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The ‘ugly duckling stage’ is characterized by:

 # The ‘ugly duckling stage’ is characterized by:
A. Distoangular axial inclination of the crown of maxillary incisors
B. Deep overbite
C. Mandibular lateral incisors erupting lingual to mandibular central incisors
D. Maxillary lateral incisors erupting lingual to maxillary central incisors



The correct answer is A. Distoangular axial inclination of the crown of maxillary incisors.

In some children, the maxillary incisors flare laterally and are widely spaced when they first erupt, a condition often called the "ugly duckling" stage. The position of the incisors tends to improve when the permanent canines erupt, but this condition increases the possibility that the canines will become
impacted.

Ref: Contemporary Orthodontics, Proffit, Fourth Edition, Page no. 101


Orthodontic correction of which of the following is most easily retained?

 # Orthodontic correction of which of the following is most easily retained?
A. Anterior crossbite
B. Spacing
C. Diastema
D. Crowding



The correct answer is A. Anterior Crossbite.

Earliest radiographic sign of osteomyelitis

 # The earliest radiographic sign of osteomyelitis is:
A. Solitary or multiple small radiolucent areas
B. Increased granular radiopacity
C. Blurring of trabecular outlines
D. Formation of sequestrum appearing as radiopaque patches


The correct answer is C. Blurring of Trabecular outlines.

Radiographic Features
Radiodensity—about 10 days after acute infection, the density of trabeculae will be decreased, with blurred and fuzzy. For the radiographs to reveal any changes, there must be a loss of from 30 to 60% in the calcium content.

Trabecular pattern—the earliest radiographic change is that trabeculae in the involved area are thin, of poor density and slightly unsharp or blurred. The trabeculae soon lose their continuity as well as the little density present. Individual trabeculae become fuzzy and indistinct.

Ref: Textbook of Oral Medicine, 2nd Edition, Anil Govindrao Ghom





Treatment of Fordyce's granule

 # If one of your patient is having Fordyce’s granules in his buccal mucosa, what will be your line of treatment?
A. Excision
B. No treatment needed
C. Topical application of steroids
D. Surgery followed by radiotherapy



The correct answer is B. No treatment needed. 

Ref: Shafer's Textbook of Oral Pathology, page no. 25. These glands are innocuous, have no clinical or functional significance, and require no treatment. However, very rarely a benign sebaceous gland adenoma may develop from these intraoral structures.



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