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Dental Assistant Protocols

• Newly hired dental assistants should have all procedures done, except for Hepatitis B vaccination.

Genetic Syndromes

• Gorlin syndrome is associated with odontogenic keratocysts.
• Cleidocranial dysplasia is a syndrome associated with supernumerary teeth.
• Teacher Collins Syndrome is related to Mandibular dysostosis
• Premature fusion of the midface relates to Crouzon syndrome.

Muscle Function and Disorders

• Medial pterygoid is the most affected muscle in a patient with trismus.

Pharmacology

• Nitroglycerin increases vasodilation of the coronary artery.
• Ibuprofen inhibits prostaglandins.
• Methadone is prescribed for patients with morphine addiction because it causes less physical dependence.
• Opioids cause all symptoms except diuresis

Radiography and Imaging

• In Down syndrome patients, a blurred OPG finding can be due to incorrect patient positioning (tilted head back or moved) during the procedure.
• In periapical radiographs, foreshortening is due to excessive vertical angulation.

Patient Assessment and Diagnosis

• A patient with lesions on the left palate extending from tooth 9 to 14, and the left lip region, is likely affected by Varicella-zoster virus.
• Patients with a recent complete denture complaining of cheek biting are experiencing poor habituation.
• Fissured tongue is commonly associated with geographic tongue.
• A hard nodule-like lesion in the anterior region that can be Normal mucosa and bone
• For red dots on the hard palate think Nickotinic Stomatitis.
• For a lesion that disappears when its stretched its Leukoedema

Infections and Immunity

• Mumps are caused by airborne Paramyxovirus.
• An asthma patient using a steroid inhaler with a wipeable white plaque on the palate likely has candidiasis.
• Measles can be identified by Koplik's spots.
• Tuberculosis Tuberculosis agent kill Mycobacterium

Dental Materials

• Mercury is the main component of amalgam.
• Gutta-percha is mainly made up of Zinc Oxide.

Medical Conditions and Dental Treatment

• A patient on oral bisphosphonates for 2 years needing full mouth extraction requires a consult with their primary care physician for treatment options.
• Patients with hypertension and diabetes undergoing tooth extraction, who experience a rise in blood pressure to 145x95 after anesthesia, categorized as hypertension stage 2.
• A patient taking estradiol is getting extraction but antibiotic Prophylaxis will hinder contraception
• A 4-year-old with sleep apnea may have hypertrophic adenoids.
• If a patient with cardiac arrest its best to Cardiopulmonary Resuscitation
• In a patient with HIV and getting radiographs taken use single barrier and disinfectant wipes
• A 4 years old with hepatitis B needs to be treated with medicals and also look at if and not an addition
• if a picture is showing the 2 teeth sharing the same root you should think gemination and so its will proliferation
• It’s important to use instrument till you reach the apical constriction

Ethical and Legal Considerations

• For patients with a Latent TB its important to use Universal precautions
• In the case of suspected substance abuse by a dental assistant, appropriate steps are involved except to pay for assistants treatment
• Following a patients request to following whitening and the dentist follows with patients request, the dentist will be following Autonomy

Prosthodontics

• For a patient missing teeth 17, 18, 19, and 30, 31, 32, the Rest seat is going to be placed On mesial of 20 and 29
• The most important thing for a post is Remaining portion of Tooth (quantity &
• The better tapper to use tapers 6 to 10
• If an already made denture patient keeps biting cheek its Poor habituation because Mouth & muscles will learn how to bite with the new dentures

Treatment Planning and Procedures

• Avulsed tooth should not be cleaned with root in chlorhexidine
• In the context of a case of deep caries, Removing all caries and Leave affected dentine, modified glass ionomer, restore.
• Fracture of crown with exposure of pulp is Complicated

Wound Healing

• Wound healing phase that is going to maintain the clot and achieve Hemostasis Stage: constriction of the blood vesse

Oral Hygiene Instructions

• Give advice to Rinse with water after taking inhaler

Management of Sleep Apnea

• A patient for sleep apnea needs to be tested with Overnight sleep study

Records Transfer

• Patient is moving to another state and wants her dental records sent to a new dentist sends, send the bills to her home and then ask her to come to get the records

Endodontics Procedures

• Its best to straight line access endodontic canals because Instruments can reach the apical third of curved canal

Common Oral Conditions and Lesions

• Dry eyes are associated with Ectodermal Dysplasia
• If the tooth is sensitive to cold in gingival margin, most likely reversible pulpitis
• If the patient got swelling and pain in the anterior superior teeth, think eye infection

Orthodontics considerations

• Patient has pain and TMD what is the most important, Pain quality
• During appointment choice the color of the crown At the beginning of the appointment

Managing Extractions.

• In patient with oral bisphosphonates for 2 years who wants and full mouth extraction, Consult with primary care physician about TT option
• Dont’ extract teeth from patient that is Avulsed tooth, otherwise Clean with root in chlorhexidine

Cells involved in tooth modification

• Cells responsible for root resorption are Osteoclasts
• Cells that are the precursor after tooth extraction are Osteoblasts

Smoking adverse effects

• What happens due to smoking except bone loss

Alveolar osteitis

• Also known as dry socket what is not true is that Easily identified cause
• If asking about what’s the patient responsible for surgical complication then Oral contraceptive

Asthma management

• For asthma patient that placed the rubber dam on him after the dentist had a wheezing sounds and his lip began to swell, give him epinephrine
• If a Patient having a asthma which is the blocker should clarithromycin
• In the same is important to give Nystatin to use Inhalers and also Rinse water after using it

What is the best important for endodontist do?

• Straight line access

After extraction is important?

• If theres pain with Alveolar osteitis its important that the doctor use Contraceptives even tho it may cause it

Antibiotics considerations

• What does Tuberculosis agent kill? Answer is Mycobacterium

What OSHA doesnt’t regulate?

• In the question the answer is Measles

All conditions associate with attrition except

• Its All conditions associate with attrition except erosion

T helper cells

– Its recruit cytotoxic cells with IL 1

Case study

• Most Common Neoplasm In Oral Cavity, think Squamous Cell Carcinoma
• The correct thing that should be added in the the protection stablization documentation form is What to do in future.