OEQ Flashcards
All of the following are indications for anticoagulant use except:
-MI
-COPD
-Venous thrombosis
-Pulmonary emobolusn
COPD
Treatment for ecchymosis
None indicated
T/F: Short incisions heal faster than long incisions
False- incisions heal edge to edge not end to end
T/F: The most common reason for prolonged pos-op bleeding OR delayed healing is failure to achieve primary closure
False- not enough pressure
For extraction of mandibular molar, the chair should be positioned so the the mandibular occlusal plane is:
parallel to the floor when mouth is open
What type of instrument is being shown? What motion is being shown?
Triangular elevator; wheel & axel
When using forceps, what should be considered?
- continually reseat the beaks apically
- used controlled & deliberate forces when luxating and hold each for a few seconds
When using forceps continually reseat the beaks ____
apically
When using forceps, use controlled and deliberate forces when ____ & hold each for _____
luxating; a few seconds
When removing MAXILLARY CANINES which of the following is NOT true?
-use strong palatal force because of thick palatal bone
-they can be difficult to remove because of long roots
-when isolated they can be grasped M-D
-Labial plate is easily fractured because it is very thin
False option is: use strong palatal force because of thick palatal bone
When extracting maxillary canines, what should you NOT do?
use strong palatal force
Maxillary canines can be difficult to remove because of:
long roots
When maxillary canines are isolated, they can be grasped:
M-D
What is easily fractured when extracting maxillary canines, and why?
Labial plate easily fracture because its very thin
T/F: If a piece of bone is removed with the tooth, it should be replaced in the socket and sututred
False
Mandibular third molars can be displaced into which of the following?
-maxillary sinus
-infratemporal fossa
-submental space
-submandibular space
-mandibular canal
subMANDIUBLAR space
MANDIBULAR canal
(both answers have mandibular in them)
The one tooth that can frequently be removed with elevators ONLY is:
maxillary third molars
Which flap has ONE relaxing incision?
Three corner flap
NEVER EVER place a vertical incision flap on:
Lingual side of the mandible
Contraindications for placement of vertical release incision lines:
- canine prominence
- mental foramen
- palate
- INCISIVE papilla
- bony lesion
- major frena
- LINGUAL SIDE OF MANDIBLE
Why should a flap be over an adequate margin of solid bone when repositioned?
increases healing rate
decreases wound dehiscence
The margin of a flap should be atleast ____mm from the margins of a bony defect
5 mm
For mandibular flaps, an incision can be made from tip of one coronoid process, down the anterior border of the ramus, and along the crest of the alveolus to the tip of the opposing coronoid process WITHOUT:
Cutting any major structure except buccinators artery & long buccal nerve
Hazard areas for mandibular flaps:
- lingual region of third molars (lingual nerve damage)
- premolar buccal vestibular region (mental nerve/vessel)
- vestibule near second molar (facial artery/vein
What anatomical structures should be avoided with mandibular flap placement?
- lingual nerve
- mental nerve/vessel
- long buccal nerve
- facial artery
- buccinator artery (buccal artery)
T/F: For maxillary flaps, an incision running from one tuberosity to the other along the alveolar crest will never sever anything larger than a capillary
True
Hazard areas for maxillary flaps include:
- greater palatine artery
- nasopalatine nerve
What is the most popular flap in dentistry?
Full thickness flap (Mucosal tissue + periosteum)
Mucosal tissue= submucosal tissue + CT
After plan A (closed extraction with elevators & forceps) has failed, plan B would entail:
Reflect a small envelope flap, access & visualization of bone
Envelope flap:
-full thickness flap
-without vertical releasing incision (but one to two vertical incisors can be added)
-apical portion must be wider than the vertical portion when doing vertical incision on this envelope flap
-atleast 2 M and 1 D teeth
T/F: Roots of mandibular molar has been M-D sectioned, flap created, bone removed, etc. and are still unable to be removed. Sectioning root B-L will NOT aid in the removal
False- it will aid in the removal
Of the following patients, which is MOST QUALIFIED for an open, surgical extraction?
-woman with RCT
-30yo male with dense buccal bone & normal roots
-male with super-erupted tooth and roots into pneumatized maxillary sinus
male with super-erupted tooth and roots into pneumatized maxillary sinus
Which is NOT indicated for tooth extraction?
-radiation
-supererupted
-ortho
-extensive caries
radiation
T/F: Female has chronic periapical infection around tooth. You extract tooth and small 2 mm portion of root fracture and remains. It is okay to leave this behind because of the size
False- this is not okay with periapical infection
Girl has surgical extractions. Which of the following would be reasons to see her post-op?
a) bright red bleeding for more than 24 hours after extraction
b) little swelling at first and then increases rapidly after 5 days
c) little pain at first and then unbearable after three days
d) sight swelling 72 hours after extraction
e) bruised 24 hours after extraction
A,B,C
2 Tabs of Tylenol #3 contain:
60 mg of Codeine
600 mg of Tylenol
When extracting a maxillary molar, a large part of the maxillary tuberosity is fractured, what should you do?
Stop extraction, splint tooth for 6-8 weeks and then surgical extraction at that time
Patient is sent to your for ortho extractions of four PMs. You realize you have extracted the wrong tooth. What do you do?
- rinse with saline
- re-implant tooth
- call orthodontist to see about changing treatment plan
When extracting a tooth, you accidentally luxate an adjacent tooth and it is very loose. What should you do?
- stop procedure
- stabilize tooth that was accidentally lunated
- relieve occlusion
- splint
A 5 mm oral-antral opening is created when removing a maxillary molar. You close with a figure 8 stitch, instruct patient to take “sinus precautions” and prescribe which of the following?
a) antibiotic (PCN)
b) nasal spray
c) possible nasal decongestant
A,B,C
T/F: Patient complains of prolonged numbness for a number of weeks after you performed a block and extraction. You should wait one year before refferal to oral surgeon because that is how long it takes to heal:
False
What is true of surgicel?
- can be packed with pressure
- has antibacterial properties
T/F: Surgicel is used with thrombin
False
What is the treatment for alveolitis?
Irrigate with warm water and pack with sedative dressing
Incision lines can often collapse into the defect and cause dehiscence after surgical extraction, in order to prevent this, how far should incisions be placed from the bony defect?
6-8 mm
Why are incisions NOT commonly placed near the canines?
- bony eminence so gingiva is extremely thin
- Frena/muscle attachments
- …
(all of the above)
Alveolitis symptoms:
(dry socket)
- foul smell
- narcotics cannot alleviate pain
- dull constant pain referred to ear 3-5 days after procedure
- socket appears empty
- when irrigating, black coffee grounds come out
- irrigation with cold water is painful
What type of level is used in the mandibular?
Class III
Class I lever =
elevator (lever)
A blood pressure of 118/88 is considered:
elevated
A normal blood pressure is:
Less than 120 over less than 80
What BP constitutes a hypertensive crisis
Greater than 180 over greater than 120
What do you put in site #30 if you the IA exposure AND excessive bleeding?
Place collagen
What is the part of the suture needle that connects the needle to materials?
swage
T/F: On an operator, the sterile areas are everything above the waist including head & neck & excluding the posterior
False
1.8 cc caruple of 0.5% Bupivicane 1:50,000 contains:
9 mg Bupivicane; .009 epi
cc x % = mg of anesthetic
mg x epi ratio = epi
Process of making something free from bacteria or other living microorganisms:
sterilization
Insulin-dependent diabetes is ASA class:
III
Patient is on Coumadin, what lab test do they need done?
INR
T/F: After luxation, then using forceps in buccal motion, because buccal bone is thinner and less likely to cause root fracture
False- apical motion first and then buccal motion
T/F: Dr. O writes too lengthy procedure notes that are not needed
False
What are the oral hemostatic challenges?
- tissues in mouth are highly vascular
- extractions leave open wound
- patient explore areas of their mouth
NOT: normal oral bacterium lyse blood clots
T/F: if a patient had surgery six hours ago and are now complaining of severe pain. You think about having them return to the office to give narco prescription and re-evalute, but the patient lives three hours away. Should you just give them the prescription?
NO
All of the following are considered COPD:
-hypoxemia
-increased CO2
-inability of alveolar elasticity
What should you NOT do with COPD patient?
give 6-8 liters of O2
T/F: A drill should be HIGH speed, LOW torque and REAR exhause
False
Which suture has only one tie and the ability to hold medicaments in the socket?
Figure 8
A 65 year old female patient with history of NIDDM, GERD, and has smoked pack/day for last 40 years, she keeps good records of her glucose which are never over 250 and her A1C is 6.5. she comes to you swollen and in a lot of pain and unable to eat or drink. She can wiggle her crown that is bother her.
T/F: You may extract the tooth at this time
True
When should a dialysis patient come in for an extraction?
Day AFTER dialysis
(because their blood is clean and healthy)
Patient had MI 6 months ago, is cleared now and under care of cardiologist. What is the max dose of epi he can receive?
.04 mg
3 cartridges of 4% articaine 1:200,000 epi (least amount of epi)
Patient comes in with ecchymosis, what is the treatment?
No treatment
When using forceps which of the following should be considered?
- continually reseat the beaks apically
- hold for a few seconds to allow bone to expand
When removing the maxillary premolar which of the following is NOT true?
You should use strong palatal force because of thick palatal bone
Mandibular third molars can be displaced into which of the following?
- submandibular space
- mandibular canal
Which flap has one relaxing incision?
Three corner
Which of the following is NOT an indication for extraction:
Radiation caries secondary to areas being irradiated
While extracting a tooth that is locked out (pushed lingual bc of crowding) you inadvertently luxate the adjacent tooth and it is now loose, what should you do?
Stop & splint the accidentally lunated tooth
What is true of Surgicel?
1.easy to pack
2. antibacterial properties
3. can pack with pressure
Alveolitis treatment?
- irrigate socket
- sedative dressing
Incisions are NOT commonly placed near the canines because of which of the following?
- bony eminence so thin gingival tissues
- frenulum attachment
- something else valid
(all of the above)
The main purpose of a flap is to:
provide access to the area
(access first, visualization second I think)
What is the part of the needle called that should NOT be touched and connects the thread to the needle?
Swage
On an operator, the sterile areas are everything above the waist including the head and neck:
false
T/F: after luxation you should first use a buccal force
False- apical force first
T/F: Surgical sterile technique refers to keeping microbes out of surgical sites in surgery. Medical sterile technique refers to keeping medical professionals/staff free of microbes.
Both statements true
What is the absolute cut off of blood pressure for performing dental treatment?
180/110
T/F: Hypertrophy refers to excessive wound healing beyond the border. Keloids refer to excessive wound healing within the wound borders.
Both statements false
All of the following require antibiotic prophylaxis except:
rheumatic fever
List examples of situations that require antibiotic prophylaxis:
- previous infective endocarditis
- repaired congenital heart defect 5 months prior
- prosthetic heart valve
All of the following are indications of tooth extraction except:
mild controlled platelet disorder
Wound repair heals through what mechanism?
- proliferation
- migration
- contact inhibition
What is the term for spontaneous and subjective altered sensation that is NOT painful/uncomfortable?
Paresthesia
Reduction in the number of viable microorganisms not connected to public health standards:
Decontamination
Max permissible dose of acetaminophen:
4000 mg
Max permissible dose for ibuprofen:
3200 mg
T/F: Elevating a tooth out is a class 1 lever, mandible is a class I lever
First statement true; second false (because mandible is class III lever)
T/F: OS housed support finger on adjacent tooth or bone when using an elevator to get roots in maxilla:
True
