DENTISTRY
DENTISTRY
DENTISTRY
03/05/21 11:20 PM
6) Ingredients of toothpaste-
a. Fluoride- prevent tooth decay by decreasing plaque accumulation and
streptococci bacteria
b. Abrasives- Calcium carbonate- cleaning and polishing agents
c. Foaming agent- sodium Lauryl Sulfate
d. Antibacterial- Triclosan- helps prevent gingivitis, periodontitis
7) Function of toothpaste
a. Proper cleaning
b. Removal of dental plaque
c. Reduction of bacteria
d. Fluoride prevents tooth decay
8) Herbal toothpaste-
a. They use concentrated herbs and oils
b. Eg neem, babool, laung
c. Base material- calcium carbonate
d. Does contain fluoride
9) Senstivity toothpaste-
a. Contain strontium chloride and potassium nitrate
b. mild abrasive
c. sensitive toothpaste has additives that help desensitize or protect the
sensitive parts of your teeth. Dentin is the layer under the enamel of
your teeth. As the enamel wears away, it exposes the dentin, which is
sensitive to touch and temperatures.
d. Sensitivity toothpastes work by either covering up exposed dentinal
tubules or by desensitizing the nerve endings in the dentinal tubules.
Sensitive toothpastes also contain fluoride, which has been shown to
strengthen tooth enamel and prevent tooth decay.
10) What causes senstivity
a. Sensitive teeth are typically the result of worn tooth enamel or exposed
tooth roots. Sometimes, however, tooth discomfort is caused by other
factors, such as a cavity, a cracked or chipped tooth, a worn filling, or
gum disease.
b. brushing your teeth too hard · using a hard toothbrush · grinding your
teeth at night · regularly eating or drinking acidic foods
11) What causes bad breath?
a. Improper oral hygiene
b. Gingivitis
c. Bacterial accumulation at the back of the tongue
12) MOUTHWASHES-
a. Liquid products used to rinse our teeth gums and mouth. Usually contain
an antiseptic to kill harmful bacteria
b. Can be used for- bad breath, plaque, , xerostomia, gingivitis
c. Ingredients- chlorhexidine - antiseptic, essential oils such as menthol,
fluoride- anti cavity
13) Smoking- Chemicals in tobacco products affect saliva flow in the mouth,
making it easier for oral bacteria to stick to teeth and gums.
a. Smoking affects the normal function of gum tissue, causing infections and
restricting blood flow. It also delays healing after oral surgery for
dental implants, tooth extraction or treatment of gum disease. This makes
the recovery process difficult. When brushing or flossing, smokers may
notice that their gums bleed easily.
Leads to oral cancer
4. Changes teeth and breath – Smoking can stain teeth to a yellow
color and also cause bad breath.
19) Bleaching- Lightening the colour of discoloured tooth. Breaks double bonds
into smaller single bonds. Hydrogen peroxide. Sodium bicarbonate. Ultrasonic
bleaching- euphoria- mouth cap with sodium bicarbonate.
20) Dental clinic- 10- 15 lacs
○ Dental chair
○ Instruments
○ Sterlization area, waiting area
○ Radiographic machine
○ Autoclave machine
25) Amalgam
Dental amalgam fillings may release small amounts of mercury in the
form of a vapor (gas), depending on the number and age of existing
fillings, and actions such as tooth grinding and gum chewing. When a
new amalgam filling is placed or an old filling is removed, patients and
healthcare providers may experience a temporary increase in exposure to
mercury vapor. While there are no known health risks associated with
ingestion (swallowing) of small particles of dental amalgam, inhaling
(breathing in) mercury vapors may be harmful in certain patients.
In general, people with multiple dental amalgam fillings may have slightly
higher mercury levels in their blood or urine, however, they usually
remain at a level considered safe. Studies on people with dental amalgam
do not show conclusive evidence that dental amalgam causes harmful
health effects in the general population.
Who Should Be Concerned About Dental Amalgam?
Certain people, including women who are pregnant or who are planning
to become pregnant, nursing mothers, children (especially those under
the age of six), people with a known allergy to mercury, and people with
neurological impairment or kidney dysfunction, may be more susceptible
to the effects of exposure to mercury from dental amalgam and may be at
greater risk for adverse health effects.
Amalgam Poisoning- tremors, insomnia, headaches, nerve damage,
kidney problems
26) DENTAL CROWNS
○ Post RCT
○ Or after cracked tooth for occlusal stability
○ Metal, zirconia, ceramic
○ Endo crowns
27) VENEERS
○ Superficial discolouration
○ Minor spacing
○ Fluorosis
○ 0.5mm- 1mm
○ No-prep veneers- only 0.5mm
28) AGE factor-
○ Cementosis with old age. Pulpal obliteration.
○ Old age- medically compromised. Eg. Hypertensive- LA doses increase
○ Stress inducing
○ Diabetic patients- healing is delayed
○ Children- tell show do
29) IMPLANTS
30) DENTURES
31) BRACES
32) TEETH WHITENING
○ Pola Office tooth bleaching kits, zoom tooth bleaching. Controlled
bleaching + fluoride gels. Using mild bicarbonates.
○ Earlier used hydrogen peroxide/ hcl- damaged tooth.
33) Aesthetic dentistry
○ Smile makeover
○ Create tooth dimensions which are most aesthetically pleasing. Such as
golden ratio. Gum levels.
○ Only half of inter-dental papilla
○ Pink gingiva
In 1999, the Ministry of Health Family Welfare launched the first National
Oral Health Care Programme on a pilot basis in collaboration with
Department of Oral and Maxillofacial Surgery at the All India Institute of
Medical Sciences (AIIMS), New Delhi. The program was implemented in one
district in five States across the country.
In the 11th Five Year Plan, from 2007 to 2012, all disease control programs
were coalesced under the National Rural Health Mission under which a token
amount was allocated for research and training in Oral Health.
In the 12th Five Year Plan, in 2012, an allocation was made for the set up of a
National Oral Health Cell at the Ministry of Health Family Welfare.
In 2014, an expert group for Oral Health steered by Dr. Jagdish Prasad,
Director General Health Services, was formed and the National Oral Health
Programme in its current form was introduced. The Center for Dental
Education and Research (CDER), AIIMS, New Delhi functions as the National
Center of Excellence for Implementation of NOHP.
39) NMC
a. Chairperson- Dr. Suresh chandra sharma
b. Regulatory body for medical education and medical professionals
c. Replaced MCI on 25th september 2020
d. Grants recognition of medical qualifications, gives accreditation to
practitioners and monitors medical practice
e. Under MoHFW
f. NEXT exam
g. Aim- to remove corruption
40) DRAFT NATIONAL DENTAL COMMISSION BILL 2020
a. This proposed Bill will repeal the existing Dentists Act 1948 and dissolve
the Dental Council of India. ... It proposes the formation of a new
regulatory body, called the National Dental Commission (NDC), to draft
policies and maintain quality standards in dental education and the
profession
b. Next exam
c. National registration of all dentists
d. 4 autonomous boards- UG, PG, ethics, rating and assessment
e. Grievance redressal system
f. ISSUES- The proposed bill is a well intended attempt aimed at imparting
quality dental education.
i. CENTRALIZATION- There is a provision for the election of DCI
members under the Dentists Act 1948. But in the new Bill, members
of the commission as well as the autonomous boards will have to be
appointed by the Centre, based on the recommendations of a search
committee also nominated by the Centre (sections 5 and 18). This
will lead to the concentration of powers at the Centre.
ii. Section 53 states that the “Central government [will] supersede the
Commission” – which appears to be an effort to bring the NDC
under the control of the Central government. So in case of a conflict
against the NDC’s decision on a matter, the Centre will supersede
the NDC.
iii. new Bill doesn’t address geographical inequalities in the distribution
of dental education as well as its professionals, the quality and cost
of dental services, a private sector limited to urban geographies and,
of course, patient safety.
iv. Dental auxiliaries assist dentists treating patients. The Dentist Act
1948 recognises two types of auxiliaries: dental hygienist and dental
mechanic. Currently, only 6,605 dental auxiliaries are available in
India – and is one of the more-ignored professional groups of allied
health professionals. The proposed Bill overlooks the definition and
mention of dental auxiliaries.
v. the proposed Ethics and Dental Registration Board omits students
and teachers from the list. The Bill may reconsider this point, since
a record of students could help generate information on
demographics, enrolment by UG/PG courses or by speciality, the
drop-out rate and the total annual graduates.
vi. Lack of clarity wrt NEXT exam
41) DRAFT National ORAL HEALTH POLICY
a. To strengthen oral healthcare delivery systems at all levels
b. Built capacities of public health facilities
c. Integrate oral health in other policies
d. Establish baseline data
e. Increase utilization of oral health facility by 50% per district by 2030
f. Greater focus on Preventive- pit and fissure sealants
g. Local manufacturing
42) Schemes for oral health
a. Rashtriya vayoshree yojana
b. NATIONAL TOBACCO CONTROL PROGRAMME
c. National Programme to control fluorosis
d. ORAL HEALTH GUIDELINES FOR HEALTH AND WELLNESS
CENTRES
43) Oral cancer
a. In India, 20 per 100000 population are affected by oral cancer which
accounts for about 30% of all types of cancer
b. 2nd most common.
c. Risk facors- chewing tobacco, smoking
44) Common drugs used in dentistry
45) What oral health problems are associated with-
- diabetes?
• Dry mouth: Uncontrolled diabetes can decrease saliva (spit) flow, resulting in
5) What is an antibiotic?
a. It is pharmaceutical drug that inhibits the growth of or destroys
microorganisms.
6) What is vaccination?
a. A vaccine is a biological preparation that provides active acquired
immunity to a particular infectious disease.
b. Immune system registers the agent and produces antibodies
7) TB
12) THERE are many doctors who have become administrators, inspite of that
when we look at health indicators, there isn't much improvement?
a. Health is a complex and multidimensional subject
b. Health is directly related to other social problems also like education and
poverty.
c. Health should not be a delineated subject and health knowledge need to
be imparted to all.
29) As a dentist you work in a small area, won't you feel lost in civil services?
a. Eye for detail
30) Plight of Dentists?
a. Dental health is not a priority for most Indians
b. Dental awareness is low
c. Treatment modalities are not understood
31) How to improve dental awareness?
a. Fluoride treatment at school levels and dental awareness camps
b. Awareness will spread from children to parents not other way round
32) Is smile designing not wrongly promoting standards for beauty?
a. It is also about self confidence
33) Home remedies- Namak ,Laung ,Nimbu- how useful?
34) Toothpaste vs tooth powder vs mouth wash
35) Automatic vs manual
36) At what age should we start brushing?
a. Gum massage
37) What are fake teeth made of?
a. Acrylic
b. Metals- gold, cobalt chromium, nikel chromium
c. Ceramics- castable mouldable- lithium disilicate, zirconia