, such as guided bone regeneration (GBR) or the use of bone grafts, are specifically designed to restore lost bone structure. These procedures promote the growth of new bone in the affected areas, effectively filling in the craters and restoring the contour of the alveolar ridge. Gingivectomy and curettage are more focused on soft tissue management and do not address the underlying bone loss, while osseous recontouring may not be as effective in restoring lost bone volume.
A teenaged patient reported complaining of sudden drifting of teeth. Bone loss and pockets were found to be more severe on some teeth when compared to neighboring teeth. The most likely diagnosis is
1. simple periodontitis
2. chronic nonspecific periodontitisv
3. juvenile periodontitis
4. gingivosis
Periodontics
Answer: 3
Juvenile periodontitis (now referred to as localized aggressive periodontitis)
is characterized by localized bone loss and periodontal pockets, often affecting
adolescents and young adults. The sudden drifting of teeth and the severity of
bone loss in specific areas align with this diagnosis.
Which of the following flap technique does not eliminate pocket depth and hence cannot increase the width of keratinised gingiva
1) Modified Widman flap
2) Undisplaced flap
3) Apically displaced flap
4) All of the above
Periodontics
Answer: 1
The Modified Widman flap is designed for access to the root surface for debridement without significantly altering the pocket depth or increasing the width of keratinized gingiva. Other techniques, such as apically displaced flaps, aim to modify the gingival architecture.
Gore Tex membrane is used during reattachment procedures to
1) Prevent osseous regeneration
2) Prevent connective tissue attachment
3) To prevent formation of long junctional epithelium
4) All of the above
Periodontics
Answer: 3
Gore-Tex is a type of barrier membrane used in guided tissue regeneration (GTR) procedures. Its primary purpose is to prevent the formation of long junctional epithelium, allowing for the regeneration of periodontal tissues, including bone and connective tissue. While it does not directly prevent osseous regeneration or connective tissue attachment, it creates a barrier that favors the regeneration of the desired tissues.
When doing instrumentation near the cementoenamel junction, cementum completely removed because it is
1. very thin in this area
2. usually softer than subgingival calculus
3. necrotic in the pocket
4. all of the above
Periodontics
Answer: 4
The cementum near the cementoenamel junction (CEJ) is indeed very thin, making
it more susceptible to removal during instrumentation. Additionally, cementum
can be softer than subgingival calculus, and in cases of periodontal disease, it
may become necrotic.
Which of part of the instrument should remain parallel (whenever possible) to the long axis of the tooth?
1. Blade
2. Cutting edge
3. Handle
4. Shank
Periodontics
Answer: 4
The part of the instrument that should remain parallel to the long axis of the tooth is the shank.