№ 3 2013

1. A patient complains of spontaneous, [Link] necrosis

paroxysmal, irradiating pain with short pain-
free intervals. The pain arose 2 days ago and [Link] imperfecta
occurs only at night. Make a provisional
diagnosis: 4. A 36-year-old patient complains of pain
under the dental bridge. After its removal
A. Exacerbation of chronic periodontitis the patient has been found to have an ulcer
0,3x0,5 cm large on the alveolar process.
[Link] deep caries The ulcer is slightly painful and soft, the
surrounding mucosa is hyperaemic,
C. Acute diffuse pulpitis submandibular lymph nodes are not
enlarged. What is a provisional diagnosis?
[Link] circumscribed pulpitis
A. Trophic ulcer
[Link] purulent pulpitis
B. Decubital ulcer
2. A 47-year-old female patient complains
of inability to eat hot and cold food, as well [Link] aphtha
as of intense pain caused by sour, sweet and
salty food. Objectively: there is a slight loss [Link] ulcer
of enamel on the molars and incisors.
Probing and cold test cause acute pain. What [Link] ulcer
is the most likely diagnosis?
5. A 40-year-old patient complains of
[Link] of dental hard tissues constant intense throbbing pain in the 23
tooth lasting for 3 days. This problem hasn’t
[Link] erosion bothered him before. Vertical and horizontal
percussion is positive, the tooth is mobile,
[Link] necrosis mucous membrane around the 26 tooth is
hyperemic and edematous. Palpation of the
[Link] hypoplasia mucogingival fold in the root apex
projection is painful. What is the most likely
[Link] abrasion of dental hard diagnosis?
tissues
A. Acute serous pulpitis of the 26 tooth
3. A 40-year-old patient complains of pain
caused by cold and sweet food in the 11, 21 [Link] purulent pulpitis of the 26 tooth
teeth, as well as of a cosmetic defect.
Examination of the 11, 21 teeth revealed [Link] localized periodontitis of the 26
some oval, diagonally arranged enamel tooth
defects on the convex part of the vestibular
surface of tooth crowns. The defects had D. Acute purulent periodontitis of the 26
smooth, glossy, densefloor. The patient has tooth
a history of thyrotoxicosis. What is the most
likely provisional diagnosis? [Link] serous periodontitis of the 26 tooth

A. Surface caries 6. A 29-year-old patient complains of decay

of the 21 tooth, an aesthetic defect.
[Link]-shaped defect Objectively: on the medial surface of the 21
tooth there is a carious cavity, the cutting
C. Erosion of dental hard tissues edge is partly decayed. Specify the class of
this cavity according to Black’s 9. A 29-year-old female patient complains
classification: of peeling, dryness and burning of the lower
lip. Objectively: on the vermilion border of
A. Class III lip there are multiple gray scales with tightly
attached center and peeling off edges. The
[Link] I scales are found all across the mouth and
from the wet-dry line to the middle of the
[Link] II lip. The skin is not affected. Scales removal
doesn’t lead to erosions. The patient has the
D. Class IV
lability of psychoemotional sphere. What is
[Link] V the most likely diagnosis?

7. A 25-year-old patient complains of heavy A. Meteorological cheilitis

gingival haemorrhages, pain in the oral
[Link] cheilitis, exudative form
cavity, weakness, fatigue, fever up to 38 oC.
These presentations appeared a week ago. C. Exfoliative cheilitis, dry form
Objectively: the patient is pale, adynamic.
Examination of the oral mucosa reveals [Link] cheilitis
multiple haemorrhages, friable gums,
necrotic areas on the tops of gingival [Link] cheilitis
papillae, as well as enlarged, soft, painless
lymph nodes. The oral mucosal lesion can 10. A 35-year-old patient complains about
be a symptom of the following disease: itch, burning and edema of lips. These
presentations occured a week ago.
A. Intoxication with heavy metal salts Objectively: there is reddening of vermilion
border and skin, especially in the region of
[Link] leukemia mouth corners, there are also vesicles,
crusts, small cracks along with erythematous
[Link] stomatitis affection of vermilion border. What is the
most likely diagnosis?
[Link] C
[Link] eczematous cheilitis
E. Acute leukemia
[Link] exudative erythema
8. A 40-year-old patient complains of
experiencing eating difficulties for 3 [Link] herpetic cheilitis
daysdue to the injury of the alveolar process
mucosa of maxilla. Objectively: at a level of [Link] contact cheilitis
the mucogingival fold of the 14, 15 teeth on
the vestibular side there is a decubital ulcer [Link] form of exfoliative cheilitis
sized 1x3 mm with smooth pink edges.
What is the most likely diagnosis? 11. A 44-year-old male patient complains of
fatigue and headache, limb numbness, dry
A. Allergic stomatitis mouth, burning and pain in the tongue.
Objectively: skin and oral mucosa are pale.
[Link] There are painful cracks in the corners of
mouth. Dorsum of tongue is smooth, glossy,
C. Traumatic stomatitis with bright red striae. Blood count: Hb- 70
g/l, RBCs -1,5·10 12/l, colour index - 1,6,
[Link] ulcer
leukopenia, thrombocytopenia,
[Link] ulcer lymphocytosis. What is the most likely
diagnosis?
[Link]-Biermer anemia [Link] granulomatous periodontitis of
the 11 tooth
[Link] posthaemorrhagic anemia
[Link] of the 11 tooth
[Link] chlorosis
[Link] periodontitis of the 11 tooth,
[Link] deficiency anemia hypercementosis

[Link] anemia 14. A 44-year-old patient consulted a dental

surgeon about constant acute pain in the
12. A male patient complains of acutepain in upper jaw region on the left that is getting
the 26 tooth that is getting worse when worse during teeth joining. The pain
biting down on food. 4 days ago arsenic appeared 3 days ago. Objectively: the face is
paste was applied, but the patient did not symmetric, mouth opening is not limited.
keep the appointment with the dentist. The crown of the 26 tooth is half-decayed.
Objectively: the dressing of the 26 tooth is Probing of the carious cavity is painless.
kept. There is pain reaction to percussion. Percussion of the 26 tooth provokes acute
Ro-gram shows no changes in the periapical pain. Mucous membrane of the alveolar
tissues. After mechanical and process is edematic, hyperaemic at the level
pharmacological treatment of the root canals of the 26 tooth. The 26 tooth had been
the gauze pads are moist, not stained. What treated before. What is your provisional
drug substance must be left in the root diagnosis?
canals for the maximal clinical effect?
A. Acute purulent periostitis of the left
A. Chloramine upper jaw extending from the 26 tooth
[Link] B. Acute purulent periodontitis of the 26
tooth
C. Unitiol
C. Acute pulpitis of the 26 tooth
[Link] peroxide
D. Exacerbation of chronic periodontitis of
[Link] the 26 tooth
13. A 28-year-old patient hadan appointment [Link] of the 26, 27, 28 teeth
with a dental surgeon to prepare the oral
cavity for a prosthesis. Examination 15. A 30-year-old patient complains of
revealed that the 11 tooth crown was toothache caused by hot and cold stimuli.
decayed, the root was stable, its percussion The pain irradiates to the ear and temple.
was painless. The mucous membrane of the Previously there was spontaneous nocturnal
alveolar process was not changed. Ro-gram toothache. Objectively: on the occlusal
of the alveolar process shows widening of surface of the 37 tooth there is a deep
periodontal ligament space in the region of carious cavity communicating at one point
the 11 tooth. Alveolar process structure is with the tooth cavity. Probing at the
not changed. The root canal was passable all communication point, as well as cold
through. What is the most likely diagnosis? stimulus, cause acute pain. The pain persists
for a long time. Electric pulp test result is 5
A. Chronic granulating periodontitis of the mA. What is the most likely diagnosis?
11 tooth
A. Acute diffuse pulpitis
B. Chronic fibrous periodontitis of the
11tooth B. Exacerbation of chronic pulpitis

[Link] of chronic periodontitis

[Link] concrementous pulpitis [Link] localized pulpitis

[Link] purulent pulpitis [Link] deep caries

16. A 40-year-old patient complains of [Link] of the pulp

discomfort in the 24 tooth. He has a history
of periodical swelling in the region of the [Link] of chronic pulpitis
affected tooth. Objectively: the 24 tooth
cavity is wide open. Probing and percussion [Link] diffuse pulpitis
are painless. There is positive vasoparesis
symptom. Radiograph shows bone 19.A 42-year-old patient complains of a
destruction with indistinct outlines. What is painful ulcer in the mouth that is getting
the most likely diagnosis? bigger and does not heal over 1,5 months.
Objectively: on the buccal mucosa there is a
A. Chronic granulomatous periodontitis shallow soft ulcer 2 cm in diameter with
irregular undermined edges. The ulcer floor
[Link] periodontitis is uneven and covered with yellowgray
coating. The ulcer is surrounded by many
[Link] gangrenous pulpitis small yellowish tubercles. Regional lymph
nodes are elastic, painful, matted together.
D. Chronic granulating periodontitis Which disease is characterized by such
symptoms?
[Link] pulpitis
A. Lichen planus
17.A 28-year-old patient complains of a
painless nonhealing mouth ulcer. [Link]
Objectively: regional lymph nodes are
enlarged, painless, of cartilaginous C. Tuberculosis
consistency. On the buccal mucosa there is a
round ulcer 1 cm in diameter with regular [Link]
raised edges and a dense elastic infiltrate at
the base. The ulcer surface is of red colour, [Link] necrotizing stomatitis
painless on palpation. What is the most
likely diagnosis? 20. A 24-year-old patient complains of
aching pain in the 11 tooth that is getting
A. Secondary syphilis worse during biting down on food. Two
days ago the tooth was filled for pulpitis.
[Link] tuberculosis Objectively: the 11 tooth isfilled. The
thermal test causes no pain, vertical
[Link] tuberculosis percussion is slightly painful. Xray picture
of the 11 tooth shows that the
[Link] endodonticfilling is 1 mm above the root
apex. Which of the following methods will
E. Primary syphilis be most effective for eliminating this
complication?
18. A 32-year-old patient complains of acute
spontaneous attacks of pain in the 14 tooth. A. Ultrahigh frequency therapy
The pain lasts for 10-20 minutes and occurs
every 2-3 hours. Carious cavity in the 14 B. Fluctuorization
tooth is filled with softened dentin. Probing
of the cavityfloor is painful at one point. [Link] incision
Cold stimulus causes pain. What is the most
likely diagnosis? [Link] injection of 1% solution of
hydrocortisone
[Link] showed up on itsfloor. What paste should be
applied to the cavityfloor?
21. A 55-year-old patient complains of
general weakness, spasmodic neuralgic pain A. Corticosteroid
in the right side of face, rash in the mouth
and on the skin. Objectively: lip and chin B. Calcidont
skin is markedly hyperemic, there are
numerous vesicles with clear exudate on the [Link]
right. The right cheek mucosa is hyperemic,
there is a string of erosions covered [Link]
withfibrinous pellicle. What is the
[Link]-formalin
provisional diagnosis?
24. A patient working as a bricklayer
[Link] zoster
complains of itching, burning, soreness of
[Link] herpetic stomatitis lips that show up only in the summer period.
He has a 3-year history of this disease.
[Link] vulgaris Objectively: vermilion border of the lower
lip is hyperemic, edematic, covered with
[Link] stomatitis blisters and painful erosions 2 mm in
diameter, crusts, cracks. What is the most
[Link] fever likely diagnosis?

22. A 19-year-old male patient consulted a A. Contact allergic cheilitis

dentist about gingival pain and bleeding
when eating and brushing his teeth. B. Actinic cheilitis, exudative form
Objectively: anterior maxillary and
mandibular teeth are overcrowded, there is [Link] cheilitis
hyperemia, cyanosis and overgrowth of
gingival papillae up to 1/3 of the crown [Link] cheilitis, exudative form
height. The soft plaque is present. The gums
[Link] cheilitis, exudative form
bleed when touched with a tool. What is the
most likely diagnosis? 25. A patient complains of acute shortterm
toothache caused by thermal and chemical
A. Generalized periodontitis
irritants. The tooth has not been treated
[Link] catarrhal gingivitis before, the pain arose about a month ago.
Objectively: on the occlusal surface of the
C. Chronic hypertrophic gingivitis 36 tooth there is a deep carious cavity within
circumpulpal dentin with overhanging
[Link] periodontitis chalky enamel. Probing of the cavityfloor
causes a slight pain. There is also a short-
[Link] gingivitis term pain from the cold stimulus. The result
of electric pulp test is 8 mA. What is the
23. A 23-year-old female patient complains most likely diagnosis?
of short-term paincaused by thermal stimuli
in a lower jaw tooth on the right. A. Chronic deep caries
Objectively: on the occlusal surface of the
46 tooth there is a deep cavity with softened [Link] median caries
light dentin on the floor and walls. Probing
causes a slight pain across the cavity floor. [Link] hyperemia
Pulp electroexcitability is 10 mA. During
the cavity preparation a drop of blood D. Acute deep caries

[Link] fibrous pulpitis

26.A 20-year-old male patient complains of [Link] amputation
acute pain during eating, bad breath, general
weakness. Objectively: interdental papillae [Link]-vital amputation
and marginal gingiva are covered with dirty
grayfilm, any touch is painful. The body [Link] extirpation
temperature is of37,5oC. Blood count: RBC
-4,8·10 12/l, Hb- 150 g/l, colour index - 0,9, E. Biological method
WBC -10,5·10 9 /l,JG-2%,BASO-1%,EOS-
29. A 21-year-old patient complains of a
5%, segmented neut. - 8%, stabs - 47%,
constant progressing throbbing pain in the
LYM - 35%, PLT -250· 10 9/l. ESR – 20
27 tooth. Objectively: a large carious cavity
mm/h. What is the most likely diagnosis?
isfilled with softened dentin, the tooth cavity
A. Chronic leukemia is closed. Probing of the cavityfloor is
painless, percussion causes acute ain, there
[Link] is grade II tooth mobility. Palpation of the
mucous membrane in the projection of the
[Link] leukemia root apex of the 27 tooth causes pain.
Radiological changes are [Link] is the
[Link] herpetic stomatitis most likely diagnosis?

E. Vincent’s gingivitis A. Acute diffuse pulpitis

27. A 19-year-old patient complains of [Link] of chronic periodontitis

indisposition, fever, pain in the gums and
oral mucosa. These presentations showed up C. Acute purulent periodontitis
two days ago. Objectively: body temperature
is of 38,8 0C, regional lymph nodes on the [Link] serous periodontitis
right are enlarged, painful, mobile. Oral
mucosa is hyperemic, edematous; gingival [Link] purulent pulpitis
papillae are hemorrhagic, with grayish-white
30. A 20-year-old patient complains of the
coating, on the buccal mucosa there are
23 tooth sensitivity to sour or sweet food.
painful ulcers with irregular edges covered
The pain abates after the irritants are
with the same grayish-white coating. What
removed. The problems arose two weeks
organisms are most likely to be found on
ago. Objectively: on the vestibular surface
microbiological study?
of the 23 tooth there are white spots 2-3 mm
[Link] symbiosis in diameter. The spots have a rough surface,
methylene blue stain cannot be washed away
[Link] with water. What is the most likely
diagnosis?
[Link] pathogens
[Link] initial caries
[Link] bacillus
[Link] initial caries
[Link] bacillus
[Link] enamel
28. A 34-year-old patient was undergoing
treatment for acute deep caries of the 37 [Link] stage of enamel necrosis
tooth. During the tooth preparation the
buccal pulp horn was accidentally opened. [Link] enamel hypoplasia
What is the most rational treatment of the 37
31. A 25-year-old patient has necrosis foci
tooth?
along the gingival margin on both [Link]
A. Non-vital extirpation skin is sallow, he looks older than his age.
Submandibular, mental, cervical and axillary cheeks along the line of teeth contact and in
lymph nodes are enlarged, painless, mobile. the corners of mouth there are multiple
The patient leads a hectic life, abuses drugs. polygonal bright red erosions 1,0-1,5 cm in
Over the last month he has complained of diameter located on the hyperkeratinized
weakness, constant body temperature plaque and opaque whitish mucosa.
of37,3−37,5oC,diarrhea, weight loss of 15 Cytological analysis revealed keratinizing
kg. What is the most likely provisional epithelial cells. What is the most likely
diagnosis? diagnosis?

A. Acute leukemia A. Secondary syphilis

B. AIDS [Link] planus, erosive form

[Link] C [Link] multiforme

[Link]’s gingivitis D. Leukoplakia, erosive form

[Link] [Link] erythematosus, erosive form

32. A 35-year-old patient has been 35.A 67-year-old female patient has a
diagnosed with chronic median caries of the burning sensation under her complete
36 tooth. There is a Black’s class I I cavity removable denture for the upper jaw which
affecting masticatory surface. What material was fabricated of plastics 3 days ago.
should be chosen for the tooth filling? Examination revealed hyperemia and edema
of the mucous membrane within the
[Link]-cure microhybride composite boundaries of the denture-supporting area.
What is the cause of this pathology?
[Link] ionomer cement
A. Sensitization to the plastics
[Link] cement
B. Excess of monomer in the plastics
[Link]-curefluid composite
[Link] of the oral mucosa
[Link]-cure microfilled composite
[Link] of the oral cavity
33. A 28-year-old patient complains of dull
pain in the 17 tooth caused by hot meal, the [Link] in the oral cavity
pain slowly abates after removing the
irritant. There is also a feeling of tooth 36. A 55-year-old patient consulted a dentist
bursting, and bad breath after the tooth about a roundish tumour-like formation of
suction. What is the provisional diagnosis? about 1 cm in diameter located within the
vermilion border of his lower lip.
[Link] gangrenous pulpitis Objectively: the tumourlike formation
protrudes about 5 mm above the vermilion
[Link] pulpitis border, it is dense and grayish-red. The
surface of the formation is covered with thin
[Link] periodontitis scales that can hardly be removed. What is
the most likely diagnosis?
[Link] hypertrophic pulpitis
[Link] precancer of the vermilion
[Link] concrementous pulpitis
border of lip
34. A 47-year-old patient complains of a
B. Abrasive precancerous Manganotti’s
burning sensation and pain in the mouth.
cheilitis
Objectively: on the mucous membrane of
[Link] limited hyperkeratosis of the 39.X-ray examination of the oral cavity
vermilion border of lip revealed a pronounced damage of the
compact bone, mild osteoporosis of apices
[Link]’s disease of interalveolar septa and widened
periodontal ligament space around the dental
[Link] of Queyrat necks. What is the most likely diagnosis?
37.A 16-year-old male patient complains of A. Chronic catarrhal gingivitis
itchy rash on the vermilion border of lips
and in the mouth corners. The patient has a B. Chronic generalized periodontitis, I stage
4-year-old history of this disease with
exacerbation periods mainly in autumn and C. Chronic generalized periodontitis, initial
winter. Objectively: vermilion border of lips stage
and skin in the mouth corners is dry, peeling
with small scales. Mouth corners are [Link], I stage
characterized by lichenification, deep folds
and fissures, bloody crusts. What is the most [Link], initial stage
likely diagnosis?
40. A 25-year-old female patient consulted a
A. Actinic cheilitis dentist about acute pain in the upper jaw on
the left. The pain occurs during eating.
B. Atopic cheilitis Objectively: on the distal approximal
surface of the 26 tooth there is acavityfilled
[Link] cheilitis with light soft dentin. Probing causes a
slight pain along the dentinenamel junction,
[Link] cheilitis percussion is painless. Cold water causes
quickly abating pain. What is the most likely
[Link] cheilitis diagnosis?
[Link] examination of a 28-yearold [Link] median caries
male patient revealed reddish smooth
patches in form of different-sized circles on [Link] median caries
the back of tongue. The patches are
circumscribed with a narrow whitish stripe. [Link] deep caries
It is known that these tongue changes are not
permanent, show up and disappear [Link] pulpitis
throughout a few years and don’t bother
him. The patient has a history of chronic [Link] deep caries
gastritis. Histological examination of the
epithelium revealed hyper- and 41.A 28-year-old patient complains of
parakeratosis. What is the most likely experiencing gum discomfort, gingival
diagnosis? haemorrhages and pain, especially during
eating, for a week. Objectively: the gums are
A. Leukoplakia swollen and markedly hyperemic, especially
within the 43, 42, 41, 31, 32, 33 teeth, soft
[Link] syphilis plaque and tartar are present, gingival sulcus
is up to 2 mm deep. What is the most likely
[Link] planus diagnosis?

D. Desquamative glossitis [Link] deep gingivitis

[Link] glossitis [Link] catarrhal gingivitis

[Link] gingivitis
[Link] stage of chronic generalized A. Fluorosis
periodontitis
B. Chronic initial caries
E. Exacerbation of initial generalized
periodontitis [Link] enamel hypoplasia

42. A 35-year-old patient complains of [Link] initial caries

gingival hemorrhage during tooth brushing.
Objectively: gums of both jaws are [Link] superficial caries
hyperemic and cyanotic, supragingival and
subgingival tartar is present. The periodontal 45. During the dental care procedures a 4-
pockets are 4-6 mm deep. What is the most year-old child has been found to have a
likely provisional diagnosis? carious cavity in the 64 tooth. The cavity
filled with softened dentin is located within
A. Hypertrophic gingivitis parapulpal dentin and doesn’t communicate
with the tooth cavity. Probing of the
[Link] gingivitis cavityfloor is painless. Gingival mucosa in
the projection of the root apices of the 64
C. II grade generalized periodontitis, chronic tooth exhibits a healedfistula. What is the
course most likely diagnosis?

[Link] of I grade generalized A. Chronicfibrous pulpitis

periodontitis
[Link] periodontitisfibrotic
[Link] grade parodontosis
C. Chronic granulating periodontitis
43. A 27-year-old male patient complains of
aching long-lasting pain in the 15 tooth [Link] gangrenous pulpitis
during having meals, especially cold food.
Sometimes the pain occurs when the [Link] periodontitis garnulematozny
temperature changes. Objectively: on the
distal surface of the 15 tooth there is a 46. A 24-year-old patient consulted a dentist
cavityfilled with softened dentin. Probing is about a cavity in an upper jaw tooth, which
painful. Electroexcitability of the pulp is appeared three months ago. The tooth had
35µA. What is the most likely diagnosis? not ached before. Objectively: on the
occlusal surface of the 15 tooth there is a
A. Hyperemia of the pulp small carious cavity within the mantle
dentinfilled with leftover food. Probing
[Link] deep caries revealed that the cavity walls and floor were
dense. The response to thermal stimuli is
[Link] deep caries absent. What is the most likely diagnosis?

D. Chronic fibrous pulpitis A. Initial caries

[Link] of chronic pulpitis B. Chronic median caries

44. A 25-year-old patient complains of a [Link] deep caries

light brown spot in the upper front tooth.
Objectively: the 23 tooth has a single light [Link] median caries
brown spot in the precervical region.
Probing reveals smooth surface. The tooth is [Link] hyperemia
nonresponsive to cold and probing. What is
the most likely diagnosis? 47.A 21-year-old patient complains of blood
that oozes from a cavity in an upper jaw
tooth during eating. Objectively: the
approximal occlusal surface of the 27 tooth [Link] of antibiotic ointment
has a deep carious cavity filled with soft
tissue overgrowth of purple-red colour that 50. An 18-year-old patient lives in an area
bleeds easily when touched by the probe. with fluoride concentration in the drinking
Probing causes a slight pain. There is a water at the rate of 0,7 mg/l. The patient
slight pain reaction to cold stimuli. EPT complains of white spots on the front teeth,
result is 60 mA. Ro-gram shows no sensitivity to sweet food. Objectively: there
pathological changes. What is the most are chalky spots on the vestibular surface in
likely diagnosis? the cervical part of teeth. Enamel has lost its
[Link] hypertrophic pulpitis gloss. Which of the following methods will
[Link] papillitis allow to make a diagnosis?
[Link] granulating periodontitis [Link] staining
[Link] periodontitis [Link]
[Link] gangrenous pulpitis [Link] test
[Link]
48. A 56-year-old male patient complains of [Link] pulp test
tooth hypersensitivity to all kinds of stimuli.
Objectively: gingival mucosa is anemic, 51. A 23-year-old patient complains of
thinned, dense on touch, tooth necks and minor root exposure, gingival haemorrhage
roots are exposed by 1/3 of their length, during tooth brushing, gum itch.
ache when touched with a tool. Teeth are Objectively: there is supragingival and
stable. There are wedgeshaped defects in the subgingival dental calculus. Gumsare
cervical region of all the premolars. What hyperaemic, edematic, pockets are 3,5mm
kind of toothpaste should be advised this deep. X-ray picture shows resorption of
patient for the complex therapy of the interalveolar septa by 1/3. What is the most
disease? likely diagnosis?
[Link] containing microelements [Link] generalized I degree periodontitis
[Link] containing salt additives [Link] generalized II degree
[Link] containing herbal extracts periodontitis
[Link] containing proteolytic enzymes [Link] of generalized I degree
[Link] containing chlorhexidine periodontitis
[Link] of generalized II degree
49. A 38-year-old female complains of periodontitis
experiencing pain in her lower lip for half a [Link] degree periodontitis
year, difficult eating and talking. The patient
sought medical help at place of residence, 52. A 34-year-old male patient complains of
but the administered treatment was a cosmetic defect, a cavity on the vestibular
ineffective. Examination of the lower lip surface in the cervical part of the 21 tooth.
revealed a deep fissure in the centre which Objectively: the carious cavity is within the
affected the vermilion border and partly the enamel, thefloor and the walls are
mucous membrane of lips. The fissure was pigmented, probing and percussion and
covered with a brown crust, after its removal painless. There is no pain reaction to stimuli.
the fissure started bleeding. The fissure What is the most likely diagnosis?
edges are hyperkeratinized, infiltrated. [Link] surface caries
Select the optimal treatment tactics: [Link] surface caries
[Link] excision [Link] of dental hard tissues
[Link] of keratoplastic agents [Link] median caries
[Link] with helium-neon laser [Link] median caries
[Link] of corticosteroid ointment
 Answers 2013 -№ 3 27.A
1. С 28.E
2. А 29.C
3. С 30.A
4. В 31.B
5. D 32.A
6. D 33.A
7. E 34.D
8. C 35.B
9. C 36.A
10.A 37.B
11.A 38.D
12.C 39.C
13.B 40.A
14.D 41.A
15.B 42.C
16.D 43.D
17.E 44.B
18.A 45.C
19.C 46.B
20.B 47.A
21.A 48.A
22.C 49.A
23.B 50.A
24.B 51.C
25.D 52.A
26.E