The task of Dentistry
Objective 1. The patient in connection with the development of the inflammatory process from
periodontit of J 3 J shows his removal. What kind of method of the local you use?
Answer. Infiltration anesthesia 1-2% solution of novocaine, lidocaine or trimekaina adding 1-2
drops of 0.1% solution of adrenaline, if there are no contraindications to the latter (hypertension).
Objective 2. The patient 30 years shows deletion (excision) dobroka Tumor-quality on the
lower lip on the left size of 0.5 × 1 cm, Which method of anesthesia will you choose?
Answer. Infiltration anesthesia.
Problem 3. In connection with the unsuccessful attempts to cure the "L for chronic
okoloverhushechnyh (chronic periodontitis) shows its removal. In the absence of a dentist is
necessary ~ P. Remove to prevent the development of periodontitis and cellulitis. You are the
doctor on duty. What you spend anesthesia?
Answer. 1-2% solution of novocaine, lidocaine, or optionally trimekaina sary to hold the right
mandibular anesthesia and infiltration by transitional fold in the tooth to be removed.
Problem 4. In patient 30 let_v connection with the development of inflammation in the area
hindered teething | 8 (wisdom tooth) originated inflammatory
tion contracture of the
masticatory muscles. As a result, the clamping jaw (lockjaw) viewing area | ~ 8 ~ fails. On
radiographs [8 ~ races laid horizontally, which is an indication for its removal. What methods
are you using local anesthesia?
Answer. The best method in this situation may be anesthesia in the oval hole of the skull base,
allows you to block all third branch of the trigeminal nerve, which includes the nerves that
innervate the muscles of chewing. This anesthesia will eliminate pain and contracture of the
patient to open his mouth, it is necessary to conduct operations in gtgHowever, 'this method is complex and requires skill. Therefore, we can in-filtration anesthesia
(3-5 ml of a 2% solution of novocaine) zhevatel tion to remove muscle pain factor in muscle
and mouth open. After that spend mandibular anesthesia and infiltration by transitional fold
(buccal nerve).
Task 5. Patient 65 n UZ in ag ood sort dental health: required mo treat _6 j and | _5_, remove
74] and 16 July. The patient with hypertension cal disease and coronary heart disease.
What type or complex methods of anesthesia for these interventions would recommend
physician internist?
Answer. The mental component present in such interferences stances in each patient, in this
situation can cause a sharp rise in blood pressure, coronary vasospasm. In this connection
requires either a good premedication tranquilizers, ataraktikami and local ane
paths, or
conducting an experienced anesthetist general anesthesia (nitrous oxide, Halothane, Ketamine
and others.). Intervention should Provo be in a hospital under the control of the ECG.
Task 6.
Patient L., 35, turned to the dentist complaining of existence portion of the seal in the
bottom 5 of the tooth. 5 depulpirovat tooth, slightly painful to percussion. At the level of the
tooth transitional fold palpated slightly painful seal round shape with a smooth surface. The
mucosa in this area is slightly hyperemic. Lymph nodes in the left submandibular triangle
enlarged, condensed, mobile, bezbole nenny h. What diagnosis do you consider the most likely?
1.
Acute serous periostitis of the mandible from 5 tooth.
2.
Acute suppurative periostitis of the mandible from 5 tooth.
3.
Chronic simple periostitis of the mandible from 5 tooth.
4.
Chronic periostitis ossificans of the mandible from 5 tooth.
5.
Chronic rarefitsiruyuschy periostitis of the mandible from 5 tooth.
Task 7.
As a result of examination of patients with AN, 34 years old, exhibited d and agnosia: acute
suppurative periostitis of the upper jaw tooth 5 with localization subperiosteal abscess on the part
of the hard palate. What method are slashing and subperiosteal abscess on the hard palate?
1.
Linear incision parallel to the alveolar process.
2.
Linear incision parallel to the median suture.
3.
Incision with excision of a small area of tissue.
4.
Cut with cutting out the flap on the leg.
5.
Linear cut perpendicular to the median suture.
Task 8.
Patient B., 56 years appealed to the dental surgeon with complaints Chorus x cavity in the
lower jaw on the left. The disease started with acute pain bottom 6 tooth, which two months
later was removed. OBJECTIVE: facial asymmetry due muftoobraznogo thickening of the
mandible in 5 and 7 teeth. In bo left mandibular triangle has two fistulous purulent tons of
fissioning. Radiographically - at 6 wells tooth hearth bone destruction semioval shape size
2,0h1,0 see with clear boundaries in Sered and sequestration, but smaller, on the periphery of his
strip sclerosis. Diag stirovan of osteomyelitis of the mandible on the left. What clinical form of
myelitis Ost has a patient?
1.
Acute odontogenic osteomyelitis of the mandible.
2.
Chronic odontogenic diffuse osteomyelitis of the mandible.
3.
Chronic odontogenic osteomyelitis of the lower focal h e Lust.
4.
Chronic odontogenic osteomyelitis of the mandible giperostozny.
5.
Chronic odontogenic osteomyelitis of the mandible limited.
Task 9.
Patient B., 50 years old surveys dental surgeon about the disease h e Lust. OBJECTIVE:
facial asymmetry due to thickening of the lower half of the people th STI. In the submandibular
triangle are five sinus tracts with SEL at haniem granulation and scanty purulent discharge.
Mouth opening is limited. The mucous membrane of the entire half of the jaw with a bluish tint,
some of the wells extracted teeth protrude granulation. Radiographs determined destruction of
bone from the lower level up to 2 teeth condylar process in the form of small cavities with small
sequester inside. Which pathological with about Stoyanov most consistent clinical picture of
this?
1.
Acute odontogenic osteomyelitis of the mandible.
2.
Chronic odontogenic osteomyelitis of the mandible limited.
3.
Chronic odontogenic osteomyelitis of the lower focal h e Lust.
4.
Actinomycosis of the mandible.
5.
Chronic odontogenic diffuse osteomyelitis of the mandible.
Task 10.
Patient B., 40 years old, contacted the clinic Maxillofacial Surgery at the Stand of the
control of acute inflammatory processes in the right infraorbital region. After inspection and
examination diagnosed: odontogenic abscess d orbital area on the right. What are the main
symptoms of this locale and abscesses tion?
1.
Infiltrate in the infraorbital area, nasolabial fold coordination, raised
wings of the nose, swelling of the lower and upper in e ka, hyperemic skin,
pleated not taken, in the absence of s Buhanov mucosal transitional fold.
2.
Narrow, sharply painful infiltration in the infraorbital area, no
bulging mucosa by Dr. Noah transitions crease.
3.
Diffuse infiltrate in the infraorbital area, skin hyper and Rowan, is
not taken into the fold of mucous membrane bulging on transitional fold.
4.
Diffuse infiltrate in the infraorbital area, skin hyper and Rowan, is
taken into the fold of mucous membrane bulging on ne Transitional crease,
limited mouth opening.
5.
Infiltrate in the infraorbital region, flattening of the nasolabial fold,
swelling of the lower and upper eyelid skin is hyperemic, pleated not taken,
no bulging of the mucous membrane by a transitional fold, marked
limitation of mouth opening.