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DH III

Oral/Maxillofacial Surgery Patient

QuestionAnswer
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
Created by: jbirchler