Oral Surgery

Question 1

Categories of extractions: emergency

Answer 1

Broken tooth

Question 2

Categories of extraction: preventive

Answer 2

Orthodontic purposes

Question 3

Categories of extractions: conservative

Answer 3

Save teeth

Question 4

Types of dental extractions: simple

Answer 4

Above the gum line

Question 5

Types of dental extractions: surgical

Answer 5

Below the gum line/ impacted

Question 6

Check medical history, radiographs, financial arrangements, consent forms

Answer 6

Pre-operative care

Question 7

Foods, liquids or medication in the stomach when general anesthesia is administered may cause what?

Answer 7

Vomiting

Question 8

Clean under nails, wash up go elbows with a scrub brush to clean hands and forearms for how long?

Answer 8

7 minutes (surgical scrub)

Question 9

Scrub brush is packaged with what antiseptic contained in the brush

Answer 9

Chlorhexidine or iodophor

Question 10

Pain control: pre medication

Answer 10

Anti-anxiety

Question 11

Pain control: sedation

Answer 11

Sedative tranquilizers, iv conscious sedation, general anesthesia

Question 12

Pain control: anesthetics

Answer 12

Local anesthetics, nitrous oxide

Question 13

During post op:

Answer 13

Stay with patient until fully recovered to leave office. Give verbal and written post op.

Question 14

Maintenance of surgical instruments: hinged

Answer 14

Placed in ultrasonic or hydrim with hinge in open position

Question 15

Maintenance of surgical instruments: class of instruments

Answer 15

All classified as critical items and must be sterilized before use

Question 16

Sterile gauze pressure pack stays in place for how long after procedure

Answer 16

30-45 minutes

Question 17

First 24 hours post op

Answer 17

Use cold pack 20 minutes on 20 minutes off

Question 18

After 24 hours post op

Answer 18

External heat can be used to promote healing and saline solution rinse every 2 hours.

Question 19

Alveolitis (dry socket) symptoms

Answer 19

Foul odour, taste and pain. Pain after extraction diminishes and then returns after 2-4 days

Question 20

Instrument transfer: used for many instrument transfers in surgery and a two-handed technique is frequently used

Answer 20

Palm grasp

Question 21

Instrument transfer: transfer of sharp items should be done (scalpels, needles)

Answer 21

One way transfer

Question 22

Instruments: used to loosen tooth. Locate the tooth out of the socket, and to compress bone and enlarge socket.

Answer 22

Elevators

Question 23

Instrument elevator: detach gingival tissue around the neck of the tooth. Separate or retract the periosteum from the surface of the bone

Answer 23

Periosteal elevator

Question 24

Instrument elevator: used to apply leverage against tooth to loosen it from periodontal ligament. Maybe he also used to remove smaller tooth fragments, retained roots and teeth that have been sectioned.

Answer 24

Straight/angular elevator

Question 25

Instrument: used for removing root tips or fragments that have broken from tooth during extraction

Answer 25

Root tip picks

Question 26

Instruments: the dentist places the beaks on the tooth and firmly grasps the tooth around and below the cementoenamel junction

Answer 26

Forceps

Question 27

Instrument forcep: can be used either in the right or left side of the dental arch (150)

Answer 27

Maxillary universal forceps

Question 28

Instruments: resembles a large spoon excavator. It is a double ended, scoop shaped with sharp edges that allow for a scraping motion. Used following the extraction to scrape the interior of the socket to remove diseased tissue or abscesses

Answer 28

Surgical curettes

Question 29

Instruments: used to incise or excise soft tissue with the least amount of trauma to the tissue. Designed with to sections the handle and the __

Answer 29

Scalpel and blade

Question 30

Instruments: used to retract tissue, remove small root tips, clamp off blood vessels, and grasp loose objects

Answer 30

Hemostat

Question 31

Instruments: when there is a need to remove or reshape bone this can be used

Answer 31

Mallet and chisel

Question 32

Instruments: used to trim and shape alveolar bone. Widely used after multiple extractions to eliminate sharp projections and to shape the edentulous ridge.

Answer 32

Rongeur

Question 33

Instruments: smooths the surface of the bone after the rongeur has removed most of the undesirable bone

Answer 33

Bone file

Question 34

Instruments: designed to hold cheeks and tongue during surgical procedures to maintain a clear field

Answer 34

Cheek and tongue retractors

Question 35

Instruments: used to trim and recontour soft tissue. Should never be used for non surgical tasks that would dull cutting surface.

Answer 35

Surgical scissors

Question 36

Instruments: the mouth prop is placed where

Answer 36

On the opposite side of the mouth being treated

Question 37

Instruments: used to keep socket clean as dentist removes tooth fragments. The tip is much narrower compared to HVE tips

Answer 37

Surgical aspirator