Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

BDS - Module 9 > 8. Oral Surgery > Flashcards

8. Oral Surgery Flashcards

1
Q

What 3 medications effect extractions?

A

Bisphosphonates
NOAC’s
Warfarin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

List the 6 post op instructions following XLA:

A
  1. Restful day
  2. No smoking or alcohol for 24 hours
  3. If bleeding occurs, bite down on clean cotton
  4. Pain killers
  5. Avoid rinsing for 24 hours
  6. Then hot salty mouthwash daily
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

List the 6 common post extraction problems:

A

Pain
Bleeding
Bruising
Swelling
Infection
Dry socket

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

List 4 complications of odontogenic infections:

A

Cellulitis
Ludwigs angina
Cavernous sinus thrombosis
Sepsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Cellulitis

A

Diffuse swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ludwigs angina

A

Bilateral swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List the 4 principles of managing odontogenic infections:

A
  1. Eliminate the cause of infection
  2. Provide a path for drainage of infection
  3. Manage symptoms
  4. Review
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Sinusitis

A

Inflammation of the sinus secondary to infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sinusitis: signs and management

A

Pain, tenderness, posterior teeth TTP, congestion
Tx: mucolytic inhalations and antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Oral antrum communications: signs and management

A

Fluid escaping through nose, altered voice, nasal obstruction, nasal bleeding
Tx: surgical closure, antibiotics, mucolytic inhalation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pericoronitis

A

Inflammation of the tissues around a partially erupted or impacted tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pericoronitis: signs and Tx

A

Trismus, pain, malaise, bad taste, redness, halitosis
Tx: irrigate with saline, OH measures, analgesics, antibiotics, removal of any trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

List the 6 indications for wisdom tooth removal:

A

Pericorontis episodes x2
Unrestoable
Infection
Cellulitis
Periodontal disease
Ortho request

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

List the 2 contraindications for wisdom tooth removal:

A

Asymptomatic tooth
Nerve involvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

List the 3 options for wisdom teeth:

A
  1. Monitor
  2. Extraction
  3. Coronectomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

List the 5 stages of surgical extractions:

A
  1. Flap design
  2. Incise and reflect flap
  3. Overcome any obstacles
  4. Elevate tooth
  5. Remove tooth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is a crevicular incision?

A

An incision that follows the gingival margin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is a reliving incision?

A

An incision that goes from the gingival margin towards the tooth apex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

List 2 types of surgical flap:

A

Triangular
Envelope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

List the 5 teeth most commonly effected by impaction:

A

Third molars
Maxillary canines and incisors
Mandibular premolars and canines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

List the 4 possible angles of impaction:

A

Vertical
Horizontal
Mesioangular
Distoangular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 5 Tx options for impacted teeth?

A
  1. Monitor only
  2. Interceptive XLA of baby tooth
  3. Exposure of impacted tooth
  4. Removal of impacted tooth
  5. Transplantation of impacted tooth to another place
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the 2 exposure techniques for impacted teeth?

A

Open = flap cut and tooth left exposed
Closed = flap cut and gold chain attached to tooth and Ortho appliance

24
Q

List the 3 possible complication categories for extractions:

A

Bone related
Bleeding related
Sepsis related

25
Q

Alveolar osteitis: signs and management

A

Worsening pain, dull ache/throb, bad taste, discharge, halitosis
Tx: irrigate with saline and place sedative alvogel dressing

26
Q

List the 5 possible bone complications assosiacted with extractions:

A

Alveolar osteositis (dry socket)
Sequestrum
Exposed bone
Mronj
Osteoradionecrosis

27
Q

MRONJ: signs and Tx

A

Exposed done that persists for 8+ weeks in pts with history of antiresporptive or angiogenic drugs, delayed healing, pain, infection, swelling, numbness
TX:

28
Q

Osteoradionecrosis: signs and Tx

A

Non healing bone, severe pain, infection, halitosis, fistulas, suppuration, fractures
TX:

29
Q

List 3 Hereditary conditions that effect bleeding:

A

Haemophilia A and B
Bon williebrands
Elers disease

30
Q

List 5 Aquarius conditions that effect bleeding:

A

Liver disease
Alcoholism
Haematological malignancy
Lymphoma
Leukaemia

31
Q

List 3 other conditions that effect bleeding:

A

Cardiac conditions
Strokes
Pregnancy

32
Q

List 3 types of medications that effect bleeding:

A

Antiplatelets
Anticoagulants
NOACS

33
Q

How long should normal bleeding last?

A

2-5 minutes

34
Q

How would you manage prolonged or exaggerated bleeding?

A
  1. Pressure
  2. Haemostasis agent (such as gelatin, collagen or vitamin K)
  3. Suture
35
Q

Sepsis

A

An extreme body response to infection when a pre existing infection initiated a systemic sequence of events

36
Q

Sepsis: signs and Tx

A

Extreme body temp, high HR, high resp rate, high bp, increased WBC
Slurred speech, shivering, no urination, breathlessness, rash
Tx: blood cultures, urine output measurement, fluids, antibiotics, lactate measurement, oxygen

37
Q

List 5 signs of Oral Cancer:

A

Persistent ulcers
Speckled Erythroleukoplakia
Cervical lymphadenopathy (enlarged, firm, fixed, non tender)
Worsening pain
Referred pain
Weight loss

38
Q

What 4 investigations hold be done if oral cancer was suspected?

A

Biopsy
Blood tests
Scans
Endoscopy

39
Q

How is diagnosis of oral cancer obtained?

A

Via clinical imaging and tissue histology

40
Q

What is the system used for staging cancer?

A

TNM

41
Q

What are the 4 options for treating oral cancer?

A

Surgery
Radiotherapy
Chemotherapy + Radiotherapy
Immunotherapy

42
Q

What is a biopsy?

A

Removal of tissue for histopathological examination

43
Q

List 4 reasons you would biopsy a lesion:

A

Benign lesions
Bulbous, ulcerative, desquamtive lesions
White patches
Suspected malignancy

44
Q

List the 2 types of biopsy:

A

Excisional
Incisional

45
Q

List 4 types of salivary gland disease:

A

Sialadenitis
Sialolithiasis
Ranula
Tumours

46
Q

Sialadenitis definition and management

A

Viral or bacterial infection of salivary glands
Tx: antibiotics, fluids, sialagoes, analgesics, incise and drain, surgery

47
Q

Sialolithiasis: signs and management

A

Salivary gland obstruction
Swelling
Pus
Systemic symptoms
Tx: stone removal, gland removal

48
Q

Salivary gland tumours: signs and Tx

A

Swelling
Pain
Change in salivary flow
Tx: referral

49
Q

List the 8 stages of orthognathic surgery:

A
  1. Referral from GDP
  2. Assessment and diagnosis
  3. Joint clinic
  4. Pre surgery orthodontics
  5. Orthognathic surgery
  6. Post surgery Ortho Tx
  7. Retainers
  8. Reviews
50
Q

When does orthognathic treatment take place in males and females?

A

Once growing has fully stopped.
18 years - females
20 years - males

51
Q

List the signs and symptoms of cysts:

A

Initially asymptotic
Boney expansion (egg shell)
Fluctuate swelling (fluid filled)
Displaced teeth
Sinus
Pain if infected
Pathological fractures if left untreated

52
Q

What 3 further investigations should you carry out if you find a cyst?

A
  1. Vitality test teeth
  2. Radiographs
  3. Biopsy
53
Q

What are the 2 Tx options for cysts?

A

Enucleation
Marsuplisation

54
Q

What is cyst enucleation?

A

Complete removal of the cyst lining

55
Q

What is cyst marsupialisation?

A

When a hole is created in the cyst lining

BDS - Module 9 (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions