Oral And Maxillofacial Surgery Written Exam

Front 1

Surgical Assistant's Role

Back 1

1. Advanced Preparation
2. Treatment room prep
3. Patient prep
4. During surgery
5. After Surgery

Front 2

Advanced Preparation

Back 2

1. Check patient record and radiographs
2. Consent forms
3. Verify requested info given to patient
4. Preop instructions

Front 3

Treatment Room Preparation

Back 3

1. Place barriers
2. Set tray, keep instruments sterile
3. Prepare control medications
4. Have postoperative instructions ready

Front 4

Patient Preparation

Back 4

1. Update medical history and lab reports
2. Make sure patient has taken prescribed medications
3. Place radiographs
4. Take vitals
5. Seat and drape patient
6. Adjust chair

Front 5

During Surgery

Back 5

1. Maintain chain of asepsis
2. Assist administering anesthetic
3. Monitor sedation
4. Transfer and receive instruments
5. Aspirate and retract
6. Maintain clear field with light
7. Monitor patient
8. Steady patient's head

Front 6

After Surgery

Back 6

1. Stay with patient until recovered
2. Give verbal and written postop instruction
3. Confirm postop visit
4. Update patient records
5. Breakdown and disinfect
6. Transport all contaminated items

Front 7

Where are oral surgeries done?

Back 7

1. Private office
2. Hospital or outpatient surgical suite

Front 8

Why do some surgeries need to be done in a hospital?

Back 8

1. Anesthesia
2. Medical history
3. Severity of procedure

Front 9

Use of Elevators

Back 9

Reflect and retract the periosteum from surface of the bone.
Straight elevators apply leverage against tooth to loosen it from periodontal ligament and eases the extraction.

Front 10

Use of Root Pick

Back 10

Removal of root tips or fragments during extraction

Front 11

Use of Forceps

Back 11

Romove tooth in one piece from alveolus after being loosened in sockets.

Front 12

How is a forcep used?

Back 12

The beaks grasp the crown at or below the cervical line. The handles are held firmly in a palm grasp.

Front 13

Universal Forcep

Back 13

Allows the surgeon to use the same instrument for left and right sides of the same arch and for specific teeth.

Front 14

Use of Surgical Curette

Back 14

Following the extraction it scrapes the interior of the socket to remove diseased tissue or abscesses.

Front 15

Use of Rongeur

Back 15

Trims alveolar bone

Front 16

Use of Hemostat

Back 16

Grasps and holds soft tissue, bone, and tooth fragments.

Front 17

Surgical Scrub

Back 17

Lessens chance of infection in case gloves are broken.

Front 18

Gloves

Back 18

They are prepackaged and putting them on is important.

Front 19

Surgical Scrub Process

Back 19

1. Hair covered, mask, glasses
2. No Jewelry
3. Stick under nails
4. Wet hands and forearms warm water and 5ml soap
5. Scrub brush 7 minutes
6. Rinse warm water. KEEP HANDS UP AND ABOVE WAIST LEVEL
7. Dispense more soap and repeat washing without brush
8. Dry with sterile towel patting

Front 20

Purpose of keeping arms up and above waist

Back 20

Allows water to run toward elbows keeping hands clean.

Front 21

Alveoplasty

Back 21

Surgical shaping and smoothing of the margins of the tooth socket after extraction usually for placement of prosthetic.

Front 22

Soft Tissue Impaction

Back 22

Tooth is located under the gingival tissue

Front 23

Hard Tissue Impaction

Back 23

Tooth is partially or totally covered by tissue and bone

Front 24

Removing Suture

Back 24

1. Remove debris
2. Clip beside knot, curved beak under
3. Pull by knot out on knot side

Front 25

Absorbable Suture

Back 25

1. Plain catgut
2. Chromic catgut
3. Polyglactin 910 (Vicryl)

Front 26

Plain Catgut

Back 26

Fastest healing for mucous membrane and subcutaneous tissue

Front 27

Chromic Catgut

Back 27

Slower healing allows internal tissues to heal first

Front 28

Polyglactin 910

Back 28

Synthetic absorbable

Front 29

Nonabsorbable Suture

Back 29

1. Silk
2. Polyester
3. Nylon
- removed in 5-7 days

Front 30

Silk

Back 30

Strength and easy to apply

Front 31

Polyester Fiber

Back 31

Strongest

Front 32

Nylon

Back 32

Strength and elasticity

Front 33

Interrupted and horizontal mattress sutures

Back 33

Single tooth socket

Front 34

Mattress and figure-eight sutures

Back 34

Two or more papillae

Front 35

Postop instructions for extraction

Back 35

Bleeding
1. Keep pack 30-45m
2. If bleeding cont. call
3. Don't disturb clot
4. Take it easy
Swelling
5. If so take ibprofen before and after
6. In first 24 hrs place cold pack 20m on 20 off, after 24 hrs apply heat and gently rinse with warm saline solution every 2 hrs.
7. Drink liquid and eat soft day of and nothing hot or cold, next day chew opposite side

Front 36

Alveolitis

Back 36

Dry socket from
1. Not caring for site
2. Not following home care
3. Smoking, sneezing, coughing, spitting, drinking from straw in 24 hrs
4. Oral contraceptives

Front 37

Treatment of Dry Socket

Back 37

1. Anti-inflammatory drug to ease discomfort
2. Patient scheduled to clean socket and place medicated guaze
3. Patient returns daily to get dressing changed
4. Antibiotic may be given and instruction to rinse daily with salt water
-can take up to 2 weeks