Which of the following is classified as a procedural accident?

 # Which of the following is classified as a procedural accident?
a. Extensive caries preventing adequate rubber dam isolation
b. Inability to obtain reliable pulp testing results
c. A separated instrument
d. Swelling after nonsurgical root canal treatment



The correct answer is C. A separated instrument.

Procedural accidents are one reason for referral and are a direct result of treatment rather than preoperative conditions, diagnostic testing, or postoperative symptoms. A separated instrument is one of the most difficult accidents to correct.

Ref: Endodontics Principles and Practice, Torabinejad, Fifth Edition, Page e17

Akhanda Smile Dental Clinic, Buddhachowk, Bharatpur Chitwan

 Name of Dental Clinic: Akhanda Smile Dental Clinic
Address: Buddhachowk, Bharatpur Chitwan (nearby BPKMCH)
Year of Establishment: 2018
Name of the chief Dental Surgeon: Dr. Laxman Poudel (21377), Dr. Shishir Poudel(20942)
CONTACT NUMBER: 9862448924

Arch length space for the eruption of permanent mandibular second and third molars is created by:

 # Arch length space for the eruption of permanent mandibular second and third molars is created by:
A. Apposition of the alveolar process
B. Apposition of the anterior border of ramus
C. Resorption of the anterior border of ramus
D. Resorption at the posterior border of ramus



The correct answer is C. Resorption of the anterior border of ramus.

Nowhere is there a better example of remodeling resorption than in the backward movement of the ramus of the mandible. The mandible grows longer by apposition of new bone on the posterior surface of the ramus. At the same time, large quantities of bone are removed from the anterior surface of the ramus. In essence, the body of the mandible grows longer as the ramus moves away from the chin, and this occurs by removal of bone from the anterior surface of the ramus and deposition of bone on the posterior surface. 

In infancy, the ramus is located at about the spot where the primary first molar will erupt. Progressive posterior remodeling creates space for the second primary molar and then for the sequential eruption of the permanent molar teeth. More often than not, however, this growth ceases before enough space has been created for the eruption of the third permanent molar, which becomes impacted in the ramus. 

Ref: Contemporary Orthodontics, Proffit, 4th Edition, Page no 47


Facial plane in Lateral Cephalogram:

 # In a lateral cephalogram, facial plane runs from:
A. Nasion to pogonion
B. Nasion to gnathion
C. Sella to gnathion
D. Nasion to ANS



The correct answer is A. Nasion to Pogonion. 

Facial plane: It is a line from the anterior point of the frontonasal suture (nasion) to the most anterior point of the mandible (pogonion). 

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