ORAL SURGERY Flashcards
condition in which circulation fails to meet the nutritional need of a cell and at the same time fails to remove the metabolic waste products
SHOCK
most common type of shock in maxillofacial trauma
hematogenic or hypovolemic shock
1st sign that appears in shock
tacchycardia
shock is a circulatory disturbance characterized by
decrease volume of circulation of blood
first sign of syncope (faint)
pallor
type of shock where there is hypovolemia due to bleeding both externally and internallyfrom ruptured liver or sleen
traumatic shock
treatment of hypovolemic or hematogenic shock
ringers lactate solution / hartmanns solution
due to blockade of sympathetic nervous systemresulting in oss of arterial and venous tone with pooling of blood in the dilated peripheral nervous system
neurogenic shock
treatment of neurogenic shock
vasoconstrictor drug
caused by the injury of the heart myocardia infarction cardiac arrythmias or congestive heart failure
mainly left ventricles fails to pump blood
cardiogenic shock
most often due to gram negative septicemia
septic shock
treatment of anaphylaactic shock
0.2 -0.5 ml of ‘1:1000 adrenaline / epinephrine IM
loss of effective contractile function of myocardium
cardiogenic shock
rupture of berry aneurysm
subarachnoid hemorrhage
loss of continuity of bone
fracture
compete loss of congruity between the articulating surfaces of a joint
dislocation
incomplete tear of a ligament or a complex of ligaments around a joint
sprain
fracture not communicating with exterior
simple or closed fracture
fracture communicates with exterior
open or compound fracture
trauma causes the fracture
causes soft tissue injury and breaks off the skin and mucous membrane fracture
external compound fracture
sharp end of a fracture fragment penetrates throughoverlying soft tissue and skin
internal compound fracture
fracture due to repeated stress
stress or fatigue fracture
seen in children
one ortex is fractured while other cortex remains intact
greenstick fracture
fracture seen in cd patient or edentulous px
torus or buckle fracture
guerin or horizontal or telescopic fracture
lefort 1
floating maxilla
bleeding into antrum
low level fracture
lefort 1
pyramidal or infra zygomatic fracture
panda`facies
edema around the eyes lacrimal nasal maxilla
lefort 2
high level or suprazygomatic fracture
craniofacial dysjunction /dishface
4 bones involve lacrimal maxilla nasal and ethmoid
lefort3
most common fracture
angle of mandible or condyle
rounding off and sclerosis of bone ends
eburnation
extraoral xray used in fracture of mandible
posteroanterior view
best xray view if we want to diagnose if fracture is unfavorable or favorable
lateral oblique view
mass of new bone formation at the site of a fracture
callus
main treatment of delayed union
perfect and prolong immobilization
fracture united in a deformed positon
mal union
principles in treating fracture
reduction of fracture
fixation of fracture
restoration of occlusion
immobilization
how long should we immobilized mandible
6weeks
close upper and lower jaw together
intermaxillary fixation
bone healing and closure
osteosynthesis
what is the optimum length of screw for fixation of plates
4mm
used to immobilized oblique fracture
lag screw
it causes osteoradionecrosis of jaw
radiation therapy
anti resorptive drug
biphosphonates
Simplest and wires are attached directly to teeth
gilmores wiring
best treatment of patient that has unfavorale fracture of the angle of the mandible
open reduction with rigid bone formation
symphysis fracture is best treated with
risdon wiring
formed due to disturbance during 4-6 weeks iu
cleft lip
formed due to disturbance during 8-12 weeks iu
cleft palate
formed due to defect in the fusion of medial nasal process with maxillary process
cleft lip
formed due to defective fusion of premaxilla develope from the medial nasal process and the two palatine process
cleft palate
optimum repair of cleft lip is at the age of
3 months and baby is 5-6 kg
optimum tim repair of cleft palate is
1-1.5 yrs
best graft of cleft palate
posterior iliaccrest
intraoral prosthetic device
obturator
principle of straight elevator
lever and wedge
used to elevate broken root from a socket
pick type
most commonly used principle
lever
between effort and resistance
fulcrum
extract mandibulat molar
16 cowhorn
most common periosteal elvator in OS
no.9 molt periosteal elevator
most common used hemostat in OS
curve hemostat
smoothen any sharp and rough edges in bone
only pull motion
bone file
remove epulis fissuratum
alis
cut delicate tissue only
metzenbaum scissors