WREB Exam Questions and Answers Graded A

Considerations for restoring a tooth (6): 1) Perio: biologic width, bone loss, crown lengthening 2) Restorability: remaining tooth structure, ferrule 3) Pulpal health: is endo required 4) Occlusion: interocclusal space, tipping of teeth 5) Proximity to sinus or to IA if placing implants 6) Material If referring to specialist, what does the patient need to know (3): 1) Why they're being referred 2) Address, name, number of specialist 3) Instructions to return to office after diagnosis/treatment 00:02 01:22 If referring to specialist, what does the specialist need to know (5): 1) Your diagnosis or differential 2) Patient medical history or treatment considerations 3) Patient name, number, address 4) Instructions for what you would like them to do: consult, treatment, endo and leave post space, etc. 5) Radiographs What are considerations for ABX (4)? 1) Patient age and weight 2) Medications currently taking that could adversely react 3) Allergies 4) Mode of delivery, can patient swallow tablets? Prescription should include (6): 1) Medication with the mode of delivery and amount ex. Amoxicillin Elixir 125mg/5cc 2) Disp: (how many you're giving) ex. 40 tablets 3) Sig: (detailed instructions take (x)/mode of delivery/frequency/reason/how long) ex. take one (1) tablet by mouth q 6hrs until gone for infection. Please take with food. 4) Refills ex. No refills 5) Generic? ex. Generic ok 6) Doctor's signature ex. Chris Evans, DMD Etiology of hypocalcification spots (2): 1) Demineralization part of caries process 2) Developmental non-demineralized Treatment of hypocalcification spots (5): 1) Tooth whitening 2) Abrasion and remineralization 3) MI paste 4) Composite restoration 5) Veneers Considerations for placing finish lines on crowns (5): 1) Resistance and retention form 2) Periodontal health 3) Restorability 4) Pulpal health of tooth 5) Esthetics What does an RPI consist of (3): 1) Mesial rest 2) Distal guide plane 3) I-bar (specify undercut) ABX doses: 1) Amoxicillin: 2g (4, 500 mg tabs) orally 60min before appointment (50mg/kg, not exceeding adult dose, 60min before appt.) 2) Clindamycin: 600mg (4, 150mg tabs) orally 60min before appt. (20mg/kg 60min before appt.) 3) Clarithromycin: 500mg (2, 250mg tabs) orally 60min before appt. (15mg/kg 60min before appt.) Reasons to pre-med (4): 1) Prosthetic cardiac valve or prosthetic material used for cardiac valve repair 2) A history of infective endocarditis 3) A cardiac transplant that develops cardiac valvulopathy 4) The following congenital (present from birth) heart disease: -Unrepaired cyanotic congenital heart disease, including palliative shunts and conduits - Completely repaired congenital heart defect with prosthetic material or device, whether placed by surgery or by catheter intervention, during the first six months after the procedure -Any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or a prosthetic device (that inhibit endothelialization) No longer need pre-med: Mitral valve prolapse Rheumatic heart disease Bicuspid valve disease Calcified aortic stenosis Congenital (present from birth) heart conditions not listed above, such as ventricular septal defect, atrial septal defect and hypertrophic cardiomyopathy