Oral Surgery Flashcards
What should be done before a patient undergoes radiation therapy?
***BOARDS***
Questionable teeth should be extracted before radiation therapy.
note: this is to reduce the risk of osteoradionecrosis
Review some of the indications for extractions:
Patients undergoing head and neck radiation may benefit from ______ before (and after) extractions.
hyperbaric oxygen
Note: for the BOARD exam, pts who are at risk of osteoradionecrosis will benefit from hyperbaric oxygen
Review the contraindications for Extractions:
List the order of teeth that are most like to be impacted (to least likely)
***GAURENTEED BOARD Q***
Mandibular 3rds > Maxillary 3rds > Maxillary Canines
What is the primary reason for impacted teeth?
Inadequate arch length
List from most likely to least likely, congenitally missing teeth:
***BOARDS***
Third molars > Maxillary laterals > Mandibular 2nd molars
List each of the following from most likely teeth to least likely teeth:
- Impacted teeth
- Congenitally missing teeth
***BOARDS***
Impacted teeth: Mandibular 3rds > Maxillary 3rds > Maxillary canines
Congenitally missing: 3rd molars > Maxillary laterals > Mandibular PMs
Discuss the Nature of Overlying Tissue in regards to each of the following:
- Soft tissue impaction = ? (Easiest or hardest to EXT)
- Hard tissue impaction = ? (Easiest or hardest to EXT)
Discuss the Winter’s Classification in regards to each of the following:
- What teeth does the Winter’s Classification classify?
- Based on position of ______ in relation to the _______.
- Mesioangular = ?
- Distoangular = ?
-
Which of the following is harder to EXT?
- A. Mesioangular
- B. Distoangular
Discuss the Pell and Gregory Classification in regards to each of the following:
- What teeth are looked at in this classification?
- Class A-C = ?
- Class I-III = ?
- Which of the A-C classes are the most difficult to EXT?
- Which of the I-III classes are the most difficult to EXT?
Discuss Subperiosteal Abscess in regards to each of the following:
- Possibe whenever a ______ is elevated for surgical extraction.
- _______ to remove fractured tooth or bone spicules below the soft tissue.
Discuss Oro-Antral Communication (OAC) in regards to each of the following:
- What is it?
- Most common with what teeth?
- You can prevent with good _______ and avoid ________.
- Tx?
Discuss Alveolar Osteitis in regards to each of the following:
- What is it?
- What causes it?
- Antibiotics?
- Tx?
Note: you can use Eugenol as a dry socket paste
Discuss Nerve Injury in regards to each of the following:
- Most common with __________ and ______.
- Tx?
- Patients with numbness lasting more than ______ should be referred for microneurosurgical evaluation.
Which of the following is most commonly displaced into the infratemporal fossa?
A. Maxillary 1st molar
B. Maxillary 2nd molar
C. Maxillary 3rd molars
D. Mandibular 2nd molars
E. Mandibular 3rd molars
***MOST COMMON BOARD Q***
C. Maxillary 3rd molars
Which of the following is most commonly displaced into the Maxillary Sinus?
A. Mandibular 1st molar
B. Maxillary 2nd molar
C. Maxillary 3rd molars
D. Mandibular 2nd molars
E. Mandibular 3rd molars
***BOARDS***
B. Maxillary 2nd molar
Which of the following is most commonly displaced into the Maxillary Sinus?
A. Maxillary 1st molar
B. Mandibular 1st molar
C. Maxillary 3rd molars
D. Mandibular 2nd molars
E. Mandibular 3rd molars
***BOARDS***
A. Maxillary 1st molar
Which of the following is most commonly displaced into the Submandibular Space?
A. Mandibular 1st molar
B. Mandibular 2nd premolars
C. Mandibular 1st premolars
D. Mandibular 2nd molar
E. Mandibular 3rd molars
***BOARDS***
E. Mandibular 3rd molars
Discuss Tooth Displacement in regards to EXT:
- What teeth are most likely to get displaced into the maxillary sinus?
- What teeth are most likely to get displaced into the infratemporal fossa?
- What teeth are most likely to get displaced into the submandibular space?
- What should you do if a tooth is lost into the oropharynx?
***WHOLE SLIDE - BOARDS***
Discuss Bite Blocks in regards to each of the following:
- What is it?
- Used to keep patient’s mouth open which provides ________.
- Stabilized the ______ which provides comfort for patients.
Which of the following is a soft tissue Suction Tip?
A. Yankauer suction
B. Frazier suction
A. Yankauer suction
Which of the following is a hard and soft tissue Suction Tip?
A. Yankauer suction
B. Frazier suction
B. Frazier suction
Discuss Towel Clips in regards to each of the following:
- What does it do?
- What does it look like?
- Careful not to ______ patient.
Which of the following is a heart shaped tissue retractor used to protect and retract the tongue?
A. Austin retractor
B. Minnesota retractor
C. Weider retractor
D. Seldin retractor
C. Weider retractor
Which of the following tissue retractors is used for small flaps?
A. Austin retractor
B. Minnesota retractor
C. Weider retractor
D. Seldin retractor
A. Austin retractor
Which of the following tissue retractors is used for elevating down to floor of mouth as in mandibular tori removal?
A. Austin retractor
B. Minnesota retractor
C. Weider retractor
D. Seldin retractor
D. Seldin retractor
Which of the following tissue retractors is used for cheeks and flaps?
A. Austin retractor
B. Minnesota retractor
C. Weider retractor
D. Seldin retractor
B. Minnesota retractor
Discuss each of the following Periosteal Elevators:
- Woodson periosteal = ?
- # 9 Molt periosteal = ?
Which of the following elevators is used for removing a broken root w/ wheel and axle movements?
A. #9 Molt periosteal
B. Straight elevator (#301)
C. Triangular elevator (Cryer)
D. Pick elevator
***BOARDS***
C. Triangular elevator (Cryer)
Straight elevator (#301) = Lever
Triangular elevator (Cryer) = Wheel and Axle
Pick elevator = Wedge
Which of the following elevators is used for removing retained or broken roots w/ wedge movements?
A. #9 Molt periosteal
B. Straight elevator (#301)
C. Triangular elevator (Cryer)
D. Pick elevator
D. Pick elevator
Straight elevator (#301) = Lever
Triangular elevator (Cryer) = Wheel and Axle
Pick elevator = Wedge
Which of the following elevators is the most commonly used and is used as a lever?
A. #9 Molt periosteal
B. Straight elevator (#301)
C. Triangular elevator (Cryer)
D. Pick elevator
B. Straight elevator (#301)
Straight elevator (#301) = Lever
Triangular elevator (Cryer) = Wheel and Axle
Pick elevator = Wedge
Which of the following Universal Forceps is used on the upper arch?
A. #150
B. #151
A. #150
Hint: you start counting teeth on the upper arch… 150 comes before 151
Which of the following is forceps is used for upper molars?
A. #151
B. #23 cowhorn
C. #88R/L cowhorn
D. #74 Ash
E. #65
C. #88R/L cowhorn
Which of the following is forceps is used for Lower molars?
A. #150
B. #23 cowhorn
C. #88R/L cowhorn
D. #74 Ash
E. #65
B. #23 cowhorn
Which of the following is forceps is used for Upper Roots?
A. #151
B. #23 cowhorn
C. #88R/L cowhorn
D. #74 Ash
E. #65
E. #65
Which of the following is forceps is used for Mandibular Premolars?
A. #150
B. #23 cowhorn
C. #88R/L cowhorn
D. #74 Ash
E. #65
D. #74 Ash
Which of the following blades is the most common for intraoral surgery?
A. #10
B. #11
C. #12
D. #15
D. #15
Which of the following blades is used as stab incisions for incision and drainage?
A. #10
B. #11
C. #12
D. #15
B. #11
Which of the following blades is used for large skin incisions?
A. #10
B. #11
C. #12
D. #15
A. #10
Which of the following blades is used for Mucogingival surgery because the curved shape enhances ease of access to the sulcus?
A. #10
B. #11
C. #12
D. #15
C. #12
Discuss Irrigation during EXT in regards to each of the following:
- Use steady stream of sterile _____ or _____ during bone removal.
- What does irrigation prevent?
- Increases efficiency of ______.
Discuss Curettes in regards to each of the following:
- ______ end for scraping away soft tissue
- Always ______ once you remove the tooth to get rid of soft tissue.
Which of the following bone removers removes bone for final smoothing with pull strokes?
A. Rongeurs
B. Bone file
C. Osteotome
D. Surgical handpiece
B. Bone file
What bur is used in a surgical handpiece?
Straight fissure burs (#701)
Which of the following bone removers is used to trim interradicular bone?
A. Rongeurs
B. Bone file
C. Osteotome
D. Surgical handpiece
A. Rongeurs
Which of the following bone removers is used to remove tori?
A. Rongeurs
B. Bone file
C. Osteotome
D. Surgical handpiece
C. Osteotome
(T/F)
Use an air-driven surgical handpiece if a tooth needs to be sectioned for extraction.
False
Discuss Hemostats in regards to each of the following:
- Designed for ______ = ?
- Useful for _____
- Shape?
Discuss Needle Holders in regards to each of the following:
- Shape of the beaks?
- Face of needle holder been is ________, which allows for positive grasp of suture needle unlike hemostat
Discuss Sutures in regards to each fo the following:
- What does a suture refer to?
- What is the primary purpose of sutures?
- Suture should be placed from ______ to _______ tissue.
- ______ is the easiest and most common technique. ***BOARDS***
- Silk has ______ property that allows bacteria to invade. ***BOARDS***
Discuss Forceps in regards to each of the following:
- Adson Tissue Forceps
- Utility Forceps
Which of the following Forceps is NOT for handling soft tissue?
A. Toothed Adson forceps
B. Non-toothed Adson forceps
C. Utility forceps
D. All of the above
C. Utility forceps
Which of the following Forceps is used for fascia, mucosa, and pathological tissue for biopsy?
A. Toothed Adson forceps
B. Non-toothed Adson forceps
C. Utility forceps
D. All of the above
B. Non-toothed Adson forceps
Toothed Adson Tissue Forceps are used on all of the following EXCEPT:
A. Periosteum
B. Mucosa
C. Muscle
D. Aponeurosis
B. Mucosa
Which of the following forceps is used for picking up items from a tray or preparing packing material?
A. Toothed Adson forceps
B. Non-toothed Adson forceps
C. Utility forceps
D. All of the above
C. Utility forceps
Which of the following Scissors is used for cutting sutures?
A. Dean scissors
B. Mayo scissors
A. Dean scissors
Which of the following Scissors is used for cutting fascia and dissecting soft tissue?
A. Dean scissors
B. Mayo scissors
B. Mayo scissors
Review the preparation for extraction:
Discuss each of the following Extraction types:
- Simple extraction:
- Surgical extraction:
What are the 3 main steps in an extraction in the simplest way of explaining it?
- Sever soft tissue attachment
- Luxate tooth with elevator
- Deliver tooth with forceps
Discuss the first step in dental Extractions in regards to each of the following:
- Loosen ____ and ______ attached to tooth.
- Confirms good ______.
- Allows ________.
Discuss the second step of tooth extractions in regards to each of the following:
- Face of blade against ________.
- Back of blade against ________.
- Lever = ?
- Causes ________ of bone and tearing fo PD:
Discuss the 3rd step of tooth extraction in regards to each of the following:
- _____ and ______ force
- Tooth should be moved first, then removed
- Outward (buccal/labial) = ?
- Inward (lingual/palatal) = ?
- Rotary = ?
- Apical = ?
Discuss what is done after is tooth is removed in regards to each of the following:
- Bend the bone back unless _____ or ______ are planned in the future.
- What does the acronym CSI help us remember?
Discuss Flap Design in regards to 4each of the following:
- ______ base to ensure adequate blood supply
- Incision over ______, not over bony defects or eminences.
- ______ corners.
- Vertical releases at ________.
- Avoid _____ structures.
- Post-operative plaque control is the most important procedure after _____ surgery.
Discuss each of the following Types of Mucoperiosteal Flaps:
- Envelope flap = how many vertical releases?
- Three-Cornered flap = how many vertical releases?
- Trapezoidal flap = how many vertical releases?
Which of the following flaps is used for apicoectomy?
A. Semilunar incision
B. Apically displaced flap
C. Double Y incision
D. Three-Cornered flap
***BOARDS***
A. Semilunar incision
Which of the following flaps is used for palatal tori removal?
A. Semilunar incision
B. Apically displaced flap
C. Double Y incision
D. Three-Cornered flap
***BOARDS***
C. Double Y incision
Which of the following flaps is impossible in the maxillary palate? ***BOARDS***
A. Semilunar incision
B. Apically displaced flap
C. Double Y incision
D. Three-Cornered flap
***BOARDS***
B. Apically displaced flap
Review the factors predicting a difficult extraction:
What are the 3 Surgical Handpiece uses?
Discuss Removal of buccal bone in regards to surgical extractions:
Discuss removal of interradicular bone in regards to surgical extractions:
Discuss the sectioning of lower molars:
Discuss the sectioning an upper molar in regards to surgical extractions:
Discuss the removal of root tip in regards to surgical extraction:
What is an indication for implants?
All of the following are contraindications for implants EXCEPT:
A. Immunocompromised patients
B. History of head/neck radiation
C. Bruxism
D. 75 year old patients an older
E. Adolescents
F. Cleft palate
***BOARDS***
D. 75 year old patients an older
Review each of the following Implant Types:
- Subperiosteal
- Transosteal
- Endosteal
What are the 4 components of implants?
Discuss the Body of implants in regards to each of the following:
- Also called _____ or ______.
- Usually ______
-
Sequentially enlarge the ______.
- reduces ____ generated
- Helps to maintain axis with ___________.
- Usually inserted into _______.
Discuss each of the following Abutments in regards to Implants:
- One-Piece abutment
- Two-Piece abutment
Which of the following is better for restricted restorative space?
A. Screw-retained implant crown
B. Cement-retained implant crown
A. Screw-retained implant crown
What is a major issue associated with Cement-retained implant crowns?
***BOARDS***
Cement may be trapped subgingivally and cause peri-implantitis
Review One vs Two-Piece Implants:
Discuss the antirotation component of implants:
- Prevents rotation of _______.
- Provides ______ of abutment.
Discuss the different types of Integration of Implants:
- Osseointegration = ?
- Fibrousintegration = ?
Osseointegration of implants is known as which of the following?
A. Primary stability
B. Secondary stability
B. Secondary stability
Which of the following has the lowest implant success rate?
A. Type I bone quality
B. Type II bone quality
C. Type III bone quality
D. Type IV bone quality
***BOARDS***
D. Type IV bone quality
Which of the following has the HIGHEST implant success rate?
A. Type I bone quality
B. Type II bone quality
C. Type III bone quality
D. Type IV bone quality
***BOARDS***
***BOARDS***
A. Type I bone quality
Which of the following is the type of bone quality found in the posterior maxilla?
A. Type I bone quality
B. Type II bone quality
C. Type III bone quality
D. Type IV bone quality
***BOARDS***
D. Type IV bone quality
Which of the following is the type of bone quality found in the posterior mandible?
A. Type I bone quality
B. Type II bone quality
C. Type III bone quality
D. Type IV bone quality
B. Type II bone quality
Which of the following is the type of bone quality found in the anterior mandible?
A. Type I bone quality
B. Type II bone quality
C. Type III bone quality
D. Type IV bone quality
***BOARDS***
A. Type I bone quality
Which of the following is the type of bone quality found in the anterior maxilla?
A. Type I bone quality
B. Type II bone quality
C. Type III bone quality
D. Type IV bone quality
***BOARDS***
C. Type III bone quality
Which of the following following has the best bone quality for the placement of implants?
A. Anterior maxilla
B. Posterior maxilla
C. Anterior mandible
D. Posterior mandible
***BOARDS***
C. Anterior mandible
Which of the following has the worst bone quality for implant placement?
A. Anterior maxilla
B. Posterior maxilla
C. Anterior mandible
D. Posterior mandible
***BOARDS***
B. Posterior maxilla
Discuss Bone Quality in regards to Implant success:
- What is the trend I figured out in regards to bone quality and location in the oral cavity?
- Type I = ?
- Type II = ?
- Type III = ?
- Type IV = ?
***BOARDS***
Best to worst = front of mandible to back and then front of maxilla to back
Note: bone quality gets worse as you go posterior
Which of the following is the minimum distance an implant can be placed to the IAN?
A. 1mm
B. 1.5mm
C. 2mm
D. 3mm
E. 5mm
***MOST VALUBLE INFO FOR BOARDS***
C. 2mm
Which of the following is the minimum distance an implant can be placed to the mental nerve?
A. 1mm
B. 1.5mm
C. 2mm
D. 3mm
E. 5mm
***MOST VALUBLE INFO FOR BOARDS***
E. 5mm
Which of the following is the minimum distance an implant can be placed to an adjacent implant?
A. 1mm
B. 1.5mm
C. 2mm
D. 3mm
E. 5mm
***MOST VALUBLE INFO FOR BOARDS***
D. 3mm
Which of the following is the minimum distance an implant can be placed to an adjacent natural tooth?
A. 1mm
B. 1.5mm
C. 2mm
D. 3mm
E. 5mm
***MOST VALUBLE INFO FOR BOARDS***
B. 1.5mm
Implant placement must be a minimum of 1mm away from each of the following EXCEPT:
A. Buccal plate
B. Maxillary sinus
C. Nasal cavity
D. Lingual plate
E. IAN
***MOST VALUABLE INFO FOR BOARDS***
E. IAN
Which of the following is associated with placement of a healing abutment on first appointment instead of a cover screw?
A. One stage implant surgery
B. Two stage implant surger
A. One stage implant surgery
Discuss Socket Preservation in regards to implant placement:
- Used to maintain ______ and ______ of alveolar ridge after extraction.
- Need to have an _______ extraction.
- Irrigate extraction site thoroughly, remove granulation tissue, place graft material, cover with resorbable collagen membrane.
- Primary closure is ______.
Discuss each of the following Stages in implant surgery:
- One Stage:
- Two Stage
Discuss Biological Width of implants in regards to each of the following:
- Roughnened surface for bone, smooth surface for ______.
- Gingival fibers orient next to implant ____ with _____. ***BOARDS***
Gingival fiber run ______ with the implant _____.
***BOARDS***
Discuss Surgical Stent in regards to implants:
- What does LAD stand for?
What are the 4 main characteristics of implant success?
______ degrees Celsius for 1 minute or 40 degrees Celcius for 7 minutes is enough to compromise Osseointegration. This can result in an implant failure.
***BOARDS***
47 degrees celcius for 1 minute
Discuss Implant Failure in regards to each of the following:
- What type of bacteria is involved in implant failure?
- What temperature of heating the bone can cause implant failure? ***BOARDS***
Discuss Mandibular Fractures in regards to each of the following:
- Best evaluated with what type of x-ray?
- List from most frequent to least what parts of the mandible fracture.
- Greenstick = ?
- Comminuted = ?
- Simple = ?
- Compound = ?
Which of the following is the correct order from most frequent to least in regards to mandibular fractures?
A. Angle > Condylar > Symphysis
B. Condylar > Symphysis > Angle
C. Condylar > Angle > Symphysis
D. Angle > Symphysis > Condylar
C. Condylar > Angle > Symphysis
Which of the following is best evaluated with a CBCT?
A. Mandibular Fractures
B. Midface Fractures
B. Midface Fractures
Which of the following is best evaluated with a Panoramic x-ray?
A. Mandibular Fractures
B. Midface Fractures
A. Mandibular Fractures
Discuss Midface Fractures in regards to each of the following:
- Best evaluated with a _______
- Le Fort I = ?
- Le Fort II = ?
- Le Fort III = ?
- Zygomaticomaxillary complex fractures = ?
Which of the following Midface Fractures is associated with pyramidal?
A. Le Fort I
B. Le Fort II
C. Le Fort III
D. Zygomaticomaxillary complex fracture
B. Le Fort II
Which of the following Midface Fractures is associated with bleeding under the conjunctiva (eyes)?
A. Le Fort I
B. Le Fort II
C. Le Fort III
D. Zygomaticomaxillary complex fracture
***BOARDS***
D. Zygomaticomaxillary complex fracture
Which of the following Midface Fractures is horizontal across maxilla?
A. Le Fort I
B. Le Fort II
C. Le Fort III
D. Zygomaticomaxillary complex fracture
A. Le Fort I
Which of the following Midface Fractures is a complete craniofacial disjunction?
A. Le Fort I
B. Le Fort II
C. Le Fort III
D. Zygomaticomaxillary complex fracture
C. Le Fort III
(T/F)
Mandible fractures are ideally treated with open reduction and external fixation.
***BOARDS***
False
(T/F)
Mandible fractures are ideally treated with closed reduction and internal fixation.
***BOARDS***
False
(T/F)
Mandible fractures are ideally treated with open reduction and internal fixation.
***BOARDS***
True
open reduction and internal fixation (ORIF)
Discuss Skeletal Discrepancies in regards to each of the following:
- Retrognathic mandible = skeletal class ____?
- Prognathic mandible = skeletal class ____?
- Apertognathic = ?
- Vertical maxillary excess = ?
- Horizontal transverse discrepancy = ?
- Macrogenia = ?
- Microgenia = ?
Which of the following is associated with anterior open bite?
A. Retrognathic mandible
B. Prognathic mandible
C. Apertognathic
D. Macrogenia
E. Horizontal transverse discrepancy
C. Apertognathic
Which of the following is associated with a class II skeletal?
A. Retrognathic mandible
B. Prognathic mandible
C. Apertognathic
D. Macrogenia
E. Horizontal transverse discrepancy
A. Retrognathic mandible
Which of the following is associated with a class III skeletal?
A. Retrognathic mandible
B. Prognathic mandible
C. Apertognathic
D. Macrogenia
E. Horizontal transverse discrepancy
B. Prognathic mandible
Which of the following is associated with a gummy smile?
A. Retrognathic mandible
B. Vertical maxillary excess
C. Apertognathic
D. Macrogenia
E. Horizontal transverse discrepancy
B. Vertical maxillary excess
Which of the following is associated with a posterior crossbite?
A. Retrognathic mandible
B. Vertical maxillary excess
C. Apertognathic
D. Macrogenia
E. Horizontal transverse discrepancy
E. Horizontal transverse discrepancy
Which of the following is associated with an extra large chin?
A. Retrognathic mandible
B. Vertical maxillary excess
C. Apertognathic
D. Macrogenia
E. Horizontal transverse discrepancy
D. Macrogenia
Which of the following is best evaluated with a Lateral Ceph?
A. Mandibular fractures
B. Midface fractures
C. Orthognathic surgery
C. Orthognathic surgery
Mandibular fractures = Pano
Mid face fractures = CBCT
Orthognathic surgery = Lateral Ceph
Discuss Orthognathic Surgery in regards to each of the following:
- Orthognathic Surgery is used to correct severe ____________.
- _______ are the main images used in tx planning these cases
- Acrylic splint used ______.
- Le Fort I osteotomy = ?
- BSSO = ?
- Genioplasty = ?
Which of the following Orthognathic surgeries is done to move the mandible?
A. Le Fort I Osteotomy
B. BSSO
C. Genioplasty
B. BSSO
Which of the following Orthognathic surgeries is done to move the maxilla?
A. Le Fort I Osteotomy
B. BSSO
C. Genioplasty
A. Le Fort I Osteotomy
Which of the following Orthognathic surgeries is done to move the chin?
A. Le Fort I Osteotomy
B. BSSO
C. Genioplasty
C. Genioplasty
Discuss Le Fort I Osteotomy in regards to each of the following:
- Used for _____ maxilla or ________.
Discuss Bisagittal Split Osteotomy (BSSO) in regards to each of the following:
- Used for ______ or _______ mandible
- _______ is the most common post-op complication.
- ________ position should be unaltered.
Discuss Distraction Osteogenesis (DO) in regards to each of the following:
- What is it?
- What is it used for?
- First phase is ____
- Second phase is ______
- Third phase is ______
Which of the followin is a “psychosocial” influence of interaction between thalamus, cortex and lambic structures; chronic pain?
A. Axis I
B. Axis II
B. Axis II
Which of the following is a “bio” nociceptive input from somatic tissue and is characterized as acute pain?
A. Axis I
B. Axis II
A. Axis I
Which of the following is associated with a limitation of flow of pain information?
A. Transduction
B. Transmission
C. Modulation
D. Perception
C. Modulation
The human experience of pain is the sum total of these physiologic process and the psychological factors of higher thought and emotion:
A. Transduction
B. Transmission
C. Modulation
D. Perception
D. Perception
Which of the following is defined as pain information traveling from PNS to CNS?
A. Transduction
B. Transmission
C. Modulation
D. Perception
A. Transduction
Which of the following is defined as pain information traveling from CNS to thalamus and higher cortical centers?
A. Transduction
B. Transmission
C. Modulation
D. Perception
B. Transmission
Discuss the Pain Pathway in regards to each of the following:
- Transduction = ?
- Transmission = ?
- Modulation = ?
- Perception = ?
Discuss Somatic Pain in regards to each of the following:
- Increased stimulus yields ______
- Musculoskeletal = ?
- Visceral = ?
Discuss Neuropathic Pain in regards to each of the following:
- What is Neuropathic pain?
- What are examples of Neuropathic pain?
***BOARDS***
All of the following are examples of Neuropathic pain EXCEPT:
A. Trigeminal neuralgia
B. Pulpal pain
C. Trauma
D. Stroke
B. Pulpal pain
Which of the following pain pathways is independent of stimulus intensity?
A. Somatic pain
B. Neuropathic pain
B. Neuropathic pain
Note: Somatic pain = increased stimulus yields increased pain
Discuss Trigeminal Neuralgia in regards to each of the following:
- Aslo called ___ _________.
- Who does Trigeminal Neuralgia most commonly affect?
- Trigger point = ?
- What does this feel like for the patient?
- Refractory period?
- Unilateral or bilateral pain?
- Tx?
***GAURENTEED BOARD Qs***
Discuss Atypical Odontalgia (AO) in regards to each of the following:
- Secondary to ________ (removal of part of the neural pathway) as a result of endodontic therapy or extraction.
- _______ toothache.
- example?
Discuss Postherpetic Neuralgia (PHN) in regards to each of the following:
- Potential sequels of _______ infection.
- What are the 3 symptoms associated with PHN?
- Tx?
Discuss Burning Mouth Syndrome (BMS) in regards to each of the following:
- Who does this most commonly affect?
- Associated with ________, ______ and ______
- What type of symptoms to patients experience?
Who is most commonly affected by Trigeminal Neuralgia?
Post menopausal women
What medication is used to treat Trigeminal Neuralgia?
Cabamezepine (anticonvulsants)
Discuss Chronic Headache in regards to each of the following:
- Also referred to as ________ pain.
- Migraine = ?
- Tension type = ?
- Cluster = ?
- Tx = ?
Which of the following is Facial pain of unknown cause/diagnosis pending?
A. Somatic pain
B. Neuropathic pain
C. Psychogenic pain
D. Atypical pain
D. Atypical pain
Define Psychogenic pain:
Discuss the TMJ Bony Anatomy in regards to each of the following:
- What three things articulate with the TMJ?
Which of the following TMJ spaces is responsible for rotational movement?
A. Lower joint space
B. Upper joint space
***BOARDS***
A. Lower joint space
Which of the following TMJ spaces is responsible for translational movement?
A. Lower joint space
B. Upper joint space
***BOARDS***
B. Upper joint space
Which of the following muscles work to open the mandible?
A. Lateral pterygoid
B. Masseter
C. Temporalis
D. Medial pterygoid
A. Lateral pterygoid
What are the 4 ligaments associated with the TMJ?
Which of the following TMJ ligaments prevents posterior displacement?
A. Capsular ligament
B. Discal/collateral ligament
C. Posterior ligament
D. Lateral ligament
D. Lateral ligament
Which of the following TMJ ligaments prevents anterior displacement?
A. Capsular ligament
B. Discal/collateral ligament
C. Posterior ligament
D. Lateral ligament
C. Posterior ligament
Which of the following TMJ ligaments covers the TMJ?
A. Capsular ligament
B. Discal/collateral ligament
C. Posterior ligament
D. Lateral ligament
A. Capsular ligament
Which of the following TMJ ligaments attaches to the medial and lateral poles of the condyle?
A. Capsular ligament
B. Discal/collateral ligament
C. Posterior ligament
D. Lateral ligament
B. Discal/collateral ligament
What are the 4 arteries the supply blood to the TMJ?
***BOARDS***
“MADS”
Which of the following results in clicking sounds?
A. Internal Derangement with reduction
B. Internal Derangement without reduction
A. Internal Derangement with reduction
Which of the following results in Lock of the condyle resulting in a limited range of motion?
A. Internal Derangement with reduction
B. Internal Derangement without reduction
B. Internal Derangement without reduction
Which of the following opening patterns is characterized by: the jaw deviates toward one side then returns back to midline at maximum opening?
A. Deflection
B. Deviation
B. Deviation
Which of the following opening patterns is characterized by: the jaw deviates toward the side that is stuck at maximum openeing?
A. Deflection
B. Deviation
A. Deflection
Discuss each of the following opening patterns:
- Deflection = ?
- Deviation = ?
Discuss Recurrent Dislocation in regards to each of the following:
- Mandibular condyle translates anterior to the articular eminence and requires ______.
- Tx?
All of the following are true regarding Ankylosis EXCEPT:
A. Union between condyle and skull
B. Can be either bony or fibrous
C. Pathology is the most common cause
D. Surgery, radiation therapy and infection can cause ankylosis
E. Severely restricted range of motion
C. Pathology is the most common cause
All of the following is true regarding Bruxism EXCEPT:
A. Clenching and/or grinding teeth
B. Diurnal and/ or nocturnal
C. Usually caused or exacerbated by stress
D. Reducing stress is the recommended treatment
E. All of the above are true
***BOARDS***
D. Reducing stress is the recommended treatment
Discuss each of the following Nonsurgical therapies for TMJ problems:
- Counseling = ?
- Medical therapy = ?
- Physical therapy = ?
- Occlusion = ?
- Athrocentesis = ?
______ is the nerve most commonly damaged in TMJ surgery.
***BOARDS***
Facial nerve (CNVII)
Which of the following TMJ surgeries is associated with a vertical ramus osteotomy and NOT fixated in order to reposition the condyle and disc into a better position?
A. Athroscopy
B. Arthroplasty
C. Disectomy
D. Condylotomy
E. Total joint replacement
D. Condylotomy
Which of the following TMJ surgeries is associated with two cannulas, and instrumentation within the superior joint space?
A. Athroscopy
B. Arthroplasty
C. Disectomy
D. Condylotomy
E. Total joint replacement
A. Athroscopy
Which of the following TMJ surgeries is associated with disc repair or removal when it is severely damaged?
A. Athroscopy
B. Arthroplasty
C. Disectomy
D. Condylotomy
E. Total joint replacement
C. Disectomy
Which of the following TMJ surgeries is associated with disc repositioning surgery, for painful persistent clicking or closed lock?
A. Athroscopy
B. Arthroplasty
C. Disectomy
D. Condylotomy
E. Total joint replacement
B. Arthroplasty
Which of the following TMJ surgeries is indicated for severely pathological joints like in osteoarthritis or rheumatoid arthritis.?
A. Athroscopy
B. Arthroplasty
C. Disectomy
D. Condylotomy
E. Total joint replacement
E. Total joint replacement
A patient has crepitus (clicking in the TMJ), trigger points of tenderness in the temporalis muscle, limited opening or limited range of motion and pain at rest. All of these are symptoms of _________.
***BOARDS***
Myofacial Pain Syndrome
All of the following are associated w/ Myofascial Pain Syndrome EXCEPT:
A. Chronic muscular pain disorder
B. Most common cause of masticatory pain (pain in temporalis, masseter, medial pterygoid etc)
C. Trigger points of the muscles of facial expression
D. Diffuse pain in Preauricular region
E. Tx: physical therapy, stress management, splint therapy and medications
***BOARDS***
C. Trigger points of the muscles of facial expression
Which of the following type of biopsy is indicated for a small < 1cm benign lesion?
A. Cytology/Brush biopsy
B. Fine Needle Aspiration
C. Incisional biopsy
D. Excisional biopsy
D. Excisional biopsy
Which of the following type of biopsy is indicated for a large > 1cm malignant lesion?
A. Cytology/Brush biopsy
B. Fine Needle Aspiration
C. Incisional biopsy
D. Excisional biopsy
C. Incisional biopsy
Which of the following is indicated for a lesion with presence of fluid, ascertaining type of fluid, or exploration of intraosseous lesions?
A. Cytology/Brush biopsy
B. Fine Needle Aspiration
C. Incisional biopsy
D. Excisional biopsy
B. Fine Needle Aspiration
Which of the following is indicated for the monitoring of large tissue area for dysplastic changes?
A. Cytology/Brush biopsy
B. Fine Needle Aspiration
C. Incisional biopsy
D. Excisional biopsy
A. Cytology/Brush biopsy
Review each of the following Biopsy Types:
- Cytology biopsy
- Fine Needle Aspiration
- Incisional biopsy
- Excisional biopsy
Which of the following Biopsy types is done for a lesion suspicious of malignancy?
A. Cytology/Brush biopsy
B. Fine Needle Aspiration
C. Incisional biopsy
D. Excisional biopsy
C. Incisional biopsy
A biopsy taken from a patient should be stored in ______.
***BOARDS***
What type of anesthesia is recommended for taking a biopsy?
Large white patch on buccal mucosa that wipes off with gauze presumed to be candidiasis. What type of biopsy is indicated?
A. Cytology biopsy
B. Fine Needle Aspiration
C. Incisional
D. Excisional
A. Cytology biopsy
Firm rough 2x3cm white lesion on lateral surface of tongue that does not wipe off with gauze. What type of biopsy is indicated?
A. Cytology biopsy
B. Fine Needle Aspiration
C. Incisional biopsy
D. Excisional biopsy
C. Incisional biopsy
Denture wearer presents with red swelling in buccal vestibule. Which of the following type of biopsy is indicated?
A. Cytology biopsy
B. Fine Needle Aspiration
C. Incisional biopsy
D. Excisional biopsy
E. Relieve denture and see them again in 2 weeks
E. Relieve denture and see them again in 2 weeks
Discuss the surgical management of each of the following:
- Cysts = ?
- Tumors = ?
Removal of tissue by scraping or scooping refers to which of the following?
A. Enucleation
B. Marsupialization
C. Curettage
D. Resection
C. Curettage
Surgical removal of a mass without cutting into or rupturing it refers to which of the following?
A. Enucleation
B. Marsupialization
C. Curettage
D. Resection
A. Enucleation
Cut a slit into an abscess or cyst and suture the edges of the slit to keep it open so it can drain freely:
A. Enucleation
B. Marsupialization
C. Curettage
D. Resection
B. Marsupialization
Surgical removal of a cyst or tumor and normal tissue around it is referred to as which of the following?
A. Enucleation
B. Marsupialization
C. Curettage
D. Resection
D. Resection
What is the acryonym for medical emergencies in a dental office?
SPORT
All of the following are true regarding Syncope EXCEPT:
A. Most common medical emergenciy in dental chair
B. Orthostatic hypotension is the most common syncope caused by needle anxiety
C. Trendelenburg position should be applied if the patient is not preganant
D. Left lateral decubitus if the patient is pregnant
E. All of the above are true
B. Orthostatic hypotension is the most common syncope caused by needle anxiety
Discuss Syncope in regards to each of the following:
- How common in dental chair?
- Vasovagal syncope = ?
- Trendelenburg = ?
- Left lateral decubitus = ?
- Orthostatic hypotension = ?
Review Epinephrine overdose:
Discuss Angina in regards to each of the following:
- Stable vs unstable
- _____ without necrosis
- ONA = ?
- NTG = ?
Discuss Myocardial Infarction (MI) in regards to each of the following:
- Sudden occlusion of major coronary vessel, usually __________.
- Ischemia with _____
- MONA = ?
Compare and contrast each of the following:
- Angina
- Myocardial infarction
Discuss Hypoglycemia/Diabetes in regards to dental emergencies:
- If patient is conscious = ?
- If patient is unconscious = ?
Discuss Hyperventilation in regards to dental emergencies:
- Give oxygen?
- Seating position?
- What should you give the patient?
Discuss Asthma in regards to dental emergencies:
- Constriction and inflammation of the _______.
- Weezing. = ?
- 2 puffs from emergency inhaler = what medication is this?
- Avoid _____ and ______
Discuss Airway obstruction in regards to dental emergencies:
- Clear the ______
- Check for _____
- Tilt _____
- Protrude _____
Discuss Seizures/convulsions in regards to dental emergencies:
- What should you do for a patient experiencing this in the dental chair?
- Which of the followin is the most common type of seizure?
- A. Grand mal seizure
- B. Status epilepticus
- Grand mal seizure tx = ?
- Status epilepticus tx = ?
Discuss Stroke in regards to dental emergencies:
- TIA = ?
- CVA = ?
- what should you do if a patient experiences a stroke in the dental chair?
- Caused by _________ ***BOARD***
- How can you tell if a patient is having a stroke?
Discuss Anaphylactic Shock in regards to dental emergencies?
- What does AEIOU stand for?
Discuss Anticoagulation in regards to each of the following:
- Check blood tests below:
- CBC = ?
- Bleeding time = ?
- PT = ?
- INR = ?
- PTT = ?
- What are the 4 G’s?
