2018 paper Flashcards
2 aims for raising a flap
Better access and vision
Retraction of soft tissues
Closure of OAF
4 things that influence flap design
personal preferences Access needed Surrounding nerves Area in mouth Ability to suture Procedure
Type of handpiece for bone removal
Straight handpiece with saline cooled bur
Round or fissure tungsten carbide bur
3 methods of debridement
Physical - bone file or handpiece to remove sharp edges
Irrigation - sterile saline into socket
Suction - aspirate under flap
What is the name for dry socket
Localised osteitis - inflammtion of lamina dura
3 predisposing factos of dry socket
Female Contraceptive pill Mandible Family hisotry Excessive rinsing post XLA Excessive trauma during XLA
3 signs and symptoms of a dry socket
Bad taste
Pain keeping them awake at night
Dull pain
Radiating pain to ear
What are the management of a dry socket
Supporting and ressauring the patient LA block Irrigaite socket with saline (CHX) Curretage/debridement Antiseptic pack (Alvogyl) Advise analgesia and hot salty mw's Review patient
What is the drug family of apxiban
Noval oral anticogulant
What does apixiban inhibit
They are factor Xa inhibitors which work by blocking action of activated factor X which is needed for forming a clot
What else is apixban used for
Prevention of DVT
Prevent pulmonary embolism
Can prevent stroke
What is the blood test for apixiban
Activated partial thromboplastin
What are the dosage and requirments for anticogulants and XLA
Apixiban and dabigatra - patient should miss morning dose and take evening dose as normal as long as it has been 4hrs since heamostasis has been achieved
Rivaroxaban - the delayed morning dose should be taken 4hrs after heamastasis has been achieved
3 treatments for haemostatic control
Pressure with damp gauze LA with vasoconstrictor Diathery Surgical pack Suture
3 features of down syndrome
Short neck and flat back of head Growth failure Diminshed muscle tone Small and arched palate Broad flat face Abnormal ears
Genetic test of down syndrome
Genetic origin affecting chromosome 21 (extra copy)
2 reasons why down syndrome patients have increased perio risk
Poor OH
Reduced saliva
Immunocompromised
2 reasons for no capacity with down syndrome
Memory skills (dementia) Learning difficulites
Differnce between welfare guardian and welfare power of attorney
Power of attorney- granted by the adult when they still have capacity and certified by a lawyer.
- welfare power - power only comes into effect when the person is incapaable of decision making
- health and personal
- continuing power - only covers finicial affairs and properties
Guardianship orders - court appointed and requires 2 medical reports
- appointed for 3 years
- powers to deal with property, fianance and martial affairs
- person has no capacity
Antibiotic required for antibiotic prophylaxis
Amoxcillin 3g oral powder sachet or clindamycin 300-600mg
60 mins before starting treatment
3 features of parkinson’s
Resting tremor Bradykinesia - slow movement Impaired gait mask like face Dysphagia Rigidity - increased muscle tone
How does parkinson differ from other cerebral diseases?
It is the only one with a resting tremor, the rest have intentional active tremors
What is the reason for dry mouth with parkinsons
Due to the antichiolnegic effects of drugs
How to prevent the loss of denture in a care home
Store denture in labelled container
Mark intials on denture during processing or if already constructed then mark using sandpaper
