OSCE EXAM REVIEW QUESTIONS WITH
ACCURATE SOLUTIONS 2026
▶ TX fro a child with a neck swelling can possibly be related to ___ and
_____. Answer: mandibular 3rd molar and incision and drainage
▶ osteoradionecrosis is more common in ?. Answer: the mandible.
- probably because of the richer vascular supply ot hte maxilla and the fact
that the mandible is more frequently irradiated.
- osteoradionecrosis is necrosis of bone, produced by ionizing radiation.
▶ Name of pathology: Patient returns 48-72 hours after extraction with pain
and fetid odor?
TX: (3)?. Answer: fibrinolytic alveolar osteotitis (dry socket or local osteitis)
tx is to irrigate extraction site and treat with iodonform gauze and eugenol.
▶ Patient presents with a blood clot after extraction (post surgical sequela)
Most likely a ___ clot.
Tx:? (3). Answer: liver clot
remove with curette, apply pressure, and reassess
▶ if a PERMENANT tooth is avulsed,
1. scrub clean?
2. place in milk of hanks balanced salt solution?. Answer: do not scrub
clean, will kill cells
yes place in milk of hanks balanced salt solution
▶ t/f; traumatic ulcer can occur after tooth extraction? ill fitting dentures.
Answer: true and true
,▶ t/f? prophy teeth after extraction to reduce plaque and bacteria?.
Answer: false before extraction allow better healing of tissue during post
surgery healing
▶ If a patient takes asprin after reviewing thier medical history, they may
have excessive ____ after extraction. Answer: excessive bleeding
▶ A patient taking coumadin requires a tooth extraction. What test are
needed?. Answer: PTT and INR
▶ Normal PT/INR. Answer: PT: 10-13s (greater than or equal to 2.5)
INR: <1.2 (less than or equal to 3.5)
▶ After SRP, you would typically find reduciton in inflammation and ___-
___mm probing depth (pocket reduction). Answer: 1-2mm
▶ A 6-7mm pocket with continued BOP depsite good oral hygiene and root
planning would result from ______ or ____. Answer: retained subginval
bacteria or calculus
▶ The best way to detemrine if a ptients periodontal condition is stable is if
there is ______.. Answer: no increase in pocket depth
▶ What are the two most significant factors that influence the course of
periodontal disease ?. Answer: furcation involvement and pocket depth
▶ Best (inital and most effective ) treatment of ANUg is ?. Answer: SRP
(debridement)
▶ t/f: ANUG can cause foul(bad breath). Answer: true
▶ name type of treatment: treatment is SRP and place gingival graft and is
V shaped ?. Answer: Stillmans cleft
▶ The common goal of flap surgery is toe access ___ for ___ to allow
pocket elimination. Answer: access roots for debridement to allow pocket
elimination
▶ healing of what type of epithelum occurs after raising a flap?. Answer:
long junctional epithelium
,▶ The normal width of kertatinized gingiva in the mandibular anterior region
is ?. Answer: 3-4mm
▶ Drugs like Naproxene, penicllin, and Asprin ________pocket depth.
Tetracyclines (arestin) _____ pocket depth in conjunction with SRP.
Answer: do not increase pocket depth
can increase pocket depth in conjunction with srp
▶ Measurement in millimeters of the depth from the gingival margin to the
epithelial attachment in unhealthy gingival tissue is the ____?. Answer:
pocket depth
▶ distance from the free ginval margin to the cej of the tooth measures?.
Answer: recession
▶ Furcation involvement:
Class I tx? Pocket depth?
Class II tx? Pocket depth?
Class III tx? Pocket depth?
Class IV tx? Pocket depth?
Class V tx? Pocket depth?. Answer: class I: treated with scrp, less than
3mm depth
class II; SRP followed by Guided tissueregernation with bone graft and
membraine barrier to prevent epithelial migration into the furcaito and allow
bone migration, idfferntiaion, an matureation of the area. At least 3mm
depth
Class III/IV: success is limited, tunnerlizaiton is used to created a tunnel
throug hthe furcaiton to allow an interproximal brush to clean th efurcation.
Greater than 2mm with Nabers probe. Goes through the enter width of the
tooth so no bone is attached to the angle of the furcation
, ▶ Furcation involvement
Measured with what instrument. Answer: A loss of alveolar bone and
periodontal ligament fibers in the space between the roots of a multirooted
tooth
Nabers probe
▶ Furcation involvment with worst prognosis? (1)
Best prognsisis (2)
limited prognosis:(2). Answer: grade 4: worst
1/2 best
3/4 limited
▶ Goal of GTR is to use __ membrane to direct grown of new ____ -and
___ in deficient areas to promote regeneration of the PDL, cemental
attachment and alveolar bone. Used after extractions of bony defects.
Answer: BARRIER MEMBRANES
BONE AND GINGIVAL TISSUE
▶ ____ is a protein cytokine activated by macrophaes and neutrophils that
proceduces periodontail inflammation. Answer: interluekin 1 (IL-1)
▶ Oclcusal trauma can contribute to periodontal disease by causing a ____
of the ___and ______ along with mobile teeth. Answer: widening of the
PDL
bone resorption
▶ t/f: stain on the lingual surface of manibular teeth is primarly caused by
periodontal disease ?. Answer: false , by extrnsic staining from diet and
medication
▶ Name 3 things that affect periontial progress?. Answer: pocket depth
furcation involvment
patient hygiene and compliance
ACCURATE SOLUTIONS 2026
▶ TX fro a child with a neck swelling can possibly be related to ___ and
_____. Answer: mandibular 3rd molar and incision and drainage
▶ osteoradionecrosis is more common in ?. Answer: the mandible.
- probably because of the richer vascular supply ot hte maxilla and the fact
that the mandible is more frequently irradiated.
- osteoradionecrosis is necrosis of bone, produced by ionizing radiation.
▶ Name of pathology: Patient returns 48-72 hours after extraction with pain
and fetid odor?
TX: (3)?. Answer: fibrinolytic alveolar osteotitis (dry socket or local osteitis)
tx is to irrigate extraction site and treat with iodonform gauze and eugenol.
▶ Patient presents with a blood clot after extraction (post surgical sequela)
Most likely a ___ clot.
Tx:? (3). Answer: liver clot
remove with curette, apply pressure, and reassess
▶ if a PERMENANT tooth is avulsed,
1. scrub clean?
2. place in milk of hanks balanced salt solution?. Answer: do not scrub
clean, will kill cells
yes place in milk of hanks balanced salt solution
▶ t/f; traumatic ulcer can occur after tooth extraction? ill fitting dentures.
Answer: true and true
,▶ t/f? prophy teeth after extraction to reduce plaque and bacteria?.
Answer: false before extraction allow better healing of tissue during post
surgery healing
▶ If a patient takes asprin after reviewing thier medical history, they may
have excessive ____ after extraction. Answer: excessive bleeding
▶ A patient taking coumadin requires a tooth extraction. What test are
needed?. Answer: PTT and INR
▶ Normal PT/INR. Answer: PT: 10-13s (greater than or equal to 2.5)
INR: <1.2 (less than or equal to 3.5)
▶ After SRP, you would typically find reduciton in inflammation and ___-
___mm probing depth (pocket reduction). Answer: 1-2mm
▶ A 6-7mm pocket with continued BOP depsite good oral hygiene and root
planning would result from ______ or ____. Answer: retained subginval
bacteria or calculus
▶ The best way to detemrine if a ptients periodontal condition is stable is if
there is ______.. Answer: no increase in pocket depth
▶ What are the two most significant factors that influence the course of
periodontal disease ?. Answer: furcation involvement and pocket depth
▶ Best (inital and most effective ) treatment of ANUg is ?. Answer: SRP
(debridement)
▶ t/f: ANUG can cause foul(bad breath). Answer: true
▶ name type of treatment: treatment is SRP and place gingival graft and is
V shaped ?. Answer: Stillmans cleft
▶ The common goal of flap surgery is toe access ___ for ___ to allow
pocket elimination. Answer: access roots for debridement to allow pocket
elimination
▶ healing of what type of epithelum occurs after raising a flap?. Answer:
long junctional epithelium
,▶ The normal width of kertatinized gingiva in the mandibular anterior region
is ?. Answer: 3-4mm
▶ Drugs like Naproxene, penicllin, and Asprin ________pocket depth.
Tetracyclines (arestin) _____ pocket depth in conjunction with SRP.
Answer: do not increase pocket depth
can increase pocket depth in conjunction with srp
▶ Measurement in millimeters of the depth from the gingival margin to the
epithelial attachment in unhealthy gingival tissue is the ____?. Answer:
pocket depth
▶ distance from the free ginval margin to the cej of the tooth measures?.
Answer: recession
▶ Furcation involvement:
Class I tx? Pocket depth?
Class II tx? Pocket depth?
Class III tx? Pocket depth?
Class IV tx? Pocket depth?
Class V tx? Pocket depth?. Answer: class I: treated with scrp, less than
3mm depth
class II; SRP followed by Guided tissueregernation with bone graft and
membraine barrier to prevent epithelial migration into the furcaito and allow
bone migration, idfferntiaion, an matureation of the area. At least 3mm
depth
Class III/IV: success is limited, tunnerlizaiton is used to created a tunnel
throug hthe furcaiton to allow an interproximal brush to clean th efurcation.
Greater than 2mm with Nabers probe. Goes through the enter width of the
tooth so no bone is attached to the angle of the furcation
, ▶ Furcation involvement
Measured with what instrument. Answer: A loss of alveolar bone and
periodontal ligament fibers in the space between the roots of a multirooted
tooth
Nabers probe
▶ Furcation involvment with worst prognosis? (1)
Best prognsisis (2)
limited prognosis:(2). Answer: grade 4: worst
1/2 best
3/4 limited
▶ Goal of GTR is to use __ membrane to direct grown of new ____ -and
___ in deficient areas to promote regeneration of the PDL, cemental
attachment and alveolar bone. Used after extractions of bony defects.
Answer: BARRIER MEMBRANES
BONE AND GINGIVAL TISSUE
▶ ____ is a protein cytokine activated by macrophaes and neutrophils that
proceduces periodontail inflammation. Answer: interluekin 1 (IL-1)
▶ Oclcusal trauma can contribute to periodontal disease by causing a ____
of the ___and ______ along with mobile teeth. Answer: widening of the
PDL
bone resorption
▶ t/f: stain on the lingual surface of manibular teeth is primarly caused by
periodontal disease ?. Answer: false , by extrnsic staining from diet and
medication
▶ Name 3 things that affect periontial progress?. Answer: pocket depth
furcation involvment
patient hygiene and compliance
