Principles of Routine Exodontia & Maxillary Expansion
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Questions and Answers

What can complicate the surgical procedure of an impacted tooth?

  • Short thick roots
  • Broad tooth position
  • Convergent roots
  • Narrow PDL (correct)
  • Which type of impacted third molar is considered the most common and easiest to remove?

  • Horizontal impacted
  • Vertical impacted
  • Distoangular impacted
  • Mesioangular impacted (correct)
  • What comes first in the surgical procedure for removing a mesioangular impacted third molar?

  • Bone removal
  • Exposing the crown
  • Nutritive tissue removal
  • Flap turning (correct)
  • What indicates the cutting diameter of a bur?

    <p>Last numbers in the code (C)</p> Signup and view all the answers

    What does a bur shape of 856 refer to in terms of dental instruments?

    <p>Round end taper bur (C)</p> Signup and view all the answers

    How is the cutting length of a bur identified in its code?

    <p>By the two-digit number between periods (C)</p> Signup and view all the answers

    Which bur design is best for forming shoulder margins?

    <p>Shoulder burs (D)</p> Signup and view all the answers

    What physical force results from one body interacting with another?

    <p>Force (C)</p> Signup and view all the answers

    What is one reason for the removal of impacted teeth?

    <p>To prevent root resorption caused by third molars (C)</p> Signup and view all the answers

    Which classification system is used to define mandibular third molar impactions?

    <p>Pell &amp; Gregory Classification (A)</p> Signup and view all the answers

    What is the primary factor that influences the necessity of removing an impacted tooth?

    <p>The accessibility of the tooth (C)</p> Signup and view all the answers

    What is the first step in the surgical procedure to remove impacted teeth?

    <p>Reflecting an adequate flap (B)</p> Signup and view all the answers

    Why might clinicians use technology like texting for reminders in patient treatment?

    <p>To increase patient motivation for treatment adherence (C)</p> Signup and view all the answers

    What must be understood for successful orthodontic treatment regarding tooth extraction?

    <p>Extractions are required when indicated (B)</p> Signup and view all the answers

    In the context of impacted teeth, what does the term 'angulation' refer to?

    <p>The position of the tooth relative to neighboring molars (D)</p> Signup and view all the answers

    What should be done if the extraction of an impacted tooth is surgically difficult for a general practitioner?

    <p>Refer the patient to a specialist (A)</p> Signup and view all the answers

    What is the main purpose of relines in denture maintenance?

    <p>To surface the intaglio of a denture with new base material (C)</p> Signup and view all the answers

    Which type of reline is typically used for immediate dentures to enhance comfort?

    <p>Temporary soft reline (B)</p> Signup and view all the answers

    What condition might indicate the need for rebasing of a denture?

    <p>Loss of facial tissue support (B)</p> Signup and view all the answers

    What can be a consequence of ridge resorption in the maxilla?

    <p>Denture moves up and back (B)</p> Signup and view all the answers

    Which impression technique does NOT require occlusion check?

    <p>Static open mouth impression (A)</p> Signup and view all the answers

    Which of the following materials is commonly used in soft relines?

    <p>Temporary soft acrylic/silicone (B)</p> Signup and view all the answers

    What is a significant drawback of soft relines?

    <p>Color stability (C)</p> Signup and view all the answers

    What is considered key to delivering successful treatment for impacted or missing teeth?

    <p>Balancing functionality and appearance (C)</p> Signup and view all the answers

    What problem can give rise to incorrect occlusal relationships that may necessitate rebasing?

    <p>Loss of jaw relationship (D)</p> Signup and view all the answers

    Which combination of procedures is often required for addressing impacted or missing teeth?

    <p>Orthodontic and prosthetic procedures (B)</p> Signup and view all the answers

    What is a significant disadvantage of PFM crowns?

    <p>They have inferior aesthetics compared to all-ceramic crowns. (D)</p> Signup and view all the answers

    What is a factor influencing treatment for impacted or missing teeth?

    <p>Aesthetic goals (B)</p> Signup and view all the answers

    What type of crowns are indicated for extensive tooth destruction and provide high durability?

    <p>PFM Crowns (A)</p> Signup and view all the answers

    Which characteristic is associated with cast crowns?

    <p>Significant tooth reduction required (C)</p> Signup and view all the answers

    What defines the framework of a PFM crown?

    <p>A cast metal-ceramic alloy framework (C)</p> Signup and view all the answers

    What is a potential concern when using PFM crowns?

    <p>They have subgingival margins that may have periodontal implications. (C)</p> Signup and view all the answers

    What is the primary goal of an interim prosthetic?

    <p>Appearance and esthetics (D)</p> Signup and view all the answers

    Which of the following statements about interims is true?

    <p>They are rarely relined and do not have a cast metal base. (A)</p> Signup and view all the answers

    What material are flex partials primarily made of?

    <p>Thermoplastic resin (D)</p> Signup and view all the answers

    Which of the following characteristics is NOT associated with flex partials?

    <p>Rigid and resilient (C)</p> Signup and view all the answers

    What defines a combo partial prosthetic?

    <p>A combination of cast metal frame and thermoplastic resin base (A)</p> Signup and view all the answers

    Which pulpal diagnosis indicates a prolonged sharp pain that changes to a dull throb?

    <p>Irreversible symptomatic pulpitis (C)</p> Signup and view all the answers

    What response is typically observed in a necrotic pulp during pulpal diagnosis?

    <p>No cold response (A)</p> Signup and view all the answers

    What is a disadvantage of using interims in dental prosthetics?

    <p>Poor durability and function (A)</p> Signup and view all the answers

    What range do occlusal forces typically fall within?

    <p>200-3500N (D)</p> Signup and view all the answers

    Which type of stress is caused by two forces directed toward each other in the same line?

    <p>Compression (A)</p> Signup and view all the answers

    What is the significance of the elastic limit in materials?

    <p>It represents the maximum stress without permanent deformation. (D)</p> Signup and view all the answers

    What does yield strength represent in a material's stress-strain chart?

    <p>The stress required to produce a specified offset strain. (D)</p> Signup and view all the answers

    How is stress defined in a constrained body?

    <p>Force divided by area. (D)</p> Signup and view all the answers

    What occurs when stress is applied to a body?

    <p>Elastic deformation. (B)</p> Signup and view all the answers

    Which of the following describes shear stress?

    <p>Two parallel forces not aligned along the same line. (D)</p> Signup and view all the answers

    What is ultimate strength in the context of a stress-strain curve?

    <p>The point of maximum strength before fracture. (A)</p> Signup and view all the answers

    What does Young's Modulus measure in materials?

    <p>The ratio of stress to strain representing material stiffness. (C)</p> Signup and view all the answers

    Which event typically generates greater occlusal force?

    <p>Nighttime bruxism events. (C)</p> Signup and view all the answers

    What happens to stress as the area of application decreases?

    <p>Stress increases. (A)</p> Signup and view all the answers

    What occurs if material is subjected to stress beyond the elastic limit?

    <p>The material undergoes permanent deformation. (C)</p> Signup and view all the answers

    What does a stress/strain curve represent?

    <p>The relationship between applied load and resulting deformation. (A)</p> Signup and view all the answers

    How is tensile deformation characterized?

    <p>Elongation of material. (A)</p> Signup and view all the answers

    Flashcards

    Impacted Teeth Removal

    Removing teeth that are in abnormal positions (impacted) to prevent issues like periodontal disease, caries, pericoronitis, root resorption, or prosthetic issues.

    CBCT in Dentistry

    Cone-beam computed tomography (CBCT) is a 3D imaging technique used in dentistry, helping clinicians visualize tooth anatomy and treatment effects.

    Impacted Molar Classification

    Categorizing impacted mandibular third molars based on angulation (relative to the second molar), relationship to the ramus (Pell & Gregory Class 1-3), and occlusal plane (Pell & Gregory A-C).

    Extraction Indication

    Extractions are a necessary step in some orthodontic treatments for impacted teeth, to achieve successful outcomes, resolving various dental issues.

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    Accessibility in Impacted Removal

    The ease of accessing the impacted tooth is a key factor in selecting removal methods by the dental clinician.

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    Surgical Impacted Tooth Removal

    A surgical procedure involving reflecting a flap, removing overlying bone, sectioning the tooth, and using an elevator for removal before closing the wound.

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    Prevention of Periodontal Disease

    Removing impacted teeth can help prevent gum disease because it addresses potential irritation and infection that can lead to issues like gum recession.

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    Mandibular Third Molar Impaction

    A condition where the third molar tooth (wisdom tooth) in the lower jaw is not in its normal position, often impacted.

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    Distoangular Impacted Tooth

    An impacted tooth that is angled away from the second molar, making its removal more complex.

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    Long Thin Roots

    Roots of impacted teeth that are elongated and slender, increasing risk of fracture during removal.

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    Divergent or Curved Roots

    Roots of impacted teeth that diverge or curve, adding complexity to the extraction process.

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    Narrow Periodontal Ligament (PDL)

    A thin space between the tooth root and bone, increasing the likelihood of damage or injury during removal.

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    Mesioangular Impacted Third Molar

    A third molar impacted tooth that is tilted towards the second molar, typically the easiest to remove.

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    Retromolar Pad

    A soft tissue structure behind the last molar, often removed to expose the impacted tooth.

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    Sectioning an Impacted Tooth

    Dividing the impacted tooth into parts, often using a bur, for easier removal.

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    Carbides vs. Diamonds in Dentistry

    Carbides are made of tungsten carbide and used for cutting tooth structure with less chatter, while diamonds are stainless steel with diamond particles for grinding, but can overheat tooth structure.

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    Occlusal Force

    The force exerted on teeth during biting and chewing, ranging from 200 to 3500 Newtons (N).

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    Stress (σ)

    Internal resistance a body exerts against an applied force, calculated as force per unit area.

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    What is Stress Measured In?

    Pascals (Pa) or Megapascals (MPa).

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    Tension (Stress)

    Stress caused by two forces pulling in opposite directions along a straight line.

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    Compression (Stress)

    Stress caused by two forces pushing towards each other along the same line.

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    Shear (Stress)

    Stress caused by two parallel forces that are not aligned along the same straight line.

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    Twisting (Stress)

    Stress caused by forces acting in a rotational movement.

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    Bending (Flexure) (Stress)

    Stress caused by forces acting in different directions, causing bending.

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    Strain (ε)

    The deformation of a body in response to stress, measured as the change in length per unit of original length.

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    Proportional Limit

    The point on a stress-strain curve where the relationship between stress and strain becomes nonlinear.

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    Elastic Limit

    The maximum stress a material can withstand without permanent deformation.

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    Elastic Deformation

    The range of stress where the material will return to its original shape after the stress is removed.

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    Yield Strength

    The amount of stress needed to permanently strain a material by a specific amount (typically 0.2%).

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    Ultimate Strength

    The maximum strength a material can withstand before it breaks or fractures.

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    Elastic Modulus (Young's Modulus)

    A measure of a material's stiffness, calculated as the ratio of stress to strain within the elastic range.

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    PFM Crown Advantage

    PFM crowns combine the strength of metal with the aesthetics of ceramic, offering natural-looking restorations with high durability and good marginal fit.

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    PFM Crown Disadvantage

    PFM crowns require significant tooth reduction, are less aesthetically pleasing than all-ceramic crowns, and have increased periodontal concerns due to subgingival margins.

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    PFM Crown Indication

    PFM crowns are indicated for extensive tooth destruction, offering better aesthetics than cast metal while providing the benefits of metal.

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    PFM Crown Contraindication

    PFM crowns are contraindicated where other, more conservative options are available, such as periodontal disease or in young patients with large pulp chambers.

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    PFM Crown Material

    PFM crowns consist of a cast metal-ceramic alloy framework with a higher fusing range and lower thermal expansion than gold.

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    Cast Crown

    A dental crown made entirely of metal, offering strength and durability but limited aesthetics.

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    All-Ceramic Crown

    A crown made entirely of ceramic material, providing excellent aesthetics and biocompatibility but potentially lower strength than metal-based crowns.

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    Maryland Bridge

    A type of dental bridge supported by wings bonded to adjacent teeth, offering a minimally invasive solution for tooth replacement.

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    Interim Prosthodontics Purpose

    A temporary, short-term dental prosthesis used primarily for esthetics, space maintenance, and functional restoration while the permanent prosthesis is being prepared.

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    Interim vs. Definitive Prosthesis

    Interim prostheses differ from definitive prostheses in material (resins vs. cast metal), duration of use, and priority (esthetics vs. function).

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    Flex Partials

    A type of removable partial denture made from flexible nylon resin that offers esthetics, comfort, and durability.

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    Combo Partials

    A removable partial denture combining the strength of a cast metal framework with the esthetics and comfort of a thermoplastic resin base.

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    Pulpal Diagnosis

    The process of evaluating the health status of the pulp tissue within a tooth, based on its response to stimuli like cold.

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    Normal Pulpal Response

    A healthy pulp tissue responds to cold stimuli with a quick, sharp pain that dissipates within a few seconds.

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    Reversible Pulpitis

    A condition where the pulp tissue is irritated but still capable of healing, characterized by sharp pain that resolves quickly after the stimulus.

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    Irreversible Pulpitis

    A severe condition where the pulp tissue is damaged beyond repair and requires treatment, with persistent sharp pain that may eventually turn into a throbbing pain.

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    Denture Reline

    Resurfacing the denture's base with new material to improve fit when it's loose. Can be done with hard or soft materials depending on the need.

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    Denture Rebase

    Replacing the entire base of the denture. Used when the original base doesn't fit properly anymore due to bone loss or other changes in the mouth.

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    Soft Reline

    A temporary, soft material used to reline dentures, often used for immediate dentures.

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    Hard Reline

    A permanent, hard material used to reline dentures, done in a lab setting.

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    Denture Looseness

    A common denture problem caused by bone loss or changes in the gum tissue.

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    Impression Methods

    Different ways to take an impression of the mouth for relines or rebases.

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    Static Impression

    A static impression using the denture with a liner of impression material.

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    Functional Impression

    An impression using a tissue conditioner that changes shape as the patient uses the denture.

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    Study Notes

    Week 1 - August 16, 2024 - Principles of Routine Exodontia

    • Elevating the periosteum is a crucial initial step in extractions. A No. 9 periosteal elevator is used to reflect bone in a single layer.
    • The No. 15 scalpel is commonly used in oral surgery. Comes with disposable blades, often used with a pen grasp technique.
    • Rongeurs are tools for osteotomy, removing small amounts of bone in multiple bites. Needle holders are used for handling blades, and hemostats are not used for suturing.
    • Post-extraction socket care is critical. Wet gauze, held in place by biting down, is recommended for 20 minutes. Avoid suctioning the socket.

    Adult Maxillary Expansion Lecture

    • Maxillary arch expansion is needed for correcting skeletal imbalances, dentofacial irregularities, and malocclusions. Identifying these imbalances early is essential.

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    Description

    This quiz covers essential topics in oral surgery, focusing on techniques for routine exodontia and maxillary arch expansion. Learn about the crucial steps and tools used during tooth extractions, as well as the importance of identifying skeletal imbalances in dental practices. Test your understanding of these fundamental principles.

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