ma'am we are live now okay so hello everyone welcome to the neat MTS call I'm Dr Divya Gupta your original Guru for periodontics and just hold on I'll just connect with the YouTube so that we can have a live chat I don't know I'm not able to open it okay it's not coming guys I don't know I'm not able to open the YouTube live hopefully it will be opened in a few minutes okay so now guys all of you have completed okay uh just a minute guys I'm opening it okay okay so now it's open and we are live guys hi everyone hello everyone uh welcome to the recall session of periodontics for neat MDS 2024 uh so uh I would like to begin the session with this quote exams and grades are temporary but knowledge is permanent guys so whatever after the exam most of you might be anxious we'll be discussing the questions the answers with your friends and mostly so till the time our results come we keep dwelling in that mod we keep uh you know we are in that only so guys one thing I will tell you you that you have worked hard for everything you have since means during your preparation period whether it was 6 months one year 2 years or more you all have worked very very hard now in this 10 days period just relax yourself analyze yourself analyze what all things you did where you went wrong where you were correct analyze yourself I'm not saying that you don't analyze but enjoy everything don't think about the exams go on a vacation if you like some sports play that Sports if you like to eat to cook to do exercise do that thing whatever gives you a stressfree environment be in that environment guys okay and one more thing I would like to say is the knowledge uh here it has it is written that knowledge is permanent whatever you learn during this period during your preparation period not only about your subjects in terms of your subjects no but also the experiences whatever experiences you had like um most of you developed the attitude of not giving up right there would have been times we you know spent a day or two when our mood was low but still we came back we fought for everything so the experience the qualities which you developed like the passion the perseverance the attitude of keep going keep those qualities with you throughout life and I guarantee you guys with these qualities you will definitely be successful in whatever you do not only NS but in whatever field you choose after this wherever you go you will be successful if you will keep this experience with you the qualities which you developed during this period will be very helpful for you all okay with that said let us start our recall session so as such the overall uh review which I got regarding the whole paper the whole neat NS paper whether it is part A or Part B it was a lendy paper guys it was a lendy paper at First Sight you will feel okay it is a easy paper because you know the topics were repeat the repeat topics were there repeat questions were there might be but there was some trickiness either in the options or if you see the topics are repeated but the questions were very lendy mostly clinical based questions were ask or uh if some tricky question was there even from the uh if the topic is repeat the questions were very tricky so even in pero guys the paper was a bit tricky it was a bit tricky okay so uh just excuse me for the writing as I'm writing on The annotation Tab and I'm not that much habitual of writing on it so there will be little bit here in there okay so yes the paper was lengthy the paper in pero the questions in pero to two to three questions were direct questions they were uh like very easy but few questions were really tricky either the options or the questions were tricky okay so the first question here is reverse architecture is seen in Reverse architecture is seen in option A Trauma from occlusion option b aggressive periodontitis option C OES CR and option D Mecca's feston so the confusion here Mecca's feston definitely is not the option that you can easily negate it out right you can easily negate it out this is not the option but the confusion was between option C and option A that is Trauma from occlusion or oous SC now before we reach to an answer let me tell you what is oous crat so guys oous CRS oous C it is a depression it is a depression between the facial and lingual walls there is a interdental bone loss so if this is the tooth okay this is the Tooth the this is the facial plate this is the lingual plate okay and this this is the interproximal bone so when there is loss in this region in this interproximal region only and the facial and the lingual plates are intact the facial and the lingual plates are intact then it is called as OES CRS OES CR is the most common bony defect that is seen right it is the most common bony defect but in Reverse architecture what happens is if if this is the tooth okay this is the tooth we are seeing from the facial side from the outside this is the bone this is the bone okay now here the bone which is covering the roots of this tooth this tooth this is the dental bone or the radicular bone and the bone which is present between the two teeths this is the second tooth okay so the bone which is present here this tooth is uh this bone is the inter Dental bone this bone is the inter Dental bone right inter Dental bone comprises of the facial plate the facial plate and the lingual plate as well as the interproximal bone when there is loss of this facial plate lingual plate along with the interproximal bone when the defect is like the answer the answer to this question is will be tf4 the answer to this question will be TFO so in this the sequence will be like if there was chronic periodontitis in this option then chronic periodontitis will be of first preference for reverse architecture then the second preference will be TFO after that aggressive periodontitis and after that nug this is the order in which the diseases are seen the epidemiology the prevalence of the diseases are in this order most commonly we see chronic parodontitis okay then TFO then aggressive periodontitis then not so the answer to this question is trauma from occlusion the answer to this question is sorry here it I don't know how it is marked aggressive periodontitis but the answer to this question is Trauma from occlusion okay now the next question is rolled thick bands of ginaya present in the canine region are so in this question they are trying to ask that there are rolled thicken bands of Ginga present around the canine what these bands are you have to think that first right what these bands are whether they can be Cliffs whether it is because of the recession definitely recession will not present as a roll thick bands right whether it can be triangular shaped defs or a non- fiic zones so here they are talking about this here in this picture you can see that there are roll thickened fibrotic bands there are R thickened fibrotic bands surrounding the Tobe these R thickened fibrotic bands are called as me's festum right okay tf4 was there in the option guys so aggressive periodontitis is not the answer for the first question it is the trauma from occlusion e whether nug was there nap was there guys options were different okay guys say Char if you feel the question is wrong the options are wrong please let me know the correct option as well as the answer uh as well as the options and the questions I'll correct it okay now the answer to this question huh yeah here you can see that what are meas funes meas funes are fibrotic thick bands right and Stillman Clips are here you can see here this this Stillman CLEP these are apostrophe shaped Cliffs which are seen mostly these two things are seen as the tissue is progressing towards recession okay as the tissue is progressing towards the recession you will see that there is presence of either meal f or stillman's Clift here the thing which they are talking about is the nonfibrotic zone that is the meccas fune the answer to this question will be nonfibrotic zones or region which is the meal's feston or you can say that it is the meal's fune okay now the next question inter cellular mineralization of plaque occurs due to which bacteria inter cellular mineralization now this is also not a repeat question it is a repeat topic guys many years back this question was asked once this question was asked this we have discussed in our live sessions also so this is a direct question but a difficult one definitely this is a difficult question to answer okay okay so inter cellular mineralization on of plaque occurs due to which bacteria now in intercellular mineralization what happens during plaque mineralization is there are certain bacterias which possess certain complexes like cplx complex cplx complex is calcium phosphor liid phosphate complex what is the role of this complex is it attracts the calcium and phosphate which is present into the saliva and forms a zone of nucle nucleation or crystallization fukai Of crystallization over which the calcium and phosphate will deposit and it will help in the formation of a crystalline structure thus it will result in the formation of calculus okay so in this the answer to this question is this is a direct question the bacterias which are responsible for intercellular mineralization option A stalo cookus and streptococus option b diptheroids privot and bactera option C Binger virus and privot intermedia and option D pinguis and a the answer to this question is guys option b diptheroids prua and bactera mostly the organisms which are responsible most common organism is the bacteria which is Corney bacterium most common organism to cause intercellular mineralization is corne bacterium other organisms which are responsible are tan tan other organisms are tanella forus compilo vctor rectus and some other Spyro cheets and fenus organisms okay so the answer to this question is option B okay clear to you all as tf4 has angular bone loss and still the interdental bone will be above interrac bone whereas food impaction specifically affect and this will affect the inter okay uh so we will I don't understand your question whether you are asking me a question or you are explaining everything ASA I don't understand that if you have any question if you have any doubts please post now the fourth question GCF doesn't increase in which case this is also a direct question guys and previous year repeat question option A this is a simple question to answer option A Trauma from occlusion option b smoking option C toothbrushing and option D diabetes now here you must know that the GCF the flow rate of GCF increases in all the inflammatory condition it increases in periodontitis gingivitis and all the inflammatory conditions and it increases in trauma from occlusion it will increase when you will massage your gums so tooth during tooth crushing also it will increase as well as it will increase in diseases systemic diseases which affects the gums diabetes is one such condition in which your gums are also affected okay but one condition in which the GCF flow does not increase or it is decreased is option number B which is smoking in smoking the GCF flow is decreased the signs of inflammation are decreased though the inflammatory destruction is going on inside the bone still the connective tissue destruction is there there is more periodontal Tiss uh periodontal fiber destruction more bone destruction is there but still the GCF flow is less the signs of inflammation are less seen in smokers okay so the answer to this question is B now another question question number fifth which among the following does not have antibacterial action in saliva okay Danish if vonella was the option then you have to tell me in which with which other bacterias it was there we don't have to just look for one bacteria we have to look for group of bacterias all the bacterias should be uh you know causing the intercellular calcification so that just don't look at the one option one option we have to look at all the options before selecting the answer now option number question number fifth is which among the following does not have antibacterial action in saliva is it a option a lioy option b lacto ferin option option C lactoperoxidase and option D liase this also is a repeat topic guys and we have discussed this also in our recorded sessions as well as in live sessions the answer here is we all know that lios definitely has an antibacterial action it is an enzymatic component of saliva which is causing destruction of the bacterias right lactoferrin is a protein proteinous substance which is causing destruction of the bacteria lacto peroxidase is another enzyme which has an antibacterial action lipas that is present in the saliva it does not have any antibacterial action it has a digestive function it is responsible for the digestion of lipids so the answer here would be option number D that is light base okay now the next question which among the following microorganisms are seen in nug very at first when you look at this question you will feel huh it is very simple yeah it easy question it repeat n is one of the most commonest repeat uh topic right it is the frequently repeated topic so you will see at the options and you will say ah easy easy easy but then you come to the options and now read it whether option number a Fus cium and AA option number B Spyro and P Ginger VIIs option number c pinguis and AA option number D pinguis and traola now here confusion will arise between option number a and option number B right fusobacteria is one of the most common organisms microorganisms found with nug and as well as Spyro Che are found most commonly found found with with nug but guys remember one thing apart from these two organisms though it is called as a fusos Spyro spoal disease right it is not only caused by these organisms other organisms of periodontitis are also present with them it's not solely caused by fusobacterium and Spyro cheets that's why I told you you always have to look at the other names also with fusobacterium they have given AA and with Spyro they have given pinguis now AA is an organism which is related mostly to the periodontal health and it is the organism which is most commonly found with aggressive periodontitis right but Pingus we know we just have to think um in a certain manner that P Ginger vus is a a bacteria that is most commonly associated with periodontitis nug n are what nug is necrotizing ulcerative gingivitis it is an inflammatory condition right NP is what it is necrotizing ulcerative parodont it is also an inflammatory condition wherever inflammation is present Pingus will be present guys P jingus will be there so here along with Spyro Spyro Chets is the uh bacteria which is present with n but along with it pinguis is other bacteria which is present apart from pinguis Spyro chees fusobacterium the other bacterias which are there with nagar tripona is found tripona denticula most commonly it is found prella intermedia is found then simonas are found so all these other bacterial species are also found in patients with nug so the answer to this question will be Spyro chips okay now the next question coaggregation is seen amongst repeat question again a repeat topic right a repeat question coaggregation but once again confusion develops here coaggregation is seen amongst gr positive pictas gr negative pictas gr positive and gr negative bacterias and option number D sorry this is this is option D none of the above now here in karanza it is written very clearly that coaggregation it is pre dominantly predominantly caused by Gram negative bacterias coaggregate is predominantly caused by gr negative bacteria so the answer to this question will be B answer B that is the gr negative bacterias a difficult question and a tricky question guys now the last question for this session is a young adult patient noticed loss of innental papula and GRE pseudo membrane covering it what will be your diagnosis the options were option A ahgs which is acute herpetic gingivostomatitis option b trench mouth option C tip theia and option D none of the above now this is a relatively easy question and also once again a question from n which is very commonly asked very frequently Asked topic so here the keywords which you have to pay attention is a young adult ation loss of interdental papilla and a gra pseudomembrane you have to remember that in acute altic gingiv stomatitis mostly occurs in children in children less than six years of age it is here you will see patient has fever there will be ulceration there will be stomatitis painful ulcers will be present okay there will be no pseudo membrane in acute herpetic G gingivostomatitis in trench mouth what is trench mouth trench mouth is another name for nug it is another name for nug and in nug you will see that most commonly there is a formation of GRA pseudomembrane the patient has punched out CR like lesions of the interdental papilla then there is a metallic taste thick pasty saliva is present it is mostly seen seen in young adult patients so it is somewhat related to whatever clinical uh you know um keywords they have given here now this third option is diaria in dpia you will not see there will be a membrane formation there will be a membrane formation but that membrane will not be onto the Ginga or the interdental papilla it will be at the back of the mouth it will be seen at the tular region at the palal region okay there will be membrane seudo membrane formation but no it will not be on the Ginga so the answer to this question will be wrench mouth okay so with this we have completed most of the questions if you have doubt in any of your questions there were so many doubts in the live chat so guys just comment in the comment section there might be some you know uh options here and there you just provide us the correct options or if there were any other questions from perio do let us know in the comment section we will be more than than happy to you know include that them all in our session also one more thing is before ending this session I would like to thank all my students all my dbmci students who have uh helped me with this recall and especially I would like to give special credits to Dr Shrea she has helped me a lot in this recall session so thank you Dr Shrea and also we would like to introduce a new plan which is Advance Plus v.2 plan the pre-bookings for the plan are open in this plan you will get pre-recorded videos nearly the videos are more than 600 plus hours for all the 19 subjects then then there will be an extensive question Bank included in this plan the question bank has more than 20,000 questions along with the answers and detailed explanation to all the questions then there is a competitive test series which you can give and you can you know tally this course with other colleagues there will be clinical videos more than 40 hours clinical videos are there so that you will along with your you know conceptual or theoretical things your clinical Concepts will also be clear there will you will also get hard copy of all the 19 subject notes there are revision videos of more than 160 hours and daily mentorship sessions by Dr himman our academic director so the pre-booking offer is at rupees uh 8,799 only I hope you all will Avail this offer and U if you have any doubts guys just let us know in the comment section and thank you so much all the be uh very best guys for your results and just remember whatever I told you before the start of this session just stay positive and whatever things you have learned during this Preparatory phase keep those values with you okay be determined always and you will excel in where in whatever field you go whatever you choose that will be yours guys okay so all the best and stay stay positive thank you