Maxilofacial prosthetics



Download 199.67 Kb.
Date conversion26.11.2016
Size199.67 Kb.
Maxilofacial prosthetics
1. A 62-year-old patient has a median

fracture of mandible along with formation

of a false joint. Objectively: dental

formula is 33, 34, 35, 36, 27, 47, 46, 45, 44,

43. The teeth are intact, stable, with high

crowns. Fragment mobility is insignificant,

there is no displacement. X-ray picture

shows a bone defect 0,8 cm large. What

prosthesis is indicated?

A. Bridge-like prosthesis with a pivot point

B. Lamellar prosthesis without a pivot

point


C. Lamellar prosthesis with Gavrilow’s

pivot point



D. Lamellar prosthesis with Oxman’s pivot

point


E. Lamellar prosthesis with Weinstein’s

pivot point


2. A 60-year-old patient complains

about difficult mastication due to the

mandible displacement that resulted from

an untreated fracture. Objectively: the

35, 36, 38, 45, 46 teeth are missing. The

remaining teeth are intact. The 43, 44, 47,

48 teeth have no contact with the upper

lateral teeth, and exhibit oral deviation up

to 1 cm. What is the optimal prosthetic

construction for the manible?



A. Prosthesis with double dentition

B.Whole-piece bridge

C. Arch bar prosthesis

D. Adhesive prosthesis

E. Vankevich splint
3. A 34-year-old patient consulted a

prosthodontist about pain and clicking in

the final stage of mouth opening. The patient

has a history of a dislocation. Amplitude

of maximal mouth opening is 58 mm.

Mouth opening should be limited down to

the following amplitude:

A. Up to 40-50 mm

B. Up to 25-30 mm

C. Up to 50-60 mm

D. Up to 10-15 mm

E. Up to 90-100 mm
4. A 20-year-old patient got an injury.

Objectively: the patient’s chin and lower

jaw up to the 34 and 45 teeth aremissing.

The 45, 46, 47, 48, 34, 35, 36, 37 teeth are

stable. At what stage of medical evacuation

the patient will get specialmedical aid?



A. Specialized army surgical hospital

B. Battalion aid station

C. Regimental aid station

D. Separate medical detachment

E. Separate medical battalion
5. A 65-year-old patient consulted a

prosthodontist about fabrication of an

external prosthesis of orbit that was lost

as a result of a trauma. What is the fixing

element of the orbit prosthesis?

A. Spectacle frame

B. Watch spring

C. Swivel devices

D. Clamps

E. Magnets
6. A 24-year-old soldier was injured by

a shell splinter. He was diagnosed with a

mandibular fracture with a bone defect in

the mental region over 2 cm long. What

method of fixation of mandible fragments

is indicated?



A. Fragments fixation by means of Rudko’s

apparatus



B. Tigerstedt’s splints

C. Intermandibular Ivy ligature

D. Gunning-Port’s splint

E. Direct osteosynthesis
7. A 25-year-old patient has a median

fracture of mandible without evident displacement

of fragments. All the teeth are

intact.What kind of wire splint is the most

appropriate in this case?

A. Smooth splint

B. Smooth splint with a spreading curve

C. Splint with hooks

D. Splint with guide plane

E. Pomerantseva-Urbanskaya’s splint
8. A 19-year-old patient complains about

pain in the submental part of mandible.

The day before he got a trauma. Objectively:

there is a slight swelling of tissues

in the mental area. The mouth can be

opened widely enough. All the teeth are

intact. Mucous membrane is edematic in

the region of central incisors, it bleeds slightly. In this region mobility of mandible

fragments is present. Occlusion is undisturbed. What splint should be chosen by

the dentist?



A. Smooth brace

B. Splint with spreading curve

C. Splint with guide plane

D. Anchor splint with intermandibular

fixation


E. Ivy loops for 31 32, 42 41
9. A 65-year-old patient complains about

partially missing teeth on his upper jaw,

difficult mastication, rhinolalia. Objectively:

the 18, 16, 15, 11, 23, 28, 35, 38, 48,

47 teeth are missing; there is postoperative

midline defect of hard palate. It was

decided to make a clasp dental prosthesis

with obturating part. The obturating part

should be placed on the following element

of the clasp dental prosthesis:



A. On the arch

B. On the saddle

C. On the artificial teeth

D. On the base

E. On the clasps
10. A 20-year-old patient was delivered to

the hospital 6 hours after injury. Objectively:

the patient has malocclusion due to

the displacement of bone fragments. The

teeth on both jaws are intact except for the

missing 35 tooth. Ro-gram shows fracture

of mandible. The fragments are displaced.

What treatment is most appropriate?



A. Anchor splints with intermaxillary

rubber traction band



B. Intraoral miniplate osteosynthesis

C. Smooth brace

D. Intermaxillary ligature

E. Chin cup

11. A 25-year-old patient presented to

a clinic on the fourth day after a face

trauma complaining of pain in the lower

jaw on both sides, difficult swallowing.

Objectvely: there is a slight swelling in the

mental region, dentitions are intact but a

fragment of 44 43 42 41 31 32 33 34 teeth

is displaced downwards and backwards.

Single-step fragment reposition is not

effective.Which appliance should be used

for the fragment reposition?

A. Post’s

B. Kurlyandsky cap splint for one jaw

C. Weber’s

D. Betelman’s

E. Schur’s

12. A 30-year-old patient has a cut wound

of the upper lateral surface of tongue. The

wound was given with a separating disk.

Bood penetrated into the airways causing

asphyxia.What form of asphyxia occurred

in the patient?



A. Aspiration

B. Stenotic

C. Valvular

D. Obstructive

E. Dislocation

13. Floating obturators (Case’s,

Chasovskaya’s etc.) for the defects in

the hard and soft palate are fabricated

according to impressions obtained

by means of S-shaped spatula. Which

impression material is used in this case?



A. Stens

B. Orthocor

C. Stomalgin

D. Dentafol

E. Plaster
14. A 32-year-old patient presented to a

prosthetic dentistry clinic with a diagnosis

of maxillary fracture.The fracture can be

treated by means of standard maxillomandibular Zbarzh set. Which construction provides the intra-oral fixation?



A. Standard double arch

B. Aluminium arch bar

C. Plastic biteplate

D.Weber’s splint

E. Crown-supported soldered splint

15. A 59-year-old patient presented to a

clinic for prosthetics. Three months ago

he was treated for the fracture of the body

of mandible on the left. The 18, 27, 28, 38,

32, 31, 41, 42, 43, 44, 45, 47, 48 teeth are missing. The patient has left-sided cross-bite

with lateral occlusal contact. What tactics

should be chosen?

A. Removable denture with double dentition

B. Selective teeth grinding followed by

fixed prosthetics



C. Orthopedic treatment

D. Implant-supported fixed denture

E. Removable denture with Kemeny clasps
16. A 50-year-old patient has median

lower jaw fracture with formation of a

false joint. The 38, 32, 31, 41, 42, 48

teeth are missing. The remaining teeth are

intact, stable. There is no displacement of

lower jaw fragments. X-ray picture shows

a bone tissue defect up to 1 cm large.What

prosthesis is indicated?



A. Oxman’s bridge-like prosthesis with

pivot point



B. Clasp denture

C. Lamellar prosthesis with Gavrilow’s

pivot point



D. Lamellar prosthesis with Oxman’s pivot

point


E. Bridge-like prosthesis without a pivot

point
17. A 23-year-old serviceman needs

orthopedic treatment in a specialized

hospital. The patient has been diagnosed

with false joint in the anterior lower jaw.

The teeth are intact, stable, 3 on each side.

Orthopedic treatment can be carried out

using a bridge prosthesis, if the jaw defect

is no bigger than:

A. 1 cm

B. 3 cm

C. 3,5 cm

D. 2 cm

E. 2,5 cm

18. A 65-year-old male patient complains

about crepitation and clicking in both

temporomandibular joints, pain induced

by displacement of the lower jaw to the

right, ear noise, dry mouth, glossalgia.

He has been using complete removable

prosthesis of the lower jaw for 6 months.

The patient denies rheumatosis. Objectively:

the lower third of face is shortened,

mental fold is strongly pronounced,

mouth corners are lowered, angular fissures

and cracks are also present. Palpation

reveals crepitatnt rale observed during

TMJ moving. What is the most likely diagnosis?



A. Costen’s syndrome

B. Temporomandibular arthritis

C. Temporomandibular arthrosis

D. Temporomandibular dislocation

E. Temporomandibular osteoarthritis
19. A 62-year-old patient has a median

fracture of mandible along with formation

of a false joint. Objectively: dental

formula is 33, 34, 35, 36, 27, 47, 46, 45, 44,

43. The teeth are intact, stable, with high

crowns. Fragment mobility is insignificant,

there is no displacement. X-ray picture

shows a bone defect 0,8 cm large. What

prosthesis is indicated?

A. Bridge-like prosthesis with a pivot point

B. Lamellar prosthesis without a pivot

point


C. Lamellar prosthesis with Gavrilow’s

pivot point



D. Lamellar prosthesis with Oxman’s pivot

point


E. Lamellar prosthesis with Weinstein’s

pivot point


20. A 33-year-old officer delivered

from a battlefield has shoot off mental

part o fmandible, drooling, insignificant

haemorrhage from the oral cavity,

asphyxia that occurs periodically because

of head repositioning. What actions

should be taken to prevent the asphyxia

development?



A. Fixation of tongue, transportation in

prone position



B. Thacheostome construction

C. Fixation of jaws with a mental sling

D. Surgical d-bridement, tracheostome

Construction



E. Transportation in prone position
21. For fabrication of an external

prosthesis a 62-year-old male patient

needs "Hippocratic facies". What

impression material should be applied?



A. Gypsum

B. Dentafol

C. Stens

D. Stomaflex

E. Repin
22. A 58-year-old patient was diagnosed

with fracture of lower jaw with formation

of a false joint. Objectively: the 38, 36,

32, 41, 43, 48 teeth are missing. Preserved

teeth are intact, stable. There is no displacement of lower jaw fragments. X-ray

picture shows a bone tissue defect to up 2

cm large. What construction of prosthesis

is indicated in this situation?



A. Fixed Oxman’s prosthesis with pivot

point


B. Oxman’s single-jointed prosthesis with

pivot point



C. Gavrilow’s prosthesis with pivot point

D. Kurlyandsky prosthesis with roller

damper clasp



E. Oxman’s double-jointed prosthesis with

pivot point


23. A 25-year-old male patient got

bilateral fracture of the lower jaw. A fragment in the region of the 44, 43, 42, 41,

31, 32, 33, 34 teeth is displaced downward

and backward. What appliance should be

used for the fragment reposition?

A. Post’s appliance

B. One-jaw bite-guard splint

C. Kurlyandsky’s appliance with levers

D. Weber’s appliance

E. Shur’s appliance
24. A 40-year-old patient is hospitalized

with Le Fort II maxillary fracture.

The teeth are intact. Choose the most

appropriate apparatus for this patient:



A. Standard Zbarzh construction

B. Yadrova’s apparatus

C. Rudko’s apparatus

D. Yermolaev-Kulagov’s apparatus

E. Gunning-Port’s splint
25. A 69-year-old patient underwent an

operation for complete removal of his

lower jaw. They took impressions of

both jaws and fabricated a lower jaw

replacement prosthesis before operation.

What elements will provide fixation of this

prosthesis in the oral cavity?

A. Foshar’s spiral springs

B.Wire loops

C. Clasps

D. Magnets

E. Attachments
26. A 19-year-old patient complains about

pain in the submental part of mandible.

The day before he got a trauma. Objectively:

there is a slight swelling of tissues

in the mental area. The mouth can be

opened widely enough. All the teeth are

intact. Mucous membrane is edematic in

the region of central incisors, it bleeds slightly.

In this region mobility of mandible

fragments is present. Occlusion is undisturbed.

What splint should be chosen by

the dentist?



A. Smooth brace

B. Splint with spacer bar

C. Splint with guide plane

D. Anchor splint with intermandibular

Fixation


E. Ivy loops for 31, 32, 42, 41
27. A 60-year-old male patient has an

extensive defect of nose caused by an

injury. The patient temporarily refused

operative intervention, it was suggested

to fabricate an external nasal prosthesis

fixed by eyeglass frame. What impression

material should be used?

A. Gypseous impression of the whole face

B. Impression of the whole face with

thermoplastic material



C. Impression of the defect with elastic

material


D. Impression of the defect with

thermoplastic mass



E. Gypseous impression
28. A 50-year-old patient has median

lower jaw fracture with formation of false

joint. The 38, 32, 31, 41, 42, 48 teeth are

missing. The remaining teeth are intact,

stable. There is no displacement of lower

jaw fragments. X-ray picture shows a bone

tissue defect 1 cm large. What prosthesis

is indicated?



A. Oxman’s bridge-like prosthesis with

pivot point



B. Clasp denture

C. Lamellar prosthesis with Gavrilow’s

pivot point



D. Lamellar prosthesis with Oxman’s pivot

point


E. Bridge-like prosthesis without a pivot

Point
29. A 58-year-old male patient has considerable microstomia as a result of a

face trauma and burn. The patient has

indication for fabrication of a partial

removable prosthesis. What construction

of prosthesis should be used in this case?



A. Collapsible prosthesis

B. Clasp dental prosthesis

C. Clasp dental prosthesis with

attachments



D. Pivot-point removable prosthesis

E. Partial removable lamellar prosthesis
30.Asoldier was delivered to the regiment

medical station with dislocation asphyxia

caused by a gunshot wound. What actions

should be taken for asphyxia suppression?



A. Pul the tongue forwards and sew it

through


B. Intubation of trachea

C. Tracheostoma establishment

D. Artificial airway

E. Artificial pulmonary ventilation
31. A 55-year-old woman complains about

liquid pouring through her nose during

eating of fluid food. Objectively: there is

a perforating defect of alveolar process

3x2,8 cm deep in the lateral part of the

upper jaw at level with the extracted

16 tooth. The patient refused operative

intervention. What construction should

be offered?

A. Minor saddle prosthesis with clasp

fixation


B. Clasp dental prosthesis with obturating

element made of elastic plastic



C. Partial removable lamellar prosthesis

D. Fixed dental bridge

E. Celluloid mouth protector
32. A 40 year old patient complains

about difficult mastication as a result of

lower jaw deviation. Anamnesis data:

mental fracture 2 months ago. Objectively:

the 35; 36; 38 ... 45; 46 teeth are

missing. Remaining teeth are intact. The

43; 44; 47; 48 teeth have no contact with

antagonists and their oral deviationmakes

up 1 cm. What is the optimal construction

of lower jaw denture?



A. A denture with double dentition

B. Metal-ceramic dental bridge

C. Soldered splint on rings

D. Removable lamellar denture

E. Adhesive denture
33. A 24 year old soldier injured by a

shell splinter was diagnosed with fracture

of mandible accompanied by an over 2 cm

long bone defect in the chin area. What

method of fixation of mandible fragments

is indicated?



A. Break fixation by means of Rudko’s

apparatus



B. Tigerstedt’s splints

C. Intermandibular Ivy ligature

D. Gunning-Port’s splint

E. Direct osteosynthesis
34. A 48 year old patient complained

about posttraumatic pain in the area of

his chin. Examination revealed median

fracture of lower jaw with I class dentition

defect (according to Kennedy classification).

It is indicated to make a Vankevich

splint in Stepanov’s modification. What

will determine the height of directing

planes of this splint?

A. Extent of mouth opening

B. It will be determined arbitrary

C. Height of central jaw correlation

D. Form of edentulous alveolar crests of

the lower jaw



E. Height of molar teeth of the upper jaw
35. A 36 year old patient applied to

a dentist 1,5 month after a mandibular

trauma with complaints about difficult

food mastication, esthetic face

defect. Objectively: the face is proportional,

asymmetric as a result of oral

displacement of a lateral fragment of

the left lower jaw. When the jaws are

closed the 34, 35, 36, 37 teeth are not in

contact with their antagonists. The patient

strongly objects to surgical operation.

What orthopaedic treatment should

be administered?

A. A denture with double dentition

B. Mechanotherapy

C. Interjaw traction

D. Crowns with occlusal applications

E. Levelling of occlusal surface
36. A patient has got a traumatic fracture

of mandible in the area of the missing 34,

35 teeth with a slight displacement and a

defect of alveolar part in the area of the

34, 35 teeth. Other teeth on both lower

and upper jaws are intact. What splint

would be optimal in this case?

A. Tigerstedt’s splint with a spreading

curve


B. Plain splint cramp

C. Port’s splint

D. Vasilyev’s splint

E. Vankevich splint
37. A 53 year old patient has to undergo

resection of the left half of mandible

together with its ramus. It is indicated

to make an immediate Oxman’s denture.

What denture element keeps the remaining

mandible fragment from deviation

towards the defect?

A. Removable or non-removable inclined

plane


B. The whole fixing part

C. Multiclasp system

D. Resection part

E. Artificial teeth
38. A 68 year old patient underwent full

jaw removal. Before the operation an

impression of the patient’s upper and

lower jaws was taken and a substitutive

denture was made.What are the means of

the denture fixation in the oral cavity?



A. Spiral Fosher springs

B. Anchors

C. Clasps

D. Magnets

E. Attachments
39. A soldier injured by a shell splinter

was diagnosed with gunshot fracture of

mandible accompanied by an over 3 cm

long bone defect in the chin area. What

method of fixation of mandible fragments

is indicated?



A. Machine osteosynthesis (Rudko,

Bernadsky)



B. Tigerstedt’s splints

C. Direct osteosynthesis

D. Gunning-Port’s splint

E. Intermandibular Ivy ligature
40. A 23 year old military servant needs

orthopaedic treatment in a specialized

hospital. He was diagnosed with false joint

of mandible in its frontal part. The teeth

are intact, stable, in threes on each side.

Orthopaedic treatment by means of a bridge

denture will be possible only if the jaw

defect is no more than:



A. 1 cm

B. 2 cm

C. 3 cm

D. 3,5 cm

E. 4 cm
41. A 45 year old man complains about liquid outpouring from his nose, inability

to blow his nose, inflated cheeks. Objectively: there is a perforating defect (1х1,5 cm) of alveolar process at a level of the extracted 26th tooth in the lateral part

of his upper jaw. Air inhalation through

the nose with held nostrils is accompanied

by generation of bubbles in the area

of perforation. What denture construction

should be recommended?

A. Lesser saddle denture with clasps’

fixation


B. Clasp denture with obturating part

C. Common partial removable denture

D. Common dental bridge

E. Protective palatal bars
42. A 68 year old patient has a defect in

the lower third of his nose as a result of

malignant tumour removal. Objectively:

dorsum of nose up to the middle third

and external nostril outlines are intact.

Skin at the base of nose is thinned and

erosive. The patient strongly objects to

any plastic operation. What method of fixation of nose ectoprosthesis is the most

acceptable?

A. On the glasses frame

B. By means of lace

C. Transparent adhesive tape

D. Anatomic retention

E. Head cap
43. A 40-year-old patient has an open

occlusion resulting from the bilateral

fracture of his upper jaw and following

malunion of fragments. The occlusal vertical

dimension is maintained only by molar

teeth. There is a gap of about 1-1,5 mm

between the rest of teeth. The dentitions

are without gaps. What kind of treatment

would be most appropriate in this situation?

A. The molar teeth should be ground off

and covered with crowns



B. Orthodontic treatment

C. Combined apparatus and surgical

treatment



D. Open reposition

E. Prosthetics with combined crowns
44. A 59-year-old patient has a bilateral

fracture of mandible in the region of the

44, 34 teeth, other masticatory teeth are

missing, toothless fragments are not displaced but mobile.Which orthosis should

be used for the immobilization of bone

fragments?



A. Vankevich splint with orthodontic

elastics


B. Rudko’s apparatus

C. Limberg’s splint

D. Petrosov’s apparatus

E. Zbarzh apparatus
45. A patient has been diagnosed with

traumatic open angular fracture of

mandible with a fragments displacement.

Which of the following should be applied

for transport immobilization of the

fragments?



A. Entin head-chin strap

B. Tigerstedt splints

C. Standard Vasyliev splints

D. Gunning splints

E.Weber splints
46. A 53-year-old patient complains of missing

of mandibular teeth. He has a history

of microstomy. Objectively: the 31,

32, 35, 36, 37, 38, 41, 42, 45, 46, 47 and 48

teeth are missing. The remaining teeth are

stable, immobile. What kind of denture

construction is recommended for this patient?

A. Collapsible removable partial lamellar

denture


B. Removable partial lamellar denture

C. Dental bridge supported by the 43, 33

teeth and removable denture



D. Clasp denture

E. Splint-denture
47. A 68-year-old patient had a stroke,

after which she now often experiences

urges to vomit causing unilateral TMJ dislocations. The dislocations could only be

reduced under anesthesia. The 21-28, 15,

16, 17, 18, 36, 37, 44, 46, 47 teeth are missing. What denture construction is optimal for this patient for the treatment period?

A. Removable lamellar denture with a

mouth opening stopper



B. Schroeder appliance with sliding pivot

C. Petrosov’s appliance with a stopper

D. Yadrova’s appliance

E. Khodorovich-Burgonskaya appliance

with a stopper


48. A 28-year-old male patient presented

to a clinic on the 2nd day after the

face trauma and complained of bilateral

mandibular pain, difficult swallowing and

obstructed breathing. Objectively: there

was a slight swelling in the region of the

molars on both sides, the teeth were intact

but the jaw fragment with the 43, 42,

41, 31, 32, 33 teeth deviated downward

and backward. Manual reposition didn’t

produce any positive result. Which appliance

should be used for treatment?



A. Post’s appliance

B. One-jaw Katz appliance

C. One-jaw Kurliandsky appliance

D. Brun appliance

E. Betelman appliance

49. A 58-year-old patient was diagnosed

with fracture of lower jaw with formation

of a false joint. Objectively: the 38, 36,

32, 41, 43, 48 teeth are missing. Preserved

teeth are intact, stable. There is no displacement of lower jaw fragments. X-ray

picture shows a bone tissue defect to up 2

cm large. What construction of prosthesis

is indicated in this situation?



A. Fixed Oxman’s prosthesis with pivot

point


B. Oxman’s single-jointed prosthesis with

pivot point



C. Gavrilow’s prosthesis with pivot point

D. Kurlyandsky prosthesis with roller

damper clasp



E. Oxman’s double-jointed prosthesis with

pivot point


50. A 20-year-old patient got an injury.

Objectively: the patient’s chin and lower

jaw up to the 34 and 45 teeth aremissing.

The 45, 46, 47, 48, 34, 35, 36, 37 teeth are

stable. At what stage of medical evacuation

the patient will get specialmedical aid?



A. Specialized army surgical hospital

B. Battalion aid station

C. Regimental aid station

D. Separate medical detachment

E. Separate medical battalion
51. A 32-year-old patient presented to a

clinic for takingof an upper jaw impression.

During this procedure she choked with

a piece of impression material, there

was risk of asphyxia. What are the firstpriority actions within emergency care?

A. Abrupt push-like compressions of the

lower thorax



B. Artificial ventilation of lungs

C. Plaster removal from the airways

D. Closed-chest cardiac massage

E. Tracheotomy
52. A 59-year-old patient has a bilateral fracture of mandible in the region of the 44, 34 teeth, other masticatory teeth are missing, toothless fragments are not displaced but mobile. Which orthosis should be used for the immobilization of bone fragments?

A. Vankevich splint with orthodontic

elastics

B. Rudko’s apparatus

C. Limberg’s splint

D. Petrosov’s apparatus

E. Zbarzh apparatus
53. A 65-year-old patient complains about partially missing teeth on his upper jaw, difficult mastication, rhinolalia. Objectively: the 18, 16, 15, 11, 23, 28, 35, 38, 48, 47 teeth are missing; there is postoperative midline defect of hard palate. It was decided to make a clasp dental prosthesis with obturating part. The obturating part

should be placed on the following element of the clasp dental prosthesis:

A. On the arch

B. On the saddle

C. On the artificial teeth

D. On the base

E. On the clasps
54. A 45-year-old man complains about liquid outpouring from his nose, inabilityto blow his nose, inflated cheeks. Objectively: there is a perforating defect (1х1,5cm) of alveolar process at a level of the extracted 26th tooth in the lateral part of his upper jaw. Air inhalation through the nose with held nostrils is accompanied by generation of bubbles in the area of perforation. What denture construction should be recommended?

A. Minor saddle denture with clasp

fixation

B. Clasp denture with obturating part

C. Common partial removable denture

D. Common dental bridge

E. Protective palatal bars
55. A 23-year-old military servant needs orthopedic treatment at a specialized hospital. He was diagnosed with false joint of mandible in its frontal part. The teeth are intact, stable, in threes on each side. Orthopedic treatment by means of a bridge denture will be possible only if the jaw defect is no more than:

A. 1cm


B. 2cm

C. 3cm


D. 3,5 cm

E. 4cm


56. A 42-year-old patient has been hospitalized with Le Fort II fracture of maxilla. Select an appliance for the treatment of this patient:

A. Zbarzh

B. Kulagin

C. Rudko


D. Penn-Brown

E. Yadrova


57. A patient has got a traumatic fracture of mandible in the area of the missing 34, 35 teeth with a slight displacement and a defect of alveolar part in the area of the 34, 35 teeth. Other teeth on both lower and upper jaws are intact. What splint would be optimal in this case?

A. Tigerstedt’s splint with a spreading

curve

B. Plain splint cramp



C. Port’s splint

D. Vasilyev’s splint

E. Vankevich splint
58. A 25-year-old male patient has bilateral fracture of the lower jaw. A fragment in the region of the 44, 43, 42, 41, 31, 32, 33, 34 teeth is displaced downward and backward. What appliance should be used for the fragment reposition?

A. Post’s appliance

B. One-jaw bite-guard splint

C. Kurlyandsky’s appliance with levers

D. Weber’s appliance

E. Shur’s appliance


59. A 40-year-old patient complains about difficult mastication as a result of lower jaw displacement. He has a history of mental fracture 2 months ago. Objectively: the 35, 36, 38 ... 45, 46 teeth are missing. Remaining teeth are intact. The 43, 44, 47, 48 teeth have no contact with antagonists and their oral deviation makes up 1 cm.

What is the optimal construction of lower jaw denture?

A. Denture with double dentition

B. Metal-ceramic dental bridge

C. Soldered splint on rings

D. Removable lamellar denture



E. Adhesive denture




The database is protected by copyright ©dentisty.org 2016
send message

    Main page