Chapter 9 Part I Flashcards
Which of the following traumas characterized by cranial base - facial separation, airway edema?
a) LeForte I
b) LeForte II
c) LeForte III
c) LeForte III
Which gingival enlargement is primary of capillary origin?
Scorbutic gingivitis - vitC deficiency; severe pain; spontaneous hemorrhage
During what stage of dental development are most growth modification treatments carried out?
LATE MIXED dentition
Which is characterized by brachifacial -short face and FMA less than 21?
a) Class 2 Div 1
b) Class 2 Div 2
b) Class 2 Div 2
Class 2 Div 1: Convex profile, Dolichofacial, FMA greater than 31
If suspicious of a LeForte fracture, what type of scan should be ordered?
CT
T/F: Protein deficiency in children results in smaller teeth; crowded/rotated teeth; late third molar eruption; breakdown of cancellous bone; retarded cementum deposition; higher rates of caries
True
What does a Towne’s View radiograph capture?
Body of the mandible; angle
What is the most common lesion (trauma) in the pro-facial region?
Laceration; discontinuity in the skin
For prophylaxis for patients with h/o rheumatic heart disease or congenital heart disease, what are the dosages for clindamycin in adults and children?
600 mg adults
20 mg/kg child
What is a cariogram?
graphical model uses an algorithm to assess caries risk
What are the primary bacterial offenders in Localized juvenile periodontitis? What about generaliezd juvenile periodontitis?
Bacteroides + AA, IgG2
Pg + AA
What are the two tooth brushing techniques that should be used during the mixed dentition?
1) Rolling stroke
2) Press role method
What can you use to correct an anterior open bite?
maxillary hawley appliance
What test predicts the nature of combined acidogenic organisms in the oral cavity?
Snyder’s test: based on the amount of acid produced
What can you use to correct single tooth posterior crossbite?
cross bite elastic
Hepatitis B is the only immunization recommended at birth and 1 month
True
What is the most common transverse problem in the preadolescent?
maxillary constriction with posterior crossbite, check primary canines for mandibular interference
What is the concentration (%) of glutaraldehyde used for pulpotomies?
2%
Which is the final facial bone to complete normal growth and development?
Mandible
In patients with cerebral palsy, what % are spastic?
70%
What can happen to a patient with depressed zygomatic arch fracture?
Trismus
For prophylaxis for patients with h/o rheumatic heart disease or congenital heart disease, what are the dosages for azithromycin or clarithromycin in adults and children?
500 mg adults
15 mg/kg child
For mouth guards, which type is a stock mouth guard (OTC)?
a) Type I
b) Type II
c) Type III
c) Type III
T/F: Maxillary constriction with posterior crossbite is the most common pre-adolescent transverse problem
True
Check primary canines for mandibular interference
Which of the following shunts does not require SBE prophylaxis?
a) Ventriculatrial
b) Ventriculocardiac
c) Ventriculovenus
d) Ventriculoperitoneal
d) Ventriculoperitoneal (VP)
Which oft the following is characterized as periorbital hematoma; anterior cranial bone fracture?
a) Battle’s Sign
b) Raccoon Sign
b) Raccoon Sign
Which of the following involves one side of the body?
a) Monoplegia
b) Hemiplegia
c) Paraplegia
d) Quadriplegia
e) Diplegia
b) Hemiplegia
what is the term for the complete excision of the frenum and its periosteal attachment?
Frenectomy
What is the term for an injury to the tooth supporting structure with abnormal loosening but without displacement?
Subluxation
Diagnosis: Tooth mobility without displacement. sulcular bleeding might be found, radiographic abnormalities not expected
Tx Objectives: optimize healing of the periodontal ligaments and neurovascular supply
Prognosis: Primary: return to normal within 2 weeks
Permanent teeth with closed apex might undergo pulpal necrosis
Subacute bacterial endocarditis develops in an individual who has a pre-existing congenital cardiac disease or rheumatic valvular lesion. What bacteria causes it?
Strep viridans
What type of procedure should be performed for lage, fleshy frenums?
Frenectomy
The need for frenectomy or frenotomy should be based on the ability to maintain gingival health
What is the term for an incomplete fracture of enamel only?
Infraction Incomplete fracture of the enamel Diagnosis: Craze line Tx Objective: Maintain structural integrity Prognosis: Complications are unusual
What type of dysfunction if cerebral palsy?
neuromuscular 1/200 live births
T/F: #s 6 and 11 erupt between 11-12 years of age
True
T/F: Calcium hydroxide is the material of choice for pulpotomy of permanent teeth, but not for primary teeth. Calcium hydroxide causes internal resorption in primary teeth. pH of CaOH is 12 - very alkaline. Necrosis occurs underneath CaOH. Within FOUR weeks a calcium bridge forms
True
What is the best method for detection of risk in 2-3 yos?
Cariostat: colorimetric test
What did Orland and Fitzgerald demonstrate? (hint: animals)
animals fed a high carb diet with no germs were caries free
If a patient has deviation of the mandible, what area is traumatized?
Condyle
What two methods are used to measure pulp circulation?
1) Laser Doppler flow meter
2) Pulseoximeter
What are the organic acids involved in demineralization?
LAP!
Lactic acid
Acetic acid
Pyretic acid
T/F: Trauma to the primary dentition usually occurs from age 1-2.5 years; class 2 div 1 care more prone to dental trauma
True
What does a Caldwell view radiograph capture?
Frontal sinus, frontal bone, ethmoidal cells, zygomatic frontal suture
Which of the following involves both legs?
a) Monoplegia
b) Hemiplegia
c) Paraplegia
d) Quadriplegia
e) Diplegia
c) Paraplegia
Which of the following involves all four limbs?
a) Monoplegia
b) Hemiplegia
c) Paraplegia
d) Quadriplegia
e) Diplegia
d) Quadriplegia
Fracture of _______ = sublingual hemotoma
a) Maxilla
b) Mandible
b) MAndible
T/F: Local anesthetic solutions contain a vehicle (water), fungicide (thymol) and a preservative (methylparaben)
True
What is the term for lasting for a long time or longer than expected or usual?
Protracted
Which bacteria are involved in endocarditis?
1) Strep viridans
2) Staph aureus
3) Enterococcus
4) Pseudomonas
5) Serratia
6) Candida
Which of the following traumas characterized by nasomaxillary fracture?
a) LeForte I
b) LeForte II
c) LeForte III
b) LeForte II