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Oral Surgery & Extractions Flashcards

6 cards from real ORE PART 2 practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Oral Surgery & Extractions flashcards as text
  1. What is the recommended storage medium for an avulsed permanent tooth before reimplantation?

    Answer: Milk or Hank's Balanced Salt Solution (HBSS)

    Milk is the most practical recommended storage medium (HBSS is ideal but impractical) as it maintains PDL cell viability; dry storage causes rapid PDL cell death.

  2. At what age is surgical removal of unerupted lower third molars with no pathology generally not recommended?

    Answer: Over 35 years (increased surgical morbidity)

    NICE guidelines previously recommended against prophylactic removal of disease-free third molars; risk of complications (nerve injury, slow healing) increases with age after 35.

  3. What is the most important pre-operative assessment before extracting an upper molar in a patient on anticoagulants?

    Answer: Check INR and liaise with anticoagulation clinic; proceed if INR ≤ 3.5

    Current UK guidelines recommend checking INR before dental extractions; if ≤3.5, proceed with local haemostatic measures (pack, sutures, tranexamic acid mouthwash) without stopping warfarin.

  4. What does the term 'coronectomy' refer to in third molar surgery?

    Answer: Deliberate removal of the crown only, leaving roots in situ when close to the IAN

    Coronectomy involves removing only the crown of a deeply impacted lower third molar when roots are in intimate contact with the IAN, to avoid nerve injury.

  5. Which anatomical structure defines the posterior boundary of the pterygomandibular space?

    Answer: Medial pterygoid muscle

    The medial pterygoid muscle forms the medial and posterior boundary of the pterygomandibular space, which is entered during inferior alveolar nerve block administration.

  6. What is the significance of a 'sentinel loop' sign on a chest X-ray following wisdom tooth removal?

    Answer: It is not relevant to wisdom tooth surgery — it indicates pancreatitis

    A sentinel loop is a radiological sign of localised ileus associated with pancreatitis — it has no direct relevance to wisdom tooth surgery and illustrates the importance of differential diagnosis.

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Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. gdc-uk.org — Test delivery, exam dates, fees, retake fee, score release, time limit, retake policy, score validity, registration, exam information · verified Nov 2026
  2. orepart2.org.uk — Eligibility, time limit, passing score · verified Oct 2026