Workhorse of periodontal therapy is:

 # Workhorse of periodontal therapy is:

A. Double papilla flap

B. Apically repositioned flap

C. Coronally displaced flap

D. Laterally repositioned flap

The correct answer is B. Apically repositioned flap.

An apically displaced (positioned) flap (APF) is a full-thickness or partial-thickness mucoperiosteal flap. It has a relatively high degree of predictability and is a "workhorse" of periodontal therapy. 

Reversed architecture is most commonly found in:

 # Reversed architecture is most commonly found in:

A. Trauma from occlusion

B. Retrograde periodontitis

C. Aggressive periodontitis

D. ANUP

The correct answer is A. Trauma from occlusion.

Reversed architecture defects are produced by a loss of interdental bone, including the facial plates and the lingual plates, without a concomitant loss of radicular bone, thereby reversing the normal

architecture. Such defects are more common in the maxilla.

Which of the following is not true about beta titanium?

 # Which of the following is not true about beta titanium?

A. Offers less resistance to friction

B. True weldability

C. Biocompatibility

D. High formability

The correct answer is A. Offers less resistance to friction.

- In general, the B-titanium wires have better biocompatibility and high corrosion resistance in the oral environment. The absence of nickel is another important feature and hence can be used in patients with hypersensitivity to nickel. 

- These wires show passivating effect due to the presence of Titanium oxide. Beta-titanium wires can be soldered or welded with ease without losing resiliency. 

- These wires have a high coefficient of friction and are not good for use during retraction mechanics. Hence, their use is restricted to frictionless mechanics like loops and springs. 

- Beta -titanium is a very resilient wire, has high tensile strength, and is easily formable. A continuous arch with T, vertical, helical, and 'L' loops, can be formed in both round wire and rectangular wire.

Which of the following wires cannot be soldered and welded?

 # Which of the following wires cannot be soldered and welded?

A. Beta titanium

B. Optiflex wire

C. Gold wire

D. Stainless steel

The correct answer is B. Optiflex wire.

Optiflex arch-wire is composed of a silicon dioxide core, which provides the force or resiliency to the wire. The silicon resin forms the middle layer. This adds strength to the wire. The nylon outer layer makes the wire stain resistant. 

• Optiflex wire cannot be soldered, or welded, and a sharp bend cannot be placed in the wire. 

• It is a new aesthetic archwire. 

• Highly resilient, and effective for the alignment of crowded teeth. 

Another type of wire which cannot be soldered and welded is NiTi wire.

If the length is doubled, then the flexibility of a wire is increased by:

 # If the length is doubled, then the flexibility of a wire is increased by:

A. 4 times

B. 8 times

C. 2 times

D. 6 times

The correct answer is B. 8 times.

The stiffness of a wire is directly proportional to the fourth power of the radius and inversely proportional to the third power of its length. To put it more simply, flexibility is the direct opposite of stiffness therefore when the wire length is increased by 2 times the flexibility increases 8 fold, and if you increase the radius by 2 fold, the stiffness increase or flexibility decreases by 16 times. 

Stainless steel wire can be hardened by:

 # Stainless steel wire can be hardened by:

A. Tempering

B. Work hardening

C. Annealing

D. Pulse straightening

The correct answer is B. Work hardening.

Cold Working (Strain Hardening/Work Hardening): It is the process of plastically deforming metal at a temperature, lower than at which it recrystallizes new grains. This temperature is usually one-third to one-half of its absolute melting point. Cold working disrupts the regular atomic arrangement and incorporates strain across the grain boundaries. 

Annealing: It is the process of reversing the effects of cold working. In a clinical setting, a wire is considered annealed when it appears red hot.

Hysteresis: The difference between the energy required to activate the wire by deflection and that it releases during deactivation. This is called energy loss or hysteresis. 

Heat treatment: It refers to a general process of using thermal energy to change the characteristics of metallic alloys as tempering, precipitation hardening, or annealing. In a clinical setting, different wires are heat treated according to the manufacturer's recommendations. A wire is considered heat treated when it appears straw-colored. 

Which of the following craniofacial syndromes is not associated with craniosynostosis?

 # Which of the following craniofacial syndromes is not associated with craniosynostosis?

A. Apert syndrome

B. Crouzon syndrome

C. Pfeiffer syndrome

D. Treacher Collins syndrome

The correct answer is D. Treacher Collins syndrome.

Craniosynostosis is a condition in which one or more of the fibrous sutures in a young infant's skull prematurely fuses by turning into bone (ossification), thereby changing the skull's growth pattern. Because the skull cannot expand perpendicular to the fused suture, it compensates by growing more in the direction parallel to the closed sutures. Sometimes the resulting growth pattern provides the necessary space for the growing brain but results in an abnormal head shape and abnormal facial features. In cases in which the compensation does not effectively provide enough space for the growing brain, craniosynostosis results in increased intracranial pressure leading possibly to visual impairment, sleeping impairment, eating difficulties, or an impairment of mental development combined with a significant reduction in IQ.

In primary multiple suture craniosynostosis features like a cloverleaf skull & sun-setting eyes can be seen. 

Simple craniosynostosis = Premature fusion of only one suture 

Complex/compound craniosynostosis = Premature fusion of more than one/multiple sutures 

Syndromes associated with craniosynostosis are: 

• Apert syndrome 

• Crouzon syndrome 

• Pfeiffer syndrome 

• Chotzen syndrome 

• Craniofrontonasal syndrome 

• Shprintzen-Goldberg syndrome 

• Baller-Gerold syndrome 

• Carpenter syndrome