Day 2-Impacted Teef Flashcards
What is the TOP 3 list for most commonly impacted teeth?
1.Maxillary and Mandibular 3rd molars 2.Maxillary Canines 3.Mandibular PMs
Some general factors when deciding to remove an impacted 3rd molar: patient’s ____,Med Hx, and Anxiety
age
_______ classifications: Angulation of the long axis of the impacted 3rd molar in relation to the 2nd molar.
Clinical Classifications
_________ classifications: Relationship of the impacted 3rd molar to the occlusial plane (depth of the impacted 3rd molar).
Procedural
Clinical classifications of impaction: ________ of the Long Axis of the Impacted Third Molar in relation to the 2nd molar.
angulation
Procedural Classifications (insurance): Relationship of the impacted 3rd molar to the ______ plane (depth of the impacted third molar).
occlusal
What is the most common impaction? (in the clinical classification pleez)
Mesio-angular (crown is up into the 2nd molar root)
What is the type of impaction from hell? :)
Disto-Angular (usually in the IA canal)
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- Simple removal
D7140
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- Surgical Removal
D7210
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- Soft tissue impaction
D7220
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction-Partial bony impaction
D7230
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- Full bony impaction
D7240
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction-Full bony complicated
D7241
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7230
Partial Bony Impaction
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7210
surgical removal
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7241
Full bony complicated
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7220
soft tissue impaction
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7140
simple removal
Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7240
full bony impaction
WHICH RADIOGRAPH? _______ radiograph is the first choice for wisdom teeth diagnosis and removal unless there is associated pathology
PANORAMIC
Good time to remove wisdom teeth when roots __/__ developed
1/3 developed
CONTRAINDICATIONS for removal of impacted teeth-Extremes of ___, Compromised Medical Health, Collateral ______ to Adjacent Structures
age…damage
Is the infection of the SOFT TISSUE surrounding the crown of partially impacted tooth caused by NORMAL oral flora
Peri-Croon-itis
______ pericoronitis is an instance where DEFERRED surgical intervention is recommended UNLESS an abscess has developed
Acute
What is another name for mandibular space abscesses?
Ludwig’s Angina
What is the #1 concern of Ludwig’s angina?
Airway compromise…TREAT AGGRESSIVELY!
Principles of flap design: _____ must be broader than free margin (blood supply)
BASE
Principles of flap design: Adequate _____ (surgical access)
size
Principles of flap design: Can be maintained with suture (__-__)mm away from the bony defect)
6-8mm away from a defect
In a typical flap design for an ext of a lower 3rd molar, which area do you not want to incise into? Why?
Stay away from the Lingual, Lingual nerve…so its a “buccal release” typically.
With a mesioangled impacted 3rd, which portion of the tooth do you section out first?
the distal, creates distal space to then elevate the mesial portion of the tooth out
When is the maximum amount of swelling going to occur after the procedure?
48 hours
RISK MGMT: Recognition of ______, INFORMED ______
complications…CONSENT
