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Pediatric Dentistry I 2020 > Test 2: Oral surgery for the pediatric patient > Flashcards

Test 2: Oral surgery for the pediatric patient Flashcards

1
Q

Where is the furcation of primary molar roots positioned compared to the permanent teeth?

A

-Furcation is positioned more cervicaly

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2
Q

T/F The bone of alveolus is much less elastic in the younger patient

A

False

-More elastic

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3
Q

T/F Beaks and handles of forceps are smaller, and beaks are more curved to accommodate a more bulbous crown in primary teeth

A

True

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4
Q

Because of physiological resorption it is often preferable to do what if a root tip fractures?

A

-Leave small fragments in situ if root fractures

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5
Q

If a 17 yr old comes into your office can they legally consent for their procedure?

A

-No they have to have parental consent until 18

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6
Q

What is the most common surgical procedure in pediatric dentistry?

A

3rd molar removals

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7
Q

Removal of 3rd molars prior to what age minimizes risk in optimized health?

A

-25 years old

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8
Q

AAOMS white paper revealed what about 3rd molars?

A

-Absence of symptoms does not indicate absence of disease or pathology

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9
Q

What are the major risks for taking out 3rd molars?

A
  • Sinus
  • IAN
  • Lingual nerve injury
  • Damage to adjacent teeth
  • Alveolar osteitis (dry socket)
  • Sub periosteal infection
  • Mandibular fracture
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10
Q

T/F The older you get the higher the risks are for removal of 3rd molars

A

True

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11
Q

What is the most common tooth after the 3rd molar that is impacted?

A

-Canines

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12
Q

Where are most canines impacted?

A

-Palatal (85%)

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13
Q

In labial impacted Canines what is critical to maintain?

A

-The cervical margin of the attached mucosa

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14
Q

What are the two techniques to move labially impacted Canine?

A
  • Apical flap

- Closed technique

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15
Q

What is the most frequently occurring odontogenic tumor in pediatric patients?

A

-Odontoma

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16
Q

What are the two types of odontomas?

A
  • Compound

- Complex

17
Q

What type of odontomas represents tooth like structures?

A

-Compound

18
Q

What type of odontomas represent irregularly shaped masses?

A

-Complex

19
Q

What is a traumatic bone cyst?

A

-Empty intrabony cavity that lack an epithelial lining

20
Q

Where is the most common site of occurrence of a traumatic bone cyst?

A

-Mandible

21
Q

When you see a radiolucent lesion in the mandible what is the first thing you do?

A

-18 gauge needle to do a needle aspiration

22
Q

What does a mucocele result from?

A

-Rupture of a minor salivary gland

23
Q

T/F Any location not on the lower lip that you think is a mucocele demands a biopsy

A

True

24
Q

What is the very first thing you exam in a pediatric patient that comes in with a facial infection?

A

-Airway

25
Q

What are the warning signs in a pediatric facial infection?

A
  • Temp > 101.5
  • Elevated WBC
  • Lymphadenopathy
  • Poor oral intake
  • Dehydration
  • General appearance
26
Q

why is more expansion of the socket required during extraction of primary molars?

A

because primary molar roots are splayed much wider than permanent molar roots

27
Q

what are the 5 steps that must be completed before an extraction procedure in a pediatric patient?

A
  1. parental consent
  2. instruct the parent not to discuss with the child what the dentist will do
  3. armamentarium should be kept out of site
  4. explain to the child the sensation of pinching or ant biting prior to administering LA
  5. extraction with controlled force in a deliberate fashion
28
Q

what are the 4 indications for extraction of 3rd molars?

A
  • limit progression of periodontal disease
  • absence of symptoms does not indicate absence of disease
  • dental crowding
  • removal prior to 25 yo minimizes risk
29
Q

T or F:

perio pathology rarely initiates in the 3rd molar region

A

false

30
Q

T or F:

the surgical exposure of an impacted canine requires the coordination between the oral surgeon and orthodontist

A

true

31
Q

labially inclined impacted canines occur ___% of the time

A

15%

32
Q

when surgically exposing an impacted canine, what is critical to maintain?

A

the cervical margin of the attached mucosa

33
Q

is there a gender predilection for odontomas?

A

no

34
Q

the development and ceasing of odontoma correlates with the development and ceasing of ___

A

teeth

35
Q

what is the average age of a patient with an odontoma?

A

2nd decade of life (teens)

36
Q

how are odontomas treated? what is the prognosis? do they recur?

A
  • simple enucleation and curettage
  • excellent prognosis
  • they do not recur
37
Q

why are traumatic bone cysts designated as pseudocysts?

A

they have a cystic radiographic appearance and gross surgical presentation of a cyst, even though they lack the required epithelial lining to be considered a true cyst

38
Q

the pathogenesis of traumatic bone cysts is unknown, although in some cases it seems to be associated with ___ trauma

A

antecedent

39
Q

what is the hypothesis of the etiology of traumatic bone cysts?

A
  • tramatically induced hematoma forms within intermedullary portion of bone
  • clot breaks down and leaves an empty cavity

Pediatric Dentistry I 2020 (12 decks)

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