NEAT MDS Call - Periodontics Recall Session

Introduction

• Speaker: Dr. Divya Gupta, Original Guru for Periodontics
• Session Type: Live Periodontics Recall for NEAT MDS 2024
• Quote: "Exams and grades are temporary, but knowledge is permanent."
• Advice:
  • Post-exam stress: Relax and analyze your performance.
  • Engage in stress-free activities: sports, cooking, exercise.
  • Retain qualities developed during preparation: perseverance, passion.

General Feedback on NEAT MDS Paper

• Nature of Paper: Lendy with repeat topics but tricky options.
• Feedback on Periodontics:
  • Tricky with a combination of straightforward and complex questions.

Key Questions Discussed

Reverse Architecture

• Question: Seen in?
• Options: Trauma from occlusion, aggressive periodontitis, OES CR, Mecca's feston
• Answer: Trauma from occlusion
• Explanation: Reverse architecture involves loss of facial and lingual plates along with interproximal bone.

Rolled Thick Bands of Gingiva

• Question: Present in the canine region are?
• Options: Cliffs, recession, triangular shapes, non-fibrotic zones
• Answer: Non-fibrotic zones (Mecca's feston)

Intercellular Mineralization of Plaque

• Question: Occurs due to which bacteria?
• Answer: Diptheroids, P. intermedia, Bactera
• Explanation: Involves CPLX complex - calcium, lipid, phosphate complex.

GCF (Gingival Crevicular Fluid) Flow

• Question: Does not increase in which case?
• Options: Trauma, smoking, toothbrushing, diabetes
• Answer: Smoking
• Explanation: GCF flow reduced in smokers despite ongoing periodontal destruction.

Antibacterial Action in Saliva

• Question: Which does not have antibacterial action?
• Options: Lysozyme, lactoferrin, lactoperoxidase, lipase
• Answer: Lipase

Microorganisms in NUG (Necrotizing Ulcerative Gingivitis)

• Question: Seen in?
• Options: Fusobacterium + AA, Spirochetes + P. gingivalis
• Answer: Spirochetes + P. gingivalis
• Explanation: NUG associated with fusospirochetal complex but P. gingivalis is key in periodontal inflammation.

Coaggregation

• Question: Seen among?
• Options: Gram positive, Gram negative, combination
• Answer: Gram negative
• Explanation: Predominantly caused by Gram negative bacteria.

Young Adult with Gingival Symptoms

• Question: Diagnosis?
• Options: AHG, trench mouth, diphtheria
• Answer: Trench mouth (NUG)
• Explanation: Presence of pseudo membrane and loss of papilla indicates NUG.

Conclusion

• Acknowledgements: Dr. Shrea for assisting in recall.
• New offering: Advance Plus v.2 plan
  • Includes pre-recorded videos, question bank, clinical videos, notes, revision videos, and mentorship.
• Final Advice: Stay positive, retain learnings and qualities developed during preparation.