Oral Pathology Quiz

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64 Questions

What is the condition where one or more of the parathyroid glands secrete too much parathyroid hormone (PTH)?

Hyperparathyroidism

Which disease can cause low levels of calcium and lead to osteoporosis?

Hyperparathyroidism

What does PTH help regulate in the blood?

Calcium

What are bone lesions called in hyperparathyroidism that resemble central giant cell granulomas?

Brown tumors

What is the primary cause of hyperparathyroidism?

Enlargement of one or more parathyroid glands

What type of needle holder is recommended for placing sutures?

Needle holder with a locking handle & short blunt beak

How is the needle holder held when placing sutures?

Using thumb & ring finger in rings & 1st & 2nd finger control instrument

What type of suture needle is recommended for closing mucosal incisions?

Half-circle or ⅜ths circle suture needle

What is the recommended method for passage of a curved suture needle through limited spaces?

Twist of wrist

What type of needle is used to suture mucoperiosteum?

Triangular in x-section to make it a cutting needle

At what distance does the needle holder grasp a curved needle?

¾ distance from tip

What is the most common type of scissors used for suturing?

Dean scissors

What size of suture is most common for oral mucosa?

3-0 sutures ((000))

What is used to open the mouth wider during suturing?

Side-action mouth prop or Molt mouth prop

What is used to cool the bur and prevent bone damage during removal of bone?

Irrigating solution

What is the most common indication for non-complex exodontia?

Irreversible pulpitis

What is the recommended position for the patient during non-complex exodontia?

Supine with head elevated 20-30 degrees

What is the alternative to lidocaine with epinephrine if the patient is allergic to lidocaine?

Both Benadryl and Demerol

What is the purpose of a Weider tongue retractor (sweetheart) in non-complex exodontia?

To retract the tongue

What is the recommended armamentarium for non-complex exodontia?

Minnesota cheek retractor, adult/child bite block, Weider tongue retractor, injection syringe, 2% lidocaine with 1:100k epinephrine, needle holder, kelly hemostat, scalpel handle, suction tips, dental elevators, extraction forceps, bone file, suture

What are the potential risks associated with non-complex exodontia?

Pain, bleeding, swelling, bruising, scarring, damage to adjacent teeth/structures, anesthesia complications, paresthesia, dysesthesia

What is the most common challenge in non-complex exodontia related to access?

Limited mouth opening

What is the recommended precaution with the patient before non-complex exodontia?

Discuss risks, benefits, and alternatives with the patient

What is the most common indication for simple extraction?

Nonrestorable caries

What is the recommended step for non-complex exodontia if the procedure doesn't go well?

Know what to do if the procedure doesn’t go well

What is the recommended instrument to widen the socket during dental extraction?

#151 forceps

What is the purpose of suturing after dental extraction?

To minimize post-op bleeding and other risks

Which type of forceps is used to remove the tooth with a figure 8 motion?

#151 forceps

What is the purpose of specialized forceps in dental extraction?

To accommodate different types of teeth and root configurations

What are the considerations for post-surgical care after dental extraction?

Checking on bleeding, pain control, and ability to eat/drink

What is the purpose of specific sutures in dental extraction?

To minimize post-op bleeding and other risks

What is the purpose of post-op prescriptions for pain control after dental extraction?

To provide pain relief

What are the final steps of dental extraction procedure?

Suturing and returning the mucoperiosteal flap to its original position

What is the role of the surgical armamentarium in dental extraction?

To assist in various aspects such as incising tissue and removing bone

What is the purpose of releasing the gingival cuff around the tooth in dental extraction?

To facilitate the extraction process

Which instrument is recommended for gently luxating the tooth during dental extraction?

Bayonet elevator

What is the purpose of suturing after dental extraction?

Minimize post-op bleeding and food impaction

What is the recommended post-op prescription for pain control after dental extraction?

Various medications with their dosages

What is the final step in the dental extraction procedure?

Suturing and returning the mucoperiosteal flap

What is the purpose of specialized forceps in dental extraction?

For different types of teeth and root configurations

What are the considerations for post-surgical care after dental extraction?

Checking on bleeding, pain control, and ability to eat/drink

What is the role of the surgical armamentarium in dental extraction?

Details on incising tissue, soft tissue retraction, grasping soft tissue, controlling hemorrhages, and removing bone

What is the recommended step for non-complex exodontia if the procedure doesn't go well?

Repeat the luxation process

What is the alternative to suturing for minimizing post-op bleeding and food impaction?

Hemostatic agents

What is the recommended technique for maxillary teeth extraction?

Different from mandibular teeth extraction

What is the recommended angle for elevating the patient's head during non-complex exodontia?

20-30 degrees

Which suture material is commonly used for closing oral mucosal incisions after dental extraction?

Chromic gut suture

What is the recommended alternative if the patient is allergic to lidocaine with epinephrine during non-complex exodontia?

Benadryl

What is the purpose of using a Weider tongue retractor (sweetheart) in non-complex exodontia?

To retract the tongue

What type of forceps is commonly used for dental extraction with a figure 8 motion?

Dental elevators

What is the most common type of suture used for closing mucosal incisions in non-complex exodontia?

3-0 Chromic gut suture

What is the recommended position for the patient during non-complex exodontia?

Supine with head elevated 20-30 degrees

What is the purpose of releasing the gingival cuff around the tooth in dental extraction?

To aid in tooth extraction

What is the recommended method for passage of a curved suture needle through limited spaces?

Use a needle holder

What is the recommended armamentarium for removing a tooth from the alveolar bone?

Triangle, straight, and pick

What is the primary purpose of a hemostat in dental procedures?

To facilitate positive grasp of the suture needle

What is the recommended method for holding a needle holder when placing sutures?

Using thumb and ring finger in rings, and 1st and 2nd finger to control the instrument

What is the recommended suture material for closing mucosal incisions?

3-0 sutures

What is the purpose of a mouth prop during suturing?

To open the mouth wider

What is the recommended armamentarium for luxating teeth from surrounding bone before using forceps?

Elevator

What is the primary purpose of an elevator in dental extraction?

To loosen teeth from surrounding bone before using forceps

What is the recommended method for holding forceps when removing a tooth from the alveolar bone?

Palm underneath forceps with beaks pointed up

What is the recommended armamentarium for removing a molar from the maxilla?

Maxillary forceps No. 150

What is the purpose of a needle holder in dental procedures?

To place sutures

Study Notes

Dental Extraction Procedure Details

  • Procedure involves releasing the gingival cuff around the tooth using specific elevators
  • Gently luxate the tooth with a bayonet or 77R elevator to avoid damaging adjacent teeth
  • Use #150 or #151 forceps to widen the socket and remove the tooth with a figure 8 motion
  • Different techniques are used for maxillary and mandibular teeth extraction
  • Specialized forceps are used for different types of teeth and root configurations
  • Suturing is recommended to minimize post-op bleeding, food impaction, and dry socket risk
  • Specific sutures are used with varying durations and removal requirements
  • Post-op prescriptions for pain control include various medications and their dosages
  • Considerations for post-surgical care involve checking on bleeding, pain control, and ability to eat/drink
  • Specific guidelines are provided for a clean and organized operating suite
  • Surgical armamentarium includes details on incising tissue, soft tissue retraction, grasping soft tissue, controlling hemorrhages, and removing bone
  • The final steps involve suturing and returning the mucoperiosteal flap to its original position.

Dental Extraction Procedure Details

  • Procedure involves releasing the gingival cuff around the tooth using specific elevators
  • Gently luxate the tooth with a bayonet or 77R elevator to avoid damaging adjacent teeth
  • Use #150 or #151 forceps to widen the socket and remove the tooth with a figure 8 motion
  • Different techniques are used for maxillary and mandibular teeth extraction
  • Specialized forceps are used for different types of teeth and root configurations
  • Suturing is recommended to minimize post-op bleeding, food impaction, and dry socket risk
  • Specific sutures are used with varying durations and removal requirements
  • Post-op prescriptions for pain control include various medications and their dosages
  • Considerations for post-surgical care involve checking on bleeding, pain control, and ability to eat/drink
  • Specific guidelines are provided for a clean and organized operating suite
  • Surgical armamentarium includes details on incising tissue, soft tissue retraction, grasping soft tissue, controlling hemorrhages, and removing bone
  • The final steps involve suturing and returning the mucoperiosteal flap to its original position.

Test your knowledge of oral pathology with this quiz on common oral lesions, clinical management, diagnoses, and classic presentations. Review clinical and microscopic features of oral lesions from specific chapters and enhance your understanding of oral pathology.

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