4th BDS Oral and Maxillofacial surgery

ORAL & MAXILLOFACIAL SURGERY - APRIL-2006


Part-A

1. Write the clinical features, etiology and management of Ludwig’s Angina and note on systemic
complications=9m
2. Write short notes: 4 x 4 ; a)Local anaesthetic agent pharmacology b)Inferior Alveolar Block-Not aching
c) Haemophilia patient for Dental extraction d) Chronic osteomyelitis of Mandible
3. Write briefly on: 5 x 2 =10m; a) Healing of Extraction wound b) Alveolopathy
c) Impacted Tooth d) Implants e) Gaseous Anaesthetic agent

Part-B

4. Write about facial proportions and note about class II and III prognathism and method to plan treatment by
Orthognatic surgery=9m
5. Write short notes on: 4 x 4 =16m; a) Open Cap Splint Osteosynthesis
b) Champy’s Osteosynthesis line for monocortical plating c) Blow out fracture of orbit
d) Premalignant conditions
6. Write briefly on: 5 x 2 =10m; a) Residual cyst b) Adenocarcinoma for minor salivary gland in palate
c) Radiotherapy for oral carcinoma d) Apert’s syndrome e) Implant supported prosthesis


OCT./NOV.2005


Part-A

1. Discuss in detail indications, contra-indications, principles followed in Dental extraction of teeth. Note on
complication =9m
2. Write short notes on: 4 x 4 =16m; a) General Anaesthesia vs.Local Anaesthesia
b) Posterior superior alveolar nerve block Anaesthesia c) Analgesics for oro-facial pain d) Dry socket
3. Write briefly on: 5 x 2 =10marks; a) Syncope b) Prophylactic antibiotic therapy
c) Masticatory space infection d) Suturing e) Biopsy

Part-B

4. Write the clinical feature and treatment of Le Fort III fractures of Midface=9m
5. Write short notes on: 4 x 4 =a) Gunning splint b) Trigeminal Neuralgia c) Subluxation d) Sialadenitis
6. Write briefly on: 5 x 2 =10marks; a) Mucocele b) Staging of tumour c) Odontogenic Keratocyst
d) Cleft lip and palate protocol e) Inter positional arthroplasty



MAR/APR.2005


Part-A

1. Discuss about pharmacology, composition and indication for use of local anaesthetic agent. Write a note on
complications of inferior alveolar nerve block anaesthesia =9marks
2. Write short notes on: 4 x 4 =16marks; a) Pre-medication b) Open method extraction of tooth
c) Post extraction Haemorrhage management d) Elevators
3. Write briefly on: 5 x 2 =10marks; a) Anaphylaxis b) Sterilization c) Cavernous Sinus Thrombosis
d) Classification of impacted 3rd molar tooth e) Apicoectomy

Part-B

4. Write the golden hour of trauma importance and note on protocol to be followed in Root traffic accident
victim management and on Life support system =9marks
5. Write short notes on: 4 x 4 =16marks; a) Condylar fracture of Mandible
b) Nerve injuries following trauma in facial region c) Ankylosis treatment protocol
d) Mixed tumour of Parotid gland
6. Write briefly on: 5 x 2 =10m; a) Periapical cyst b) Oro antral fistula c) Functional neck dissection
d) Bell’s palsy e) Treatment for Mandibular prognathism


OCTOBER, 2004.

Part-A

1. Enumerate in detail the course of Mandibular branch of Trigeminal Nerve and explain the technique of
classical pterygomandibular nerve block =9marks;
2. Write short notes on: 4 x 4 =16marks; a) Composition of local Anaesthetic solution
b) Management of post extraction haemorrhage c) Presurgical Antibiotic prophylaxis
d) Autologus Blood Transfussion
3. Write briefly on: 5 x 2 =10marks; a) Classification of Osteomyelitis of Jaw bones
b) Medical Management of Trigeminal Neuralgia c) Moist heat Sterilization d) Diazepam
e) Mandibular Ridge-Augmentation

Part-B

4. Classify features of zygomatico complex and write about the clinical features and management of fracture
of zygomatic arch =9marks
5. Write short notes on: 4 x 4 =16marks; a) Pre-auricular approacyh to temporomandibular joint
b) Transalveolar Extraction c) Marsupalization d) Ludwig’s Angina
6. Write briefly on: 5 x 2 =10marks; a) Suture Materials b) Principle of Elevators c) Eyelet wiring
d) Classification of Mandibular Condylar Fractures e) Hyperbaric Oyxgen


APRIL,2003 (N.R.)

Part-A

1. Explain the terms ‘favourable’ and ‘unfavourable’ fractures for the mandible. Describe the management of
an unfavourable fracture involving (L) angle mandible. =9marks
2. Write short notes on: 16- a)Autoclaving b)Mucocele of the pulp c)Syncope d)Chronic maxillary sinusitis
3. Give brief answers to the following questions (2marks each)
a) Causative organisms in Ludwig’s angina b) Materials used for interpositional osteoarthroplasty
c) List of non-resorbable suture materials. d) Complications of hyperbaric oxygen therapy
e) List of various preauricular incisions.


Part-B

4. Classify TMJ disorders. Discuss the clinical features and treatment of TMJ pain dysfunction syndrome =9m
5. Write short notes: (4m.each) a) Dentigerous cyst b)Clark’s vestibuloplasty c) Biopsy d) Cephalometry
6. Give brief answers to the following questions (2marks each)
a)Composition of salivary calculus. b)List of instruments used for extraction of lower impacted third molar
c) Composition of local anaesthetic solution. d) Pterygomandibular space boundaries.
e) Name the principles of elevation of teeth.



MARCH/APRIL, 2003. (OLD REGULATIONS)

Part-A

1. Explain the terms ‘favourable’ & ‘unfavourable’ fractures for the mandible. Describe the management of an
unfavourable fractures involving (L) angle mandible. =10marks
2. Write short notes on: 6 x 5 =30m a) Autoclaving b) Mucocele of the lip c) Syncope
d) Chronic maxillary sinusitis e) Hyperbaric oxygen therapy f) Ludwig’s angina
Part-B
3. Classify TMJ disorders. Discuss the clinical features and treatment of TMJ pain dysfunction syndrome =10
4. Write short notes on: 6 x 5 =30m a) Dentigerous cyst b) Clark’s vestibuloplatsty
c) Biopsy d) Cephalometry e) Pterygomandibular space boundaries f) Principles of elevation of teeth


OCTOBER, 2002 (New Regulations)

Part-A

1. What is Impaction? Write the theory, classification of impacted mandibular 3rd molar tooth. Add a note on various techniques of surgical extraction =9marks
2. Write short answers on: 4 x 4 =16m a) Lignocaine hydrochloride b) Sterilization
c) Analgesic in O.M.F.surgery d) Suture material and suturing techniques
3. Write briefly on: 5 x 2 =10marks
a) Idiosyncrasy b) Vasoconstrictor c) Prophylactic antibiotic regime for cardiac compromised patients
d) Dry socket e) Incision & Drainage


Part-B

4. Write aetiology, clinical features, diagnosis and treatment of odontogenic keratocyst of the mandible affecting a young adult of 20 years =9marks
5. Write short answers on: 4 x 4 =16 a) Biopsy b) Rigid internal fixation c) Cephalometric analysis d) Radiotherapy
6. Write briefly on: 5 x 2 =10marks
a) Hyperbaric oxygen b) Treatment options for sub condylar fracture c) Malunion d) Reimplantation
e) Frenectomy



OCTOBER, 2002 (Old Regulations) -

Part-A

1. Write about Pharmacology of Local Anaesthetic Agents used in Oral Surgery and how to minimise complications=10marks
2. Write short notes on: 6 x 5 =30marks
a) Elavators b) Analgesics c) Sterilization d) Ludwigs Angina e) Odontogenic Myxoma


Part-B

3. Classify the fractures related to Mandible. Give the detailed treatment for unfavourable fracture of the Angle =10m
4. Write short notes on: 6x5=30marks
a) Carcinoma of Tongue b) Ankylosis of Temperomandibulor joint c) Model surgery for orthognathic
d) Vestibuloplasty e) Bells palsy f) Oroantral Fistula

FINAL B.D.S. - APRIL, 2001.
Part-A

1. Describe the lines of Leforte I and II fractures. Describe the clinical features and treatment of Leforte I features =10marks
2. Short Notes: a) Anaphylaxis b) Properties of an ideal local anesthetic drug
c) Complications of extractions d) Pre-anaesthetic preparation of a patient e) Sialoadenitis
f) Cryosurgery-Principles & Indications in oral lesions =6x5=30marks


Part-B

3. Classify cysts. Describe the etiology, clinical features and treatment of a periapical cyst of the maxillary meisers =10marks
4. Short notes: a) Broad spectrum penicillin’s b) Hyperbaric oxygen therapy
c) Interposition osteoarthroplasty
d) Nasal antrostomy-indications and techniques e) Treatment of Ludwig’s angina f) Frenectomy =6x5



11th OCTOBER, 2000.

Part-A

1. Describe the clinical and radiological features of chronic osteomyelitis of the mandible in an adult. Also briefly discuss the various treatment modalities =10marks
2. Short Notes: a) Biopsy-indications and techniques b) Marsupialization c) Principles of elevation of teeth
d) Caldwell Luc surgery-indications and technique e) Leforte I osteotomy-indications and technique
f) Role of vasoconstrictor in local anaesthesia =6x5=30marks



Part-B

3. Describe the land marks & techniques for the pterygemandibular block.Also discuss the complications of this block 10
4. Short Notes: a) Autoclaving b) Ibuprofen in oral surgery c) Mucocele in the lip d) Syncope
e) Post-operative care of general anesthesia patient f) Obwegeser vestibuloplasty for the mandible-6x5






APRIL, 2000.

Part-A

1. What are the causes of Oro-antral communication. Describe any one method of surgical closure =10m
2. Short Notes: a) Winter’s classification of impacted lower third molar b) Globulo maxillary cyst
c) Pterygo mandibular space infection d) Subluxation of T.M.J. e) Trans-alveolar extraction
f) Complications of interior alveolar nerve block =6x5=30marks


Part-B

3. Classify fractures of condyle. How would you treat a case of low sub-mandibular fracture =10marks
4. Short Notes: a) Clark’s technique for localization of impacted maxillary
b) Sub-mandibular space infection c) Traumatic bone cyst d) Trigeminal Neuralgia
e) Dclofenac sodium f) Penicillin’s =6x5=30marks



6th OCTOBER, 1999.

Part-A

1. Write in detail the clinical features and management of paraxysmal trigeminal neuralgia =10marks
2. Short Notes: a) Pericioranitis b) Dentigerous cyst c) Dislocation of T.M.J. d) Miniplate osteosynthesis
e) Cephalosporins f) Adenomatoid Odontogenic tumour =6x5=30marks


Part-B

1. Describe classification & clinical features of fracture Zygomatic bone complex.Give the indications for surgical treatment=10marks
2. Short Notes: a) Maxillary canine impaction b) Radicular cyst c) Trans-osseous wiring
d) Pindborg tumor e) Sub-massoteric space infection f) Pain dysfunction syndrome of the T.M.J. 6X5









8th APRIL, 1999.


Part-A

1. Classify fractures of the mandible. How would you treat a case of fracture mandible in the angle region?-10
2. Short Notes: a) Dry socket b) Radiological assessment of lower third molar c) Pterygomandibular space
d) Subluxation of T.M.J. e) Nasolabial cyst f) Sialolith =6x5=30marks


Part-B

1. Enumerate the causes of inability to open the mouth. How would you treat a case of bone ankylosis=10m
2. Short Notes: a)Ameloblastoma b)Residual cyst c)Ludwig’s Angina d)Exolevers e)Syncope
f) Trans alveolar extraction=6x5=30marks


7th OCTOBER, 1998.

Part-A

1. Describe the management of fracture of the angle the mandible, distal to the IIIrd molar tooth=10
2. Short Notes: a) Syncope b) Ludwig’s Angina c) Garre’s osteomyelitis d) Marsupialisation
e) Dental alevators f) Condylar fractures in children =6x5=30marks


Part-B

3. Classify the impaction of mandibular III molar tooth. How will you manage a mesio-blique impaction =10
4. Short Notes: a) Odontomes b) Cryo-Surgery c) Zygomatic fractures d) Apicoectomy
e) Pathological fractures f) Torus palatinus =6x5=30marks









9th APRIL, 1998.

Part-A

1. Describe a technique of inferior dental nerve block anaesthesia. Enumerate the complications of the technique=10m
2. Short Notes: a) Osteo-radioneurosis b) Submassecteric space infection
c) Acute dislocation of the TM joint. d) Primordial cyst e)Hemophilia f)Premedication=6x5


Part-B

3. Enumerate the etiological factors of ero-antral fistula. Add a brief note on its management. =10m
4. Short notes: a) Keratocyst b) Trigeminal neuralgia
c)Fracture of the body of the mandible in children d)Diplopia e)Vestibuloplasty f)Biopsy =6x5


8th OCTOBER, 1997.

Part-A

1. Describe the etiology, clinical features and the management of chronic osteomyelitis of the mandible =10m
2. Short Notes: a) Prognathium b) Submucous fibrosis c) Fracture of the body of the odentulour mandible
d) Removal of a fractures root from the maxillary sinus e) Le Forte I fracture =5x5=25marks


Part-B

3. Describe the etiology, clinical features and management of ankylosis of T.M.Joint =10marks
4. Short Notes: a) Ranula b) Leukoplakia c) Cleft lip d) Subluxation of T.M.Joint
e) Adeno-ameloblastoma f) Submandibular salivary calculi =6x5=30marks








APRIL, 1997.

Part-A

1. What are the possible complications of an impacted lower third molar. Mention briefly how would you assess an impacted lower third molar =10marks
2. Short Notes: a) Dental elevators b) Pterygomandibular space c) Mucoperiosteal flaps
d) Premedication e) Complications of I.D.Nerve Block =5x5=25marks


Part-B

3. Define ankylosis of T.M.Joint. Mention the etiology, clinical features and management of unilateral ankylosis in a 10 year old patient =10marks
4. Short Notes: a) C.S.F.Rhinorrhoea b) Alveoloplasty c) Osteo-radionecrosis d) Sialolith
e) Aspirin f) Nerve Injuries =6x5=30marks