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98406
Periodontics

Width of attached gingiva: This is the key factor. Incision design must preserve or account for the amount of attached gingiva to ensure stability of the gingival margin and long-term periodontal health.

Depth of vestibule: Important for flap design and access, but not the main deciding factor for incision type.

Frenal attachments: Influence surgical planning (especially in mucogingival surgery), but not the primary determinant of incision type.

Presence of bony defects: Determines flap reflection and osseous surgery, but not the initial incision type itself.

24780
Oral Surgery

Local anaesthetics act by blocking voltage‑gated sodium channels, preventing depolarization and conduction of nerve impulses. The sensitivity of different nerve fibres depends on their diameter, myelination, and conduction velocity.

  • Type B fibres

    • Small, myelinated preganglionic autonomic fibres.

    • Moderately sensitive to local anaesthetics.

  • Type C fibres

    • Smallest, unmyelinated fibres.

    • Carry dull, aching pain and temperature sensations.

    • Most sensitive to local anaesthetics because of their small diameter and lack of myelin.

  • Type A‑delta fibres

    • Small, thinly myelinated fibres.

    • Carry sharp, pricking pain.

    • Less sensitive than Type C fibres but more sensitive than larger A‑alpha fibres.

  • Fibres supplying muscle spindles (Type A‑alpha fibres)

    • Large, heavily myelinated fibres.

    • Conduct proprioception and motor signals.

    • Least sensitive to local anaesthetics due to their large diameter and thick myelin sheath.

 Local anaesthetics preferentially block small, unmyelinated fibres first (Type C), followed by small myelinated fibres (Type B, A‑delta). Large myelinated fibres (A‑alpha) are blocked last. This explains why pain sensation is lost before motor function during local anaesthesia.

83593
Dental Materials

Cobalt in a cast chromium-cobalt-nickel alloy contribute to strength, rigidity, and hardness

79104
Dental Materials

Acid etching selectively dissolves the hydroxyapatite crystals in dentin, creating microscopic tags and channels for resin infiltration, which enhances the bond between the restorative material and the tooth structure.

63475
Periodontics

Maintaining good oral hygiene practices, such as regular brushing and flossing, is the most effective way to prevent periodontal disease, as it reduces plaque accumulation and gingival inflammation.

29493
Orthodontics

Indicators for Class II activator include mandibular retrusion, horizontal/anterior mandibular growth, and upright lower anteriors. Crowding in lower anteriors is not a specific indicator for its use.

24644
Physiology

Stage 3 NREM, also known as slow-wave sleep, is characterized by delta waves on EEG and is associated with the lowest body temperature, decreased heart rate, and decreased muscle tone, indicating a deep restorative sleep state.

10185
Prosthodontics

Terms:

  1. Stability:

    • Stability refers to the ability of a denture to resist horizontal forces that may cause it to move or dislodge. A stable denture base remains in place during function, such as chewing or speaking, and is crucial for the overall comfort and effectiveness of the prosthesis. Stability is influenced by the design of the denture, the fit of the base, and the anatomy of the underlying tissues.
  2. Pressure:

    • Pressure refers to the force exerted by the denture base against the underlying tissues. While pressure is important for retention and support, it does not specifically describe the resistance to horizontal dislodgement.
  3. Support:

    • Support refers to the resistance of the denture base to vertical forces. It is provided by the underlying bone and soft tissues, ensuring that the denture does not sink into the tissues under occlusal load.
  4. Retention:

    • Retention is the ability of the denture to stay in place against vertical dislodging forces. It is primarily influenced by factors such as the fit of the denture, the use of adhesives, and the presence of suction or interfacial tension between the denture base and the oral tissues.

56892
Orthodontics

Expansion and distalization are considered noninvasive methods for gaining space in orthodontic treatment.

41457
Oral Surgery

The treatment of choice for a patient with a localized infection and pus formation, especially if they are afebrile (without fever), is incision and drainage (I & D). This involves creating a small opening in the skin to allow the pus to drain out. While antibiotics can be used as an adjunctive therapy to prevent the spread of infection, they are not always necessary in the initial management of a localized abscess if it is managed effectively with I & D.

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