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INBDE ORAL SURGERY EXAM 2023 COMPLETED!!
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INBDE ORAL SURGERY EXAM 2023 COMPLETED!!
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INBDE ORAL SURGERY EXAM 2023 COMPLETED!!Should Questionable Teeth be extracted Before or After Radiation Therapy? -
(ANSWER)BEFORE to prevent Osteoradionecrosis
Contraindications for Extraction - (ANSWER)1. Unstable Diabetes
2. End Stage Renal Disease
3. Unstable Angina
4. Leukemia and Lymphoma
5. Hemophilia or Platelet Disorder
6. Head and Neck Radiation (Requires HYPERBARIC OXYGEN Before and After)
7. IV Bisphosphonates
8. Periocoronitis
What are the most likely teeth to be impacted? - (ANSWER)1. MD 3rd Molars
2. MX 3rd Molars
3. MX Canines
What are the most likely teeth to be congenitally missing? - (ANSWER)1. 3rd Molars
2. MX Lateral Incisors
3. MD 2nd Premolars
Soft Tissue Impaction - (ANSWER)1. HoC is ABOVE bone level
2. Gingival Tissue may cover partial or all of tooth
3. EASIEST
Partial Bony Impaction - (ANSWER)HoC is BELOW bone level
,Complete Bony Impaction - (ANSWER)Tooth is COMPLETELY within bone
Winter's Classification - (ANSWER)1. ONLY applies to 3rd Molars
2. Long Axis of 3rd Molar in relation to 2nd Molar
What is the EASIEST Impacted MD 3rd molar to remove? - (ANSWER)Mesioangular
What is the HARDEST Impacted MD 3rd molar to remove? - (ANSWER)Distoangular
Pell and Gregory Classification - (ANSWER)-ONLY Applies to MD 3rd Molars
1. Class A: Same Plane
2. Class B: Halfway down Plane
3. Class C: Below Cervical Plane of MD 2nd Molar (MOST Difficult)
4. Class I: In front of ramus
5. Class II: Crown is halfway inside ramus
6. Class III: Entire tooth is inside ramus (MOST Difficult)
Subperiosteal Abscess - (ANSWER)1. Possible when MUCOPERIOSTEAL FLAP has been
elevated
2. Must IRRIGATE THOROUGHLY to remove Tooth Particles and Bone Spicules
Oro-Antral Communication - (ANSWER)1. COMMON in MX 1st Molars
2. Can be prevented with good pre-op radiograph and MINIMAL Apical Pressure
What to do if Oro-Antral Communication is less than 2mm? - (ANSWER)Monitor
What to do if Oro-Antral Communication is 2-6mm? - (ANSWER)1. 4As (Antibiotics,
Antihistamines, Analgesics and Afrin Nasal Spray)
, 2. Figure-Eight Suture.
What to do if Oro-Antral Communication is greater than 6mm? - (ANSWER)Surgical Flap
Surgery
Alveolar Osteitis - (ANSWER)1. "Dry Socket"
2. Blood Clot falls out WITHIN 3 DAYS after surgery BEFORE wound heals
3. Does NOT require Antibiotics
4. Requires Irrigation and Palliative Control
Nerve Injury - (ANSWER)1. MOST COMMON with MD 3rd Molars
2. Txt is Medrol Dosepak (Methyprednisolone) for Inflammation
3. If lasting for MORE THAN 4 Weeks, should have Microneurosurgical Eval
Where are MX 1st/2nd Molars most likely to displace? - (ANSWER)Sinus
Where are MX 3rd Molars most likely to displace? - (ANSWER)Infratemporal Fossa
Where are MD 3rd Molars most likely to displace? - (ANSWER)Submandibular Space
#9 Molt Periosteal Elevator - (ANSWER)Larger than Woodson Periosteal
Straight Elevator (#301) - (ANSWER)1. MOST COMMON
2. LEVER
3. Blade has CONCAVE Surface that should be pointed towards EXTRACTION Tooth
Triangular Elevator (Cryer) - (ANSWER)1. 2nd Most Common
2. WHEEL and AXEL
3. Used to remove BROKEN ROOTS
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