Oral and Maxillofacial trauma

Question 1

What are abrasions caused by?

Answer 1

-Friction between an object and the surface of the skin

Question 2

How do you treat an abrasion?

Answer 2

-Treated by cleaning, sometimes scrubbing, then apply antibiotic ointment

Question 3

What is a contusion known as?

Answer 3

-Bruise

Question 4

When can contusions be dangerous?

Answer 4

-Bleeding disorders

Question 5

If an elder pt comes in with bruises on their arm what could it indicate?

Answer 5

-They are on blood thinners or they might have a platelet disorder

Question 6

What can reverse Coumadin?

Answer 6

-Vitamin K

Question 7

What do you do for the repair of a laceration?

Answer 7

• Cleansing
• Debridement
• Hemostasis
• Closure

Question 8

In a lip laceration what is the #1 thing that you do?

Answer 8

-Align the vermillion border

Question 9

What type of suture would you want to use in the muscle and submucosa?

Answer 9

-Vicryl

Question 10

What type of suture would you want to use on the skin?

Answer 10

-Nylon 5-0 or 6-0

Question 11

What type of suture would you want to use in the mucosa?

Answer 11

-Chromic gut

Question 12

If you see a traumatic accident pt that comes in what question do you always want to ask?

Answer 12

-If the person lost consciousness during the accident

Question 13

How can you check for a jaw fracture?

Answer 13

-Have them bite down and if they only hit on one side then its a possibility

Question 14

What are 5 factors to consider before reimplanting avulsed teeth?

Answer 14

• The avulsed tooth should have no advanced periodontal disease
• Alveolar socket should be reasonably intact to provide a seat for the avulsed tooth
• No orthodontic contraindication such as significant crowding of teeth
• Extra-alveolar period should be considered
• Stage of root development should be evaluated

Question 15

How long is to long to replace an avulsed tooth?

Answer 15

-More than 2 hours are usually associated with poor results (but it is still possible for them to take)

Question 16

T/F Survival of the pulp is possible in teeth with incomplete root formation if replantation is accomplished within 2 hours after injury

Answer 16

True

Question 17

In the case of reimplanted or significantly displaced teeth with closed apical foramina root canal treatment should be instituted about how many weeks after initial stabilization?

Answer 17

-2 weeks

Question 18

For a mobile tooth dentoalveolar injury what is the duration of immobilization?

Answer 18

7-10 days

Question 19

For tooth displacement dentoalveolar injury what is the duration of immobilization?

Answer 19

-2-3 weeks

Question 20

FOr root fracture dentoalveolar injury what is the duration of immobilization?

Answer 20

2-4 months

Question 21

For replanted mature tooth what is the duration of immobilization?

Answer 21

7-10 days

Question 22

For replanted immature tooth what is the duration of immobilization?

Answer 22

3-4 weeks

Question 23

What is the most common mandibular fracture

Answer 23

Sub condylar fracture

Question 24

What is the 2nd most common mandibular fracture?

Answer 24

-Angle

Question 25

What is the 3rd most common mandibular fracture?

Answer 25

-Symphysis

Question 26

What are four types of mandible fractures?

Answer 26

• Green stick
• Simple
• Comminuted
• Compound

Question 27

What is LeForte I?

Answer 27

-Just the Maxilla

Question 28

What is LeForte II?

Answer 28

-The maxilla and the nasal bones

Question 29

What is LeForte III?

Answer 29

-The maxilla, the orbit, the nasal bones, zygomatic