40 Questions
During preoperative assessment, what is essential to obtain from the patient?
A signed consent form
What is the purpose of a periodontal examination prior to surgery?
To identify periodontal pockets and perform scaling and/or root planing if necessary
What instruction should be given to patients taking sedation?
They must bring an accompanying person
What is the purpose of a radiological examination (CBCT) prior to surgery?
To assess whether the lesion has perforated the buccal or palatal cortical plates
What post-surgical care instruction should be given to patients?
They should rinse with chlorhexidine (0.12– 0.2%) for at least 2 to 3 days after surgery
What is the primary purpose of injecting local anesthetic carpule into oral tissues prior to surgery?
To achieve anesthesia and hemostasis
What is the effect of poor hemostasis during surgery?
Impaired vision of the surgical site
What is the concentration of epinephrine most effective in vasoconstriction?
1:50,000
What is the result of rebound from α to β response during hemostasis?
Rebound phenomenon
Why is it necessary to inject additional local anesthetic into the soft tissue in the immediate area of surgery?
To achieve hemostasis
What is the primary goal of cortical trephination in endodontic surgery?
To release accumulated inflammatory and infective tissue exudate
What is a crucial aspect of preoperative assessment in endodontic surgery?
Evaluating the patient's medical condition
What is the primary purpose of profound local anesthesia in endodontic surgery?
To ensure patient comfort during the procedure
What is an important consideration during the management of hard tissues in periradicular surgery?
Access to the root structure
What is a contraindication to endodontic surgery?
Patient medical condition
What is the primary goal of endodontic surgery?
To retain the tooth by removing causative agents of periradicular pathosis
Which of the following is NOT an indication for endodontic surgery?
Success of non-surgical treatment
What is the main reason for performing a biopsy in endodontic surgery?
To diagnose periradicular pathosis
Which of the following is an example of an anatomic variation that may require endodontic surgery?
All of the above
What is the outcome of successful endodontic surgery?
Restoration of the periodontium to a state of biologic and functional health
What is the primary focus when placing an incision for a full mucoperiosteal flap?
Placing the incision over solid bone
What is the primary advantage of using full mucoperiosteal flaps?
Preservation of supraperiosteal vessels
What should the extent of the horizontal incision be in relation to the tooth being treated?
Extend at least one to two teeth lateral to the tooth
What should be avoided when designing a flap for periodontal surgery?
Incisions over radicular eminences
What is a characteristic of the supraperiosteal vessels in relation to the teeth?
They assume a vertical course parallel to the long axis of teeth
What is crucial to minimize during osseous tissue removal to prevent cellular damage?
Heat generation
Why is a high-speed handpiece with air exhaust at the base recommended?
To reduce the risk of air embolism
What is the purpose of measuring the entire tooth length with a file on a preoperative radiograph?
To locate the root apex
What is the purpose of probing the bone forcibly during preoperative assessment?
To identify small defects in the cortical plate
What is the purpose of placing a piece of lead sheet or gutta-percha in a small defect and radiographing it?
To identify the root apex
What is the primary objective of a thorough medical history during preoperative assessment in endodontic surgery?
To identify potential systemic complications
Which of the following is a critical aspect of periodontal examination prior to endodontic surgery?
Evaluating the presence of periodontal pockets
What is the primary purpose of administering a sedative to patients undergoing endodontic surgery?
To reduce anxiety and promote relaxation
What is the primary advantage of using CBCT radiological examination in endodontic surgery?
It provides a three-dimensional image of the affected tooth
What is the primary goal of post-surgical care instructions in endodontic surgery?
To minimize post-operative complications
What is the primary purpose of injecting local anesthetic into the nasopalatine nerve during endodontic surgery?
To anesthetize the palatal tissues
What is the primary consequence of poor hemostasis during endodontic surgery?
Increased risk of bleeding
What is the primary advantage of using profound local anesthesia in endodontic surgery?
It provides more effective pain control
What is the primary purpose of a preoperative radiological examination in endodontic surgery?
To identify potential complications
What is the primary consideration during the management of hard tissues in periradicular surgery?
Preserving the integrity of the surrounding bone
Test your knowledge of oral surgery procedures, including root end preparation, soft tissue repositioning, and post-surgical care. Assess your understanding of the preoperative assessment and treatment regimens.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
