Alexander's Dental Quiz

ADC Scenario Based MCQs

Scenario: Alexander, a 64-year-old patient who is receiving warfarin as part of the management of his atrial fibrillation, tells you that one of his lower right back teeth was restored three years ago by a dentist who has since retired from your practice. The tooth is now occasionally sensitive to hot and cold. The clinical notes confirm the history and indicate that the tooth was restored using a resin composite material. You obtain the periapical radiograph.

Question 1: In addition to testing the pulp vitality with either cold or an electric pulp tester, which of the following clinical tests or procedures would be the most appropriate to assist in making a diagnosis?

Question 2: In this case, what is most likely to cause the failure of the class II composite restorations of the posterior teeth?

Question 3: Given the history and radiographic evidence, what is the best description of the sensitivity to hot and cold you would expect Alexander to report?

Question 4: You decided to extract the tooth, and in planning for the procedure, you find that the patient’s International normalized ratio (INR) is 2.4. What is the most appropriate action to take at this time?

Question 5: After removal of the 46, which prosthodontic options would be most appropriate for Alexander?

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