Test 2: Oral surgery for the pediatric patient

Question 1

Where is the furcation of primary molar roots positioned compared to the permanent teeth?

Answer 1

-Furcation is positioned more cervicaly

Question 2

T/F The bone of alveolus is much less elastic in the younger patient

Answer 2

False

-More elastic

Question 3

T/F Beaks and handles of forceps are smaller, and beaks are more curved to accommodate a more bulbous crown in primary teeth

Answer 3

True

Question 4

Because of physiological resorption it is often preferable to do what if a root tip fractures?

Answer 4

-Leave small fragments in situ if root fractures

Question 5

If a 17 yr old comes into your office can they legally consent for their procedure?

Answer 5

-No they have to have parental consent until 18

Question 6

What is the most common surgical procedure in pediatric dentistry?

Answer 6

3rd molar removals

Question 7

Removal of 3rd molars prior to what age minimizes risk in optimized health?

Answer 7

-25 years old

Question 8

AAOMS white paper revealed what about 3rd molars?

Answer 8

-Absence of symptoms does not indicate absence of disease or pathology

Question 9

What are the major risks for taking out 3rd molars?

Answer 9

• Sinus
• IAN
• Lingual nerve injury
• Damage to adjacent teeth
• Alveolar osteitis (dry socket)
• Sub periosteal infection
• Mandibular fracture

Question 10

T/F The older you get the higher the risks are for removal of 3rd molars

Answer 10

True

Question 11

What is the most common tooth after the 3rd molar that is impacted?

Answer 11

-Canines

Question 12

Where are most canines impacted?

Answer 12

-Palatal (85%)

Question 13

In labial impacted Canines what is critical to maintain?

Answer 13

-The cervical margin of the attached mucosa

Question 14

What are the two techniques to move labially impacted Canine?

Answer 14

• Apical flap

- Closed technique

Question 15

What is the most frequently occurring odontogenic tumor in pediatric patients?

Answer 15

-Odontoma

Question 16

What are the two types of odontomas?

Answer 16

• Compound

- Complex

Question 17

What type of odontomas represents tooth like structures?

Answer 17

-Compound

Question 18

What type of odontomas represent irregularly shaped masses?

Answer 18

-Complex

Question 19

What is a traumatic bone cyst?

Answer 19

-Empty intrabony cavity that lack an epithelial lining

Question 20

Where is the most common site of occurrence of a traumatic bone cyst?

Answer 20

-Mandible

Question 21

When you see a radiolucent lesion in the mandible what is the first thing you do?

Answer 21

-18 gauge needle to do a needle aspiration

Question 22

What does a mucocele result from?

Answer 22

-Rupture of a minor salivary gland

Question 23

T/F Any location not on the lower lip that you think is a mucocele demands a biopsy

Answer 23

True

Question 24

What is the very first thing you exam in a pediatric patient that comes in with a facial infection?

Answer 24

-Airway

Question 25

What are the warning signs in a pediatric facial infection?

Answer 25

- Temp > 101.5 - Elevated WBC - Lymphadenopathy - Poor oral intake - Dehydration - General appearance

Question 26

why is more expansion of the socket required during extraction of primary molars?

Answer 26

because primary molar roots are splayed much wider than permanent molar roots

Question 27

what are the 5 steps that must be completed before an extraction procedure in a pediatric patient?

Answer 27

1. parental consent 2. instruct the parent not to discuss with the child what the dentist will do 3. armamentarium should be kept out of site 4. explain to the child the sensation of pinching or ant biting prior to administering LA 5. extraction with controlled force in a deliberate fashion

Question 28

what are the 4 indications for extraction of 3rd molars?

Answer 28

- limit progression of periodontal disease - absence of symptoms does not indicate absence of disease - dental crowding - removal prior to 25 yo minimizes risk

Question 29

T or F: | perio pathology rarely initiates in the 3rd molar region

Answer 29

false

Question 30

T or F: | the surgical exposure of an impacted canine requires the coordination between the oral surgeon and orthodontist

Answer 30

true

Question 31

labially inclined impacted canines occur ___% of the time

Answer 31

15%

Question 32

when surgically exposing an impacted canine, what is critical to maintain?

Answer 32

the cervical margin of the attached mucosa

Question 33

is there a gender predilection for odontomas?

Answer 33

no

Question 34

the development and ceasing of odontoma correlates with the development and ceasing of ___

Answer 34

teeth

Question 35

what is the average age of a patient with an odontoma?

Answer 35

2nd decade of life (teens)

Question 36

how are odontomas treated? what is the prognosis? do they recur?

Answer 36

- simple enucleation and curettage - excellent prognosis - they do not recur

Question 37

why are traumatic bone cysts designated as pseudocysts?

Answer 37

they have a cystic radiographic appearance and gross surgical presentation of a cyst, even though they lack the required epithelial lining to be considered a true cyst

Question 38

the pathogenesis of traumatic bone cysts is unknown, although in some cases it seems to be associated with ___ trauma

Answer 38

antecedent

Question 39

what is the hypothesis of the etiology of traumatic bone cysts?

Answer 39

- tramatically induced hematoma forms within intermedullary portion of bone - clot breaks down and leaves an empty cavity