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Тестування студентів 3 курсу.
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After examination a 5-year-old child was diagnosed with acute total pulpitis of the 74 tooth. What treatment will be most efficient in this case?
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A 20-year-old patient complains about unaesthetic look of the 24 tooth from the moment of its eruption. Objectively: enamel of the 24 tooth is partly absent, the dentine is yellow. The 64 tooth was treated more than once when she was a child, but because of frequent exacerbations, edemas and gingival fistula the 64 tooth was extracted when she was 9 years old. What is the most likely diagnosis?
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A 34-year-old patient complains of intense, tearing, throbbing pain in the 17 tooth, which appeared for the first time and persists for 4 days. Percussion causes acute pain in any direction, the tooth is mobile, the mucosa around the 17 tooth is hyperemic and edematous; palpation of the mucogingval junction causes acute pain. What is the most likely diagnosis?
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A 35-year-old man complains of short-term pain caused by thermal stimuli in the 46 and 47 teeth. Objectively: masticatory surfaces of the 46, 47 teeth are intact, approximal surfaces could not be examined because of a very close arrangement of teeth. What methods of study can be used in this case if you suspect the presence of hidden cavities?
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A 16-year-old girl complains of constant dull pain in her lower tooth. The pain aggravates on biting. Objectively in 46 there is a deep carious cavity communicating with the dental cavity. Comparative percussion is sharply painful. Thermal stimuli and probing are painless. Mucosa in the area of tooth 46 is markedly hyperemic, swollen, painful on palpation. X-ray shows an irregularly shaped focus of bone tissue destruction with blurred margins. Make the diagnosis:
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A 27-year-old patient complains of the long-term pain in the 22 tooth caused by cold and hot food, as well as of spontaneous pain lasting for 30 minutes and occurring 3-4 times per day, aggravating at night. Pain arose 3 days ago after preparation of the tooth for the acrylic crown. Objectively: the 22 tooth is intact, the thermal test causes acute long-lasting pain, percussion is painless. What is the optimal treatment tactics?
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Parents of a 12-year-old child complain of white patches on the upper front teeth, which appeared six months ago. Objectively: chalk-like patches on the vestibular surfaces in the precervical region of the 13, 12, 11, 21, 22, 23 teeth. Their enamel is dull, pliable and rough on probing. There is a history of short-term pain caused by chemical stimuli. What is your provisional diagnosis?
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A 24-year-old patient complains of aching pain in the 11 tooth that is getting worse on biting. Two days ago the tooth was filled for pulpitis. Objectively: the 11 tooth is filled. The thermal test causes no pain, vertical percussion is slightly painful. X-ray picture of the 11 tooth shows that the endodontic filling is 1 mm above the root apex. Which of the following methods will be most effective for eliminating this complication?
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A 26-year-old patient presented at a clinic for prosthetics. Objectively: the crown of the 16 tooth is destroyed by 1/3. It is planned to restore its anatomical shape with a metal inlay. What is the first stage of cavity preparation?
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A 24-year-old woman came to a dentist to receive sanation. Objectively on the masticatory surface of the 37 tooth there is a deep carious cavity connected with the dental cavity. The cavity probing is painless, no reaction to thermal stimuli is observed in the tooth, percussion is painless. EOD is 100 microamperes. X-ray shows traces of filling material in the root canal of the 37 tooth, periodontal fissure is enlarged and deformed. Make the diagnosis:
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