ae veble ety ee ps Academic semesier| Department: Oral Surgery® = Anesthesia | fall_2021 nee —| a } Course code: O5A54i, | Exam Da al fist fight. \Patient has severe pain & tenderness on th ble |& the 3" moiar is fractured & wit premature contact with the opposing tooth) in addition a step / mobility is seen betweer lower left first 5 ag 6Merior open bite) (Total 8 marks) j wa acon the fracture that the patient has? (1 mat? “ae moe No Oo Whak are the indications for flosed reduction?) What are the indications of using splints in fractures?(2 marks) “2— What Is a lag screw & describe the principle behind it & when is it indicated? (2 mar side of premolar canine tooth with I Cally HE \_w d. What are the/surgical approach you would choose to fixate these fractured? discuss (3 marks) 2A 60-year-old female patient presents to your outpatient clinic requesting dental implant placement [lower teft 14 premolar region? (Fatal 8 mars} 2, Whatlinedical condition you need to rule out that will affect the selection of «he Batiend fe why?)2 marks) b, How will you evaluate bone quantity —— ityp Mention the ditterest aren Sei classifications used? If only 4 mm of bone width | length of 10mm abave inferior alveolar nerve, what adjunctive Pape lof2 a WwW fol,Procedures would You perform to aitlinimplunt placement? And what would be the fiverage sire of the implant marks) ] * <, What ore the possible complications s that might oecur-with thiafnplant) placement? (3 marks) A 3- Give an account on submandibulat sa alan gla 4 ee . ¢ a ae How to ——— clinically Ssetvrees it FS ‘tumors? signs & symptoms, radiographle features and management ot Holith), its ‘ventral amelablastoma. (5 marks) What is conscious sedation? What are the indications and methods of ‘conscious sedation? (7 marks) SE Writs trser scolar oc rmasillary nerve ae asl ey (3.5 marks) F umerate the most commen medical = dental chair. Discuss the managemeit of 3mUUs S October University for Modern Science and Arts. Faculty of Dentistry Summer 2018 Oral Surgery & Anesthesia OSA: Marks: 50 ‘Time Allowed: 3 hours Mr | 1. A) Mention the characteristics of lesion that raise the suspicion af malignancy. ( 5 marks) B) Define biopsy and mention various biopsy techniques and indications for each? (5 marks) g 2- Discuss the management of sialolith of the submandibular salivary gland. (10 Marks) 3- A 22 year old female patient status post motor vehicle accident. Patient has severe pain & . tenderness on the left side of the upper face & on palpation In front of her ear, she felt extreme tenderness in the left posterior mandible, On intraoral exam, the nae ard ue molar has premature (10 Marks) e+ ents Ly ‘ar Classify the fracture / fractures that the patient Has? (2 Marks) bb. What are the principles of rigid fixation and what type of plates can be used with this ~ re fracture, if any? (3 Marks) ainole - repo et , What is closed reduction and whist is its indications? (2 Marks) —® & & Discuss the surgical approaches you would choose to fixate the above fracture or & pre - Ee fractures? (3 Marks) 2 Laclinrs! mq ae 4 A 60 year old female patient with history of controlled diabetes. Patient is currently + totally edentulous ‘a, What lab tests should you undergo to see if the patient is fit for dental implants or ine not? eC" 'b. What are the different treatment plan scenarios you would consider for this case in 8-0. order of preference and which on you choose and why? (5 Marks) / is an immedi: its advantages and disadvantages? What is a Q ‘implant, its advantages and disadvantages? (2 Marks) possible complications you might face with this case? (3 Marks) sas a possible medical emergency during dental treatment wa ‘diabetic patient in acoma? ‘ taken to protect the airway during performing nesthesia? ( 5 marks) ' en to the patient before induction of general 'ent has severe pain & tenderness: 1 A 27 year old a heavy fall. Pati = male patient presents afer 4 ae ee on #he ene ide of his face the right Mower MLA 2 Tea colL| the opposii ceaue between first molat and:second molar tooth. In *PPOSing tooth with Lacerated soft tissue b i posterior sie of mandible distal addition patient ang of severe tenderness 08 i complains of severe tondemess to the third molar tooth and bony segment is loose (10 Marks) G5 minutes) patient has? (2 Marks) Classify the fr that the ee sent of fractures and what are a 'b, What are the indications for use of splints in manaec the types of splints? @ Marks) ce. What are the surgical approaches would you choose fo fractures and advantages? (3 Marks) dif the patient ‘s upper 1# molar is loose and has to be extracted during surgery and patient wish to have an implant, however the reinaining vertical bone height 18 6 mm, Discuss different treatment plan options in this case in order of preference? GB Marks), fixate the above fracture or 4. Define biopsy, and mention varidts types of biopsies and indications of each: (10 marks) (G5 minutes) ee ae) gyi Fete San 4. A) Diseuss anatomy of branches? (Smarks) (15 minutes) B) Discuss submandibular selivary gland ealeuli and ts management, (S marks) (Is minutes) yparotid gland and how 10. assess the function of facial nerve. 44. Diseuss causes of fainting inthe dental ehai, (10 marks) (33 mines) Steps oF basic life SUPP" with referral fo energensyteatment oF vasovagal De ‘il eseribe 9 marks) G5 minites) syncope? (1° oeel M,. oe oe for Modlera Science and Arts. Faculty of Dentistry Spring 2018 Oral Surgery & in OSASHI sl Sure & Ancsfisla OSAS#1 Allowed: 3 how irises 1 Define ameloblastoma. Mention etiology, clinical features, and management of ‘ameloblastoma of the mandible. 2: Give a detailed account on salivary gland cysts, 3 AAO year old mate patient presents after a fist fight. Patient has severe pain & tenderness on the left side of the upper face & on palpation in front of his ear, he felt extreme endemess, inward displacer ent and flatness on the left side of the face. There was no disturbance in occlusion{10 Marks) ‘@. Classify the fracture / fractures that the patient has? (2 Marks) 'b. What are the principles of rigid fixation and what type of plates can be used with this fracture, if any? (3 Marks) ¢. Discuss the surgical appreaches you would choose to fixate the above fracture or fractures? (3 Marks) 4. What Is a gunning splint and what are its indleations? (2 Marks) 4, A-45 year old female patient is edentulous in her lower jaw since age 22, with full permanent dentition in her upper jaw and would like to piace dental implants, knowint, that she has adequate bane anteriorly and only 5 mm above the inferior alvesiat nerve posteriorly. sein a. What are the different treatment plan scenarios you would consider {or this cas order of preference and which one would you choose ‘and why? (5 Marks) i 2 What 15 fb. What is an immediate implant, mention its advantages and disadvantages? i Ks a one-stage implant, mention its advantages and disadvantages? (2 Ma" Ss) cations you'might face with this ease? (3. Marks) 7 C. What are the possible compl ment of vasovagal syncope. clinical picture and manage! 5, Discuss the Page 1of 1Oral & Maxillofacial Surgery Semester 10- OSA 541 Fall 2017 - Final Exam 1. 24 year old male patient presents alter a motor vehicle accident. Patient complains of severe pain & tenderness and inability to chew Clinical exam revealed the lower left lateral incisor tooth with premature contact with the opposing tooth and lacerated soft tissue between left lateral incisor and left central incisor tooth , in addition patient complains of severe tenderness on the right posterior side of mandible distal to the third molar tooth which is mobile and intruded (Total 10 Marks) (35 min) a. Classify the fracture / fractures that the patient has? (2 Marks) b. What are the indications for Splints and types? (3 Maris) €. What are the principles of rigid fixation and mention the different types of plates? (2 Marks) 4d, What are the surgical approaches you would choose to fixate the above fracture? (3 Marks) 2 30 year old female patient presents requesting implant placement in upper right 1% ‘molar region, (Total 10 Marks} (35 min) ‘a, What are the eriteria for implant success? (2 Marks) ba, Define Osseointegration and what is one stage implant. Discuss advantages and disadvantages and when is it indicated? (2 Marks) Ifthe patient has only 7 mm of bone remaining. What options can you give the patient and what are the adjunctive procedures to enhance or allow implant placement for thls case? Explain in detail (3. Marks) 3. d. What are the complications of dental Implant placement? (3 Marks) 3. Mention the predisposing etiologic factors, clinical features, and management of oral squamous cell carcinoma. (10 marks) (35 min) 4- Define submandibular safivary gland sialolith, Discuss its conservative and surgical ‘management. (10 marks) (35 min) 5+ Discuss the pathogenesis, clinical picture, predisposing causes, and prevention of vesovagal syncope. (10 marks) (35 min)Y Spring 2013 1-a 25 yrs old male pt. presented after a heavy blow to his face with a stick, Patient has severe pain ond tenderness ond severe flatness on the left side of the face. Suffered from bleeding nose, double visian and inability to open the mouth, ‘@ What is are the proper diagnssis of this cose? b+ Whot are the different classification of this fracture? & What are the Principles for rigid fixation end It's advantages. EE GEE BPC EPPO Fos WOvIE ChOOTE TC Yikere vhese Fractores sian? 2-60 yrs old female pt. request implant placement in upper anterior region. 9- Define exseointegration? What are the factors affect osseointegration. ‘b+ What are medical condition you rule cut in order to proceed with implont placement? £- Ef the pt. has 2 thin ridge, what adjunctive procedure could be done to enhance or aliow implont placement of this case? Explain in detaits d- What are the genera! end specific complications that could happen in this case? 3- Ameloblastema is edentegenic tumor with many variable concerning the —.¢linical behavior, histopathology and means of treatment, discuss? 4- answer the following a+ give on account on Sialography (3)b- pt presented to the clinic with a badly decayed mandibular premolars and F* molar indicated for extraction. Pt can't open his mouth wide due to severe muscle trismus. d- Describe the anaesthetic technique of choice, 2- What ore the extraction movement used for every tooth?(5) 5. Discuss pathogenesis, predisposing factors and management of wasovagal ” syncope? (10)Sem 10 Summer 2013 t- 30 yrs old pt. present after a fight. Patient has severe pain d tenderness on the right side of the mandible & the 3rd molar is fractured & with premature contact with the opposing tooth, In addition a step/mobility is seen between the lower left premolar and canine with anterior open bite, a. Classify the fractures b. What are the indications for closed reduction? Jf open reduction is chosen, What are the different types of fixation methods you can use for this pt? © What is a lag serew and describe the principle behind it & when is it used? d. What are the surgical approaches you would choose ta fixate this fractures? 2-A 50 yrs old female pt, present to your clinie requesting dental implant placement in maxillary left Ist molar region Summer 2013 @. what medical conditions you need to rule out that will affect selection of pt. and why? b, How will you evaluate bone quantity anc | ity? Mention the different classification used? If only 5 mm bone Lyng he what adjunctive procedures would you perform to aid i it placement? ¢. What are the possible complications that might occur with implant placement? 3- Discuss pathogenesis, clinical picture, prevention and management of wasovegal syncope?4- A 12 yrs old boy came to the clinic complaining of bluish swelling in the floor of the mouth, The pt. claim that the swelling enlarged lately in size to the extent that it elevated the tongue and caused dysphasia, clinical diagnosis confirmed the complaint and proved that the swelling is not fixed to underlying tissues. What is the most applicable diagnosis and management? "5A forty years old man presented Yo your clinic complaining of multiple bilateral maxillary anterior and posterior remaining root that requires removal. He gave a history of recurrent abscesses he also claimed that he suffers trom renal failure and perform renal dialysis twice a week. Discuss management in full details,Sem 10 Fall 2012 4- A 35 old male pt. presented after motorcycle accident. Pt has severe pain and tenderness on the right side of the mandible at the goniof area and the 2nd molar is fractured with premature contact with the opposing tooth, In addition a step / mobility is seen between the lower central incisors and a resultant open bite on left side. " fae ae the pt has, Hint are the Frincioles for: rigid b What is a lag screw & describe the principle behind! it& when is it indicated? & Discuss surgical approach you would choose to fixate these fractures. 2. @ 622 yrs old female pt, present to your clinic requesting dental implant placement in maxillary left Ist molar region a. Define osseointegration? What are the factors affect osseointegration. . How will you ewaluate bone quantity and quality? Mention the different ion used? Ifonly § mm bone height is remaining what adjunctive would you perform to aid implant placement? © eerie ciel Ree ae ee ee aght contr h implant 3+ Enumerate factors affecting choice of therapy of oral tumor? Explain in full details the means of treatment of oral malignancy?4: +A pt presented to the clinie with a badly decayed lower second molar, he gave a history of chronic liver disease and reported prolonged bleeding after any kin injury, Discuss in full details management of this case (your answer should include premedication, any local haemestatic measures used, choice of LA. drug and instrument used for extraction)? 5- Discuss emergency handling of fainting in the dental chair “ABCD. ?Oral Sutsery Department __ Time allowed: three hours Oral Surgery - OSA 541 ‘ Summer final exam ; ¢ 1, 40 year old Eoyptian male suffers a bilateral sub-condylar At - fracture. a=\ &. What are the clinical features of condylar fractures? Mention the disadvantages of intermaxillary arch bar fixation? ©. What are the absolute indications & relative indications for ‘open reduction of condylar fractures? d. What are the surgice! approaches to open reduction of condylar fractures? 2. A50 year ald femaie patient presents {o your outpatient clinic requesting dental implant placement in maxillary right 2% | iJ premolar, 1" molar tegion? W 3, What medical conditions you need to rule out that will affect the selection of the patient & why? b. How will you evaluate bone quantity & quality? Mention. ~The different classifications used? ¢. If bone height is inadequate, discuss the impiant site development procedures that can be employed? d, What are the possible complications that might occur with implant placement?/, g t LL € SAUNIVERSITY We AAA si Ti ie imi (: three hours Oral Surgery - OSA 644 Final exam. Answer the following questions. 1. A 60 year old female patient presents to your outpatient clinic tequesting dental implant placement in an edentulous-area of maxillary left 2 premolar & 1" molar? —— ari ine-patient aterm you she has systemic lupus erythmatosis. Would that affect your treatment plan & why? b. If after clinical & radiographic exam, you decide that the patient has D4 bone, what does that mean & how this will affect your treatment plan & the placement of the implants? cc. If on examining the bone height available for placing the dental impiant in the maxillary left 1" molar, you find only 4 mm of bone below the maxillary sinus, Describe in details the different ways you could manage this case? d, What are the possible failures that might occur with dental implants? SS = _ 2. A 40 year oid male patient presents after a car accident with a mandible fracture. Patien! has severe pain & tenderness in his feft angle region & the 3“ molar is fractured & with premature contact with the opposing tooth, in addition a step is seen —-y msauverery Af @kKue Eeculty of Dentisiry Ht in 4 m é Oral Surgery -OSA 541 Final exam. Answer the following questions. the outpatient clinic 1. A 55 year old male patient presented requesting dentalimplant placement inh mandibular left 2° premolar and 1* molar region? _2._What- are .the -medical “conditions” that will affect the ‘selection of the patient for this kind of treatment and why? b, How will you evaluate bone quantity|& quality? Mention the different classifications used? ¢. What are the possible complications that might occur with implant placement? 2) A 14 year old male patient suffered a fall on His chin, On clinical & radiographic examination, it was revealed that the patient had severe pain & tendemess close to his ears bilaterally, a step deformity was palpated infront & slightly below the external auditory meatus bilaterally & patient cannot open his jaw well. 2, What is the most likely diagnosis? What is the clinical __ ———— —— — picture of such condition? by What are the treatment modalities of such condition mentioning the different indications & how would age affect the treatment? ¢. Discuss the surgical approach you would take {fo treat such condition? —p