18. Oral and Maxillofacial Surgery

jaw

Surgical treatment of which anatomical area might result in a postoperative complication of malocclusion?

panoramic

Which radiographic technique or view shows the alveolar processes, mandible, posterior maxillary sinuses, and the zygomas?

buccal

What is the term that describes the side of teeth closest to the cheek?

odontectomy

Which procedure is performed for removal of impacted wisdom teeth?

assistant

What other role is the surgical technologist often required to fill during oral and maxillofacial procedures?

temporalis

Which muscle attaches to the coronoid process of the ramus?

torque pressure on screws

Tapping of bone is done in fixation procedures to reduce:

xenograft

Coral would be classified as what type of graft material?

'True'.

Craniofacial disjunction fractures are severe traumatic injuries categorized as Le Fort III fractures.

- Malocclusion,

Any degree of irregular contact between the teeth of the upper and lower jaws; includes overbite or underbite

- Panoramic,

Type of x-ray that shows on one film: alveolar processes, mandible, posterior maxillary sinuses, and zygomas

- Alveolar process,

Thickened ridge of bone that contains the sockets that bear the teeth of the upper and lower jaw

- Dentin,

Chief substance of teeth that is covered by enamel on the crown; harder than bone

- Molars,

Flat-topped teeth located posteriorly in the jaw, which break up food

- Pulp

Portion of the tooth that contains blood vessels, nerves, and connective tissue

- Weider,

, Angled retractor used for tongue and cheek retraction; shape is similar to a Harrington retractor

- Enophthalmos,

Recession of the eyeball within the bony orbit; may be a result of orbital fracture

- Gingiva,

Soft, fibrous tissue that is continuous with the periodontal ligament and surrounds teeth; also known as the gums

- Caldwell

AP projection x-ray that shows the hard palate, nasal septum, orbital floor, and zygoma

roof of the mouth

The hard palate is the:

10 mm

Strands of wire used to attach arch bars to the upper and lower jaw should be prestretched and cut to which length?

glenoid fossa

The mandible articulates with which part of the temporal bone to form the temporomandibular joint (TMJ)?

zygomatic

Which bones of the face form the prominences of the cheeks?

wire cutters

Which of the following must accompany the patient to the PACU who has undergone maxillomandibular fixation?

'True'.

Patients treated for Le Fort type fractures may have extensive scarring and change in facial characteristics.

'True'.

Odontectomy procedures are given a wound classification of Class II.

U-drape

Which type of sterile drape is commonly used for oral and maxillofacial procedures?

W

All of the following are configurations of fixation plates for maxillofacial fracture reduction EXCEPT:

suction

Irrigation and what other item is used anytime the dental drill is used during odontectomy?

seven

How many craniofacial bones make up the orbit?

Moisten it with saline.

What should the surgical technologist do before handing a retractor to the surgeon for use in orbital floor fracture?

mandible

Which of the following facial bones is the largest and strongest?

incisors

Which teeth are located in the center front of the mouth?

'False'.

Dental procedures require thorough cavity prepping due to possibility of surgical site infections.

Minnesota

What is the name of the narrow, double-angle retractor frequently used in oral procedures?

Le Fort I

Which of the following is the MOST common type of midfacial fracture and is also known as a transmaxillary fracture?

4.0 mm

Which diameter fixation screw would MOST likely be used for a fracture of the mandible?

seventh (VII)

Care must be taken when preauricular and submandibular incisions are made to protect which cranial nerve?

Le Fort III

Which of the following involves the highest portion of the midface and presents the most extensive damage?

titanium

Which type of nonabsorbable maxillofacial implant used in fracture fixation is lightweight, noncorrosive, and strong?

throat pack

Which countable sponge is used in oral procedures to prevent bone or tooth fragments and other foreign matter from becoming lodged in the pharynx?

epinephrine

Which hemostatic agent is used during oral and maxillofacial procedures that requires advising the anesthesia provider of its use?

Place plate, drill one hole at a time, measure with depth gauge, tap, insert screw, and repeat steps for remaining holes.

Which sequence of steps for plate fixation is CORRECT?

airway fire

A closed ventilation system and special endotracheal tube may be used in maxillofacial procedures to reduce risk of:

socket

Which of the following is NOT one of the three regions of a tooth?

supine with arms tucked in at sides

What is the MOST common position for patients undergoing oral and maxillofacial procedures?

silastic sheeting

Which of the following may be used as permanent support on top of the orbital floor following fixation of fracture?

They are thin, malleable bars with hooks facing up for maxilla and down for mandible.

Which of the following statements regarding arch bars is CORRECT?

'False'.

Dental drills are always used to cut bone so that teeth can be extracted whole

vomer

Which bone contributes to the posterior and inferior portion of the nasal septum?