Flashcards in Oral Surgery II - Kalamchi's Child Deck (101):
What are the most commonly impacted teeth?
Followed by the...
*Mx and Mn for each
Mx and Mn 3rd molars
Mx canines, Mn premolars
It is necessary to remove all impacted teeth
The angulation of the Long Axis of the impacted 3rd molar is relative to what?
The relationship of the impacted 3rd Molar to the __________ describes the Procedural Classifications
5 types of impaction (of 3rd molar in relation to long axis of the 2nd molar)
What is the most common type of 3rd Molar Impaction?
What is the 1st Radiographic choice for wisdom teeth diagnosis and removal absent associated pathology?
The ideal age to remove wisdom teeth is 16-18 y/o, when root is around 1/3 developed
Recurrent Pericornitis (swelling of gingival tissue around 3rd molar) is indication for what?
Wisdom teeth removal
3 Contraindications for the removal of Impacted Teeth:
Extremes of Age
Compromised Medical Health
Adjacent Structures imperiled
The infection of the soft tissue surrounding the crown of partially impacted tooth caused by normal oral flora
When is it recommended to Surgically deal with Acute Pericoronitis?
Bilateral, submandibular, sublilngual, submental space Abscess that must be treated aggressively:
What is important to consider with these cases?
Ludwig's Angina (Mn Space Abscesses)
Admit pt to hospital/observe airway
What disease am I?
Flap Design - Base _____ that free margin.
Suture _____ mm away from bony defect
Flaps can be cut Bucally or Lingually
After removal of Wisdom Teeth, what 4 effects are normal?
Swelling peaks ___ hrs after removal of wisdom teeth
Infection, prolonged numbness, iatrogenic injury, fractured mandible, oral antral fistula are all Uncommon complications of wisdom teeth removal
4 indications for removal of wisdom teeth:
Recurrent pericoronitic (acute/chronic)
In Fracture Management bone must be Closed to ___mm , otherwise will not heal
3 types of Crown Fracture:
Ellis Class I - confined to enamel
Ellis Class II - enamel and dentin
Ellis Class III - enamel/dentin/pulp exposed
What type of Root Fracture has the best prognosis?
Tx is reduction and splint for ___ months
hemorrhage/edema into PDL
PDL ruptured, tooth not displaced
soft foods, maybe relieve occlusion
Extrusion, only ____ tissues retain tooth
Lateral Luxation, what is injured?
some apical fibers
Tx for Extrusion/Lateral Luxation:
Reduce/Splint 3-4 weeks
Intrusion extensively injures the PDL and ____ tissues
Tx for immature teeth:
Tx for Mature teeth:
ortho extrusion (2-3 weeks)
What's happened to the tooth with Avulsion?
Reimplant/Splint 7-10 days
alveolar, PDL, pulpal injuries, often multiple teeth
Reduce/Splint 4-6 weeks
How long to immobilize Mobile Tooth:
Replanted tooth (mature):
Replanted tooth (immature):
What type of tooth injury has a survival rate of 100%
Hemorrhage and edema in PDL:
100% survival rate
PDL ruptured, tooth NOT displaced:
PDL, neurovascular tissue damaged, only gingival tissue retains tooth:
Apical PDL fibers compressed (some), PDL and pulpal tissues damaged:
Tooth knocked inward:
3 types of Soft Tissue Injuries:
Best bone graft must have what 3 characteristics?
What does it mean to be Osteoconductive?
3 characteristics of Alloplastic material?
no disease transmission risk
2 types of Alloplastic materials?
What grafting material is osteoconductive only?
What type of material is Ostioconductive and Osteoinductive?
Allografts are increased in expense why?
Bone from same species
What material is osteoconductive, osteoinductive, and osteogenic?
What is the only Grafting source of osteogenic properties (osteoblasts)?
(autogeneous bone graft)
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
How long should you wait after a bone graft to place an implant?
What can fill the extraction socket and maintain bone height?
*helps stabilize marginal soft tissue at extraction site
*extraction socket and site preservation
In Fracture Management you Reduce/Fix/Immobilize/Prevent infection
What is the most important preventable cause of early death after maxillofacial trauma?
What technique/sequence should be used to assure the airway is protected?
A Definitive Airway requires what?
tube in trachea
What is the Gold Standard in the surgical airway?
Tracheostomy is used for ventilation in Lefort ____ fractures.
II and III
What is the edentulism rate for entire US?
65 and older?
The Alignment of the jaws is knows as ______ surgery
In an Intraseptal Alveoplasty, Alveolar Width is lost
Always design flaps to preserve attached gingiva
The Rxn of the body to trauma from physical, chemical, or microbial means:
The accumulation of leukocytes, etc
Spreading infection at the cellular level - needs to be taken care of immediately (ABx)
Acute inflammation: Redness, Swelling, Heat, Pain and ______
loss of function
Chronic Inflammation is a prolonged process between what 2 processes?
The collection of fluid matl (pus) w/in a cavity lined by a wall:
Spreading infection with poor localizing tendency
The ability of an organism to spread throughout the tissue:
*and cause damage w/ toxins
A large ____ produces a severe spreading lesion, and a small one leads to minor lesion
Salmonella typhi contracted through...
Staph aureus and Strep pyogenes...
Cellulits is a _____ process
Abscess is a _____
% aerobic infections (cellulitis):
% anaerobic (abscess):
Acute pericornitis, should you do surgery?
defer UNLESS abscess has developed
the Pterygomandibular Space can be affected by the mandibular molar/premolar
The Masseteric Space is affected by what tooth?
Mn 3rd Molar
The Lateral pharyngeal space can deviate the _____
The Retropharyngeal space can cause _____
Inflammation of the Bone Marrow:
2 types of Osteomyelitis:
Strep pneumo, H influenza, strep, staph aureus, etc... cause what?
4 situations in which use of ABx is not necessary:
Chronic well-localized abscess
Minor vestibular abscess
When should swelling/pain be considered an infection?
3 days post op
Post op Ecchymosis is very common in the elderly
Antibiotics are not indicated for pts undergoing OS procedures unless...
Active spreading infection
Medically compromised (immunodeficiency )
Acute infections do not develop in less the ____ days after extraction
300 mg Acetaminophen + 30 mg codeine
325 mg Aceteminophen + 5 mg Hydrocodone
325 mg Acetaminophen + Oxycodone (2.5/5/7.5mg)
*no proven value
Post Op Pain: Aspirin/Acetaminophen dose
400 - 800 mg
Post op pain peaks when?
Pain decreases initially but increases 3-4 days in, unaccompanied by swelling, non-resopnsive to analgesics:
Dry Socket - place dressing on it containing ______
Post-op Trismus is more common in what procedure?
impacted Mn 3rd molars
Uninfected root tips less than ___ mm can be left in
It is best to close Oral Antral communication as it occurs
The most common cause of IAN injury is what teeth roots in close proximity?
Seddon classification of nerve injury
extracting the wrong tooth is the 2nd most common insurance claim
Mn fractures are a recognized side effect of 3rd molar surgery
Dry socket happens mainly in the Mn and what demographic is at risk?
Females on oral contraceptives