E2: Oral Sx, jaw fractures and Head/neck Sx Flashcards
What is a curved root tip called? What is it called when there is apical expansion of the root?
Dilaceration
Hypercementation
What is the first step when extracting a single rooted tooth?
Severe epithelial attachment with #11 or 15c blade and enter periodontal space
In which species should you try to always suture an extraction site?
Cats
How are multi-rooted teeth simply (i.e. not surgically) extracted?
Section tooth at furcation of roots
Elevate and remove each root segment individually
What is the first step in surgical tooth extraction?
Creating a buccal mucoperiosteal flap (either envelope or single pedicle flap)
When making a flap for a canine root extraction, where do you begin your incision?
At diastema
What is an important landmark when removing the entire lateral alveolar bone?
Apex of the root
What is the most significant cause of suture failure after closing the gingiva?
Tension
What part of the flap do you suture/secure first?
Corners
How long should a dog not get any crunchy food after a gingival flap placement?
10-14 days
What are causes of oronasal fistulas in dogs?
Dental disease and extractions
Pressure necrosis from foreign body
Complications (surgery, radiation therapy, hyperhermia therapy)
Trauma (electrical cord burns, bites wounds)
Why do you need to monitor a cat for respiratory concerns after an electrical burn?
Pulmonary edema can occur
What technique do you use if you cannot use a two layer technique for closing an acute oronasal fistula?
Single pedicle advancement flap
What type of closure is indicated for congenital defects and chronic oronasal fistulas where the oral mucoperiosteum has healed to the nasal mucosa? From where does the flap get its blood supply?
Double flap technique
Nasal mucosa
What are the salvage techniques for animals with uncorrectable palate defects?
Intraoral appliances: Acrylic device or Nasal Septal buttons
What is the most common location for jaw fractures in cats?
Symphysis and ramus
What is the most important consideration when repairing jaw fractures? What else is important?
Maintaining occlusion
Minimize soft tissue disruption
Put fixation on the tension side of the bone (the dental arcade)
Avoid placing implants through tooth roots
What techniques can you use to avoid having to extubate and re-intubate during jaw repair?
Intramandibular intubation
Pharyngotracheal intubation
Temporary techeostomy