MDS PREP
Which of the following shows 200 % of its adult growth by age 9-10 years
1) Lymphoid
2) General
3) Genital
4) Neural
Orthodontics
Answer: 1
The lymphoid system, which includes lymph nodes, spleen, and other lymphatic tissues, undergoes significant growth during childhood. By the age of 9-10 years, the lymphoid tissue can reach approximately 200% of its adult size due to the increased demand for immune function during this period. This growth is part of the body's preparation for increased exposure to pathogens as children interact more with their environment.
Ashley-Howe model analysis is used to predict
1) Tooth material excess
2) Maxillo - mandibular relationships
3) Basal bone-transverse relationship
4) Growth prediction
Orthodontics
Answer: 3
Ashley-Howe Model Analysis
The Ashley-Howe model analysis is a method used in
orthodontics to assess the relationship of the dental arches and the position of
the teeth, particularly in the context of planning orthodontic treatment. This
analysis is particularly useful for evaluating the transverse dimension of the
dental arches and understanding how the maxilla (upper jaw) and mandible (lower
jaw) relate to each other.
Measurement Parameters:
The analysis involves measuring specific distances and angles on dental
casts or models. Key measurements may include:
Intercanine Width: The distance between the cusp
tips of the canines.
Interpremolar Width: The distance between the cusp
tips of the first premolars.
Intermolar Width: The distance between the cusp
tips of the first molars.
These measurements help in determining the transverse relationships of
the dental arches.
Classification:
The results of the Ashley-Howe analysis can help classify the dental
arch relationships into different categories, such as:
Normal: Where the measurements fall within the
expected range.
Narrowed: Indicating a constricted arch that may
require expansion.
Widened: Indicating a broader arch that may need to
be reduced or managed differently.
Clinical Application:
The Ashley-Howe model analysis is particularly useful in treatment
planning for orthodontic cases involving:
Crossbites: Where the upper teeth are positioned
inside the lower teeth.
Crowding: Where there is insufficient space for
teeth to erupt properly.
Expansion Needs: Determining if a patient requires
arch expansion to correct transverse discrepancies.
Treatment Implications:
Based on the analysis, orthodontists can decide on appropriate treatment
modalities, which may include:
Orthodontic Appliances: Such as expanders to widen
the arch.
Extraction: In cases of severe crowding or when
space needs to be created.
Comprehensive Orthodontic Treatment: To align the
teeth and improve occlusion.
What is the relation of the lower first molar to the upper first molar in an
Angle Class III malocclusion?
1. distal
2. lateral
3. mesial
4. normal
Orthodontics Answer: 3
Angle Class III Malocclusion:
Angle Classification:
The Angle classification system, developed by Edward Angle, is a
widely used method for categorizing malocclusions based on the
relationship of the first molars and the canines.
Class III Malocclusion:
In Angle Class III malocclusion, the lower first molar is positioned
more mesially (toward the midline) relative to the upper first molar.
This means that when the first molars are in occlusion, the lower first
molar is ahead of the upper first molar.
Clinical Implications:
Class III malocclusion is often associated with a prognathic
mandible (where the lower jaw is positioned forward) or a retruded
maxilla (where the upper jaw is positioned backward). This can lead to
various functional and aesthetic concerns, including difficulties with
biting and chewing, as well as facial profile changes.
All of the following factors interfere with statural growth on long-term basis except
1) Cleft palate
2) Poor nutrition
3) Chronic diseases
4) Cardiac diseases
Orthodontics
Answer: 1
A cleft palate is a congenital condition that does not inherently affect statural growth. The other factors listed—poor nutrition, chronic diseases, and cardiac diseases—can all have long-term negative impacts on a person's growth and development. Poor nutrition can lead to stunted growth due to insufficient nutrients for bone and tissue development, while chronic diseases and cardiac diseases can impair the body's ability to regulate growth hormones and overall health, potentially leading to growth delays or abnormalities.
Which of the fibers attached to cementum are most likely to contribute to relapse of tooth rotation:
1) Gingival group of fibers
2) Apical fibers
3) Horizontal fibers
4) Oblique fibers
Orthodontics Answer: 1
SOLUTION
Gingival group of fibers
Principal fibers of the periodontal ligament rearranges themselves quite rapidly to the position in about 4 weeks.The supra-alveolar gingival fiber take as much as 40 weeks to rearrange around the new position and thus predispose to relapse.
A child is 7-year-old skeletal class I relation. He has the habit of thumb sucking. There is slight overjet and anterior spacing. If he discontinue the habit
1) Overjet will reduced
2) Overjet increases as permanent canines erupt
3) Lower incisors incline labially
4) Result in crowding of anterior teeth
Orthodontics
Answer: 1
In a child with a skeletal Class I relationship and slight overjet, thumb sucking can contribute to the maintenance of the overjet due to the anterior teeth being pushed forward by the thumb. If the child discontinues thumb sucking, the anterior teeth may naturally reposition themselves, leading to a reduction in overjet.
Option 2 is incorrect because while the eruption of permanent canines can influence the occlusion.
Option 3 is also incorrect; the lower incisors would not necessarily incline labially if the thumb sucking habit is stopped.
Which dimension in which arch is considered as a safety value for pubertal growth spurts?
1) Maxillary intercanine dimension
2) Mandibular intercanine dimension
3) Maxillary intermolar width
4) Mandibular intermolar width
Orthodontics Answer: 1
SOLUTION
Intercanine width serves as safety valve for dominant horizontal basal mandibular growth spurt.
The orthodontic correction of which of the following is most easily retained
1) Anterior cross bite
2) Crowding
3) Diastema
4) Spacing
Orthodontics Answer: 1
SOLUTION
The key to success is to use an appliance that is both comfortable, easily retained and predictable such as a simple Hawley retainer with recurve springs or a fixed labial-lingual appliance (including a vertical removable arch for ease of adjustment with a recurve spring to jump the cross-bite).
Both of these appliances work by tipping the maxillary teeth forward so they are in a normal dental relationship to the mandibular teeth. Once this is accomplished, it will allow future coordinated growth between the maxilla and the mandible