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Tim's Cards > Oral Surgery II - Kalamchi's Child > Flashcards

Oral Surgery II - Kalamchi's Child Flashcards

1
Q

What are the most commonly impacted teeth?

Followed by the…

*Mx and Mn for each

A

Mx and Mn 3rd molars

Mx canines, Mn premolars

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2
Q

T/F

It is necessary to remove all impacted teeth

A

False

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3
Q

The angulation of the Long Axis of the impacted 3rd molar is relative to what?

*clinical classification

A

2nd molar

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4
Q

The relationship of the impacted 3rd Molar to the __________ describes the Procedural Classifications

A

Occlusal Plane

*depth

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5
Q

5 types of impaction (of 3rd molar in relation to long axis of the 2nd molar)

A

Vertical

Horizontal

Mesio-angular

Disto-angular

Inverted/Ectopic

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6
Q

What is the most common type of 3rd Molar Impaction?

A

Mesio-angular

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7
Q

What is the 1st Radiographic choice for wisdom teeth diagnosis and removal absent associated pathology?

A

Panoramics

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8
Q

T/F

The ideal age to remove wisdom teeth is 16-18 y/o, when root is around 1/3 developed

A

True

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9
Q

Recurrent Pericornitis (swelling of gingival tissue around 3rd molar) is indication for what?

A

Wisdom teeth removal

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10
Q

3 Contraindications for the removal of Impacted Teeth:

A

Extremes of Age

Compromised Medical Health

Adjacent Structures imperiled

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11
Q

The infection of the soft tissue surrounding the crown of partially impacted tooth caused by normal oral flora

A

Pericornitis

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12
Q

When is it recommended to Surgically deal with Acute Pericoronitis?

A

If Abscessed

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13
Q

Bilateral, submandibular, sublilngual, submental space Abscess that must be treated aggressively:

What is important to consider with these cases?

A

Ludwig’s Angina (Mn Space Abscesses)

Airway compromise

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14
Q

Admit pt to hospital/observe airway

IV antibiotic

Analgesic

IV steroid

Incision/Drainage

What disease am I?

A

Ludwig’s Angina

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15
Q

Flap Design - Base _____ that free margin.

Suture _____ mm away from bony defect

A

broader

6-8 mm

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16
Q

T/F

Flaps can be cut Bucally or Lingually

A

False

*never Lingual!

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17
Q

After removal of Wisdom Teeth, what 4 effects are normal?

A

Pain

Swelling

Bleeding

Trismus

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18
Q

Swelling peaks ___ hrs after removal of wisdom teeth

A

48 hrs

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19
Q

Infection, prolonged numbness, iatrogenic injury, fractured mandible, oral antral fistula are all Uncommon complications of wisdom teeth removal

A

True

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20
Q

4 indications for removal of wisdom teeth:

A

Overcrowding

Caries

Associated pathology

Recurrent pericoronitic (acute/chronic)

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21
Q

In Fracture Management bone must be Closed to ___mm , otherwise will not heal

A

1 mm

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22
Q

3 types of Crown Fracture:

A

Ellis Class I - confined to enamel

Ellis Class II - enamel and dentin

Ellis Class III - enamel/dentin/pulp exposed

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23
Q

What type of Root Fracture has the best prognosis?

Tx is reduction and splint for ___ months

A

Apical 1/3

3

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24
Q

Tooth Concussion:

Tooth Subluxation:

A

hemorrhage/edema into PDL

PDL ruptured, tooth not displaced

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25
Q

Concussion/Suluxation Tx:

A

soft foods, maybe relieve occlusion

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26
Q

Extrusion, only ____ tissues retain tooth

Lateral Luxation, what is injured?

A

gingival

some apical fibers

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27
Q

Tx for Extrusion/Lateral Luxation:

A

Reduce/Splint 3-4 weeks

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28
Q

Intrusion extensively injures the PDL and ____ tissues

Tx for immature teeth:

Tx for Mature teeth:

A

pulpal

spontaneous re-eruption

ortho extrusion (2-3 weeks)

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29
Q

What’s happened to the tooth with Avulsion?

Tx?

A

tooth out

Reimplant/Splint 7-10 days

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30
Q

Alveolar Fracture:

Tx:

A

alveolar, PDL, pulpal injuries, often multiple teeth

Reduce/Splint 4-6 weeks

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31
Q

How long to immobilize Mobile Tooth:

Displaced:

Root Fracture:

Replanted tooth (mature):

Replanted tooth (immature):

A

3-4 weeks

3-4 weeks

2-4 months

7-10 days

3-4 weeks

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32
Q

What type of tooth injury has a survival rate of 100%

90%

50-90%

30-90%

10-50%

0-40%

A

Concussion

Subluxation

Extrusion

Lateral Luxation

Intrusion

Avulsion

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33
Q

Hemorrhage and edema in PDL:

100% survival rate

A

Concussion

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34
Q

PDL ruptured, tooth NOT displaced:

90% survival

A

Subluxation

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35
Q

PDL, neurovascular tissue damaged, only gingival tissue retains tooth:

50-90% survival

A

Extrusion

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36
Q

Apical PDL fibers compressed (some), PDL and pulpal tissues damaged:

30-90% survival

A

Lateral Luxation

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37
Q

Tooth knocked inward:

10-50% survival

A

Intrusion

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38
Q

Tooth out:

0-40% survival

A

Avulsion

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39
Q

3 types of Soft Tissue Injuries:

A

Abrasion

Contusion

Laceration

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40
Q

Best bone graft must have what 3 characteristics?

A

Osteocinductive

Osteoinductive

Osteogenic

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41
Q

What does it mean to be Osteoconductive?

A

Scaffolding

42
Q

3 characteristics of Alloplastic material?

A

osteoconductive

low cost

no disease transmission risk

43
Q

2 types of Alloplastic materials?

A

Hydroxylapatite

ceramics

44
Q

What grafting material is osteoconductive only?

A

Alloplastic material

45
Q

What type of material is Ostioconductive and Osteoinductive?

A

Allograft

46
Q

Allografts are increased in expense why?

A

Bone from same species

47
Q

What material is osteoconductive, osteoinductive, and osteogenic?

A

Autograft

48
Q

What is the only Grafting source of osteogenic properties (osteoblasts)?

A

Autograft

autogeneous bone graft

49
Q

Indications for Bone Grafting are loss of bone following traumatic injury, after extraction with alveolar atrophy, after resection of a Benign tumor, or pneumatized maxillary sinus for future implant placemnt

A

True

50
Q

How long should you wait after a bone graft to place an implant?

A

4-6 months

51
Q

What can fill the extraction socket and maintain bone height?

*helps stabilize marginal soft tissue at extraction site

A

Socket grafting

*extraction socket and site preservation

52
Q

In Fracture Management you Reduce/Fix/Immobilize/Prevent infection

A

True

53
Q

What is the most important preventable cause of early death after maxillofacial trauma?

A

Resp obstruction

54
Q

What technique/sequence should be used to assure the airway is protected?

A

Chin thrust

Chin lift

Definitive airway

55
Q

A Definitive Airway requires what?

A

tube in trachea

cuff inflated

56
Q

What is the Gold Standard in the surgical airway?

A

Tracheostomy

57
Q

Tracheostomy is used for ventilation in Lefort ____ fractures.

A

II and III

58
Q

What is the edentulism rate for entire US?

65 and older?

A

10%

35%

59
Q

The Alignment of the jaws is knows as ______ surgery

A

Orthognathic

60
Q

T/F

In an Intraseptal Alveoplasty, Alveolar Width is lost

A

true

61
Q

T/F

Always design flaps to preserve attached gingiva

A

True

62
Q

The Rxn of the body to trauma from physical, chemical, or microbial means:

A

Inflammation

63
Q

The accumulation of leukocytes, etc

A

Abscess

64
Q

Spreading infection at the cellular level - needs to be taken care of immediately (ABx)

A

Cellulitis

65
Q

Acute inflammation: Redness, Swelling, Heat, Pain and ______

A

loss of function

66
Q

Chronic Inflammation is a prolonged process between what 2 processes?

A

Tissue destruction

Healing

67
Q

The collection of fluid matl (pus) w/in a cavity lined by a wall:

A

Abscess

68
Q

Spreading infection with poor localizing tendency

A

Cellulitis

69
Q

The ability of an organism to spread throughout the tissue:

*and cause damage w/ toxins

A

Virulence

70
Q

A large ____ produces a severe spreading lesion, and a small one leads to minor lesion

A

dose

71
Q

Salmonella typhi contracted through…

Strep pneumo…

Staph aureus and Strep pyogenes…

A

ingestion

inhalation

direct contact

72
Q

Cellulits is a _____ process

Abscess is a _____

A

Aerobic

anaerobic

73
Q

% aerobic infections (cellulitis):

% anaerobic (abscess):

A

25%

75%

74
Q

Acute pericornitis, should you do surgery?

A

defer UNLESS abscess has developed

75
Q

T/F

the Pterygomandibular Space can be affected by the mandibular molar/premolar

A

True

76
Q

The Masseteric Space is affected by what tooth?

A

Mn 3rd Molar

77
Q

The Lateral pharyngeal space can deviate the _____

The Retropharyngeal space can cause _____

A

uvula

airway obstruction

78
Q

Inflammation of the Bone Marrow:

A

Osteomyelitis

79
Q

2 types of Osteomyelitis:

A

Acute-suppurative

Chronic-suppurative

80
Q

Strep pneumo, H influenza, strep, staph aureus, etc… cause what?

A

Acute/Chronic sinusitis

81
Q

4 situations in which use of ABx is not necessary:

A

Chronic well-localized abscess

Minor vestibular abscess

Dry socket

Chronic pericoronitis

82
Q

When should swelling/pain be considered an infection?

A

3 days post op

83
Q

Post op Ecchymosis is very common in the elderly

A

True

84
Q

Antibiotics are not indicated for pts undergoing OS procedures unless…

2 scenarios

A

Active spreading infection

Medically compromised (immunodeficiency )

85
Q

Acute infections do not develop in less the ____ days after extraction

A

2-3 days

86
Q

300 mg Acetaminophen + 30 mg codeine

A

Tylenol III

87
Q

325 mg Aceteminophen + 5 mg Hydrocodone

A

Norco

88
Q

325 mg Acetaminophen + Oxycodone (2.5/5/7.5mg)

A

Percocet

*no proven value

89
Q

Post Op Pain: Aspirin/Acetaminophen dose

Ibuprofen:

Codeine:

Propoxyphene:

Oxycodone:

Hydrocodone:

A

500-1000 mg

400 - 800 mg

30-60 mg

100 mg

5-10 mg

5-10 mg

90
Q

Post op pain peaks when?

A

12 hrs

91
Q

Pain decreases initially but increases 3-4 days in, unaccompanied by swelling, non-resopnsive to analgesics:

A

Dry Socket

92
Q

Dry Socket - place dressing on it containing ______

A

eugenol

93
Q

Post-op Trismus is more common in what procedure?

A

impacted Mn 3rd molars

94
Q

Uninfected root tips less than ___ mm can be left in

A

2-3 mm

95
Q

It is best to close Oral Antral communication as it occurs

A

True

96
Q

The most common cause of IAN injury is what teeth roots in close proximity?

A

Wisdom

97
Q

Seddon classification of nerve injury

A

Neuropraxia

Axonotmesis

Neurotmesis

98
Q

T/F

extracting the wrong tooth is the 2nd most common insurance claim

A

true

99
Q

Mn fractures are a recognized side effect of 3rd molar surgery

A

True

100
Q

Dry socket happens mainly in the Mn and what demographic is at risk?

A

Females on oral contraceptives

101
Q

Irrigation, CHX rinse, and ABx in extraction site all decrease Dry Socket incidence

A

True

Tim's Cards (140 decks)

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