COMMUNITY & PERIO PAPER DISCUSSION

yeah very good morning one and all now I'm just going to discuss few MCQs which were given in our grant exam that was conducted recently on community and period so this is the question that is given the composition of plaque from all the types of registry to material is almost similar except one of the following so you need to find the odd man out in this list for example if you take GIC JS into consideration as we know that GIC is going to release florid okay so fluoride whenever it is released and the relationship between the fluoride and the bacteria is there is one engine called as an Jam analyst which is a very very important engine that is required for that like Wallaces process so when our fluoride is present when our 50 ppm of fluoride is present it's going to inhibit this engine and prevent the glycolysis so indirectly it's going to decrease the plaque so with this explanation we can go for GAC is the best option when compared with the rest of other options the next one this question is about the gingival masses which was I mean let it not depth oriented question but few questions were given in this area in the recent examinations so all the options which were given under this question were direct lines that are taken from textbook see this the gingival masses is going to provide epithelial thickening increases the keratinization and increases the mitotic activity both in the epithelium as well as connector tissue is the right statement so going to the second statement epithelial thickening increases the characterization and increases the blood circulation was not shown to be beneficial in restoring the gingival health basically when you massage gingiva the main reason why we'll get this positive signs or good signs these because we are removing the plaque indirectly so that's what the point 3 says improved ginger will help associated with the interdental stimulation is more likely the release of microbial plaque removal than the ginger will massage so this is the primary reason why we are getting these benefits okay and it is not that great in registering the gingival health but it is very important in removing the microbial plaque content which indirectly helps in the gingival health okay so all the statements are true if you don't know learn it okay all these three are direct statements which are taken from Carranza so the next question is the best method to differentiate okay the best method to differentiate acute periapical abscess and periodontal abscess okay they're asking the best method there are many methods and few people are confused about their clinical practice okay most of them are in terms of final years done with the final year internship they they have an idea like if you have a vertical percussion tbp if you have a vertical percussion then that is periodical abscess if you have a horizontal polarization horizontal direction that is a periodontal abscess we have this misconception this is also one of the method but the best method is the vitality okay if you have a vital pulp and if you have an abscess that can be mostly a periodontal abscess if you have a dead pulp a non vital pulp okay non-vital pulp and if you have an abscess then that can be mostly a periapical abscess okay so the best method is the pulp vitality okay so the answer is vitality tests next one so there is a slight controversy regarding this I I cannot consider it as a controversy okay because one area of dental pulse the how given a different answer another area in the synopsis they have given a different numerical with this people got confused okay so that is the correction actually but the right value that is there in the recent edition of Carranza is seventy two hundred percent is so basing upon that right value the incidence of gingivitis in pregnancy you need to go for fifty two hundred as the right answer next one a bit controversy but you need to under understand the underline the keyword that is the minimum bone density or the minimum bone okay so they're asking the minimum bone that is required in this particular question so the data that is given is the diameter is four millimeters okay don't get confuse it is diameter in few questions to trap you they can give you radius and I hope you know the relationship between the radius and diameter so diameter is equal to 2 into radius so this is radius and this is this whole is diameter so diameter is equal to 2 into R so they can give you radius also to trap you to see you're like how focused you are while reading the question so the diameter is given that is 4 and the length is given that is 10 millimeters so they're asking the minimum that it bone that is required so if you take if you consider this as an implant and this is what they have given for okay and for an implant you need a surrounding bone okay you need a surrounding bone the surrounding bone dimensions that are given are 1 to 1.5 millimeters surrounding bone you required if it is minimum if it is idle you need to go for one point sighs so now the question is about minimum so you need a minimum of one millimeter on my sensor and one millimeter on distance I totally you require 4 plus 1 plus 1 that is 6 millimeters so you have 6 millimeters and coming to the length of the bones according to a statement that is given in carranza the minimum length is 10 millimeters except in the case of your mandibular posteriors because mandibular posteriors you have mandibular can also you need to go for 12 millimeters as a safety so in mandibular posterior specifically if they ask a question you need to go for 12 millimeters you rest of the areas because here they have not specified right so you need to go for 10 millimeters so the answer is C coming to the next question it's a key correction in your exam and the right answer is papillary preservation flap nothing to explain direct question mandibular sorry it is anterior teeth with a severe or moderate you need to go for papillary preservation flap okay this this is again a bit of controversy so end of evolution there is something called as end up and parry olesia so it's nothing but a combination of endodontic relation and a parrot or deletion so basing on that they are divided into simply they're divided into three categories one is primary endo and secondary period means primarily it is endodontic amine factor and then and then secondly is your period or deletion right and the second one is primary period primary afarid or deletion and secondary aeronautical lesion and the last one is combined in relation or a combination lesion means you cannot differentiate whether it is primary and or primary parry or second or second row which cannot be us both integration as well apparent relation but with the clinical futures and everything you cannot differentiate whether it is an endodontic relation or a periodontal lesion such lesions can be categorized or diagnosed as may combine lesions or or a combination lesion okay so here this question in a case a tooth has endodontic and periodontal problems together but they are not given which is I mean like which is which is primary ouches primarily started or which is secondary side they have not given so consider it as a diagnosis of combine leisure so according to the recent studies of endo periodontal lesion for any type of case whether it is a primary internal secondary periodontal whether it is primary periodontal second right analytical whether it is a combined lesion always try to start with the initial treatment of endo first complete endo finish the endodontic part then go for the periodontal part or you can go for simultaneous but if I know an option is given like first go with end or rather than going with next go with a period so that is the best option okay so what the question says is that I endodontic relation should always precedes the periodontal lesion yes this is a right statement okay this is true for all the types of interpolation whether it is a primary and analytical nation or whether it is a primary paradorn relation whether it's the combined lesion always start doing end of first do end or treatment first then go with the period treatment so that's what the question is okay next comes with the prevalence II question it's it's a bit controversial question there are two statements regarding this question two right answers okay both two and three are right according to me but if you open the recent edition that is the 24th edition of Park okay it was clearly given ratio can be the best option according to me so if you have any errors in your basic books please do correct my keys ratio because 24th edition of Park clearly says that it's a ratio of course it's a proportion too but if you have both option then you can think of both but if you have to select the best among the four go for ratio okay again a bit good question this is a very good question and the question is about the residual chlorine levels so people going into the question love you ask a few aspects related this residual floor the minimum required they have not mentioned where and when the minimum required is 0.55 milligrams per deciliter minimum without any giving an idea like whether it is a water body whether it's a swimming pool or whether it is a portable water they have not given any such things minimum chlorine required is 0.5 milligrams per deciliter and they can ask you the time okay the time is 60 minutes the time of duration of quantity is 60 minutes so these two numericals are very very very very important one is 0.5 and second one is and the second one is the 16 okay so now go into the go deep into the question the key word in the question is water bodies okay so these values varies from option to option for example if they give normal water okay then go for answer as 0.5 milligrams per deciliter if they give water bodies then the answer is 0.7 milligrams per deciliter if they give swimming pools swimming pool then the answer is 1 milligram per deciliter and the time duration is common for everything 60 minutes three minutes 60 minutes if they have not mentioned anything whether it's a water body whether it's a water whether its water water body our swimming pool if they're not mentioned anything the minimum requirement is this one so clearly given a water body so you need to go for 0.7 as an answer slight controversy regarding this question okay this this this this is directly taken from your carranza so with this reference you can consider the answer as random okay I don't know why this was posted as doubt to me it's very simple I hope you know this this this symbol is related to AIDS which color band it is red color band next goes with okay add added simple question okay levels of prevention the four levels of prevention right primordial primary secondary and tertiary among this the fourth option will comes under as a primary level of prevention okay people were quite confused about this see this question to find out whether there is a caries reduction in a group of individual before and after okay same individual before and after this data before and after the same individual is paid because you are doing a paid data in the same individual right so it's a paid t-test before and after in the same individual is paid t-test okay different individuals at the same time is unpaid you if you are comparing the amount of caries reduction caries reduction in boys and girls in boys and girls that is paid t unpaid t-test okay our student t-test that is unpaid or student t-test what is the question is comparing carries reduction in boys and girls after Florida application is unpaid comparing the caries reduction before and after application the same individual then you have to go for paid t-test hope it is clear okay a bit high-level question so basing upon the benefits and the size of the benefit and the nature of the benefit the clinical significant is divided into level 1 level 2 level 3 level 4 I just want to make it as simple as possible okay so basing upon the sales size it is divided into large and small what is large large is defined as one that can be reliably identified using epidemiological so whenever you see a large crowd so then that is epidemiology so such categories large whenever you go for our cities or for small crowd then that is called a small I they hope you are clear with large and small the second one is whether they are beneficial or not means whether their benefit to the patient or not so if you see the outcomes the patient can feel the benefits and the patient has increased the decreasing the pain or increasing the functionality or the patient is feeling happy such things are called as beneficial and non beneficial are they are not they are not like they are not appreciated by the patient's mind so such things are called as non beneficial so basing upon this they are divided into levels so level 1 2 3 & 4 so if it is large and it is beneficial and it is clearly perceived by the patient and it is level 1 if it is small perceived by the patient level 2 if it is not perceived by the patient but it is large then it is 3 if it is small and not perceived by the patient then it is 4 so if you see the the line that is taken from the pulse sorry the line that is taken from the carranza the treatment of the clinical significant level 4 may cause more harm than good then it is tied for so the question is more harm than good level 4 it's a very good question so please do read it and work on low dose and the next goes is the agony test okay now in this test they're categorizing 70 out of 130 or 60 out of one that they are talking about the person dis whenever they're talking about the person tis or whenever they're talking about the proportion then you need to think of this choice greatest when how they talk about the numericals then you can think about the paid and unpaid t-test so a bit controversy but I want you guys to stick to answer as a for this a bit controversy but I want you guys to stick to answer a okay so because whenever there is decreasing in the attachment okay and the sulcus depth will be very shallow okay even periodontal pocket can be right answer but I want you guys to go for the shallow circus and the next dose is is about if you see this okay it's very it's very your pulse question is generalized question now the question is geared clearly given about the slow siren filtration okay slow sand filtration it is for if it is faster and filtration eight to six feet okay thank you all done for now we'll be coming up with some more videos