HSV-1 infection spreading through the sport of wrestling

 # HSV-1 infection of skin spread through the sport of wrestling. This is called: 

A. Herpetic whitlow 

B. Herpes gladiatorum 

C. Herpes zoster sine 

D. Herpetic shingles 

The correct answer is B. Herpes gladiatorum.

HSV‐1 or ‐2 may cause herpes whitlow, an infection of the fingers when virus is inoculated into the fingers through a break in the skin. This was a common occupational hazard (including within the dental profession) before the widespread use of gloves. Other HSV‐1 infections include herpes gladiatorum (infections of the skin spread through the sport of wrestling), herpes encephalitis, HSV esophagitis, HSV pneumonia and neonatal and disseminated infection.

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Stieglitz pliers are used to:

 # Stieglitz pliers are used to:

A. Contour matrix bands

B. Hold the silver point

C. Remove roots during hemisection

D. Place rubber dam clamp on the tooth

The correct answer is B. Hold the silver point.

Stieglitz forceps come with carbide tips for extra grip and are used for retrieving separated files, silver points, and root fragments.

For the orientation use the following:

North South (N/S) - bucco-lingual chamber orientation of anteriors and bicuspids

East West (E/W) - mesio-distal chamber orientation of molars

Penetration of sealers into the detinal tubules mainly depends on:

 # Penetration of sealers into the dentinal tubules mainly depends on:

A. Sealer thickness

B. Method of obturation

C. Type of final irrigant used

D. Type of sealer

The correct answer is B. Method of obturation.

The smear layer may interfere with the adhesion and penetration of root canal sealers. It also may prevent gutta-percha penetration during thermoplastic techniques. Significant tubular penetrations of gutta-percha and sealers have been reported with thermoplasticized obturations and with dentin-bonded composite resins. Removal of the smear layer also enhances the adhesion of sealers to dentin and tubular penetration. Root canal filling materials adapt better to the canal walls after smear layer removal.

Which of the following statements applies to globular dentin?

 # Which of the following statements applies to globular dentin? 

a. Deposited first along the dentinoenamel junction. 

b. Mineralized by matrix vesicles. 

c. Separates mantle dentin from circumpulpal dentin. 

d. Secreted by immature odontoblasts. 

The correct answer is C. Separates mantle dentin from circumpulpal dentin.

Sometimes mineralization of dentin begins in small globular areas that fail to coalesce into a homogeneous mass. This results in zones of hypomineralization between the globules. These zones are known as globular dentin or interglobular spaces. This dentin forms in the crowns of teeth in the circumpulpal dentin just below the mantle dentin, and it follows the incremental pattern. The dentinal tubules pass uninterruptedly through interglobular dentin, thus demonstrating defect of mineralization and not of matrix formation.