SBA Summative

What is ORIF?

Open reduction with internal fixation is a standard surgical procedure in jaw trauma

Pharmacological: Conscious Sedation

Midazolam - for patients with moderate anxiety, conscious and responsive but very relaxed

Additional skills of an ortho therapist

Applying fluoride varnish on prescription of a dentist
Repairing acrylic of ortho appliances
Measuring and recording PI
Removing sutures after wound has been checked by a dentist

Common skills of hygienists, therapists and dentists

RMH, clinical exam, perio exam, treatment plan, prescribe and interpret radiographs, OHI, Supra/Sub gingival, topical and fissure sealants, smoking cessation, LA, recement crowns, rubber dam, impressions, oral cancer screening, referring

Common skills of therapists and dentists

direct restorations on primary and secondary teeth, pulpotomies on primary teeth, extract primary teeth, place pre-formed crowns on primary teeth

What influences the quantity of photons?

mA and time

What is the collimator lined with?

Aluminium

What happens when NSPT is successful?

Regeneration of JE

What is recommended 100 hours in a 5-year cycle?

CPD - Dentist

What is given to a child patient with anterior and posterior caries, who is not suffering from pain?

GIC

What sedative is used on cavities?

ZOE

BPE on children is on which teeth?

UR6, UL6, LL6, LR6, UR1, LL1

How would you test a blood bullous?

buccal swabbing, biopsy, blood test???

What are pharmacological behaviour management techniques?

Address behavioural issues by using meds that influence the CNS.
Prescribed to manage various conditions such as anxiety, ADHD, psychotic disorders, etc and include antidepressants, antipsychotics, beta-blockers, etc.

Sugar intake recommendation for children aged 7-10?

24g

Sugar intake recommendation for children aged 4-6?

19g

How to manage a patient who smokes and drinks 14 units every Saturday?

Smoking cessation and reduction of alcohol intake

A vegan patient has inflamed gums, stress and a BMI of 15 - what is the diagnosis?

ANUG (or scurvy?)

What is placed on the teeth for etching?

37% orthophosphoric acid

Which LA is overdose for paeds pt that is 20kg?

Lidocaine

Which forceps do you use for the extraction of a lower molar?

lower primary molar forceps (Paed XLA forceps)

What material chemically bonds to the tooth?

GIC

Why do you have a spherical cut in amalgam?

Reduces creep?

Why use dentine conditioner?

To remove the smear layer

What is the layer called when bond binds to dentine and enamel?

Hybrid layer

What is the most common cause of mandibular fractures?

Interpersonal fights

What would be the likely cause of a white patch on the buccal mucosa reticular?

Lichen planus

The patient used to take warfarin but is now taking apixaban. What is the bets course of action?

Continue taking the drug as normal (don't need to check INR with apixaban)

Pt has angina and an oral ulcer - what is the cause?

Nicorandil

Pt has cervical white spot lesions - what is the best course of treatment?

Fluoride varnish

What is the concentration of mouthwash?

0.05%

A 9 year old patient is a high caries risk - hat treatment should you not do?

Fluoride varnish

When does root formation occur?

After crown stage

How long does a practice have to keep dental records of a deceased patient?

10 years

Pt has a red glossy tongue - what is the best course of treatment?

Hydrocortisone

Paeds pt presents with lots of ulcers on the tongue and has a fever and malaise - what is the cause?

Primary herpetic gingivostomatitis

Pt collapses and is in cardiac arrest - what do you do?

Start CPR, Get AED, Call 999

Order to doff PPE?

Gloves, gown, goggles, mask

PPE needed for treatment planning?

All if examining, mask and gown if discussing.

OPG reveals a large radiolucency around angle of mandible - what do you do?

Refer for urgent referral

Where did a yellow lump on the buccal mucosa originate from?

Adipose tissue

Rolled margin lesion on the lateral border of the tongue - what is the cause?

Malignancy

A patient is on statins and beta-blockers and presents with large inflamed gums - what is the cause?

DIGO

Pt took metronidazole and has been experiencing symptoms - what do you do?

Advise patient that this is normal

What does step in facial factures affect?

Occlusion

What is the likely cause of crusty lips in children?

Lip licking

What is the best management of a diabetic patient?

Have a morning appointment (just after they have eaten)

What is the percentage of the UK that receives fluoridated water?

Approx 10%

How do you take Difflam?

Rinse and gargle 15ml every 1.5 hours as required

Sugar intake for adults (10+)

30g

BM: Tell-Show-Do

explain procedure, demonstrate it and ask the patient to perform it

BM: Desensitisation

Gradually expose the patient to triggers

BM: Positive reinforcement

Praise and positive feedback

BM: Modelling

Observation of parent, other patients or Teddy undergoing procedures

Pharmacological: TA

minimise discomfort

Pharmacological: Oral sedation

induces relaxation, consciousness depends on dosage

Pharmacological: N2O

inhalation sedation - induces relaxation and quick recovery, maintains consciousness

Pharmacological: LA

blocks sensation in a specific areas to ensure pain control

Pharmacological: IV Sedation

deeper sedation for extreme anxiety or pain management, may be conscious but unaware

What is recommended 75 hours in a 5-year cycle?

CPD - Dental Therapist
Clinical Technician
Dental Hygienist
Ortho Therapist

What is recommended 50 hours in a 5-year cycle?

CPD - Dental Technician
Dental Nurse

GIC uses

small-medium size
low bite stress
pits and fissures
temp restorations
cementing for bands, crowns and bridges

Composite uses

anterior restorations
cosmetics
bonding for fractured teeth

Amalgam uses

high strength and durability
posterior restorations
high biting stress

Pharmacological: GA

unconsciousness, if patients do not tolerate other forms of sedation, long recovery time

NSAIDs

reduce inflammation, pain and fever by inhibiting prostaglandin synthesis
indications: mild pain, inflammatory conditions, fever
contraindications: allergy, kidney problems, GI bleeding

Paracetamol

reduces pain and fever by inhibiting prostaglandin synthesis
indications: mild pain, fever, GI issues
contraindications: liver disease, excess alcohol, allergy

Opioids

reduce pain perception
indications: severe acute pain, chronic pain, end-of-life
contraindications: respiratory issues, pregnancy, substance abuse

Combination Analgesics

indications: moderate to severe pain
contraindications: risk of dependence and respiratory issues

Topical Analgesics

provides local pain relief and reduces inflammation
indications: localised pain, neuropathic pain
contraindications: allergy, open wounds, skin conditions