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robbypowell's version from 2016-07-26 02:04

 

Question Answer
What test is used to determine whether or not oroantral fistula needs treatment?Nose-blowing test (or determine size of communication)
What treatment if any is necessary for an oroantral fistula <2 mmno treatment necessary
What treatment if any is necessary for an oroantral fistula >2 and <6 mmGelfoam, figure 8 of sutures, sinus precautions
What are the 4 "sinus precautions" associated with oroantral fistula?no blowing of nose, sneeze with mouth open, no straws, no smoking
What supplemental treatments are given following oroantral fistula treatment for >2 mm?Antibiotics, nasal spray, oral decongestant
Oroantral fistulas >____ mm should be referred to oral surgeon>7 mm
What can we do to avoid fracturing alveolus during extraction?Section tooth
what causes fractured alveolus during tooth extraction?excessive force
stage of nerve injury where Nerve is “bruised.” No discontinuity in neural sheath. Almost always self-healing. Temporary paraesthesiaNeuropraxia
stage of nerve injury where Nerve sheath interrupted but not severed. May cause neuroma, which may be possible to repair with surgery. Immediate paresthesiaAxonotmesis
stage of nerve injury where Nerve sheath severed. May be partially repaired with nerve graft in young. Causes immediate anesthesia Neurotmesis
_____ ______ Results from high fibrinolytic activity around extraction socketAlveolar Osteitis
Treatment for Alveolar osteitis consists of pain relief, irrigation and insertion of medicated dressing which has ____ and ____Gelfoam & Eugenol
Use of oral what 2 medications can put patients at greater risk of developing alveolar osteitisOral contraceptives & Corticosteroids
t/f: smoking and tobacco use puts patient at greater risk of developing alveolar osteitis (dry socket)True
______ is complete disruption of a jointDislocation
______ is a partial relocation followed by relocationSubluxation
Nerves to avoid when doing extractions or other procedures in dentistryMental, Lingual, Inferior Alveolar
Is it acceptable to make incisions for flaps in areas of nerves?NO NEVER
What size gauze do we use for post-op bleeding?4x4 (not 2x2)
After hematomatous operation, patient should avoid talking for how long?2-3 hours
T/F: Teabag can help with persistent oozing from a wound because it acts as vasoconstrictorTrue
______ pressure, like what happens when you suck on a straw, can dislodge clots in wounds from surgeryNegative pressure
No spitting for how long after surgical procedures?12 hours
T/F: Good visibility is crucial while doing extractions, not just when placing forcepsFalse (only for placing forceps during normal extractions)
T/F: Good visibility is only necessary for extractions when assuring placement of forceps and removing root tipsTrue
chair position for maxillary extractionsmax plane at 45-60 to floor
when doing maxillary extractions, patient's shoulder should be at the height of operator's ______elbow
When doing maxillary extractions operator should be standing at ___ or ___ o'clock7 or 8
when doing mandibular extractions operator should be standing at ____ or ____ o'clock7 or 8
When doing mandibular extractions, the mandibular plane should be at what angle relative to floor?parallel
throat screen is important when patient is in fully reclined position... this can be fashioned out of what?Gauze
what tooth has longest roots of the lower arch?man canine
max dose ibuprofen ____mg/day... usual dose ____-___ 4 x day3200 mg max; 400-800mg 4 x day
max dose acetaminophen ____ mg/day ... usual dose ___ - ___ every 4 hours4000mg max; 500-1000 4 x day
post-operative infection usually arises how long after procedure2-3 days
post-operative swelling usually goes away on ___ or ___ day3-4
how long should you wait after full mouth extraction for initial impressions?6-8 weeks
pain peaks how long after surgery?12 hours
Significant post-surgical pain rarely persists for more than ___ days2 days
There is an absolute need for radiographs within the last _____year
graft removed from another bone in the same person’s bodyAutograft
graft from Same species, different personAllograft
graft from different speciesxenograft
memorize

some more terms

Question Answer
Pain by stimulus that would not normally elicit painAllodynia
Absence of pain with normally painful stimulusAnalgesia
Absence of sensationAnesthesia
Central mediated painDeafferentation pain
Unpleasant abnormal sensationDysesthesia
Increased sensitivity to noxious stimulusHyperalgesia
Increased sensitivity to all stimulationHyperesthesia
Decreased sensitivity to noxious stimuliHypoalgesia
Diminished sensitivity to all stimulationHypoesthesia
Pain in distribution of nervesNeuralgia
Disturbance in function or pathologic change in nervesNeuropathy
Abnormal sensation, whether spontaneous or evokedParesthesia
faintingsyncope
memorize

forceps work with which teeth

Question Answer
Max anterior (Conical to triangular shaped roots)#1 and 99
Universal maxillary#150
maxillary premolars#150-A
Max molars (Palatal beak adapts to palatal root but NOT entering furcation)#89 and 90
Max molars (reckless use can lead to alveolar fracture) (does enter furcation)#88R and #88L (upper cowhorn)
Max molars that are trifurcated#53R and #53 L
erupted max 3rd's#210-S
Maxillary rooth fragments#286
Maxillary primary teeth#150-S
Universal mandibular#151
Mandibular anterior#74 & 74-N
Mandibular premolars#151 A
Mandibular molar (cowhorn) (most popular)#23
bifurcated mandibular molars#17 (never use on conical roots)
Mandibular 3rd molars#222 (can also be used on mandibular second molars with conical roots)
Primary mandibular teeth151-S
memorize

schedule of drugs

Question Answer
high abuse potential, NO accepted medical use in USA, CANNOT prescribe→ includes heroin, LSD, marijuanaSchedule 1
HIGH abuse potential, severe psychic/physical abuse liability, requires WRITTEN Rx, can be faxed, NO REFILL→ includes oxycodone, morphine, fentanyl, hydrocodone, demerol Schedule 2
Significant abuse potential, Written Rx not required, Refill up to 5 times→ includes Hydrocodone combo (Vicodin, Norco), Codeine+ AcetominophenSchedule 3
Lower abuse liability, written Rx not required, 5 refills within 6 months→ includes Phenobarbital, Valium, Propfol, TramadolSchedule 4
Very low abuse potential, written rx not required, 5 refills within 6 months→includes RobitussinSchedule 5
memorize

ibuprofen or acetaminophen

Question Answer
Most effective medication for post extraction pain managementIbuprofen
Antiarthritic, anti-inflammatory and antipyreticibuprofen
post-op bleeding concernibuprofen
no post-op bleeding concernacetaminophen
no anti-inflammatory effectacetaminophen
does not cause GI bleedingacetaminophen
causes gi complicationsibuprofen
memorize

abbreviations for prescriptions

Question Answer
P.O.by mouth
Susp.suspension
Suppsuppository
Solsolution
memorize

Flap design

Question Answer
___ tooth/teeth distal and ___ tooth/teeth mesial is minimum for envelop flap1 D, 2 M
what is the flap of choice for most procedures?envelope flap
Margin of flap with vertical releasing should be at least _________ mm from the margins oaf a bony defect5 mm
What type of thickness of a flap has mucous and periosteumFull thickness
memorize

classification of 3rd molars

Question Answer
Class Iroom to erupt (relative to ramus)
Class IIhalf covered by ramus
Class IIIcompletely covered by ramus
Class Aocclusal plane of impaction even with second molar
Class Bocclusal plane of impaction between occlusal plane of second molar and CEJ or second molar
Class CImpaction below CEJ (relative to occlusal plane)
letter classification tell us about 3rd molar relative to what?occlusal plane
number classification tell us about 3rd molar relative to what?ramus of mandible
memorize

which ASA classification?

Question Answer
normal, healthy patient; No systemic diseaseASA Class 1
a patient with mild systemic disease which is well-controlled; e.g. well controlled hypertensionASA Class 2
patient with significant systemic disease which limits activities but is not incapacitating; e.g Congestive heart failureASA Class 3
patient with an incapacitating systemic disease which is a constant threat to life; e.g. unstable angina pectorisASA Class 4
moribund patient not expected to survive more than 24 hours; e.g. end stage kidney diseaseASA Class 5
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