Dentosphere : World of Dentistry

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Difference in the amount of space needed for the accommodation of the incisors and amount of space available for them is known as: A. Primate space B. Leeway Space of Nance C. Anthropoid space D. Incisal liability D. Incisal liability Incisal liability, also known as incisor liability, describes the space discrepancy in the mixed dentition phase where the permanent incisors require more mesiodistal width (typically 7 mm in the maxillary arch and 5 mm in the mandibular arch) than the primary incisors they replace, creating a potential crowding issue that must be accommodated by factors like interdental spacing, arch perimeter changes, or leeway space. This is distinct from primate space (A, developmental space distal to the lateral incisor), leeway space of Nance (B, difference between deciduous and permanent molars/canines), and anthropoid space (C, a less common term sometimes used interchangeably with primate space in non-human primates). 

Type of crowding that is genetically determined and is caused by disproportionately sized teeth and jaws: A. Primary crowding B. Secondary crowding C. Tertiary crowding D. Environmental crowding The correct answer is A. Primary crowding.  Primary crowding refers to a type of dental crowding caused by a genetic discrepancy in tooth and jaw sizes, such as larger teeth relative to the jaw, leading to misalignment. This contrasts with secondary crowding, which results from environmental factors like early tooth loss, and tertiary crowding, which involves late-stage incisor irregularities. Environmental crowding isn't a standard classification but aligns with secondary causes.

Which of the following is the least biocompatible? A. TMA B. Elgiloy C. Stainless steel D. Cu-NiTi The correct answer is B. Elgiloy. Elgiloy (a cobalt-chromium-nickel alloy) is the least biocompatible among the options due to its higher nickel content (14-16%) compared to stainless steel (8%), leading to greater nickel and chromium ion release in simulated oral environments. Studies show it induces significant neurotoxicity via necrosis, elevated oxidative stress, and higher cytotoxicity (2.7-fold increase in dead cells) relative to stainless steel (apoptosis, 1.7-fold dead cells), TMA (variable but generally low ion release and non-toxic), and Cu-NiTi (lower ion release and minimal cytotoxicity). This increases risks of allergic reactions and tissue irritation in orthodontic use.

 # What is facial divergence? A. Relation of maxilla to mandible B. Lower face inclination in relation to the forehead C. Relation of mandible to forehead D. Relation of lower face with cranial base The correct answer is B. Lower face inclination in relation to the forehead Examination of facial divergence is done by viewing the patient from the side. Facial divergence is often influenced by patient’s ethnicity and racial background. For instance, convex profile with an anterior facial divergence is a normal feature of negroid race groups. Facial divergence is defined as an anterior or posterior inclination of mandible (lower face) relative to the forehead. Assessment of facial divergence is done by a line drawn from the forehead to the chin. Facial divergence of an individual may fall into any one of the following three types: 1. Straight/orthognathic—A line drawn from forehead to chin is almost straight. 2. Anterior facial divergence—The line drawn from forehead to the chin is ...

 # Which radiographic landmark extends inferiorly from the medial pterygoid plate? A. Nasolabial fold B. Hamular process C. Zygomatic process D. Maxillary tuberosity The correct answer is B. Hamular process. The radiographic landmark that extends inferiorly from the medial pterygoid plate is the hamulus (or hamular process) of the sphenoid bone. The hamular process is a small, hook-like projection that extends downward from the medial pterygoid plate. It is visible on certain radiographic views, such as panoramic or lateral cephalometric radiographs, and serves as an attachment point for structures like the pterygomandibular raphe and the tensor veli palatini muscle.

# A 12 year old patient presents with premature loss of primary teeth. On radiographic examination, a sharply marginated lucency is seen in the area of tooth loss. A biopsy specimen shows a round cell infiltrate with numerous eosinophils. Which of the following diagnosis is suggested? A. Cherubism B. Gardener’s syndrome C. Fibrous dysplasia D. Langerhans’ cell disease The correct answer is D. Langerhans’ cell disease . Explanation: The clinical presentation of a 12-year-old patient with premature loss of primary teeth, a sharply marginated radiolucency on radiographic examination, and a biopsy showing a round cell infiltrate with numerous eosinophils strongly suggests Langerhans’ cell disease (also known as Langerhans cell histiocytosis, LCH). LCH is a rare disorder characterized by the proliferation of Langerhans cells, often affecting children. In the oral cavity, it commonly presents with premature tooth loss, "floating teeth" due to bone destruction, and sharply defin...