INBDE - Mental Dental Mix - OS, PEDS, ENDO, OP n n n n n n n n n
Oral Surgery: ----------good luck!----------
n nn n
When a patient has head and neck radiation, what should you administer pri
n n n n n n n n n n n n
or to and after an extraction? Correct Answer: hyperbaric oxygen (benefici
n n n n n n n nn n n
al for ORNJ, allows more O2 to heal tissues)
n n n n n n n n
What is the first treatment choice for pericoronitis? Correct Answer: Antib
n n n n n n n n n nn
iotics - treat infection first! Then extract (more invasive to do so)
n n n n n n n n n n n
List in order, the top 3 impacted teeth. Correct Answer: mandibular 3rd mo
n n n n n n n n n nn n n
lars > max. 3rd molars > max. canines
n n n n n n n
List in order, the top 3 congenitally missing teeth. Correct Answer: 3rd mol
n n n n n n n n n n nn n
ars > max. lateral incisors > mand. 2nd premolars
n n n n n n n n
Describe Winter's Classification for impacted 3rd molars Correct Answer:
n n n n n n n n nn
It's based on position of long axis of 3rd molar in relation to the long axis of
n n n n n n n n n n n n n n n n n
the 2nd molar (***picture all of the tilted teeth)
n n n n n n n n
Based on Winter's classification, what is the easiest and most difficult angu
n n n n n n n n n n n
lation./impaction of 3rd molars to extract? Correct Answer: mesioangular n n n n n n n nn n
= easiest
n n
distoangular = most difficult n n n
Describe the Pell and Gregory Classification for impacted third molars. Co
n n n n n n n n n n
rrect Answer: Classification is only for lower third molars.
n nn n n n n n n n
A = same plane as other molars
n n n n n n n
B = halfway down other molars
n n n n n n
C = below cervical line of 2nd molar
n n n n n n n n
Class I = crown anterior to ramus
n n n n n n n
Class II = half crown within ramus
n n n n n n n
,Class III = entire crown with ramus
n n n n n n
From Pell and Gregory Classification, what is the most difficult to extract?
n n n n n n n n n n n n
Correct Answer: C = below cervical line of 2nd molar
n nn n n n n n n n n
Class III = entire crown is within ramus
n n n n n n n
How do subperiosteal abscess occur? And what is the tx for them? Correct
n n n n n n n n n n n n n
Answer: Occurs due to fragments of bone remaining below soft tissue whe
nn n n n n n n n n n n
never mucoperiosteal flap is elevated for surgical extraction.
n n n n n n n n
Need to irrigate thoroughly to remove fractured tooth/bone spicules below
n n n n n n n n n n
the soft tissue.
n n
What tooth is most common to have an oro-
n n n n n n n n
antral communication with? Correct Answer: maxillary first molars
n n n n nn n n
Describe the Tx for oro- n n n n
antral communication. Correct Answer: if <2mm do nothing
n n n nn n n n n
If 2-6mm 4 As & figure-
n n n n n
8 suture (antibiotics, analgesics, antihistamines, afrin nasal spray ((vasoco
n n n n n n n n
nstrictor)))
True or False. Alveolar Osteitis requires antibiotics for tx. Correct Answer:
n n n n n n n n n n
FALSE
nn n
tx = irrigation and local pain control. Pack dry socket paste that contains Eu
n n n n n n n n n n n n n
genol (ice pack & H2O salt rinse)
n n n n n n
How do you treat nerve injury do to extractions? Where does this usually ha
n n n n n n n n n n n n n
ppen? And when should a pt. be referred for microneurosurgical evaluation
n n n n n n n n n n
? Correct Answer: tx: medrol dosepak (steroid for inflammation
n n nn n n n n n
most common with lower thirds & IAN
n n n n n n n
pts. with numbness lasting more than 4 weeks should be referred
n n n n n n n n n n
,During extraction, where would the maxillary first or second molar be displ
n n n n n n n n n n n
aced? Correct Answer: in the maxillary sinus
n n nn n n n
During extraction, where would the maxillary third molar be displaced? Co
n n n n n n n n n n
rrect Answer: in the intratemporal fossa
n nn n n n
During extraction, where would the mandibular third molar be displaced?
n n n n n n n n n n
Correct Answer: submandibular space n nn n
If a tooth gets displaced into the oropharynx, what do you do? Correct Ans
n n n n n n n n n n n n n
wer: send to ER for chest and abdominal xrays
nn n n n n n n n
The straight elevator (#301) is used for.... Correct Answer: leverage
n n n n n n n n nn
The pick elevator is used for... Correct Answer: wedging
n n n n n n n nn
The triangular elevator (Cryer) is used for... Correct Answer: wheel and ax
n n n n n n n n nn n n
le; removing a broken root left in socket
n n n n n n n
What are the numbers for upper and lower extraction forceps? Correct Ans
n n n n n n n n n n n
wer: #150 = upper nn n n n
#151 = lower n n n
A = premolars
n n n
S = primary
n n
Ash forceps are used for? Correct Answer: premolars
n n n n n n nn
Which blade is most common for intraoral surgery? Correct Answer: #15
n n n n n n n n n nn
Which blade is most common for the mucogingival surgery? Correct Answ
n n n n n n n n n n
er: #12 nn
Which blade is used for stab incisions? Correct Answer: #11
n n n n n n n n nn
, What is the point of irrigation during extractions? Correct Answer: prevent
n n n n n n n n n nn
s heat generation that can damage the bone
n n n n n n n
How do you correctly use a bone file? Correct Answer: remove bone with a
n n n n n n n n n nn n n n
pull stroke
n n
In terms of handpieces, it's okay to used an air-
n n n n n n n n n
driven handpiece to surgically section tooth or bone to make extraction easi
n n n n n n n n n n n
er. Correct Answer: NO!
n n nn n
air can cause emphysema ! Make sure you use a surgical handpiece
n n n n n n n n n n n n
(NO AIR; how I am supposed to drill with no air, air)
n n n n n n n n n n n
What is so cool about the needle holder? Correct Answer: It's crosshatched
n n n n n n n n n nn n
! really great grip, better than hemostat so that you don't drop needle
n n n n n n n n n n n n
What is the most common and easiest suturing technique? Correct Answer:
n n n n n n n n n n
simple interrupted
nn n
How should you suture? Correct Answer: from movable tissue to non-
n n n n n nn n n n n
movable tissue n
What's not so cool about silk sutures? Correct Answer: They have wicking
n n n n n n n n nn n n n
property that allows bacteria to invade; plaque accumulation.
n n n n n n n n
these need to be removed within a couple days
n n n n n n n n
What is the purpose of suturing? Correct Answer: immobilizing a flap
n n n n n n n nn n n
When you are using an elevator; what's the technique, what's the point? Cor
n n n n n n n n n n n n
rect Answer: causes expansion of bone and tearing of PDL
n nn n n n n n n n n
fulcrum should be the alveolar bone n n n n n
Oral Surgery: ----------good luck!----------
n nn n
When a patient has head and neck radiation, what should you administer pri
n n n n n n n n n n n n
or to and after an extraction? Correct Answer: hyperbaric oxygen (benefici
n n n n n n n nn n n
al for ORNJ, allows more O2 to heal tissues)
n n n n n n n n
What is the first treatment choice for pericoronitis? Correct Answer: Antib
n n n n n n n n n nn
iotics - treat infection first! Then extract (more invasive to do so)
n n n n n n n n n n n
List in order, the top 3 impacted teeth. Correct Answer: mandibular 3rd mo
n n n n n n n n n nn n n
lars > max. 3rd molars > max. canines
n n n n n n n
List in order, the top 3 congenitally missing teeth. Correct Answer: 3rd mol
n n n n n n n n n n nn n
ars > max. lateral incisors > mand. 2nd premolars
n n n n n n n n
Describe Winter's Classification for impacted 3rd molars Correct Answer:
n n n n n n n n nn
It's based on position of long axis of 3rd molar in relation to the long axis of
n n n n n n n n n n n n n n n n n
the 2nd molar (***picture all of the tilted teeth)
n n n n n n n n
Based on Winter's classification, what is the easiest and most difficult angu
n n n n n n n n n n n
lation./impaction of 3rd molars to extract? Correct Answer: mesioangular n n n n n n n nn n
= easiest
n n
distoangular = most difficult n n n
Describe the Pell and Gregory Classification for impacted third molars. Co
n n n n n n n n n n
rrect Answer: Classification is only for lower third molars.
n nn n n n n n n n
A = same plane as other molars
n n n n n n n
B = halfway down other molars
n n n n n n
C = below cervical line of 2nd molar
n n n n n n n n
Class I = crown anterior to ramus
n n n n n n n
Class II = half crown within ramus
n n n n n n n
,Class III = entire crown with ramus
n n n n n n
From Pell and Gregory Classification, what is the most difficult to extract?
n n n n n n n n n n n n
Correct Answer: C = below cervical line of 2nd molar
n nn n n n n n n n n
Class III = entire crown is within ramus
n n n n n n n
How do subperiosteal abscess occur? And what is the tx for them? Correct
n n n n n n n n n n n n n
Answer: Occurs due to fragments of bone remaining below soft tissue whe
nn n n n n n n n n n n
never mucoperiosteal flap is elevated for surgical extraction.
n n n n n n n n
Need to irrigate thoroughly to remove fractured tooth/bone spicules below
n n n n n n n n n n
the soft tissue.
n n
What tooth is most common to have an oro-
n n n n n n n n
antral communication with? Correct Answer: maxillary first molars
n n n n nn n n
Describe the Tx for oro- n n n n
antral communication. Correct Answer: if <2mm do nothing
n n n nn n n n n
If 2-6mm 4 As & figure-
n n n n n
8 suture (antibiotics, analgesics, antihistamines, afrin nasal spray ((vasoco
n n n n n n n n
nstrictor)))
True or False. Alveolar Osteitis requires antibiotics for tx. Correct Answer:
n n n n n n n n n n
FALSE
nn n
tx = irrigation and local pain control. Pack dry socket paste that contains Eu
n n n n n n n n n n n n n
genol (ice pack & H2O salt rinse)
n n n n n n
How do you treat nerve injury do to extractions? Where does this usually ha
n n n n n n n n n n n n n
ppen? And when should a pt. be referred for microneurosurgical evaluation
n n n n n n n n n n
? Correct Answer: tx: medrol dosepak (steroid for inflammation
n n nn n n n n n
most common with lower thirds & IAN
n n n n n n n
pts. with numbness lasting more than 4 weeks should be referred
n n n n n n n n n n
,During extraction, where would the maxillary first or second molar be displ
n n n n n n n n n n n
aced? Correct Answer: in the maxillary sinus
n n nn n n n
During extraction, where would the maxillary third molar be displaced? Co
n n n n n n n n n n
rrect Answer: in the intratemporal fossa
n nn n n n
During extraction, where would the mandibular third molar be displaced?
n n n n n n n n n n
Correct Answer: submandibular space n nn n
If a tooth gets displaced into the oropharynx, what do you do? Correct Ans
n n n n n n n n n n n n n
wer: send to ER for chest and abdominal xrays
nn n n n n n n n
The straight elevator (#301) is used for.... Correct Answer: leverage
n n n n n n n n nn
The pick elevator is used for... Correct Answer: wedging
n n n n n n n nn
The triangular elevator (Cryer) is used for... Correct Answer: wheel and ax
n n n n n n n n nn n n
le; removing a broken root left in socket
n n n n n n n
What are the numbers for upper and lower extraction forceps? Correct Ans
n n n n n n n n n n n
wer: #150 = upper nn n n n
#151 = lower n n n
A = premolars
n n n
S = primary
n n
Ash forceps are used for? Correct Answer: premolars
n n n n n n nn
Which blade is most common for intraoral surgery? Correct Answer: #15
n n n n n n n n n nn
Which blade is most common for the mucogingival surgery? Correct Answ
n n n n n n n n n n
er: #12 nn
Which blade is used for stab incisions? Correct Answer: #11
n n n n n n n n nn
, What is the point of irrigation during extractions? Correct Answer: prevent
n n n n n n n n n nn
s heat generation that can damage the bone
n n n n n n n
How do you correctly use a bone file? Correct Answer: remove bone with a
n n n n n n n n n nn n n n
pull stroke
n n
In terms of handpieces, it's okay to used an air-
n n n n n n n n n
driven handpiece to surgically section tooth or bone to make extraction easi
n n n n n n n n n n n
er. Correct Answer: NO!
n n nn n
air can cause emphysema ! Make sure you use a surgical handpiece
n n n n n n n n n n n n
(NO AIR; how I am supposed to drill with no air, air)
n n n n n n n n n n n
What is so cool about the needle holder? Correct Answer: It's crosshatched
n n n n n n n n n nn n
! really great grip, better than hemostat so that you don't drop needle
n n n n n n n n n n n n
What is the most common and easiest suturing technique? Correct Answer:
n n n n n n n n n n
simple interrupted
nn n
How should you suture? Correct Answer: from movable tissue to non-
n n n n n nn n n n n
movable tissue n
What's not so cool about silk sutures? Correct Answer: They have wicking
n n n n n n n n nn n n n
property that allows bacteria to invade; plaque accumulation.
n n n n n n n n
these need to be removed within a couple days
n n n n n n n n
What is the purpose of suturing? Correct Answer: immobilizing a flap
n n n n n n n nn n n
When you are using an elevator; what's the technique, what's the point? Cor
n n n n n n n n n n n n
rect Answer: causes expansion of bone and tearing of PDL
n nn n n n n n n n n
fulcrum should be the alveolar bone n n n n n
