OS2 pt. 1

54問 • 2年前

問題一覧

Branch of medicine that deals with the deformity and disease by manual and instrumental means.

Surgery

Specialty if dentistry concerned with the diagnosis and surgical treatment of congenital or acquired diseases, dysfunction, defects, or injuries of the mouth, jaws, face, neck, and craniofacial structure.

Oral and Maxillofacial Surgery

T or F. Only after logical analysis of all available data should a decision be made whether surgery is indicated or not.

True

Given to address expected episodes that may ensure as part of a surgical procedure.

Pre-Operative Medication

T or F. Anti-hemorrhagic drugs are usually necessary for Pre-Operative Medication.

False

Integral part of the diagnostic process in clinical dentistry.

Radiographs

T or F. Qualities of a good radiographs should show complete object and surrounding structures.

True

Efficient surgery depends on ______, ______, _______, and _______.

Adequate Access, Adequate Visibility, Efficient Evacuation Device

Achieved by surgically created exposure and patient's mouth opening.

Adequate Access

Should be of adequate strength and go into the mouth.

Adequate Lighting

Requires that all movements between the operator and assistant is well planned and coordinated to allow efficient delivery of service.

Good Assistance

T or F. Medical conditions may greatly affect wound healing.

True

Tissue death due to deprivation of blood supply caused by infection, damage to vital structures, compression of blood supply, poor flap design, failure of graft revascularization, medications, chemical, and radiation.

Tissue Necrosis

Prevention of excessive blood loss.

Hemostasis

Test measurement determining how much blood is composed of red blood cells.

Hematocrit

Iron containing oxygen-transport metalloprotein in red blood cells.

Hemoglobin

With crystalloids to maintain intravascular volume indicated when anemia outweighs risk of transfusion.

Blood Transfusion

Escape of blood into tissue and appears immediately at the area of involvement.

Hematoma

Methods of approximating wound edges using a variety of thread-like material called sutures.

Suturing

Made of beeswax with a softening agent such as paraffin or vaseline.

Bone Wax

Any area that remains devoid of tissue after closure of the wound created by removing tissue in depths of the wound and by not re-approximating tissue planes.

Dead Space

T or F. Suction drains continually removes blood until bleeding stops.

True

T or F. Non-Suction Drains does not allow any passive bleeding to drain into the surface.

False

Removal of damaged tissue or foreign objects from the wound.

Debridement

Removal of microorganisms or hazardous substances from wound.

Decontamination

Dislodges bacteria and other foreign matter out of the wound by forcing large volumes of fluid under pressure.

Irrigation

Attributes of a Good Surgeon

Adept diagnostic skills, Adequate understanding of medical relationship, Sound knowledge of Anatomy, Sound knowledge of Physiology, Sound knowledge of Basic Principles of Surgery

Pre-Operative Protocols

Diagnostic Process, Review of Medical History, Pharmacologic Consideration

Diagnostic Process consists...

History, Clinical Examination, Imaging

Review of Medical History consists...

ASA Classification, Laboratory Studies, Need for Referral

Pharmacologic Consideration consists...

Post-Operative, Intra-Operative, Drug Interactions

Pharmacologic Considerations consists...

Understanding that drugs should bit be limited to drugs we intend to prescribe., Drug interactions must be considered., Physiologic changes associated with drug intake.

Wound healing that has no tissue loss, minimal scar tissue occurs, and tissue placed back in the original position.

Primary Intention

Wound healing that has gaps existing between the two wound edges, more scar formation, and tissue loss prevents reapproximation.

Secondary Intention

Blade used as general utility for all minor oral surgical procedures.

#15

Blade designed especially for incisions performed distal to posterior teeth.

#12

Blade best for stab incisions such as incision and drainage.

#11

Blade used for extra-oral skin incisions.

#10

Type of blade grasp that allows greater control of the blade for fine incisions.

Pen Grasp

Type of blade grasp ghat allows greater force during incisions.

Palm Grasp

Half-moon incision flap design; more prone to scarring; limited exposure.

Semilunar Flap

Single horizontal incision usually for periodontal surgery and open extractions.

Horizontal Flap

Has one vertical and one horizontal incision adequate exposure for variety minor oral surgery procedures.

Triangular Flap

Has two vertical and one horizontal incision offering maximal access and visibility for procedures requiring wide exposure.

Trapezoidal Flap

Similar to trapezoidal flap but same exposure to semilunar.

Leubke-Ochsenbein

Has singular vertical incision; not a true flap.

Vertical Tunneling Flap

Usually employed as a transpositional flap.

Pedicle Flap

Principles of Incisions

Incision should be made with a firm continuous stroke., Making sure that blade is always in contact with bone., The base of the flap should be wider than the free end., The incision should not cross bony defect present prior to surgery., The vertical incision should be made on concavities between bony eminences., The vertical incision should terminate at a line angle of a tooth.

Properties of periosteum consists...

Osteogenetic Properties, Connective Tissue

Factors that damages tissues

Excessive Pulling, Excessive Crushing, Extremes of Temperature, Dessication, Gentle Handling of Tissues

Wound healing complications...

Dehiscence, Tearing

Separation of flap margins caused by poor flap design; producing pain, bone loss, and increased scarring.

Dehiscence

Death of tissue due to deprivation of blood supply caused by infection and compression of blood supply.

Tissue Necrosis

Uncontrolled bleeding leads to...

Loss of Blood Supply, Hematoma Formation

FPD Reviewer

Kel Sy · 77問 · 2年前

FPD Reviewer