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26 Cards in this Set
- Front
- Back
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When MUST you consult OMFS/Dental?
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- avulsed tooth
- alveolar housing frx - FACIAL FRX - facial swelling assoc w/ tooth pain - refractory bleeding s/p extraction |
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Permanent teeth:
Tooth numbering: |
#1 --> 16
#32 <-- 17 |
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How many deciduous (baby) teeth?
How many permanent teeth? |
20
32 (including 4 wisdom teeth) |
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Permanent teeth:
Names from LATERAL -> MEDIAL in 1 quadrant? |
3rd molar
2nd molar 1st molar 2nd pre-molar 3rd pre-molar cuspid lateral incisor central incisor |
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Deciduous "baby" teeth:
Tooth lettering: |
A --> J
T <-- K |
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Deciduous "baby" teeth:
Names from LATERAL -> MEDIAL in 1 quadrant? |
2nd molar
1st molar cuspid lateral incisor central incisor |
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Tooth fractures
Ellis Class I - definition / tx? |
involves the enamel only
does not require emergent treatment |
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Tooth fractures
Ellis Class II - definition / tx? |
involves the enamel and dentin
require placement of calcium hydroxide (Dycal) |
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Tooth fractures
Ellis Class III - definition / tx? |
involves the enamel, dentin, and pulp
require placement of calcium hydroxide (Dycal) |
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Tooth fractures
Ellis Class IV - definition / tx? |
involves the root of the tooth
may require extraction, root canal, splinting with dental resin, ligature wire, or Erich arch bars |
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Avulsed tooth - how to transport?
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#1 = rinse and PUT BACK IN SOCKET
#2 = Hank's balanced salt solution #3 = milk, wet handkerchief LAST RESORT: saliva or saline (can damage periodontal ligament) |
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Avulsed tooth - Tx?
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within 1-2 hours
stabilize with dental composite or ligature wire for 7-10 days + 5-day course of penicillin V PO 500mg QID (or clinda) |
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Alveolar housing fracture - Tx?
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reduce frx
rigid splint with Erich arch bar for 4-6 weeks + 5-day course of penicillin V 500mg QID (or clinda 300mg QID) |
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Tongue laceration - Tx?
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#1 = secure AIRWAY (e.g., hematoma)
+/- lidocaine/epi (for vasoconstriction) resorbable sutures (deep) vicryl (superficial) |
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Lip laceration - Tx?
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I&D
radiographs (to r/o foreign body) mucosa: hexachlorophene -> 3-0 gut suture skin: chlorhexidine -> 4-0 Vicryl deep, 6-0 nylon superficial |
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Lip laceration involving VERMILLION BORDER - Tx?
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PLASTIC SURGERY
Repair vermillion border FIRST! |
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acute dentoalveolar abscess - Tx?
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#1 = PENICILLIN
+/- root canal or restraction and I&D f/u in 24 hours |
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Lateral pharyngeal abscess - Location? Hx? Sx? Cx? Tx?
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btw mucosa and SUP CONSTRICTOR mm.
h/o recent mandibular 3rd molar extraction "hot potato" voice, dysphagia, trismus, fever, UVULA AWAY AIRWAY OBSTRUCTION Urgent I&D |
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Ludwig angina - Location? Cx? Tx?
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submandibular, sublingual and submental spaces b/l
AIRWAY OBSTRUCTION Urgent I&D, tooth extraction, ABX, IVFs |
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DDx: aphthous ulcers (canker sores) vs. herpes
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LOCATION!
herpes - ONLY on lips, hard palate, attached gingiva aphthous ulcers - NOT there! everywhere ELSE! |
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Mandibular fractures - by location
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coronoid, condyle, ramus, angle, body, parasymphysis, symphysis, aleveolar housing
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Mandibular fractures - exam findings
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- changes in the occlusion
- soft-tissue trauma (hematoma, lac) - loose teeth - abnl mandibular mvmt elicited by bimanual palpation - step deformities |
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Mandibular fractures - indications for ABX?
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- all OPEN frx
- all frx involving TEETH ( = "open") |
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Mandibular fractures - immediate Cx?
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- airway compromise (hematoma!)
- aspiration (teeth, bone, soft tissue) - trismus - subQ emphysema |
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Patient sustains heavy blow to symphysis of mandible. What should you suspect?
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Contrecoup frxs! (e.g., bilateral subcondylar frx)
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70yo woman with kyphosis and h/o pathologic radial frx presents with mouth pain and fever. Had oral surgery 2 months ago.
Dx? Tx? |
Dx: bisphosphonate-related osteonecrosis of jaw
Tx: chlorhexidine rinses, ABx, surgery |
