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OMF Surgery Part 2

A detailed illustration of oral and maxillofacial surgical procedures, including images of surgical tools, diagrams of the human jaw, and examples of conditions like periostitis and sinusitis.

OMF Surgery Knowledge Assessment

Test your knowledge and understanding of OMF (Oral and Maxillofacial) surgery with our comprehensive quiz designed for students, professionals, and enthusiasts alike. Delve into various aspects of surgery, including periostitis, sinusitis, and sialoadenitis, through a series of insightful questions.

Multiple-choice questions
Covers clinical aspects and treatment
Ideal for reinforcing your learning

171 Questions43 MinutesCreated by SurgicalSkill321

��្វីដែលហៅឝា Periostite?

��ឺជាការរលាកនៃ Periost នៃជាលិកាធ្ម៝ញ

��ឺជាការរលាកនៅលើអញ្ចាញធ្ម៝ញ

��ឺជាការរលាកនៃរឹសធ្ម៝ញ

��ឺជាការរលាកនៃបណ្ឝួលធ្ម៝ញ

All none correct

Treatment chirurgical របស់ Periostite មានអ្វីឝ្លះ?

��ំបាឝ់មូលហ៝ឝុវា

Apicetomie

��ំឝាន់ឝ្រូវធ្វើ drainage បង្ហូរឝ្ទុះច៝ញ រួចលាងមុឝរបួសដោយសាររួមប្រៃនិងantibiotiqueជារៀង រាល់ឝ្ងៃក្នុង ករណីធ្ម៝ញមិនចាំបាច់ដកច៝ញ

��ំបាឝ់មូលហ៝ឝុវា,ឝ្រូវព្យាបាលធ្វើ endo រឺដកចោល, Apicetomie,សំឝាន់ឝ្រូវធ្វើ drainageបង្ហូរឝ្ទុះច៝ញ រួចលាងមុឝរបួសដោយសាររួមប្រៃ និងantibiotiqueរៀងរាល់ឝ្ងៃក្នុងករណីធ្ម៝ញមិនចាំបាច់ដកច៝ញ

��្រូវព្យាបាលធ្វើ endo រឺដកចោល

Treatment medical របស់ Periostite មានអ្វីឝ្លះ?

A/B: Amoxicilline + Genta ( Group PNC)

Anti-inflammation (Prednisolone, Midexon…)

Anti-pyratique (Aspirin)

Analgesiue and Vitamine

All correct

��្វីទៅដែលហៅឝា Sinusite Odontogenique?:

��ឺជាការរលាក Sinus (membrane muqueuse នៃ sinus)ដែលបង្កដោយម៝រោគដែលចូលឝាមរយៈធ្ម៝ញ គឺឝាម periapical និងម្យ៉ាងទៀឝក៝មានចូលឝាមរយៈភាពមិនប្រក្រឝីនៃ Nasal.

��ឺជាការរលាកសើរៗនៃ Sinus

��ឺជាការរលាកនៃធ្ម៝ញដែលនៅជាប់ Sinus

��ឺជាការរលាកនៃជាលិកាជុំវិញ Sinus

All none correct

��ើ Pathologies Dentaires ប្រភ៝ទណាឝ្លះដែលបង្ករអោយមាន Sinusite odontogenique?

Sinusite aigue

Sinusite Chronique

Sinusite aigue nig Sinusite Chronique

Sinusite simple

All correct

��្វីទៅដែលហៅឝា Sinusite aigue?

��ឺជាការរលាក membrane muqueuse ចុងក្រោយបង្អស់របស់ Sinus ដោយសារជំងឺរ៉ាំរៃនៃធ្ម៝ញ

��ឺជាការរលាក membrane muqueuse ដំបូងបង្អស់របស់ Sinus ដោយសារជំងឺរ៉ាំរៃនៃធ្ម៝ញ

��ឺជាការរលាក membrane muqueuse ចុងក្រោយបង្អស់របស់ Floor Orbiteដោយសារជំងឺរ៉ាំរៃនៃធ្ម៝ញ

All none correct

All correct

��ូររៀបរាប់ពីលក្ឝណៈ Clinique របស់ Sinusite aigue?

��្នកជំងឺធ្ម៝ញ ព៝លទំពារ ព៝លធ្ម៝ញប៉ះទង្គិច្នា ព៝លគោះឈឺកាន់ឝែឝ្លាំង

��ឺចាប់នៅជុំវិញ អញ្ចាញ អ្នកជំងឺល្ហិឝល្ហៃ

Temperature កើន 37.5 – 380C រឺលើសពីន៝ះក៝មាន

��្នកជំងឺឈឺក្បាល ព៝លប៉ះលើ sinus ធ្វើអោយឈឺកាន់ឝែឝ្លាំង

All correct

��្វីទៅដែលហៅឝា Sinusite Chronique?

Sinusite Chronique គឺបណ្ឝាលពីការព្យាបាលមិនបានល្អនៃ Sinusite
Aigueនិងបណ្ឝាលពីការព្យាបាលមិនសះស្បើយនៃ kyste, parodontite, granulomatose.

��ាររលាក membrane muqueuse ដំបូងបង្អស់របស់ Sinus ដោយសារជំងឺរ៉ាំរៃនៃធ្ម៝ញ។

��ឺបណ្ឝាលមកពីការព្យាបាលមិនល្អនៃ Sinus aigue.

��ណ្ឝាលមកពីការព្យាបាលនៃ kyste, parodontite, granulomatose.

All none correct

��ូររៀបរាប់ពីលក្ឝណៈ singe របស់ Sinusite aigue?

��ានលក្ឝណៈហើមធំ ព៝លឝ្លះឝ្លាំងក្លា

��ាន fibrolisation ច៝ញទឹក infiltration

��ោសិកា ហើមឝ្លាំងក្លា ប្រែប្រួលទំរង់ musqueuse sinusal

��ានឝ្ទុះច៝ញឝាមជើងធ្ម៝ញ រឺfistilsation ឝាមច្រមុះ

All correct

��ូរនិយាយពី Technique de Calwell Luc ក្នុងការធ្វើ Sinusectomie?

��ះកាឝ់ដោយប្រើកាំបិឝស្របអញ្ចាញ កែងជាមួយ maxillaire ពី canine- 1ere molaire (cestibulaire)។

��ុងកាំបិឝឝ្រូវអូសរហូឝដល់ឆ្អឹង

��្រើ spatula ធ្វើ decollement ធ្វើ trepanation (ផ្ឝាច់រឺដាប់) នូវ fosse de sinus ដើម្បីបើអោយចូលដល់ Sinus។

��្រើ curette រឺ spatula កោសអោយអស់នូវ កោសិកា pathologie នៃ Sinus ច៝ញអោយស្អាឝ។

All correct

��្វីដែលហៅឝា Sialoadenite?

��ឺជាការរលាកកោសិកា parenchime submandibulaire កើឝមានច្រើនហើយនៅ Manbular មានឝិចឝួចបំផុឝ។

��ឺជាការរលាកក្រព៝ញរងៃ

��ឺជាការរលាកកោសិកា parenchime parotide កើឝមានច្រើននៅ sublingual មានឝិចឝួចបំផុឝ។

��ាររលាកក្រព៝ញទឹកភ្នែក

��ឺការរលាកក្រព៝ញទឹកមាឝ់ និងការរលាកកោសិកា parenchime submandibulaire កើឝមានច្រើន ហើយនៅ sublingual មានឝិចឝួចបំផុឝ។

��ើមាន factures ប្រភ៝ទណាឝ្លះដែលបង្កអោយមាន sialoadenite?

Local facture and External facture

Local facture

External facture

Internal facture

Odontogenique facture

��ក្ឝណៈគ្លីនិក (Clinique) របស់ Sialoadenite

��ាងក្រោយ angle montant មាន infiltrate រឹង ហើយឈឺ

��ំពង់ក្រព៝ញទឹកមាឝ់ ហើម ហើយរីកធំ

��ាធ្វើអោយមុឝងាររបស់ក្រព៝ញទឹកមាឝ់ចុះឝ្សោយ

��ឺនៅ distal submandibulaire ឝ្រង់ឝ្រីកោណនៃឆ្អឹង

All correct

��ូរនិយាយពីការព្យាបាលរបស់ Sialoadenite?

��្រើantibiotic រឺ sulfamide, anti-inflammatoire

��ើមាន abces រឺ phlegmonឝ្រូវឝែចោះទំលាយវាច៝ញអោយអស់ទៅឝាមលក្ឝណៈដែលអាចធ្វើទៅ បាន រួចធ្វើ drainage

��ៅព៝លឝូចឝាឝ ក្រព៝ញរបស់កោសិកា parenchime គ៝ប្រើឝ្នាំ Diedetic, ឝ្នាំ stimulant អោយបញ្ច៝ញទឹកមាឝ់ + physiotherapie (Electrophovese 2% Sol Cal. Iodine)

��រណី Chronique ឝ្រូវធ្វើ Extirpation submandibulaire de la glande salivaire

All correct

Etiologie និង Clinique របស់ Abces de la langue

��្ម៝ញដែលគ្មាន infection

��ានសភាពហើមឝ្លាំង

��ានសភាពហើមឝ្លាំង Traumatisme ក្លិនមាឝ់មិនល្អ

Traumatisme

��្លិនមាឝ់មិនល្អ

��ារព្យាបាល និងផលវិបាក (complication) នៃ Abces de la langue។

��ោយឝ្នាំ Antibiotique, Anti inflammatoire, diedetique (ឝ្រូវប្រើអោយបានសមស្រប)

��្រូវបញ្ច៝ញអោយអស់នូវជាលិកាដែលស្អុយរលួយ

��្រើ serum ប្រៃ រឺ antiseptic លាងអោយស្អាឝរួចធ្វើ drainage

��្រូវប្រយ៝ឝ្ន Asphyxie, syncope, Mediastinite

All correct

��ូររាប់ក្រព៝ញទឹកមាឝ់

Glande Parotide

Glande Submandibulaire

Glande Parotide, Glande Submandibulaire, Glande Sublingual, ក្រព៝ញទឹកមាឝ់ឝូចៗផ្ស៝ងៗទៀឝដែលផ្ឝុំគ្នា

��្រព៝ញទឹកមាឝ់ឝូចៗផ្ស៝ងៗទៀឝដែលផ្ឝុំគ្នា

Glande Sublingual

Lithiasie និង Etiologie របស់វា។

��រិមាណទឹកមាឝ់កើនឡើងឝុសធម្មឝា

Pathologie de la gland salivaire

��ូលហ៝ឝុនៃ mecanisme: ការបំរែបំរួលនៃ Chimico-pysique នៃអង្គធាឝុ

��ារចុះឝ្សោយនៃមុឝងារបំពង់បញ្ច៝ញទឹកមាឝ់(Traumatisme)

All correct

Clinique និង Traitement របស់ Lithiasie។

��្នកជំងឺដឹងឝ្លួនឝាក្រហាយ រឺឈឺនៅចុងអណ្ឝាឝ រឺព៝ញផ្ទៃអណ្ឝាឝ អ្នកជំងឺពិបាកទំពារអាហារ និងនិយាយ

��ឹកមាឝ់ច៝ញឝិច ដែលបង្ហាញពីការស្ទះបំពង់ទឹកមាឝ់ដោយសារដុំគ្រួសហើយវាមានទំហំធំ រឺង

��ីឝុណ្ហភាពមានការកើនឡើង 38-390C មានAdenite sub-mandibulaire

Lithiasectomy

All correct

��ិយមន៝យ Abcess

Abcess គឺជាឝ្ទះនៃជាលិកាកំណឝ់ជាទំហំមួយ។

��ុំវិញ abcess បង្កើឝបានភាពហើម ពកឈឺមួយ។

Abcess គឺជាInflamationនៃជាលិកាកំណឝ់ជាទំហំមួយ។

��ុំវិញ abcess បង្កើឝបានភាពហើម ពកមិនសូវឈឺមួយ។

Abcess គឺជាឝ្ទះនៃជាលិកាកំណឝ់ជាទំហំមួយ។ ជុំវិញ abcess បង្កើឝបានភាពហើម ពកឈឺមួយ

��ិយមន៝យ Phlegmon

Phlegmonគឺជាឝ្ទះinflammationមួយកើឝឡើងរហ៝សហើយស្រូចស្រាវ(aigue)

��្នុងន៝ះកំណឝ់បាននៅក្រោមស្បែក ចន្លោះសាច់ដុំចន្លោះមុឝកាឝ់ជាដើម។

Phlegmon គឺជាឝ្ទះ inflammation មួយកើឝឡើងរហ៝ស ហើយរ៉ាំរៃ(Chronique)ក្នុងន៝ះកំណឝ់បាននៅ ក្រោមស្បែក ចន្លោះសាច់ដុំចន្លោះមុឝកាឝ់ជាដើម។

Phlegmon គឺជាឝ្ទះinflammation មួយកើឝឡើងរហ៝សហើយស្រូចស្រាវ (aigue)ក្នុងន៝ះកំណឝ់បាន ក្រោមស្បែក ចន្លោះសាច់ដុំចន្លោះមុឝកាឝ់ជាដើម

All correct

Etiologie និង Microbiologie abces និង Phlegmon។

��ើឝឡើងបន្ទាប់ពី desmondontite បែប exercebation,

��ើឝឡើងដោយសារ desmodontite aigue

��ើឝពី dent incluse et enclave

��ើឝឡើងពី kyste radicularie infecte

��ើឝឡើងបន្ទាប់ពីdesmondontite បែប exercebation, កើឝឡើងដោយសារ desmodontite aigue, កើឝពី dent incluse et enclave, កើឝឡើងពី kyste radicularie infecte

Clinique Abces និង Phlegmon។

��ំដៅឝ្លួនប្រាណអ្នកជំងឺឡើង 37-38.50C

��្ហិឝល្ហៃ ឝែបើឝ្ទុះមាននៅជុំវិញឝ្គាមពិស៝សលើឝ្គាម ក្រោមស្បែក

Phlegmon កើឝ maxilla-facial ធ្វើអោយកំដៅឝ្លួនទាប រឺឝ្ពស់

Intoxication ធ្វើអោយឈឺក្បាលឝ្សោយអស់កំលាំង បាឝ់បង់ការហូបចុក យល់សប្ឝិអាក្រក់ septicemia

��ំដៅឝ្លួនប្រាណអ្នកជំងឺឡើង 37-38.50C ហើយល្ហិឝល្ហៃ ឝែបើឝ្ទុះមាននៅជុំវិញឝ្គាមពិស៝សលើឝ្គាម ក្រោមស្បែក។ Phlegmon កើឝ maxilla-facial ធ្វើអោយកំដៅទាប រឺឝ្ពស់ Intoxicationធ្វើអោយឈឺក្បាល ឝ្សោយអស់កំលាំងបាឝ់បង់ការហូបចុក យល់សប្ឝិអាក្រក់ septicemia.

��ិយមន៝យ Furoncule?

��ឺជារលាកឝ្ទុះរលួយស្រួចស្រាវនៃរន្ធសរសៃសក់ ឬរោមមួយឬ ច្រើននៅជុំវិញកោសិកា (ជាលិកា)

��ារលាកឝ្ទុះរលួយស្រួចស្រាវនៃរន្ធឬសធ្ម៝ញច្រើននៅជុំវិញកោសិកា(ជាលិកា)

��ារលាកឝ្ទុះរលួយរាំរៃ នៃរន្ធសរសៃសក់ ឬរោមមួយឬ ច្រើននៅជុំវិញកោសិកា(ជាលិកា)

��ារលាកគ្មានឝ្ទុះស្រួចស្រាវនៃរន្ធសរសៃសក់ ឬរោមមួយឬ ច្រើននៅជុំវិញកោសិកា(ជាលិកា)

��ាហើមឝ្ទុះរលួយស្រួចស្រាវនៃរន្ធសរសៃសក់ ឬរោមមួយឬ ច្រើននៅជុំវិញកោសិកា(ជាលិកា)

��ិយមន៝យ Carboncle?

��ារលាកឝ្ទុះរលួយស្រួចស្រាវនៃរន្ធសរសៃសក់ ឬរោមមួយឬ ច្រើននៅជុំវិញកោសិកា(ជាលិកា)។

��ា Infection អាចបង្កើឝទៅជាជាលិកាជិឝឝាងរបស់រន្ធ ញើស ឬរន្ធរោម ឬសក់។

��ា Inflammation អាចបង្កើឝទៅជាជាលិកាជិឝឝាងរបស់រន្ធ ញើស ឬរន្ធរោម ឬសក់។

��ា Ulceration អាចបង្កើឝទៅជាជាលិកាជិឝឝាងរបស់រន្ធ ញើស ឬរន្ធរោម ឬសក់។

All none Correct

��ិយមន៝យ Pathologenie Actinomycose?

Actinomycose ជាជំងឺផ្សិឝ Microorganism កើឝឡើងដោយពន្លឺឝ្ងៃ។

��ា Chronic ឆ្លងពីក្រៅ ទៅក្នុងឝ្លួនដោយ Actinomycose.

Actinomycose ជាជំងឺផ្សិឝ Virus កើឝឡើងដោយពន្លឺឝ្ងៃ។

��ា Acute ឆ្លងពីក្រៅ ទៅក្នុងឝ្លួនដោយ Actinomycose

Actinomycose ជាជំងឺផ្សិឝ Microorganism កើឝឡើងដោយពន្លឺឝ្ងៃ ជា Chronic ឆ្លងពីក្រៅ
ទៅក្នុងឝ្លួនដោយ Actinomycose.

��ំណាឝ់ឝ្នាក់ T.G Rabustov?

��្បែក និង ក្រោមស្បែក

Actinomycose បឋមនៃឆ្អឹង

��ន្លោះក្រោមស្បែក និងសាច់ដុំ

Lymphdeno-Actinomycose

All are Corrects

��ូចម្ឝ៝ចដែលហៅឝា Luxation ATM?

��ាការគាំងឝ្កាមក្រោម មិនអាចធ្វើចលនារំកិល ព៝ញល៝ញ

��ាការគាំងឝ្កាមក្រោម ឝែអាចធ្វើចលនារំកិល ព៝ញល៝ញ។

��ាការគាំងឝ្កាមលើ មិនអាចធ្វើចលនារំកិល ព៝ញល៝ញ។

��ាការគាំងឝ្កាមលើ អាចធ្វើចលនារំកិល ព៝ញល៝ញ។

All none Correct

��ារព្យាបាល Luxation ATM?

��្រូវដាក់អ្នកជំងឺអោយ អង្គុយមានបង្កែកសមស្រប ឝ្កាមក្រោម
ឝ្រូវស្មើនិងកែងដៃគ្រូព៝ទ្យទំលាក់ចុះ។

��៝ដៃទាំងពីរគ្រូព៝ទ្យ ឝ្រូវស៊កអោយគងពីលើឝ្គាមទាល់អ្នកជំងឺ

��្រាមដៃដែលនៅសល់ឝ្រូវកាន់ផ្អឹបនិងក្រោម Angle Mandibular.

��លនាកំលាំងដៃទាំងពីរឝ្រូវរុញអោយស្រប Condyle ឬ Coronoide អោយឝ្លាំងទៅក្រោមទីបញ្ចប់ រុញទៅក្រោយស្រប Mandibule.

All are corrects

��ូចម្ឝ៝ចដែលហៅឝា Ankylose ATM.

��ា Deformation គាំងស្ឝូកមួយនៃ ATM(Articulo-Temporo-Mandibulare)

��ំណឝ់បាននូវភាពស្ទើរ (ឝិចឝួចបំផុឝ)

��ព៝ញល៝ញនៃចលនាឝ្គាមក្រោមដែលបណ្ឝាលមកពី Fibrosie ឬជាការដុះជាប់ Articulation (ឆ្អឹង)។

��ា Deformation គាំងស្ឝូកមួយនៃ ATM(Articulo-Temporo-Mandibulare)កំណឝ់បាននូវភាពស្ទើរ
(ឝិចឝួចបំផុឝ) ឬព៝ញល៝ញនៃចលនាឝ្គាមក្រោមដែលបណ្ឝាលមកពី Fibrosie ឬជាការដុះជាប់
Articulation (ឆ្អឹង)។

All none Correct

Clinic Nevralgie Trifacial?

��ឺម៉ោកៗមួយចំហៀកមុឝ ៣% អាចឈឺទាំងសងឝាង។

��ាគច្រើនស្រីឝ្លាំងជាង ប្រុស២ដង ឈឺនៅឝាងស្ឝាំ លើឝាងធ្វ៝ង ឈឺកន្ឝ្រាក់ប្រហែលឆក់ឝ្សែភ្លើង ចាក់ឈិបៗ

��ឺឡើងញ៝រក្បាលដូចចាក់ និងកាំបិទវះ។ល។

��ឺស្រួចស្រាវញាក់ៗ សាច់ដុំ កន្ឝ្រាក់ៗ ញ៝របបូរមាឝ់ ឈឺកាន់ឝ្លាំងព៝លឝ្រូវឝ្រជាក់ ឬឝ្រូវឝ្យល់ ហ៊ឹងឝ្រចៀក។

All are Corrects

��ារព្យាបាល Nevralgie Trifacial.

��ាការព្យាបាលរួមមួយ(ឝ្នាំស្អំ) ជាចំបង។

Methologie Canservatif ឝ្រូវប្រើ Tegretol ដែលមាន Dosage 100-200mg ទៅ2-6
ដងក្នុងមួយឝ្ងៃនៅរយៈព៝ល 3-4 អាទិឝ្យ។

��ន្ទាប់មកឝ្រូវប្រើ Dose 100mg ក្នុង១ឝ្ងៃ១ដង។

��ើអ្នកជំងឺមាន Complication ឝ្រូវបន្ឝយ Dose ជាស្វ៝យប្រវឝ្ឝិ។

All are Corrects

��លវិបាក (complication) នៃ Abces de la langue។

��ោយឝ្នាំ Antibiotique, Anti inflammatoire, diedetique (ឝ្រូវប្រើអោយបានសមស្រប)

��្រូវបញ្ច៝ញអោយអស់នូវជាលិកាដែលស្អុយរលួយ

��្រើ serum ប្រៃ រឺ antiseptic លាងអោយស្អាឝរួចធ្វើ drainage

��្រូវប្រយ៝ឝ្ន Asphyxie, syncope, Mediastinite

All correct

��ក្ឝណៈគ្លីនិក singe របស់ Sialoadenite?

��ាងក្រោយ angle montant មាន infiltrate រឹង ហើយឈឺ

��ំពង់ក្រព៝ញទឹកមាឝ់ ហើម ហើយរីកធំ

��ាធ្វើអោយមុឝងាររបស់ក្រព៝ញទឹកមាឝ់ចុះឝ្សោយ

��ឺនៅ distal submandibulaire ឝ្រង់ឝ្រីកោណនៃឆ្អឹង

All correct

��ូរនិយាយពី form purulent របស់ Sinusite Chronique?

��ោសិកាហើមឝ្លាំងក្លា ប្រែប្រួលទំរង់ muqueuse sinusal

��ានឝ្ទុះច៝ញឝាមជើងធ្ម៝ញ រឺ fisitilisation ឝាមច្រមុះ

Microscope បង្ហាញភាពរល៝ះរលួយស្អុយ

��ៅលើជញ្ជាំង sinus មានភាពប្រែប្រួលឝុសពីធម្មឝា ព៝លចាប់ផ្ឝើមមាន resorbtion osseuse

All correct

The most important factors to consider for implant surgery in diabetic patient are:

Duration of diabetes

The control of diabetes over time: HbA1c should not exceed 7%.

The prevention of infections

The implant surface and design

All are correct

Implant placement is indicated for diabetes patient if:

The wound healing is altered

HA1c not exceed 7%

The blood pressure is 180/80mmHg

Plasma glucose level is 126 to 200

All are correct

Dental Implant therapy for hypertensive patient is contra -indicated when:

Maximum Blood pressure is above 160/90mmHg and 150/80mmHg for diabetic patients.

Recent myocardial infarction

Unstable angina pectoris

Hypertensive patient with 180-209/110-119mmHg.

All are correct

Uncontrolled blood pressure increase the risk for cardiovascular during dental care or prolonged stressful:

Myocardial infarction

Angina pectoris

Cardiovascular accident

Blood pressure: 180-209/110-119mmHg

All are correct

Patient with acquired bleeding tendency

Should stop using aspirin or other antiplatelet agents 2 days before surgery

Should stop using aspirin or other antiplatelet agents 1 week before surgery

Should prevent post operative bleeding

Should discontinue anticoagulant before dental treatment

Should not use local anesthesia contain with adrenaline.

The statement below is correct, Except:

Hyperglycemia impair the collagen metabolism and bind to monocyte and macrophage cell membranes, thus altering the wound healing.

Glucose level fasting value > 126mg/dL and 2-hour postprandial >200mg/Dl are considered diagnostic criteria for diabetes.

HbA1c value normal: 7%-7.5%

The longer duration diabetes, the higher the failure rate for implant treatment.

Implant placement is indicated for diabetes patient with HgA1C: 7%.

The statement below is true, Except:

Adrenaline in local anesthesia is not safe for hypertensive patients

Patients with recent myocardial infarction, unstable angina pectoris are not candidates for surgical treatment

IV bisphosphonate-treated patients have high incidence of ONJ.

Platelet Count lower than 100,000/mm3 are considered a contraindication for elective surgical procedure

INR is the most reliable test, its normal value is 1.

The statement below is true, Except:

The irradiation dose is the major limited factors which effects the osseintergration.

Radiation effects both osteoblast and osteoclasts, reducing the bone’s capacity to heal.

Irradiated bone does NOT have the potential to remodeling and regeneration

Implant failure rate is low when irradiation dose below 45Gy.

ORN is one of major complications of radiation therapy

The statement below is true, Except:

Schneiderian membrane is very thin, yellowish and extremely friable for smokers.

Schneiderian membrane is elastic with the thickness: 0.45mm to 1.40 mm

15% of IAN is located in the middle of the mandibular ramus, posterior to the 2nd molar, then runs lingually to follow the lingual plate

15% of IAN canal follows the lingual cortical plate of the mandibular ramus and body

15% of IAN is located near the middle of the ramus and body

The statements below are correct, Except:

Certain areas of the implant surface are in direct contact with bone is called Primary bone contact.

The remodeled bone and new bone contact with implant, termed secondary bone contact

Primary bone contact is increased when Secondary bone contact occurred

Primary bone contact is decreased when Secondary bone contact occurred.

Immediate loading protocols were first described for the completely edentulous mandible

The concept of prosthetic-driven implant dentistry mean:

Implant selection is performed before prosthetic planning.

Perform prosthetic immediately after implant placement

Implant selection is performed after prosthetic planning

Immediate implantation into extraction socket.

B and D Perform prosthetic immediately after implant placement, Immediate implantation into extraction socket.

Implant selection is involve:

Clinical examination,

Radiographic examination

Surgical evaluation

Prosthetic planning

All are correct

Implant characteristics include the following

Length and diameter,

Shape and roughness,

Number

Position

All are correct

Guidelines for implant selection are based on:

Dimensions of the edentulous area

Adjacent teeth and Anatomical structures

Biomechanics

Bone volume and Bone quality

All are correct

Interdental distance for single tooth replacement using standard implant

7mm

8mm

9mm

10mm

All are correct

Interdental and inter-occlussion distance for multi teeth replacement

7mm is required between the centers of two implants.

3mm is required between implant heads

1.5mm is required from implant to adjacent tooth

05-1mm is required from implant to adjacent tooth

Vertical dimension of 6mm is required.

A standard implant requires

7mm mesiodistal distance,

10mm bone height,

6mm bone width.

7mm bone width at esthetic area.

All are correct

The role of the temporary prosthetic restoration

Maintain esthetic

Provide stabilization

Function

Preview for future restoration

All are correct

The provisional prosthetic can be elaborated

Prior to extraction

Before implant placement

After implant placement

After implant osseointergration

All are correct

General specifications of temporary prosthetic restorations

Not traumatic to adjacent teeth and soft tissues

No negative interference with osseointergration

Easy to modify if necessary

Acceptable esthetics

All are correct

Minimal buccal –lingual bone volume for 4mm diameter implant is:

5mm in esthetic areas

5mm in non-esthetic areas

6mm in esthetic areas

7mm in esthetic area

All are correct

In term of biomechanics, implant should be placed in the direction of axial forces, because:

The bone/implant interface is well adapted to axial compressive forces

To improves the mechanical strength of the implant body

To induce shear force

To improve esthetic

To get enough vertical dimension.

Wide diameter of implant should be use in strong occlusal forces because:

Increase primary stability

Improves the mechanical strength of the implant body

Improve esthetic

Prevent implant fracture

Prevent loosening abutment

Prerequisite for success for immediate or early loading of implants is

Implant brand

Implant SLA surface

Sufficient primary stability

Implant brand, Implant SLA surface

Implant brand, Implant SLA surface and Sufficient primary stability

To improve primary stability in type 3 and 4 bone, surgeon may adapt with

Implant dimension

Implant design

Rough/bioactive surface

Drill sequence

All are correct

Removable provisional may be unstable solution because

Compressive on mucosa

Cause marginal bone loss

May loss of osseointergration

May not comfortable

All are correct

Implant placement in anterior single tooth is predictable treatment outcomes if

Patient with high smile line

The sites without hard and soft tissue deficiency

Patient motivation

Patient with high smile line and The sites without hard and soft tissue deficiency

Patient with high smile line, The sites without hard and soft tissue deficiency, Patient motivation

Dental implant therapy in the anterior is a complex procedure, which base on a comprehensive preoperative evaluation. An optimal esthetic result depends on

Patient selection

Implant selection

Correct three dimensional implant positioning

Soft tissue stability

All are correct

Single tooth implant in the anterior area is a surgical risk procedure if

Buccal bone deficiencies

Soft tissue deficiencies

Distance between the proximal bone and CEJ of the adjacent teeth >2mm

Buccal cortical bone plate <1mm

All are correct

The provisional fixed restoration plays a major role in esthetic outcome because:

It can be modified to create emergence profile

It is easy to fabricate

It improve osseointergration

It can be modified to create emergence profile, It is easy to fabricate

It can be modified to create emergence profile, It is easy to fabricate , It improve osseointergration

Selection of the abutment depends on:

Peri-implant gingival margin and the longitudinal implant axis

Implant design

Implant surface

Mechanical strength of implant body

Bone implant contact

Implant-supported FPD, when possible, is the treatment of choice for partially edentulous patients in the situation:

Healthy adjacent teeth

Intact adjacent tooth restoration

Posterior reduced arch

Extended edentulous segments

All are correct

In cases of restoration of each los unit with an implant, when it is indicated to splinting the implant ?

Narrow-diameter implants in the posterior area

Short implants

Bruxism

Poor bone quality

All are correct

There are some disadvantages of screw retain, Except:

Bacterial Colonization

More screw loosening

Cost

Retrievable

Esthetics

Immediate and early loading protocols should focus on

The amount of primary bone contact.

The quantity of bone at the implant site.

The rapidity of bone formation around the implant

The quality of bone at the implant site.

All are correct

Cochrane reviews are recognized as a gold standard in evidence-based health care, Except

Immediate loading was defined as implants in function within 1 week after their placement. No distinction was made between occlusal and nonocclusal loading.

Early loading was defined as putting implants in function between 1 week and 2 months after placement.

Conventional loading was defined as putting implants in function after 2 months

Immediate loading was defined as implants in function within 1 days after their placement

All are exceptional

What’s fibro-intergration?

Implant is fully intergrated to the bone.

Implant is intergrated and attached via dense fibrous tissue

Implant is 70% intergarted to the bone.

Implant is fallen out.

Implant is intergrated and attached via dense fibrous tissue, Implant is 70% intergarted to the bone, Implant is fallen out.

To prevent implant from fibro-intergration, Must

Curettage the osteotomy site before place implant

Drill with irrigation copiously

Drill slowly

Torque should not exceed 35Ncm.

Premedication

Clinician should be perform proper technique when placing implant in poor bone type IV, Except:

Drill sequence technique

Bone condensation technique

Bone slitting technique

Drill sequence technique, Bone condensation technique

Drill sequence technique, Bone condensation technique, Bone slitting technique

There many reasons in implant failures, Except:

Implant design

Overheating bone

No primary stability

Contaminated osteotomy

Excessive force

Malposition of implant poses many complications, except:

Damage to adjacent teeth

Damage to important anatomic structure

Impossible to load

Fit for prosthetic restoration

Poor esthetics

There are some pre -surgical steps to prevent implant from malposition. Except:

Proper pre-operative planning

Financial planning

Radiographic analysis

Surgical guide template

Soft or hard tissue augmentation procedure to obtain optimum anatomy.

Bleeding during and after implant surgery can be managed, Except:

Compression with plain gauze

Post operation mouth rinse with tranexamic acid (4-6 times daily x 3 days)

Incision in the mucosa to relieve the hematoma

Ligation of vessel

Immediate referral to hospital

Nerve injury is due to occurred, Except:

Drill procedures or compression of implant body into canal.

Post surgical intra-alveolar oedema

Direct trauma

Prosthetic design

Mechanical, chemical and thermal

Infection is the most common cause for loss of implant. To prevent this occurrence, we have to respect the surgical protocol, Except:

Rule out medical history

Surgery under aseptic conditions

Pre-operative mouth rinse with clorhexidine

Prophylactic antibiotics 1 hr before surgery

Sedation

Pain after implant surgery is normal physiologic response to tissue damage. Pain intensity comes to the peak after:

3-5 hours

8 hours

12 hours

24 hours

72 hours

The statements below are true, Except

The design of the restoration is a key factor for implant selection.

In esthetic areas the provisional should have a design aiming to guide tissue healing.

A standard implant requires 5mm mesiodistal distance, 10mm bone height, and 5mm bone width

Wide implants are preferred for molars, and when high occlusal loading is expected.

Long implants (>10mm) are indicated when poor primary stability is expected with standard implants

There are some crestal approaches limitations, except

Residual bone height >6mm

Oblique sinus floor

Present of septa

Inability to repair perforations

Inadequate ridge width

The statements below are true, Except

Cemented restorations are advisable used for the implant shoulder located deep under the mucosa in esthetic areas

Implant-supported FPD is the dominant strategy for partially edentulous patients.

There is no evidence to support the concept of one tooth, one implant.

Splinting implant provides better force distribution, fewer technical complications.

Single units allow a better prosthetic passive fit and easier plaque control.

The statements below are true, Except

Autogenous graft is a graft from patient own bone.

Allograft is a graft between genetically dissimilar member of species.

Xenograft is a graft taken from a donor of another species

Alloplast graft is the combination of Autograft and other type of graft material

Autogenous is a Gold standard for grated bone Autogenous is a Gold standard for grated bone

How do we prevent pressure necrosis of the cortical bone

By under preparing the osteotomy

By using the 1 drill larger than the implant to be placed

By using the cortical drill and the drill tap to prepare the cortical bone

By placing chlorhexidine in the saline

All are incorrect

What is important in the preparation of type 1 bone?

Under-preparation of the osteotomy site

Use of osteotomes to prepare the osteotomy

Use of the cortical drills

Use of both the cortical and the drill taps where applicable

By using the 1 drill larger than the implant to be placed.

Why is it important to take an X-ray after your pilot drill

To increase the profit margin of the procedure

To make sure that you do not hit any vital structures with your initial drill

To check the width of the osteotomy

All are correct

Why is the mid-crestal incision the most ideal incision type?

Its the most aesthetic incision

Allows movement of palatal tissue to the buccal side

Improves your ability to move soft tissue around

Reduces risk of wound dehiscence by improving the blood flow to the wound edges

All are correct

Accessing the posterior wall of the Maxillary sinus through a vestibular incision may injure one or more of the following vital structures:

Origin of Buccinator muscle.

Posterior superior alveolar artery.

Posterior superior alveolar nerve.

All are incorrect

All are correct

Spontaneous recovery from nerve injury to the inferior alveolar nerve (IAN) is more frequently observed compared to the lingual nerve due to:

The position of the IAN in the bony canal serves as a conduit for nerve regeneration

The IAN has a larger diameter

The IAN has better regenerative capability

The IAN is closer to the CNS at the point of injury

Wallerian degeneration is delayed for the lingual nerve

Which one of the following is not an acceptable complication of third molar surgery:

Mandible fracture

Tuberosity fracture

Fracture of adjacent teeth

TMJ pain

All are acceptable

Which of the following is most likely to result in implant failure

Utilizing bovine derived augmentation material for sinus lift

A perforation of the Schnederrian membrane measuring 6 by 5 mm repaired with a PRP membrane prior to grafting

Placing implants in a patient with a 40 pack year smoking history who quit 4 weeks ago

Performing a sinus lift with simulataneous implant placement in a patient with chronic sinusitis without addressing the sinusitis preoperatively

All are correct

What is the minimum recommended distance between the most inferior aspect of an implant and the superior aspect of the mandibular canal

3mm

2mm

4mm

1.5mm

1mm

A 30 year old male is one week status post placement of 3 right mandibular posterior implants. He is complaining of parasthesia of his right mental branch that has been present since the implants were placed. A panoramic radiograph demonstrates that all 3 implants are less than 0.5mm superior to the mandibular canal. What is the most appropriate next step

Back up all 3 implants an additional 2 mm

Remove all implants

Reassure the patient and follow up again in 2 weeks

Schedule the patient for a IAN lateralization procedure

Obtain a CT scan to identify the exact relationship of each implant with the canal before proceeding with any treatment

In the aesthetic zone, the only place where two implants are acceptable is:

Between the central and lateral

Between the lateral and canine

Between the two centrals

None of all

All are acceptable

What are the advantages of the customized impression coping technique?

It is an impression coping that is customized to the impression tray.

It is an impression coping that transfers the exact transgingival emergence profile of a given implant site

Requires less time chair-side.

It reflects a more accurate spatial position of the implant

It helps to create stippling in the soft tissue

Which is the best material to use for the fabrication of a provisional restoration

Bisacryl

PMMA

Composite

All of them

None of them

The most common problem following provisional restoration removal before impression making is?

Expansion of the peri-implant mucosal tissues

Collapse of the peri-implant mucosal tissues

Bleeding of mucosal tissue

All of the above

None of the above

The primary goal to protect and maintain “tissue-integration " are

Regularly scaling with hand scalers or ultrasonic scalers

Periodic recalls reinforcing regimen

Probing measurements closely approximate actual bone levels immediately after abutment connection

Good oral hygiene

Periodic recalls reinforcing regimen and Good oral hygiene

The primary goal of implant maintenance

No Peri implantitis

Maintain and protect tissues integration

Marginal bone loss less then 0.1mm

Absence of mobility

Maintain and protect tissues integration and Absence of mobility

Which one is not Clinical Parameters of Evaluation

Occlusion

Proper torque on screw joints

Bleeding

Radiographic assessment

Implant system

The Clinical signs of implantitis

Pathogenic microorganisms is similar clinical presentation of Abscess

Poor oral hygiene; bacteria

Similar clinical presentation of periodontitis

Mobility and peri-implant radiolucency

Bone overheating, lack of initial stability

Criteria for the successful implant

Radiographic radiolucency

No peri-implantitis

Marginal bone loss 1.0-1.5mm first year; then > 1mm annually thereafter

Progressive soft tissue changes or bone loss > 1.0-1.5mm

B and C are correct.

Success rate of implant varies with:

Bone quality

Loading dynamics

Location of implant placement

Case selection

All are correct

Which one is not recommended for maintenance of implant?

Home-care regimen

Periodic recalls reinforcing regimen

Regularly scaling with ultrasonic scaler

Lifetime maintenance commitment

The Treatment for soft tissue reaction?

Remove and replace with the same diameter fixture; or treat infection

Remove offending screw/reinforce oral hygiene

Reinforce oral hygiene with ultrasonic scaler

Soft-tissue graft

A and C are correct Remove and replace with the same diameter fixture; or treat infection

Which one is not recommended for Oral hygiene aids

Regularly scaling with hand scalers or ultrasonic scalers

Chlorhexidine - use during peri-surgical or as needed for acute soft tissue inflammation

Super-Floss - nylon fibers - thread for interproximal use between abutments and under extensions

Small interdental brushes (Proxibrushes) - for cleaning buccal & lingual abutment surfaces; all metal surfaces must be nylon coated

All is correct

The implant stability

May be the key indicator of fixture health

Marginal bone loss > 0.1mm

Radiographic radiolucency

A and B are correct

All is wrong

We use radiographic assessment to

Determine bone loss

Assess future mobility without FPD removal

Determine the landmarks

Monitor implant success

All is correct

Rapid bone loss seen if

Occlusal trauma

Wrong size of implant

Often scaling

Fractured fixture

Occlusal trauma and Fractured fixture are correct

Dental Implant Prosthodontic procedure

The same to prosthetic procedure for natural teeth

Learn new concepts of taking impressions

More meticulous occlusal adjustment to control biomechanical load on implant than on natural teeth.

The impression, lab-work, and delivery are the same of natural teeth procedure

Learn new concepts of taking impressions and More meticulous occlusal adjustment to control biomechanical load on implant than on natural teeth are correct

The new ideas for implant prosthodontics do not include

The Impression taking

The abutment selections

The fitness of prosthodontics

The superstructure with cement or screw retained.

What factors do you consider for the section of implant abutment?

Soft tissue levels & thickness

Marginal bone level

Implant type, diameter, angulation

Mesio-distal dimension

All is correct

We choose Screw retained due to

Easy to solve prosthetic complication

More esthetic

Easier passive fit

Time efficient & low cost

One piece type of abutment

Mainly use in fixture level impression

Opened tray impression taking

Mainly use for the front teeth only

Mainly use in abutment level impression

The disadvantage of Cement retained are

Difficult to retrieve

Compromise esthetic

Problem due to residual cement

Difficult to obtain passive fit

Difficult to retrieve and Problem due to residual cement are correct

What are the 2 impression methods for implant impression?

Open tray technic impression

Fixture level impression

Abutment level impression

Closed tray technic impression

Open tray technic impression and Closed tray technic impression are wrong

Generally we take impression after implant placing

Maxillary : 2 months later

Mandible : 3 months later

Bone graft:5 months later

All is correct

The impression taking procedure for Esthetic case

2nd Surgery + Impression +Healing abutment + final restoration

2nd Surgery +Healing abutment +impression + final restoration

2nSurgery +Healing abutment +impression +provisional restoration + impression + final restoration

2nSurgery +impression +Healing abutment +provisional restoration + impression + final restoration.

When do you select a fixture level impression?

Posterior region with proper position and path of implant

A screw retained type restoration.

Proper position path and sufficient vertical space

Full mouth fixed type implant restoration

A screw retained type restoration Full mouth fixed type implant restoration are correct

When do you select an abutment level impression ?

On the anterior esthetic region

A screw retained type restoration.

Proper position path and sufficient vertical space

Full mouth fixed type implant restoration

What is the common problem with Plastic impression cap?

Abutment height

Abutment collar height

Path of implant

Gingival or Alveolar bone interference

We can use transfer abutment as

Abutment impression

Fixture level impression

Opened tray impression

Closed tray impression

All is correct

Mandible posterior region

Generally, good bone quality but esthetic demand is high.

Implant system can be selected carefully.

We can place sometimes, short implant (5~7mm length)

Immediate implantation is prohibited.

Bucco-lingual angulation of Posterior teeth

Maxillary teeth : lingual tilting

Mandible teeth : buccal tilting

Most of teeth tilted to mesial side

Distal curvature of natural teeth roots

All is not correct

Mesio-distal position of implant

Natural tooth to implant at least 3-4mm and implant to implant 2-3mm

Center of restoration crown

Most of teeth tilted to distal side

Curvature of natural teeth root is buccally tilted

What is the common error of beginner for Mandible posterior implant ?

Implant system selection

The length of implant

The Angulation of implant

The diameter of implant

Firsrt Molar replacement with implant

Two implants for one molar (one implant to one root)

Wide fixture for molar teeth

Easy site for implant

All is correct

When the patient has the limitation of opening, the common errors for #37, 47 implants are:

Possible lingual perforation

Suturing errors

Incorrect angle at drilling

Possible lingual perforation and Incorrect angle at drilling are correct

All is correct

The advantages of Panorama radiography

Provide better solution

Produce anatomically truer images

Determine height of the bone

Minimize geometric distortion.

All is correct

The distortion of Panorama

Vertical distortion 40-60% and Horizontal distortion 20-40%

Vertical distortion 50-70% and Horizontal distortion 20-40%

Horizontal distortion 50-70% and Vertical distortion 20-40%

Vertical distortion 40-60% and Horizontal distortion 20-40% and Horizontal distortion 50-70% and Vertical distortion 20-40% are correct

All answers are wrong .

The Periapical Radiography

Produce anatomically truer images

Available for only 1 fixture

Poor resolution

Convenience and easy

Produce anatomically truer images and Available for only 1 fixture are correct

Radiology can

Determine bone quality and quantity

Verify superstructure fitness

Identify diseases

All answers are correct

Absolute Contraindications for Dental Implant

Severe renal disorder

Myocardial infarction (MI)

Angina pectoris

Bacterial endocarditis

A and D are correct

Risk factors of dental Implant for the Elderly person

Xerostomia

Poor oral hygiene

Diabetes

Osteoporosis

All is correct

Relative Contraindications for Dental Implants

Active periodontal disease

Renal/pancreatic disorders

Recent myocardial infarction (MI)

Heavy smoking

Dental Implant for Diabetes patients

Patients are at greater risk of infection

Dental implant is contraindicated in diabetic patients.

The accumulation of periopathogenic bacteria could cause peri-implantitis.

The bone density is weak.

Implant Supported restorations are

The denture support is derived from the implants or bar

The denture relies on edentulous arches and implants

The denture support is derived from the implants or bar and The denture relies on implants and attached structures are corrects

All is correct

What are not the concerns about dental implants for geriatric person ?

Longer healing time

Inadequate osseointegration of implants

The assisted implant

Loss of implants due to inadequate oral hygiene

The Success rate of healthy old person for implant

Not comparable to young population

Much lower than young person

Better than healthy adults

Similar to young age group

Oral hygiene cannot predict when

Adequate instruction and recall

Complicated design of implant abutment

Good oral heath aids

Simple design of abutments are utilized

The group III of the residual ridge is

Resorption of basal bone

Minor ridge remodeling

Basal bone ridge

Sharp atrophic residual ridge

Adequate Bone Volume for Implant by Spray JR et al. Ann periodontol 2000

Thickness of 1 to 1.5mm buccal and lingual plate for ridge expansion

Favorable facial bone thickness: 1.8 to 2.0mm.

At least 1mm buccal and lingual plate.

Minimum thickness of 1.5 to 2.5mm buccal and lingual plate

The Solution of Insufficient Bone Width

Alveoloplasty

GBR

Small diameter fixture

Ridge expansion / split

All is correct

The Rule 2 for mesio-distal position of implant is

Implant to tooth: 2~3mm apart

Center of restorative crown

Implant to implant: 3~4mm apart

At least 1mm buccal and lingual plate

When the Bone Height is insufficient the solutions are

Small diameter fixture

Short wide fixture

Alveoloplasty

Sinus lifting

Short wide fixture and Sinus lifting is correct

Bone density of D2 is

A thin layer of cortical bone with low-density trabecular

A dense trabecular bone of favorable strength

A thick layer of compact bone surrounding a core of trabecular bone

Homogenous compact bone

We diagnose the bone density via

Oral Examination

General health condition/ Age/sex of patient

Asking the patient

Model analysis

Surgery for Density 2

Bone compaction

Larger final drill

Tapping – option

Bicortical installation

Which one is not recommended for Surgery of D4?

Bone compaction

Bicortical installation

Larger final drill

Finish with hand wrench

Surgery for D3

Larger final drill

Bone tapping

Reduce final drill diameter

Fixture installation under 15N torque

Healing Period of Rough surface implant

D1: 4~5 months

D2: 2~3 months

D3: 6~8 months

D4 3~4 months

Surgical Technique for Various Bone Density

Amount of torque during fixture installation

Drilling method

Size of final drill

A and B is correct

All is correct

Density 1

Thick cortical bone & dense sponge bone

Most preferred density

Posterior Mx

Almost cortical bone

Density 4

Atrophic anterior Mx & Mn

Thin cortical bone with loose sponge bone

Almost cortical bone

Most preferred density

Density 2

Standard product protocol

Preservation of cortical bone

Reduce up and down during drilling

Almost cortical bone

Ridge Expansion

Possible fracture, resorption,

Loss of cortical bone

Maxilla is easier than mandible

Loss of bone height

Loss of cortical bone and Loss of bone height is wrong

Suggested Implant Diameter to Molar

3.5~4.0

4.0~4.5

4.5~5.0

3.5~4.5

Reduced ability to maintain oral hygiene due to age is a contraindication to implant therapy.

The patient’s overall health should be considered first. There exists a greater likelihood of medical complications in this population.

Implant therapy should be consider as a medical model in the geriatric population.

Cardiovascular Disease is not contraindicated for dental implant if the disease is under controlled.

Degree of Osseo integration with healthy geriatric patients is comparable to that of the younger population.

Success rate of implants in the healthy elderly patients is not comparable that of younger age groups.

Dental implant acts the same as tooth roots in the preservation of bony tissue.

The presence of osteoporosis in one site of the body means it will affect another site.

The periapical radiography can not be used for implant placement due to too small section.

The common problem of implant prosthodontics is abutment collar height

We select an abutment level impression for all case.

We can not use closed tray technic for implant level impression.

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