P.D Management of Impacted teeth

1-    25 years old male who has pain related to partially erupted wisdom tooth, swollen percoronal tissue, and enlargement of submandibular lymph node. Which of the following medications can be prescribed for him?

• Augmentin  1 gm BD.

   

• Clindamycin  150 mg QID.

• Amoxycillin  500 mg TID.

•   Cefadroxil  500 mg Q

2-   Which of the following represents the least complication of incidence after surgical removal of impacted lower wisdom teeth?

• Injury to inferior alveolar nerve

   

• Injury to lingual nerve

   

•   Dry socket

• Fracture angle

3-   You have been involved with your maxillofacial consultant in a surgical removal of deeply impacted lower wisdom tooth, in which nerve transaction was obvious during surgery. What do you think would be the appropriate decision to be taken by the consultant?

•   Close the wound and review the patient later.

•    Perform immediate direct anastomosis of the injured segments.

• Close the wound and prescribe postoperative steroid and Vitamin B12.

• Close the wound and refer the patient to neurosurgery and pain clinic.

4- According to Seddon classification of nerve injury, a recovery from numbness on the lower lip after 45 days of surgery can be regarded as:

•   Neurotmesis

• Axonotmesis

• Neurapraxia

•     Allodynia

5-   35 years old male patient presented with pain related to lower left side. On clinical examination, there were multiple carious and non-restorable teeth. The OPG shows an impacted lower right wisdom tooth.

Based on Bell and Gregory classification, an impacted wisdom tooth that is partially present in the   ramus can be regarded as:

•    Position A

• Class II

• Class I

• Class III

6- 35 years old male patient presented with pain related to lower left side. On clinical examination, there were multiple carious and non-restorable teeth. The OPG shows an impacted lower right wisdom tooth. Which of the following represent the best treatment option for the lower right wisdom tooth?

•   Surgical removal after consenting the patient for the possibility of nerve injury.

• Surgical removal after consenting the patient for the possibility of fracture mandible.

•   Conservative treatment and follow up.

• Coronectomy (remove the crown and keep the roots).

7- Proximity of the ID canal to the roots of wisdom teeth can be best assessed by:

•   OPG

   

•    CBCT

   

• Two Periapical radiographs

   

•   CT

   

8- Which of the following characteristics would indicate a disease-free wisdom tooth?

•   Frequent history of pericoronitis.

   

• Probing depth of 3 mm mesial to the tooth.

   

•    Absence of attached gingiva around the tooth.

   

• Enlarged tooth follicle

   

9- Based on Bell and Gregory classification, an impacted wisdom tooth that is totally present in the ramus can be regarded as:

•    Class I

• Class II

•    Class III

• Position C