2013 DSE Remembered Questions
1. Nifidepine causes gingival hyperplasia. Also caused by CCB, Phenytoin, immune
suppressants
2. Large space between 11 and 12, what do you do? leave alone
(other choices were place mini implant, do a bridge)
3. Picture of a papilloma on tongue
4. Picture and asked how to treat? It was a mucocele and excise
with salivary gland remnants
5. Debonding is the problem with resin bonded bridges. Example = maryland bridge,
MINIMAL prep on adjacent teeth
6. Hepatitis A is fine to treat after 1 week from the onset of jaundice (they call it Jaundice in
the picture). Transmitted fecal-oral route
7. Allergic reaction to barbiturate on lip? Give benadryl (diphenhydramine)
8. Picture of patient that didn’t like the look of their canine and pm
and asked what was it? Hypoplasia
9. Facial erosion on teeth due to acidic beverages
10. Xray of amelogenesis imperfecta
Thin enamel and open contacts
11. Picture of blue sclera, asked what dental findings should
you see? Dentinogensis imperfecta
12. Hyperthyroid symptoms are all except: fatigue. Other
choices were exopthalamaus, t achycardia, and tremor of extremities, grave’s disease
13. Minimum axial reduction for a crown is 1.5mm
14. Replacing #9 crown. Which measurement is correct? 2mm
occlusal reduction (see above picture)
15. What is the maximum amount of unsupported porcelain
allowed? 2mm
16. Cyclosporine (immune suppressant, CCB, phenytoin all) causes gingival hyperplasia
17. ANUG treatment that is most important: debridement (SRP)
18. Gingivectomy for hyperplasia (gingivoplasty = reshape tissue to look nice)
19. Patient presents with a liver clot. What is the treatment?
Remove (curettage or suction), irrigate, apply pressure, reassess
20. Want to under contour the temporary crown to improve gingival health
(good) (bad)
21. Picture of a patient will all crowns on upper and lower and asked what was wrong?
Impingement on gums/gum health (violate biological width). (other choices were incorrect
overjet/overbite, improper contour of the crowns)
22. Patient has pain on swallowing when wearing their denture, why? Overextension of
lingual flange
23. Patient presents with space in between 3rd molar with class 2 mobility and premolar. What
do you do to fix this? Implant
24. Patient missing #2 and #3. #1 has class 3 mobility and furcation involvement. What would
be the optimal treatment plan? Extract #1 and either implant for #3 or #2 and #3.
25. If you cannot pick a color for a crown what do you chose? Something with lower shade
saturation and less gray (lower hue and less gray)
26. Worst place for an implant is: maxillary posterior
27. Best place for implant? Either mandibular posterior or anterior
29. Zinc phosphate is worst cement for a deep restoration (because pulpal irritation)
30. BW xray of a tooth with an amalgam and patient complained of pain when provoked by hot
or cold- why? Deep amalgam filling
31. Leave perio pack for 1 week
32. Picture of an epulis fissuratum (inflammatory fibrous hyperplasia) and question said
how do you treat before making a new denture? Excision (other choices were apply tissue
conditioner, leave the lesion alone, prescribe antibiotics)
33. Reason for perio flap? Access of instrumentation & d
ebridment
34. Maxillary tori in denture patient, what do you do before making a new denture? Remove it
35. Need rigidity for major connector of a denture
36. OSHA makes you check the autoclave weekly (121 degrees at 15-20 psi for 20 min
Check for b. Stearothermophilus)
37. HIV ELISA test was negative for a person who had a needlestick. What does that mean?
Patient has no Abs present
38. Ortho case- what was the most important thing they did in maxillary arch? Align the teeth
for future restorative procedures (not close upper or lower diastemas)
39. What pain reliever do you give to a patient who has kidney disease? Acetaminophen
40. Picture of surveyor, asked what we were looking at? Space for guide plane
41. Phlebitis (inflammation of vein) major complication is pulmonary emboli
42. Patient complaining of space in between teeth after SRP,why? Reduction in edema
43. 1-2mm of reduction of probing depth after performing SRP, why? Formation of long
junctional epithelium
44. Shunt on left arm, take BP on right arm
45. Picture of #10 and #11 lingual surface, what is wrong with the gingiva? Edema
46. Space in between #29 and #30 in a very old patient with no #31 or #32 and barely
occluding with #3 is due to what? No occlusion or mesial drifting premolars
47. Surgical stent fits the gums but immediate denture doesn’t fit, what do you do? Relieve
until it seats
48. Picture of the bottom of the tongue w
ith multiple white lesions. Stated that the patient had
complaint of sore gums and tongue, he had a fever of 101 degrees. Most likely diagnosis?
Primary Herpetic Stomatitis
49. Treatment of primary herpetic stomatitis: palliative
50. Patient with purple lesions on palate and said they had similar lesions on their body too?
What is the most probable cause? HIV (Kaposi Sarcoma) Other choices were Sturge Weber
and Erthyema Multiforme
(Kaposi sarcoma = AIDS defining illness)
(both = erythema multiforme)
(both = sturge weber)
51. What disease will affect wearing complete dentures the most? Sjorgen’s syndrome
(xerostomia
52. Lesion in the mouth that heals with a scar? Major aphthous ulcer
53. Picture with an arrow pointing to a soft tissue mass on FOM? Opening of wharton’s duct
54. Lichen planus present on the tongue that was asymptomatic, asked what is the treatment?
Corticosteroids (nothing if asymptomatic was not an option)
55. Picture of white things on the buccal mucosa and asked what it was? Lichen planus (see
above)
= Leukoedema (disappear when stretched)
= Cheek biting
56. Panoramic xray with radiopacity u
nderneath the mandibular incisors, what is it?
supernumerary tooth
= odontoma
= impacted
57. Gingival edema is caused by anaerobes
58. Post crown cementation sensitivity is due to Microleakage
59. Before you reline a complete denture you must first establish posterior occlusion
60. Picture of a patient’s maxilla with a FPD and an RPD attached to it, asked how they were
attached- semi precision attachment? Or bur preps? Or extracoronal attachment?
61. Precision attachments not good for patient with low dexterity
62. Patient on steroids, you want to know the duration and the dosage before dental treatment
63. Patient’s weight is the most important thing for calculating medication dosage for a child
64. Patient just had a stroke. What do you need to worry about? Are on anticoagulants
65. Contraindication for apically positioned flap = esthetics. (Apically positioned flap does
NOT reduce pocket depth)
66. Purpose of a wedge during a restoration is adaptation of the matrix band
67. Contraindication for a patient with hyperthyroidism = epinephrine (vasoconstrictor)
68. No hair and missing teeth? Ectodermal dysplasia
69. ANEMIA! Just read about pernicious anemia, hemolytic, b12 and folate deficiency- 2
questions. Pernicious anemia: Not enough RBCs produced due to B12 deficiency.
=Pernicious anemia )paresthesia, tingling, or numbness extremities
= Iron deficiency anemia (angular cheilitis & atrophic
glossitis)
70. Hereditary Telangiectasia is associated with what? F
e deficiency problems due to chronic
bleeding
71. Gave normal ranges and the patient’s numbers for RBC, WBC, and platelets. What is
wrong? Leukemia because high WBC, sore lymph nodes, and painful gums
Normal ranges:
WBC 5,000 - 10,000
RBC 4.5 - 5.5 million
Platelet 150,000-400,000
72. Penicillin causes arm rash
73. Patient was on penicillin for 2 weeks, their tongue is sore, what test do you do? Fungal
test
74. Picture of a red painful tongue in an uncontrolled diabetic, what is it due to?
Malnutrition
75. Biopsy the red and white portions of a mixed lesion
76. Multiple questions about eruption and looking at BW to see if its normal
77. Most likely reason that that sealants fail? Contamination (failure to isolate)
78. There is an unconscious patient in your waiting room what is the first thing you do? Check
breathing
79. ID of mental ridge on radiograph
80. Radiopaque on pano – mucous retention cyst that was in the maxillary sinus
81. Difference in anaphylaxis vs syncope- anaphylaxis has wheezing and
bronchoconstriction. Syncope: Pass out - lightheadedness / dizziness
82. Patient returns with pain 72 hours after extraction? Give irrigation and use eugenol
paste
83. Extraction of tooth and patient comes back with a big infection? Subperiosteal abscess.
Typically the result of pus from an abscess perforating through lingual or buccal cortical plate
without perforating the overlying periosteum or after a flap has been raised during a surgical
extraction
84. Picture of a patient with down syndrome and question asked what you need to be worried
about as a dentist? Congenital heart defects & periodontitis
85. You can use tissue conditioner and soft reline on a complete denture at anytime
86. 6 months for lab reline
87. Reason for a try in for an immediate denture is to check the vertical dimension
88. Picture of a patient with a very Large diastema, what do you do? Leave it alone
89. Radiolucency next to PM = refer to oral surgery
90. Panoramic of RL at ramus- retake for diagnostic reasons or refer to oral surgery?
91. Broken coronal portion of a canine, what do you do? Conservative endo and prepare
post and core
92. Acid etching does not create a chemical bond (bonding to enamel creating bond)
93. Xray with remnants of primary teeth roots remaining
94. Multiple odontoma questions
● Benign odontogenic lesion.
● Most common odontogenic tumor
● 2 types:
○ Compound
■ Multiple small tooth forms with enamel, dentin, pulp in proper orientation
○ Complex
■ Amorphous radiopaque mass with NO tooth forms
95. After ScRP there is still BOP, why? Retained subgingival plaque
96. Swollen lesion on the tongue, what do you do next? Palpate lesion and see if firm
97. Picture of lip with something on the corner of it? it was either SCC or Syphilis other choices-
angular chelitis or herpes Labialis
yphilis
S CC
S
98. bone loss on #4- crater defect
99. worst vertical bone loss distal of #13
100. GTR best for class 2 furcations
101. Reduction of Probing Depths after SRP but still had mobility in anterior mandibular teeth,
what do you do? Either GTR or periodic evaluation
102. 2 question for SLOB rule: Same lingual, Opposite buccal
103. Patient has candida give f luconazole
104. Identify the picture which was a pleomorphic adenoma
because firm and they said it was benign
105. Asymptomatic crowned lateral with a PA radiolucency, what do you do? RCT
106. Mandibular incisor with large pulp chamber and PARL. What is the large pulp chamber
from? Trauma right after eruption
107. 2 months after RCT tooth still had RL? Monitor
108. 2 years and still had RL? Retreat
109. #14 with RCT and patient is symptomatic with RL at one of
the canals. How do you treat? Retreat all canals
110. #27 had root canal and a bridge from #27 to #25? What is
the RL? Nothing to do with #25, not a failed RCT on #27,
re-evaluate in 3 months, or chronic cyst in between #25-#27
111. Pregnant person afraid of needles? Place her in Trendelburg
position
112. 6 months pregnant had bleeding gums and mobile teeth?
Treat? Conservative debridement
113. Pregnant lady with a diastema in between #8 and #9 with
deep probing depth and class 1 mobility on 8 and 9. What is the
reason for diastema? Chronic perio
114. Direct pulp cap is better in young teeth (True).
115. Bur for post should not be greater than 1/3 diameter of the root width.
116. Picture with a lesion that was anterior to the earlobe and it
was swollen, stated the stenson's duct was also inflamed, what
do you check first? Stimulate parotid and see if you get exudate
117. Tongue sticking out with normal mucosa? Previous
laceration
118. When whitening teeth what do you do?
Wait for at least 5 days before you do restorative
119. Appliance for ortho, what is it doing? Tipping
120. Permanent dentition with tetracycline staining, when did
this happen? Patient ingested tetracycline when they were
between 0 and 5 years old
121. Perio probe picture was being incorrectly used
122. Picture of denture showing working side: lateral
movements were good
123. You can increase working time of alginate by adding water
that is colder than room temperature (True).
124. Picture that asked what was wrong with the teeth: severe
Caries
125. Patient with lateral periodontal abscess, what is initial
treatment? Debridement and if tooth affected then RCT also.
126. CI for anti-sialogogue: glaucoma (not epilepsy)
(Glaucoma, Asthma, CHF, obstructive GI, drug hypersentive)
127. Final impression for denture: want to cover tissue with little
force
128. 5 month old preggers with rheumatic fever and heart
murmur: pre med? No
129. Case: if patient was given kidney transplant, how would
this change the treatment: would need to premedicate the
patient because they would be immunosuppressed (PreMed for: prosthetic heart valves,
prosthetic joints, and organ transplants).
130. Panoramic with black dots and lines, what is this due to?
Static electricity
131. Case question: how much attached gingiva on lingual of
#25: 5mm
132. Picture of tongue with inflamed lingual tonsils: reassure
patient and re-evaluate
133. True of old patient on medication: drugs don’t last as long because less lipid solubility in
old people? (False. Old ppl have increased half lives of drugs bc slower emptying, higher pH,
less GI surface area, etc.)
134. Picture of leukoplakia, what do you ask patient? Do you use
smokeless tobacco
135. Baby with severe caries: baby bottle caries
136. Fractured distal MR on tooth with huge MO amalgam: cast
Restoration
137. Angles classification: Class 2 division 1