OEQ Flashcards
All of the following are indications for anticoagulant use except:
-MI
-COPD
-Venous thrombosis
-Pulmonary emobolusn
COPD
Treatment for ecchymosis
None indicated
T/F: Short incisions heal faster than long incisions
False- incisions heal edge to edge not end to end
T/F: The most common reason for prolonged pos-op bleeding OR delayed healing is failure to achieve primary closure
False- not enough pressure
For extraction of mandibular molar, the chair should be positioned so the the mandibular occlusal plane is:
parallel to the floor when mouth is open
What type of instrument is being shown? What motion is being shown?
Triangular elevator; wheel & axel
When using forceps, what should be considered?
- continually reseat the beaks apically
- used controlled & deliberate forces when luxating and hold each for a few seconds
When using forceps continually reseat the beaks ____
apically
When using forceps, use controlled and deliberate forces when ____ & hold each for _____
luxating; a few seconds
When removing MAXILLARY CANINES which of the following is NOT true?
-use strong palatal force because of thick palatal bone
-they can be difficult to remove because of long roots
-when isolated they can be grasped M-D
-Labial plate is easily fractured because it is very thin
False option is: use strong palatal force because of thick palatal bone
When extracting maxillary canines, what should you NOT do?
use strong palatal force
Maxillary canines can be difficult to remove because of:
long roots
When maxillary canines are isolated, they can be grasped:
M-D
What is easily fractured when extracting maxillary canines, and why?
Labial plate easily fracture because its very thin
T/F: If a piece of bone is removed with the tooth, it should be replaced in the socket and sututred
False
Mandibular third molars can be displaced into which of the following?
-maxillary sinus
-infratemporal fossa
-submental space
-submandibular space
-mandibular canal
subMANDIUBLAR space
MANDIBULAR canal
(both answers have mandibular in them)
The one tooth that can frequently be removed with elevators ONLY is:
maxillary third molars
Which flap has ONE relaxing incision?
Three corner flap
NEVER EVER place a vertical incision flap on:
Lingual side of the mandible
Contraindications for placement of vertical release incision lines:
- canine prominence
- mental foramen
- palate
- INCISIVE papilla
- bony lesion
- major frena
- LINGUAL SIDE OF MANDIBLE
Why should a flap be over an adequate margin of solid bone when repositioned?
increases healing rate
decreases wound dehiscence
The margin of a flap should be atleast ____mm from the margins of a bony defect
5 mm
For mandibular flaps, an incision can be made from tip of one coronoid process, down the anterior border of the ramus, and along the crest of the alveolus to the tip of the opposing coronoid process WITHOUT:
Cutting any major structure except buccinators artery & long buccal nerve
Hazard areas for mandibular flaps:
- lingual region of third molars (lingual nerve damage)
- premolar buccal vestibular region (mental nerve/vessel)
- vestibule near second molar (facial artery/vein
What anatomical structures should be avoided with mandibular flap placement?
- lingual nerve
- mental nerve/vessel
- long buccal nerve
- facial artery
- buccinator artery (buccal artery)
T/F: For maxillary flaps, an incision running from one tuberosity to the other along the alveolar crest will never sever anything larger than a capillary
True
Hazard areas for maxillary flaps include:
- greater palatine artery
- nasopalatine nerve
What is the most popular flap in dentistry?
Full thickness flap (Mucosal tissue + periosteum)
Mucosal tissue= submucosal tissue + CT
After plan A (closed extraction with elevators & forceps) has failed, plan B would entail:
Reflect a small envelope flap, access & visualization of bone
Envelope flap:
-full thickness flap
-without vertical releasing incision (but one to two vertical incisors can be added)
-apical portion must be wider than the vertical portion when doing vertical incision on this envelope flap
-atleast 2 M and 1 D teeth
T/F: Roots of mandibular molar has been M-D sectioned, flap created, bone removed, etc. and are still unable to be removed. Sectioning root B-L will NOT aid in the removal
False- it will aid in the removal
Of the following patients, which is MOST QUALIFIED for an open, surgical extraction?
-woman with RCT
-30yo male with dense buccal bone & normal roots
-male with super-erupted tooth and roots into pneumatized maxillary sinus
male with super-erupted tooth and roots into pneumatized maxillary sinus
Which is NOT indicated for tooth extraction?
-radiation
-supererupted
-ortho
-extensive caries
radiation
T/F: Female has chronic periapical infection around tooth. You extract tooth and small 2 mm portion of root fracture and remains. It is okay to leave this behind because of the size
False- this is not okay with periapical infection
Girl has surgical extractions. Which of the following would be reasons to see her post-op?
a) bright red bleeding for more than 24 hours after extraction
b) little swelling at first and then increases rapidly after 5 days
c) little pain at first and then unbearable after three days
d) sight swelling 72 hours after extraction
e) bruised 24 hours after extraction
A,B,C
2 Tabs of Tylenol #3 contain:
60 mg of Codeine
600 mg of Tylenol
When extracting a maxillary molar, a large part of the maxillary tuberosity is fractured, what should you do?
Stop extraction, splint tooth for 6-8 weeks and then surgical extraction at that time
Patient is sent to your for ortho extractions of four PMs. You realize you have extracted the wrong tooth. What do you do?
- rinse with saline
- re-implant tooth
- call orthodontist to see about changing treatment plan
When extracting a tooth, you accidentally luxate an adjacent tooth and it is very loose. What should you do?
- stop procedure
- stabilize tooth that was accidentally lunated
- relieve occlusion
- splint