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Tim's Cards > Oral Surgery II - Kalamchi's Child > Flashcards

Oral Surgery II - Kalamchi's Child Flashcards

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1
Q

What are the most commonly impacted teeth?

Followed by the…

*Mx and Mn for each

A

Mx and Mn 3rd molars

Mx canines, Mn premolars

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2
Q

T/F

It is necessary to remove all impacted teeth

A

False

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3
Q

The angulation of the Long Axis of the impacted 3rd molar is relative to what?

*clinical classification

A

2nd molar

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4
Q

The relationship of the impacted 3rd Molar to the __________ describes the Procedural Classifications

A

Occlusal Plane

*depth

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5
Q

5 types of impaction (of 3rd molar in relation to long axis of the 2nd molar)

A

Vertical

Horizontal

Mesio-angular

Disto-angular

Inverted/Ectopic

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6
Q

What is the most common type of 3rd Molar Impaction?

A

Mesio-angular

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7
Q

What is the 1st Radiographic choice for wisdom teeth diagnosis and removal absent associated pathology?

A

Panoramics

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8
Q

T/F

The ideal age to remove wisdom teeth is 16-18 y/o, when root is around 1/3 developed

A

True

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9
Q

Recurrent Pericornitis (swelling of gingival tissue around 3rd molar) is indication for what?

A

Wisdom teeth removal

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10
Q

3 Contraindications for the removal of Impacted Teeth:

A

Extremes of Age

Compromised Medical Health

Adjacent Structures imperiled

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11
Q

The infection of the soft tissue surrounding the crown of partially impacted tooth caused by normal oral flora

A

Pericornitis

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12
Q

When is it recommended to Surgically deal with Acute Pericoronitis?

A

If Abscessed

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13
Q

Bilateral, submandibular, sublilngual, submental space Abscess that must be treated aggressively:

What is important to consider with these cases?

A

Ludwig’s Angina (Mn Space Abscesses)

Airway compromise

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14
Q

Admit pt to hospital/observe airway

IV antibiotic

Analgesic

IV steroid

Incision/Drainage

What disease am I?

A

Ludwig’s Angina

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15
Q

Flap Design - Base _____ that free margin.

Suture _____ mm away from bony defect

A

broader

6-8 mm

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16
Q

T/F

Flaps can be cut Bucally or Lingually

A

False

*never Lingual!

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17
Q

After removal of Wisdom Teeth, what 4 effects are normal?

A

Pain

Swelling

Bleeding

Trismus

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18
Q

Swelling peaks ___ hrs after removal of wisdom teeth

A

48 hrs

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19
Q

Infection, prolonged numbness, iatrogenic injury, fractured mandible, oral antral fistula are all Uncommon complications of wisdom teeth removal

A

True

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20
Q

4 indications for removal of wisdom teeth:

A

Overcrowding

Caries

Associated pathology

Recurrent pericoronitic (acute/chronic)

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21
Q

In Fracture Management bone must be Closed to ___mm , otherwise will not heal

A

1 mm

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22
Q

3 types of Crown Fracture:

A

Ellis Class I - confined to enamel

Ellis Class II - enamel and dentin

Ellis Class III - enamel/dentin/pulp exposed

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23
Q

What type of Root Fracture has the best prognosis?

Tx is reduction and splint for ___ months

A

Apical 1/3

3

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24
Q

Tooth Concussion:

Tooth Subluxation:

A

hemorrhage/edema into PDL

PDL ruptured, tooth not displaced

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25
Concussion/Suluxation Tx:
soft foods, maybe relieve occlusion
26
Extrusion, only ____ tissues retain tooth Lateral Luxation, what is injured?
gingival some apical fibers
27
Tx for Extrusion/Lateral Luxation:
Reduce/Splint 3-4 weeks
28
Intrusion extensively injures the PDL and ____ tissues Tx for immature teeth: Tx for Mature teeth:
pulpal spontaneous re-eruption ortho extrusion (2-3 weeks)
29
What's happened to the tooth with Avulsion? Tx?
tooth out Reimplant/Splint 7-10 days
30
Alveolar Fracture: Tx:
alveolar, PDL, pulpal injuries, often multiple teeth Reduce/Splint 4-6 weeks
31
How long to immobilize Mobile Tooth: Displaced: Root Fracture: Replanted tooth (mature): Replanted tooth (immature):
3-4 weeks 3-4 weeks 2-4 months 7-10 days 3-4 weeks
32
What type of tooth injury has a survival rate of 100% 90% 50-90% 30-90% 10-50% 0-40%
Concussion Subluxation Extrusion Lateral Luxation Intrusion Avulsion
33
Hemorrhage and edema in PDL: 100% survival rate
Concussion
34
PDL ruptured, tooth NOT displaced: 90% survival
Subluxation
35
PDL, neurovascular tissue damaged, only gingival tissue retains tooth: 50-90% survival
Extrusion
36
Apical PDL fibers compressed (some), PDL and pulpal tissues damaged: 30-90% survival
Lateral Luxation
37
Tooth knocked inward: 10-50% survival
Intrusion
38
Tooth out: 0-40% survival
Avulsion
39
3 types of Soft Tissue Injuries:
Abrasion Contusion Laceration
40
Best bone graft must have what 3 characteristics?
Osteocinductive Osteoinductive Osteogenic
41
What does it mean to be Osteoconductive?
Scaffolding
42
3 characteristics of Alloplastic material?
osteoconductive low cost no disease transmission risk
43
2 types of Alloplastic materials?
Hydroxylapatite ceramics
44
What grafting material is osteoconductive only?
Alloplastic material
45
What type of material is Ostioconductive and Osteoinductive?
Allograft
46
Allografts are increased in expense why?
Bone from same species
47
What material is osteoconductive, osteoinductive, and osteogenic?
Autograft
48
What is the only Grafting source of osteogenic properties (osteoblasts)?
Autograft | autogeneous bone graft
49
Indications for Bone Grafting are loss of bone following traumatic injury, after extraction with alveolar atrophy, after resection of a Benign tumor, or pneumatized maxillary sinus for future implant placemnt
True
50
How long should you wait after a bone graft to place an implant?
4-6 months
51
What can fill the extraction socket and maintain bone height? *helps stabilize marginal soft tissue at extraction site
Socket grafting *extraction socket and site preservation
52
In Fracture Management you Reduce/Fix/Immobilize/Prevent infection
True
53
What is the most important preventable cause of early death after maxillofacial trauma?
Resp obstruction
54
What technique/sequence should be used to assure the airway is protected?
Chin thrust Chin lift Definitive airway
55
A Definitive Airway requires what?
tube in trachea cuff inflated
56
What is the Gold Standard in the surgical airway?
Tracheostomy
57
Tracheostomy is used for ventilation in Lefort ____ fractures.
II and III
58
What is the edentulism rate for entire US? 65 and older?
10% 35%
59
The Alignment of the jaws is knows as ______ surgery
Orthognathic
60
T/F | In an Intraseptal Alveoplasty, Alveolar Width is lost
true
61
T/F | Always design flaps to preserve attached gingiva
True
62
The Rxn of the body to trauma from physical, chemical, or microbial means:
Inflammation
63
The accumulation of leukocytes, etc
Abscess
64
Spreading infection at the cellular level - needs to be taken care of immediately (ABx)
Cellulitis
65
Acute inflammation: Redness, Swelling, Heat, Pain and ______
loss of function
66
Chronic Inflammation is a prolonged process between what 2 processes?
Tissue destruction Healing
67
The collection of fluid matl (pus) w/in a cavity lined by a wall:
Abscess
68
Spreading infection with poor localizing tendency
Cellulitis
69
The ability of an organism to spread throughout the tissue: *and cause damage w/ toxins
Virulence
70
A large ____ produces a severe spreading lesion, and a small one leads to minor lesion
dose
71
Salmonella typhi contracted through... Strep pneumo... Staph aureus and Strep pyogenes...
ingestion inhalation direct contact
72
Cellulits is a _____ process Abscess is a _____
Aerobic anaerobic
73
% aerobic infections (cellulitis): % anaerobic (abscess):
25% 75%
74
Acute pericornitis, should you do surgery?
defer UNLESS abscess has developed
75
T/F | the Pterygomandibular Space can be affected by the mandibular molar/premolar
True
76
The Masseteric Space is affected by what tooth?
Mn 3rd Molar
77
The Lateral pharyngeal space can deviate the _____ The Retropharyngeal space can cause _____
uvula airway obstruction
78
Inflammation of the Bone Marrow:
Osteomyelitis
79
2 types of Osteomyelitis:
Acute-suppurative Chronic-suppurative
80
Strep pneumo, H influenza, strep, staph aureus, etc... cause what?
Acute/Chronic sinusitis
81
4 situations in which use of ABx is not necessary:
Chronic well-localized abscess Minor vestibular abscess Dry socket Chronic pericoronitis
82
When should swelling/pain be considered an infection?
3 days post op
83
Post op Ecchymosis is very common in the elderly
True
84
Antibiotics are not indicated for pts undergoing OS procedures unless... 2 scenarios
Active spreading infection Medically compromised (immunodeficiency )
85
Acute infections do not develop in less the ____ days after extraction
2-3 days
86
300 mg Acetaminophen + 30 mg codeine
Tylenol III
87
325 mg Aceteminophen + 5 mg Hydrocodone
Norco
88
325 mg Acetaminophen + Oxycodone (2.5/5/7.5mg)
Percocet *no proven value
89
Post Op Pain: Aspirin/Acetaminophen dose Ibuprofen: Codeine: Propoxyphene: Oxycodone: Hydrocodone:
500-1000 mg 400 - 800 mg 30-60 mg 100 mg 5-10 mg 5-10 mg
90
Post op pain peaks when?
12 hrs
91
Pain decreases initially but increases 3-4 days in, unaccompanied by swelling, non-resopnsive to analgesics:
Dry Socket
92
Dry Socket - place dressing on it containing ______
eugenol
93
Post-op Trismus is more common in what procedure?
impacted Mn 3rd molars
94
Uninfected root tips less than ___ mm can be left in
2-3 mm
95
It is best to close Oral Antral communication as it occurs
True
96
The most common cause of IAN injury is what teeth roots in close proximity?
Wisdom
97
Seddon classification of nerve injury
Neuropraxia Axonotmesis Neurotmesis
98
T/F | extracting the wrong tooth is the 2nd most common insurance claim
true
99
Mn fractures are a recognized side effect of 3rd molar surgery
True
100
Dry socket happens mainly in the Mn and what demographic is at risk?
Females on oral contraceptives
101
Irrigation, CHX rinse, and ABx in extraction site all decrease Dry Socket incidence
True

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