Pediatric Dentistry #11

1. An 8 yr. old HIV positive child reports with periapical abcess of deciduous mandibular first molar, which needs to be extracted. What protocol should the dentist follow

Send patient for ELISA and physician consent before treatment

Send to HIV clinic

Send patient for CD4 measurement and take physician consent before treatment

Check for tuberculosis and extract offending tooth

Question 1 of 20

2. In a 4 year old child, the primary central incisor has discoloured following a traumatic injury. The treatment of choice is

extraction.

observation.

pulpotomy.

pulpectomy.

Question 2 of 20

3. Children should be taught flossing only after they have attained the age of

1-3 years

9-11 years

3-5 years

6-8 years

Question 3 of 20

4. Your patient is 7 years old and has a very large, carious lesion on tooth T. What radiological factors should be used in determining the best treatment of choice between pulpotomy and primary endodontics?

All of the above

Furcation involvement

External root resorption

Internal root resorption

Question 4 of 20

5. Radiographs of traumatized teeth are necessary to

detect root fractures

all of the above

determine the stage of root development

find out if tooth fragments have been embedded in the soft tissues

Question 5 of 20

6. A traumatically intruded deciduous maxillary central incisor should be allowed to reerupt if

other deciduous teeth are also intruded

there is no danger to the permanent successor

it is not possible to splint the tooth

it cannot be extracted

Question 6 of 20

7. Which amino acid is absent in carisolv

Glycine

Leucine

Lysine

Glutamic acid

Question 7 of 20

8. An advantage of the rubber dam is that it

Aids in the management of child behaviour

Enables the operator to salvage silver scraps

Muffles any screams the child may emit

Reduces the necessity for a carefully carved cervical margin

Question 8 of 20

9. Recommended brushing time in children under supervision of parent is

5 minute

3 minutes

1 minute

15 seconds

Question 9 of 20

10. Your patient is 8 years old. Teeth #8 and #9 have approximately 50% of their crowns erupted. One month ago, the patient fell from a skateboard and hit teeth #8 and #9 on the sidewalk. The radiograph today shows open apices of these teeth, normal PDL, and no apparent periapical radiolucency. The patient has no reaction to electrical pulp tests. What is your treatment of choice?

Calcium hydroxide pulpotomy

Calcium hydroxide apexification technique

Formocresol apexification technique

Reappoint for exam and radiographs in 6 weeks

Question 10 of 20

11. Which of the following space maintainers is/are most appropriate for a patient with the bilateral loss of mandibular first primary molars prior to the eruption of the permanent molars and permanent incisors?

Lingual holding arch.

Fixed palatal arch with an anterior button (a Nance appliance).

Bilateral distal shoes.

Bilateral band and loop.

Question 11 of 20

12. Your patient is 4 years old. The maxillary right primary central incisor was traumatically avulsed 60 minutes ago. What is the treatment of choice?

None of the above

Replant, splint, primary endo

Replant, no splint, primary endo

Replant, splint, formocresol pulpotomy

Question 12 of 20

13. Caries assessment in children; which one is not high risk factor

Initial demineralization

General hypoplasia

White opalescent area on the tooth

Child with special problems/needs

Question 13 of 20

14. Which of the following are advantages a light cured materials over chemical cure sealants?

Working time is longer

All of the above

Less chance of incorporation of air bubble

Better physical and mechanical properties

Question 14 of 20

15. According to the Ellis classification, traumatic injuries to deciduous anterior teeth are classified as

Class 9

Class 4

Class 2

Class 6

Question 15 of 20

16. The most appropriate management of a 4mm diameter carious exposure on a vital permanent first molar in a 7 year old is

pulpectomy.

extraction.

direct pulp capping.

partial pulpotomy.

Question 16 of 20

17. The effects of constant mouth breathing include

maxillary incisor retrusion.

mandibular incisor protrusion.

anterior open bite.

expansion of the maxilla.

Question 17 of 20

18. All the following are media to store an avulsed tooth except?

Saliva

Milk

Contact lens solution

Oil

Question 18 of 20

19. Sealant retention to buccal and palatal pits and fissures of molars compared to occlusal pits and fissures

Is considerably lower

Has never been evaluated

Is considerably higher

Is the same

Question 19 of 20

20. One of the important signs for diffrential diagnosis of creidocranial dysostosis and craniofacial dysostosis is the presence or absence of a pair of bones. The bones refereed to are the

Nasals

Trapezoids

Clavicles

Capitates

Question 20 of 20