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Clinical Dental Hygiene II > Chapter 55 > Flashcards

Chapter 55 Flashcards

1
Q

Surgery for the treatment of diseases and corrections of defects of the periodontal tissues is categorized as

A

Periodontal surgery

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2
Q

Patient preparation for oral and maxillofacial surgery

A

Reduce oral bacteria count
Reduce inflammation of gingiva and improve tissue tone
Remove calculus deposits
Instruct in Presurgical personal oral care
Instruct in use of foods
Per dentists directions
Motivate the pt who will have teeth remaining

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3
Q

The pts nutritional state can influence resistance to infection and healing

A

True

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4
Q

At appts prior to surgery the pt should be given instructions concerning what?

A 
Food and liquid intake
Alcohol and medication restriction 
Transport to and from the appt 
The night before the appt
Personal items
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5
Q

Immediate post surgical instructions

A 
Control bleeding
Rinse (after 24 hours)
Biofilm control 
Rest
Diet
Pain 
Ice pack 
Complications
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6
Q

True or false.. heat is used for swelling

A

FALSE

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7
Q

Treatment of a fractured jaw may be _______ and the pt may suffer considerably

A

Complex

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8
Q

Causes of fractured jaws

A

Trauma and predisposing

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9
Q

What are the predisposing factors of a fractured jaw

A

Pathologic conditions such as tumors, cysts, osteoporosis, or osteomyelitis. They weaken the bone

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10
Q

A fracture is classified by using a combination of descriptive words for its what?

A

Location
Direction
Nature
Severity

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11
Q

Simple fracture

A

Has no communication with the outside

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12
Q

Compound fracture

A

Has communication with the outside

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13
Q

Comminuted fracture

A

Shattered

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14
Q

Incomplete fracture (greenstick)

A

One side is broken and the other is bent. Occurs in young children usually. In incompletely calcified bones

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15
Q

Mandibular locations for fractures

A 
Alveolar process
Condyle
Angle
Body
Symphysis
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16
Q

A horizontal fracture line that extends above the roots of the teeth, above the palate, across the maxillary sinus, below the zygomatic process, and across the pterygoid plate

A

Le Fort 1

17
Q

The midface fracture extends over the middle of the nose, down the medial wall of the orbits, across the infraorbital rims, and posteriorly across the pterygoid plates

A

Le Fort 2

18
Q

The high level cranio-facial fracture extends transversely across the bridge of the nose, across the orbits and the zygomatic arches, and across the pterygoid plates

A

Le Fort 3

19
Q

Basic treatment of a jaw fracture

A

Reduction of the fracture
Fixation of fragments
Immobilization for healing
Control of complications

20
Q

How long is healing time for an uncomplicated mandibular fracture?

A

6 weeks

21
Q

How long is healing for an uncomplicated maxillary fracture?

A

4-6 weeks

22
Q

_____ means positioning of the parts on either side of the fracture so they are in apposition for healing and restoration of a fraction

A

Reduction

23
Q

What is closed reduction?

A

The closure of teeth in normal occlusion for the pt

24
Q

When wires and or elastic bands are placed between the maxillary and mandibular arches

A

Intermaxillary fixation

25
Q

Ready made, contoured to fit each tooth and provide hooks for connecting arches

A

Arch bars

26
Q

Which fractures are more difficult to treat because of the number of bones, the anatomy, and complications

A

Maxillary

27
Q

What is the most common fracture

A

Fracture of the alveolar process

28
Q

Problems with alveolar process fracture

A

Development of gingivitis or periodontal complications
Initiation of demineralization
Loss of appetite
Difficulty in opening the mouth

29
Q

A liquid diet may be prescribed to pts who

A

Have mouth wired shut or have difficulty opening their mouth

30
Q

Soft diets maybe indicated for

A

Pts with no appliance or with single jaw appliance without complications in opening the mouth or movements in the lips and tongues

31
Q

During the first few days after surgery the mouth may be too tender to brush so what is required

A

Frequent irrigation

Clinical Dental Hygiene II (14 decks)

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