Toughest root canal
Retricted mouth opening
Deep decay
Upper second molar
Open sinus lift with tenting
Implant after extraction
Implant # 20
Implant # 30
Irreversible pulpitis
2 step necrotic case
Series of cases
SS reamers and files
Single visit RCT
Resorption due to ortho
Apico retreatment
Apical perforation
Funky canine
Crown preparation
Two tough molars
Epiphany recall
3 canals upper Bi
Acute pain
Dental decay
Calcified chamber
Mandibular first molar
Ultrasonic activation
Fluorosis
TF and patency
Interim dressing
Huge lesion
MB2 or lateral
Gutta percha cases
Another calcified
Big Perf
Canals and exit
Dam abuse
Amalgam replacement
Simple MTA case
MTA barrier
Restoration with simile

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fungiforma small, dark red papilla on the middle and anterior dorsal sides of the tongue What is oropharyngeal obstruction by the tongue?  Blockage of the airway where the tongue and pharynx touch. Nasopalatine branch of trigeminal nerve regulates the sensations to the nose and palate
Cyanosis
Is the bluish color of the skin
What are 3 ossicles of middle ear?
malleus, incus, and stapes.
Nasociliary branch of trigeminal nerve regulates sensation to nose, eye, and eyebrow
Orbicularis orbis
circular muscle that surrounds the mouth
What is mentalis muscle?
facial muscle that moves chin tiddue and raises or lowers the lower lip
lacrimal branch of trigeminal nerve provides sensation for the tear gland
Plasma cells
produce antibody specific for bacterial antigen
What is deglutition?
action of swallowing
frontal sinus is located in the forehead above the eyes
Hypoxia
Low oxygen levels in the tissue
What is aspiration?
A sedated state and in a semi-reclined position, the swallowing refelex may be depressed.
Trachea  Is a cartilage ring and membranous tube structure beginning at the inferior and the larynx, descending in the chest anterior to the esophagus, and ending at the carina.
Parotid gland
Low oxygen levels in the tissue
What is stage 2- Delirium or exitement?
This stage begins at the loss of consciousness and ends at the onset of a regular pattern of respiration and disappearance of the eyelid reflex. During this stage the patient may experience irregular respiration, agitation, dilated pupils, and active or purposeless muscular activity,
Gas exchange or respiratory system  The gas exchange area of the lung actually begins with the respiratory bronchioles and ends at the pulmonary alveolus
There are 14 bones in the face The duct that comes off the sublingual gland is called Whartons duct The glands that lie on the floor of the mouth are the Sublingual
Tachycardia
Rapid beating of the heart, conventionally applied to rates over 90 beats per minute.
What is cementum?
Cementum covers the outside root of the tooth
Submandibular glands  The glands that lie on either side of the tongue are called submandibular
Father of modern denstistry
G V Black
What 3 scientific disciplines are combined to make up the field of Dental Science Materials?
Dentistry, Materials Science and Biological Sciences
Father of Dentistry
Pierre Fauchard: he wrote (Treatise of Restorations) (Proven by DNA test)
Internal resorption
is caused by cells located in dental pulp. Rare, usually follows injury to pulpal tissues. dentin is eating away (dentinoplasts)
Visible environmental enamel defects can be classified into one of three patterns:
1. Enamel hypoplasia
2. Diffuse opacities of enamel
3. Demarcated opacities (spotty) of enamel
External resorption  is caused by cells in the periodontal ligament. Most patients are likely to have root resorption on one or more teeth
Enamel hypoplasia  pits, grooves, or larger areas of missing enamel Diffuse opacities of enamel
variations in translucency or normal thickness; increased white opacity with no clear boundary with adjacent normal enamel. the affected enamel is of normal thickness
attrition accelerated by
poor quality or absent enamel, premature edge-to-edge occlusion, intraoral abrasives, erosion, and grinding habits
Demarcated opacities (spotty) of enamel  areas of decreased translucence, increased opacity, and a sharp boundary with adjacent enamel; normal thickness common pattern of enamel loss due to high fever (measels, chicken pox, scarlet fever) age 2 and age 4
age 2: Horizontal rows of pits or diminished enamel are present on the anterior teeth and first molars. The enamel loss is bilaterally symmetric, and the location of the defects correlates well with the developmental stage of the affected teeth
age 4 : cuspids, bicuspids and 2nd molars are affected in similiar way
turner's hypoplasia caused by two different things most frequently affects
1. caused by periapical inflammatory disease of the overlying deciduous tooth. The altered tooth is called a Turner's tooth.It can also be caused by trauma to decidious teeth causing dilaceration (a bend in the tooth root)or disorganization of the bud resembling a complex odontoma
2. perm bicuspids due to caries in the primary molars
Anatomical crown  the portion of the tooth covered with enamel Buccinator
compresses the cheeks against the teeth
Spongy bone
is called cancellous bone
Dens in dente  invagination of enamel resembling a deep lingual pit with close proximity to the pulp- produces deep lingual pit what does dens in dente appear like radiographically?
appears as a tear drop or hourglass shaped invagination of enamel, with narrow constriction at the opening of the tooth surface
where does dens in dente most commonly occur?
in maxillary lateral incisors

Prognosis 1st based on what two factors
neg PST, non-smoker
12 steps of prognosis of dentition  Desire of pt,loc of remaining teeth,amt of gen bone loss,relationship of bone loss-age,response to previous tx,chronology&actv of disease,systemic health,occlusion,habits,avail of tx & maint care, summarized px of individual teeth 4 classifications of prognosis
good, fair, poor, hopeless
p/u antigen protein & present to macrophage
Helper T - Cells
8 components of bacterial toxonomy
morphology, metabolism, gram staining, motility, dark field microscopy, immunofluorescent staining, DNA analysis, culture techniques
3 types of differentiated T-cells
helper, killer, suppressor
Immunity characterized by T-cells
cell mediated
What is Nitrous Oxide / Oxygen Inhalation Conscious Sedation?
The patients ability to independently and countinously maintain an airway and respond appropriately to physical stimulation and/or verbal command
Immunity characterized by B-cells
humeral
Define HYPERVENTILATION(Respiration Rate)?
A increase above the required alveolar ventilation which, is above 35
A patient who is sedated may have?
a decreased minute respiratory volume (respiratory depression) b/c of a tidal volume or a decreased respiratory rate
What is Expired Reserve Volume(1100m/l)? amount of air that can be expired over and above the tidal volume
The gas flow is measured in?
liters per minute (L/min)
What will happen if a patient become hyper or excited?  A patient who becomes hyperactive or excitable while under sedation will increase respiratory rate(hyperventilation) and may decrease their tidal volume What if a patient has bronchitis or bronchiolitis?  They may experience obstruction to adequate air flow. This factor may make some a poor candidate for an inhalation conscious sedation procedure
What is diffusion?
The exchange of new air
A depression of the control center by a?
Central Nervous System Depression (CNS) secondary to the inhalation conscious sedation will obviously affect the respiration
What is dyspnea?
shortness of breath
What would be considered as severe hypoxia?
BRADYCARDIA
Define Direct Supervision?
The dentist is responsible for the sedation/anesthesia procedure shall be physically present in the office and shall be continuously aware of the physical status and well-being
What is a decreased heart rate?
Bradycardia
What is the best prevention of oversedation?
Your close observation of the patient
The pressure of the gas remains at what PSI until the majority of the liquid is gone?
750 PSI
How long should you give an o 2 flush?
3-5 minutes of oxygen
Father of modern denstistry
G V Black
What is the rule on any new patient on the initial visit should have?
a complete medical history and a limited physical examination performed and recorded in the chart?
Father of Dentistry
Pierre Fauchard: he wrote (Treatise of Restorations) (Proven by DNA test)
Internal resorption
is caused by cells located in dental pulp. Rare, usually follows injury to pulpal tissues. dentin is eating away (dentinoplasts)
Visible environmental enamel defects can be classified into one of three patterns:
1. Enamel hypoplasia
2. Diffuse opacities of enamel
3. Demarcated opacities (spotty) of enamel
External resorption  is caused by cells in the periodontal ligament. Most patients are likely to have root resorption on one or more teeth
Enamel hypoplasia  pits, grooves, or larger areas of missing enamel Diffuse opacities of enamel
variations in translucency or normal thickness; increased white opacity with no clear boundary with adjacent normal enamel. the affected enamel is of normal thickness
attrition accelerated by
poor quality or absent enamel, premature edge-to-edge occlusion, intraoral abrasives, erosion, and grinding habits
Demarcated opacities (spotty) of enamel  areas of decreased translucence, increased opacity, and a sharp boundary with adjacent enamel; normal thickness common pattern of enamel loss due to high fever (measels, chicken pox, scarlet fever) age 2 and age 4
age 2: Horizontal rows of pits or diminished enamel are present on the anterior teeth and first molars. The enamel loss is bilaterally symmetric, and the location of the defects correlates well with the developmental stage of the affected teeth
age 4 : cuspids, bicuspids and 2nd molars are affected in similiar way
turner's hypoplasia caused by two different things most frequently affects
1. caused by periapical inflammatory disease of the overlying deciduous tooth. The altered tooth is called a Turner's tooth.It can also be caused by trauma to decidious teeth causing dilaceration (a bend in the tooth root)or disorganization of the bud resembling a complex odontoma
2. perm bicuspids due to caries in the primary molars
Anatomical crown  the portion of the tooth covered with enamel Buccinator
compresses the cheeks against the teeth
Spongy bone
is called cancellous bone
Dens in dente  invagination of enamel resembling a deep lingual pit with close proximity to the pulp- produces deep lingual pit what does dens in dente appear like radiographically?
appears as a tear drop or hourglass shaped invagination of enamel, with narrow constriction at the opening of the tooth surface
where does dens in dente most commonly occur?
in maxillary lateral incisors


K 3 lightspeed
Crown replacement
Root reinforcement
Vertical root fracture
Periodontal pocket
Cox crapification
Cold sensitivity
Buccal sinus
Nikon 995
Distal canals
Second mesial canal
Narrow escape
Membrane
Severe curvatures
Unusual resorption
Huge pulpstone
Molar access
Perforation repair
Maxillary molars
Protaper shaping
Pulsing pain
Apical periodontitis
Mesial middle
Isthmus protocol
Fragment beyond apex
Apical trifurcation
Jammed K file
Mesial canals
Irreversible pulpitis
Bicuspid abscess
Sideways molar
Red Dye allergy
Small mirrors
Calcified molar
Extraction and implants
Calcificated central
Internal resorption
Bone lucency
Porcelain inlay
Bone allograft
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