Day 1-Exodontia

Question 1

What is the most common blade design for OS?

Answer 1

15 (used 90% of the time)

Question 2

The electric handpick MUST NOT exhaust air into the operative field, so they are powered by _____ or _____

Answer 2

electric or N2

Question 3

Which instrument is for removing soft tissue from bone cavities, and is NOT called a spoon (operative instrument)?

Answer 3

Periodical Curette

Question 4

Which material MECHANICALLY blocks small bone channels?

Answer 4

Bone wax

Question 5

________ : absorbable gelatin sponge Provides “scaffold” for blood clot

Answer 5

Gelfoam

Question 6

Difference between hemostat and needle holder: Long thin beaks (______) versus short stout beaks (_______)

Answer 6

hemostat…..needle holder

Question 7

Difference between hemostat and needle holder: parallel grooves (_______) versus crosshatched face (_______)

Answer 7

hemostat….needle holder

Question 8

What are the two usual shapes for suture needles used in OS?

Answer 8

3/8’s and 1/2’s

Question 9

Most common suture size in oral surgery is ______, as it is large enough to prevent tearing through mucosa, but strong enough to withstand the oral environment

Answer 9

3-0 (000)

Question 10

Sizes of sutures are designated by a series of zeros: the larger the number, the _____ the diameter of the suture.

Answer 10

smaller

Question 11

Plain gut typically lasts in the oral cavity about ___ days

Answer 11

5 days

Question 12

Chromic gut (gut treated with chromic acid to make it last longer) typically lasts up to ___-___ days

Answer 12

7-12 days

Question 13

When is a bite block most used in OS?

Answer 13

Mandibular procedures

Question 14

Which type of forceps (max/mand): Beaks PARALLEL to handle, Held with palm under handle

Answer 14

Maxillary

Question 15

Which type of forceps (max/mand): Beaks almost PERPENDICULAR (90 degrees) to handle, Held with palm on top of forceps

Answer 15

Mandibular

Question 16

What is the workhorse forceps for the maxilla?

Answer 16

150

Question 17

What is the workhorse forceps for the mandible?

Answer 17

151

Question 18

Cowherds (#23) are typically used on the _______ arch.

Answer 18

mandibular

Question 19

A _________ (fancy ass name for a throat pack :) is used for the duration of all procedures, simple or surgical

Answer 19

pharyngeal partition

Question 20

_______ extraction technique (simple, forceps)

Answer 20

Closed

Question 21

_______ extraction technique (surgical, flaps)

Answer 21

open

Question 22

When adapting your forceps, you adapt to the ______ side first!

Answer 22

lingual/palatal

Question 23

Adapting your forceps: Grasp near ____ of forceps, Beaks ______ to the long axis of the tooth, Grasp the root of the tooth as ______ as possible

Answer 23

END, parallel, apically

Question 24

Luxation of the tooth with the forceps: Force to the _______ therefore weakest bone

Answer 24

thinnest (buccal)

Question 25

To curette or not curette…whats the general rule of thumb?

Answer 25

always curette, unless there is a nerve/anatomical barrier/sinus close by…

Question 26

Controlling bleeding-pressure, MOISTENED gauze, for __-___ minutes

Answer 26

20-30 minutes

Question 27

Envelope flap: 2 teeth _____ and 1 tooth ______ / Releasing incision: ___ tooth anterior and/or posterior

Answer 27

anterior…posterior…1

Question 28

Who is typically going to have more dense bone: an older patient or a younger patient?

Answer 28

older! go figure!

Question 29

The term “root tip” is referring to the ____ of the apical portion of the tooth.

Answer 29

apical 1/3

Question 30

WHY DO THEY WANT US TO REMOVE _____ bone with the open extraction of a single rooted tooth??

Answer 30

buccal

Question 31

Suturing: No suture across the empty _______

Answer 31

tooth socket

Question 32

Suturing: Passing through the tissue at right angle…Amount of tissue: approx. __mm

Answer 32

3mm

Question 33

Is the root tip worth digging out???If removal would be excessively traumatic (risk vs benefit)… Smaller than __-___mm….Deeply embedded and Adjacent to Vital
Structures ( Nerve, Vessels, Sinus.)….No infection, no radiolucency on apex

Answer 33

4-5mm

Question 34

If Tx planning MULTIPLE extractions go for _______ teeth FIRST, and go for _______ and _______ LAST.

Answer 34

maxillary….1st molars, canines (most complicated)