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Тестування студентів 3 курсу.
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A 20-year-old patient complains of the 23 tooth sensitivity to sour or sweet food. The pain abates after the irritants are removed. The problems arose two weeks ago. Objectively: on the vestibular surface of the 23 tooth there are white spots 2-3 mm in diameter. The spots have a rough surface, methylene blue stain cannot be washed away with water. What is the most likely diagnosis?
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A 26 year-old woman suffers from bleeding gums. For 3 years she has been suffering from pancreatic diabetes. Objectively: gingival papillas of all the teeth are hyperemic, swollen and overlap with the teeth crowns by 1/3 of the crowns height. What method of examination must be conducted for differentiated diagnostics?
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A 28-year-old female patient consulted a dentist about pain caused by thermal and chemical stimuli in the mandibular and maxillary teeth. Objectively: in the cervical zone of mandibular and maxillary incisors and canines there are irregularly shaped defects of hard dental tissues within the amelodentinal junction in form of tissue softening. In this clinical case a dentist will find it difficult to differentiate between the following diseases:
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A 25-year-old patient complains of brief pain attacks during eating sweet, hot or cold food. Objectively: on the contact surface of the 36 tooth there is a carious cavity within parapulpar dentin. The dentin is softened. Probing of the cavity is painful. Vertical and horizontal percussion is painless. Electric pulp test - 9 microamperes. What diagnosis is most likely?
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An 18-year-old patient complains of chalky spot in the 23 tooth, which is slightly painful when cold stimulus is applied. Objectively: the vestibular surface near dental cervix of the 23 tooth has a white spot 2-3 mm in size. Probing is painless and reveals coarseness of the surface. Thermal stimulus causes slight pain. What is the most probable diagnosis?
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An 11-year-old child complains of a carious cavity in the left upper molar, which appeared six months ago. Objectively: the medial contact surface of the 26 tooth exhibits a carious cavity located within the mantle dentin. The cavity floor and walls are dense, pigmented, with no pain upon probing. The response to thermal stimuli is absent. Percussion of the tooth causes no pain. Make a provisional diagnosis:
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A 14-year-old child complains of bleeding and pain during eating in the lower right molar. Objectively: the medial contact and masticatory surfaces of the 46 tooth exhibit a large carious cavity filled with red tissue. Superficial probing causes pain and moderate bleeding. Deeper probing causes acute pain. Percussion is painlessl. What is your provisional diagnosis:
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A 30-year-old woman complains of a carious cavity in the 16 tooth, food retention in the gap between the 16 and 17 teeth. During examination there was detected a carious cavity within mantle dentin with wide opening on the approximal-medial surface of the 16 tooth. The cavity floor and walls are pigmented, dense, painless on probing. Percussion of the 16 tooth is painless. On thermodiagnostics a short-term reaction can be observed. Make the diagnosis:
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A 29-year-old patient complains of decay of the 21 tooth, an aesthetic defect. Objectively: on the medial surface of the 21 tooth there is a carious cavity, the cutting edge is partly decayed. Specify the class of this cavity according to Black's classification:
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A 30-year-old patient complains about a carious cavity. Objectively: the 16 tooth is discoloured and has a deep carious cavity communicating with the dental cavity. Probing, percussion cause no pain. Electroodontodiagnosis is 100 microamper E. X-ray picture shows widening of periodontal fissur E. What is the most likely diagnosis?
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