Difficulty in pronouncing T

 # A person wearing complete denture has difficulty in pronouncing T. The reason may be:

A. Too thick palatal area

B. Incorrect position of upper incisor teeth

C. Too thick mandibular bone

D. Reduced salivary flow

The correct answer is B. Incorrect position of upper incisor teeth. 

- Sounds like t, d, n, etc. are alveolar sounds. These sounds are produced with tip of tongue touching anterior palate.

- If maxillary anterior teeth are placed too far anteriorly, 'd' will sound like 't'.

- If they are placed too palatally, 't' will sound like 'd'. 

Lentulo spiral uses

 # Lentulo spirals are used for:

A. Locating canal orifice

B. Pulp extirpation

C. Enlarging coronal third of the root canal

D. Application of root canal sealer

The correct answer is D. Application of root canal sealer. 

- Finger pluggers are used for vertical compaction of gutta percha. 

- Finger spreaders are used for  lateral compaction of gutta percha.

- Lentulo spiral is used to deliver sealer or triple antibiotic paste to the root canal.

BPKIHS Online OPD Registration

 

B.P. Koirala Institute of Health Sciences (BPKIHS) has initiated an innovative service of Online registration and ticketing for providing OPD services from 2077-06-26. For this, the patients have to get themselves registered from the Android App BPKIHS  

Patients have to:

- register their personal details

- select the desired department and register the ticket / pay the stipulated amount via Khalti or eSewa or IMEPay

- If registered before 8:00 AM, the patients will be registered for the same day, and those registering after 8:00 AM will be registered for the next day. Patients have to collect their OPD cards from the counter in the respective departments and enter the doctor's chamber. 

At present, this service is available only for routine OPD (daily regular OPD). In the upcoming days, Institutional based private practice (Private OPD) registration will also be incorporated in the app.

Staffs from respective departments working in the OPD should collect the OPD cards of the patients registered through online within 9:00 AM on the same day. 

CLICK HERE TO DOWNLOAD THE BPKIHS APP ON ANDROID

Age related gingival recession

# Age-related gingival recession can be best treated by:

A. Gingivoplasty

B. Pedicle graft

C. Free gingival graft

D. No treatment

The correct answer is D. No treatment.

Gingival recession increases with age, the incidence varies from 8% in children to 100% after the age of 50 years. This has led to some investigators to assume that recession may be a physiologic process related to ageing. 

Tooth most affected by gingivitis

 # Facial surface of which tooth is most affected by gingivitis?

 A. Upper first molar

 B. Lower first molar

 C. Lower central incisor

 D. Lower premolar

The correct answer is A. Upper first molar.

Facial surface of upper first molar and lingual surface of lower central incisors is most affected by gingivitis. This is due to close proximity to opening of salivary ducts.

Life saver shaped gingival enlargement of Marginal Gingiva

 # Life saver shaped gingival enlargement of marginal gingiva is called:

 A. Stillman's cleft

 B. McCall's festoons

 C. Widow peaks

 D. Craters

The correct answer is B. McCall's festoons.

The term McCall's festoons has been used to describe a rolled, thickened band of gingiva that is usually seen adjacent to the cuspids when recession approaches the mucogingival junction.

Stillman clefts are apostrophe shaped indentations extending to marginal gingiva. They are usually present on facial surface. 

Craters are bony defects or concavities found in interdental areas.

Widow peaks are pseudo piling up of gingiva when failed to remove bony discrepancies at gingival line angles during osteotomy procedures. These are peaks of residual cortical bone left out during horizontal grooving at the facial/palatal/lingual line angles. 

Radiographic finding of Aggressive periodontitis

 # One of the radiographic finding of Aggressive periodontitis is arc shaped bone loss extending from:

A. Distal surface of the second premolar to mesial surface of second molar

B. Distal surface of the first premolar to mesial surface of first molar

C. Mesial surface of the second molar to distal surface of the first premolar

D. Mesial surface of the first premolar to distal surface of the second premolar

The correct answer is A. Distal surface of the second premolar to mesial surface of second molar

- Localized Juvenile Periodontitis is characterized by distribution of lesions in the first molars and incisors with least destruction in the cuspid-premolar area whereas in Generalized Juvenile periodontitis, there is generalized involvement of teeth.

- Vertical bone loss around incisors and molars in otherwise healthy teenagers is diagnostic of Localized juvenile periodontits.

- There is an arc shaped bone loss extending from distal surface of second premolar to mesial surface of second molar creating a mirror image type of bone loss which is characteristic of Juvenile periodontitis.