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DT2 > DT 4Oral Maxillofacial > Flashcards

DT 4Oral Maxillofacial Flashcards

1
Q

Define oral and maxillofacial

A

specialty of reconstructive surgery of the face, and bones of the face.

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2
Q

) Education required to specialize in oral and maxillofacial surgery

A

DDS takes 4-6 years

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3
Q

Indication for OMF Surgery

A

ortho space/anchorage

Root tips extraction

tooth decay beyond repair

Advanced periodontal disease

Tooth impacted

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4
Q

Contraindications for basic OMF Surgery

A

Esthetics

Current infection

Cost

Age

Poor health

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5
Q

3 records required for OMF surger

A

Exam

Radiographs

Records for referral

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6
Q

2 Exams for OMF surgery

A

Emergency- pt. calls with Pain

Specific- pt. calls in with discomfort

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7
Q

Radiographs taken for OMF surgery

A

Pariapical/ PANorex

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8
Q

Referral records for OMF surgery

A

DMD refer to oral surgeon

copy of records

referral letter

DRC sets up appt

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9
Q

Alveoplasty

A

reshape / smooth the bone after extraction

e.g for dentures

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10
Q

Excision of bone

A

removal of tori to better fit removable prosthesis

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11
Q

Exostosis

A

removal of bone for better fit prosthesis

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12
Q

Tuberosity surgery

A

removal of protuberance in maxilla

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13
Q

Augmentation

A

addition of bone at tuberosity/retromolar pad

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14
Q

Surgical Procedures:.Benign tumor

A

soft tissue or bone coverage

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15
Q

Surgical Procedures: . Cyst

A

fluid filled sac ( may become infected, damage nerve and adjacent teeth)

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16
Q

Surgical Procedure: granuloma

A

-Sac filled with fibrous granulation tissue

17
Q

3 labelling requirements for a BIOPSY specimen

A

patient’s name

DOB

Date of surgery.

is sent by mail or courier

18
Q

AVULSED tooth window of time for replantation

A

30 minutes

19
Q

Avulsed tooth should be placed in ____

A

milk or water until given to dentist for replanting

20
Q

Frenectomy purpose

A

prevent recesion and diastema

21
Q

Subluxation

A

TMJ partial dislocation of the jaw

22
Q

SOFT TISSUE surg procedues

A

to explore and drain abscess by incising tissue

23
Q

HARD TISSUE surgical procedure

A

making small hole with a bur to difficult acces and drainage

24
Q

FRACTURE TREATMENT

A

jaw fixation

uses wires, splints and screws to stabilize the jaw

25
Q

Extraction for ERUPTED teeth

A

uncomplicated

complicated- req surg flap or sectioning

26
Q

Surgical extractions for UNERUPTED teeth

A

Soft tissue impaction- access gingiva - tooth is sectioned and removed in pieces

Osseous- require bone removal OR sectioning - bone removed with BU

27
Q

Residual root extraction

A

remainING roots are extracted from patient

28
Q

Surgical exposure procedure

A

SOFT Tissue coverage unerupted, uncomplicated

HARD tissue coverage- complex

29
Q

rigid anchorage

A

screw placed in for Orthodontics

30
Q

oral surgery Expected Complications

A

Doesnt require pt to come in

some pain/ discomfort

swelling/bruising

bleeding

difficulty chewing/swallowing

31
Q

oral surgery Unexpected Complications

A

require pt to come in for Emergency EXAM
Ongoing Pain

Alveolitis(dry socket)

32
Q

b. Alveolitis

A

dry socket

Inflammation of the bone , starts 3-5 day post-op

33
Q

chlorhexidine

A

antispetic mouth wash that helps reduce swelling

side affect - can cause teeth staining

34
Q

oral surgeon’s preference of anesthesia

A 
Local anesthesia
Conscious Sedation ( require escort home)
General Anesthesia (require escort home )
35
Q

Post Operative Instructions : NUTRITION

A

first 12 hrs- cold/cool SOFT food

during 24 hours- high calorie liquid diet

regular diet withing a week

36
Q

Post Operative Instructions : NUTRITION

A

first 12 hrs- cold/cool SOFT food

during 24 hours- high calorie liquid diet

regular diet withing a week

37
Q

Post Operative Instructions: HEALING

A

Day of – Tea Bag 30 min

Restriction of activities day of surgery

After 24 hours- gentle saline

38
Q

Post Operative Instructions: Maintain blood clots

A

No spitting

No straw use

No smoking

39
Q

Post Operative Instructions: SWELLING

A

During 24 hour- cold pack (20 min on – 20 min off )

After 24 hours -Heat Pack

DT2 (9 decks)

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