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Flashcards in Presurgical Assessment Deck (25)
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1

TWAT-WAFFLE

Spencer

2

Dick-Butt

Also Spencer

3

Poorly controlled diabetic: changes to appointment

No treatment until they reach THEIR maximum control

4

Well controlled diabetic: changes to appointment

No changes needed

5

End-stage Renal: changes to appointment

Med consult

6

Risks from Leukemias and Lymphomas (2)

-Infection from low fxning white cells -Thrombocytopenia

7

Cardiac disease: changes to appointment

No treatment until stable post 6 months?

8

Risks from Cardiac problems: (3)

-Bleeding -Acute MI -CVA

9

Pregnancy: When do we do extractions

2nd Trimester

10

Drugs of concern: Anti-coagulants and 3 more

1. Corticosteroids 2. Immunosuppressive 3. Chemo

11

Risks for patients with history of radiation AT site of extraction and possible treatment?

-Osteoradionecrosis -Hyperbaric O2 treatment

12

Highly anxious people: changes to appointment

Sedatives

13

Complications for extraction due to Infection (2)

1. Hard to get numb 2. Hard to open mouth fully

14

Surgical options for treating pericornitis? -Mild -Severe (4)

-Mild: Extract -Severe: 1. Debride 2. Irrigate 3. Anti biotics 4. Extract IF it is in occlusion on gingival tissue

15

Causes of limited opening

1. Trismus 2. TMD 3. Muscular Fibrosis

16

What may cause teeth to be Ankylosed? (3)

-Submerged primary molars that have no permanent Tooth. -Endo-treated teeth -History of trauma

17

*Just for fun.... *Which arch is more susceptible to osteoradionecrosis?

Mandible! less substantial blood supply

18

Which tooth most commonly has risk of oral antral fistula?

MAXILLARY 1st Molar

19

High Risk cases for Oral antral fistulas? (2)

1. Indentation of the sinus at the roots of molar 2. Teeth related to sinus are Isolated. This increases the risk of fracture of these teeth and maxillary tuberosity into the sinus.

20

Fracture risk: -Pointed apices vs rounded apices

Pointed: more likely to fracture Rounded: Hard to extract with less risk of fracture

21

Risks for endo-treated tooth

-Brittle (more brittle longer it is after endo-treatment) -Endo treated teeth that were avulsed or replanted are at risk of ankylosis.

22

Extraction concerns for primary molars

Removal of Permanent tooth bud with the primary molar -recommend sectioning for careful extraction

23

The more dense the bone, the greater risk for:

Root fracture -?(and apparently alveolar bone fracture too?)

24

What properties of a tooth lead to greatest risk of injury to inf alveolar N? Overall risk in %?

Most posterior (3rd molar) Impacted (not erupted) *1% RISK

25

What is the orientation/position of the 3rd mand molars and the inf alveolar canal.

The canal is buccal to the 3rd molars