Podcast
Questions and Answers
What describes the direct histologic connection between bone and implant?
What describes the direct histologic connection between bone and implant?
- Primary stability
- Biochemical stability
- Osseointegration (correct)
- Secondary stability
Which type of bone offers the best primary stability for dental implants?
Which type of bone offers the best primary stability for dental implants?
- Type IV
- Type I (correct)
- Type III
- Type II
What is the most common type of mandibular fracture?
What is the most common type of mandibular fracture?
- Condyle fracture (correct)
- Angle fracture
- Symphysis fracture
- Comminuted fracture
Which surgical procedure is designed to move a retrusive maxilla forward?
Which surgical procedure is designed to move a retrusive maxilla forward?
Which TMJ treatment option involves an instrument being inserted into the superior joint space?
Which TMJ treatment option involves an instrument being inserted into the superior joint space?
What type of fracture is defined as one that is open to the oral cavity?
What type of fracture is defined as one that is open to the oral cavity?
What is the main purpose of distraction osteogenesis?
What is the main purpose of distraction osteogenesis?
What is the first step in managing medical emergencies like asthma or airway obstruction?
What is the first step in managing medical emergencies like asthma or airway obstruction?
What is the first step in treating a patient showing signs of difficulty breathing with hands around their neck?
What is the first step in treating a patient showing signs of difficulty breathing with hands around their neck?
What is a key sign of a severe allergic reaction?
What is a key sign of a severe allergic reaction?
What treatment option is specifically used for a hypoglycemic patient who is unconscious?
What treatment option is specifically used for a hypoglycemic patient who is unconscious?
What is the proper first step for a patient with chest pain due to ischemia of heart tissue?
What is the proper first step for a patient with chest pain due to ischemia of heart tissue?
Which treatment is indicated for a patient with signs of hyperventilation?
Which treatment is indicated for a patient with signs of hyperventilation?
What is a common sign of a stroke?
What is a common sign of a stroke?
What should be done to prevent complications from intravascular injections of local anesthetic with epinephrine?
What should be done to prevent complications from intravascular injections of local anesthetic with epinephrine?
What is the primary treatment for a patient experiencing a seizure?
What is the primary treatment for a patient experiencing a seizure?
Which sign is commonly associated with difficulty breathing due to bronchiole constriction?
Which sign is commonly associated with difficulty breathing due to bronchiole constriction?
What is an essential factor in preventing severe allergic reactions?
What is an essential factor in preventing severe allergic reactions?
What is the first line treatment for chest pain due to ischemia?
What is the first line treatment for chest pain due to ischemia?
Which treatment is indicated for a patient with hyperglycemia?
Which treatment is indicated for a patient with hyperglycemia?
In cases of vasovagal syncope, which sign typically appears?
In cases of vasovagal syncope, which sign typically appears?
Which emergency management step is crucial for a patient exhibiting signs of hyperventilation?
Which emergency management step is crucial for a patient exhibiting signs of hyperventilation?
What characterizes angina as opposed to myocardial infarction?
What characterizes angina as opposed to myocardial infarction?
What is a common symptom of hypoglycemia?
What is a common symptom of hypoglycemia?
What characterizes primary stability in dental implants?
What characterizes primary stability in dental implants?
What type of fracture has the worst prognosis for implants?
What type of fracture has the worst prognosis for implants?
What step follows the latency phase in distraction osteogenesis?
What step follows the latency phase in distraction osteogenesis?
Which of the following is a common complication of a bisagittal split osteotomy (BSSO)?
Which of the following is a common complication of a bisagittal split osteotomy (BSSO)?
Le Fort II fractures are characterized by which of the following?
Le Fort II fractures are characterized by which of the following?
What technique allows for bone deposition through gradual traction after an osteotomy?
What technique allows for bone deposition through gradual traction after an osteotomy?
Which of the following describes a closed fracture regarding its relation to the oral cavity?
Which of the following describes a closed fracture regarding its relation to the oral cavity?
What is a typical nonsurgical treatment option for TMJ disorders?
What is a typical nonsurgical treatment option for TMJ disorders?
Flashcards
Foreign body airway obstruction
Foreign body airway obstruction
A serious medical condition that occurs when the body's airway is blocked, preventing air from entering the lungs.
Anaphylaxis
Anaphylaxis
A life-threatening allergic reaction that can cause swelling, difficulty breathing, and a drop in blood pressure.
Asthma
Asthma
A condition characterized by inflammation and narrowing of the airways, leading to wheezing and difficulty breathing.
Angina
Angina
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Myocardial Infarction (MI)
Myocardial Infarction (MI)
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Hypoglycemia
Hypoglycemia
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Seizure
Seizure
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Stroke
Stroke
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Osseointegration
Osseointegration
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Primary Stability
Primary Stability
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Secondary Stability
Secondary Stability
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Distraction Osteogenesis
Distraction Osteogenesis
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Osteotomy
Osteotomy
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Discectomy
Discectomy
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Bisagittal Split Osteotomy (BSSO)
Bisagittal Split Osteotomy (BSSO)
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Arthrocentesis
Arthrocentesis
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Syncope
Syncope
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Study Notes
INBDE Bootcamp - High-Yield Oral Surgery
- Dental Implants:
- Primary stability: Initial biomechanical stability of the implant, achieved when first placed.
- Secondary stability: Osseointegration of the implant into the bone, representing long-term healing.
- Osseointegration: Direct histologic connection between the bone and implant.
- Bone quality types (dense to least dense):
- Type I: Anterior mandible (best primary stability)
- Type II: Posterior mandible (best osseointegration)
- Type III: Anterior maxilla
- Type IV: Posterior maxilla (worst prognosis for implants)
Traumatic Injuries & Orthognathic Surgery
- Midface fractures:
- Le Fort I: Horizontal across the maxilla
- Le Fort II: Pyramidal across midface, involving orbits and nasal bones.
- Le Fort III: Complete craniofacial disjunction, involving the zygomatic arch.
- Mandibular fractures (most common to least common):
- Condyle
- Angle
- Symphysis
- Types of fractures:
- Simple: Closed to the oral cavity
- Compound: Open to the oral cavity (breaks skin)
- Greenstick: Partial thickness fracture
- Comminuted: Fractured in multiple pieces
- Orthognathic Surgical Procedures:
- Le Fort I osteotomy: For retrusive maxilla or vertical maxillary excess (moves upper jaw forward or upward) Corrects Le Fort I fracture.
- BSSO (Bisagittal split osteotomy): For retrusive or protrusive mandible (moves mandible back or forward). Common complication is inferior alveolar nerve (IAN) damage.
- Distraction osteogenesis: Gradual traction for bone deposition (osteotomy phase → latency phase → distraction phase)
TMJ (Temporomandibular Joint) Disorders
- Nonsurgical Treatments: Counseling, medical therapy (NSAIDs, steroids, analgesics, muscle relaxants), physical therapy, occlusal splint.
- Surgical Treatments:
- Arthrocentesis: Flush out superior joint space
- Arthroscopy: Instrument superior joint space
- Arthroplasty: Disc repositioning surgery
- Discectomy: Disc repair or removal
- Condylotomy: Vertical ramus osteotomy
- Total joint replacement
Medical Emergencies (General Steps: SPORT)
-
Stop treatment
-
Position the patient properly
-
Oxygen
-
Reassure the patient
-
Take vitals
-
Airway obstruction: Clear throat, check for breathing, chin tilt, back blows, Heimlich maneuver. Prevention is key - e.g. throat pack.
-
Anaphylactic shock: Albuterol, epinephrine, antihistamine, oxygen, EMS. Prevention is key - accurate health history.
-
Asthma: Albuterol inhaler, avoid triggers.
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Angina: Oxygen, nitroglycerin (NTG), aspirin. (Wait 5 minutes between NTG doses, then give aspirin and EMS). Position the patient Upright.
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Myocardial Infarction (Heart Attack): MONA (morphine, oxygen, nitroglycerin, aspirin), EMS. Position patient upright.
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Epinephrine Overdose: Beta-blockers.
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Hyperventilation: Sit upright, decrease O2 intake by breathing through one nostril or pursed lips; relaxation techniques. (Supplemental oxygen is contraindicated)
-
Diabetic Complications:
- Hypoglycemia: Conscious: glucose tab, juice; Unconscious: IV dextrose, IM glucagon, EMS.
- Hyperglycemia: Activate EMS.
-
Seizure: Remove objects from mouth, do not restrain, benzodiazepine (grand mal: Dilantin, phenytoin; status epilepticus: Valium, diazepam).
-
Stroke: Administer O2, EMS.
-
Syncope (Fainting):
- Vasovagal syncope: Anxiety related.
- Orthostatic hypotension: Blood pressure decreases upon standing.
- Treatment Position: supine or left lateral decubitus (pregnant).
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Description
Test your knowledge on high-yield concepts in oral surgery, including dental implants, traumatic injuries, and orthognathic surgery. This quiz covers primary stability, osseointegration, and various types of fractures. Perfect for those preparing for the INBDE exam.
