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20402
Endodontics

Explanation: Class IV in the Ellis classification indicates a fracture that has resulted in pulp exposure, often leading to a non-vital tooth. Class IV: Crown Fracture with Pulp Involvement Description: Extensive fracture involving enamel, dentin, and pulp, often with significant loss of tooth structure.Endodontic Consideration: Endodontic treatment is necessary due to pulp exposure. The tooth may require additional restorative procedures after root canal therapy to restore function and aesthetics.

69566
Periodontics

The apically displaced flap procedure is a common surgical technique in periodontology that achieves two goals: the elimination of periodontal pockets and an increase in the width of the attached gingiva. 

 By surgically moving the gingival flap in an apical direction, the procedure exposes more tooth structure and repositioning the gingival margin at a more apical level, thus reducing or eliminating the pocket depth and simultaneously increasing the amount of keratinized, attached gingiva.

15601
Biochemistry

The synthesis of urea takes place in the liver by the process called ''Ornithine cycle'' or "Urea cycle"
This cycle was discovered by Hans Krebs and Kurt Henseleit in the year 1932.
The Ornithine cycle is completed in 5 steps:
1. Conversion of ammonia into carbamoyl phosphate
2.The transfer of carbamoyl group from carbamoyl phosphate to ornithine
3. Releasing of the formed citrulline into the cytosol
4. Cleavage of argininosuccinate
5. Hydrolysis of Arginine: The final step involves the hydrolysis of Arginine into urea and ornithine

Arginase is the sixth and final enzyme of this cycle.

45260
General Medicine

Presence of cavitation in TB indicates the disease is active

26802
Dental Anatomy

The largest and longest root canal of the maxillary second molar is the lingual

40685
Periodontics

The success of a laterally positioned flap (LPF) procedure relies on having an adequate band of attached gingiva at the donor site to ensure sufficient tissue for coverage and to prevent recession at the donor site itself. Adequate facial bone support at the donor site is also crucial for maintaining the viability of the flap.

However, the procedure is specifically used to treat isolated gingival recession defects where the recipient site typically lacks sufficient attached gingiva.

73331
Orthodontics

The labial bow in an activator is constructed with 0.8 mm wire, slightly heavier to provide stability and retention.

40115
Oral Pathology

The parakeratinised type of odontogenic keratocyst (OKC) is significantly more common than the orthokeratinised type, making up the vast majority of cases. 


It is also known for being more clinically aggressive, invasive, and exhibiting a higher rate of recurrence following treatment, which is a key characteristic distinguishing it from other types of cysts.

82298
Oral Surgery

After a myocardial infarction (MI), elective dental treatment is generally deferred for at least 6 months because of the risk of reinfarction.
However, if urgent treatment such as full mouth extractions is required within 6 months, it must be done with special precautions.
Since the patient is on anticoagulant therapy, the prothrombin time (PT/INR) must be checked and controlled to reduce bleeding risk.
The safest approach is:
Hospitalize the patient for monitoring.
Control PT/INR before surgery.
Perform extractions under local anesthesia (general anesthesia carries higher cardiovascular risk).

49049
Dental Anatomy

During eruption of permanent teeth, alveolar bone is resorbed and deposited intermittently

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