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Questions and Answers
What is a contraindication for cyst enucleation in the apical third?
What is a contraindication for cyst enucleation in the apical third?
Which of the following is an indication for marsupialization followed by enucleation?
Which of the following is an indication for marsupialization followed by enucleation?
Milk is considered a good alternative medium for avulsed teeth because it is:
Milk is considered a good alternative medium for avulsed teeth because it is:
What is the maximum time frame for achieving a good prognosis when replanting an avulsed tooth?
What is the maximum time frame for achieving a good prognosis when replanting an avulsed tooth?
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What treatment method is typically used for lateral displacement of a tooth?
What treatment method is typically used for lateral displacement of a tooth?
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Which factor can make odontectomy more difficult?
Which factor can make odontectomy more difficult?
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In treatment planning for preprosthetic surgery, which evaluation should NOT be included?
In treatment planning for preprosthetic surgery, which evaluation should NOT be included?
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When removing a vertically impacted tooth, the tooth is typically sectioned into:
When removing a vertically impacted tooth, the tooth is typically sectioned into:
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What is the main advantage of marsupialization?
What is the main advantage of marsupialization?
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What is the goal of reducing overlying bone during the removal of an impacted tooth?
What is the goal of reducing overlying bone during the removal of an impacted tooth?
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What is a potential cause of dentoalveolar injuries?
What is a potential cause of dentoalveolar injuries?
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Which of the following is NOT a contraindication for impacted tooth removal?
Which of the following is NOT a contraindication for impacted tooth removal?
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Which condition indicates involvement of the muscles of deglutition?
Which condition indicates involvement of the muscles of deglutition?
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Dentigerous cyst is categorized as which type of cyst?
Dentigerous cyst is categorized as which type of cyst?
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What is a characteristic of a lesion that raises suspicion of malignancy?
What is a characteristic of a lesion that raises suspicion of malignancy?
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What is the volume of the maxillary sinus?
What is the volume of the maxillary sinus?
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What should be considered during health history assessments when lesions are discovered?
What should be considered during health history assessments when lesions are discovered?
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Which procedure is performed when multiple areas of ulceration are found within the mouth?
Which procedure is performed when multiple areas of ulceration are found within the mouth?
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What is indicated by a rapidly developing sense of pressure in the sinus area?
What is indicated by a rapidly developing sense of pressure in the sinus area?
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After sectioning the crown from the roots during horizontal impaction removal, the roots are delivered by what means?
After sectioning the crown from the roots during horizontal impaction removal, the roots are delivered by what means?
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Which area should be evaluated by the clinician in mesioangular impaction?
Which area should be evaluated by the clinician in mesioangular impaction?
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Which incision design is ideal for reflecting flaps during impacted tooth removal?
Which incision design is ideal for reflecting flaps during impacted tooth removal?
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Which type of epithelium lines the maxillary sinus?
Which type of epithelium lines the maxillary sinus?
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What is the main focus of early treatment for maxillary sinusitis?
What is the main focus of early treatment for maxillary sinusitis?
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In assessing maxillary sinus health, which view is utilized?
In assessing maxillary sinus health, which view is utilized?
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In dentoalveolar injuries, which group is most affected?
In dentoalveolar injuries, which group is most affected?
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What is a favorable fracture line of the mandible?
What is a favorable fracture line of the mandible?
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What may lead to serious pulpal and periodontal problems in the treatment of intruded teeth?
What may lead to serious pulpal and periodontal problems in the treatment of intruded teeth?
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What is the preferred treatment for crown fractures involving exposed pulp?
What is the preferred treatment for crown fractures involving exposed pulp?
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Which procedure is associated with the use of alloplastic material in preprosthetic procedures?
Which procedure is associated with the use of alloplastic material in preprosthetic procedures?
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Chronic maxillary sinusitis is characterized by which of the following?
Chronic maxillary sinusitis is characterized by which of the following?
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In distoangular impaction, bone reduction is primarily directed towards which area?
In distoangular impaction, bone reduction is primarily directed towards which area?
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What type of impacted third molar is characterized by being completely embedded in bone with a distally oriented crown?
What type of impacted third molar is characterized by being completely embedded in bone with a distally oriented crown?
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Which of the following conditions is considered a contraindication for odontectomy due to compromised medical status?
Which of the following conditions is considered a contraindication for odontectomy due to compromised medical status?
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In the assessment of patients with dentoalveolar injuries, which factor is deemed most important?
In the assessment of patients with dentoalveolar injuries, which factor is deemed most important?
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Which sign indicates malignment when examining the base of an ulcer?
Which sign indicates malignment when examining the base of an ulcer?
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Which type of injury is primarily responsible for dentoalveolar injuries in adults?
Which type of injury is primarily responsible for dentoalveolar injuries in adults?
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When examining a bluish swelling that blanches on pressure, what does it typically indicate?
When examining a bluish swelling that blanches on pressure, what does it typically indicate?
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During the surgical procedure for decompression, what should be ensured regarding the continuity of the cyst?
During the surgical procedure for decompression, what should be ensured regarding the continuity of the cyst?
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What is the correct term for an injury to the tooth supporting structures often referred to as sensitivity?
What is the correct term for an injury to the tooth supporting structures often referred to as sensitivity?
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Study Notes
Assessment of Supporting Tissues
- Clinicians should evaluate the supporting tissue of the primary bearing area.
Early Treatment of Maxillary Sinusitis
- Aims to relieve breathing.
Dentoalveolar Injuries
- Children aged 0-5 are most affected.
- Falls are a common etiology.
Intrusion Treatment
- May lead to serious pulpal and periodontal problems.
- Surgical repositioning and splinting with orthodontic forces might be required.
Treatment for Concussion
- Relieve tooth occlusion.
Crown Fractures with Exposed Pulp
- Apicoectomy is not a treatment option.
Tooth Displacement
- Lateral and other types of displacements, often associated with socket fractures.
Marsupialization
- This procedure simplifies cavity issues. It's a straightforward approach.
Biopsy Indications
- Lesions with fluids are a reason for aspiration biopsy.
- Small lesions and extensive lesions can trigger incisional biopsies.
Mesioangular Impaction
- The ascending ramus of the bone has the most reduction.
Labial Frenoplasty
- Done with wide vestibular base and a "v" incision.
Maxillary Sinusitis Treatments
- Nasal spray with a vasoconstricting agent may be used.
Chronic Maxillary Sinusitis
- Recurring episodes, resistant to treatment.
Preprosthetic Procedures
- Reshaping alveolar ridges is a key function here. This involves removing bony undercuts. Often uses alloplastic material.
Impacted Tooth Removal
- This involves bone reduction directed towards the ascending ramus.
- Exposing the crown.
Contraindications to Impacted Tooth Removal
- ASA 2 category patients.
- Odontogenic cysts.
Lesion Characteristics
- Lipoma: soft consistency
- Suspicious lesions: firm surrounding tissue.
Dental Treatment Procedures
- Computed tomography (CT) is useful to see dentoalveolar fractures (axial cuts).
- Splinting is a common treatment for extrusion.
- Milk is a good alternative for tooth repositioning.
- Tooth replanting needs to happen quickly, within 30 minutes.
- Using a continuous suture to secure properly contoured alveolar ridges.
- Mucoperiosteal elevators facilitate flap elevation.
- Best tissue contour is a goal of ridge repositioning.
- Cryer elevators are employed during horizontal impaction removal.
- Class 3 position B is indicated for flap reflection in impacting teeth.
- Envelop incision is a common flap design.
- Marsupialization, followed by enucleation, is an option for cyst management.
- Histological examination is an aspect of successful marsupialization.
- Intracystic pressure is maintained in enucleation.
- Thorough evaluation of supporting bone is key in preprosthetic surgery.
- Denture support involves adequate form and tissue coverage.
- Vertical impaction is sectioned into mesial and distal sections.
Odontectomy Factors
- Incomplete root formation makes odontectomy easier.
- Absence of a follicle makes odontectomy harder.
- Follicle size predicts bone removal amount.
- Class 1 position B is impacted second molar positions.
- Class 3 impacted third molars have a distally oriented crown, completely embedded in the bone.
- Concussion is injury to the tooth supporting structure.
- Battle sign is bleeding from mastoid bone area.
- Patient airway management is crucial.
- Adults may experience physical assaults leading to injuries.
- Studies suggest reduced injuries with increasing age.
- Injuries can also come from direct injury or bicycle accidents.
Impacted Tooth Removal Considerations
- Flexibility of bone is reduced for the elderly (patients over 35).
- Thin periodontal ligament space needs to be considered for root morphology.
- Coagulopathy and other compromised status are contraindications.
- Temporomandibular Joint disorder needs to be sought when the pain is related.
- An indication for odontectomy may exist to avoid adjacent tooth damage and the option for future repair.
Cystic Lesion Management
- Decompression procedures maintain oral cavity continuity after cyst drainage.
- Use of a concave surface of curette when separating cyst from bone is essential.
- Vascular lesions can be indicated by a bluish swelling that is also responsive to pressure.
- Malignancies may show up as a fungating ulcer.
- Multiple oral ulcers might require a differential diagnosis.
Oral Examination and Procedures
- Dysphagia occurs when the muscles needed for swallowing are affected/damaged.
- Acute maxillary sinusitis presents as pressure, pain, fullness.
- Maxillary sinusitis examination involves palpation.
- Maxillary sinus capacity is 15 cc.
- Maxillary sinus is lined with pseudostratified ciliated columnar epithelium.
- Midface fractures (le fort 1) involve significant fracture and involve maxilla.
- Neurologic status evaluation is key in trauma assessment.
- Examination of the paranasal sinuses is vital to assessment findings in trauma.
- Fistula closure is a consideration in oral and maxillofacial cases.
- Occlusal trauma can cause oral and maxillofacial injuries.
- Instruments used in oral surgeries, like blades are commonly 15.
- Needle gauges of 18 are common for aspirating fluids in cystic lesions.
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Description
This quiz focuses on various dental assessments and treatments related to supporting tissues and injuries. Topics include the early treatment of maxillary sinusitis, management of tooth displacements, and surgical approaches for dental emergencies. Ideal for students in dental or medical fields.
