ghiesiytgfv midterm

Question 1

Orally Admined Bisphosphonates

Answer 1

o Actonel
o Boniva
o Didronel
o Fosamax
o Skelid

<3 years IV agent – probably OK

Question 2

IV Admin Bisphosphonates – more potent/problematic

Answer 2

o Aredia**
o Bonefos
o Zometa**

<3 months IV agent – probably OK

Question 3

Risk Factors for BRON

Answer 3

CC PADAS

• chemo
• corticosteroids
• Poor OH
• alcohol
• diabetes
• age
• smoking

Question 4

Prolia (denosumab)

Answer 4

rank L inhibitor

Question 5

Agents other than Warfarin
o Pradaxa – 
o Xarelto – 
o Eloquis – 
o Leeches –

Answer 5

o Pradaxa – direct thrombin inhibitor
o Xarelto – factor Xa inhibitor (treat DVT, pump embolism)
o Eloquis – for atrial fib
o Leeches – have naturally occurring direct thrombin inhibitors
in their saliva

Question 6

Hypertension

Answer 6

Diazepam vs. Catopril (ACE-I)
o Systolic BP dropped 30 mmHg, and diastolic 25 mmHg
o Can be used to lower BP for nervous patients and allow Tx

Question 7

10 OS Risks

Answer 7

1) Nerve damage (IAN, lingual, mental, palatine, incisive) —-Even worse = diasthesia = pain not numbness
2) Vessel damage (IA, lingual, palatine, incisive, facial)
3) Damage to teeth/restorations
4) Bleeding, swelling, infection
5) TMJ damage (often when sedated therefore use bite block!)
6) MX sinus issues
7) Alveolar osteitis (dry socket)
8) Fracture of alveolus or MD
9) Soft tissue trauma
10) Osteonecrosis

Question 8

Pre-Op Summary

Answer 8

• 1. Treatment modifications employed
• 2. Stress diagnosed and treated (Sedation)
• 3. Consent signed and witnessed
• 4. Vitals taken
• 5. Antiseptic rinse
• 6. Proper imaging

Question 9

Surgical Extraction Elective vs Non-Elective

Answer 9

Elective
o Remove bone and section roots
o Prevent damage to sinus, adjacent teeth, alveolus
o No excessive force

Non-Elective
o Crown gone due to caries
o Endo
o Tooth prep
o Trauma
o Fracture during extraction

Question 10

Lose about ____ of BONE by just elevating and re-approximating the flap

Answer 10

0.5-1mm

Question 11

Do NOT Flap When

Answer 11

• Bony cyst or void is present
• BV or N will be damaged
• Caution with: smokers due to ischemia and decreased vascularity

Question 12

MX Forceps

Answer 12

o Ant = 1, 99-C
o PM = 150-A, 150
o 1st and 2nd molars = 90, 88L, 53L
o 3rd molar = 210-S

Question 13

MN Forceps

Answer 13

o Ant = 203, 74
o PM= 151-A, 151
o 1st molar = 17, 23
o 2nd and 3rd molar = 222

Question 14

Apical Retention Forceps

Answer 14

o Sharpened beak
o Parallel gouge
o Atraumatic
o Tapered profile
o Serrated

Question 15

order to remove bone

Answer 15

1) Interradicular
2) Interdental
3) Lingual
4) Labial (VERY VALUABLE, TRY TO REMOVE LEAST AMT)

Question 16

Root Tip Removal Options

Answer 16

• Thin elevator
• Endo file #30
• Drill at apex
• Drill to oblivion if ankylosed

Question 17

Class 1

Answer 17

o Proven efficacy and effectiveness
o Supported by 1 or more randomized controlled trials
o Results of trials are consistently excellent
o Intervention is safe and recommended

Question 18

Class 2A

Answer 18

o Multiple studies with good results
o Considered intervention of choice by majority of dentists
o Acceptable and useful

Question 19

Class 2B

Answer 19

o Fewer studies generally, but not always positive
o Considered optional or alternative treatment by most experts
o Acceptable and useful but within a standard of care

Question 20

Class 3

Answer 20

o Positive evidence absent or studies suggest harm
o Intervention may be worse than doing nothing at all
o Unacceptable, no benefit

Question 21

Class Indeterminate

Answer 21

o Promising but few studies
o Contradictory results
o No harm, but benefit uncertain
o “More research needed”

Question 22

Graft Materials

Answer 22

1) Autogenous
o Fresh and warm
2) Allogenic
o Other humans
3) Xenogenic
o Other species ex. bovine/cow
4) Alloplastic
o Bioglass, Ca-Sulfate, Methacrylates, Calcium Phosphate
5) Biologics
o Bone Morphogenic Protein , Protein Rich Fibrin
6) Combinations