Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MODULE 6 OSCE > ORAL SURGERY > Flashcards

ORAL SURGERY Flashcards

1
Q

what are the risks of XLA?

A

pain
bleeding
bruising
swelling
infection
dry socket
fractures roots
jaw stiffness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the XLA added risks for upper molars/premolars?

A

OAC
Displacement of roots into the sinus which would require surgical intervention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the added risks of XLA to lower molars?

A

temporary/altered sensation to the lip, side of tongue, cheek, chin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the incidence of altered lower lip sensation following XLA?

A

short term - 5%
long term <1%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the incidence of altered tongue sensation following XLA?

A

short term - 10%
long term - <1%

taste can be affected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

explain the XLA procedure to pt

A

extraction involves removing your tooth from your mouth - you will feel a lot of pressure but no pain as we use LA to make sure you are numb in the area
if we cannot use our normal instruments to grip the tooth, in the case of crown breaking due to decay, we will need to cut into gum, remove some bone, and section the tooth before we can remove

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what forceps are used for upper incisors and canines?

A

upper straight forceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what forceps are used for upper canines and premolars?

A

upper universal forceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what forceps are used for upper left and right molars?

A

upper left forceps
upper right forceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what forceps are used for upper narrow single roots or retained roots?

A

upper root forceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what forceps are used for upper third molars?

A

upper bayonet third molar forceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what forceps are used for lower anterior and premolars?

A

lower universal forceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what forceps are used for lower left and right molars?

A

lower molar forceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what forceps are used for lower retained roots or narrow single roots?

A

lower root forceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what forceps are good at engaging the furcation in lower molars?

A

cowhorns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what instruments are used to elevate most teeth?

A

couplands

17
Q

what elevators can be used to elevate retained roots, upper third molars?

A

cryers

18
Q

when would you use warwick james elevators?

A

elevate third molars

19
Q

what does the luxator do?

A

breaks PDL fibres

20
Q

what general advice is given post op XLA?

A
  1. have a restful day - no strenuous activity or heavy lifting
  2. you are still numb - this lasts 3-4 hours. be careful not to bite lip, cheek, or tongue
  3. mouth opening will be restricted - this may last 1 week. you should be able to eat semi-solid food but use your own discretion
21
Q

what post op xla advice is given regarding blood clot preservation?

A
  1. avoid touching the area but brush the rest of your teeth as normal
  2. do not rinse your mouth for the rest of the day
  3. do not smoke or drink alcohol for 24 hours and minimise it for 1 week
  4. soft diet for the rest of the day
22
Q

what post op xla advice would you give regarding infection prevention?

A

starting tomorrow, rinse gently with warm salt water solution as much as possible but at least after eating

23
Q

what post op xla advice is given regarding bleeding?

A
  1. blood stained saliva is normal for the next 48 hours
  2. if the socket starts bleeding - sit upright and apply pressure with a clean tea towel for 30 minutes. if it continues, re-apply pressure for another 30 minutes. if it continues after this, contact oral surgery dep or out of hours during evenings or weekends
24
Q

what post op xla advice is given regarding pain?

A
  1. you may experience pain but will gradually improve over 7-10 days. if you need to, take over the counter painkillers that are safe for you.
  2. if there is a sudden increase in pain after a few days, this may indicate infection, get in contact with dentist or dental school
25
Q

what post op xla advice is given regarding swelling?

A

swelling is common after surgery to the jaw - it will reach its max 2-3 days but should resolve from 7-10 days. you can use hot and cold compress to help this

26
Q

what xla post op advice is given regarding bruising?

A

bruising of the face occasionally occurs but should resolve within 2 weeks

27
Q

what xla post op advice is given regarding surgical extractions?

A

stitches dissolve and drop out after 7-10 days

MODULE 6 OSCE (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions