THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

MEMBERSHIP IN RESTORATIVE DENTISTRY

Part II

Paper I

General Restorative

Tuesday 23 September 2003

Time:   3 hours

ALL questions to be answered

1.	What do you understand by the term iatrogenic damage?   Outline ways whereby such damage might arise from different restorative procedures.

2.	Discuss, on the basis of evidence-based dentistry, the statement that fixed and removable prostheses are damaging to the teeth and supporting tissues.

3.	An 18-year-old patient attends your clinic/surgery, he has hypodontia, is in good medical and dental health and has received no dental treatment for his condition.   This patient is now anxious about his appearance.   Discuss the treatment options, listing indications and contra-indications for each.

THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

MEMBERSHIP IN RESTORATIVE DENTISTRY

Part II

Paper 2

Endodontic Specialty

Tuesday 23 September 2003

Time:   3 hours

ALL questions to be answered

1.	Intracanal medication between appointments is an important step in successful root canal treatment.   Discuss this statement and describe the medicaments that are available, together with their mode of action.

2.	Restoration of the root filled tooth may involve the provision of an intracanal post.   Discuss the advantages and disadvantages of the post-retained restoration and describe the types of posts that are available.

3.	An adult patient presents with a permanent maxillary central incisor avulsed as a result of an assault one hour previously.  Discuss your clinical management and the dento-legal implications.

THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

MEMBERSHIP IN RESTORATIVE DENTISTRY

Part II

Paper 2

Periodontic Specialty

Tuesday 23 September 2003

Time:   3 hours

ALL questions to be answered

1.	Discuss the advantages and disadvantages of using antibiotics in the management of periodontal diseases.

2.	Discuss the effects of tobacco products on the periodontal tissues and the responses of the tissues to treatment.

3.	Outline the evidence which might suggest that oral disease is a risk to general health.   Discuss possible mechanisms.

THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

MEMBERSHIP IN RESTORATIVE DENTISTRY

Part II

Paper 2

Prosthodontic Specialty

Tuesday 23 September 2003

Time:   3 hours

ALL questions to be answered

1.	Discuss the factors that might lead you to decide whether to use a fixed or removable prosthesis to replace missing teeth.

2.	Give an account of the various methods of managing intrinsic staining in teeth with vital pulps.

3.	Describe the patient-related and bio-mechanical factors which should be taken into consideration when prescribing Kennedy  Class I dentures.