Best of Fives

for Dentistry

Douglas Hammond
BDS (Wales) MFGDP (UK)

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iv best of fives for dentistry

2006 PASTEST LTD

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ISBN: 1905635 19 2
ISBN 13: 978 1905635 19 1
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contents

Contents
About the Author

vii

Introduction

ix

Oral Medicine

Oral Surgery

23

Dental Materials

45

Child Dental Health and Orthodontics

67

Oral Pathology

95

Periodontics

117

Pharmacology

145

Radiology

167

Restorative Dentistry

189

10

Human Disease

213

Index

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235

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about the author

vii

About the Author

Douglas Hammond BDS (Wales) MFGDP (UK)
Clinical Lecturer in Oral and Maxillofacial surgery, Royal London Hospital.
Douglas graduated from Cardiff Dental Hospital and completed various hospital and
practice jobs. He then began working as a part-time lecturer in Oral and
Maxillofacial Surgery at the Royal London Hospital in 2002, whilst embarking on a
medicine degree at University College London. He should graduate in June 2007.
From there he hopes to continue into specialist training in Oral and Maxillofacial
Surgery.

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introduction

ix

Introduction
This book aims to cover most of the aspects required in finals for dentistry. It tries
to cover a broad section of subjects, most of which are the examiners favourites.
There is a mixture of questions with some requiring straightforward recognition and
others requiring the application of knowledge. All of the most basic subjects are
covered and some of the more complex subjects. Hopefully this will be a good
revision aid to those revising for finals.

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Periodontics

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Periodontics

6.1

Which one of the following bacterial species is not associated with

adult periodontitis?

1
1
1
1
1

Fusobacterium nucleatum

Bacteroides forsythus

119

C Porphyromonas gingivalis
D Shigella sonnei
E

Prevotella intermedia

6.2

When looking at the notes of a patient, you see annotation for a

Basic Periodontal Examination (BPE). What does a score of 3 mean
on this particular index?

1
1
1
1
1

Gingival bleeding, no overhangs or calculus, pockets > 3.5 mm

Pockets within colour-coded area, 4.56.5 mm

C Colour-coded area disappears, pockets > 5.5 mm

D Pockets within colour-coded area, 3.55.5 mm
E

Colour-coded area disappears, pockets > 5.5 mm

6.3

Which one of the following statements regarding acute necrotising

ulcerative gingivitis (ANUG) is true?

1
1
1
1
1

It is caused by Gram-positive anaerobic bacteria

It is characterised by chronic onset

C It affects non-smokers more than smokers

D It is caused by acid fast bacilli
E

It is characterised by interproximal necrosis

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120 best of fives for dentistry

6.1

All of the bacteria in the list are responsible for adult periodontitis except S. sonnei,
which is responsible for acute diarrhoea.

6.2

The WHO probe is used for carrying out BPE. The index is shown below.
Score
0
1

Disease
No disease
Gingival bleeding, no overhangs or calculus, pockets
< 3.5 mm
No pockets > 3.5 mm, no supragingival calculus or
subgingival overhangs present
Pockets within the colour-coded area, 3.55.5 mm
Colour-coded area disappears, pockets > 5.5 mm

2
3
4

6.3

ANUG is caused by Gram-negative aerobic bacteria, usually in the mandible, has a

very distinctive smell (fetor oris) and is more common in smokers and those with
poor oral hygiene.

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Periodontics

6.4

Correct treatment of a patient with ANUG is:

1
1

20% chlorhexidine mouthwashes twice daily

Amoxicillin 500 mg three times daily for 5 days and 20% chlorhexidine
mouth washes twice daily

C Erythromycin 250 mg four times daily for 5 days and 20% chlorhexidine

mouthwashes twice daily

1
1

D Scaling and oral hygiene instruction

6.5

Which one of the following statements about tooth mobility is

incorrect?

Movement of a crown of the tooth in the horizontal plane of less than

0.2 mm is considered normal

Grade 1 means movement of the crown of a tooth in the horizontal plane

is 0.21 mm

C Grade 2 means movement of the crown of a tooth in the horizontal plane

is greater than 1 mm

D Grade 3 means movement of the crown of a tooth in the horizontal plane

is greater than 3 mm

6.6

Which one of the following clinical conditions predispose patients

with impaired/defective neutrophil function to severe periodontitis?

1
1
1
1
1

PattersonBrownKelly syndrome

ChediakHigashi disease

121

Metronidazole 400 mg three times daily for 5 days and hydrogen

peroxide mouthwash twice daily

Grade 3 means movement of the crown of a tooth in the vertical plane

C Hypothyroidism
D Hyperthyroidism
E

Gardners syndrome

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122 best of fives for dentistry

6.4

ANUG is a very painful condition. The most efficacious mouthwash is hydrogen

peroxide, and the bacterial component is treated with metronidazole. Amoxicillin
and erythromycin would be ineffective in treatment of this condition.

6.5

Tooth mobility is graded as shown in the table below.

Grade
1

Description
Movement of the crown of a tooth in the horizontal plane is 0.21 mm

Movement of the crown of a tooth in the horizontal plane is greater than

1 mm

Movement of the crown of a tooth in the vertical plane

6.6

None of the others are relevant to periodontal disease.

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Periodontics

6.7

Which one of the following is associated with abnormal collagen

formation leading to periodontal disease?

1
1
1
1
1

Type 1 diabetes mellitus

PapillonLefvre syndrome

123

C Hypophosphatasia
D Type 2 diabetes mellitus
E

Hyperphosphatasia

6.8

What is the name of the probe shown in the figure?

1
1
1
1
1

Briaults

Community Periodontal Index of Treatment Needs (CPITN)

C World Health Organization (WHO)

D Williams
E

Florida

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124 best of fives for dentistry

6.7

Hypophosphatasia, as well as EhlersDanlos syndrome are associated with

abnormal collagen formation and periodontal disease. PapillonLefvre syndrome is
associated with abnormal neutrophil function, which leads to periodontal disease.

6.8

The probe shown is the Williams probe, which has 1 mm increments for accurate
measurement of the pocket depth.

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Periodontics

6.9

In juvenile periodontitis, which bacterium is the recognised

aetiological agent?

1
1
1
1
1

Porphyromonas gingivalis

Prevotella intermedia

125

C Actinobacillus actinomycetemcomitans
D Borrelia burgdorferi
E

Fusobacterium intermedium

6.10

Which teeth are most commonly affected in juvenile periodontitis?

1
1
1
1
1

Incisors and first permanent molars

Incisors and canines

C Canines and premolars

D Premolars and first permanent molars
E

Canines and first permanent molars

6.11

For which teeth/surfaces would you use a Gracey no 1 or no 2

curette when scaling?

1
1
1
1
1

All teeth

All surfaces of anterior teeth

C Mesial surfaces of anterior teeth

D All surfaces of posterior teeth
E

Mesial surfaces of posterior teeth

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6.9

A. actinomycetemcomitans is a capnophilic, non-motile rod that possesses a potent

leucotoxin, which causes lysis of polymorphonuclear leucocytes.

6.10

As these are the first teeth to erupt, they seem to be the teeth which are affected
most by juvenile periodontitis.

6.11

A Gracey no 1 or no 2 is ideally shaped to facilitate scaling of all surfaces of

anterior teeth.

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