Flashcards in plawdfsckjv midterm Deck (28)
Loading flashcards...
1
Bisphosphonates are
OsteoCLAST killers
2
What are the two worst bisphosphonates?
Aredia and Zometa
3
Serum-C-Terminal Telopeptides (CTX)
• High serum levels = more osteoclastic activity (more collagen
breakdown)
• A predictor of ORN risk
• CTX <100 pg/ml = high risk
• CTX >150 = low risk
4
Teriparatide
osteoblast stimulator
5
Leeches
Thrombin inhibitors
6
Antiseptic vs. Disinfectant
Antiseptic - only kills bacteria
Disinfectant – kills everything
7
Lose how much bone
.5-1 mm of bone from elevating a flap
8
Faster Surgeon
Lower infection rates
9
DTO
Drill to oblivion
10
Remove hardest tooth last
Saves bone (remove interdental bone)
11
Ortho Extrusion
Takes months, but saves bone for implants
12
Autogenous bone
DONOR SITE MORBIDITY
13
When to do vital root retention
Age 18-20; Need to have vital tooth with good perio health
14
FMTE
Full mouth tooth extraction
15
Immediate implant placement at extraction
• DON’T save bone
• Need 3-4 mm of solid bone at base of socket
• NO infection
• Keep implant toward lingual
• Buccal bone will absorb
16
PRP
• Growth factors
• Increase hemostasis and healing time
• Will look better 3days-1week later
17
Autogenous Bone Graft
• Gold standard
• Inductive and conductive
18
BMP
On switch for bone growth
19
Distraction osteogenesis
RPE in ortho
20
NSAIDS
• Delay allograft healing
• COX-2 essential for bone allograft incorporation
21
PGE2
Efficient skeletal repair
22
Beware of
Lone standing molars in function
23
sinus
Antrim of hymore
24
Fistula
Epithelial lined tract
25
Tooth Transplant age
15-23
26
3rd molar classification
Mesio-angular = most common
27
Alveolitis Sicca Dolorosa
AKA dry socket
AKA fibrinolytic alveolitis
28
