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DH III
Oral/Maxillofacial Surgery Patient
Question | Answer |
---|---|
Comminution | act of breaking or condition of being broken into small fragments |
Ecchymosis | a hemorrhagic spot, larger than a petechia, in the skin or mucous membrane caused by extravasation of blood; forms a nonelevated ,rounded, or irregular purplish patch. |
Exodontics | branch of dentistry dealing with the surgical removal of teeth |
exostosis | benign new growth projecting from the surface of bone. |
intermaxillary fixation | fixation of the maxilla in occlusion with the mandible held in place by means of wires and elastic bands; the healing parts are stabilized following fracture or surgery. |
maxillofacial | pertaining to the jaws and the face |
maxillofacial prosthetics | the branch of prosthodontics concerned with the restoration of the mouth and jaws and associated facial structures that have been affected by disease, injury, surgery or a congenital defect. |
orthognathic surgery | surgery to alter relationships of the dental arches and/or supporting bone, usually coordinated with orthodontic therapy. |
orthognathics | science dealing with the causes and treatment of malposition of the bones of the jaw |
osteosynthesis | internal fixation of a fracture by mechanical means, such as metal plates, pins, or screws. |
miniplate osteosynthesis | a method of internal fixation of mandibular fractures utilizing miniaturized metal plates and screws formerly made of titanium or stainless steel and currently made primarily of biodegradable or resorbable synthetic materials. |
Trismus | motor disturbance of the trigeminal nerve with spasm of masticatory muscles and difficulty in opening the mouth (aka lockjaw) |
Name the 3 areas of focus for Oral & Maxillofacial need for Dentoalveolar surgery. | -Exodontics, impacted tooth removal, alveolar bone surgery (alveoloplasty) |
Name the 2 areas of focus for the Oral & Maxillofacial treatment of Infection. | abcess & osteomyelitis |
Name the 2 reasons that a patient would need to undergo Oral & Maxillofacial traumatic Injury treatment. | Fracture of jaws/zygoma or teeth/alveolar bone |
Name the 2 reasons that a patient would need Oral and Maxillofacial treatment of neoplasm. | Patient has a Cyst or Tumor. |
What would be created in preprosthetic reconstruction? | Maxillofacial prosthetics & Immediate dentures |
Orthognathic surgery focuses on what? | Prognathism correction and facial aesthetics |
T/F One category of Oral Maxillofacial treatment is Cleft Lip/Palate | True |
T/F One category of Oral Maxillofacial treatment is TMD | True |
T/F One category of oral maxillofacial treatment is Salivary Gland Obstruction. | True |
T/F One category of oral maxillofacial treatment is Dental Implant Placement. | True |
Essential for promoting healing | protiene and vitamins such as vitamin A, Vitamin C, and riboflavin |
Essential for building gingival tissue resistance | a varied diet that includes adequate portions of all essential food groups |
essential for dental carries prevention | noncariogenic foods b/c pt can not masticate |
post surgical complication examples | uncontrollable pain |
Ice pack regimen (following flap procedure or when swelling is likely to occur) | 15 min on 15 min off |
is heat used for swelling | no |
Simple fracture | has no communication w/ outside |
compound fracture | has communication w/ outside |
comminuted fracture | shattered |
incomplete fracture | "greenstick" fracture has one side of a bone broken and the other side bent. Occurs in completely calcified bone (generally children) |
Greenstick | incomplete fracture |
Locations of fractures | alveolar process,condyle, angle, body, symphysis |
How long for healing of an uncomplicated MD fracture | six weeks |
How long for healing of an uncomplicated MX fracture | four to six weeks |
Open reduction (md fractures) | use of surgical flap procedure to expose the fracture ends and bring them together for healing |
closed reduction (md fractures) | manipulation of the parts w/ out surgery |
Intermaxillary fixation | applying wires or elastic bands between mx and md arches |
external skeletal fixation (external pin fixation) | indications: insufficient number of teeth in good condition for intermaxillary fixations. |
indication for liquid diet | all pts w/ jaws wired together or pts who can not open mouth |
soft diet indications | pts w/ no appliace or a single jaw appliance w/ out complications in opening/ closing mouth |
indications for irrigation | during first few days after surgical procedure or as an adjunt to brushing |
Dental hygiene appointments are used to prepare the pt for surgery. They can | reduce oral bacterial count, reduce inflamation, remove calculus, etc. |
Le fort I (mx fracture location) | horizontal fracture line that extends above the roots of teeth, above the palate, across the mx sinus, below the zygomatic process and across the pterygoid plates. |
le fort II (mx fracture location) | midface fracture extends over the middle of the nose, down the medial wall of the orbits, across the infraorbital rims, and posteriorly, across the pterygoid plates. |
Le fort III (mx fracture location) | the high level craniofacial fractures extends transversely across the bridge of the nose, across the orbits and the zygomatic arches, and across the pterygoid plates. |
Basic treatment of fractures would be: (name 3) | Reduction- open or close of the fracture, fixation, immobilization |
Major cause for complication in treatment of fractures | infection |