NBDE Quiz # 23
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NBDE Quiz # 23
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1. Question
A dentist removes a maxillary premolar and notices that she has created an oroantral communication, which is 4 mm in diameter. Which of the following is an appropriate treatment?
CorrectThe correct answer is B. Oroantral communications 2 to 6 mm in size can be repaired with a figure-of-eight suture to maintain the integrity of the blood clot within the socket. Additional measures such as the placement of gelfoam can further assist in blood clot stability and formation. Oroantral communications less than 2 mm can be monitored. No acute surgical treatment required. Oroantral communications greater than 7 mm should be repaired with flap closure such as a buccal fat pad flap advancement. A tongue advancement flap should be reserved for situations where failure of localized advancement flaps.
IncorrectThe correct answer is B. Oroantral communications 2 to 6 mm in size can be repaired with a figure-of-eight suture to maintain the integrity of the blood clot within the socket. Additional measures such as the placement of gelfoam can further assist in blood clot stability and formation. Oroantral communications less than 2 mm can be monitored. No acute surgical treatment required. Oroantral communications greater than 7 mm should be repaired with flap closure such as a buccal fat pad flap advancement. A tongue advancement flap should be reserved for situations where failure of localized advancement flaps.