Oral and Maxillofacial trauma Flashcards
What are abrasions caused by?
-Friction between an object and the surface of the skin
How do you treat an abrasion?
-Treated by cleaning, sometimes scrubbing, then apply antibiotic ointment
What is a contusion known as?
-Bruise
When can contusions be dangerous?
-Bleeding disorders
If an elder pt comes in with bruises on their arm what could it indicate?
-They are on blood thinners or they might have a platelet disorder
What can reverse Coumadin?
-Vitamin K
What do you do for the repair of a laceration?
- Cleansing
- Debridement
- Hemostasis
- Closure
In a lip laceration what is the #1 thing that you do?
-Align the vermillion border
What type of suture would you want to use in the muscle and submucosa?
-Vicryl
What type of suture would you want to use on the skin?
-Nylon 5-0 or 6-0
What type of suture would you want to use in the mucosa?
-Chromic gut
If you see a traumatic accident pt that comes in what question do you always want to ask?
-If the person lost consciousness during the accident
How can you check for a jaw fracture?
-Have them bite down and if they only hit on one side then its a possibility
What are 5 factors to consider before reimplanting avulsed teeth?
- 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
How long is to long to replace an avulsed tooth?
-More than 2 hours are usually associated with poor results (but it is still possible for them to take)
T/F Survival of the pulp is possible in teeth with incomplete root formation if replantation is accomplished within 2 hours after injury
True
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?
-2 weeks
For a mobile tooth dentoalveolar injury what is the duration of immobilization?
7-10 days
For tooth displacement dentoalveolar injury what is the duration of immobilization?
-2-3 weeks
FOr root fracture dentoalveolar injury what is the duration of immobilization?
2-4 months
For replanted mature tooth what is the duration of immobilization?
7-10 days
For replanted immature tooth what is the duration of immobilization?
3-4 weeks
What is the most common mandibular fracture
Sub condylar fracture
What is the 2nd most common mandibular fracture?
-Angle
What is the 3rd most common mandibular fracture?
-Symphysis
What are four types of mandible fractures?
- Green stick
- Simple
- Comminuted
- Compound
What is LeForte I?
-Just the Maxilla
What is LeForte II?
-The maxilla and the nasal bones
What is LeForte III?
-The maxilla, the orbit, the nasal bones, zygomatic
