NMCLE Dental case studies

NMCLE Dental · Put your knowledge to work in context.

The NMCLE Dental is the licensing examination administered by the Nepal Medical Council for dental graduates who want to practise dentistry in Nepal. It is aimed at graduates of recognised dental programmes, including Nepali graduates and those returning from abroad, who need registration before independent clinical practice. The NMCLE Dental case studies are 5 cases and about 4,223 words.

Painless periapical lesion and a separated file in a crowned mandibular molar

A 42-year-old man is referred to a district hospital dental unit with a six-year-old porcelain-fused-to-metal crown on the mandibular right first molar. He has no pain, no swelling and no sinus tract, but a routine radiograph taken for a job medical shows a 5 mm periapical radiolucency on the mesial root.

909 words, about 5 min 2

Non-healing indurated tongue ulcer in a betel quid user with poorly controlled diabetes

A 57-year-old woman from a hill district attends the dental outpatient department with a 2 x 1.5 cm ulcer on the left lateral border of the tongue that has been present for six weeks. The ulcer has a rolled, indurated margin and is fixed to underlying tissue; it is not tender.

813 words, about 4 min 3

Urgent extraction in a patient on dual antiplatelet therapy three months after coronary stenting

A 68-year-old man attends the emergency dental clinic with three days of worsening pain and swelling over the lower left first molar. He has trismus of 20 mm, a fluctuant buccal swelling, temperature 37.9 C and is otherwise systemically well.

832 words, about 4 min 4

Severely resorbed mandible, long-standing dentures and a request for implants

A 66-year-old woman who has been edentulous for 15 years attends with 11-year-old complete dentures. The mandible is severely resorbed with a knife-edge anterior ridge and mobile tissue, and the lower denture dislodges when she speaks.

836 words, about 4 min 5

Early childhood caries in an uncooperative four-year-old with asthma and a long journey to care

A 4-year-old boy is brought by his mother with a two-month history of pain on eating and frequent night waking. He has cavitated caries in all four maxillary incisors, the maxillary right first molar and both mandibular second molars; the upper right central incisor has a sinus tract and is mobile.

833 words, about 4 min