Oral Surgery Fracture Management

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Questions and Answers

What is considered paramount for the treating surgeon?

Increasing patient comfort

Reducing surgery time

Restoration of normal occlusion (correct)

Achieving aesthetic results

Which goal must be prioritized by the surgeon after surgery?

Completing the procedure quickly

Preventing post-operative complications

Restoration of normal occlusion (correct)

Minimizing patient discomfort

What can lead to occlusal discrepancies?

Adequate immobilization

Comprehensive dental care

Inadequate reduction (correct)

Effective treatment

What should a surgeon focus on to achieve treatment goals effectively?

Restoring the normal occlusion Signup and view all the answers

Which of the following is NOT a key focus for the treating surgeon?

Reducing treatment costs Signup and view all the answers

Which of the following might result from a lack of treatment?

Occlusal discrepancies Signup and view all the answers

What is a potential consequence of inadequate immobilization?

Compromised esthetics Signup and view all the answers

Why is restoration of normal occlusion essential for the treating surgeon?

It signifies the success of the surgical procedures Signup and view all the answers

Which factor is NOT mentioned as a cause of occlusal discrepancies?

Inadequate treatment planning Signup and view all the answers

What impact may inadequate reduction have on a patient?

Compromised chewing ability Signup and view all the answers

What is a consequence of alveolar resorption following tooth loss?

Weakening of the mandible Signup and view all the answers

What often results from fractures of the edentulous body?

Fractures from much smaller impact forces Signup and view all the answers

How does the resilience of the mandible change as a result of tooth loss?

It becomes less resilient and weaker Signup and view all the answers

Which of the following statements is true regarding tooth loss and its impact on the mandible?

Tooth loss can weaken the mandible, increasing fracture risk. Signup and view all the answers

What can exacerbate the risk of fractures in the edentulous mandible?

Resorption of alveolar bone Signup and view all the answers

What is the minimum number of self-tapping screw pins that should be used on either side of a fracture?

Two Signup and view all the answers

What is the purpose of linking the self-tapping screw pins with an external bar framework?

To stabilize the fracture during healing Signup and view all the answers

In the context of fracture treatment, what does the term 'reduced' refer to?

Aligning the fracture or defect back to its normal position Signup and view all the answers

Where should the self-tapping screw pins be placed in relation to the fracture?

On either side of the fracture Signup and view all the answers

Which of the following components is essential for linking the screw pins during fracture repair?

An external bar framework Signup and view all the answers

What imaging view may obscure the condylar head in the PA mandible view?

Superimposition of the skull base and mastoid process Signup and view all the answers

What is the purpose of using the 30° anteroposterior Townes projection?

To avoid superimposition in the mandible view Signup and view all the answers

Which views can be used if OPG is not available?

PA mandible along with left and right oblique lateral views Signup and view all the answers

The PA mandible view typically captures which anatomical feature?

Condylar head of the mandible Signup and view all the answers

What imaging technique might be compromised when using the PA mandible view?

Visibility of craniofacial structures Signup and view all the answers

Study Notes

Inadequate Reduction, Immobilization, or No Treatment

Can lead to occlusal discrepancies, impacting chewing and biting.
May result in poor esthetics.
Restoration of normal occlusion becomes crucial for the treating surgeon.

Alveolar Resorption

Occurs after tooth loss, weakening the mandible.
Increased risk of mandibular fractures from smaller impact forces in edentulous patients.

Radiographic Techniques

OPG: Provides a comprehensive view of the mandible.
PA Mandible: May be used if OPG is unavailable, but can obscure the condylar head.
30° Anteroposterior Townes Projection: Used to visualize the condylar head when obscured by the skull base and mastoid process.

Fracture Fixation

Typically involves at least two self-tapping screw pins placed on either side of the fracture or defect.
The fracture is then reduced and the pins are linked by an external bar framework.

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Description

This quiz covers critical aspects of oral surgery including inadequate treatment leading to occlusal discrepancies, alveolar resorption after tooth loss, and radiographic techniques for assessing mandibular fractures. It also focuses on fracture fixation methods and the importance of restoration of normal occlusion for patients. Test your knowledge on these essential topics in oral surgery.