Alveolar Mandibular Process
Lower teeth
Alveolar Maxillary Process
Upper Teeth
Portion of the jaw that surrounds and supports the tooth
Alveolar Process
Occurs along with the development of the cranium around the sixth week of embryologic life
Anatomical development of the face
Connects each ramus to the body
Angle
Harvested from the patient
Autogenous Grafts
Distal to the cuspids, 2 on each side, upper and lower, used to break up food into smaller portions
Bicuspids
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
Body
Cheek side of teeth
Buccal
Flat plate (plain x-ray film); nose and forehead placed against the cassette; good view of hard palate, orbital floor, nasal septum, and zygoma
Caldwell View
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
Cementum
Lateral walls of the oral cavity
Cheeks
Enamel of cap of crown only
Class 1 fracture
Extend into the dentin of the tooth; do not expose the pulp
Class 2 fracture
Extensive damage to coronal portion; expose pulp
Class 3 fracture
At or below the cementoenamel junction of the tooth
Class 4 fracture
Occur within the capsular head of the mandible
Condyle Fracture
Paget's disease or acromegaly can cause development disturbances in the jaw
Congenital deformities
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
Craniosynostosis
Portion above the gumline
Crown
Best view for bony structures in a series of views/planes
CT Scan
Lateral to the incisors, 2 upper and 2 lower, used to grasp and shred foods
Cuspids
Cavities, decay of tooth enamel
Dental Caries
Forms the majority of the crown, harder than bone and encases the pulp
Dentin
Double vision
Diplopia
Split sheet is draped over patient and around face, doctor preferance
Draping for surgery
Sagging of eye
Enophthalmos
Controls the movement of the tongue
Extrinsic Muscle
Symphisis and parasymphyseal, Horizontal ramus, Mandibular Angle, and Condyle
Four categories of Mandibular fractures
4 classifications
Fractures of teeth
Coronal incision, follows patient's natural hairline and can be extended to tragus
Frontal Fracture Repair
Approached as craniotomy and requires a craniotomy setup
Frontal Sinus Surgery
Aid in speech and breakdown of food
Function of teeth
Anterior, made of the maxillary and palatine bones
Hard Palate
Harvested from a dissimilar species
Heterologous/Xenograft
Harvested from another person, same species
Homogenous/Allograft
Occur along the lateral portion of the mandible between the bicuspid teeth and molars
Horizontal Ramus Fractures
How are dental caries diagnosed
X-Ray and oral examination
How is a symphysis and/or parasymphyseal fractures repaired
Intraorally by making an incision into the anterior gingivobuccal area for reduction and placement of rigid fixation implants
How long does it usually take for a bone to heal
4-6 weeks
How many Cranial Bones are there
8
How many facial bones are there
14 total
How many Facial Muscles are there
13
How many orbital bones are there
7
How many Skull Bones are there in total
22
Four front teeth used to tear food
Incisors
Controls the shape of the tongue
Intrinsic Muscle
Side of tooth that lies closest to the lips
Labial
Eye orbit
Lacrimal Bone
Asymmetry with respect to each side of jaw
Laterognathism
AKA-Transverse Maxillary Fracture, usually occurs from a motor vechicle accident, bilateral horizontal fractures of the maxilla, below the nose
LeFort 1
Referred to as panfacial frangures, triangular, exteds from dorsum of nose, across medial walls of orbit across maxilla below the zygomatic bone
LeFort 2
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
LeFort3
Tongue side of teeth
Lingual
Attaches the tongue to the floor of the buccal cavity
Lingual Frenulum
Abnormally large jaw
Macrognathia
Misalignment of the aveolar process of the jaw bones in an overbite or underbite
Malocclusion
Body, Ramus, and Angle
Mandible consists of 3 portions
Occurs from the second molar to the ascending ramus
Mandibular Angle Fractures
Abnormally small jaw, Paget's disease causes an overgrowth of the bone in the cranium, maxilla, and mandible
Micrognathia
2 maxilla, 2 palatine, and sphenoid bone
Midfacial Fractures
Hand held retractor, double angle, retracts tongue or cheek
Minnesota Retractor
Flat-topped teeth, 3 on each side, upper and lower, used to break up food
Molars
Prevent injury to surgical staff, maintains mouth in open position, facilitates visualization, prop is placed on unaffected side
Mouth Props
Best view for soft tissue and congenital defects in a series of views/planes
MRI Scan
Junction of the crown and root
Neck
Involves resection of the soft tissue and excision of the bone surrounding the tooth prior to removal of the tooth
Odontectomy
Contains fat for protection from shock and also contains the optic nerve-2nd cranial nerve
Orbital Bones
Cerebral Spinal Fluid leaking from ear
Otorrhea
Hard and Soft
Palate
One x-ray with excellent view of all the alveolar processes and mandible
Panoramic View
Protects the patient's lips
Plastic Cheek Retractor
Entire face is prepped, from hairline to sternal notch
Prepping for surgery
20 teeth, deciduous, usually start coming out at 6 months of age
Primary Teeth
Contains the blood vessels, nerves, and connective tissue
Pulp
Immobilization of jaw following mandibular and/or maxillary fracture
Purpose of the Arch Bar Application
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
Ramus
Underdevelopment of the mandible
Retrognathism
Cerebral Spinal Fluid leaking from nose
Rhinorrhea
Portion below the gumline
Root
32 teeth, permanent, beginning at about the age of 6
Secondary Teeth
Drill, Measure, Tap, Screw
Sequence for plate and screw insertion
Posterior, Consists of muscles
Soft Palate
Occurs below the capsule
Subcondylar Fracture
Occur along the mandible between the bicuspid teeth, hematomas can form sublingually due to damage along the floor of the mouth
Symphysis and Parasymphyseal Fractures
Involves the removal of a tooth or teeth that cannot be salvaged by restoration or those that inteerfere with occlusion
Teeth Extraction
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
Temporomandibular Joint
Crown, Root, and Neck
Three regions of a tooth
Consists of the condylar process, portions of the temporal bone, mandibular fossa, and articular tubercle
TMJ
Thick muscular organ covered with mucous membrane lining that consists of chemoreceptors for taste
Tongue
Extrinsic and Intrisic
The tongue is controled by 2 muscles
Innervates the 4 muscles of the lower jaw
Trigeminal Nerve (5th Cranial Nerve)
Lymphoid Tissue
Uvula
Inferior posterior nasal septum
Vomer Bone
Flat plate (plain x-ray film) with neck hyperextended; nose and chin against the cassette; view frontal/maxillary sinus and infraorbital rim
Waters View
Little sponges used for ophthalmic procedures, designed for use in delicate surgical areas
Weck Cell Sponges
What bones form a portion of the inferior and lateral wall of the orbit
Zygomatic Bones/Malar Bones
What bones form the "bridge" of the nose
A pair of Nasal bones
What bones form the prominences of the cheeks
Zygomatic Bones/Malar Bones
What can cysts and cancers affect
Tongue, Palate, or mandible
What causes dental caries
Acidic condition low pH, normal range 6.5-7.5, demineralizes the enamel
What dictates the type of incision used to repair the horizontal ramus fracture
The degree of fracture
What is the largest and strongest facial bone
Mandible
What is used to correct malocclusion
Orthodontics or osteotomies
What nerve must be preserved when using the preauricular incision
The frontal branch of the facial nerve
What nerve must be preserved when using the submandibular incision
The mandibular branch of the facial nerve
What sinus does the Maxillary bones contain
Maxillary Sinus
What size do screws come in
1.0-4.0 mm
What type of incision can be used to repair the horizontal ramus fracture
Intraorally or transbuccal
What type of incision is used for a condyle or subcondylar fracture
Submandibular and/or preauricular
What type of incision is used to repair the mandibular angle fracture
Submandibular or preauricular incision
What type of material is used
Titanium
When should counts occur
Before, during, and after procedure
Which 2 cranial nerves do the facial muscles innervate
7th Cranial Nerve-Facial Nerve and 5th Cranial Nerve-Trigeminal Nerve
Which muscle does the 7th cranial nerve not inervate with
Jaw Muscle
Why are Raney clips used
To help minimize bleeding at the hairline
Local anesthesic, used to help with post op pain, with epinepherin-to minimize bleeding
Xylocane-Lidocaine