Deck 18: Oral and Maxillofacial Surgery
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Deck 18: Oral and Maxillofacial Surgery
1
The ________X-ray requires the patient to hyperextend the neck with the nose and chin placed against the cassette so there is good visualization of the facial bones.
Waters' view
2
The ________X-ray is similar but requires the nose and the forehead to be placed against the cassette, which allows better visualization of the orbital floor.
Caldwell view
3
A plate made of ________is strong and lightweight and is used most often for craniofacial fractures.
titanium
4
________are used to immobilize the mandibular or maxillary fracture by immobilizing the jaw, increasing the chances of aspiration and requiring liquid nutrition postop.
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5
Submandibular or preauricular incisions must be made with care to preserve the________.
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6
Match the instrument/use with the description.
-Reduction of the maxilla.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Reduction of the maxilla.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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7
Match the instrument/use with the description.
-Stabilize the head.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Stabilize the head.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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8
Match the instrument/use with the description.
-Used in placement of ETT and throat packs.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Used in placement of ETT and throat packs.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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9
Match the instrument/use with the description.
-Sent with the patient to prevent postoperative aspiration.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Sent with the patient to prevent postoperative aspiration.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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10
Match the instrument/use with the description.
-Wire cut in 10 cm segments for arch bar application.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Wire cut in 10 cm segments for arch bar application.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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11
Match the instrument/use with the description.
-Place hooks up maxilla, hooks down mandible.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Place hooks up maxilla, hooks down mandible.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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12
Match the instrument/use with the description.
-Preferred needle for local injection 1½ inch.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Preferred needle for local injection 1½ inch.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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13
Match the instrument/use with the description.
-Used to determine the depth of disease around a tooth.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Used to determine the depth of disease around a tooth.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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14
Match the instrument/use with the description.
-Used for additional exposure of cheek/tongue during an oral procedure.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Used for additional exposure of cheek/tongue during an oral procedure.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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15
Match the instrument/use with the description.
-Used as a tongue depressor to place a throat pack.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Used as a tongue depressor to place a throat pack.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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16
Match the instrument/use with the description.
-Used to protect the eye.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Used to protect the eye.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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17
Match the instrument/use with the description.
-Preferred blunt needle for irrigation.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Preferred blunt needle for irrigation.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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18
Match the instrument/use with the description.
-Requires irrigation/safety on.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Requires irrigation/safety on.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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19
Match the instrument/use with the description.
-Used to split tooth with mallet.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Used to split tooth with mallet.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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20
Match the instrument/use with the description.
-Used to elevate the periosteum.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
-Used to elevate the periosteum.
A) 19 g
B) 22 g, 23 g, 24 g, 26 g
C) 25 g
D) Arch bar
E) Corneal shield
F) Donut
G) Drill
H) Freer
I) Gingival graduated probe
J) McGill forceps
K) Minnesota
L) Osteotome
M) Rowe
N) Weider
O) Wire scissors
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21
Match the description with the appropriate term.
-Care to locate and prevent nerve damage with orbital floor fractures.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Care to locate and prevent nerve damage with orbital floor fractures.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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22
Match the description with the appropriate term.
-Located on the mandibular notch of the ramus.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Located on the mandibular notch of the ramus.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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23
Match the description with the appropriate term.
-Freely moveable maxilla.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Freely moveable maxilla.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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24
Match the description with the appropriate term.
-Located on the mandible below the first molar.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Located on the mandible below the first molar.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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25
Match the description with the appropriate term.
-Cerebrospinal otorrhea or rhinorrhea may require a fat, muscle, or fascia graft to seal.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Cerebrospinal otorrhea or rhinorrhea may require a fat, muscle, or fascia graft to seal.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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26
Match the description with the appropriate term.
-Triangular or pyramidal in shape and includes the nasal and ethmoid bones.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Triangular or pyramidal in shape and includes the nasal and ethmoid bones.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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27
Match the description with the appropriate term.
-Postoperative complication leading to grinding of teeth and postoperative pain.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Postoperative complication leading to grinding of teeth and postoperative pain.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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28
Match the description with the appropriate term.
-Symptoms include diplopia and enophthalmos due to maxillary sinus invasion.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Symptoms include diplopia and enophthalmos due to maxillary sinus invasion.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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29
Match the description with the appropriate term.
-Largest and strongest facial bone.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Largest and strongest facial bone.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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30
Match the description with the appropriate term.
-Fracture of the malar arches, orbits to base of the nose.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
-Fracture of the malar arches, orbits to base of the nose.
A) Mental foramen
B) Dural tear
C) Le Fort II
D) Mandible
E) Le Fort I
F) Mandibular foramen
G) Orbital floor fracture
H) Le Fort III
I) Malocclusion
J) Infraorbital foramen
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31
Describe the potential hazards of oral and maxillofacial surgery that the surgical technologist must anticipate. Identify at least three precautions.
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32
Describe the typical sequence for the placement of plates and screws.
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