gag

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hi guys.can u plz help me with few of these querries....
1. a mucocele differs from a muco epidermoid ca bec muco cele...
a. contains mucus
b. affects young peple
c.occurs on lower lipd.is caused by trauma

2. a 45 year old man ,overweight man reports that his wife complains that he snores.the initial management of patient's snoring problem is to
a. fabricate an appliance to decrease snoring
b.fabricate restorations to inc the vdo
c.referfor an orthognathic surigal evaluation
d.refer for asleep assesment


3.root resorption of permanent teeth may be associated with
a.excessive ortho forces
b.periapical granuloma
c.traumatic injury
d.cementoma
1.a,b and c
2.a,c
3.b,d
4.d only
5.all of the above

4.in cephalometery,most stable poit is...
a sella turcica
b. nasion
c. broadbent point
d.bolton point


thanks in advance........gag
 
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gag

gag

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Thanks alot for answering to these,,but i have one doubt.i know lower lip i snot the site for mucoepidermoid carinoma..but also it has no history of trauma..so why cannt that be the right choice......gag
 

pallavi rakesh

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2. a 45 year old man ,overweight man reports that his wife complains that he snores.the initial management of patient's snoring problem is to
a. fabricate an appliance to decrease snoring
b.fabricate restorations to inc the vdo
c.referfor an orthognathic surigal evaluation
d.refer for asleep assesment

According to this why cant one go for sleep assesment?

ways to stop it-

1. Losing some weight reduces snoring. So get on that diet!
2. Alcohol is another no no, because it loosens the muscles and makes snoring worst.
3. Sleep on your side, it makes the snoring a little lower.
4. Have your doctor order you a cervical collar, it may reduce the snoring sound.
5. Apnea, if you have snoring and you stop breathing for a bit, you may have this serious condition called, Apnea. So visit your doctor!
 

UABDentist

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gag said:
hi guys.can u plz help me with few of these querries....
1. a mucocele differs from a muco epidermoid ca bec muco cele...
a. contains mucus
b. affects young peple
c.occurs on lower lip
d.is caused by trauma

2. a 45 year old man ,overweight man reports that his wife complains that he snores.the initial management of patient's snoring problem is to
a. fabricate an appliance to decrease snoring
b.fabricate restorations to inc the vdo
c.referfor an orthognathic surigal evaluation
d.refer for asleep assesment


3.root resorption of permanent teeth may be associated with
a.excessive ortho forces
b.periapical granuloma
c.traumatic injury
d.cementoma
1.a,b and c
2.a,c
3.b,d
4.d only
5.all of the above

4.in cephalometery,most stable poit is...
a sella turcica
b. nasion
c. broadbent point
d.bolton point


thanks in advance........gag

I may be wrong but i'm just trying....
1. Both contain mucous, Mucocele is prevalent in Young people typically below 20 yrs. Mucoepi CA occurs in adults 30-70 yrs..(but can occur in younger) Both can occur on lower lip as lower lip has minor salivary glands. Mucocele is caused by trauma (severance of ducts and leakage of mucous into surrounding tissue) Mucoepi Ca occurs in Parotid gld, is the most common salivary malignant tumor..and does not occur by trauma. So answer is D

2. You dont fabricate any thing without an evaluation. So i think sending him to an orthognathic surgeon for an evaluation would be best.

3. Cementoma ( Periapical cemental dysplasia) does not cause root resptn. And that is its identifying feature at times( and also th main one- teeth are vital. It has 3 stages... but no resoprtion. Lamina Dura is intact). Ortho forces (of course), PA granuloma and traumatic injury( Both have presence of Inflammatory cells - macrophages) can all cause tooth resorption. So answer is 1. a,b,c

4. Sella turcica...as it is one of the first to form and is the most stable point for all other reference points and planes. If it were a most stable plane question...it will be the anterior cranial base.( sella - porion plane)

Hope it helps... but do cross check the answers~
 
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gag

gag

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hi!thanks for responding to my questions.......but i recently went through radiographic features of cementoma........and it says....entire rootline is lost of the tooth to which it is associated......andit allso causes resorption of apical third.........so its all the four choices.......gag
 

bluetooth

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4.in cephalometery,most stable poit is...
a sella turcica
b. nasion
c. broadbent point
d.bolton point

Hi guys,

Can sombody let me know what is Broadbent point?, thanks.
 

rahmed

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2. a 45 year old man ,overweight man reports that his wife complains that he snores.the initial management of patient's snoring problem is to
a. fabricate an appliance to decrease snoring
b.fabricate restorations to inc the vdo
c.referfor an orthognathic surigal evaluation
d.refer for asleep assesment

The answer should be d. Orthognathic Surgical Evaluation comes way down the list. I will accept c as my answer choice if it were oral surgical evaluation. By using the term Orthognathic one immediately draws attention to (an impending) surgical procedure at the same time misleads the thoughts of a final year dental student

**Snoring is a multispeciality problem. The lead speciality is either Otolaryngologists or Oral surgeon, most often the former. The sleep assessment (Polysomnography along with Video pharyngoscopy, sometimes Electromyograms) is done to assess degree of obstruction and sleep disturbances, often prescribed by lead specialist following clinical evaluation. The Rx plan differs from then on. An oral surgeon and some otolaryngologists will ask a restorative dentist's input to start appliance therapy. Non surgical intervention also includes Nasal continuous Positive Air Pressure -- Nasal CPAP (compliance rate 65% after 5 months) a prefered modality of non-dentally trained specialities. Uvulopalatopharyngoplasty (UPPP --- success rate of no more than 50%) is the surgical intervention long preferred by non-dentally trained specialists and some oral surgeons. Orthognathic surgical intervention includes Hyoid advancement and suspension with/ without Mandibular/ Bimax advancement.

**Powell NB and Riley RW(1990) Obstructive Sleep Apnoea: orthognathic surgery perspective, past, present and future.Oral Maxillo. Surg. Clin. North Am. 2, 843

**Riley RW, Powell NB and Guillenminault C (1990) Maxillary, Mandibular and hyoid advancement for Obstructive Sleep Apnoea; a review of 40 Patients. J. Oral Maxillofac. Surg. 48, 20.

This is my 2 cents. Thought it would be right to put a short review of OSA as dentists are getting more and more involved in the management. Thanks.

rahmed
 

pallavi rakesh

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I second that. Thats what was my guess.




rahmed said:
2. a 45 year old man ,overweight man reports that his wife complains that he snores.the initial management of patient's snoring problem is to
a. fabricate an appliance to decrease snoring
b.fabricate restorations to inc the vdo
c.referfor an orthognathic surigal evaluation
d.refer for asleep assesment

The answer should be d. Orthognathic Surgical Evaluation comes way down the list. I will accept c as my answer choice if it were oral surgical evaluation. By using the term Orthognathic one immediately draws attention to (an impending) surgical procedure at the same time misleads the thoughts of a final year dental student

**Snoring is a multispeciality problem. The lead speciality is either Otolaryngologists or Oral surgeon, most often the former. The sleep assessment (Polysomnography along with Video pharyngoscopy, sometimes Electromyograms) is done to assess degree of obstruction and sleep disturbances, often prescribed by lead specialist following clinical evaluation. The Rx plan differs from then on. An oral surgeon and some otolaryngologists will ask a restorative dentist's input to start appliance therapy. Non surgical intervention also includes Nasal continuous Positive Air Pressure -- Nasal CPAP (compliance rate 65% after 5 months) a prefered modality of non-dentally trained specialities. Uvulopalatopharyngoplasty (UPPP --- success rate of no more than 50%) is the surgical intervention long preferred by non-dentally trained specialists and some oral surgeons. Orthognathic surgical intervention includes Hyoid advancement and suspension with/ without Mandibular/ Bimax advancement.

**Powell NB and Riley RW(1990) Obstructive Sleep Apnoea: orthognathic surgery perspective, past, present and future.Oral Maxillo. Surg. Clin. North Am. 2, 843

**Riley RW, Powell NB and Guillenminault C (1990) Maxillary, Mandibular and hyoid advancement for Obstructive Sleep Apnoea; a review of 40 Patients. J. Oral Maxillofac. Surg. 48, 20.

This is my 2 cents. Thought it would be right to put a short review of OSA as dentists are getting more and more involved in the management. Thanks.

rahmed