PP Q's

Question 1

2 areas the mental nerve supplies

Answer 1

• skin of chin and lip

- gingiva around incisors and canines

Question 2

Name 4 peri-operative complications

Answer 2

• haemorrhage
• fracture of tuberosity
• soft tissue damage
• fracture of tooth
• access difficulty

Question 3

What are the aims when retracting a flap?

Answer 3

• good vision and access

- protecting the soft tissues

Question 4

What factors influence flap design? (4)

Answer 4

-anatomy

???

Question 5

What kind of flap would be used to remove retained roots?

Answer 5

2-sided flap ??

Question 6

What guidance do you refer to for patients on warfarin and what test should be done, when and below what result is safe?

Answer 6

• SDCEP guidance for patients on anticoagulants and antiplatelets
• INR
• ideally 24hrs before but up to 72hrs before extraction/treatment
• INR below 4

Question 7

What 3 nerves do you need to anaesthetise for removal of a lower 8?

Answer 7

• inferior alveolar nerve
• lingual nerve
• long buccal nerve

Question 8

What 3 nerves do you need to anaesthetise for removal of a lower 8?

Answer 8

• inferior alveolar nerve
• lingual nerve
• long buccal nerve

Question 9

What instrument is used to remove bone?

Answer 9

-electrical straight handpiece with saline or sterile water cooled bur

Question 10

What are 2 ways to assess that anaesthesia has been achieved?

Answer 10

• ask the patient how their lip feels

- use a probe to test the soft tissue anaesthesia

Question 11

Three reasons that could account for a neuro-sensory deficit.

Answer 11

?

Question 12

How do you debride prior to suturing?

Answer 12

• physically using a bone file or handpiece to remove sharp, bony edges
• irrigate with sterile saline/water into socket and under flap
• use suction to aspirate under the flap to remove debris

Question 13

What is the clinical name for a dry socket?

Answer 13

??