OMS Flashcards

1
Q

How much bone loss around an implant is possible while still remaining successful?

A

0.2 mm annually after the first year

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2
Q
Distances an implant must be from other structures to be successful:
Lingual cortical plate 
Maxillary sinus
IAN
Buccal cortical plate
Inferior border of mandible
Mental nerve
Nasal cavity
Adjacent tooth
Adjacent implant
A
Buccal cortical plate: 1 mm
Lingual cortical plate: 1 mm 
Maxillary sinus: 1 mm 
Nasal cavity: 1 mm
Inferior border of mandible: 1 mm
Adjacent tooth: 1.5 mm
IAN: 2 mm 
Adjacent implant: 3 mm
Mental nerve: 5 mm
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3
Q

Best bone types for implants?

A

Type 2 and 3

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4
Q

Maximum dose of Epi for a healthy patient

A

200 micrograms, 0.2 mg

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5
Q

Maximum dose of Epi for a cardiac patient

A

40 micrograms, 0.04 mg

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6
Q

1:100,000 = ?

A

10 micrograms/mL, 0.01 mg/mL

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7
Q

2% = ?

A

20 mg/mL

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8
Q

Ester anesthetics are metabolized how?

A

plasma esterase

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9
Q

Amide anesthetics are metabolized how?

A

Liver/hepatic

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10
Q

What is the Verrill sign and what does it mean?

A

Ptosis, indicates sedative dose has been reached by benzodiazepine

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11
Q

Where is the anesthetic going in a PSA block?

A

pterygopalatine space

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12
Q

When would you expect dry socket to occur?

A

3-5 days post-extraction

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13
Q

Which surgical movement of the maxilla is MOST unstable?

A

inferior movement (think gravity and how the mandible interacts with the maxilla)

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14
Q

How do the beaks of a needle holder compare to a hemostat?

A

needle holder: shorter, thicker beak

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15
Q

The primary cause of failure of an avulsed tooth is?

A

external resorption

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16
Q

A patient suffering from oxygen deprivation would show ___ pupils with ____ light reflex.

A

dilated pupils, no light reflex

17
Q

Geometry of an elliptical incision:

A

3X longer than it is wide

18
Q

Nitrous causes a patients pain ____ to be modified.

A

threshold

19
Q

Bleeding under conjunctiva is pathognomonic for ___ fracture.

A

Zygomaticomaxillary

20
Q

Where are maxillary third molars commonly displaced when extracting?

A

infratemporal fossa

21
Q

The most frequently impacted tooth is?

A

mandibular third molar

22
Q

What are the top 3 most congenitally missing teeth?

A

third molars > lateral incisor > second premolar

23
Q

Side effect of frequent administration of nitrous to a patient?

A

peripheral neuropathy

24
Q

Where should the shoulder of an implant be placed in reference to an adjacent tooth?

A

2 mm apical to CEJ

25
Q
Healing times after implant placement for:
Anterior maxilla
Posterior maxilla
Anterior mandible
Posterior mandible
A

Anterior maxilla - 6 months
Posterior maxilla - 6 months
Anterior mandible - 3 months
Posterior mandible - 4 months

26
Q

When is distraction osteogenesis preferred over traditional osteotomy?

A

When large advancements are needed the soft tissue may not easily cover

27
Q

Where is the mandible most likely to fracture?

A

condyle

28
Q

How much time should pass between onset of paresthesia and a referral to a surgeon?

A

4 weeks

29
Q

Blockage of what vessel is the most common cause of MI?

A

Left anterior descending artery (LAD)

30
Q

What are patients experiencing MI given?

A

Morphine
Oxygen
Nitroglycerin
Aspirin

31
Q

What are patients experiencing angina given?

A

Oxygen
Nitroglycerin
Aspirin

32
Q

How does the lateral ptyergotd muscle move the disk?

A

anterior, medial

33
Q

What is the cause of white sponge nevus?

A

genetics

34
Q

Most common intra-oral site for melanoma?

A

Hard palate, maxillary alveolar mucosa

35
Q

Radiographic appearance of sialolith?

A

lamellated

36
Q

“Bumps on the gums” (3)

A

Pyogenic granuloma
Peripheral ossifying fibroma
Peripheral giant cell granuloma

37
Q

Where can pyogenic granulomas be found intraorally?

A

anywhere

38
Q

What is Ludwig’s angina?

A

bilateral submandibular, sublingual, and submental space cellulitis.