MD ORAL SURGERY Flashcards
T or F:
questionable teeth should be extracted before radiation therapy
TRUE
to avoid ORN
when getting head and neck radiation, what should be done before and after an extraction?
HYPERBARIC OXYGEN
for pericoronitis treatment, what should be done first?
TREAT INFECTION
MOST COMMON 3 TYPES OF IMPACTED TEETH?
- MAND THIRD
- MAX THIRD
- MAX CANINES
primary reason for impacted teeth?
inadequate arch length
3 MOST COMMON CONGENITALLY MISSING TEETH?
- THIRD MOLARS
- MAX LAT INCISORS
- MAND 2ND PM
easiest and hardest extraction?
soft tissue impaction
full bony impaction
partial bony impaction
easiest: soft tissue
hardest: full bony
WINTERS CLASSIFICATION:
for what teeth?
how do we categorize the teeth?
IMPACTED THIRD MOLARS
LONG AXIS and ANGULATION
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winters classfication, which is EASIEST which is HARDEST
vertical
mesioangular
horizontal
distoangular
buccolingual
others
easiest: MESIOANGULAR
hardest: DISTOANGULAR
PELL AND GREGORY CLASSIFICATION:
for what teeth?
how do we put into category?
LOWER third molar
A,B,C; I, II, III
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PELL AND GREGORY CLASSIFICATION:
WHAT IS MOST DIFFICULT?
Level C Class III
how to avoid subperiosteal abscess?
IRRIGATE !!
( remove tooth fragment below soft tissue)
WHAT IS ORO-ANTRAL COMMUNICATION?
MOST COMMON IN WHAT TEETH?
TMNT?
puncture from oral cavity to sinus
MAX FIRST MOLAR
>2 mm: do nothing
2-6 mm: 4 A’s (AB, antihistamine, Afrin nasal spray, analgesics)
> 6mm: flap surgery
WHEN BLOOD CLOT DISLODGED BEFORE WOUND HEALING THIS IS CALLED WHAT?
tmnt?
ALVEOLAR OSTEITIS ( inflammation of bone)
TX: irrigation and pain control
most common nerve injury to lower nerve caused by what?
LOWER THIRD MOLARS
IAN
TOOTH DISPLACEMENT:
MOST COMMON ONE?
MAX 3RD MOLAR: INFRATEMPORAL FOSSA
MOST COMMON TOOTH DISPLACEMENT FOR MAX FIRST/ 2ND MOLAR?
MAX SINUS
MOST OCMMON DISPALCEMENT FOR MAND THIRD MOLAR?
SUBMANDIBULAR SPACE
WHICH SITE OF TOOTH GETS LOST IN THAT YOU HAVE TO SEND TO ER FOR CHEST XRAY?
OROPHARYNX
PURPOSE OF BITE BLOCK?
BETTER VISUALIZATION
MOST COMMONLY USED ELEVATOR?
STRAIGHT ELEVATOR (301)
PICK ELEVATOR USED FOR?
LEVER
WEDGE
WHEEL AND AXLE
WEDGE
STRAIGHT ELEVATOR USED FOR ?
LEVER
WEDGE
WHEEL AND AXLE
LEVER
TRIANGULAR ELEVATOR (CRYER) USED FOR ?
LEVER
WEDGE
WHEEL AND AXLE
WHEEL AND AXLE
WHIH ELEVATOR USED FOR REMOVING BROKEN ROOT LEFT IN SOCKET
CRYER
STRAIGHT
ROOT PICK
CRYER
WHICH EXTRACTION FORCEPS ARE THE WORK HORSES?
150: UPPERS
151: LOWERS
how to avoid subperiosteal abscess?
IRRIGATION!
what is oro-antral communication?
what teeth most common in?
SINUS OPENING
MAX 1ST MOLARS
TREATMENT FOR ORO-ANTRAL COMMUNICATION
ORO= MOUTH
ANTRAL= SINUS
<2mm do nothing
2-6 mm: 4 A’s ( AB, Antihistamines, Afrin Spray, Analgesia)
>6mm = flap sirgery
WHEN A BLOOD CLOT DISLODGES THIS CAN HAPPEN? TX?
board ?
ALVEOLAR OSTEITITS ( bone inflammation)
TX: irrigation and local pain control
nerve injust most common with what 2 things in the mandible?
lower third molars
IAN
MOST COMMON SITE AND TOOTH FRO TOOTH DISPLACEMENT?? ***
MAX THIRD MOLARS: INFRATEMPORAL FOSSA
WHERE DO MAX 1ST AND 2ND TEETH DISPLACE?
MAX SINUS
WHERE DO MAND THIRD MOLARS DISPLACE?
SUBMANDIBULAR FOSSA
THIS AREA IS WHERE A TOOTH GETS LOST AND YOU HAVE TO SEND TO ER FOR CHEST XRAY ***
ABDOMINAL XRAY
bite block used to keep the patients mouth open which provides what?
VISUALIZATION
MOST COMMONLY USED ELEVATOR
STRAIGHT ELEVATOR (301)
TRAIANGULAR ELEVATOR (CRYER) USED FOR?
LEVEL
WHEEL AND AXLE
WEDGE
WHEEL AND AXLE
straight elevator used for?
LEVEL
WHEEL AND AXLE
WEDGE
lever
pick elevator?
LEVEL
WHEEL AND AXLE
WEDGE
wedge
for removing broken root tip left in socket:
Cryer
pick elevator
straight elevator
WHAT ARE 2 UNIVERSAL FORCEPS?
150: UPPER
151: LOWER
MOST COMMON BLAD FOR ITNRAORAL SURGERY
15
WHAT IS THE PURPOSE OF IRRIGATION during surgery?
PREVENTS HEAT GENRATION
after remove tooth what is next step?
CURETTE!!
ALWAYS CURETTE SOCKET
which bone removal what handpiece should you never use and why?
air-driven BECAUSE DRIVES AIR INTO SOCKET
type of motion with bone file?
pull stroke
what is the purpose of hemostat?
HEMOSTASIS:
clamp blood vessesls before suturing
face of beak of needle holder is what shape?
crosshatched
Primary purpose of of suture is to ___
immobolize flap
suturs should be placed from ___ tissue to __ tissue
moveavle to non-moveable
easiest and most common suture technique?
simple interrupted
silk has what property that allows bacteria to invade?
WICKENING
THESE FORCEPS HSOULD BE USED TO HANDLE SOFT TISSUE AND THESE SHOULDNT
Asdson tissue
utility forceps ( picking up tray items)
whenver you luxate tooth what should fulcrum be ?
what does luxating tooth do to bone?
ALVEOLAR BONE
expansion
teeth with multi rooted teeth should be extracted with forceps how?
hold buccaly for 10 seconds then hold palatally
NO ROTATION !!
AFTER TOOTH REMOVED FROM SOCKET 3 STEPS
CURETTAGE
SMOOTH BONE WITH FILE
IRRIGATE
T OR F
FLAP DESIGN ALWAYS WANTS FULL THICKNESS FLAP
TRUE
T OR F
incisions should be made over intact bone
T!!!
dont want over defects or eminences !
where should vertical releases of flap be??
LINE ANGLES !
THIS TYPE OF INCISION USED FOR APICOECTOMY?
SEMILUNAR INCISION
apical!!
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APICALLY DISPLACED FLAP IS IMPOSSIBLE IN WHAT AREA ?
BOARD ?
MAXILLARY PALATAL
INCISION FOR PALATAL TORI REMOVAL?
DOUBLE Y INCISION
T or F age is not a contraindication to implants?
true
best type of implant?
transosteal
endosteal
subperiosteal
ENDOSTEAL
PURPOSE OF IMPLANT BODY?
SEQUENTIALLY ENLARGE OSTEOTOMY
ONE-PIECE VS 2-PIECE ABUTMENT:
which one has antirotation component?
TWO PIECE
which is better for restricted restorative space?
screw-retained implant
cement-retained implant
screw
WHICH CAUSES PERI-IMPLANTITIS?
screw implant
cement implant
CEMENT:
cement trapped subgingivally
which can correct angle between 2 components?
one-piece implant
two-piece implant
two-piece
which is abutment antirotation component ?
2 piece
internal hex (lock and Key) and external hec
when looking at an implant we see that there is no fibrous tissue layer between implant and bone. what does this mean?
success of osteointegration !!!
we want direct contact between bone and implant
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PRESENCE OF FIBROUS TISSUE LAYER BETWEEN IMPLANT AND BONE. WHAT DOES THIS MEAN FOR IMPLANT? WHAT IS THIS CALLED?
fibrousintegration
FAILURE of implent to osteointegrate
primary vs secondary stability for implants?
PRIMARY: how well screw stays in bone
SECONDARY: osseintegration
what type of bone and area of bone has highest success rate?
TYPE 1 DENSE
ANT. MANDIBULAR
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BONE QUALITY THAT HAS THE LOWEST SUCCESS RATE AND TYPE OF BONE AND LOCATION?***
TYPE IV SOFT
POST MAX
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WHAT ARE THE MEASUREMENTS OF IMPLANT PLACEMENT DISTANCE FROM:
ADJACENT NATURAL TEETH:
IAN:
ADJACENT IMPLANT
MENTAL NERVE:
BUCCAL PLATE, LINGUAL PLATE, MAX SINUS, NASAL CAVITY:
MOST IMPORTANT IMPLANT SLIDE
Plates and sinuses: 1 mm
teeth: 1.5 mm
IAN: 2 mm
implant: 3mm
mental nere: 5 mm
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A 5MM IN DIAMTER IMPLANT IS BEING PLACED HOW MUCH BL SPACE is needed ?
5MM IMPLANT + 1 MM LINGUAL + 1 MM BUCCAL +
= 7 mm total
implant #30 is being placed. and has 20 and 30 next to it and implant 3 mm in diamater. how much MD spacen eed.
6 mm total
1.5 from adjacent teeth = 3
3+3 = 6 total
ONE STAGE IMPLANT SURGERY VS TWO STAGE
ONE STAGE:
- place impant AND healing abutment in 1 visit
TWO STAGE:
- place implant with cover screw and cover it up with gums
- open gums place healing abutment next visit
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when to do two stage implant surgery?
poor stability
graft needed
medically compomised ptnts
what type of extraction needed in order to have good soclet preservation
ATRAUMATIC extraction
(routine ext not surgical)
difference in gingival fiber orientation next to implant vs normal tooth
board ?
IMPLANT: fibers PARALLELL with implant cuff
next to tooth: fibers HORIZONTAL w implant cuff
IMPLANT SUCCESS bone loss per year after first year
if implant has < .2mm loss per year after first year then it is good
IMPLANT FAILSURE DUE TO WHAT BACTERIA?
G(-) ANAEROBIC RODS and FILAMENTS
WHAT TIME AND TEMPERATURE CAUSES IMPLANTS TO COMPROMISE OSSEOINTEGRATION AND CAUSE IMPLANT FAILURE
board ?
47°C FOR 1 MINUTES
40 C FOR 7 MINUTES
mandibular fractures best evaluated with what radiograph?
PANOS
FROM MOST LIKELY TO LEAST LIKELY, WHICH PART OF MANDIBLE MORE SUSCEPTIBLE TO FRACTURE
CONDYLAR
ANGLE
SYMPHYSIS
CONDYLAR > ANGLE > SYMPHYSIS
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MATCH THE MANDIBULAR FRACTURES:
green stick, comminuted , simple, compound
closed to oral cavity
opent to oral cavity, bone exposed through mucosa,
not all the way though
crushed into muiltiple fragments
greenstick: not all the way
comminuted: crushed into frags
simple: closed to oral cavity
compound: open to oral caviy
MIDFACE FRACTURE BEST EVALUATED WITH WHAT RADIOGRAPH?
CBCT
LE FORT FRACTURE THAT IS PYRAMIDAL?
LF 1
LF 2
LF3
LF 2
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LE FORT FRACTURE THAT IS HORIZONTAL ACROSS MAXILLA ?
LF 1
LF 2
LF3
LF 1
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LE FORT FRACTURE THAT IS COMPLETE CRANIOFACIAL DISJUNCTION?
LF 1
LF 2
LF3
LF 3
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THIS TYPE OF FRACTURE ALSO KNOWN AS TRIPOD FRACTURE INVOLVES BLEEDING UNDER CONJUCTIVA
BOARD ?
ZYGOMATICOMAXILLARY COMPLEX FRACTURE ( tripod fracture because of 3 spots its in)
bleeding in CONJUCTIVA
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MANDIBULAR FRACTURES IDEALLY TREATWED WITH THESE 2 PROCESSES
reduction
open reduction
internal fixation
intermaxillary fixation
OPEN REDUCTION and INTERNAL FIXATION (ORIF)
OR: frags exposed surgically by dissiecting tissues
IF: titanium bone plates to hold bone together
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fracture fragments exposed surgically by dissecting tissue:
reduction
open reduction
closed reduction
internal fixation
intermaxillary fixation
open reduction
fracture fragments reutrend to their normal position
reduction
open reduction
closed reduction
internal fixation
intermaxillary fixation
REDUCTION
fracture fragments maniupulated w/out surgical exposure:
reduction
open reduction
closed reduction
internal fixation
intermaxillary fixation
CLOSED REDUCTION
fracture fragments manipulated without surgical exposure
reduction
open reduction
closed reduction
internal fixation
intermaxillary fixation
closed reduction
wiring jaws closed archbards and elastics
reduction
open reduction
closed reduction
internal fixation
intermaxillary fixation
IMF (intermaxillary fixation)
RETROGNATHIC MANDIBLE:
CLASS 1
CLASS 2
CLASS 3 OCCLUSION
CLASS 2 OCCLUSOON
PROGNATHIC MANDIBLE:
CLASS 1
CLASS 2
CLASS 3
CLASS III
VERTICAL MAXILLARY EXCESSS IS SHOW WHAT PHYSICAL ISSUES?
MAXILLA TOO LONG
GUMMY SMILE
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SKELETAL DISCREPENCY WITH HORIZONTAL TRANSVERE DISCREPENCY WHATS WRONG?
POSTERIOR CROSSBITE
MACROGENIA?
CHIN TOO BIG
MICROGENIA?
CHIN TOO SMALL
APERTOGNATHIC?
AMTERIOR OPEN BITE
WHAT ARE MAIN IMAGES USED IN TREATMENT PLANNING FOR ORTHOGNATHIC SURGERY?
BOARD**
LATERAL CEPHS
SURGERY TO MOVE MAXILLA?
board ***
LE FORT 1 OSTEOTOMY
SURGERY TO MOVE MANDIBLE?
BSSO (bilateral saggital split osteotoy)
SURGERY TO MOVE CHIN>
GENIOPLASTY
A PATIENT HAS CLASS 3 JAW. IT IS DUE TO MAXILLARY DEFICIENCY. WHAT SURGERY DO YOU USE?
LE FORTE 1
A PATIENT HAS CLASS 3 STRUCTURE. IT IS DUE TO MANDIBULAR DEFICIENCY. WHAT SURGERY DO YOU USE?
BOARD**
BSSO
A PATIENT HAS CLASS 3 STRUCTURE. IT IS DUE TO MAXILLARY AND MANDIBULAR DEFICIENCY . WHAT SURGERY DO YOU USE?
LE FORT 1 AND BSSO
BIOPSYCHOSOCIAL MODEL OF PAIN:
AXIS I
AXIS II
AXIS 1: bio nociceptive input from somatic tissue, acute ( we feel pain)
AXIS II: psychosocial influence of interaction between thalamus, cortex limbic structure, CHRONIC (longer 4-6 MONTHS)
which axis is about the tooth?
axis 1
axis 2
axis 1
MATCH THE FOLLOWING:
TRANSDUCTION, TRANSMISSION, MODULATION,
PERCEPTION
pain from PNS to CNS; pain from CNS to thalmus; limitation of flow of pain information, human experience of pain sum total of physiological processes and psychological factors
1) TRASNDUCTION: PNS -> CNS
2) TRANSMISSION: CNS -> thalmus
3) MODULATION: limit flow of pain
4) perception: experiences
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normal tooth pain depends on magnitude of stimulus. increase in stimulus = increase of pain
SOMATIC PAIN
Pain INDEPENDANT of stimulus intensity
NEUROPATHIC PAIN (damage to pain pathways trauma, stroke, etc)
TRIGEMINAL NEURALGIA IS DUE TO WHAT CN ?
BOARD !
CN 5 !!!!
TRIGEMINAL NEUALGIA AFFECTS WHAT TYPE OF GROUP OF PEOPLE?
POSTMENOPAUSAL WOMEN ( OLDER THAN 50)
DESCRIBE TRIGIMINAL NEURALGIA PAIN
BILATERAL OR UNILATERAL
ELECTRICAL, SHARP, SHOOTING, EPISODIC
UNILATERAL
TREATMENT FOR TRIGEMINAL NEURALGIA?
BOARD ?
ANTICONVULSANTS ( CARBAMAZEPINE) or surgery
WHAT IS ATYPICAL ODONTALGIA and what is it caused by?
Not normal tooth pain
DEAFFERENTATION (destruction of afferent connection of nerve cells) result of ENDO or EXT
PHANTOM TOOTHACHE
POSTHERPETIC NEURALGIA COMES AFTER WHAT DISEASE?
HERPES ZOSTER
not SIMPLEX!!!!
BURNING MOUTH SYNDROM IN WHAT GROUP OF PEOPLE?
POSTMENOPAUSAL WOMEN ( older than 50)
NEUROCULAR pain is also known as what type of headache?
CHRONIC headache
photophobia and phonophobia are descriptiosn of what type of headache?
MIGRAINE !!!
(anything loud or bright)
intense pain near one eye is what type of headache?
cluster
differnce between migraine and tension headache?
migraine: unilareral, pulsating
tension: bilateral, non-pulsating
TX FOR MIGRAINES?
TRIPTAN (selective seotonin receptor agonist)
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lower joint space vs upper joint space movement?
LOWER: ROTATION
Upper: TRANSLATION
which muscles open mandible?
LATERAL PTERYGOID
WHICH MUSCLES CLOSE MANDIBLE?
MASSETER
TEMPORALIS
MEDIAL PTERYGOID
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FUNCTION OF POSTERIOR TMJ LIGAMENT?
STOPS ANT DISC DISPLACEMENT
FUNCTION OF LATERAL TMJ LIGAMENT
STOPS POST DISC DISPLACEMENT
TMJ BLOOD SUPLY?
board ??
M: maxillary
A: Ascending pharyngeal
D: deep auricular
S Superficial temporal
MADS !!!
CONDYLE WITH REDUCTION?
CLICK OR LOCK
CLICK
condyle pops over nateriorly displaced disc and pops on way back to fossa
disc displacement without reduction?
clicking or lock?
lock
condyle stick resulting in limited range of motion
tx for recurrent dislocation includes botox injection where?
lateral pterygoid
most common cause of ankylosis?
trauma
anky: fusion of condyl and skull
bruxism is usually caused by what? treatment?
stress
occlusal guard: distruvtes occlusal forces evenly and relaxeds muscle
the nerve most damaged in tmj is what nerve?
FACIAL NERVE
WHAT IS MYOFASCIAL PAIN SYNDROME?
WHERE IS IT DERIVED FROM?
CHRONIC MUSCLULAR PAIN MOST COMMON CAUSE OF MASTICATORY PAIN
REFERRED PAIN FROM TRIGGER POINT IN MUSCLES OF MASTICATION
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HOW LONG DOES A BIOPSY TAKE?
2 WEEKS !!!
KNOW THIS
WHEN IS INCISIONAL BIOPSY DONE?
when suspected to be malignant and lesion larger >1 cm
WHAT TYPE OF INCISIONAL BIOPSY TO TAKE?
desirable: Narrow and deep
undesirable: Broad and shallow
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when should excisional biopsy be used?
lesion is small <1 cm
BENIGN
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BIOPSY:
what type of anesthesia want to give?
BLOCK instead of infiltration
A BIOPSY SAMPLE IS PLACED IN WHAT SOLUTION?
BOARD
10% FORMALIN or formaldehyde
CYSTS VS TUMOR
WHICH ONE RESECTION? MARSUPUALIZATION?
Tumor: RESECTION ( cutting out tissue or part of tumor)
Cysts: MARSUPILIZATION (removes cysts in a way that makes them less likely to return)
what is enucleation
surgicar removal if nass without cutting into or reputring it
what is marsipualization
removes cysts in a way that makes them less likely to return edges sutured together to make pouch
what is recetioning?
removal of cyst or tumor and normal tissue around it
WHAT ARE THE STEPS TO TAKE IN MEIDCAL EMERGENCIES ?
Stop treatment
Position patient
Oxygen
Reassure
Take Vitals
SPORT
MOST COMMON MEDICAL EMERGECNY IN DENTAL CHAIR?
SYNCOPE (fainting)
what is the most common syncope??
VASOVAGAL SYNCOPE (needle anxiety)
TREDELENBURG used for what?
patient with SYNCOPE lay them back with feet up
IF PREGNANT, WHAT SHOULD YOU DO TO PATIENT WHO PASSES OUT
LEFT LATERAL DECUBBITUS
turn patient on L so doesnt compress IVC
WHAT IS SECOND MOST COMMON CAUSE OF SNYCOPE
ORTHOSTATIC HYPOTENSION
first is needle
STABLE VS UNSTABLE ANGINA
unstable: chest pain at rest
TREATMENT FOR ANGINA?
ONA ( oxygen -> nitroglycerin -> Aspirin)
MYOCARDIAL INFARCTION AFFECT WHAT PART OF HEART?
Suddent occlusion of LAD ( left anterior descending artery)
TREATMENT OF ANGINA VS MI?
BOARD **
ANGINA: ONA (oxy nitro aspirin)
MI: MONA ( morphine)
A DIABETIC PATIENT BG LEVELS FALL DRASTICALLY. THEY ARE STILL CONCIOUS. WHAT DO YOU GIVE THEM?
glucose tab or orange juice
A DIABETIC PATIENT BG LEVELS FALL DRASTICALLY. THEY BECOME UNCONCIOUS. WHAT IS GIVEN TO THEM?
IV DEXTROSE or IM GLUCAGON
A PERSON WHO IS HYPERVENTILATING SHOULD NEVER BE GIVEN WHAT?
OXYGEN
GIVE THEM PAPER BAG INSTEAD
WHAT IS DEFINED AS WHEEZING?
HIGH PITCH ON EXHALATION
WHAT 2 DRUGS TO AVOID WITH ASTHMA?
NSAIDS AND NARCOTICS (OXYCODONE)
STATUS EPILEPTICUS VS GRAND MAL SEIZURE. WHICH ONE IS MORE THAN 5 MINUTES AND WHICH ONE IS CLASSIC SHORT DURATION?
GRAND MAL: CLASSIC
STATUS: MORE THAN 5 MINUTES
MEDICATION FOR GRAND MALL VS STATUS EPILEPTICUS SEIZURE
GM: DILANTIN/PHENYTOIN
SE: VALIUM/ DIAZEPAM
WHAT MINERAL IS STROKE CAUSED BY
HYPONATREMIA ( LOW NA+)
TIA ( TRANSIENT ISCHEMIC ACCIDENT) STROKE VS CVA ( CEREBROVASCULAR ACCIDENT) STROKE
TIA: MINI STROKE
CVA: STROKE
WHAT TO DO WHEN SOMEONE HAS A STROK?
OXYGEN AND CALL 911
ANAPHYLACTIC SHOCK:
WHAT IS
AEIOU
albuterol
epinephrine
IM anstihistamine
U call 911
WHAT IS THERAPEUTIC INR WINDOW?
NORMAL: 1 (dont take meds; above 1 = bleeder; below 1 = clogger)
THERAPEUTIC : 2-3 (take warfarin)
WHAT DOES BLEEDING TIME TELL YOU? ***
PLATELET FUNCTION
aspirin affects it
WHAT does ASPIRIN DO IN THE BLOOD ?
ANTIPLATELET NOT ANTICOAGULANT
HERBAL ANTICOAGULANTS?
GARLIC
GIGNER
GINGKO
GINSENG
FUNCTION OF WARFARIN?
BLOCK VITAMIN K
THIS TEST DETERMINE THE TIME IT TAKES YOUR BLOOD TO CLOT !! **
HOW LONG IS NORMAL TIME AND WHAT DRUG AFFECTS THIS?
PTT (PARTIAL THROMBOPLASTIN TIME) : 30-40 seconds
HEPARIN: causes prolonged blood clots (anticoagulant) : 120-140 seconds
NERVE MOST DAMAGED IN TMJ SURGERY?
trigeminal
facial
glossopharyngeal
auriculotemporal
FACIAL
WHAT IS MOST IMPACTED TOOTH?
mandibular third
maxillary third
maxillary canine
mand second pm
mandibular 3rd
LUXATOR OF CHOICE FOR EXT OF SINGE RETAINED ROOT OF MAND MOLAR?
cryer
crane
root tip pick
straight elevator
cryer
LEAST LIKELY CONGENITALLY MISSING TOOTH?
MAX LAT INCISOR
MAX CANINE
MAND SECOND MOLAR
MAND THIRD MOLAR
MAX CANINE
MYOFASCIAL PAIN DYSFUNCTION IS BEST DESCRIBED AS
clicking and popping
infectious prcoess msticatory pain
disc dislocation
MASTICATORY PAIN!!!
most common cause of masticatory pain?
board***
myofascial pain dysfunction
a patient is getting a 5 year post op on an implant. the implant is showingn early .2 mm bone loss since placed. what do you do next?
nothing that is a good sign
VASOVAGAL SYNCOPE IS WHAT?
board ***
passing out b/c of fear of needles: #1 reason patients pass out
PATIENT IS UNDERGOING SIMPLE EXT AND STATES HE HAS NEEDLE ANXIETY. PATIENT EXPERIENCES EPISODE OF VASOVAGAL SYNCOPE. WHAT DO YOU not DO?
administer oxygen
place in tendelenburg positon
resassure patient
administer epinephrine
maintain air flow
give epi