ADEX Questions

ADEX DSE Remembered Questions
1) Minimum axial reduction for a crown?

1.5 mm
2) When replacing a crown on #9, how much
occlusal reduction is needed?
2 mm
3) Maximum amount of unsupported porcelain
allowed? 2 mm
4) What can be done to a temporary to
improve gingival health?
Undercontour
5) If unsure about shade for a crown, choose
something with....
a lower shade saturation and less gray
6) Space between #29 and #30, no molars
distal, very light occlusion with #3, space is

due to what?
No occlusion and mesial drifting premolars
7) Post crown cementation sensitivity is due to...
microleakage
8) Tx for fractured distal marginal ridge on tooth
with large MO amalgam

cast restoration
9) Minimum labial reduction PFM prep
1.5 mm
10) Bridge 6 - 11 may fracture due to
bending of metal
11) To match shade properly....
polish teeth first

12) Large DO amalgam in 3 with crack in M
area, should be tx with?

PFM
13) Best pontic for anterior
modified ridge lap pontic
14) Best way to communiate to lab and patient
study cast or diagnostic wax up

15) Disadvantage of PFM vs. resin bonded
more removal of tooth structure

16) When is a fixed bridge contraindicated in
anterior?
loss of alveolar bone
17) Where do you place the heavier bevel on an
onlay
functional (working) cusp
18) Pt w/ maxillary CD with 6 lower anterior
(natural) teeth is likely to have...

Kelly's syndrome (bone loss in anterior
maxilla)
19) Where does one put pier abutment (RPD)
distal of female component

20) Relines with small projections of impression
material are projecting
trim projections flush with ridge
21) Impression for most predictable results
(remov pros)
custom tray with tooth stops
22) Precision attachments are not good for what
patients? patients with low dexterity

23) When can you use a tissue conditioner or
soft reline on a CD? anytime

24) Wait how long for a lab hard reline?
6 months
25) Reason for try in of immediate denture
check vertical dimension

26) Before relining the complete denture, what
should you do?

build up posterior occlusion
27) Reciprocal clasp purpose
counterbalance the retentive clasp

28) Pt needs CD but has lingual tori. Tx?
surgical removal of tori

29) Immediate denture - order of extractions
-extract posteriors first
-possibly leave some premolars to preserve
vertical dimension
30) Purpose of an immediate try in
-establish VDO
-improve esthetics & phonetics
31) Biggest function of a major connector
rigidity
32) When should immediate denture be first
removed? 24 later by dentist

33) Final impression for CD - Material
PVS
34) When is a denture reline indicated?
when ridges resorb

35) Before trimming teeth on stone case for an
immediate, do what?
Mark a line 3 mm above the free gingival
margin
36) Advantage of Immediate Denture
pt is never without teeth

37) When setting denture teeth, you do not need
to consider... tongue space

38) What needs to be considered when setting
Max denture teeth? arch form

39) What muscle is affected by overextension
on mandibular anterior buccal flange?
orbicularis oris
40) In CD, if you have 1 mm of space between
upper and lower molars, what should you do?

tuberosity reduction
41) Unseating of maxillary denture can result
from-excessive depth of palatal seat

42) What is the closest speaking sound?
S sound (sibilants)
43) Purpose of a wedge in restorative
adaptation of the matrix band

44)Most likely reason for sealant failure
Contamination
45) Acid etching does what?
does NOT create chemical bonds

creates tags micro mechanical retention
increases surface area
46) Many options can restore a 1.5 mm
diastema except...
composite
47) Tx - 10 year old with diastema
observe until canine erupts

48) Avoid _______ when polishing composites.
removing contacts
49) What amalgam type is best for interproximal
spaces
admixed
50) What amalgam type is best for strong lateral
condensation forces
spherical
51) Where to store scrap amalgam
under sulfide
52) Best way to avoid root caries
maintain periodontal attachment

53) Pear shaped bur
330
54) Stephan Plot
measures pH changes on tooth enamel

surface
55) Tx - Broken crown of canine
Conservative endo w/ post and cor

56) Asymptomatic #10 with crown and PARL,
tx?RCT
57) #26 with large pulp chamber and PARL.
What is large pulp from?

trauma right after eruption
58) Endo tx tooth has PARL 2 years later. Tx?
Retreat
59) Direct pulp cap is better in....
younger teeth
60) Bur for a post should not be great than...
1/3 diameter
61) #8 and #9 both have PARL. #9 is Endo tx,
but pt is still in pain. Tx?

Endo on #8
62) Vital tooth with RO on apex, apex is blunted.
Dx? hypercementosis
63) The distobuccal cusp on #30 occludes with
what? Central Fossa on #3

64) Strongest and most aggressive cutting file
K File
65) Where should obturation end?
0.5 - 1.0 mm from radiographic apex

66) After post+core placement, pt has pain on
biting. Dx?
vertical fracture
67) Lateral incisor - negative to vitality test,
asymptomatic. Tx?
leave alone
68) What is a RL lateral to a vital tooth? Tx?
Periodontal cyst, surgical removal

69) If the root is 16 mm long, the post should be
how long?
11 mm
70) Tooth has a vertical root fracture with PARL,
tx? extract
71) Main component in a root canal sealer
Zinc oxide
72) Concentration of sodium hypochlorite in
Endo
3% (MUSC)
1, 2.5, and 5.5%
73) Tooth with most prominent cervical bulge
Mandib 1 Molar
74) What muscle translates the condyle?
pterygoid
75) When do primary centrals erupt?
6 mon
76) Tx - child who lost 2nd primary molar (4 yo)
distal shoe
77) Removable appliances in ortho produce
what? tipping forces

78) Most common malocclusion
Class II, Div I

79) Where do permanent teeth erupt?
Facially
80) Tx- ANUG
debridement
81) Reason to reflect a perio flap
Access of instrumentation
82) Patient complains of space between teeth
after SRP. What happened?

Reduced edema, gums less swollen
83) What is the cause of a 1-2 mm reduction in
probing depth after SRP?

long junctional epithelium
84) Gingival edema is caused by...
anaerobes
85) Contraindication for apically positioned flap
esthetics
86) BOP after cleaning. Cause?
Retained subgingival plaque

87) Crater
one sided defect

88) Trench
two or three sided defect

89) Moat
four sided (circumferential) defect

90) GTR is best for treating..
Class II furcations
91) Pt had reduction in probing depths after SRP
but still had mobility in mand ant teeth. Tx?

GTR or perio eval
92) 6 mon pregnant, bleeding gums, mobile
teeth. Tx?
Conservative debridement
93) Initial treatment - lateral periodontalabscess
debridement
94) Goal for flap surgery
pocket reduction
95) Redness on gingiva is caused by what
bacteria? anaerobic
96) Sign of a severe perio issue
if probing depths get worse

97) What cannot be seen/determined from an
xray? pocket depth

98) Purpose of splinting teeth
-periodontal stabilization
-pt comfort
99) What is NOT a clinical sign of mobility?
widened PDL space

100) Tx- Aggressive Perio
Debridement, Scaling, Antibiotics

101) Bacteria - JLP
A.a.
102) Bacteria - Periodontitis
P. gingivalis
103) What tooth is likely to fail after perio tx?
Max 1 M
104) Migration rate of epithelial tissue
0.5 - 1.0 mm per day

105) Most common cell type in PDL
Fibroblasts
106) What is responsible for plaque adhering to
teeth? Pellicle
107) Term for HIV gingivitis
Linear gingival erythema

108) What is seen with pseudopocketing?
no attachment loss
109) Pt returns with pain 72 hr after EXT. Tx?
Irrigate
Place eugenol soaked gauze
110) Pt returns post-EXT with large infection.
Dx? Subperiosteal abscess

111) Tx - Dry Socket
Irrigate
Pack with iodoform w/ eugenol
112)Tx - Oro-antral fistula
Surgery to close
113) 29 yo has retained primary molar with no
issues. Tx? None

114) Purpose of interrupted sutures
to immobilize the flap

115) How to suture
go from moveable to fixed tissue

116) Tight sutures result in?
necrosis
117) Freeze dried cadaver bone is an example
of?An allograft
118) Root is left during extraction, best
instrument? Cryer (aka East/West)

119) When extracting maxillary molars, why start
with 3rd molar and move mesial?

Prevent breaking off the tuberosity [beware the
lone molar]
120) Which tooth radiates pain to the ear
Mandib Molar
121) Autoclave needs to be checked...
weekly
122) OSHA requires that patients & dentists
wear...
eye wear
123) Sterilizer is checked by...
biological indicators
124) How do you increase working time of
alginate?
Use water colder than room temp
125) A tooth with a large cavity, what restoration
is best for gingival health?

Gold onlay or PFM
126) Worst cement for a deep restoration
Zinc phosphate
127) Impression material with greatest
dimensional stability
PVS
128) Most important feature of cement
Strength against solubility and disintegration

129) What cement cannot be used under bonded
restoration
ZOE (eugenol interferes with bonding)
130) What material causes contraction of
amalgam?
Tin
131) What material delays expansion of
amalgam?
Zinc
132) Cause of blurry x-ray
patient moved
133) AN - half looks normal, other half looks
enlarged, error?
pt had head turned/twisted
134) Cause of a dark PA
too much developer

135) What is not required for a PAN?
thyroid collar
136) If a PAN has black dots and lines, what is
the cause? static electricity

137) Cause - odd looking trabeculae on
radiograph
Sickle cell anemia
138) Gemination
two teeth develop from one

one main crown
139) If you see a herringbone slide, what do you
do? Reverse the slide

140) Submentovertex view
-shot from chin up

-shows base of skull
141) Water's projection
-shows maxillary sinuses
-xray beam directed from behind head
142) What is KVP?
energy (quality) of photons in beam

143) What is MA?
quantity (number of photons) in beam

144) Bilateral round radiopacities on mandibular
anterior
tori
145) Why are filters used in xrays?
to remove low energy photons

146) What are intensifying screens used for?
reduce patient radiation dose

147) KVP controls what?
contrast
148) What is concrescence?
fusion of cementum only

149) What do you do next when you find a
palpate the lesion and see if its firm

swollen lesion on the tongue?
150) Lesion anterior to the earlobe swollen,
Stenson's duct is inflamed, what do you do

next?
Stimulate parotid and see if you get exudate
151) Blue lines under tongue are due to?
aging
152) Where is Wharton's duct
under tongue
153) White stains on teeth are caused by
fluorosis
154) Tx - Liver Spot
remove it, irrigate, pressure, re-evaluate

155) Slow growing mandible is a sign of...
Hyperpituitarism (?????)
156) Dark, reddish tooth
hyperemia
157) Signs - Cleidocranial dysplasia
-Prolonged retention of deciduous teeth

-Delayed/failed erupt of permanent teeth
-Multiple unerupted supernumerary teeth
-Odd shaped teeth
158) What bony lesions do you find in Gorlin
Syndrome (Nevoid Basal Cell Carcinoma
Syndrome)
OKC
159) What is similar to squamous cell carcinoma
keratocanthoma
160) Micrognathia, cleft palate, and glossoptosis
Pierre Robin Syndrome

161) Sign of Peutz-Jegger Syndrome
brown macules on lips
162) Cyst around the crown of impacted molar is
likely ....
a dentigerous cyst
163) (T/F) Odontoregional dysplasia is a genetic
disorder.
FALSE
164) Tx - Maxillary Dome Cyst in sinus
no tx
165) Name - nodules on alveolar ridge of infant
Bohn nodules
166) Radiographical signs of Langerhans cell
disease
teeth floating in air
167) Which papilla are involved in oral hairy
leukoplakia?
Filiform
168) Where is cancer least likely to occur in the
mouth?
alveolar ridge
169) Blue sclera is a sign of...
osteogenesis imperfecta
170) Dental manifestation of osteogensis
imperfecta is.... DI Type I
171) Condition - multiple supernumerary teeth
Gardner syndrome
172) What oral cyst is a true fissural cyst?
median palatal cyst

173) Where do you see sulfur granules?
actinomycoses
174) Signs - Erythema multiforme
target iris/bull's eye lesions(???)

175) Premalignant precursor of SCC(squamous
cell carcinoma)?
actinic cheilitis
176) Paget's is a premalignant condition for...
Osteosarcoma
177) Dens invaginatus
"Dens in dente"
Inside the tooth
178) Dens evaginatus
Forms an extra bump or cusp

Premolars most likely affected
Outside the tooth
180) Recent Extraction side on X-ray disappears
after how long?

About 18 months (????)
181) What is mesiodens?
Supernumerary tooth in the midline between

central incisors
182) What problems does mesiodens cause?
Malocclusion
Food impaction
Poor aesthetics
Cyst formation
183) Concrescence is? And caused by what?
Cementum joins two teeth together

Caused by crowding or trauma
184) Taurodontism caused by?
Failure or late invagination of Hertwigs

epithelial root sheath
185) Where are lateral perio cysts found? Can
they be probed?
Between mandibular premolars on the mesial
side of the mandib 1st premolar
CANNOT be probed
186) When taking a pan X-ray do they need a
thyroid collar?no
187) If you take a periapical radiograph of the
upper right molars and you see a ghost image
of the anterior teeth, what happened?
Film was double exposed
188) Digital film is: Faster than F speed film
189) What can a pan best detect?
Third molars or cysts/tumors

190) If 8 and 9 are present, and so are the
permanent first molars how old is the patient?

At least 6 yrs old
191) If lower permanent canines are erupted
then the patient is most likely around?

9-10yrs
Patient shouldn't have 2nd molars yet
192) If you see permanent premolars erupting
and the primary molars have exfoliated, how

old are they? 10-12yrs
193) When does first permanent molar erupt?
6yrs
194) Pulp is composed of?
Fibroblasts, blood vessels, lymphatic

channels, nerves and connective tissue
195) Which of the following parts of the tooth is
the first to form? Enamel

196) Mesenchyme gives rise to all of the
following except?
Enamel. Gives rise to: dentin, pulp, cementum
197) What do canaliculi provide?
Routes for nutrients to reach the osteocytes

198) Hypodontia-Less than 6 missing teeth
199) Oligodontia- 6 or more missing teeth
200) Is a bifurcated root on a premolar or canine
normal anatomy? Yes - variation of normal

201) Ankylosis usually associated with? Most
common tooth it occurs on ?

Hypodontia
Occurs when a tooth fails to exfoliate
Occurs commonly on primary 2nd molar,

ankylosed tooth is the 2nd permanent premolar
202) Pulp chambers very large on X-ray
Internal resorption
203) Parotid duct
Stensons duct
Serous fluid only
204) Submandibular duct
Whartons duct
205) Oblique ridge runs from?
DB cusp to ML cusp
206) What is the reason for ankylosis
Delayed eruption of permanent teeth

Delayed shedding of primary teeth
207) Sternoclediomastoid also palates for?
Anterior superficial and deep nodes

Answer may also say anterior and posterior
deep cervical nodes
208) What papillae is most numerous on the
tongue? Filiform
209) Hairy tongue caused by elongation of what
papillae? Filiform
210) Does a patient with fordyce granules need
treatment? No
211) If a patient has a tongue piercing what can
happen?
Chipped tooth
Trigeminal neuralgia
Infective endocarditis
212)Class I occlusion
mesiobuccal cusp of the maxillary first molar is

aligned with the buccal groove of te
mandibular first molar
213) Class II occlusion division 1
Too far forward and max anterior teeth are
proclined out
214) Class II division 2
Maxillary anteriors are tilting inward

215) Class III occlusion
Too far back

216) Free gingival margin
Interface between the sulcular epithelium and

the epithelium of the oral cavity
217) Keratinized mucosa
Masticatory mucosa: gingiva and hard palate

Vermillion border of the lip
Oral or outer epithelium
218) Non keratinized mucosa
JE
SE
Lining mucosa (lip, cheek, alveolar mucosa,
floor of mouth, soft palate)
Dorsum of tongue and taste buds
219) Calculating CAL with overgrowth
SUBTRACT
220) Calculating CAL with recession
ADD
221) When the gingival margin is at the CEJ no
calculations are needed bc the probing depth
and the CAL are the same
True
222) 3mm probing depth
4mm of recession
What is CAL? 7mm
223) Lamina dura is thicker when?
Tooth is erupting and thinning

224) Abscence or thinning of lamina dura is sign
of?
Perio disease
225) If a patient has gingivitis the reasons for the
edema is due to?

Toxins produced from the biofilm
226) If a probe is perpendicular to the long axis
of a tooth what is it measuring?

Furcations
227) What is the best proof of the destruction of
tissues?
Attachment loss
228) Drugs that cause xerostomia
Antihypersensitives
Antihistamines
Antidepressants
Antipsychotic
Antiemetic
Antispasmodic
Anti Parkinson's
229) Blood thinners and chemotherapy agents
cause
Bleeding gums
230) Meds that cause bleeding gums
Anticoagulant (coumadin)
Antiplatelet (plavix)
Certain epilepsy drugs
Chemotherapys drugs
Diuretics
Antihistamines
Immunosuppressant
231) Procardia (nifedipine) causes?
A calcium channel blocker that causes gingival
hyperplasia
232) What drugs cause delayed healing?
Corticosteroids
Anti-inflammatorys
233) Drugs that cause gingival overgrowth
Anticonvulsants (dilantin)
Succinimides and valproic acid
Calcium channel blockers (nifedipine and
verapamil)
Immunosuppressant (cyclosporine)
234) Antituberculosis agents:
Rifampin, isoniazid, pyrazinamide and
ethambutol
235) Which group of anti-hypersensitive drugs
causes gingival hyperplasia

Calcium channel blockers
236) All of the following drugs may causes
increased risk of bleeding?

Dilantin
237) Common side effect of prozac
Xerostomia
238) Immunosuppressant that causes gingival
enlargement
Cyclosporine
239) Most likely side effect of claritin
Xerostomia
240) Side effect of steroid use
Delayed wound healing

241) Class of medications that DONT cause
xerostomia
Anti-tussives
242) Most common side effect of heparin
Hemorrhage
243) Angular cheilitis is caused by
Candida albicans
244) Initial onset of angular cheilitis?
Vitamin B2 (riboflavin) deficiency

Iron
Poor diet
Zinc deficiency
245) Angular cheilitis can also be a sign of what?
Anorexia/bulimia due to the malnutrition

246) Solar cheilitis affects what?
Vermilion
Red part of lip
247) Common features of solar cheilitis
Dry lips
Thinned skin of the lips
Scaly patches
248) Most common tumorlike growth
Irritation fibroma
249) Neurofibroma
Benign nerve sheath tumor derived from

myelin sheath
250) Neuroma
Growth of tumor of nerve tissue

251) Ameloblastoma
Soap bubble appearance on X-ray
Most common in adults 40-50
252) Most common type of odontogenic lesion
Ameloblastoma
253) Leukoplakia
CANNOT BE WIPE OFF

White lesion of mucous membrane
254) Candidiasis
CAN be wiped off

255) Nikolskys signs
Fragile mucosa that blisters or sloughs when

pressure is applied
256) Amelogenesis imperfecta
Yellow to brown in color

X-rays: lack of enamel opacity
257) Dentinogenesis imperfecta
Gray to yellowish brown

X-rays: bulbous crowns and shorter roots -
abscence of pulp chambers
258) Mucocele
Painless sac on inner surface of the lips

Clear fluid
Go away w/o treatment
259) Ranula
Floor of mouth
Caused by trauma to salivary gland
260) Peripheal giant cell granuloma
Overgrowth of tissue due to trauma

Associated with progenitor granuloma and
peripheal ossifiying fibroma
261) Peripheal giant cell granuloma occurs in?
60% females
Often on mandible
262) Measles
Koplik spots - white spots on red background

in mouth
263) Herpangina caused by? Children or adults?
Characterized by?
Coxsackievirus A
In children
Ulcers and sores in mouth
264) Herpes zoster also called?
Shingles
265) When does shingles occur?
Older than 60
Had chicken pox before 1
Weak immune system
266) Herpetic whitlow also called? Affects who?
HSV-1
Commonly contracted by dental workers and
medical workers exposed to oral secretions
267) Mulberry molars and hutchinsons incisors
are seen with?

Congenital syphilis
268) Irritation fibroma is composed of
Dense fibrous connective tissue only

269) Who regulates fluoride in bottled water
FDA
270) Bottled water can contain how much
fluoride?
1.4-2.4 mg per liter
271) Labeling requirements
FDA doesn’t have to list actual fluoride content

272) Process of tooth decay?
Bacteria plus sugar equals acid

273) What type of pop causes more decay?
Diet soda - because of the acid content

Vitamin B
274)
Thiamin
Beri beri
Vitamin B2
275)
Riboflavin
Chellosis and glossitis
Vitamin B3
276)
Niacin
Pellagra (4 D's)
Dementia
Diarrhea
Dermatitis
Death
Vitamin B6
277)
Proxidine
Chellosis and glossitis
Vitamin B12
278)
Cobalamin
Pernicious anemia
279) Pernicious anemia
Can cause permanent damage to nerves and
other organs
Raises risk for developing stomach cancer
280) What is the negative consequence of APF?
Erodes porcelain restorations

281) Which method of fluoride application
immediately gets absorbed into the enamel?
Fluoride varnish - has highest PPM
282) What is the minimum time for a foam or gel
fluoride tx to be the most effective?

4 minutes
At one min - 80% effective
At 4 mins - 100% effective
283) A child drinking fluoridate water and taking
supplements is at greater risk for

Hypocalcification
284) Which does NOT have natural occurring
fluoride
Pork
285) When is pH level at its highest in regards to
eating meals?
After eating a meal
286) Two forms of COPD:

Emphysema
Chronic obstructive bronchitis
287) Most common risk factors with COPD

Smoking and secondhand smoke
288) When treating patients with emphysema

how should they be placed?
Semi-supine position
289) Type I diabetes
Insulin dependent
290) When does hypoglycemia occur?
Diabetic ketoacidosis
291) Which antibiotics treat MRSA?
Vancomycin and bactrim
299) What disease can cause inflammation?
Uncontrolled type II diabetes
300) If your diabetic patient starts to feel
uncomfortable nervous an feels faint what
should you do?
Sit the patient upright
301) A patient on an anti-hypertensive
medication is most likely to experience what in
dental chair?
Orthostatic hypotension
Pay attention to the fact this question says in

the dental chair
302) ASA class II applies to which medical
condition?
Well-controlled epilepsy
303) The BEST way to keep patient from
becoming unconscious is:
Put them in the supine position with head
below heart
304) A patient suffering from hypoglycemia will
have what?
Fast pulse, dizziness
305) What commonly precipitates a
thrombosis?
Stasis
306) Premed guidelines
Prosthetic cardiac valve or prosthetic material
for valve repair
History of infective endocarditis
Heart defects
307) ***Nifedepine causes:
gingival hyperplasia
308) ***What type of drug is Nifedepine?
Ca-Channel Blocker
309) ***Large space b/w 11 & 12: what to do?
LEAVE IT ALONE
310) Identify this lesion
Papilloma
311) how to treat mucocele?
excise with salivary gland remnants
312) ***Problem with resin bonded bridges
most commonly? debonding
313) ***Hep A - after how long is it fine to treat
dental again? 1 week

314) ***What to give allergic rxn to barbiturate on
lip? benadryl
315) ***facial erosion on teeth
acidic bevs
316) dentinogenesis Imperfecta Xray looks like?
obliterated pulp chambers, constricted crowns,

short roots
317) ***picture of blue sclera eyes, asked what
dental finding? DI
318) ***Hyperthyroid symptoms do NOT include:
FATIGUE (other choices = exophthalmous,

tachycardia, tremor of extremities)
Leukemia
319)
Clinical picture of 14 y.o. with

inflamed gingival
How should an allergic
320)
reaction to barbiturates on lip be

treated?
Benadryl
Patient does not like look on

321)
canine (pictured), asked what it

was
Hypoplasia
322)
Facial erosion due to acidic

beverages
323) Amelogenesis Imperfecta
(xray)
324) Blue
sclera (eye picture),
what dental findings should you
see?
Dentinogenesis imperfecta
All of the following are

325)
Hyperthyroid symptoms except?

a. fatigue
b. exopthalamus
c. tachycardia
d. tremor of extremities
326) The minimal axial reduction for crowns are
1.5mm
327) Crown on #9 needs to be replaced. What
measurement is correct?
2mm occlusal reduction
328) What is the maximum amount of
unsupported porcelain allowed?

329) The most important treatment for ANUG is
Debridment
330) What is Gingivectomy used for
gingival hyperplasia
331) What is the treatment for a patient with a
liver clot?
Irrigate, apply pressure, reassess
(liver clot-unstable and often large, friable clot

commonly forming in mucous membranes. Usually
lead to excessive bleeding and abnormal wound
healing.)
332) In order to improve gingival health, what
must you do to temporary crown?
Under contour
333)Picture of Upper and lower complete arch
crowns. What is wrong?

Impingement on gums/gums health
334) Patient presents with pain on swallowing
when wearing their denture. What is wrong?

Overextension of lingual flange
335) Patient presents with space in between 3rd
molar and premolar, with class II mobility. How

should you treat?
Implant
336) Patient missing #2 and #3. #1 has Class III
mobility and furcation involvement. What

would be the optimal treatment plan?
Extract #1 and implant for #3 or #2and #3
337) If you cannot pick a color for crown, what
should you choose?

something with LOWER shade saturation and
less gray
What is the worst location for an implant?
338)
maxillary posterior
339) What is the best location for an implant?
Either mandibular posterior or mandibular
anterior
340) What is the best long term prognosis for an
implant?
Either mandibular posterior or mandibular
anterior
341) Zinc phosphate is the worst cement for
what type of restoration

deep restoration (pulpal irritation)
342) How long should periodontal packs be left
for ?
1 week
343) How should an epulis be treated before
making a new denture?

Excision
344) What is a characteristic of a major
connector of a denture?
Rigidity
345)
How often does OSHA make you check the
autoclave
Weekly
346) HIV ELISA test was negative for a person
who had a needle stick. What does that mean?

Patient has no Abs present
Ortho case - what was the most important
347)
thing they did in maxillary arch?

Align the teeth for future restorative
procedures ( not close upper or lower
diastemas)
348) What pain reliever do you give to a patient
who has kidney disease?

Acetaminophen
349) Picture of surveyor. Asked
what we were looking at?
Space for guide plane

350) What is the major complications of
Phelobitis (phlebitis?)
pulmonary emboli
351) Patient complaining of space in between
teeth after SRP, why?

because of
reduction in edema
352) If there is a shunt on left arm, what should
you consider
take BP on right arm
353) Picture of #10 and #11 lingual surface, what
is wrong with the gingiva?

Edema
354) Space in between #29 and #30 in a very old
patient with no #31 or #32 and barely

occluding with #3. This is due to what?
No occlusion or mesial drifting premolars
355) Surgical stent fits the gums but the
immediate denture doesn't fit, what do you do?

Relieve until it seats
356) Picture of the bottom of the tongue with
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 . (herpes on
attached gingiva)
357) 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
358) What disease will affect wearing complete
dentures the most?

Sjorgens syndrome
(xerostomia)
359) Major apthous ulcer -(minor heal w/out
scar)
Lesion in the mouth that heals with a scar?
360) Picture with an arrow pointing to a Soft
tissue mass on FOM?

Opening of wharton's duct

Lichen planus present on the tongue that
361)
was asymptomatic, what is the treatment?

Corticosteroids (nothing was not an option)
362) Picture of white things on the buccal
mucosa and asked what it was?

lichen planus
(but it also looked like leukoedema, cheek biting, etc.
and all were answer choices)
363) Panoramic xray with radiopacity underneath

the mandibular incisors, asked what
was it?
supernumerary tooth
(other choices- odontoma, impacted insicor)
364) Gingival edema is caused by?
anaerobes
365) Before you reline a complete denture you
must first do what?

establish posterior occlusion
366) What information do you need from patient
on steroids?
you want to know the duration and the dosage
before dental treatment
367) Patients _____ is the most important thing
for calculating medication dosage for a child

weight
368) Patient just had a stroke. What do you need
to worry about?
if they are on anticoagulants
369) Symptoms: No hair and missing teeth. What
is the diagnosis?
Ectodermal dysplasia
370) Pernicious anemia is caused by what?
a lack of intrinsic factor, which is required to

absorb vitamin B12 from food
371) What is hemolytic anemia
a condition in which red blood cells are

destroyed and removed from the bloodstream
before their normal lifespan is over.
372) 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 (they give example of
14 y.o pt. w/ inflamed gingiva)
373) Arm rash - what drug caused it
Penicillin allergy
374) Patient was on penicillin for 2 weeks, their
tongue is sore, what test do you do?

Fungal test
375) Picture of a red painful tongue in an
uncontrolled diabetic, what is it due to?

Malnutrition
Biopsy the red and white portions of a
376)
mixed lesion
…….
377) Most likely reason that sealants fail?
contamination
378) There is an unconscious patient in your
waiting room what is the first thing you

do?
check breathing
379) RO on pano - mucous retention cyst that
was in the maxillary sinus
What is the difference in anaphylaxis vs

380)
syncope?
anaphylaxis has wheezing and
bronchoconstriction
Extraction of tooth and patient comes back
381)
with a big infection? What is it?

Subperiosteal abscess
382)When can you use tissue conditioner and
soft reline on a complete denture ?

at anytime
383) How long should you wait to do lab relines?
6 months for lab reline

384) Picture of a patient with a very Large
diastema, what do you do?

Leave it alone
385) RL next to PM- what should you do?
refer to oral surgery(???)

386) Broken coronal portion of a canine, what do
you do?
conservative endo and
prepare post and core
387) T/F: Acid etching creates a chemical bond
FALSE- does not create chemical bond

388) Multiple odontomas are linked to what
disorder
Gardner's syndrome (colorectal polyposis)
389) After cleaning, there is still BOP. What does
this mean? Retained subgingival plaque

390) Swollen lesion on the tongue, what do you
do next?
Palpate lesion and see if firm
391) bone loss on #4
crater defect
392) Reduction of Probing Depths after SRP but
still had mobility in anterior mandibular teeth,

what do you do?
Either GTR or periodic evaluation
393) What medication can be prescribed for
candida
Fluconazole
349) Asymptomatic crowned lateral with a PA
radiolucency, what do you do?

RCT
350) 2 months after RCT tooth still had RL. What
should you do?

Monitor
351) 2 years after RCT, and still had RL. What
should you do?

Retreat
352) #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
353) Pregnant person afraid of needles?
Place her in Trendelburg position

354) 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
355) How wide should the bur for a post be?
should not be greater than 1/3 diameter

356) Tongue sticking out with normal mucosa?
Previous laceration
357) When whitening teeth what do you do?
Wait for at least 5 days before you do

restorative
358) Appliance for ortho, what is it doing?
Tipping
359) Permanent dentition with tetracycline
staining, when did this happen?

Patient ingested tetracycline when they were
between 0 and 5 years old
360) Picture of denture showing working side:
lateral movements were good
361) Perio probe picture was being incorrectly
used
……
362) Picture that asked what was wrong with the
teeth:
severe caries
363) Patient with lateral periodontal abscess,
what is initial treatment?

Debridement?
364) Contraindication for anti-sialogogue:
glaucoma
365) Final impression for denture:
want to cover tissue with little force

366) 5 month old pregnant with rheumatic fever
and heart murmur: pre med?

NO
367) Case: if patient was given kidney transplant,
how would this change the treatment:
would need to premedicate the patient
because they would be
immunosuppressed
368) Panoramic with black dots and lines, what
is this due to?

Static electricity
369) Case question: how much attached gingiva
on lingual of #25
5mm
370) Picture of tongue with inflamed lingual
tonsils
reassure patient and re-evaluate

371) True of old patient on medication
drugs don't last as long because less lipid

solubility in old people?
Picture of leukoplakia, what do you ask
372)
patient?
Do you use smokeless tobacco
373) Baby with severe caries:

baby bottle caries
374) Angles classification: Class 2 division 1
375) Angles classification: Class 2 division 2
376) Difficulty turning neck is a sign of...

Eagle Syndrome [elongated styloid process]
377) Ulcers that recur
recurrent aphthous ulcers
378) Tx for Large Diastema
Leave alone
379) Radiolucency around crown (CEJ)
impacted molar is likely...
dentigerous cyst
380) Blue sclera are a sign of...
osteogenesis imperfecta
dentin dysplasia
381) Treatment for Dry Socket
Irrigate and pack with iodoform with eugenol
382) In HIV patients, avoid treatment that...
causes bleeding
383) Gingival Hyperplasia is caused by (3)
-Cyclosporine
-Ca Channel Blockers
-Anticonvulsants (Dilantin)
384) Tetracycline staining in permanent
dentition occurs with pt is....
0-5 yr old
385) Contraindication for anti-sialogogue
Glaucoma
386) Considerations for Rx in Elderly Pt
-Decrease dose of fat solible, water soluble,
and highly protein bound medications
-fat soluble drugs are more widely distributed,
therefore drug effect is less intense but lasts
longer
387) Pt is on: ASA, PCN, Naproxen, Estrogen.
Which causes increased probing depth?
estrogen
388) Isosorbide is used for
angina
CHF
389) Probantine is an...
anti-sialogogue
390) Tetracycline binds to...
calcium components of bones and teeth
391) Antagonist for Percodan -naloxone
392) HTN is related to...
being overweight
393) Pt is a poorly controlled diabetic with
diseased gums. Tx?

Hold off on restorative and perio and refer to
physician for consult
394) Knuckle stiffness is a sign of...
meningitis
395) A DNA probe is used to...
see what alleles cause a disease

396) Cause of dysgeusia
radiation tx
397) Xerostomia can cause...
retrograde salivary infection

398) Tx - Pregnant pt in 3rd Tri with hypotension
lay on left side

399) Test to assess hemophiliac
PTT
400) Infectious mono would show on a ...
positive mono spot test

401) To replace missing maxillary anterior teeth,
what type of implant is best?

Endosseous
402) Pt missing #2 and #3. #1 has mobility and
furcation involvement. Tx?

EXT #1
IMP #3
(and IMP #2)
403) Possible implant complication
penetrate nasal cavity

404) What aspect cannot be determined from a
radiograph for implant placement?

facio-lingual width of alveolar bone
405) Most important consideration for implants
space between roots

406) Implants are placed with...
high torque
low speed
407) Important factor for Major Connector in
RPD- rigidity
408) Reason for using non-rigid fixed retainers
in RPD
correct path of insertion
409) Cheilitis occurs when there is...
increased interocclusal space
(decreased VDO)
410) Why is it necessary to remove flabby,
moveable tissue prior to denture fabrication?
so denture has a firm base
411) Why do we complete a perio cleaning
prior to extractions for immediate dentures?
Healthy tissue heals more quickly
412) Purpose of an indirect retainer
prevent displacement
413) What type of basal cell nevus is
premalignant? Junctional type
414) What muscle is affected by overextension
of mandibular distobuccal flange?

masseter
415) Dx - Xray shows teeth with no pulp
chamber
Dentinogenesis imperfecta
416) If a pt has multiple osteomas... likely to
have? Gardner's syndrome

417) Oval patch in midline of tongue
-Dx
-Tx
Dx: Median rhomboid glossitis
Tx: Nystatin
418) Unilateral enlargement of maxilla w/ xray
showing ground glass appearance

Fibrous dysplasia
419) Cotton wool pattern of bone with
hypercementosis is a sign of...

Paget's disease
420) Positive Nikolsky's sign is seen with...
Pemphigus vulgaris
421) Clinical appearance - DI
opalescent teeth
422) Dx & Tx- multiple white lesions, sore gums
& tongue, fever = 101

Dx: Primary Herpetic Stomatitis
Tx: Palliative care
423) Cause & Appearance - Kaposi's sarcoma
cause: HIV
appearance: purple lesions on palate
424) Signs of Ectodermal Dysplasia
-missing teeth
-thin/sparse/no hair
425) Tx for Symptomatic Lichen Planus
Corticosteroids
426) Appearance - Mucous Retention Cyst
radiopacity in maxillary sinus, evident on

panoramic
427) X-ray reveals left maxillary central incisor is
impacted and there is a large radiopaque

structure
Odontoma
tx- surgical removal, ortho to bring central
down
428) Radiolucency behind permanent 2nd molar
when no 3rd molar is present

Primordial cyst
429) Appearance - dentigerous cyst
radiolucency around impacted molar (at CEJ)

430) Appearance & Tx - Pleomorphic Adenoma
firm, benign growth in posterior palate or

mandibular angle
tx: surgical removal
431) Appearance & Tx - Traumatic Bone Cyst
-radiolucency that scallops around tooth roots
-leave alone, no tx, observe [or surgical
curettage?]
432) Radiopacity surrounding apex of root
Focal Sclerosing Osteomyelitis

433) Hereditary Telangietasia
-abnormal blood vessel formation in skin &

mucous membranes
434) When can't a patient use Ketoconozole?
When they are taking erythromycin

435) What antibiotic is present in gingival
crevicular fluid?
Tetracycline
436) What antibiotic is best for tx odontogenic
infections? Pen VK
437) What is the main adverse effect of
Erythromycin?
GI upset
438) What is the main adverse effect of nitrous
oxide? nausea
439) What causes mydriasis?
anti-cholinergics
440) What is the efficacy of a drug?
maximum response of that drug

441) How does Prozac work?
serotonin inhibitor [SSRI]
442) Narcotic Antagonists
-Flumazenil
-Naloxone
443) For a 5 year old, what dose of F in water is
necessary so they will not need other

supplementation?
0.75 ppm
444) Concentration of NaF
0.01%
445) What Ca Channel blocker causes gingival
hyperplasia?
Nifedipine
446) What drug tx ventricular arrhytmia?
Lidocaine (???)
447) What drug cannot be given to a pt with a
head injury? Opioids

448) Pt with peptic ulcers should not take...
steroids
449) Drug to tx Parkinson's
L-Dopa and Carbidopa

450) What is therapeutic index?
LD50/ED50
451) What drug demonstrates redistribution?
Thiopental
452) Symptoms - Hyperthyroidism
-exopthalmous
-tachycardia
-tremor
453) Symptoms - Hypothyroidism
-fatigue
-weight gain
-deepened voice
-dry skin
454) What does it mean if an HIV ELISA test was
negative for a person who had a needle stick?

That person has no antibodies to HIV present
455) Major Complication - Phlebitis
pulmonary emboli
456) CI for Hyperthyroid Pt
local w/ vasoconstrictor (epi)

457) Def - Anemia
reduced oxygen carrying capacity of blood

458) Hemolytic Anemia
RBCs destroyed from chemicals

459) Thalassemia
hemoglobin deficient & RBCs arw short lived,
due to defective gene
460) Pernicious anemia
excess of immature RBCs due to inability to

absorb B12
461) Tx for allergic rxn
corticosteroids
462) Yellow defect on facial surface of anterior
teeth is caused by?

abrasion
463) Tx for pt whose BGL = 360?
do not treat, send for immediate medical

consult
464) Dx - 14 pt with inflamed gingiva, elevated
WBC, and sore lymph nodes

Leukemia
465) Pt labs: phosphorous levels normal, alkaline
phosphatase = elevated, Dx?

Paget's Disease
466) When does hypoglycemia occur?
Blood sugar levels drop below 80

467) Diabetic ketoacidosis
Occurs when there isn't enough insulin to
move glucose into cells
Warm, red, and dry skin
468)***Hereditary Telegnastia is associated
with?
Iron deficiency problems (not b12 or folate)
469) ***Gives pic of red/white lesion and asks
how to go further.
Biopsy the red AND white portions of mixed
lesion
470) Multiple questions about ERUPTION &
looking at BW to see if it's normal
KNOW ERUPTION SEQUENCES
471) Multiple Odontoma questions
472) ***Worst vert bone loss -
distal of #13
473) ***GTR best for what class of furcations
CLASS 2 (I had 2 class 2 furcations to choose
from, i picked the one that had lesser pocket
depths - it asked 'most ideal')
474) lip with bluish lump
Mucocele
Purple lesion of lip=hemangioma
475) frontal view of teeth: left side oclusion,
right side has a step - where is the fracture?
MIDLINE
476) upper max molar area - RL with corticated
border. edentulous spaces are present

sinus pneumatization (sinus moving down -
normal)
477) SLOB rule
same lingual, opposite buccal. If you move

Xray towards mesial, then the LINGUAL root
will ALSO move mesial (and the MB & DB
roots will move opposite)
478) *Condylar inclination on articulator =
*protrusive record
479) mass in post palate - benign:
pleomorphic adenoma
480) tx for pleomorphic adenoma
sx removal
481) mass in mandibular angle
pleomorphic adenoma (hmm it must have

been a clinical photo not radio...)
482) lower central inc xray: NEGATIVE pulp
vitality test, asympt, no caries, RL around

apices - cause & tx?
trauma, endo
483) Xray of RL lateral to VITAL tooth - dx?
lateral periodontal cyst

484) tx for lat perio cyst?
sx removal
485) immediate dentures - EXT all teeth except
which ones?
#12 & 21 ONLY
486) swelling at mand angle - now what?
take xray
487) U shaped major connector - biggest
function is to provide
RIGIDITY (not reciprocation, retention etc)
488) identify nicotinic stomatitis
489) coumadin blood test?
PT
490) best cement to improve retention for a
short crown? resin cement
491) pic of lingual bone cavity
stafnes defect pic

492) xray of mandible with sialolith, what view
is this?
occlusal
493)

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What are some important considerations when preparing teeth for crowns?

What are some important considerations when preparing teeth for crowns?

What are some factors to consider when communicating treatment plans to the lab and patient?

What are some factors to consider when communicating treatment plans to the lab and patient?

ADEX DSE Remembered Questions

1) Minimum axial reduction for a crown?

distal, very light occlusion with #3, space is

with large MO amalgam

polish teeth first

area, should be tx with?

study cast or diagnostic wax up

more removal of tooth structure

(natural) teeth is likely to have...

distal of female component

patients? patients with low dexterity

soft reline on a CD? anytime

check vertical dimension

should you do?

counterbalance the retentive clasp

surgical removal of tori

removed? 24 later by dentist

when ridges resorb

pt is never without teeth

to consider... tongue space

Max denture teeth? arch form

upper and lower molars, what should you do?

from-excessive depth of palatal seat

adaptation of the matrix band

does NOT create chemical bonds

observe until canine erupts

maintain periodontal attachment

measures pH changes on tooth enamel

Conservative endo w/ post and cor

What is large pulp from?

but pt is still in pain. Tx?

what? Central Fossa on #3

0.5 - 1.0 mm from radiographic apex

Periodontal cyst, surgical removal

what? tipping forces

Class II, Div I

after SRP. What happened?

probing depth after SRP?

Retained subgingival plaque

one sided defect

two or three sided defect

four sided (circumferential) defect

but still had mobility in mand ant teeth. Tx?

if probing depths get worse

xray? pocket depth

widened PDL space

Debridement, Scaling, Antibiotics

0.5 - 1.0 mm per day

Linear gingival erythema

Dx? Subperiosteal abscess

issues. Tx? None

to immobilize the flap

go from moveable to fixed tissue

instrument? Cryer (aka East/West)

with 3rd molar and move mesial?