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61 Cards in this Set

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What does occlusal mean?
side of the posterior teeth, that chews the food and the side that contacts the teeth in the opposing arch. 
What is the recommended treatment for an avulsed tooth?
One of the most critical factors affecting prognosis; prognosis diminishes exponentially after about 20 minutes. There is a poor prognosis after about 1 hour.
What is the Chief complaint of a patient with Acute Periradicular Periodontitis?
Patient will state a Particular tooth is sensitive to pressure and the tooth may feel high.
Do you medevac a patient with Irreversible Pulpitis?
Yes - Reversible is not medevac'd
With a patient with Periodontitis and your probing the gingival crevice shows? 
1. Bleeding and/or purulence 2. Pockets showing bone loss 3. Calculus on roots
What is an Inferior Alveolar nerve Block?
Injection used to anesthetize the mandibular teeth to the midline, Buccal gingiva tissues anterior to the first molar, and lip on the side of the injection site.
What are the 4 Periodontal Diseases?
1. Endodontic 2. Gingival 3. Periodontal Abscess 4. Pericoronal 
What are the 4 different Diagnostic evaluations of acute Apical Abscess?
1. Percussion - Positive 2. Palpation - Positive 3. Mobility - Increased 4. Swelling - Usually in the mucosal tissue near the apex of the offending tooth.
What are amides?
- Vasoconstrictors - Lidocaine, Mepivacaine, Bupivacine - Rapid Onset - Longer duration
What is a periapical infection?
A periapical Abscess usually results from an infection of the tooth pulp.
What is dental class 1?
Individual having no pathological oral condition and requiring no treatment.
What are the traumatic injuries to the peridontal tissues (luxated or avulsed)?
1. Concussion 2. Subluxation (loosening) 3. Intrusive luxation (central dislocation) 4. Extrusive luxation (peripheral dislocation, partial avulsion) 5. Lateral Luxation 6. Exarticulation (complete avulsion)
What is a complicated crown-root fracture?
Fracture involving enamel, dentin, cementum and exposing the pulp
What is Pericoronitis?
An inflammation of the gingiva surrounding the crown of a partially erupted 3rd molar.
At what angle do you brush your teeth?
- 45 degrees just below the gingiva
What are the anatomical landmarks of the tooth?
--Crown - Cusp - Enamel - Dentin - Pulp --Root - Cementum - Periodontal ligament - Alveolar bone - Apex 
What is the Chief Complaint of Irreversible Pulpitis?
1. Constant, spontaneous pain or exaggerated prolonged pain brought on by thermal stimuli 2. Patient may say it hurts in a general area and cannot pinpoint the offending tooth (referred pain) 3. In some cases, drinking cold liquids may alleviate the pain.
What is the definition of a Crown Infraction?
An incomplete fracture (crack) of the enamel without loss of tooth structure.
What are the 3 types of Mandible nerve blocks?
1. Inferior alveolar Nerve Block 2. Lingual Nerve Block 3. Long Buccal Nerve Block
What is a long buccal nerve nerve block?
Used to anesthetize the buccal gingival tissues distal to the first molar.
What is the Lingual side of the tooth?
Side of the tooth that touches the tongue.
Name the 3 nonremovable white lesions?
1. Leukoedema 2. Hyperkeratosis 3. Lichen Planus
What are Esters?
- Potent Vasodilators - Procaine and novacaine? - Slower onset/Short duration
Hyperkeratosis can be caused by?
Smokeless tobacco
What is an INfra-Orbital Field Block?
injection used to anesthetize the maxillary anterior teeth, and the soft tissues including facial gingiva, lip, lateral border or the nose and lower eylid on he side of the injection.
What is a lingual nerve block?
used to anesthetize the lingual gingival tissues, and the anterior 2/3 of tongue on the side of the injection.
What is an Intrusive luxation?
Displacement of the tooth deeper into the alveolar bone. This injury is accompanied by comminution or fracture of the alveolar socket.
What are the symptoms of ANUG?
- Pain, bleeding, foul taste, and odor. - There may be elevated temperature, LAD, and difficulty eating or brushing
What is dental class 3?
Individuals requiring PRIORITY dental care and who may present with an emergency within the next 12 months.
What are the contraindications of a Maxilla Nerve Block?
Infection or inflammation at injection site, or pain control to more than 2 teeth.
What are the 3 types of red lesions?
"1. Inflammation - infections and trauma 2. Denture ""sore mouth"" - Inflammatory papillary hyperplasia 3. Vascular - Hemangioma"
What is the Chief complaint of Reversible Pulpitis?
Pain is usually SHARP, not spontaneous and of a SHORT DURATION.
What are the traumatic injuries to the hard dental tissues and the pulp?
1. Crown Infraction crack 2. Uncomplicated crown Fx 3. Complicated Crown Fx 4. Uncomplicated Crown-root Fx 5. Complicated Crown-root Fx 6. Root Fx
When are oral exams required?
Annually
What is an uncomplicated crown-root fracture?
Fracture involving the enamel, dentin, and cementum, but exposing he pulp.
What are the dental class 3 individuals requiring priority dental care?
"1. Extraction / Impacted Teeth 2. Truama to teeth and oral tissues 3. Any tooth requiring emergency treatment for relief of pain 4. Cracked tooth syndrome: pain upon chewing due to tooth fracture 5. Orthodontic bands, brackets, wires: ""active"" treament (retainers are class 2)"
What is the disposition for a patient with an acute apical abscess?
MEDEVAC
What are the 2 basic groups of Local Anesthetic's?
Esters and Amides
What is the disposition is the patient does not respond to treatment?
MEDEVAC
What are the responsibilities of the IDC?
1. Coordinate an annual oral exam for all active duty personnel. 2. Coordinate therapeutic dental appointments for personnnel whose dental health states does not meet minimal standards of military operational readiness, well in advance of unit deployment to areas where dental support is minimal.
How many primary teeth are they and what are they named?
- 20 - Top = A-J - Bottom = K-T
What is caries?
Cavity- Extensive, more than 0.5mm through the dentin and approaching the pulp.
What is dental class 2?
Individuals who require routine dental treatment, but should not prevent as an emergency in the next 12 months.
What is Mesial?
Side closest to the center of the mouth.
What is a complicated crown fracture?
Fracture involving enamel, dentin, and pulp
What is a ANUG?
"- Acute Necrotizing Ulcerative Gingivitis - ""TRENCHMOUTH"""
What does incisal mean?
Edge of the front 6 upper and lower teeth.
What is the SECNAVINST 6600.5A
It is the intruction that governs the responsibilities of the commanding officer to ensure that all personnel report to designated dental health care facilities for treatment
What is a lateral Luxation?
Displacement of the tooth in a direction other than axially. This is accompanied by comminution or fracture of the alveolar socket.
What type of odor helps diagnosis dry socket?
Fetid odor
What is the palatal side of the tooth?
Used when talking about the lingual side of the upper teeth.
What is the disposition for a patient with Pulpal Necrosis?
Medevac
What are the 3 Black or dark pigmented lesions you would find in the orofacial region?
1. Racial (hereditary) pigmentation (physiologic melanoplakia) 2. Amalgam Tattoo 3. Black Tongue (Hx of antibiotics or pepto bismol use) 4. Freckle or nevus (mole)
What is the definition of an Uncomplicated crown fracture?
A fracture confined to the enamel or involving enamel and dentin, but not the pulp.
What is an alternate treatment for a patient with ANUG?
H2O2 and warm salt water rinses alternated, and done as frquently as possible.
Name 2 removable white lesions?
1. Chemical burns (asprin) 2. Candidiasis (moniliasis, thrush) --Treatment - Antifungal
What is an Extrusive Luxation?
Partial displacement of the tooth out of its socket.
What is a Avleolar osteitis?
- DRY SOCKET -Most commonly occures in the lower 3rd molar extraction sites, but it may involve any alveolus from which a tooth has been recently extracted.
What are the 3 types of ulcerative lesions?
1. Traumatic Ulcer (most common) 2. Aphthous Stomatitis (do not arise from blister) 3. Infectious Ulcer (venereal, granulomatous, ANUG) 4. Viral Lesions (hand foot and mouth mouth, herpangina, varicella, varicella zoster) 
What is Distal?
Side of the tooth that is furthest from center.