ch 53 & 56 Flashcards

oral surgery

1
Q

how successful is a properly placed dental implant?

A

90%

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2
Q

do we have to modify adjacent teeth for a implant?

A

no

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3
Q

financially, how do implants compare with a bridge?

A

more expensive

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4
Q

what types of restorations can implants support?

A

dentures, crowns, bridges

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5
Q

implants can help prevent bone loss and gum recession

A

true

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6
Q

who is the ideal candidate for a dental implant?

A

strong bone, good psych, health, dental health

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7
Q

what is osseointegration

A

bone growing into implant

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8
Q

the entire implant process may take___ months to finish.

A

3-9

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9
Q

what is a surgical stent used for?

A

template used to place implant into ideal location, takes guess work out.

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10
Q

what are the 3 pieces of an endosteal implant?

A

implant body, abutment, crown

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11
Q

can plaque and calculus form on an implant?

A

yes

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12
Q

what is an implantologist

A

general dentist who places implants

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13
Q

can a dental implant “regenerate” or regrow bone that has been lost?

A

no - preserves whats there

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14
Q

what is a surgical stent made of?

A

acrylic resin

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15
Q

what types of xrays are taken before/during procedure?

A

PA, pano, CBCT

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16
Q

which xrays are not useful for implants?

A

bitewing - cant see bone

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17
Q

what is the most common type of implant placed?

A

endosteal

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18
Q

who can surgically place an implant?

A

implantologist, perio, oral surgeon

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19
Q

how long does osseointegration take?

A

3-9 months

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20
Q

how do we maintain a dental implant?

A

oral hygiene, regular dental cleanings, xray, exam

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21
Q

how critical are oral surgery instruments?

22
Q

what is an extraction forcep used for?

A

grasp, remove teeth

23
Q

when are sterile gloves used?

A

oral surgery

24
Q

what is a forceps extraction?

A

simple extraction - not a lot of skill/instrumentation

25
what is a complex extraction?
surgical extraction - more instrumentation/skill
26
what is a biopsy?
remove questionable tissue for cellular exam
27
what are absorbable sutures made of?
cat gut
28
what are nonabsorbable sutures made of?
silk/nylon/cotton
29
how long should a patient leave the initial gauze pack in place after an extraction?
30 minutes
30
what is dry socket?
blood clot dislodged - pain, flush out socket, treat w dry socket paste
31
how many additional years of training does an oral surgeon need?
4-6
32
what is a root tip pick used for?
remove broken root fragments
33
what is luxate?
dislocate
34
what is a surgical curette used for?
scoop out infectious tissue
35
what two instruments are used for alveoplasty?
rongeur, bone file
36
what does a scalpel do?
cuts tissue
37
what is the difference between suture scissors and surgical scissors?
suture has a dip at the tip, surgical has straight blades
38
how long can a surgical set up e open for before its no longer sterile?
1 hour
39
what does an aseptic environment mean?
completely sterile
40
any extraction is a form of a surgical procedure
true
41
what is the time interval for ice packs to reduce swelling?
20 on/20 off
42
post op: expected
mild pain, bleeding, swelling; expect to know something was done
43
post op: discomfort and meds
slight discomfort, pain meds as needed
44
post op: bleeding
gauze for 30-40 mins, change every 20 mins until bleeding stops excessive: call office
45
post op: swelling
cold pack: 20 on/20 off; after 24 hours, apply heat 20 on/20 off
46
post op: diet
eat: soft foods (apple sauce) dont eat: too hot/cold, alcohol (chips) do not use: straw
47
post op: OHI
dont brush over surgical site; after 24 hours, warm saltwater every 2 hours; keep other teeth clean gently
48
post op: bruising
normal (eyeballs, cheek, jaw)
49
post op: stiffness
normal
50
post op: other comp
dry socket: call office - flush socket, medicate w paste, dress, pain meds nausea/vomit: call office
51
if you have questions/concerns
call the office