E2- Oral surgery

Question 1

Exodontics means

Answer 1

tooth extraction

Question 2

Indications for exodontics

Answer 2

Question 3

T/F: we must take rads pre and post extraction

Answer 3

TRUE

Question 4

Extraction of multi-rooted teeth is different from single rooted how?

Answer 4

same except:

section the tooth at furscation of roots

elevate and remove each root segment individually

Question 5

Most common extraction complications

Answer 5

root breakage

displacement of root tips into nasal cavity or mandibular canal

hemorrhage

dehiscence and fistula formation

iatrogenic jaw fracture

Question 6

T/F: we must ALWAY remove retained root tips

Answer 6

FALSE: type II and III are primary exceptions but inform O

Question 7

Retained root tips can serve as a ____ for periapical inflam

Answer 7

nidus- a place in which something is formed

Question 8

Create a ___ flap for surgical extraction

Answer 8

buccal (vestibular) mucoperiosteal flap

Question 9

The depressions between the ridges of bone formed by roots in the alveolar process on the mandible and maxilla?

Answer 9

Juga

Question 10

What blade should we use for tooth extractions?

Answer 10

15

Question 11

diastema

Answer 11

a space or gap between two teeth

Question 12

T/F: we can make incision right over tooth/center of alveolus

Answer 12

FALSE- a problem if oronasal fistula present

Question 13

What is the biggest cause of oral surgery failure?

Answer 13

_************TENSION************_

Question 14

Aftercare of gingival flaps

Answer 14

broad spectrum antibiotics if preexisting dz

soft food 2 weeks

nothing with a crunch for 10-14 days

no toys or hard treats 2 weeks

recheck in 10-14 days

Question 15

Causes of oronasal fistula

Answer 15

dental dz and extractions

pressure necrosis from foreign body

complication of sx, radiation therapy, hyperthermia

trauma- electrical cord burns, bites, gunshot

Question 16

What is a non-oral sign of an electrical burn?

Answer 16

pulmonary edema, esp cats chewing electrical cords

Question 17

CS of oronasal fistula

Answer 17

inciting cause

nasal discharge

sneezing

aspiration pneumonia

Question 18

Keys to successful oronasal fistula repair

Answer 18

avoid tension

two layer technique: continuity of nasal and oral mucosa restored

single flap technique: position suture line over supported tissue

Question 19

Indications for a single flap technique on oronasal fistula

Answer 19

acute fistulas (non-healed)

defects too large to allow 2 layer closure

Question 20

Double flap technique indications

Answer 20

congential defects

chronic fistulas where oral mucoperiosteum has healed to nasal mucosa

Question 21

Salvage procedures for oronasl fistulas

Answer 21

intraoral appliances: acrylic appliances, nasal septal button

Question 22

Highest incidence of jaw fractures?

Answer 22

symphysis and ramus- weakest areas = CATS

Question 23

When fixing a jaw fracture remember to?

Answer 23

maintain occlusion- have to be able to close mouth, drink, eat soft foods

Question 24

____ is the tension side of jaw, opposite side is the compression side of jaw

Answer 24

dental arcade

Question 25

Symphyseal separation fracture

Answer 25

very common in cats

wire around it and remove in 4-8 weeks

intraoral splint formed directly in mouth

Question 26

What causes hard palate trauma/splitting?

Answer 26

High rise syndrome- jumping off high buildings

HBC, Kicks, gunshot, penetrating wounds

Question 27

Intraoral splint recommended material?

Answer 27

composite resin/acrylics are better bc of normothermic curing

exothermic curing acrylics get hot and can cause damage

Question 28

name the procedure we need

Answer 28

partial mandibulectomy