Dentoalveolar Flashcards

1
Q

How often are third molars impacted

A

25%

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2
Q

What is the Pell and Gregory classification for third molar impaction

A

ABC for relationship to 2nd molar occlusal plane. A same level, B above the CEJ, C below the CEJ123 for relationship the anterior ramus. 1 is fully anterior, 2 is for than 50% anterior, 3 is more than 50% within the ramus

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3
Q

What is the Winter’s classification for third molar impaction

A

The angular relationship of the longitudinal axis of the third molar and occlusal plane

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4
Q

Name at least a few indications for third molar removal

A

Pericoronitis, caries, periodontal disease, orthodontic needs, pathology, fracture, overlying prosthesis, unexplained pain

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5
Q

Where is the IAN typically located, in relation to the third molar roots

A

Apical and buccal

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6
Q

On average where is the lingual nerve located at the third molar region?

A

2.8 mm below the crest and 2.5 mm medial

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7
Q

What is the reported incidence of the lingual nerve at the lingual plate?

A

22%

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8
Q

What is the Rood classification for IAN and root proximity?

A

Darkening of root, Deflection of root, Narrowing of root, Bifid root apexDiversion of canal, narrowing of canal, interruption in white line of canal

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9
Q

What hemostatic agent do you use for bleeding?

A

Collaplug- cross linked collagen. Promotes platelet aggregationSurgicel- oxidized regenerated methylcellulose. Binds platelets

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10
Q

When can a root be left in the sinus?

A

3 mm or smaller, no associated infection

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11
Q

What is a classification for nerve injury

A

Seddon classification

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12
Q

What are the three groups of the Seddon classification

A
  1. neuropraxia 2. Axonotmesis 3. Neurotmesis
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13
Q

What is allodynia

A

pain from a non-painful stimulus

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14
Q

What is hyperalgesia?

A

increased response to stimulation that is normally painful

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15
Q

What is hyperpathia?

A

Prolonged pain after a stimulus that is longer than anticipated

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16
Q

What is hypoalgesia?

A

Diminished response to a stimulus that is normally painful

17
Q

What is hypoesthesia?

A

Decreased sensitivity to any stimulation

18
Q

What is paresthesia?

A

abnormal sensation, is not unpleasant

19
Q

Tinel sign?

A

tingling sensation along the nerve distribution

20
Q

Wallerian degeneration?

A

distal degeneration of the axon and myelin sheath

21
Q

What is level A test for in nerve injury?

A

Spatiotemporal perception. Alpha and beta fibers. Moving brush stroke test. Two point discrimination

22
Q

What is level B test for in nerve injury?

A

Static light touch- if skin must be indented then abnormal

23
Q

What is level C test for in nerve injury?

A

Nociception- Delta and C fibers, for pain. Delta for hot, C for cold

24
Q

What gap distance is possible for direct nerve repair in lingual nerve and IAN

A

1 cm for lingual nerve5 mm for IAN

25
Q

What do you use to graft a nerve?

A

Allograft AxoGen advance

26
Q

What options are available for autograft?

A

Sural nerve and greater auricular nerve