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Chapter 18 Oral and Maxillofacial Surgery

front 1

Alveolar Mandibular Process

back 1

Lower teeth

front 2

Alveolar Maxillary Process

back 2

Upper Teeth

front 3

Portion of the jaw that surrounds and supports the tooth

back 3

Alveolar Process

front 4

Occurs along with the development of the cranium around the sixth week of embryologic life

back 4

Anatomical development of the face

front 5

Connects each ramus to the body

back 5

Angle

front 6

Harvested from the patient

back 6

Autogenous Grafts

front 7

Distal to the cuspids, 2 on each side, upper and lower, used to break up food into smaller portions

back 7

Bicuspids

front 8

Lies horizontally and contains the alveolar process for the lower teeth, Mental foramen is below the first molar tooth, the mental protuberance is the chin

back 8

Body

front 9

Cheek side of teeth

back 9

Buccal

front 10

Flat plate (plain x-ray film); nose and forehead placed against the cassette; good view of hard palate, orbital floor, nasal septum, and zygoma

back 10

Caldwell View

front 11

Bone like substance that covers the tooth from the termination of the enamel at the neck to the thickest region at the apex of the root

back 11

Cementum

front 12

Lateral walls of the oral cavity

back 12

Cheeks

front 13

Enamel of cap of crown only

back 13

Class 1 fracture

front 14

Extend into the dentin of the tooth; do not expose the pulp

back 14

Class 2 fracture

front 15

Extensive damage to coronal portion; expose pulp

back 15

Class 3 fracture

front 16

At or below the cementoenamel junction of the tooth

back 16

Class 4 fracture

front 17

Occur within the capsular head of the mandible

back 17

Condyle Fracture

front 18

Paget's disease or acromegaly can cause development disturbances in the jaw

back 18

Congenital deformities

front 19

A birth defect in which one or more of the joints between the bones of the baby's skull close prematurely before the brain is fully developed, head may be misshapen

back 19

Craniosynostosis

front 20

Portion above the gumline

back 20

Crown

front 21

Best view for bony structures in a series of views/planes

back 21

CT Scan

front 22

Lateral to the incisors, 2 upper and 2 lower, used to grasp and shred foods

back 22

Cuspids

front 23

Cavities, decay of tooth enamel

back 23

Dental Caries

front 24

Forms the majority of the crown, harder than bone and encases the pulp

back 24

Dentin

front 25

Double vision

back 25

Diplopia

front 26

Split sheet is draped over patient and around face, doctor preferance

back 26

Draping for surgery

front 27

Sagging of eye

back 27

Enophthalmos

front 28

Controls the movement of the tongue

back 28

Extrinsic Muscle

front 29

Symphisis and parasymphyseal, Horizontal ramus, Mandibular Angle, and Condyle

back 29

Four categories of Mandibular fractures

front 30

4 classifications

back 30

Fractures of teeth

front 31

Coronal incision, follows patient's natural hairline and can be extended to tragus

back 31

Frontal Fracture Repair

front 32

Approached as craniotomy and requires a craniotomy setup

back 32

Frontal Sinus Surgery

front 33

Aid in speech and breakdown of food

back 33

Function of teeth

front 34

Anterior, made of the maxillary and palatine bones

back 34

Hard Palate

front 35

Harvested from a dissimilar species

back 35

Heterologous/Xenograft

front 36

Harvested from another person, same species

back 36

Homogenous/Allograft

front 37

Occur along the lateral portion of the mandible between the bicuspid teeth and molars

back 37

Horizontal Ramus Fractures

front 38

How are dental caries diagnosed

back 38

X-Ray and oral examination

front 39

How is a symphysis and/or parasymphyseal fractures repaired

back 39

Intraorally by making an incision into the anterior gingivobuccal area for reduction and placement of rigid fixation implants

front 40

How long does it usually take for a bone to heal

back 40

4-6 weeks

front 41

How many Cranial Bones are there

back 41

8

front 42

How many facial bones are there

back 42

14 total

front 43

How many Facial Muscles are there

back 43

13

front 44

How many orbital bones are there

back 44

7

front 45

How many Skull Bones are there in total

back 45

22

front 46

Four front teeth used to tear food

back 46

Incisors

front 47

Controls the shape of the tongue

back 47

Intrinsic Muscle

front 48

Side of tooth that lies closest to the lips

back 48

Labial

front 49

Eye orbit

back 49

Lacrimal Bone

front 50

Asymmetry with respect to each side of jaw

back 50

Laterognathism

front 51

AKA-Transverse Maxillary Fracture, usually occurs from a motor vechicle accident, bilateral horizontal fractures of the maxilla, below the nose

back 51

LeFort 1

front 52

Referred to as panfacial frangures, triangular, exteds from dorsum of nose, across medial walls of orbit across maxilla below the zygomatic bone

back 52

LeFort 2

front 53

Referred to as panfacial fractures, facial bones, including the zygomas are detached from the anterior cranial base, fracture line exteds from the dorsum of the nose and cribriform plate along the medial tip of the lateral wall of the orbit

back 53

LeFort3

front 54

Tongue side of teeth

back 54

Lingual

front 55

Attaches the tongue to the floor of the buccal cavity

back 55

Lingual Frenulum

front 56

Abnormally large jaw

back 56

Macrognathia

front 57

Misalignment of the aveolar process of the jaw bones in an overbite or underbite

back 57

Malocclusion

front 58

Body, Ramus, and Angle

back 58

Mandible consists of 3 portions

front 59

Occurs from the second molar to the ascending ramus

back 59

Mandibular Angle Fractures

front 60

Abnormally small jaw, Paget's disease causes an overgrowth of the bone in the cranium, maxilla, and mandible

back 60

Micrognathia

front 61

2 maxilla, 2 palatine, and sphenoid bone

back 61

Midfacial Fractures

front 62

Hand held retractor, double angle, retracts tongue or cheek

back 62

Minnesota Retractor

front 63

Flat-topped teeth, 3 on each side, upper and lower, used to break up food

back 63

Molars

front 64

Prevent injury to surgical staff, maintains mouth in open position, facilitates visualization, prop is placed on unaffected side

back 64

Mouth Props

front 65

Best view for soft tissue and congenital defects in a series of views/planes

back 65

MRI Scan

front 66

Junction of the crown and root

back 66

Neck

front 67

Involves resection of the soft tissue and excision of the bone surrounding the tooth prior to removal of the tooth

back 67

Odontectomy

front 68

Contains fat for protection from shock and also contains the optic nerve-2nd cranial nerve

back 68

Orbital Bones

front 69

Cerebral Spinal Fluid leaking from ear

back 69

Otorrhea

front 70

Hard and Soft

back 70

Palate

front 71

One x-ray with excellent view of all the alveolar processes and mandible

back 71

Panoramic View

front 72

Protects the patient's lips

back 72

Plastic Cheek Retractor

front 73

Entire face is prepped, from hairline to sternal notch

back 73

Prepping for surgery

front 74

20 teeth, deciduous, usually start coming out at 6 months of age

back 74

Primary Teeth

front 75

Contains the blood vessels, nerves, and connective tissue

back 75

Pulp

front 76

Immobilization of jaw following mandibular and/or maxillary fracture

back 76

Purpose of the Arch Bar Application

front 77

Project upward at an angle from the posterior part of each mandibular body, the condylar process is the posterior projection of the ramus, Coronoid process is the anterior projection of the ramus

back 77

Ramus

front 78

Underdevelopment of the mandible

back 78

Retrognathism

front 79

Cerebral Spinal Fluid leaking from nose

back 79

Rhinorrhea

front 80

Portion below the gumline

back 80

Root

front 81

32 teeth, permanent, beginning at about the age of 6

back 81

Secondary Teeth

front 82

Drill, Measure, Tap, Screw

back 82

Sequence for plate and screw insertion

front 83

Posterior, Consists of muscles

back 83

Soft Palate

front 84

Occurs below the capsule

back 84

Subcondylar Fracture

front 85

Occur along the mandible between the bicuspid teeth, hematomas can form sublingually due to damage along the floor of the mouth

back 85

Symphysis and Parasymphyseal Fractures

front 86

Involves the removal of a tooth or teeth that cannot be salvaged by restoration or those that inteerfere with occlusion

back 86

Teeth Extraction

front 87

Synovial joint, formed at the bicondylar junction of the mandible and the temporal bones, the mandible articulates with the glenoid fossa of each temporal bone

back 87

Temporomandibular Joint

front 88

Crown, Root, and Neck

back 88

Three regions of a tooth

front 89

Consists of the condylar process, portions of the temporal bone, mandibular fossa, and articular tubercle

back 89

TMJ

front 90

Thick muscular organ covered with mucous membrane lining that consists of chemoreceptors for taste

back 90

Tongue

front 91

Extrinsic and Intrisic

back 91

The tongue is controled by 2 muscles

front 92

Innervates the 4 muscles of the lower jaw

back 92

Trigeminal Nerve (5th Cranial Nerve)

front 93

Lymphoid Tissue

back 93

Uvula

front 94

Inferior posterior nasal septum

back 94

Vomer Bone

front 95

Flat plate (plain x-ray film) with neck hyperextended; nose and chin against the cassette; view frontal/maxillary sinus and infraorbital rim

back 95

Waters View

front 96

Little sponges used for ophthalmic procedures, designed for use in delicate surgical areas

back 96

Weck Cell Sponges

front 97

What bones form a portion of the inferior and lateral wall of the orbit

back 97

Zygomatic Bones/Malar Bones

front 98

What bones form the "bridge" of the nose

back 98

A pair of Nasal bones

front 99

What bones form the prominences of the cheeks

back 99

Zygomatic Bones/Malar Bones

front 100

What can cysts and cancers affect

back 100

Tongue, Palate, or mandible

front 101

What causes dental caries

back 101

Acidic condition low pH, normal range 6.5-7.5, demineralizes the enamel

front 102

What dictates the type of incision used to repair the horizontal ramus fracture

back 102

The degree of fracture

front 103

What is the largest and strongest facial bone

back 103

Mandible

front 104

What is used to correct malocclusion

back 104

Orthodontics or osteotomies

front 105

What nerve must be preserved when using the preauricular incision

back 105

The frontal branch of the facial nerve

front 106

What nerve must be preserved when using the submandibular incision

back 106

The mandibular branch of the facial nerve

front 107

What sinus does the Maxillary bones contain

back 107

Maxillary Sinus

front 108

What size do screws come in

back 108

1.0-4.0 mm

front 109

What type of incision can be used to repair the horizontal ramus fracture

back 109

Intraorally or transbuccal

front 110

What type of incision is used for a condyle or subcondylar fracture

back 110

Submandibular and/or preauricular

front 111

What type of incision is used to repair the mandibular angle fracture

back 111

Submandibular or preauricular incision

front 112

What type of material is used

back 112

Titanium

front 113

When should counts occur

back 113

Before, during, and after procedure

front 114

Which 2 cranial nerves do the facial muscles innervate

back 114

7th Cranial Nerve-Facial Nerve and 5th Cranial Nerve-Trigeminal Nerve

front 115

Which muscle does the 7th cranial nerve not inervate with

back 115

Jaw Muscle

front 116

Why are Raney clips used

back 116

To help minimize bleeding at the hairline

front 117

Local anesthesic, used to help with post op pain, with epinepherin-to minimize bleeding

back 117

Xylocane-Lidocaine