Basics In Statistics Question And Answers

Basics In Statistics Definitions

Sample

It is part of a population called the universe, reference, or parent populatio

Biostatistics

It is that branch of statistics concerned with mathematical facts & data related to biological events

Variable

It is a state, condition, concept, or event whose value is free to vary within the population

Basics In Statistics Important Notes

1. Measures of central tendency

  • Arithmetic mean
    • Simplest measure
    • Obtained by summing up all the observations divided by the number of observations
    • It is very sensitive to extreme scores.
  • Median
    • It is the simplest division of the set of measurements into two halves
    • When the distribution has odd numbers, the middle value is the median, when the distribution has an even number of elements, the average of two middle scores is median
    • It is insensitive to small numbers.
  • Mode
  • It is the most frequently occurring value in a set of observations

2. Sampling

  • Simple random sampling
    • Used when the population is small, homogenous.
  • Systemic sampling stratified sampling
    • Used when the population is large, non-homogenous, and scattered
  • Multistage sampling
    • Employed in large country surveys
    • Carried out in several stages
  • Multiphase sampling
    • Here sampling is done in different phases
  • Cluster sampling
    • Involves grouping the population and then surveying
  • Stratified sampling
    • Used when the population is large, nonhomogenous

3.Properties of the normal curve

  • Bell-shaped
  • Symmetrical
  • The height of the curve is maximum at the mean
  • Mean = median = mode
  • The area under the curve between any two points can be found in terms of the relationship between mean and standard deviation.

Mean ± 1 SD = 68.3% of observation
Mean ± 2 SD = 95.4% of observation
Mean + 3 SD = 99.7% of observation

4. Classification of data

  • Qualitative data
    • It is data with frequency but no magnitude
    • Nonparametric tests are used for it

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Basic In Statistics

  • Quantitative data
    • It is data with a magnitude
    • Parametric tests are used for it

5. Chi-square test is used

  • To test the association between the cause and effect
  • To find the goodness of fit
  • To test the differences between two/more proportions

6. Tests

Basics In Statistics Tests

Basics In Statistics Long Essays

Question 1. Define sample. What are the ideal requisites of sampling, describe different sampling methods.
Answer:

Sample:

It is part of a population called the universe, reference, or parent population

Sample Ideal Requisites:

  • Efficiency
  • Representativeness
  • Measurability
  • Size-large
  • Adequate coverage
  • Goal orientation
  • Feasibility
  • Economic

Sample Sampling Methods:

Sample Probability Sampling:

  • Simple Random Sampling
    • Each member of the population has an equal chance of being included in the sample
    • The member is determined by chance only © Methods of random selection are
    • Lottery method
    • Table of random numbers
  • Systematic
  • It is obtained by selecting one unit at random & then selecting additional units at evenly spaced interval till an adequate sample size is obtained
  • It can be adopted as long as there is no periodicity of occurrence of any particular event in the population
  • Stratified Random
  • The population to be sampled is subdivided into strata
  • A simple random sample is then chosen from it
  • Used for a heterogeneous population
  • It ensures more representativeness, provides greater accuracy & can concentrate over a wider area
  • It eliminates sampling variation

Sample  Cluster Sampling:

  • Useful when a population forms natural groups
  • First, a sample of the clusters is selected & then all units in clusters are surveyed

Sample Advantage:

  • Simple
  • Less expensive

Sample Disadvantage:

Cannot be generalized

Sample Non-Probability Sampling:

Sample Accidental Sampling:

  • It is a matter of taking what you can get
  • It is not randomly obtained

Sample Advantage:

It is inexpensive & less time-consuming

Sample Purposive Sampling:

  • It is a nonrepresentative subset of some larger population
  • A sample is achieved by asking a participant to suggest someone else willing for the study

1. Quota Sampling:

It involves the selection of proportional samples of subgroups within a target population to ensure generalization

2. Dimensional Sampling:

A small sample is selected then each selected case is examined in detail

3. Mixed Sampling:

Constitute a combination of both probability & nonprobability sampling

Question 2. Define biostatistics. Write in detail the uses of biostatistics in dental public health.
Answer:

Biostatistics:

  • It is that branch of statistics concerned with mathematical facts & data related to biological events
  • It deals with the statistical methodologies involved in biological sciences

Biostatistics Uses:

  • Measure the state of health of the community
  • Identify the health problems
  • Compare the health status of one country with another & past status with present
  • Predict health trends
  • Plan & administer dental health services
  • Evaluate the achievement of public health program
  • Fix priorities in public health program
  • Evaluate the efficacy of vaccines, sera, etc
  • Measure mortality & morbidity
  • Test whether the difference between 2 populations is real or a chance occurrence
  • Study correlation between attributes in the same population
  • Promote health legislation
  • Help the dentist to think quantitatively

Question 3. Define sampling. Classify sampling. Enumerate any one sampling.
Answer:

Sampling:

It is the process or technique of selecting a sample of appropriate characteristics & adequate size

Basics In Statistics Classify sampling

Probability Sampling:

Simple Random Sampling:

  • Each member of the population has an equal chance of being included in the sample
  • The member is determined by chance only
  • Methods of random selection are
    • Lottery method
    • Table of random numbers

Sampling Systematic:

  • It is obtained by selecting one unit at random & then selecting additional units at evenly spaced intervals till an adequate sample size is obtained
  • It can be adopted as long as there is no periodicity of occurrence of any particular event in the population

1. Stratified Random:

  • The population to be sampled is subdivided into strata
  • A simple random sample is then chosen from it
  • Used for a heterogeneous population
  • It ensures more representativeness, provides greater accuracy & can concentrate over a wider area
  • It eliminates sampling variation

2. Cluster Sampling:

  • Useful when a population forms natural groups
  • First, a sample of the clusters is selected & then all units in clusters are surveyed

Sampling Advantage:

  • Simple
  • Less expensive

Sampling Disadvantage:

Cannot be generalized

Question 4. Enumerate various measures of dispersion & describe in detail the test of significance.
Answer:

Measures Of Dispersion:

  • Range
    • It is the difference between the smallest & largest results in a set of data
  • Mean deviation
    • It is the average of the deviation from the arithmetic mean
  • Standard deviation

Measures Of Dispersion Test Of Significance:

It deals with the techniques to know how far the differences between the estimates of different samples is due to sampling variations

1. Standard Error of Mean (SE):

Gives the standard deviation of the mean of several samples from the same population

= standard deviation / √n

2. Standard Error of Proportion:

= p & q = proportion of occurrence of an event

in 2 groups

n = sample size

Measures Of Dispersion Standard Error Of Difference Between Two Means:

Indicates whether the samples represent two different universe

Measures Of Dispersion Standard Error Of Difference Between Proportion:

Indicate whether the difference is significant or has occurred by chance

Measures Of Dispersion Chi-Square Test:

Measures Of Dispersion Uses:

  • Test whether the difference in the distribution of attributes in different groups is due to sampling variation or not
  • Test the significance of the difference between 2 proportion
  • Used when there are more than 2 groups to be compared

Measures Of Dispersion Z Test:

  • Test the significance of differences in means for large samples
  • ‘t’ Test

Measures Of Dispersion Synonym:

Student’s t-test

Measures Of Dispersion Uses:

  • Used when the sample size is small
  • Used to test the hypothesis
  • Find the significance of the difference between the 2 proportions

Measures Of Dispersion Types:

  • Unpaired’t’ test
  • Applied to unpaired data made on individuals of 2 different sample
  • Test if the difference between the means is real or not

Measures Of Dispersion Paired’t’ test:

Applied to paired data obtained from one sample only

Question 5. Define biostatistics. Describe in detail the normal curve. Write a note on measures of central tendency.
(or) Normal distribution/ Properties of normal curve/ Gaussian curve.
(or) Mean, Median, Mode.
(or) Measures of central tendency.
Answer:

Biostatistics:

  • It is that branch of statistics concerned with mathematical facts & data related to biological events
  • It deals with the statistical methodologies involved in biological sciences

Biostatistics Normal Curve:

  • It is a pattern followed by very many sets of continuous measurements.
  • It is characterized by a symmetric, bell-shaped curve
  • In a normal curve
    • The area between one standard deviation on either side of the mean will include approximately 68% of the values
    • The area between two standard deviations on either side of the mean will include approximately 95% of the values
    • The area between three standard deviations on either side of the mean will include approximately 99.5% of the values

Biostatistics Characteristics:

  • It is smooth, symmetrical bell-shaped
  • The maximum number of observations is at the center & gradually decreases at the extremities
  • The total area is 1, the mean is 0 & standard deviation is 1
  • Mean, median & mode coincide at center

Basics In Statistics Normal curve

Basics In Statistics Measures of central tendency

Basics In Statistics Short Essays

Question 1. Presentation of statistical data.
(or) Pie Chart
(or) Histogram
(or) Pictogram
(or) Uses of biostatistics

Answer:

Presentation of statistical data Tabulation

  • Tables are simple devices used for data presentation
  • Prepared manually or mechanically

Presentation of statistical data Types:

1. Simple Table:

Way table containing one characteristic of data only

Basics In Statistics Simple table

Presentation of statistical data Master Table:

Contains all the data obtained from a survey

Basics In Statistics Master table

Presentation of statistical data Frequency Distribution Table: Two-column table

  • 1st column: lists classes of data
  • 2nd column: lists the frequency of each class

Basics In Statistics Frequency distribution table

Charts/ Diagrams:

1. BarCharts:

  • It is a diagram of columns/ bars
    • The height of the bars determines the value of the particular data
    • The width of the bar remains the same
    • The bars are separated by spaces
    • The bars can be either vertical/ horizontal

Presentation of statistical data Types:

  • Simple bar chart
  • Represents only one variable

Basics In Statistics Simple bar chart

Presentation of statistical data Multiple bar chart

Consist of a set of bars of the same width corresponding to the different sections without any gap in between

Basics In Statistics Multiple bar chart

  • Component bar chart
    • Individual bars are divided into 2 or more parts
    • Used to compare the sub-groups

 

Basics In Statistics Compare the sub groups

2. Pie Chart:

  • The entire graph looks like a pie & its components are represented by its slices
    • It is divided into different sectors corresponding to the frequencies of the variables
    • The segments are then shaded/ colored

Basics In Statistics Pie chart

3. Histogram:

  • It is a pictorial presentation of data
  • Class intervals are presented on the X-axis & frequencies on the Y axis
  • No space occurs between the cells

Basics In Statistics Histogram

4. Pictogram:

They are small pictures used for data presentation USA

Basics In Statistics Pictogram

5. Line Diagram:

  • Used for continuous variable
  • Time is represented on the X-axis & value on the Y axis

Basics In Statistics Line diagram

6. Statistical Maps:

  • Refer to the geographic area
  • Dot/ point is used to represent the area

Question 2. Types of diagram.
Answer:

1. Bar Charts:

  • It is a diagram of columns/ bars
    • The height of the bars determines the value of the particular data
    • The width of the bar remains the same
    • The bars are separated by spaces
    • The bars can be either vertical/ horizontal

Bar Charts Types:

  • Simple bar chart
    • Represents only one variable

2. Multiple bar chart:

Consist of a set of bars of the same width corresponding to the different sections without any gap in between

3. Component bar chart:

  • Individual bars are divided into 2 or more parts
  • Used to compare the sub-groups

4. Pie Chart:

  • The entire graph looks like a pie & its components are represented by its slices
  • It is divided into different sectors corresponding to the frequencies of the variables
  • The segments are then shaded/ colored

5. Histogram:

  • It is a pictorial presentation of data
  • Class intervals are presented on the X-axis & frequencies on the Y axis
  • No space occurs between the cells

6. Pictogram:

They are small pictures used for data presentation

Question 3. Types of samples/ Probability sampling methods/ Sampling methods.
(or) Cluster sampling

Answer:

Probability Sampling

Simple Random Sampling:

  • Each member of the population has an equal chance of being included in the sample
  • The member is determined by chance only
  • Methods of the random selection are e
    • Lottery method
    • Table of random numbers

Probability Sampling Systematic:

  • It is obtained by selecting one unit at random & then selecting additional units at evenly spaced intervals till an adequate sample size is obtained
  • It can be adopted as long as there is no periodicity of occurrence of any particular event in the population

Probability Sampling Stratified Random:

  • The population to be sampled is subdivided into strata
  • A simple random sample is then chosen from it
  • Used for a heterogeneous population
  • It ensures more representativeness, provides greater accuracy & can concentrate over a wider area
  • It eliminates sampling variation

Probability Sampling Cluster Sampling:

  • Useful when a population forms natural groups
  • First, a sample of the clusters is selected & then all units in clusters are surveyed

Probability Sampling Advantage:

  • Simple
  • Less expensive

Probability Sampling Disadvantage:

Cannot be generalized

Probability Sampling Non-Probability Sampling:

Probability Sampling Accidental Sampling:

  • It is a matter of taking what you can get
  • It is not randomly obtained

Probability Sampling Advantage:

It is inexpensive & less time-consuming

Probability Sampling Purposive Sampling:

  • It is a nonrepresentative subset of some larger population
  • A sample is achieved by asking a participant to suggest someone else willing for the study

Probability Sampling Quota Sampling:

It involves the selection of proportional samples of subgroups within a target population to ensure generalization

Probability Sampling Dimensional Sampling:

A small sample is selected then each selected case is examined in detail

Probability Sampling Mixed Sampling:

Constitute a combination of both probability & nonprobability sampling

Question 4. Simple random sampling.
Answer:

Simple random sampling

  • Each member of the population has an equal chance of being included in the sample
  • The member is determined by chance only
  • Methods of the random selection are the
    • Lottery method
    • Table of random numbers

Question 5. Multistage sample.
Answer:

Multistage sample

It is a sampling procedure often used when the sampling units can be defined in a hierarchical manner

Multistage sample Steps:

  • Select the groups/cluster
  • Then subsamples are taken in subsequent stages
    • 1st stage: choice of states within countries
    • 2nd stage: choice of towns within each state
    • 3rd stage, choice of neighborhoods in each town

Question 6. Tests of significance.
(or)’t’ test.
Answer:

Tests of significance

It deals with the techniques to know how far the differences between the estimates of different samples is due to sampling variations

Tests of significance Standard Error Of Mean(Se):

Gives the standard deviation of the mean of several samples from the same population

Tests of significance Standard Error Of Proportion:

\(=\sqrt{\frac{p q}{n}} \mathrm{p} \& \mathrm{q}=\) proportion of occurrence of an event

in 2 groups n= sample size

Tests of significance Standard Error Of Difference Between Two Means

Indicates whether the samples represent two different universe

Tests of significance Standard Error Of Difference Between Proportion

Indicate whether the difference is significant or has occurred by chance

Tests of significance Chi-Square Test

Tests of significance Uses:

  • Test whether the difference in the distribution of attributes in different groups is due to sampling variation or not
  • Test the significance of the difference between 2 proportion
  • Used when there are more than 2 groups to be compared

Tests of significance Z Test:

Test the significance of differences in means for large samples

Tests of significance ‘t’ Test:

Tests of significance Synonym:

Student’s t-test

Tests of significance Uses:

  • Used when the sample size is small
  • Used to test the hypothesis
  • Find the significance of the difference between the 2 proportions

Tests of significance Types:

Tests of significance Unpaired’t’ test:

  • Applied to unpaired data made on individuals of 2 different sample
  • Test if the difference between the means is real or not
  • Paired’t’ test
  • Applied to paired data obtained from one sample only

Question 7. Statistical analysis.
Answer:

Statistical analysis

  • It is based on
  • Population
    • It is the collection of units of observations that are of interest & is the target of the investigation
    • It is essential to identify the population clearly & precisely
    • The success of the investigation will depend on the identification of the population
  • Variable
    • It is a state, condition, concept/ event whose value is free to vary within the population

Classification of Statistical Analysis:

  • Independent
  • Manipulated/ treated in a study

Dependent:

  • Result of the independent variable
  • Confounding
    • Confound the effect of the independent variable on the dependent
  • Background
    • Considered for possible inclusion in the study
  • Probability distribution
    • It is a link between population & its characteristics
    • It is a way to enumerate the different values the variable can have & how frequently each value appears in the population
    • It is characterized by parameters i.e. quantities

Question 8. Standard deviation.
Answer:

Standard deviation

  • It is the square root of the mean of the squared deviations from arithmetic
  • It is the most commonly used measure of dispersion

Standard deviation Synonym

Root Mean Square Deviation

Standard deviation Calculation

  • Calculate the mean of the series, X
  • Take the deviation mean X- X,
  • Square these deviations & add them up 5^ 2
  • Divide the result by the total number of observation
  • Obtain the square root of it (Standard deviation)

Standard deviation Significance:

  • The greater the standard deviation, the greater the magnitude of dispersion
  • Lesser the standard deviation, a higher degree of uniformity of observation

Question 9. Bar diagram/ charts.
Answer:

Bar diagram

  • It is a diagram of columns/ bars
  • The height of the bars determines the value of the particular data
  • The width of the bar remains the same
  • The bars are separated by spaces
  • The bars can be either vertical/ horizontal

Bar diagram Types:

1. Bar diagram Simple bar chart

Represents only one variable

2. Bar diagram Multiple bar chart

Consist of a set of bars of the same width corresponding to the different sections without any gap in between

3. Bar diagram Component bar chart

Individual bars are divided into 2 or more parts Used to compare the sub-groups

Basics In Statistics Short Question And Answers

Question 1. Primary & secondary data.
Answer:

secondary data Primary Data:

  • Obtained directly from an individual
  • It is first-hand information

secondary data Advantage:

  • Precise information
  • Reliable

secondary data Disadvantages:

  • Time-consuming
  • Expensive

secondary data Methods:

  • Direct personal interviews
  • Oral health examination
  • Questionnaire

secondary data Secondary Data:

  • Obtained from outside sources
    • Used to serve the purpose of the objective of the study
    • Example: Hospital records

Question 2. Frequency polygon.
Answer:

Frequency polygon

Pictorial presentation of data

Frequency polygon Method:

  • Obtained from histogram
  • Mark the midpoint over histogram bars
  • Next, connect these points in a straight line
  • Example. Agewise prevalence of dental caries

Question 3. Stratified random sampling.
Answer:

Stratified random sampling

  • The population to be sampled is subdivided into strata
  • A simple random sample is then chosen from it
  • Used for a heterogeneous population
  • It ensures more representativeness, provides greater accuracy & can concentrate over a wider area

Question 4. Mode.
Answer:

Mode

It is a value occurring with the greatest frequency

Mode Advantage:

  • Eliminates extreme variation
  • Easily located
  • Easy to understand

Mode Disadvantage:

  • Uncertain location e Not exactly defined
  • Not useful in a small number of cases

Question 5. Null hypothesis.
Answer:

Null hypothesis

  • It asserts that there is no real difference between the two groups under consideration & the difference found is accidental & arises out of sampling variation
  • It is the first step in the testing of the hypothesis

Question 6. Variable.
Answer:

Variable

It is a state, condition, concept, or event whose value is free to vary within the population

Classification of Variable:

  • Independent
    • Manipulated/ treated in a study
  • Dependent:
    • Result of an independent variable
  • Confounding
    • Confound the effect of the independent variable on the dependent
  • Background
    • Considered for possible inclusion in the study

Question 7. Qualitative data.
Answer:

Qualitative data

When data is collected on the basis of attributes/ qualities like sex, it is called qualitative data

Question 8. Chi-square test.
Answer:

Chi-square test Uses:

  • Test whether the difference in the distribution of attributes in different groups is due to sampling variation or not
  • Test the significance of the difference between 2 proportion
  • Used when there are more than 2 groups to be compared

Basics In Statistics Viva Voce

  1. Mean, median and mode are measures of central tendency
  2. Range, standard deviation, and coefficient of variation are measures of dispersion
  3. The range is the difference between the smallest item and the value of the largest item
  4. A census is a collection of information from all the individuals in a population
  5. Sampling is the collection of information from representative units in a sample
  6. Standard deviation is the most important and widely used measure of studying dispersion
  7. A bar diagram is used to represent qualitative data
  8. Histogram used to depict quantitative data
  9. A frequency polygon is used to represent the frequency distribution of quantitative data
  10. A pie diagram is used to show percentage breakdowns for qualitative data
  11. A line diagram is useful to study the changes in values in the variable over time
  12. Pictogram is the method to impress the frequency of occurrence of events to the common man
  13. The chi-square test is a non-parametric test for qualitative data
  14. For large samples, z test is preferred
  15. For small samples, a t-test is preferred
  16. The value of the mean in a normal distribution is zero
  17. Standard deviation is also called root mean square deviation
  18. The median is also called the 50th percentile
  19. The standard error of the mean depicts the deviation

Prevention Of Oral Diseases Question And Answers

Prevention Of Oral Diseases Definitions

Prevention

It is defined as the efforts, which are made to maintain normal development of physiological function & to prevent disease of the mouth & adjacent parts

The primary level of prevention

It is defined as the “action taken prior to the onset of the disease which removes the possibility that a disease will ever occur”

Prevention Of Oral Diseases Important Notes

1. Prevention of oral cancer
(or) Prevention of periodontal disease
(or) Prevention of dental caries

Prevention Of Oral Diseases Provention of oral cancer

Prevention Of Oral Diseases Long Essays

Question 1. Define prevention. Discuss the measures taken at the primary level of prevention of caries.
Answer:

prevention Definition:

It is defined as the efforts, which are made to maintain normal development of physiological function & to prevent disease of the mouth & adjacent parts

Primary Level Of Prevention Of Caries:

  • It is defined as the “action taken prior to the onset of the disease which removes the possibility that a disease will ever occur”
  • It is applied to the prevention of chronic disease based on the elimination or modification of risk factors of disease
  • It includes
  • Primordial prevention
    • In it, efforts are directed toward discouraging children from adopting harmful lifestyles
    • The main approaches are individual & mass education
  • Population strategy
    • It is directed at the whole population
  • High-risk strategy
    • It aims to bring preventive care to individuals at special risk
    • It requires the detection of individuals at high risk
  • Services
    • Health promotion
      • It enables people to increase control over & improve their health
      • It is intended to strengthen the host through a variety of approaches to health education
  • Specific protection
  • Interventions used are
    • Immunization
    • Chemoprophylaxis
    • Protection against occupational hazards
    • Use of specific nutrients

Prevention Of Oral Diseases Level of prevention

Question 2. Write about various levels of prevention of oral diseases. Describe in detail various preventive services rendered by dentists for the prevention of dental caries at various levels.
(or) Community measures of prevention of periodontal diseases.

Answer:

Levels Of Prevention

Levels Of Prevention Primary Level of Prevention:

  • It is defined as the “action taken prior to the onset of the disease which removes the possibility that a disease will ever occur”
  • It is applied to the prevention of chronic disease based on the elimination or modification of risk factors of disease
  • It includes
    • Primordial prevention
    • Population strategy
    • High-risk strategy

Levels Of Prevention Secondary Level of Prevention:

It employs routine treatment methods

1. Secondary Level of Prevention Uses:

  • Terminate a disease process
  • Restores tissues to as near normal as possible

Prevention Of Oral Diseases

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2. Secondary Level of Prevention Services:

  • Early diagnosis & treatment
    • They are the main intervention in disease control
    • The earlier a disease is diagnosed the better it is treated
    • Further, it prevents the occurrence of further cases

Secondary Levels Of Prevention Tertiary Level of Prevention:

  • It replaces lost tissues
  • It rehabilitates patients to the point that function as near normal as possible

Secondary Levels Of Prevention  Services:

  • Disability limitation
  • It prevents the transition of the disease process from impairment to handicap
  • Rehabilitation
  • It is defined as the combined & coordinated use of medical, social, educational, and vocational measures for training & retraining the individual to the highest possible level of functional ability

Preventive Services Undertaken By Dentist:

Prevention Of Oral Diseases Preventive services undertaken by dentist

Prevention Of Oral Diseases Short Essays

Question 1. The primary level of oral cancer.
Answer:

The primary level of oral cancer

Prevention Of Oral Diseases Preventive services

Question 2. Tertiary prevention of oral disease.
Answer:

Tertiary prevention of oral disease

  • It replaces lost tissues
  • It rehabilitates patients to the point that function as near normal as possible

prevention of oral disease Services:

  • Disability limitation
  • It prevents the transition of the disease process from impairment to handicap
  • Rehabilitation
  • It is defined as the combined and coordinated use of medical, social, educational, and vocational measures for training & retraining the individual to the highest possible level of functional ability

prevention of oral disease Services provided by an individual:

Use of dental services

prevention of oral disease Services provided by the dental community:

Provision of dental services

prevention of oral disease Services provided by dentists:

  • Complex restorative treatment
  • Pulpotomy
  • Root canal treatment
  • Extraction
  • Removable & fixed prosthesis
  • Minor tooth movements
  • Implants

Question 3. Secondary level of prevention.
Answer:

Secondary level of prevention

It employs routine treatment methods

1. Services provided by the community:

  • Periodic screening & referral
  • Use of dental services

2. Services provided by a dentist:

  • Complete examination
  • Early treatment of early lesions
  • Preventive treatment
  • Simple restorative treatment
  • Pulp capping

Question 4. Tools of Dental Public Health
Answer:

1. Epidemiology:

public health Definition:

It is defined as the study of the distribution & determinants of health-related states or events in specified populations and the application of this study to the control of health problems

public health Aims:

  • To minimize or eradicate the disease
  • Promote well-being of the society

2. Biostatistics:

public health Definition:

It is that branch of statistics concerned with mathematical facts & data related to biological events

public health Uses:

  • To define normalcy
  • To test the difference between two populations
  • To study the association between two/more attributes
  • To evaluate the efficacy of vaccines, sera by control studies
  • To locate, define, and measure the extent of morbidity and mortality in the community
  • To evaluate the achievements of public health programs
  • To fix priorities

3. Social sciences:

Includes sociology, cultural anthropology

4. Principles of administration:

  • Administrative work is divided into
    • Organization
      • Deals with the structure of the agency
  • Management
    • Concerned with the handling of personnel

5. Preventive dentistry:

Levels of prevention

Public Health Primary Level Of Prevention:

  • It is defined as the “action taken before the onset of the disease which removes the possibility that a disease will ever occur”
  • It is applied to the prevention of chronic disease based on the elimination or modification of risk factors of disease
  • It includes
  • Primordial prevention ° Population strategy e High-risk strategy

Public Health Secondary Level Of Prevention:

It employs routine treatment methods

Public Health Tertiary Level Of Prevention:

  • It replaces lost tissues
  • It rehabilitates patients to the point that function as near normal as possible

public health Services:

  • Disability limitation
  • It prevents the transition of the disease process from impairment to handicap
  • Rehabilitation
  • It is defined as the combined and coordinated use of medical, social, educational, and vocational measures for training & retraining the individual to the highest possible level of functional ability

Prevention Of Oral Diseases Viva Voce

  1. Prevention of the emergence or development of risk factors in population groups falls in the category of primordial prevention
  2. The knowledge of the pathogenesis phase of disease embracing the agent, host, and environment is required for primary prevention
  3. Early diagnosis and prompt treatment are the modes of intervention under secondary prevention
  4. Disability limitation is an intervention under tertiary prevention

Host Modulation Therapy Short Essay Question And Answers

Host Modulation Therapy Short Essays

Question 1. Host Modulation Therapy (HMT).
Answer:

1. Regulation of Immune and Inflammatory re- responses:

Host Modulation Therapy Regulation of Immune and Inflammatory re- responses

Protective mechanism:

  • Activation of neutrophils
  • Production of antibodies
  • Release of TGF-B, IL-4, IL-10, IL-12

Destructive mechanism:

  • Prolonged bacterial presence
  • Release of IL-1, IL-6, TNF-α, PGE2
  • Extracellular matrix destruction
  • Bone resorption
    • Thus for therapeutic purposes, a protective mechanism is introduced

2. Role of MMPs [Matrix metalloproteinases]:

Host Modulation Therapy Matrix metalloproteinases

  • Inhibited by…
  • A reduced dose of doxycycline (SSD) –
  • Subantimicro- by Dose of Doxycycline
  • Example: Periostat-20mg BID for 3 months
  • It has…

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    • No antimicrobial effect
    • Has anti-collagenolytic activity
    • Decreased bone resorption
    • Increases lymphocytes and PMNs

3. Production of Arachidonic acid Metabolites:

Host Modulation Therapy Production of Arachidonic acid Metabolites

  • Cyclo-oxygenase
    • Metabolites into
    • Prostaglandin
    • Prostacyclin
    • Thromboxane
  • Lipoxygenase
    • Metabolites into
    • Leukotrienes
    • Hydroxyeicosate retinoic acid

Host Modulation Therapy Lipoxygenase

4. Regulation of Bone Metabolism Osteoclast:

Host Modulation Therapy Regulation of Bone Metabolism Osteoclast

Host Modulation Therapy Short Question And Answers

Question 1. Periostat.
Answer:

  • It is a reduced dose of doxycycline- sub antimicrobial dose of doxycycline
  • It is a 20 mg dose of doxycycline
  • Indicated as an adjuvant to scaling and root planning in the treatment of chronic periodontitis
  • It must not be used as monotherapy because it is based on the sub-antimicrobial dosage of doxycycline
  • It is taken twice daily or 3 months, up to a maximum of 9 months of continuous dosing
  • It exerts its therapeutic effect through enzyme, cytokine, and osteoclast inhibition

Periostat Effects:

  • No antimicrobial effect
  • Has anti-collagenolytic activity
  • Decreased bone resorption
  • Increases lymphocytes and PMNs

Periostat Mechanism:

  • Downregulates MMPs
  • Reduces cytokine levels
  • Upregulates collagen production
  • Stimulates osteoblastic activity and new bone formation

Host Modulation Therapy Viva Voce

  1. Host modulation therapy restores the balance between pro-inflammatory and anti-inflammatory mediators
  2. Host modulation therapy is used as an adjuvant to conventional periodontal therapy
  3. Host modulation therapy usually ameliorates excessive or pathologically elevated inflammatory processes
  4. Sub antimicrobial dose of Doxycycline is 20 mg
  5. Sub antimicrobial dose of Doxycycline can be pre-scribed continuously up to a maximum of 9 months

 

Periodontal Medicine Short Essays

Question 1. Periodontal disease and Coronary Heart disease.
Answer:

  • According to cross-sectional studies, myocardial infarction had significantly poor dental conditions. But is independent of the presence of risk factors
  • The study of Mattila performed by oral reading- raphy and diagnostic angiography, showed a correlation between the severity of periodontal disease and coronary atheromatous

Mechanism:

Periodontal Medicine Mechanism

Pathogenesis Of Periodontal Diseases Short Essay Question And Answers

Pathogenesis Of Periodontal Diseases Important Notes

1. Cytokines

  • The three proinflammatory cytokines that have a central role in periodontal tissue destruction are interleukin-1, interleukin-6, and tumor necrosis factor, TNF
  • The properties of these cytokines that relate to tissue destruction involve stimulation of bone resorption and in- duction of tissue degrading proteinases
  • IL-1 exists in alpha and beta forms
  • Both forms are the main constituents of the osteoclast activating factor
  • It is a potent stimulant of osteoclast proliferation, differentiation, and activation
  • TNF is also found in alpha and beta forms
  • IL-1 and TNF-a induce the production of proteinases in mesenchymal cells including matrix metalloproteinases which may contribute to tissue destruction

Pathogenesis Of Periodontal Diseases Short Essays

Question 1. Cytokines.
Answer:

Cytokines Definition:

‘Cell protein’ is used for molecules that transmit information/signals from one cell to another.

Cytokines Actions:

  • Acts as fibroblast, macrophages, keratinocytes, and PMNs
  • Release MMP’s
  • Degrade connective tissue matrix

Pathogenesis Of Periodontal Diseases Signals from one cell to another

Pathogenesis Of Periodontal Diseases Short Answers

Question 1. Define cytokine.
Answer: cytokine

Question 2. Interleukin 1.
Answer: Interleukin is cytokines

Interleukin 1 Secreted By:

  • Macrophages, lymphocytes
  • Fibroblasts, platelets
  • Keratinocytes and endothelial cells

Interleukin 1 Functions:

  • Increases neutrophils adhesion
  • Promotes antibody production
  • Causes tissue destruction

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  • Secretes MMP’s
  • Releases PGE2

Question 3. Prostaglandin.
Answer:

  • Short range hormone
  • Present in inflammatory exudates, leukotrienes
  • Released from – Mast cells and basophils

Example: PGE2

Prostaglandin Functions:

  • Osteoclastic resorption
  • Degrades connection tissue matrix

Question 4. Bacterial Endotoxin.
Answer:

Location: Outer membrane of Gram-ve bacteria

Bacterial Endotoxin Pathogenesis:

  • Penetrate gingival epithelium
  • Produce fatty and organic acids, amines, VSCs, indole, ammonia, and glycans

Bacterial Endotoxin Effects:

  • Direct activation of host responses
  • Produce leukopenia
  • Activate Factor XII, Complement system
  • Cytotoxic effects on fibroblast
  • Tissue Necrosis
  • Bone resorption

Question 5. Virulence Factors.
Answer:

The properties that enable the bacterium to cause disease are termed virulence factor

  1. Fimbriae Helps in adherence of A. viscous (for example) on the saliva-coated tooth surface
  2. Exotoxin’s Toxic Effect on PMNs
  3. Lipopolysaccharides – Activates host response
  4. Peptidoglycan – Activates complement system
  5. Immunosuppressive activity
  6. Enzymes
    • Collagenase-Degrades collagen
    • Hyaluronidase – Alters gingival permeability
  7. Others Damage host cells
    • Degrade antibody
    • Damage keratinocytes

 

Defence Mechanism Of Gingiva Short Essay Question And Answers

Defence Mechanism Of Gingiva Important Notes

1. Cells in Gingival Crevicular Fluid

  • The predominant cell in GCF is PMNs- 92%
  • Mononuclear cells contribute to 8%

2. Methods of collecting Gingival Crevicular Fluid (GCF)

  • Placing filter paper into the sulcus – intra crevicular
  • Placing paper at the entrance of sulcus- extra crevicular
  • Placing preweighed twisted threads or micropipettes and crevicular washings

3. Methods of measuring the amount of Gingival Crevicular Fluid (GCF)

  • The wetted area of the filter paper is stained with Ninhydrin and is measured parametrically under a microscope
  • The electronic method using fluid collected on a blotter paper and employing perceptron

4. Glucose content of GCF is 3-4 times greater than in serum due to the metabolic activity of the adjacent tissues and the function of microbial flora. While the protein content of GCF is less than that of serum

Defence Mechanism Of Gingiva Gingival Crevicular Fluid

  1. Functions of saliva
  2. Significance of gingival crevicular fluid
  3. Methods of Gingival crevicular fluid
  4. Composition of Gingival crevicular fluid (GCF)
  5. Defense mechanism of gingival
  6. Circadian periodicity

Defense Mechanism Of Gingival Short Essays:

Question 1. Functions of Saliva.
Answer:

Defence Mechanism Of Gingiva Functions of Saliva

Question 2. Significance of Gingival Crevicular Fluid (GCF)
Answer:

1. Circadian periodicity:

  • There is a gradual increase in Gingival Crevicular Fluid (GCF) amount from 6:00 AM to 10.00 PM and decreases afterward
  • This is called Cicardian periodicity

2. Sex Hormones:

  • Female sex hormones increase the flow
  • Pregnancy, ovulation, and hormonal contraceptives increase gingival fluid

3. Smoking:

Causes an immediate transient increase in flow

4. Periodontal therapy:

Increase in gingival fluid during the healing period

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Question 3. Methods of Collection of Gingival Crevicular Fluid (GCF)
Answer:

1. Absorbing paper strips:

Collection of Gingival Crevicular Fluid (GCF) Types:

  • Intracrevicular – Insert paper in sulcus
  • Extracurricular – Place at the entrance of sulcus

Collection of Gingival Crevicular Fluid (GCF) Evaluation:

  • Staining with alcohol
  • Pre and post-weighing the papers
  • Periotron electronic device

2. Micropipettes:

Analyze the amount of GCF collected in tubes by capillary action

3. Gingival washing:

A known amount of solution is introduced and removed into the Gingival sulcus

4. Other:

  • Plastic strips/Platinum loops
  • Inserted into sulcus and pressure is applied

Question 4. Composition of Gingival Crevicular Fluid (GCF)
Answer:

  1. Cells: Bacteria, Epithelial cells, Leukocytes (BEL)
  2. Electrolytes: Sodium, Potassium, Calcium
  3. Organic compounds: Carbohydrates, Proteins, Lipids
  4. Metabolic and Bacterial products: Lactic acid, Urea, Prostaglandins, Endotoxin
  5. Enzymes: Acid phosphatase, Alkaline phosphatase, Pyrophosphatase, lysozyme, Hyaluronate

Question 5. Defense Mechanism of Gingiva.
Answer:

Defence Mechanism Of Gingiva Non specific and Specific protective

1. Non-specific Protective Mechanisms:

  • Bacterial Balance:
    • Balance exists between different species of microorganisms
  • Surface Integrity:
    • Maintained by the persistent renewal of the epithelium from its base and desquamation of surface layers
    • This maintains the constant thickness of the epithelium
  • Surface Fluid and Enzymes:
    • Saliva contains antibacterial substances
    • Gingival Crevicular Fluid (GCF) contains phagocytic leukocytes and enzymes
  • Phagocytosis:
    • Monocytes act in chronic infections
    • PMNs act in acute infections
    • Complements induce smooth muscle contraction, increase vascular permeability, and release histamine from mast cells.
  • Inflammatory reaction:
    • Stimulated by tissue injury and infections
    • Results in hyperemia increased vascular permeability and formation of exudate

2. Specific Protective mechanism:

My immune system

Protective mechanism Types:

  • Humoral immunity
  • Cell-mediated immunity

Defense Mechanism Of Gingiva Short Question And Answers

Question 1. Cicardian Periodicity.
Answer:

  • There is a gradual increase in gingival fluid amount from 6:00 AM to 10.00 PM and decreases afterward
  • This is called Cicardian periodicity

Question 2. Intracellular drug delivery.
Answer:

  • Drugs that are excreted through the GCF may be used. This flow of neutrophils is important for protection from advantageously in periodontal therapy
  • Such drugs are tetracycline and metronidazole
  • These drugs are excreted in crevicular fluid when given systemically
  • When these drugs are given locally, higher concentrations are achieved in the desired area leading to faster action

Question 3. Name the defense mechanism of the gingiva.
Answer:

Defence Mechanism Of Gingiva:

  • Epithelial barrier
  • GCF
  • Saliva
  • Orogranulocytes

Question 4. Granulocytes.
Answer:

  • The viable neutrophils present in the saliva are termed orogranulocytes or salivary corpuscles
  • In normal individuals, 30,000 neutrophils per minute enter the oral cavity via the gingival sulcus
  • This flow of neutrophils is required for periodontal health
  • Any defect in neutrophil function and chemotaxis is associated with early-onset periodontal disease in children’s caries

Defence Mechanism Of Gingiva Viva Voce

  1. The ratio of T: B lymphocytes is about 1:3 in GCF
  2. Predominant immunoglobulin in GCF is IgG
  3. Predominant immunoglobulin in saliva is IgA

Dentist Act And Association Question And Answers

Dentist Act And Association Important Notes

1. Dentist act

  • Chapter 1: Introductory
  • Chapter 2: Dental Council of India
  • Chapter 3- State Dental Council
  • Chapter 4: Registration
  • Chapter 5-Miscellaneous

2. IDA members

  1. Honorary members – Persons of high scientific or literary attainment
  2. Life members – dental practitioners
  3. Annual members – by paying an annual subscription
  4. Direct members – persons eligible for membership but not residing/ practicing in the area of the local branch
  5. Student members
  6. Affiliate members – Nonresidential foreign dental practitioners having dental qualification

Dentist Act And Association Short Essays

Question 1. Functions of DCI.
Answer:

Functions of DCI

  • Basic principles for the maintenance of minimum education standard for BDS degree
  • Minimum physical requirement of a dental college
  • Minimum staff pattern for undergraduate dental studies in colleges with 40,60 and 100 admissions
  • Basic qualifications & teaching experience required to teach BDS and MDS students
  • General establishment of dental facilities. Its duration, of course, selection of students
  • Migration & transfer rules for students
  • Regulations of the scheme of exam for BDS & MDS
  • Dental curriculum: time & subject specification to clinical program & field program, syllabus, etc.

Question 2. IDA.
Answer:

IDA

  • It was formed in the year 1949
  • It was registered in Delhi in 1967 with register number S/265

Objectives:

  • Promotion, encouragement & advancement of dental & allied sciences
  • Encourage the members to undertake measures for the improvement of public health & education in India
  • The maintenance of honor & dignity & the upholding of interests of the dental profession & cooperation between the members thereof

Functions:

  • Holding periodic meetings & conferences
  • Publishing & circulating as a journal
  • Encouraging the opening of libraries
  • Publishing the papers from time to time
  • Encouraging research in dental & allied sciences
  • Conducting an educational campaign
  • Consider & express its views on all questions about the Indian legislation
  • Protects the public from unethical treatment from unqualified practitioners
  • Trying to set exemption from custom duty for essential dental materials & instruments

Structure:

  • Local branches- within the district
  • State branches- within the state

Membership:

  • Honorary members
  • Life members
  • Annual members
  • Direct members
  • Student members
  • Affiliate members

Office Bearers:

  • One President
  • One President-Elect
  • Three Vice-President
  • One Honorary General Secretary
  • One Honorary Joint Secretary
  • One Honorary Assistant Secretary
  • One Honorary Treasurer
  • One Editor of The Journal
  • One Chairman of The Council
  • One Honorary Secretary of The Council

Question 3. Dentist Act of India 1948.
Answer:

Dentist Act of India 1948

Chapter 1: Introductory:

  • Short title & extent
  • Interpretation
  • Construction of reference to laws not in force in Jammu & Kashmir

Chapter 2: Dental Council Of India:

  • Constitution & composition of the council
    • Incorporation of council
    • Mode of elections
    • Term of office & casual vacancies
    • President & Vice President of Council
    • Staff, remuneration & allowances
    • The executive committee
    • Recognition of dental qualification

Dentist Act And Association

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    • Qualification of dental hygienist
    • Qualification of dental mechanics
    • Effect of recognition
    • Power to acquire information as to courses of study & training & examination
    • Inspection
  • Appointment of visitors
    • Withdrawal of recognition
    • Withdrawal of recognition of recognized dental qualification
    • Mode of declaration
    • Professional Conduct
    • The Indian Register
    • Information to be furnished
    • Power to make regulations

Chapter 3: State Dental Council:

  • Constitution & Composition of the State Council
  • Inter-state agreements
  • Composition of the Joint State Council
  • Incorporation of the State Council
  • President & vice president of the state council
  • Mode of election
  • Term of office & casual vacancies
  • Staff, remuneration & allowances
  • Executive committee
  • Information to be furnished

Chapter 4: Registration:

  • Preparation & maintenance of the register
    • First preparation of the register
    • Qualification for entry on first preparation of the register
    • Qualification for subsequent registration
    • Scrutiny of application for registration
    • Special provision for amending the register of the dentist
    • Register of dental hygienist & dental mechanics
    • Qualification for registration as a dental hygienist
    • Qualification for registration as a dental mechanics
    • Renewal fees
    • Entry of additional qualification
    • Removal from register
    • Restoration to register
    • Bar of jurisdiction
    • Issue of duplicate certificate
    • Printing of register
    • Effect of registration
    • Transfer of registration

Chapter 5- Miscellaneous:

  • Penalty for falsely claiming to be registered
  • Misuse of titles
  • Practice by unregistered persons
  • Failure to surrender certification of registration
  • Companies not to engage in dentistry
  • Cognizance of offenses
  • Payment of part of fees to the council
  • Accounts & audit
  • Appointment of Commission of Inquiry
  • Power to make rules

Question 4. Functions of IDA.
Answer:

Functions of IDA

  • Holding periodic meetings & conferences
  • Publishing & circulating as a journal
  • Encouraging the opening of libraries
  • Publishing the papers from time to time
  • Encouraging research in dental & allied sciences
  • Conducting an educational campaign
  • Consider & express its views on all questions about the Indian legislation
  • Protects the public from unethical treatment from unqualified practitioners
  • Trying to set exemption from custom duty for essential dental materials & instruments

Question 5. Constitution & components of the dental council. (or) Functions Of DCI of India
Answer:

Dental council

  • Once registered dentist possessing a recognized dental qualification elected by the dentists registered in part A of each state register
  • One member elected from amongst themselves by the members of the Medical Council of India
  • Not more than 4 members are elected from among themselves by
  • Principals, Deans, Directors & Vice Principals of Dental colleges in the states training students for recognized dental qualification provided that not more than one member shall elect from the same dental college
  • Heads of dental wings of medical colleges in the states training students for recognized dental qualification
  • One member from each university established by law in the state which grants a recognized dental qualification to be elected by the members of the Senate of the University
  • One member to represent each state nominated by the government of each such state from among persons registered either in a medical or dental register of the state
  • Six members nominated by the Central Government of whom at least one shall be a registered dentist possessing a recognized dental qualification & practicing or holding an appointment in an institution for the training of dentist & at least two shall be dentists registered in part B of a state register
  • The Director General of Health Services (ex-officio)

Functions Of Dci:

  • Basic principles for the maintenance of minimum education standard for BDS degree
  • Minimum physical requirement of a dental college
  • Minimum staff pattern for undergraduate dental studies in colleges with 40, 60, and 100 admissions
  • Basic qualifications & teaching experience required to teach BDS and MDS students
  • General establishment of dental facilities. Its duration, of course, selection of students
  • Migration & transfer rules for students
  • Regulations of the scheme of exam for BDS & MDS
  • Dental curriculum: time & subject specification to clinical program & field program, syllabus, etc.

Dentist Act And Association Viva Voce

  1. Indian Dental Association was formed in the year 1948.
  2. Indian Dental Association was registered in Delhi in 1967
  3. 10 members of the Central Council are to propose a person to be elected as an honorary member of the IDA.
  4. For the proper management of the IDA, the office bearer’s functions include one president, one president-elect, and three Vice presidents.
  5. The office bearer of IDA who need not reside in the city of head office is the editor of the journal
  6. The general management of the IDA shall be vested in the central council
  7. Those people practicing dentistry as a sole means of living hood without qualification are registered under part B
  8. The Dental Council of India was formed on 12th April 1949
  9. The Consumer Protection Act came into force on 15th April 1987
  10. The Consumer Protection Act was amended in 1993.

Dental Ethical Issues Question And Answers

Ethical Issues Definitions

Ethics

Ethics is defined as the science of the ideal human character and behavior in situations where distinction must be made between right and wrong, duty must be followed and good interpersonal relations maintained

Ethical Issues Important Notes

1. Ethical principles

  • To do no harm
  • To do good
  • Respect for persons
  • Truthfulness
  • Confidentiality

2. Informed consent

  • It is voluntary, comprehending and confidential
  • It is an essential component of a patient’s right to autonomy

Ethical Issues Long Essays

Question 1. Discuss in detail the principles of ethics to be followed by a dentist. Add a note on unethical practices by a dentist
Answer:

Principles of ethics to be followed by a dentist:

To Do No Harm (Non-Maleficence):

  • It is the foundation of social morality
  • The dentist in cases where pain cannot be avoided can make attempts to minimize it or an alternative can be presented to the patient

To Do Good (Beneficence):

  • It should be the role of any health providers to benefit patients, as well as not to inflict harm
  • In the process of treating a patient what has to be weighed are the consequences of treatment versus no treatment
  • The expectation of the patient is that the care provider will initiate beneficial action

Respect For Persons:

It involves

1. Autonomy:

That dictates health providers respect the patient’s right to make decisions concerning the treatment plan

2. Informed Consent:

  • It is both a legal & an ethical concept
  • It is an essential component of a patient’s right to autonomy

Justice:

  • It is described as fairness/ equal treatment giving each his/ her right/due
  • Dentists can provide some free/ discounted care to the needy or provide financial support/donate for low-income patients

Truthfulness:

Lying fails to show respect for persons & their autonomy

Confidentiality:

  • Patients have the right to expect that his/her treatment related talks & works are treated as confidential
  • It can be breached only if it would benefit the patient
  • Confidentiality must be maintained at all times.

Unethical Practices:

  • Practice by unregistered persons employed by the dentist
  • Dentist signed under his name & authority issuing any certificate which is untrue, misleading or improper
  • Dentist advertising whether directly or indirectly for the purpose of obtaining patients or promoting his own professional advantage
  • Use of bogus diplomas
  • Allowing commission
  • Paying or accepting the commission of charges in order to solicit patients
  • If the planned treatment is beyond the dentist’s skill, the patient is not referred to a consultant
  • In case of an emergency consultation during the temporary absence of the patient’s dentist, temporary service is provided & the patient is not sent back
  • If consulted, the dentist accepts charge of the case without a request of the referring dentist

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  • Any contravention of the drugs
  • Immorally involving abuse of the professional relationship
  • Involving in any kind of illegal practice
  • Employing secret methods of treatment
  • Using sign boards greater than 0.9 m  0.6 m & use of words like teeth, painless extraction
  • Insertion of any paragraphs & notices in the press
  • Allowing the dentist’s name for commercial articles like toothpaste, toothbrush, tooth powder
  • Mentioning any abbreviations after the dentist’s name other than dental qualification

Commuinty Dental Ethical Issues

Ethical Issues Short Essays

Question 1. Ethical rules for dentists.
Answer:

Duties Of Dentists Towards The Patient:

  • Every dentist should be courteous, sympathetic, friendly & helpful
  • He should observe punctuality in fulfilling appointments
  • He should establish a well-merited reputation for professional ability
  • The welfare of the patient should be conserved
  • A dentist should not permit differentiating in terms of religion, nationality, race, party politics, or social standings
  • Should keep patient’s information confidential

Duties Of Dentists Towards Colleagues:

  • Cherish proper pride in his colleague
  • Should not do anything harmful to the interest of the members of the fraternity
  • Honor mutual arrangements made regarding remuneration
  • Retire in favor of a regular dentist, after the emergency is over.
  • Institute correct treatment at once
  • Regard it as a pleasure & privilege to render gratuitous service to another dentist

Duties Of Dentist To The Public:

The dentist has to assume a leadership role in the community on matters related to dental health

Question 2. Consent.
Answer:

Consent

  • It is a both legal & ethical concept
  • It is the largest principle of the Nuremberg code

1. Attributes:

  • Voluntary
  • Legally competent
  • Informed
  • Comprehending

2. Process:

  • It is a two-step process
    • Information is presented to the patient by the doctor
    • The patient satisfies himself/herself that he/she understands

It consists of

  • Description of the proposed treatment
  • Material/foreseeable risks
  • Benefits & prognosis of proposed treatment
  • Alternative to the proposed treatment
  • Risks, benefits & prognosis of alternative treatment
  • A statement that the patient has understood & is willing to the treatment
  • The signature of the patient & of a witness

Ethical Issues Short Question And Answers

Question 1. Tort.
Answer:

Tort

It is a civil wrong or injury, independent of a contract, that results from a breach of a duty

Types of Tort :

  • An unintentional tort
  • In it, harm is not caused by intentional
  • An intentional tort
  • Contains intentional harm

Question 2. Ethical principles.
Answer:

Ethical principles

  • Ethical principles are
    • To do no harm
    • To do good
    • Respect for persons
    • Justice
    • Veracity or truthfulness
    • Confidentiality

Question 3. Consent.
Answer:

Consent

  • It is a both legal & ethical concept
  • It is the largest principle of the Nuremberg code
  • It consists of
    • Description of the proposed treatment
    • Material/foreseeable risks
    • Benefits & prognosis of proposed treatment
    • Alternative to the proposed treatment
    • Risks, benefits & prognosis of alternative treatment
    • A statement that the patient has understood & is willing to the treatment
    • The signature of the patient & of a witness

Ethical Issues Viva Voce

  1. Informed consent was proposed by the Nuremberg code
  2. In earlier days, the remedy for medical negligence was under the law of tort
  3. Consent considered by the fact that a patient comes to a doctor for an ailment that he agrees to examination is Tacit consent
  4. Components of informed consent include information. Voluntariness and capacity
  5. The informed consent should be in the local language
  6. A dentist is criminally liable if he commits tort intentionally
  7. Ethical principles guiding the conduct of the population based on research and practice are macro ethics
  8. Informed consent is obtained after participation is involuntary
  9. Duties of dentists to the public include not disclosing the professional secrets of patients in public
  10. Informed consent is to protect the investigator’s interest and defend them against any liability.

Dental Plaque Question and Answers

Dental Plaque Definitions

1. Dental plaque

  • It is soft deposits that form biofilm adhering to the tooth surface or other hard surfaces in the oral cavity including removable and fixed restoration

Dental Plaque Dental Plaque Of Biofilm

Dental Plaque Classification

1. Dental plaque

  • Dental plaque is classified into
    • Supra gingival plaque
    • Subgingival plaque
      • It is further divided into
        1. Tooth associated
        2. Epithelium associated

Dental Plaque Important Notes

  1. Early plaque contains streptococcus sanguis and Actinomyces viscosus. Late plaque contains p.gingivalis, p. media, fusobacterium and capnocytophaga
  2. Type of plaque and its outcome
  3. Stages of formation of plaque
    • Formation of pellicle
    • Initial colonization of the tooth surface
    • Secondary colonization and plaque maturation

Dental Plaque Type of plaque and its outcome

4. Socransky’s postulate

  • It is for the identification of causative agents
  • No. of etiologic organisms in the diseased site must be increased
  • While it should be reduced in healthy sites
  • If an etiologic organism is eliminated then disease progression ceases
  • Presence of antibodies in organisms
  • Presence of virulence factors
  • In vitro, experiments should demonstrate the disease process

5. Composition of plaque

  1. Micro-organisms
    • Bacteria
    • Mycoplasm
    • Fungi
    • Protozoa
    • Virus
  2. Intracellular matrix
    • Organic
    • Carbohydrates
    • Glycoproteins
    • Lipids
  3. Inorganic
    • Calcium
    • Phosphorous
    • Magnesium
    • Potassium
    • Sodium

6. Bacteria and periodontal health

Dental Plaque Bacteria and periontal health

7. Colonizers

  • They contribute to biofilm formation
  • Initial colonizers include co-aggregation of fusobacterium with s. sanguis, prevotella with A. viscosus
  • and capo-autophagy with A viscous

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  • Secondary colonizers adhere to bacteria already present
  • Initial colonizers form yellow or purple complexes while secondary colonizers form green, orange, or red complexes

Dental Plaque Colonizers

Dental Plaque Long Essays

Question 1. Define and classify microbial plaque. Discuss the role of plaque in the etiology of gingival and periodontal disease.
Answer:

Definition:

  • It is soft deposits that form biofilm adhering to the tooth surface or other hard surfaces in the oral cavity including removable and fixed restoration

Microbial plaque Classification:

Dental Plaque Classification of microbial plaque

Role Of Plaque In Gingivitis And Periodontitis:

  • Gingivitis usually precedes periodontitis
  • In the early stage of gingivitis, bacteria in plaque build-up, causing the gingival to become inflamed and to easily bleed during tooth brushing.
  • No irreversible bone or other tissue damage has occurred at this stage.
  • When gingivitis is left untreated, it can advance to periodontitis. In a person with periodontitis, form pockets.
  • These small spaces between teeth and gingival collect debris and can become infected
  • As the disease progresses, the pockets deepen and more gingival tissue and bone are destroyed.
  • When this happens, teeth are no longer anchored in place, they become loose, and tooth loss occurs.

Question 2. Define and classify plaque. Write in detail about its composition and ill effects.
Answer:

Definition:

  • It is soft deposits that form biofilm adhering to the tooth surface or other hard surfaces in the oral cavity including removable and fixed restoration

Classification:

  • Dental plaque is classified into
    • Supra gingival plaque
    • Subgingival plaque
  • It is further divided into
    • Tooth associated
    • Epithelium associated

Composition:

1. Microorganisms:

  • Bacteria
  • Mycoplasma
  • Fungi
  • Protozoa
  • Virus

2. Intracellular matrix:

  • Organic:
    • Carbohydrates
    • Glycoproteins
    • Lipids
  • Inorganic:
    • Calcium
    • Phosphorous
    • Magnesium
    • Potassium
    • Sodium

Ill Effects Of Dental Plaque:

  • Predisposes to caries
  • Gingivitis
  • Supra gingival plaque matures and creates an environment for the development of subgingival plaque
  • Organisms get accumulated in this space
  • The disease advances to periodontitis with the pocket formation and bone loss
  • Due to the loss of tooth-supporting bone teeth becomes loose and get exfoliated

Question 3. Discuss the role of Local factors in the etiology of Periodontal disease.
Answer:

Local Factors In Etiology Of Periodontal Diseases:

1. Role of plaque

  • Gingivitis usually precedes periodontitis
  • In the early stage of gingivitis, bacteria in plaque build-up, causing the gingival to become inflamed and to easily bleed during tooth brushing.
  • No irreversible bone or other tissue damage has occurred at this stage.
  • When gingivitis is left untreated, it can advance to periodontitis. In a person with periodontitis, form pockets.
  • These small spaces between teeth and gingival collect debris and can become infected
  • As the disease progresses, the pockets deepen and more gingival tissue and bone are destroyed. When this happens, teeth are no longer anchored in place, they become loose, and tooth loss occurs.

2. Role of calculus

  • Calculus provides a fixed nidus for continuous plaque accumulation
  • It brings plaque bacteria close to the supporting tissues
  • Interferes with a local self-cleansing defense mechanism
  • Acts as a reservoir for irritating substances such as endotoxins, antigenic material, and bone-resorbing factors
  • Makes plaque removal more difficult for the patient

Dental Plaque Short Essays

Question 1. Dental plaque – its definition, classification, and composition.
Answer:

Definition:

  • It is soft deposits that form the biofilm adhering to the tooth surface or other hard surfaces in the oral cavity, including removable and fixed restoration.

Classification:

  • Dental Plaque
  • Supra gingival
  • Subgingival
  • Tooth – associated
  • Epithelium associated

Composition:

Microorganisms:

  • Bacteria
  • Mycoplasma
  • Fungi
  • Protozoa
  • Virus

Intracellular Matrix:

Organic:

  • Carbohydrates
  • Glycoproteins
  • Lipids

Inorganic:

  • Ca, P
  • Mg, K, Na

Question 2. Specific and non-specific plaque. (or) Elaborate on various plaque hypotheses.
Answer:

Specific Plaque Hypothesis:

  • The specific plaque hypothesis states that not all plaque is pathogenic, and its pathogenicity depends on the presence of certain specific microbial pathogens in plaque
  • Specific microorganisms responsible for periodontal dis-eases release certain damaging factors called virulence factors which lead to host tissue destruction

Example: A.a. contains causes aggressive periodontitis

Non-Specific Plaque:

  • It states that it is the total bulk of the plaque that determines the pathogenicity rather than the individual species in it
  • According to it, If a small amount of plaque is present, then the products released by it can be neutralized by the host
  • But if it is present in large quantity, then it alters the host response
  • It forms the basis of recent treatment and prevention modalities

Question 3. Structure of dental plaque.
Answer:

1. Supra gingival plaque:

  • It adheres to the tooth surface
  • It contains Gram-positive cocci and Gram-negative rods and filaments
  • The arrangement is described as Corncob arrangement- ment
  • The central core consists of rod-shaped bacterial cells like Fusobacterium nucleatum
  • Coccal cells like streptococci get attached to it

2. Sub gingival plaque:

  • It contains many large filaments with flagella
  • It is rich in spirochetes

Tooth-associated plaque:

  • Its structure is similar to supra gingival plaque

Tissue-associated plaque:

  • The extracellular matrix is not well-defined and contains numerous bristle brush formations
  • It forms test tube brush formation
  • It is characterized by large filaments that form the long axis
  • Short filaments or Gram-negative rods get embedded in the matrix

Dental Plaque subgingival plaque and supragingival plaque

Question 4. Differences between supra and subgingival plaque.
Answer:

Dental Plaque differences between supra and subgingival plaque

Dental Plaque Viva Voce

  1. 1 gm of plaque contains 2*1011 bacteria
  2. Organisms that predominate in early plaque are gram-positive cocci and rods
  3. In late plaque, organisms present are gram-negative anaerobic rods and filament
  4. Supra gingival plaque typically demonstrates corncob structures
  5. Plaque is the most common cause of gingivitis and periodontitis
  6. Material alba is a yellowish or white soft sticky deposit and is less adherent
  7. A. actinomycete contains is a facultative anaerobe
  8. The red complex is associated with bleeding on probing.

Trauma From Occlusion Treatment Question and Answers

Trauma From Occlusion Definitions

1. Trauma from occlusion

  • When occlusal forces exceed the adaptive capacity of the periodontal tissues, the tissue injury results
  • This resultant injury is termed trauma from occlusion.

2. Pathological migration of teeth

  • Pathological migration of teeth refers to tooth displacement that results when the balance among the factors that maintain physiologic tooth position is disturbed by periodontal disease

Trauma From Occlusion Important Notes

1. Types of trauma from occlusion

  • Primary trauma from occlusion
    • Occurs due to excessive occlusal forces
    • Changes produced by it do not alter the level of connective tissue
    • It does not initiate the pocket formation
    • As suprarenal fibres are not affected it prevents apical migration of junctional epithelium
  • Secondary trauma from occlusion
    • Occurs when the adaptive capacity of the tissues to withstand occlusal forces is impaired by bone loss re- resulting from marginal inflammation

2. Trauma from occlusion does not cause pockets or gingivitis as the marginal gingiva is unaffected by trauma from occlu- sion because of its rich blood supply

  • But trauma from occlusion may affect the progress and severity of periodontal pockets started by local irritation

3. Signs and symptoms of trauma from occlusion

  • Tooth pain, sensitivity to percussion
  • Increased tooth mobility
  • Cementum tears
  • Widening of periodontal space
  • Root resorption
  • Thickening of lamina dura
  • Vertical or angular bone defects

4. Buttressing bone formation

  • When excessive occlusal forces resorb bone, the bone attempts to reinforce the thinned bony trabeculae with new bone
  • This attempt to compensate for lost bone is called buttressing bone formation
  • Buttressing bone formation may be central or peripheral
  • Peripheral buttressing bone formation is also called lipping.

5. Increased tooth mobility is the most common finding of trauma from occlusion

  • This is due to the destruction of periodontal fibres in the injury stage and the widening of the periodontal ligament in the final adaptation stage of trauma from occlusion

Trauma From Occlusion Long Essays

Question 1. Define and classify trauma from occlusion. Discuss the stages of tissue response to increased occlusal forces.
Answer:

Definition:

  • When occlusal forces exceed the adaptive capacity of the periodontal tissues, the tissue injury results
  • This resultant injury is termed trauma from occlusion.

Classification:

1. According to the Onset:

Acute:

  • Due to abrupt occlusal forces.

Example: Biting on a hard object

Chronic:

  • Due to gradual changes in the periodontium

Example: Bruxism

2. According to the cause:

Primary:

  • When trauma from occlusion results from the alteration of occlusal forces
  • Do not alter the level of connective tissue attachment
  • Do not initiate pocket formation because supracre- stal gingival are not affected which prevents apical migration of junctional epithelium

Secondary:

  • When trauma from occlusion results due to the reduced ability of tissues to resist occlusal forces
  • Adaptive capacity is impaired by bone loss resulting from marginal inflammation
  • Reduces PDL attachment
  • Alters leverage on remaining tissues

Trauma From Occlusion Zone of irritation and zone of codestruction

Tissue Response:

Stage 1 – Injury:

Application of excessive occlusal forces

Distribution of periodontal tissues

Adaptation of periodontal structures to altered forces

On horizontal forces tooth rotates, 2 zones appear

  • Pressure zone
  • Tension zone

Stage 2 – Repair:

Excessive occlusal forces lead to the resorption of bone

Bone formation from thinned bony trabeculae is called “Buttressing Bone formation”

  • Within the jaw “Central Buttressing”
  • On bone surface “Peripheral Buttressing”
  • Shelf-like thickening of alveolar bone “Lipping”

Read And Learn More: Periodontics Question and Answers

Stage 3: Adaptive Remodelling of Periodontium:

  • Occurs when the repair cannot cope with the destruction
    • Results in
    • Thickening of periodontal ligament
    • Angular bone defects

Trauma From Occlusion Adptive remodelling of periodontium

Trauma From Occlusion Short Essays

Question 1. Clinical and Radiological features of TFO.
Answer:

Clinical Features:

1. Acute:

  • Excessive tooth pain
  • TOP positive
  • Mobility of teeth
  • Periodontal abscess
  • Pathologic migration of teeth
  • Pocket
  • If force is dissipated, symptoms subside

2. Chronic:

  • No pain is present
  • Deep bite
  • Symptom-free condition
  • Fremitus test-positive

Radiographic Changes:

  • Widening of PDL space
  • Vertical bone loss
  • Angular facets
  • Root resorption

Question 2. Glickman’s concept.
Answer:

Glickman explained the path of progression of disease along with its result

Trauma From Occlusion Primary and Result

Zones:

1. Zone of Irritation:

Marginal and interdental gingival inflammation

Passes apically to alveolar bone

Then to the PDL area

Results in horizontal bone loss

2. Zone of Co-destruction:

Trauma from occlusion

Involvement of PDL, cementum and bone

Spread of infection directly to PDL

Results in angular bone loss

Trauma From Occlusion Pathway of inflammatoy process

Question 3. Types of Trauma from Occlusion.
Answer:

Classification:

1. According to the onset:

  • Acute:
    • Due to abrupt occlusal forces. Ex- biting on a hard object
  • Chronic:
    • Due to gradual change in periodontium.

Example: bruxism

2. According to the cause:

Primary:

  • When trauma from occlusion results from al-iteration of occlusal forces, it results in primary trauma from occlusion
  • It does not alter the level of connective tissue attachments
  • It does not initiate pocket formation because suprarenal gingival fibres are not affected which prevents apical migration of junctional epithelium

Secondary:

  • It is trauma from occlusion that results due to reduced ability of tissues to resist occlusal forces
  • Adaptive capacity is impaired by bone loss re- resulting from marginal inflammation
  • Reduces periodontal attachment
  • Alters leverage on remaining tissues

Question 4. Tissue response to trauma from occlusion.
Answer:

Stage I-Injury:

Application of excessive occlusal forces

Distribution of forces to periodontal tissues

Adaptation of periodontal structures to altered forces

On application of horizontal forces tooth rotates

Two zones appear- The pressure zone and tension zone

Stage 2-Repair:

  • Excessive forces lead to the resorption of bone
  • When bone is resorbed in such cases, the body attempts to reinforce trabeculae to form new bone
  • This process is called buttressing

Types:

1. Central buttressing:

  • In it, endosteal cells deposit new bone
  • It restores bony trabeculae
  • Reduces the size of bone marrow

2. Peripheral buttressing:

  • Occurs on facial and lingual surfaces of bone
  • May produce shelflike thickening of the alveolar margin called lipping
  • It is a pronounced bulge in the contour of the facial or lingual bone

Stage 3- Adaptative Remodelling:

  • Adaptive remodelling of periodontium occurs
  • It occurs when the repair cannot cope with the destruction
  • It results in
    • Thickening of periodontal ligament
    • Angular bone defects
    • Loosening of teeth

Question 5. Pathological migration of teeth
Answer:

  • Pathological migration of teeth refers to tooth dis- placement that results when the balance among the factors that maintain physiologic tooth position is dis- turned by periodontal disease

Pathogenesis:

  • Factors that maintain the normal position of teeth are

1. Health and normal height of the periodontium:

  • A tooth with weakened periodontal support is un- able to withstand the forces and moves away from the opposing force
  • Forces that are acceptable to an intact period of- time become injurious when periodontal support is reduced

2. Forces exerted on the teeth:

  • Changes in the forces may occur as a result of
  1. Unreplaced missing teeth
    • It leads to the drifting of teeth into spaces created by unreplaced missing teeth
  2. Failure to replace first molars- It consists of
    • Tilting of second and third molars leading to the reduced vertical dimension
    • Premolars move distally
    • Mandibular incisors tilt or drift lingually -Increase in an anterior overbite
    • Maxillary incisors are pushed labially and laterally
    • Extrusion of anterior teeth
    • Diastema
  3. Other causes
    • Pressure from the tongue
    • Pressure from the granulation tissue of the periodontal pocket

Trauma From Occlusion Viva Voce

  1. Furcation areas are most susceptible to injury from trauma from occlusion
  2. Pathological migration occurs mostly in the anterior region
  3. The tooth moves towards the bone resorption area
  4. The body attempts to repair the injury when the forces are diminished or if the tooth drifts away from them
  5. Peripheral buttressing bone formation is called lip-ping
  6. Slightly excessive pressure stimulates resorption of the bone with a resultant widening of periodontal ligament space
  7. Slightly excessive tension causes elongation of the periodontal ligament fibres and apposition of the alveolar bone.
  8. Trauma from occlusion refers to an injury in the period- donation from occlusion
  9. Restoration or prosthetic appliances that alter the direction of Occlusal forces on teeth may induce acute trauma.
  10. Trauma from occlusion is reversible

 

Clinical Features Of Gingivitis Question and Answers

Clinical Features Of Gingivitis

Gingivitis Definitions

  1. Gingival bleeding
    • It refers to bleeding from any part of the gingival
  2. Gingival recession
    • The apical shift of the gingival margin to a position apical to the CEJ, with exposure of the root surface to the oral cavity

Clinical Features Of Gingivitis Important Notes

1. Gingival recession

Class 1:

  • Includes marginal gingival only
  • No loss of bone or soft tissue in the interdental area
  • It can be narrow or wide

Class 2:

  • Extension of recession beyond mucogingival junction
  • No loss of bone/soft tissue
  • Can be wide and narrow

Class 3:

  • Extension of marginal recession beyond the mucogingival junction
  • Loss of bone/soft tissue
  • Malpositioning of teeth

Class 4:

  • Extension of marginal recession beyond the mucogingival junction
  • Severe bone/soft tissue loss Severe
  • malpositioning of teeth

1. Two earliest signs of gingival inflammation are

  • Increased GCF production
  • Bleeding on probing

2. Etiological factors for gingival recession

  • Faulty tooth-brushing technique
  • High renal attachment
  • Gingival inflammation
  • Tooth malposition
  • Gingival ablation

Clinical Features Of Gingivitis Long Essays

Question 1. Define gingival bleeding. Describe its Suture around bleeding end causes and management.
Answer:

Gingival Bleeding:

  • It refers to bleeding from any part of the gingival

Gingival Bleeding Causes

1. Gingival Bleeding Local causes:

  • Toothbrush trauma
  • Food impaction
  • Presence of plaque and calculus
  • Biting into solid foods
  • Acute necrotizing ulcerative gingivitis
  • Gingival burns

2.  Gingival Bleeding Systemic causes:

  • Scurvy
  • vitamin K deficiency
  • Purpura
  • Hemophilia
  • Leukemia
  • Drug-induced like salicylates, heparin

Gingival Bleeding Significance:

  • It is the earliest sign of inflammation
  • It gives clues for the stage where
    • Active – readily bleeds
    • Inactive-no bleeding
  • Bleeding severity indicates the severity of inflammation

Read And Learn More: Periodontics Question and Answers

Gingival Bleeding Management:

  • Consult physician
  • Carry out blood tests to rule out bleeding disorders
  • Treat the cause
  • Operate gently and carefully
  • Use of sharp instruments
  • Application of pressure
  • Application of moist gauze soaked in sterile ice water for several minutes
  • Use of local anesthesia with vasoconstriction
  • Use of hemostatic agents
    • Gel foam
    • Oxidized cellulose
    • Surgical

Clinical Features Of Gingivitis Bledding Of Gingivitis

Clinical Features Of Gingivitis Short Essays

Question 1. Clinical Features of Gingivitis.
Answer:

Changes Seen In Gingival:

  1. Color: From coral pink to bright red
  2. Contour: rolled margins
    • Blunt papilla
  3. Consistency: Puffiness
    • Pits on pressure
    • Sloughing of gingival
    • Vesicle formation
  4. Size: Increased
  5. Surface Texture: Loss of stippling
  6. Position: Apically displaced – In the recession
    • Coronally displaced – In pseudo pockets
  7. Bleeding on probing: Present

Gingival Types:

  1. Acute: Sudden onset
    • Short duration, painful
  2. Subacute: Less severe than acute
  3. Recurrent: Reappears after treatment
  4. Chronic: Slow in onset
    • Longer duration
    • Painless

Question 2. Gingival Bleeding.
Answer:

Gingival Bleeding Definition:

  • It refers to bleeding from any part of the gingival

Gingival Bleeding Significance:

  • The earliest sign of inflammation
  • Clue for the stage where
  • Active-readily bleeds
  • Inactive – No bleeding
  • Bleeding severity indicates the severity of inflammation

Gingival Bleeding Etiology:

  1. Local causes
    • Toothbrush trauma
    • Food impaction
    • Presence of plaque and calculus
    • Biting into solid foods
    • Aug
    • Gingival burns
  2. Systemic causes
    • Scurvy
    • vitamin K deficiency
    • Purpura
    • Hemophilia
    • Leukemia
    • Drug-induced like salicylates, heparin

Question 3. Gingival Recession.
Answer:

Gingival Recession Definition:

  • The apical shift of the gingival margin to a position apical to the CEJ, with exposure of the root surface to the oral cavity

Gingival Recession Etiology:

1. Inflammatory:

  • Plaque-induced periodontal diseases
  • Toothbrush injury

2. Anatomic factors:

  • Development anomalies
  • Dehiscences

3. Iatrogenic factors:

  • Clasps and bars of partial dentures
  • Prolonged orthodontic treatment
  • Overhanging restoration

Classification: Miller’s classification

Class 1:

  • Includes marginal gingival only
  • No loss of bone or soft tissue in the interdental area
  • It can be narrow or wide

Class 2:

  • Extension of recession beyond mucogingival junction
  • No loss of bone/soft tissue
  • Can be wide and narrow

Class 3:

  • Extension of marginal recession beyond the mucogingival junction
  • Loss of bone/soft tissue
  • Malpositioning of teeth

Class 4:

  • Extension of marginal recession beyond the mucogingival junction
  • Severe bone/soft tissue loss
  • Severe malpositioning of teeth

Significance:

  • Gingival recession predisposes to
  • Accumulation of plaque
  • Exposure of root surface
  • Root caries
  • Hyperemia of pulp Unesthetic appearance

Treatment:

Objectives:

  • Widening of attached gingival
  • Esthetic correction

Procedures:

  • Colonially repositioned flap
  • Guided tissue regeneration

Clinical Features Of Gingivitis Treatment of Gingial recessions

Clinical Features Of Gingivitis Short Answers

Question 1. Classify gingival recession.
Answer:

Gingival Recession Classification:

  • Miller’s classification

1. Class1:

  • Includes marginal gingival only
  • No loss of bone or soft tissue in the interdental area
  • It can be narrow or wide

Class 2:

  • Extension of recession beyond mucogingival junction No loss of bone/soft tissue
  • Can be wide and narrow

Class 3:

  • Extension of marginal recession beyond the mucogingival junction
  • Loss of bone/soft tissue
  • Malpositioning of teeth

Class 4:

  • Extension of marginal recession beyond the mucogingival junction
  • Severe bone/soft tissue loss
  • Severe malpositioning of teeth

Question 2. Etiology of gingival recession.
Answer:

1. Inflammatory:

  • Plaque-induced periodontal diseases
  • Toothbrush injury

2. Anatomic factors:

  • Developmental anomalies
  • Dehiscences

3. Iatrogenic factors:

  • Clasps and bars of partial dentures
  • Prolonged orthodontic treatment
  • Overhanging restoration

Clinical Features Of Gingivitis Viva Voce

  1. Bleeding on probing is a more objective sign that requires less subjective estimation by the examiner
  2. In gingivitis, there is no true pocket formation
  3. Bacteria found in gingivitis are localized in the gingival sulcus
  4. Inflammation of the gingival margin and a portion of con-contiguous attached Gingival is regarded as marginal gin-gives
  5. The earliest symptoms of gingival inflammation are in-creased gingival reticular fluid production and bleeding on probing
  6. Most common cause of abnormal gingival bleeding on probing is chronic inflammation
  7. The severity of gingival recession is determined by the level of epithelial attachment
  8. Recession tends to be more frequent and severe in patients with good oral hygiene
  9. Bleeding on probing is a best clinical indicator for gingival inflammation