Day 2-Impacted Teef

Question 1

What is the TOP 3 list for most commonly impacted teeth?

Answer 1

1.Maxillary and Mandibular 3rd molars 2.Maxillary Canines 3.Mandibular PMs

Question 2

Some general factors when deciding to remove an impacted 3rd molar: patient’s ____,Med Hx, and Anxiety

Answer 2

age

Question 3

_______ classifications: Angulation of the long axis of the impacted 3rd molar in relation to the 2nd molar.

Answer 3

Clinical Classifications

Question 4

_________ classifications: Relationship of the impacted 3rd molar to the occlusial plane (depth of the impacted 3rd molar).

Answer 4

Procedural

Question 5

Clinical classifications of impaction: ________ of the Long Axis of the Impacted Third Molar in relation to the 2nd molar.

Answer 5

angulation

Question 6

Procedural Classifications (insurance): Relationship of the impacted 3rd molar to the ______ plane (depth of the impacted third molar).

Answer 6

occlusal

Question 7

What is the most common impaction? (in the clinical classification pleez)

Answer 7

Mesio-angular (crown is up into the 2nd molar root)

Question 8

What is the type of impaction from hell? :)

Answer 8

Disto-Angular (usually in the IA canal)

Question 9

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- Simple removal

Answer 9

D7140

Question 10

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- Surgical Removal

Answer 10

D7210

Question 11

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- Soft tissue impaction

Answer 11

D7220

Question 12

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction-Partial bony impaction

Answer 12

D7230

Question 13

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- Full bony impaction

Answer 13

D7240

Question 14

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction-Full bony complicated

Answer 14

D7241

Question 15

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7230

Answer 15

Partial Bony Impaction

Question 16

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7210

Answer 16

surgical removal

Question 17

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7241

Answer 17

Full bony complicated

Question 18

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7220

Answer 18

soft tissue impaction

Question 19

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7140

Answer 19

simple removal

Question 20

Lets get it poppin’: Procedural code for removal wisdom teeth based on the depth of impaction- D7240

Answer 20

full bony impaction

Question 21

WHICH RADIOGRAPH? _______ radiograph is the first choice for wisdom teeth diagnosis and removal unless there is associated pathology

Answer 21

PANORAMIC

Question 22

Good time to remove wisdom teeth when roots __/__ developed

Answer 22

1/3 developed

Question 23

CONTRAINDICATIONS for removal of impacted teeth-Extremes of ___, Compromised Medical Health, Collateral ______ to Adjacent Structures

Answer 23

age…damage

Question 24

Is the infection of the SOFT TISSUE surrounding the crown of partially impacted tooth caused by NORMAL oral flora

Answer 24

Peri-Croon-itis

Question 25

______ pericoronitis is an instance where DEFERRED surgical intervention is recommended UNLESS an abscess has developed

Answer 25

Acute

Question 26

What is another name for mandibular space abscesses?

Answer 26

Ludwig's Angina

Question 27

What is the #1 concern of Ludwig's angina?

Answer 27

Airway compromise...TREAT AGGRESSIVELY!

Question 28

Principles of flap design: _____ must be broader than free margin (blood supply)

Answer 28

BASE

Question 29

Principles of flap design: Adequate _____ (surgical access)

Answer 29

size

Question 30

Principles of flap design: Can be maintained with suture (__-__)mm away from the bony defect)

Answer 30

6-8mm away from a defect

Question 31

In a typical flap design for an ext of a lower 3rd molar, which area do you not want to incise into? Why?

Answer 31

Stay away from the Lingual, Lingual nerve...so its a "buccal release" typically.

Question 32

With a mesioangled impacted 3rd, which portion of the tooth do you section out first?

Answer 32

the distal, creates distal space to then elevate the mesial portion of the tooth out

Question 33

When is the maximum amount of swelling going to occur after the procedure?

Answer 33

48 hours

Question 34

RISK MGMT: Recognition of ______, INFORMED ______

Answer 34

complications...CONSENT