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Mnemonics in Dentistry

COPYRIGHT NOTICE

All rights reserved, no part of this book may be


published, duplicated, reproduced, stored in any
retrieval system or transmission in any form or any
means, photocopying, electronic, mechanical or
recording without the prior permission of the author.

DISCLAIMER

Whilst the author has ensured to provide


information in its most accurate form from reliable
sources, we accept no responsibility for loss,
damage or injury caused to any persons acting on
the information provided or refraining from it.

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Mnemonics in Dentistry

C o n te n t s P a g e

Acknowledgments 3
Introduction 4

1 . Medicine and Surgery relevant to dentistry 11

2. Oral Medicine and Oral Pathology 81

3. Oral Maxillofacial Surgery and Radiology 115

4. Therapeutics and Anaesthesia 139

5. Head and Neck Anatomy & Embryology 151

6. Syndromes of the Head & Neck 181

7. Orthodontics and Paediatric dentistry 195

8. Periodontics, Restorative dentistry &


Prosthodontics 212

9. Dental Materials 246

10. Dental Law 252

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Mnemonics in Dentistry

A c k now le d g e m e n t s

I would like to express my immense gratitude


to my dear mother who has been a source of
inspiration and continuous support during the
writing of this book.

I would also like to thank my other family


members who have also encouraged me to
produce this book and who patiently listened
to all the mnemonics produced and their
invaluable feedback.

My heartfelt thanks also goes out to all my


friends, colleagues and nurses who have given
me their feedback during the course of writing
this book.

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Mnemonics in Dentistry

Introdu c tion
Mnemonics in Dentistry was first conceptualized
as an undergraduate student but later progressed
and now has reached this phase and materialized
as a revision text book.

On looking for a revision text there are a number of


books in the market which are either encyclopedic
reference books or books which test the existing
knowledge by using questions in the form of
multiple choice questions (MCQ’s) or extended
matching questions (EMQ’s).

All of these books are valuable in terms of the


information provided as a reference book as well
as for the purpose of revision. Mnemonics in
Dentistry allows the individual student to

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Mnemonics in Dentistry

Systemize the information that they have learnt or


need to learn so that it eases the approach of recall
of information by using memory aids.

The use of mnemonics and chunking information


that is, arranging a long list in smaller units or
categories that are easier to remember. If you can
recall off your credit card number or your
telephone numbers without looking at it, that’s
probably because it’s arranged in groups of 2, 3
and 4 digits.

This book uses the concept of mnemonics, clusters


and grouping to help individuals memorise and
recall information in a clear and concise manner.

The overload of information can lead to


information being ‘jumbled’ and therefore
recall much more difficult. However, if the
information is stored in a systematic order, a

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Mnemonics in Dentistry

simple analogy is like a filing cabinet then


whenever you require a particular file it is easily
retrieved. Whereas, if everything is disorganized
then retrieving a file becomes much more difficult.

Recall of information learnt can also work in this


manner and the aim of this book is to make
learning and recall more effective and enjoyable. A
number of tools can be used on memory and
learning, and this book also utilizes these well
known concepts tailored to enhance learning in
the field of dentistry.

Occasionally, the studious and most hard working


candidates may perform poorly in examinations
due to a poor revision technique. The fact is they
may have known the subject material well but their
ability to recall information under pressure in a
systematic way usually fails them. The information

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Mnemonics in Dentistry

is probably all muddled up and the process of


recall becomes all that difficult.

Imagine learning mnemonics relevant in dentistry


and impressing your tutors with your level of recall
and surprising them by the factual information
retained. A simple example is: What would you
answer if your tutor asked you or were presented
with a question in a viva examination about the
complications of a blood transfusion?

You’re probably thinking that I have done that


particular module but cannot recall what I have
been taught. But if you remembered the
mnemonic INCOMPATIBLE then for each letter in
this mnemonic you will be able to relate to the
complications of a blood transfusion. So in this
example:

IN = Incompatibility reaction

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Mnemonics in Dentistry

C = Citrate Toxicity
O = Overload
M = Myocardial distress
P = Potassium levels
A = Abnormal clotting, Acidosis and Alkalosis
T = Temperature(fever)
I = Infection transmission
B = Bleeding tendency
L = Levels of Albumin drop
E = ECG changes because of massive transfusions
due to abnormal potassium levels

From the above example we can see the function


of the mnemonic as an initiator and hence once
the mnemonic is recalled you can easily list the
complications associated with a blood transfusion
and therefore you can further elaborate on each
point.

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Mnemonics in Dentistry

Of course in a book of this nature it cannot


extensively provide you with a mnemonic for every
information and situation but within the book
there are over 300 mnemonics and clusters which
would assist you with your level of revision.

Furthermore, learning new information in a more


systemised and organised format can be used as a
stepping stone to create new mnemonics and
improve your own revision techniques.

This book is useful for anyone within the dental


profession who wishes to consolidate their existing
knowledge as well as for undergraduate dental
students, students wishing to undertake the MJDF,
MFDS and overseas registration
examinations(ORE).

We would welcome further mnemonics from our


readers that they may have created and find useful

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Mnemonics in Dentistry

and we will certainly consider including it in our


further editions.

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Mnemonics in Dentistry

Chapter 1
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DISORDERS OF COAGULATION AND HAEMOSTASIS

The disorder of haemostasis and coagulation for


simplicity can be divided into three categories:

9 VESSEL WALL DISORDER


VESSEL
V = Vasculitis
E = HEreditary Haemorrhagic Telengectasia
S = Scurvy
S = Steroids
E = Ehlers-Danlos Syndrome )DFWV
L = Long Age ( Senile Purpura)

The Prothrombin time(INR), Activated Partial


Thromboplastin time(APTT) and platelet count are all
usually normal in vessel wall disorders. Rarely causes
serious bleeding and may present as bleeding into
mucous membranes or skin starts immediately
following trauma but stops after 24-48 hours .
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Mnemonics in Dentistry

9 PLATELET DISORDER(Platelet count < 140*10 /l)


9

VIRALS
V = Viral Infections, Vitamin B12/Folate deficiency
I = Idiopathic Thrombocytopenic Purpura(ITP)
R= TRansfusion
A = Aspirin, Aplastic anaemia’s, Antihistamines
L = Leukaemia’s
S = Splenomegaly )DFWV

Deficiency of platelets is the most common


coagulation disorder and can be caused by many
disease and drugs. Thrombocytopenia exists when
the platelet count falls below < 140*109/l. It can
present as petechiae and haemorrhages into the skin.

The Prothrombin time(INR) and APTT are normal.


The bleeding time is usually abnormal.

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Mnemonics in Dentistry

9 COAGULATION PATHWAY DISORDERS


HAEMOSTASIS
H = Haemophilia A & B, Heparin
A = Alcoholism
E = Extensive tissue damage can lead to
Disseminated Intravascular Coagulation(DIC)
M=Metastatic Cancers e.g. liver metastasis
O= VOn Willebrands Disease(lack of Von
Willebrand factor)
S = Systemic drugs e.g. Warfarin
T = Trauma/Surgery can cause DIC
A =Abnormal Liver Function Test(Liver disease)
S = Serum prothrombin conversion accelerator
(SPCA) deficiency – Factor VII deficiency
I = Inflammation and Inadequate diet(Vitamin K
deficiency) )DFWV

S = Seek Specialist advice


Disorders affecting the coagulation cascade of clotting
can be classified as acquired or congenital. From the
above list, all are acquired conditions except for
haemophilia A&B, Von Willebrand factor deficiency,
Factor IX and Factor VII deficiencies.

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Mnemonics in Dentistry

9 PROTHROMBIN TIME (INTERNATIONAL


NORMALISED RATIO) IS A TEST OF EXTRINSIC
PATHWAY

The INR is usually prolonged in the following


situations:

Remember! WE LOSE VOLUMES of DRUGS

W= Warfarin

L = Liver Disease

V = Vitamin K Deficiency

D = Disseminated intravascular coagulation (DIC)


7LSV

It is absolutely vital that you know what affects the


Extrinsic and Intrinsic pathways of the coagulation
cascade. These questions are key examination or viva
questions.

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Mnemonics in Dentistry

9 BLEEDING TIME )DFWV







The bleeding time is abnormal in platelet disorders
 and vessel wall disorders



9 ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT)
IS A TEST OF THE INTRINSIC PATHWAY

The APTT is usually prolonged in the following


situations:

Remember! HUNGRY HORSES DABBLING


LITTERING LAWNS

Heparin

Haemophilia

DIC

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Mnemonics in Dentistry

Lupus Erythematosis

Liver disease

MEDICAL EMERGENCIES

Medical Emergencies will occur and it is absolutely


crucial that you can elicit the signs and symptoms of a
emergency. This will allow you to take appropriate
actions to intervene and manage the emergency.

9 CAUSES OF SUDDEN LOSS OF CONSCIOUSNESS

MEDICAL SYNCOPE

M =Metabolic complications e.g. Addison’s


disease
E =Epilepsy
D = Diabetics e.g. hypoglycaemia
I = Ischaemic Heart Disease
C =Cardiac Arrest
A =Anaphylaxis, Asthma Attack
L =Local Anaesthetics

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Mnemonics in Dentistry

S = Steroid insufficiency
Y = hYperventilation
N = Nervous patients(Vaso-Vagal)
C = Cerebrovascular accidents
O = Oral Airway obstruction
P = Postural Hypotension 7LSV

E = Etiology unknown

All members of the dental team must be well trained in


Basic life support and should be competent in the
management of a collapsed patient. Administration of
emergency drugs and their dosages should be
reinforced and consolidated. (See BNF and
Resuscitation council UK for updated advice)

9 6,*16$1'6<0372062)$1$3+</$;,6

Definition
 A potentially life threatening immune reaction to
foreign material.

ALLERGIC

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Mnemonics in Dentistry

A = Ashen grey appearance, Abnormal breathing,


Angioedema
L = Loss of consciousness, Low Blood Pressure
L = Laryngeal swelling
E= Extensive rash
R = Respiratory depression
G = Generalised flushing
I = Itch, Inflammatory exudate
C = Cramps )DFWV 
7LSV

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Mnemonics in Dentistry

9 FEATURES OF HYPOGLYCAEMIA

LOW SUGAR EPISODE

L = Low BM (<3.9mmol/l) This value is debatable


and varies from one patient to another
O = On insulin – Patients on insulin who have
missed a meal or breakfast are prone to
hypoglycaemia.
W = Warmth

S = Sweaty skin
U = Unconscious
G = Generalised seizures
A = Aggression
R = Rage

E = Epileptic fits
P = Paresthesia, Pallor
I = Irritability

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Mnemonics in Dentistry

S = Shakiness
O = Oral Hypoglycaemics
D = Death, Delirium
E = Emotional patient
)DFWV

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9 DIABETIC COMPLICATIONS

DIABETIC

D = Dental (Periodontal disease)


I= Infections e.g. Oral Candidiosis, periodontal
abscess
A = Abnormal sensation (Peripheral neuropathy)

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Mnemonics in Dentistry

B = Blood Sugar (Low blood sugar can lead to


coma)
E = Erectile dysfunction, Eyes (Retinopathy)
T = Traumatic ulcers (Diabetic foot due to
neuropathy and peripheral Vascular disease)
I = Increased chances of renal complications
(Nephropathy)
C = Cardiac complications(Ischaemic Heart
disease), CVA (Cerebrovascular accidents)

9 FEATURES OF EPILEPSY

CONVULSIONS
C = Clonic seizures (Jerky movement)
O = tOnic seizures (rigidity)
N = Nausea
V = Viral Infections (Febrile convulsions), Vomiting
U = Unprovoked emotion e.g. fear, pleasure,
Unconsciousness
L = Loss of memory

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Mnemonics in Dentistry

S = Spasms
I = Incontinence
O =Odours and Taste (Aura)
N= Noises e.g. hissing, buzzing (Aura)
S = Silent Fits (Petite mal), Sweating, Speech arrest

9 CAUSES OF SHOCK

HAVANA

H = Hypovolaemia
A = Adrenal crisis
V = Vascular stasis (Cardiogenic)
A = Acute respiratory obstruction
N = Neurogenic
A = Anaphylaxis

9 IV FLUID EXPANDERS

B & S CC

B = Blood

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Mnemonics in Dentistry

S = Saline
C = Crystalloid
C = Colloid

ANAEMIA

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9 CAUSES OF MICROCYTIC ANAEMIA (MCV<


80FL)
SITA
S = Sideroblastic anaemia
I = Iron Deficiency
T = Thalasasaemia

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Mnemonics in Dentistry

A = Anaemia of chronic inflammation

9 CAUSES OF IRON DEFICIENCY

THE DIET

T = MalabsorpTion syndromes
H = Hookworm, Haemorrhoids
E = Excessive menstrual bleeding

D = Dietary deficiency
I = Increased requirement, Iron loss
E = UlcErs(Gastrointestinal)
T = Treatment medication(Suppress bone marrow)

9 CAUSES OF INCREASED IRON REQUIREMENTS

MALT P

M = Menstruation

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Mnemonics in Dentistry

A = Age
L = Lactation
T = Time of rapid growth
P = Pregnancy
9 CAUSES OF MACROCYTIC ANAEMIA
(MCV>96FL)

MC LARD

M =Megloblastic Anaemia
C = Cytotoxic Drugs
L = Liver Disease
A = Alcohol
R = Reticulocytosis
D= Deficiencies Vitamin B12 and Folate

9 CAUSES OF VITAMIN B12 AND FOLATE


DEFICIENCY

BIG DIP

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Mnemonics in Dentistry

B = Bacterial overgrowth in small intestines


I = Intrinsic factor deficiency
G = Gastrectomy

D = Dietary
I = Ileal Resection
P = Pernicious Anaemia

CAUSES OF NORMOCYTIC ANAEMIA ( MCV 80-


96FL)

SHARP
S = Some haemolytic anaemia’s
H = Hypothyroidism
A = Acute Blood loss
R = Renal failure
P = Pregnancy

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Mnemonics in Dentistry

9 CAUSES OF HAEMOLYTIC ANAEMIAS

HAEMOLYTIC
H = Hereditary spherocytoiss
A = Autoimmune e.g. SLE
E = Elliptocytosis and enzyme deficiency(G6PD)
M =Malaria
O = Old age
L = Lymphoma, Leukaemia
Y = pYruvate Kinase deficiency
T= Thalassaemia
I = Infectious mononucleosis(EBV)
C =Common in black people( Sickle cell anaemia)

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Mnemonics in Dentistry

9 CLINICAL MANIFESTATION OF ANAEMIAS

PAINSTAKING
P = Pharyngeal Web, Palpitations, Pale Mucous
membranes(including sclera)
A = Atrophic Glossitis
I = Infections ??, Impaired healing
N = Neuropathy
S = Sterility
T = Taste Disturbance
A = Apthous ulcerations
K = Koilonychias
I = Increased fatigue
N = Nail beds pale
G = Gastric Mucosal Atrophy

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Mnemonics in Dentistry

)DFWV

There a number of oral and systemic


manifestations of anaemia’s and these should
be known and recognised well!

There are numerous dental manifestations of


anaemias and these include the above as well
as the following:

Sore or Burning tongue


Atrophic Glossitis
Patterson Kelly Syndrome
Candidiosis
Angular Stomatitis
Aphthous ulcers


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