All of the following increase primary stability of miniscrew implants EXCEPT:

 # All of the following increase primary stability of miniscrew implants EXCEPT: 

A. Cortical predrilling

B. Cortical bone thickness

C. Spongy bone thickness

D. Length or diameter

The correct answer is A. Cortical predrilling

• Studies about various miniscrew designs to improve primary stability are increasing. Different changes in screw diameter, length and the design of the threads have been investigated

• Primary stability is influenced and increased by optimum loading, good bone density, more cortical bone thickness, advance screw design and root proximity. 

• Drill free method of MSI insertion is much better than pre-drilled method for primary stability of mini screw implants as in case of pre drilled method more heat is produced which leads to compromised bone regeneration hence jeopardize implant stability. 

The characteristic feature of Brader arch form is:

 # The characteristic feature of Brader arch form is:

A. Resembles metal chain hanging from two ends

B. Expanded in second molar region

C. Constricted in second molar region

D. Offsets in premolar region are present

The correct answer is C. Constricted in the second molar region.

Brader arch form: 

• Based on a trifocal ellipse 

• Trifocal ellipse almost the same wide as the catenary curve anterior segment 

• It has a somewhat wider premolar segment than the catenary curve 

• In the posterior segment trifocal ellipse constricts gradually while catenary curve does not 

• This arch form is more constricted or closely approximate at 2nd & 3rd molars 

An early prepubertal growth spurt indicates:

 # An early prepubertal growth spurt indicates:

a) Longer treatment time 

b) Fast maturing child

c) Slow maturing child 

d) An endocrine dysfunction

The correct answer is B. Fast maturing child.

An early prepubertal growth spurt can indicate a fast-maturing child. In general, girls experience a growth spurt before boys, with the average age of onset around 10 years for girls and 12 years for boys. However, in some cases, children may experience an early prepubertal growth spurt, which can occur before the typical age of onset.

While an early prepubertal growth spurt can be a sign of a fast-maturing child, it is not necessarily an indication of longer treatment time or an endocrine dysfunction. The timing and duration of growth spurts can vary widely among children and are influenced by a variety of factors, including genetics, nutrition, and overall health. If there are concerns about a child's growth or development, it is important to consult a healthcare provider for evaluation and guidance.

Greatest amount of cranial growth occurs by:

 # Greatest amount of cranial growth occurs by:

a) Birth to five years 

b) 5 - 6 years

c) 6 - 7 years 

d) 7 - 10 years

The correct answer is: A. Birth to five years.

The greatest amount of cranial growth occurs from birth to five years of age. During this time, the skull undergoes rapid growth and development to accommodate the growing brain and other structures. This period of growth is known as the rapid growth phase.

After the age of five, the rate of cranial growth slows down, and the skull undergoes more subtle changes as the child ages. While there may be some additional growth from 5-10 years of age, it is not as significant as the growth that occurs during the first five years of life.

 

Growth site of the mandible is in the:

 # Growth site of the mandible is in the:

a) Body 

b) Condylar cartilage

c) Coronoid 

d) Ramus

The correct answer is B. Condylar cartilage.

The growth site of the mandible is in the condylar cartilage. The condylar cartilage is a layer of cartilage at the temporomandibular joint (TMJ) that allows for growth and movement of the mandible. As a child grows, the cartilage in the condylar process of the mandible expands and is gradually replaced by bone. This process contributes to the growth of the mandible. The other areas of the mandible, such as the body, coronoid, and ramus, are important for muscle attachment and provide support for the teeth, but they do not play a significant role in the growth of the mandible.

Pterygoid point (Ptm) is a cephalometric point representing the radiolucent foramen of:

 # Pterygoid point (Ptm) is a cephalometric point representing the radiolucent foramen of:

A. Magnum

B. Ovale

C. Rotundum

D. Spinosum

The correct answer is C. Rotundum.

Pterygomaxillary Fissure (Ptm): 

• A bilateral teardrop-shaped area of radiolucency 

• The anterior shadow of which is the posterior surfaces of the tuberosities of the maxilla. 

• The PTM point is the intersection of the inferior border of the foramen rotundum with the posterior wall of the pterygomaxillary fissure. 

Orthodontic tooth movement is affected by: PGCEE MDS 2022

 # Orthodontic tooth movement is affected by:

A. Aspirin

B. Tetracycline

C. Metronidazole

D. Fluoride

The correct answer is A. Aspirin.

• Prostaglandin E plays an essential role in the cascade of signals that leads to tooth movement, so the inhibitors of its activity affect tooth movement. Drugs that affect prostaglandin activity fall into two categories: - corticosteroids and nonsteroidal anti-inflammatory drugs (NSAIDs) that interfere with prostaglandin synthesis and - other agents that have mixed agonistic and antagonistic effects on various prostaglandins. 

• In the body, prostaglandins are formed from arachidonic acid, which in turn is derived from phospholipids. Corticosteroids reduce prostaglandin synthesis by inhibiting the formation of arachidonic acid; NSAIDs inhibit the conversion of arachidonic acid to prostaglandins. 

• Most NSAIDs (aspirin, ibuprofen, Naprosyn, and many others) are prostaglandin inhibitors. The major exception is acetaminophen (Tylenol), which acts centrally rather than peripherally. 

• This raises the interesting possibility that the medication used by many patients to control pain after orthodontic appointments could interfere with tooth movement. Fortunately, with the low doses and short durations of analgesic therapy in orthodontic patients, this does not occur, but it can become a problem in adults or children being treated for arthritis.

• It has been suggested that acetaminophen (Tylenol) should be a better analgesic for orthodontic patients than aspirin, ibuprofen, naproxen, and similar prostaglandin inhibitors because it acts centrally rather than as a prostaglandin inhibitor.