Oral Surgery and Postoperative Care Quiz
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Questions and Answers

Which of the following is a local etiology of impacted teeth?

  • Cleidocranial dysostosis
  • Achondroplasia
  • Premature primary tooth loss/extraction (correct)
  • Progeria

    • What is the most common impacted tooth?

  • Mandibular second molar
  • Maxillary central incisor
  • Maxillary first molar
  • Mandibular third molar (correct)

    • Which condition is characterized by a congenital fissure in the midline of the palate?

  • Cleft palate (correct)
  • Achondroplasia
  • Progeria
  • Oxycephaly

    • What is the definition of tooth impaction?

    <p>Condition comprising tooth being partially/completely unerupted and malpositioned against another tooth, bone, or soft tissue such that adequate eruption is unlikely</p> Signup and view all the answers

    What technique is used around the neck of teeth during surgery?

    <p>Reverse bevel technique</p> Signup and view all the answers

    What is reflected in full thickness during surgery?

    <p>Mucoperiosteum</p> Signup and view all the answers

    What is used to hold back the flap lightly against the bone?

    <p>Minnesota retractor</p> Signup and view all the answers

    What is the importance of having a mental picture of during surgery?

    <p>Embedded tooth</p> Signup and view all the answers

    What are the advantages of sectioning technique in impacted tooth removal?

    <p>Less trauma to surrounding tissues</p> Signup and view all the answers

    What is important when using elevators to remove impacted teeth?

    <p>Applying appropriate force</p> Signup and view all the answers

    What are different impacted tooth positions requiring unique techniques for removing?

    <p>Mesioangular, horizontal, vertical, and distoangular impactions</p> Signup and view all the answers

    What specific steps are included in the removal phase concerning impacted maxillary third molars?

    <p>Luxation and elevation</p> Signup and view all the answers

    What is important post-surgery?

    <p>Importance of irrigation, debridement, and proper closure of the wound</p> Signup and view all the answers

    What is included in postoperative instructions?

    <p>Rest, diet, oral hygiene, and managing bleeding</p> Signup and view all the answers

    What should be managed post-surgery?

    <p>Managing swelling, stiffness, bruising, and medications</p> Signup and view all the answers

    What are the precautions "do nots" for postoperative care?

    <p>Using straws and smoking</p> Signup and view all the answers

    What is the definition of cleidocranial dysostosis?

    <p>Partial or complete absence of clavicles</p> Signup and view all the answers

    What is the most common systemic etiology for delayed primary exfoliation and unerupted permanent teeth?

    <p>Achondroplasia</p> Signup and view all the answers

    What is the characteristic manifestation of progeria?

    <p>Wrinkles and gray hair</p> Signup and view all the answers

    What is the local etiology of impacted teeth related to irregular position and pressure on adjacent teeth?

    <p>Bone density of overlying/surrounding bone</p> Signup and view all the answers

    Which condition is characterized by a congenital fissure in the midline of the palate?

    <p>Cleft palate</p> Signup and view all the answers

    What is the most common impacted tooth?

    <p>Mandibular second molar</p> Signup and view all the answers

    What is the systemic etiology characterized by steeple head or cone head?

    <p>Oxycephaly</p> Signup and view all the answers

    What is the local etiology of impacted teeth related to continued chronic inflammation causing dense overlying mucous membrane?

    <p>Bone density of overlying/surrounding bone</p> Signup and view all the answers

    What is the characteristic manifestation of achondroplasia?

    <p>Dwarfism</p> Signup and view all the answers

    What is the local etiology of impacted teeth related to underdeveloped jaw leading to crowding?

    <p>Continued chronic inflammation causing dense overlying mucous membrane</p> Signup and view all the answers

    What is the characteristic manifestation of cleidocranial dysostosis?

    <p>Defective ossification of the clavicles</p> Signup and view all the answers

    What is the local etiology of impacted teeth related to premature primary tooth loss/extraction?

    <p>Underdeveloped jaw leading to crowding</p> Signup and view all the answers

    What is the risk associated with palatal vs labial or buccal surgery for impacted teeth?

    <p>Increased risk of palatal surgery due to proximity to vital structures</p> Signup and view all the answers

    What is the common cause of operculitis, an infection of the overlying gingival flap?

    <p>Streptococci, staphylococci, and Vincent’s spirochetes</p> Signup and view all the answers

    What is the primary reason for prioritizing impacted tooth removal before any restoration?

    <p>Risk of caries</p> Signup and view all the answers

    What is the consequence of impacted teeth becoming stuck in the alveolar process and retaining the associated follicular sac?

    <p>Formation of dentigerous cyst</p> Signup and view all the answers

    What is the common pathological condition associated with unerupted mandibular third molars?

    <p>Ameloblastoma</p> Signup and view all the answers

    What is the primary reason for retaining impacted teeth if completely covered with bone?

    <p>To avoid ridge destruction</p> Signup and view all the answers

    What is the potential consequence of impacted third molars causing anterior force?

    <p>Separation of contact points and subsequent crowding of mandibular anteriors</p> Signup and view all the answers

    What is the common cause of pain associated with impacted third molars?

    <p>Root resorption</p> Signup and view all the answers

    What is the primary reason for removing an impacted tooth at the bone fracture area?

    <p>To facilitate fracture reduction</p> Signup and view all the answers

    What is the contraindication for impacted tooth removal in an older patient with sufficient overlying bone?

    <p>Asymptomatic impacted tooth if over 40 years old with sufficient overlying bone and no disease</p> Signup and view all the answers

    What is the primary reason for not removing an impacted tooth in a patient with poor systemic health?

    <p>Potential for excessive damage to adjacent structures</p> Signup and view all the answers

    What is the primary reason for not removing an impacted tooth near nerves, teeth, or bridges if the future of the second molar is in doubt?

    <p>Potential for excessive damage to adjacent structures</p> Signup and view all the answers

    Is cleidocranial dysostosis characterized by delayed primary exfoliation and unerupted permanent teeth?

    <p>True</p> Signup and view all the answers

    Does achondroplasia result in hereditary congenital disturbance causing dwarfism?

    <p>True</p> Signup and view all the answers

    Is cleft palate a deformity manifested by a congenital fissure in the midline of the palate?

    <p>True</p> Signup and view all the answers

    Does impacted mandibular third molar have the highest incidence among all impacted teeth?

    <p>True</p> Signup and view all the answers

    Pericoronitis is the infection of the overlying gingival flap surrounding the crown of a partially impacted tooth.

    <p>True</p> Signup and view all the answers

    Dentigerous cysts are commonly associated with unerupted mandibular third molars.

    <p>True</p> Signup and view all the answers

    Impacted third molars can cause separation of contact points and subsequent crowding of mandibular anterior teeth.

    <p>True</p> Signup and view all the answers

    Older patients with asymptomatic impacted teeth over 40 years old with sufficient overlying bone and no disease may not need impacted tooth removal.

    <p>True</p> Signup and view all the answers

    Pain associated with impacted third molars can result from pressure on the inferior alveolar nerve.

    <p>True</p> Signup and view all the answers

    Impacted teeth stuck in the alveolar process can retain the associated follicular sac, which can lead to cystic degeneration.

    <p>True</p> Signup and view all the answers

    Caries is a common consequence of food impaction between the molar and a partially erupted tooth.

    <p>True</p> Signup and view all the answers

    Impacted third molars should be removed if they impede fracture reduction and if the fragments are displaced enough to facilitate removal.

    <p>True</p> Signup and view all the answers

    Is the definition of tooth impaction the condition comprising tooth being partially/completely unerupted and malpositioned against another tooth, bone, or soft tissue such that adequate eruption is unlikely?

    <p>True</p> Signup and view all the answers

    Does cleidocranial dysostosis result in delayed primary exfoliation and unerupted permanent teeth?

    <p>True</p> Signup and view all the answers

    Is cleft palate a deformity manifested by a congenital fissure in the midline of the palate?

    <p>True</p> Signup and view all the answers

    Is the most common impacted tooth the mandibular third molar?

    <p>False</p> Signup and view all the answers

    Is it necessary to remove impacted teeth if they cause considerable ridge destruction?

    <p>False</p> Signup and view all the answers

    Is it practical to restore an impacted tooth with abnormal position, especially on the distal side?

    <p>False</p> Signup and view all the answers

    Does the retention of impacted teeth in the edentulous ridge always require removal?

    <p>False</p> Signup and view all the answers

    Is it common for impacted third molars to cause separation of contact points and subsequent crowding of mandibular anterior teeth?

    <p>True</p> Signup and view all the answers

    Is it common for impacted teeth to lead to separation of contact points and subsequent crowding of mandibular anterior teeth?

    <p>True</p> Signup and view all the answers

    Is it common for impacted third molars to cause separation of contact points and subsequent crowding of mandibular anterior teeth?

    <p>True</p> Signup and view all the answers

    Is it important to prioritize impacted tooth removal before any restoration?

    <p>True</p> Signup and view all the answers

    Is it common for impacted third molars to cause separation of contact points and subsequent crowding of mandibular anterior teeth?

    <p>True</p> Signup and view all the answers

    Pressure from impacted 3rd upon the inferior alveolar nerve causes ________

    <p>pain</p> Signup and view all the answers

    Always remove impacted teeth unless completely covered with bone; cause considerable ridge ________

    <p>destruction</p> Signup and view all the answers

    Impacted 3rd molars cause anterior force, leading to separation of contact points and subsequent ________ of Mandibular anteriors

    <p>crowding</p> Signup and view all the answers

    Impacted teeth stuck in the alveolar process retain the associated follicular sac, which can lead to ________ degeneration

    <p>cystic</p> Signup and view all the answers

    Risk of benign and malignant neoplasms of soft tissue and one at 3rd molar region is a consequence of ________ teeth

    <p>impacted</p> Signup and view all the answers

    Removal of impacted teeth after restoration puts existing restoration at risk for ________

    <p>damage</p> Signup and view all the answers

    Cyst formation secondary to molar impaction is ________

    <p>high</p> Signup and view all the answers

    Pericoronitis, caries, root resorption, pdl disease can cause ________

    <p>pain</p> Signup and view all the answers

    Impacted teeth stuck in the alveolar process retain the associated follicular sac, which can lead to cystic ________

    <p>degeneration</p> Signup and view all the answers

    Impacted teeth stuck in the alveolar process retain the associated follicular sac, which can lead to ________ cysts

    <p>dentigerous</p> Signup and view all the answers

    Impacted 3rds cause anterior force, leading to separation of contact points and subsequent ________ of Mandibular anteriors

    <p>crowding</p> Signup and view all the answers

    Impacted teeth stuck in the alveolar process retain the associated follicular sac, which can lead to cystic degeneration and ________

    <p>neoplasm</p> Signup and view all the answers

    An impacted tooth is defined as a tooth that is partially or completely ______ and malpositioned against another tooth, bone, or soft tissue, making adequate eruption unlikely

    <p>unerupted</p> Signup and view all the answers

    The local etiology of impacted teeth includes irregular position and pressure on adjacent tooth, bone density of overlying/surrounding bone, and continued chronic inflammation causing dense overlying ______

    <p>mucous membrane</p> Signup and view all the answers

    The incidence of impacted teeth from most common to least common is mandibular third molar, maxillary third molar, maxillary ______ molar

    <p>canine</p> Signup and view all the answers

    Systemic etiologies for impacted teeth include cleidocranial dysostosis, achondroplasia, and ______

    <p>cleft palate</p> Signup and view all the answers

    Achondroplasia is a hereditary congenital disturbance characterized by ______

    <p>dwarfism</p> Signup and view all the answers

    The condition oxycephaly is characterized by a steeple head, also known as a ______ head

    <p>cone</p> Signup and view all the answers

    The condition progeria is characterized by premature old age, with characteristics such as no facial or pubic hair, wrinkles, gray hair, and the visage, attitude, manners of old ______

    <p>age</p> Signup and view all the answers

    The primary reason for retaining impacted teeth if completely covered with bone is to prevent ______ degeneration

    <p>cystic</p> Signup and view all the answers

    Impacted teeth stuck in the alveolar process can retain the associated follicular sac, which can lead to ______ degeneration

    <p>cystic</p> Signup and view all the answers

    Cleidocranial dysostosis is characterized by ______ primary exfoliation and unerupted permanent teeth

    <p>delayed</p> Signup and view all the answers

    Pain associated with impacted third molars can result from pressure on the inferior alveolar ______

    <p>nerve</p> Signup and view all the answers

    Impacted third molars should be removed if they impede fracture reduction and if the fragments are displaced enough to facilitate ______

    <p>removal</p> Signup and view all the answers

    What is the ideal time for the removal of impacted teeth?

    <p>When ⅓ of the roots are already formed and before they are two thirds formed</p> Signup and view all the answers

    Which factor complicates the removal of impacted teeth related to the appearance of roots?

    <p>Curvature of roots</p> Signup and view all the answers

    What is the primary advantage of early removal of impacted teeth?

    <p>Quicker recovery</p> Signup and view all the answers

    Which condition is not listed as a manifestation of skeletal disease complicating the removal of impacted teeth?

    <p>Acromegaly</p> Signup and view all the answers

    Study Notes

    Oral Surgery and Postoperative Care

    • Reverse bevel technique used around neck of teeth during surgery
    • Full thickness of mucoperiosteum to be reflected during surgery
    • Use of Minnesota retractor to hold back the flap lightly against the bone
    • Importance of having a mental picture of the embedded tooth within the bone
    • Advantages of tooth sectioning in impacted tooth removal
    • Importance of appropriate force when using elevators to remove impacted teeth
    • Different techniques for removing mesioangular, horizontal, vertical, and distoangular impactions
    • Specific steps for removing impacted maxillary third molars
    • Importance of irrigation, debridement, and proper closure of the wound post-surgery
    • Postoperative instructions including rest, diet, oral hygiene, and managing bleeding
    • Managing swelling, stiffness, bruising, and medications post-surgery
    • Precautions and recommendations for postoperative care, including avoiding smoking and using straws, and the use of analgesics and antibiotics

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    Description

    Test your knowledge of oral surgery and postoperative care with this quiz covering techniques for impacted tooth removal, specific steps for removing impacted maxillary third molars, and important postoperative instructions and care.

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