2nd Half Material

Question 1

What preprosthetic surgery can be done if the problem is the patient has too little gingiva?

Answer 1

Vestibuloplasty

Question 2

When is Interseptal Alveoloplasty indicated?

Answer 2

Class 2 Skeletal pattern

Durable patient

Extracting at least 6-11 (cannot do for single extraction)

Question 3

Edentulous patients as they age become more class ___ looking

Answer 3

III

Question 4

When excising an epulis, should it be biopsied?

Answer 4

If ever in doubt, yes

Have found SCC in epulis tissue

Question 5

People tend to lose their ____ teeth last

Answer 5

Mandibular anteriors

Question 6

Should fibrous tuberosity tissue be biopsied?

Answer 6

In this case, usually not

Question 7

Which anatomic structure is at risk during a “lip switch” procedure?

Answer 7

Mental nerve (any atrophic mandible)

Question 8

Which anatomic structure(s) is at risk during a mandibular tori removal?

Answer 8

Lingual nerve, Wharton’s duct

Question 9

What are the ABCs, or Primary Survey, of trauma?

Answer 9

Airway management, with C spine control
Breathing
Circulation - emphasis on stopping hemorrhage
Disability/Neuro-check
Exposure-temperature control

Question 10

How do you assess brain function after trauma?

Answer 10

Glasgow Coma Scale - Patient goes to ER if not a 15

Question 11

What happens in Secondary survey?

Answer 11

“Head to toe” assessment

Lab tests, radiographs, etc.

Question 12

Difference between concussion, subluxation, luxation, and avulsion

Answer 12

Concussion: trauma with no increased mobility

Subluxation: not displaced but mobile

Luxation: Intruded/Extruded/Lateral

Avulsion: Tooth removed

Question 13

Dental alveolar fracture treatment = ___

Answer 13

Reduce and fixate

Question 14

Mandible fracture S/S:

Answer 14

Malocclusion
V3 parasthesia
Trismus

Question 15

What are the two most common sites of mandibular fracture?

Answer 15

Condyle (29%)

Angle (24.5%)

Question 16

Mandibular fracture treatment

Answer 16

Proper occlusion established first (reduce)

Fixation with bone plates or screws (fixate)

Question 17

Two types of reduction include:

Answer 17

Closed: Bones realigned by manipulation

Open: Bones aligned under direct vision after incision made. Metal hardware then used for fixation

Question 18

3 conditions of an orbital blowout

Answer 18

1. Enopthalmous
2. Diplopia
3. Infraorbital parasthesia

Question 19

Treatment for lacerations:

Answer 19

Irrigate
Remove non-vital tissue
Close in layers
Approximate landmarks first
Tetanus? Nerves? Ducts?