Oral Surgery Chapter 56 + 53

Question 1

what are the 3 category’s of extraction

Answer 1

emergency, preventative and conservative

Question 2

preventative extraction removes teeth for ___ cases

Answer 2

ortho

Question 3

two types of dental extraction

Answer 3

simple(above gums) and surgical(impacted)

Question 4

decayed teeth unable to be restored, no vital teeth, insufficient bone support are all indications for

Answer 4

oral surgery

Question 5

what types of x-rays are beneficial for oral surgery

Answer 5

pa, panoramic, occlusal and extra oral

Question 6

why must the stomach be empty prior to general anesthesia

Answer 6

the anesthesia may cause vomiting and can be aspirated into the lungs while unconscious

Question 7

what are the surgical asepsis components

Answer 7

sterile field, surgical scrub, sterile gloves, protective eyewear

Question 8

how long can a surgical set up sit before it is no longer considered sterile

Answer 8

1 hour

Question 9

how long is a surgical scrub

Answer 9

7 minutes. Wash up to elbows and under nails

Question 10

chlorahexadine and idophor are used for the antiseptic in ___

Answer 10

a surgical scrub brush

Question 11

what 4 types of sedation are used in oral surgery

Answer 11

tranquilizers, barbiturates, iv conscious sedation and general anesthesia

Question 12

anesthesia used in oral surgery are

Answer 12

local anesthesia and nitrous oxide

Question 13

when giving post op instructions to surgery patients you must give it ___ and __

Answer 13

verbally and written. ensure patient is not driving

Question 14

when sterilizing hinged instruments they are placed in what position

Answer 14

open

Question 15

what are surgical instruments classified as

Answer 15

critical items - must be sterilized before use

Question 16

how long is a sterile gauze pressure pack placed after procedure

Answer 16

at least 30-45 minutes in order to secure blood clot in wound

Question 17

an at home remedy for bleeding control is using a black tea bag for 20 minutes on the wound. this helps due to the

Answer 17

tannic acids in the tea. helps form a clot

Question 18

how is sterile gauze made in a pinch

Answer 18

putting it in a pouch and running through the sterilizer

Question 19

for swelling control, during the first 24 hours what is used

Answer 19

cold packs - 20 mins on 20 mins off

Question 20

after 24 hours to control swelling you can

Answer 20

use external heat to promote healing and use a saline rinse every 2 hours

Question 21

alveolar osteitis or alveolitis is another term for

Answer 21

dry socket

Question 22

how do you know a dry socket has occurred

Answer 22

the pain from extraction diminishes and returns after 2-4 days. accompanied by foul taste /odour.

Question 23

who is more susceptible to a dry socket

Answer 23

those who don’t follow at home instructions and women taking contraceptives cause estrogen can prevent healing

Question 24

flushing out the socket with a syringe and placing medicated dressings are treatment for

Answer 24

dry socket

Question 25

what are two types of medicated dressings

Answer 25

idoform and eugenol gauze

Question 26

what type of grasp is most common when passing instruments

Answer 26

palm grasp

Question 27

what are periosteal elevators used for

Answer 27

they loosen the teeth but retracting the periosteum from the surface of bone

Question 28

straight and angular elevators are used to

Answer 28

apply leverage to loosen the tooth from the periodontal ligaments

Question 29

root tip picks are right angled ends with a pointed spoon and used to

Answer 29

remove root tips or fragments left behind after extraction

Question 30

forceps are used to remove teeth by grasping the tooth around and below the __

Answer 30

CEJ ( cementoenamel junction)

Question 31

universal maxillary forceps are numbered ___ and can be used on either side of the arch

Answer 31

150

Question 32

18L and 18R have asymmetrical beaks are used on the

Answer 32

max left and max right

Question 33

88R forceps are used for the ___ and both beaks are __

Answer 33

max right and pointed

Question 34

18L and 18R forceps have asymmetrical beaks, the buccal side is ___ and the palatal side is ___

Answer 34

``` Buccal = pointed Palatal = rounded ```

Question 35

what numbered forceps are used on maxillary anteriors

Answer 35

65 and 1

Question 36

Universal mandibular forceps are numbered as

Answer 36

151

Question 37

Modified cow horn forceps are numbered as

Answer 37

15 - beaks are longer

Question 38

Cow horn forceps are numbered as

Answer 38

16

Question 39

13 forceps are used for mandibular ___ and are known as the hawksbill

Answer 39

anteriors and premolars

Question 40

150S and 151S are the universal ___ forceps

Answer 40

pedodontic. 150 max 151 mand

Question 41

surgical curettes resemble a large spoon excavator with sharp edges, what are they used for

Answer 41

to scrape inside socket to remove diseased tissues

Question 42

what is a Bard Parker

Answer 42

the metal handle to hold disposable scalpel blades

Question 43

what is used to retract tissue, remove root tips, clamp blood vessels and grasp loose objects

Answer 43

hemostats - big scissors with grooved beaks

Question 44

a mallet and chisel can be used to

Answer 44

remove or reshape bone

Question 45

when trimming and shaping alveolar bone a __ is used

Answer 45

rongeur

Question 46

after the rongeur removes bone what is used to smooth it

Answer 46

a bone file *only used after cutting*

Question 47

what should surgical scissors never be used for

Answer 47

non surgical tasks - it dulls the cutting surface

Question 48

where are bite blocks placed

Answer 48

on the opposite side of mouth from treating area

Question 49

the tip of a ___ is much narrower than HVE tips in order to access the bottom of the socket

Answer 49

surgical aspirator

Question 50

surgical burs can be used to remove bone, cut crowns or roots and have an extra ____ to reach surgical site

Answer 50

extra long shank

Question 51

if a scalpel has been used, what must follow

Answer 51

sutures

Question 52

how long do sutures remain in place if non absorbable

Answer 52

5 to 7 days

Question 53

suture scissors have a small groove in one beak and are used to

Answer 53

cute suture material

Question 54

needle holders have criss cross patterned beaks and a locking mechanism in order to

Answer 54

firmly grasp the needle

Question 55

plain and chromic catgut, collagen, polydioxanone, polyglycolic acid are all forms of __ sutures

Answer 55

absorbable

Question 56

non absorbable sutures are commonly named after the __

Answer 56

material they’re made of

Question 57

what are 3 indications for a dental implant

Answer 57

to replace one or more teeth, support a bridge or denture and prevent bone loss and gum recession

Question 58

what evaluations must a patient go through to be considered for an implant

Answer 58

physical exam, psychological evaluation and med history evaluation

Question 59

what is the surgeon looking at from radiographs prior to implants

Answer 59

height, width and amount of alveolar bone in the area needing an implant

Question 60

can you use any commercial mouth rinses prior to complete healing of an implant

Answer 60

no

Question 61

what are the 3 parts to an implant

Answer 61

the abutment&abutment screw, implant and crown

Question 62

what are the two ways crowns are attached to the abutment

Answer 62

by a screw or cemented into place with temp cement

Question 63

endosteal implants are made of titanium and are also known as

Answer 63

osseointergrated implants

Question 64

what is osseointergration

Answer 64

the process of living cells of the jaw bone naturally growing around the implant

Question 65

what is titanium endosteal implants coated with to promote osseointegration

Answer 65

hydroxyapatite

Question 66

how long does it take for the implant to heal after surgery

Answer 66

3-6 months

Question 67

what is a subperiosteal implant

Answer 67

a metal frame placed under the periosteum but above the bone

Question 68

what is the need for a surgical stent and how is it made

Answer 68

they are used for proper implant placement. made from a diagnostic cast and must be sterilized before use

Question 69

transosteal implants are ___

Answer 69

implants through the mandible attaching to a plate underneath

Question 70

who is the ideal candidate for a transosteal implant

Answer 70

patients with severely resorbed ridges

Question 71

what are mini implants used for

Answer 71

fixation of dentures, smaller in diameter

Question 72

alveoectomy is the

Answer 72

removal of bone

Question 73

alveoplasty is the

Answer 73

adding it reshaping of bone

Question 74

aspirational biopsy’s are testing ___

Answer 74

fluid

Question 75

what is removed in a incisional biopsy

Answer 75

part of the lesion

Question 76

excisional biopsy’s remove ___ of the lesion

Answer 76

all of the lesion

Question 77

exfoliating biopsy’s are completed by

Answer 77

scraping the lesion

Question 78

how is a biopsy specimen stored and what is it stored in

Answer 78

placed fully submerged in a 10% formalin solution

Question 79

why are vital signs taken in oral surgery

Answer 79

the have a baseline of their normal