plawdfsckjv midterm Flashcards
(28 cards)
Bisphosphonates are
OsteoCLAST killers
What are the two worst bisphosphonates?
Aredia and Zometa
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
Teriparatide
osteoblast stimulator
Leeches
Thrombin inhibitors
Antiseptic vs. Disinfectant
Antiseptic - only kills bacteria
Disinfectant – kills everything
Lose how much bone
.5-1 mm of bone from elevating a flap
Faster Surgeon
Lower infection rates
DTO
Drill to oblivion
Remove hardest tooth last
Saves bone (remove interdental bone)
Ortho Extrusion
Takes months, but saves bone for implants
Autogenous bone
DONOR SITE MORBIDITY
When to do vital root retention
Age 18-20; Need to have vital tooth with good perio health
FMTE
Full mouth tooth extraction
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
PRP
- Growth factors
- Increase hemostasis and healing time
- Will look better 3days-1week later
Autogenous Bone Graft
- Gold standard
* Inductive and conductive
BMP
On switch for bone growth
Distraction osteogenesis
RPE in ortho
NSAIDS
- Delay allograft healing
* COX-2 essential for bone allograft incorporation
PGE2
Efficient skeletal repair
Beware of
Lone standing molars in function
sinus
Antrim of hymore
Fistula
Epithelial lined tract