Medical Terminology And Oral Facial Anatomy 101 Online Course 2015 About the Speaker Dawn W. Jackson, DrPH, RHIA, CCS-P, FAHIMA Ms. Jackson is a Professor and Program Director for the Health Services Administration program at Eastern Kentucky University. She obtained her bachelor’s degree from East Carolina University (Greenville, NC) in Health Information Management, her master’s degree from Eastern Kentucky University (Richmond, KY) in Allied Health Education, her doctor of public health degree in Health Services Management from the University of Kentucky (Lexington, KY), and most recently attained Fellowship status with the American Health Information Management Association. Her areas of expertise include: healthcare reimbursement systems, coding and billing processes, medical law, and health care management. As a certified coding specialist, Ms. Jackson has trained physicians and their staff for over 20 years. Of particular significance, she has been presenting coding courses for the American Association of Oral and Maxillofacial Surgeons for over 18 years. T able of Contents Introduction to Word Structure ...................................................................................................1 The Language of Medicine ..................................................................................................1 Learning Methods ................................................................................................................2 Word Components ...............................................................................................................3 Medical Word Analysis .......................................................................................................4 Combining Forms and Suffixes ....................................................................................................7 Suffixes Meaning “Pertaining to” ........................................................................................7 Suffixes Meaning “Condition or Process” ...........................................................................8 Illustrative Overview of the Human Body .........................................................................10 Combining Forms Relating to Anatomical Sites ...............................................................14 Suffixes Relating to the Study of Specialties .....................................................................25 Combining Forms Relating to Specialties .........................................................................25 Pleural Endings ..................................................................................................................29 Common Prefixes .........................................................................................................................35 Directional Prefixes ...........................................................................................................35 Miscellaneous Prefixes ......................................................................................................37 Diagnosis and Treatment Terms ................................................................................................47 Suffixes Relating to Treatment ..........................................................................................47 Miscellaneous Combining Forms ......................................................................................51 Suffixes Relating to Diseases and Conditions ...................................................................55 Oral and Maxillofacial Terms.....................................................................................................71 Illustrative Overview of the Cranial Cavity .......................................................................71 Combining Forms Relating to Orofacial Areas .................................................................73 Alphabetic Index to Word Components ....................................................................................87 Introduction to Word Structure 1 The Language of Medicine Medical terminology is a professional language – the language of medicine. Rich in history, most medical terms stem from the ancient Latin and Greek languages. Generally, terms describing diagnoses and procedures have Greek origins, whereas terms describing the anatomical structure of the body have Latin origins. A Historical Connection Vein (from Latin vena) Nose (from Latin nasus) Mandible (from Latin mandibula) Biopsy (from Greek bio and opsis) Pulpectomy (from Latin pulpa and Greek tomas) Given this heritage, medical terminology is often considered a foreign language. And, in many ways, it is. Imagine going to a different country where you are unable to communicate effectively. That is how patients feel whenever they come into contact with physicians, nurses, and other healthcare workers. Learning medical terminology will likely be confusing and frustrating – at least occasionally. However, once you know the most common prefixes, roots, and suffixes, you will be able to combine them in different ways to create numerous medical terms. As you expand your knowledge, you will be able to: • Better understand medical record documentation, • Communicate more effectively with clinicians and patients, and • More easily perform work responsibilities. © 2015 American Association of Oral and Maxillofacial Surgeons 1 Learning Methods This course focuses on the prefixes, suffixes, and roots most commonly used in the field of oral and maxillofacial surgery. Beyond this, you will be introduced to roots describing all of the major anatomical structures of the body. In total, you will learn over 290 word components. To a great extent, you will accomplish this on your own, through a variety of learning methods. 1. The Word Components section provides a list of prefixes, suffixes, or roots that need to be learned. Each list contains definitions and sample words using the word component. 2. The automated Flash Cards found at the course website will help you visualize and retain the information you are learning. In addition, many of these flash cards contain pronunciations of the terms. Remember, effective communication depends on written and oral abilities. 3. The Exercises found in each chapter of the training manual offer you an opportunity to apply your knowledge in a variety of ways. The answers to the exercises provide instant feedback so that you can determine how well you are learning. 2 © 2015 American Association of Oral and Maxillofacial Surgeons Word Components Most medical terms can be divided into smaller word components. Understanding these components is the first step in learning medical terminology. • Root (stem) – The root is the foundation that establishes the basic meaning of the word. For example, in the word hepatic, the root (stem) hepat means liver. • Combining form – A combining form is a root connected to a combining vowel (normally an “o”). This combining vowel links the root to a suffix or to another root. For example, in the word radiology, the combining form is radi/o. The combining vowel is linking the root to the suffix –logy. • Suffix – A suffix is located at the end of the word that modifies the meaning of the root. For example, in the word appendectomy, the suffix is –ectomy (excision; to remove). The root is append (appendix). The suffix changed the meaning of the root to “excision of the appendix.” • Prefix – A prefix is located at the beginning of the word and modifies the meaning of the root. For example, in the word postprandial, the prefix is post- (after). The root is prand (meal). The prefix changed the meaning of the root to “after meals.” Combining Vowel Rules Rule 1: When two vowels come together, the combining vowel is dropped. Example: Consider the term “Cardiac” (cardi/ac). The combining form of this word is cardi/o and the suffix is –ac. Notice that the combining vowel (“o”) has been dropped because the suffix begins with a vowel. Rule 2: The combining vowel is kept when connecting two roots. Example: Consider the term “Adenocarcinoma” (aden/o/carcin/oma). Notice the combining vowel (“o”) is kept between the roots “aden” and “carcin”. However, the combing vowel (“o”) is dropped between “carcin” and the suffix –oma, because the suffix begins with a vowel. © 2015 American Association of Oral and Maxillofacial Surgeons 3 Medical Word Analysis Medical word analysis is the process of dissecting a medical term and identifying the roots, prefix, suffix, and combining vowels. The following are examples of identifying the components of a word. 1. ELECTROCARDIOGRAM (electr/o/cardi/o/gram) electr/o = combining form (root + combining vowel) meaning electricity/electrical cardi/o = combining form (root + combining vowel) meaning heart -gram = suffix meaning record Therefore, the word electrocardiogram means “a record of the electrical impulses of the heart.” 2. MAXILLOFACIAL (maxill/o/faci/al) maxill/o = combining form (root + combining vowel) meaning maxilla or upper jaw faci = root meaning face -al = suffix meaning pertaining to Therefore, the word maxillofacial means “pertaining to the maxilla and face.” 3. RETROGNATHIA (retro/gnath/ia) retro- = prefix meaning behind or backward gnath = root meaning jaw -ia = suffix meaning condition Therefore, the word retrognathia means “a condition in which the jaw (lower) is in a backward or recessed position.” 4. THROMBOSIS (thromb/o/sis) Thromb/o = combining form (root + combining vowel) meaning clot -sis = suffix meaning pertaining to Therefore, the word thrombosis means “pertaining to a clot.” 4 © 2015 American Association of Oral and Maxillofacial Surgeons Exercise 1 Divide the following medical terms into components and identify each. Medical Term Word Components Component Identification Examples: a. Cerebral cerebr/al cerebr = root -al = suffix b. Pathology path/o/logy path/o = combining form -logy = suffix 1. Enteritis enter/it is ________________________ ________________________ 2. Cephalic cephal/ic ________________________ ________________________ 3. Nephrology ________________________ ________________________ ________________________ 4. Electroencephalogram ________________________ ________________________ ________________________ ________________________ 5. Pericardial ________________________ ________________________ ________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 5 Answers – Chapter 1 Exercise 1 1. Enter/itis enter = Root -itis = Suffix 2. Cephal/ic cephal = Root -ic = Suffix 3. Nephrology nephr/o = Combining Form -logy = Suffix 4. Electroencephalogram electr/o = Combining Form encephal/o = Combining Form -gram = Suffix 5. Pericardial peri- = Prefix cardi = Root -al = Suffix Illustration Source LifeART Collection Images – Copyright ©1989-2001 by Lippincott, Williams & Wilkins, Baltimore, MD 6 © 2015 American Association of Oral and Maxillofacial Surgeons Combining Forms & Suffixes 2 This chapter contains common suffixes and combining forms that may be seen or heard in a variety of health care settings. Roots and combining forms unique to oral and maxillofacial surgery are covered in Chapter 5 of the training manual. Suffixes Meaning “Pertaining to” Instructions: Review and learn the following suffixes. Pay close attention to the analysis and meaning of each listed word. Suffix -ac Meaning Pertaining to Word List Cardiac (cardi/ac) – Pertaining to the heart cardi/o = heart -al Pertaining to Cerebral (cerebr/al) – Pertaining to the cerebrum cerebr/o = cerebrum -ar Pertaining to Muscular (muscul/ar) – Pertaining to muscles muscul/o = muscles -ary Pertaining to Urinary (urin/ary) – Pertaining to the urinary system or urine urin/o = urine, urinary system -eal Pertaining to Peritoneal (periton/eal) – Pertaining to the peritoneum (lining of the abdominal cavity) peritone/o = peritoneum -iac Pertaining to Celiac (cel/iac) – Pertaining to the abdomen celi/o = belly, abdomen -ic -ical Pertaining to Phobic (phob/ic) – Pertaining to fear phob/o = fear © 2015 American Association of Oral and Maxillofacial Surgeons 7 Suffix Meaning Pertaining to -ior Word List Posterior (poster/ior) – Pertaining to the back of the body or being behind poster/o = back, behind Pertaining to -ous Nervous (nerv/ous) – Pertaining to nerves nerv/o = nerves Pertaining to -tic Arthritic (arthr/i/tic) – Pertaining to a joint or arthritis arthr/o = joint Suffixes Meaning “Condition or Process” Instructions: Review and learn the following suffixes. Pay close attention to the analysis and meaning of each listed word. Suffix Meaning Process -ation Word List Hydration (hydr/ation) – Process of combining with water hydr/o = water Process -ema Empyema (em/py/ema) – Process of having pus within (pus pockets) em- = in Blood condition -emia py/o = pus Anemia (an/emia) – Deficiency of certain materials in blood an- = without Condition -ia Pneumonia (pneumon/ia) – Infectious condition of the lung pneumon/o = lung Process -ion -tion Incision (in/cis/ion) – Process of cutting into in- = into 8 cis/o = to cut © 2015 American Association of Oral and Maxillofacial Surgeons Suffix Meaning Word List Process, condition -ism Embolism (em/bol/ism) – Condition involving a moving blood clot em- = in Abnormal condition -osis -sis bol/o = to throw Keratosis (kerat/o/sis) – Excessive growth of horny or hard tissue of the skin kerat/o = horny, hard Process; condition -y Atony (a/ton/y) – Condition involving a lack of muscle tone a- = without ton/o = tension Exercise 2 Identify the suffix in each of the following terms. Medical Term Suffix Medical Term Suffix 1. Colicky __________ 6. Leukemia __________ 2. Alcoholism __________ 7. Exostosis __________ 3. Neurosis __________ 8. Cervical __________ 4. Peritoneal __________ 9. Axillary __________ 5. Coronary __________ 10. Lymphatic __________ © 2015 American Association of Oral and Maxillofacial Surgeons 9 Use Stack 1 (Suffixes) and Word List 1 flashcards to reinforce your learning. Illustrative Overview of the Human Body Cavities of the Body (Figure 1) Cranial Cavity Thoracic Cavity Spinal Cavity Abdominal Cavity Pelvic Cavity 10 © 2015 American Association of Oral and Maxillofacial Surgeons Major Components of the Digestive System Nasal Cavity (Figure 2) Salivary Glands Mouth Esophagus Liver Stomach Pancreas Gallbladder Small Intestine Large Intestine (colon) Appendix Rectum © 2015 American Association of Oral and Maxillofacial Surgeons 11 Major Components of the Thoracic Cavity (Figure 3) Trachea Lungs Heart Major Components of the Urinary System (Figure 4) Kidneys Ureters Bladder Urethra 12 © 2015 American Association of Oral and Maxillofacial Surgeons Structure of the Spine (Figure 5) Cervical Vertebrae (7) Thoracic Vertebrae (12) Lumbar Vertebrae (5) Sacrum Coccyx Layers of the Skin (Figure 6) Hair Epidermis Dermis Subcutaneous © 2015 American Association of Oral and Maxillofacial Surgeons 13 Combining Forms Relating to Anatomical Sites Instructions: Using the previously covered suffixes (and some new ones), write the definition of the following medical terms. Anatomical sites shown in the previous illustrations have the corresponding figure number cited. Refer to the figure for visual reinforcement of the combining form and its meaning. Combining Form Abdomin/o Aden/o Angi/o Meaning Word List Abdomen (Figure 1) Abdominal – _______________________________ Body cavity that contains all structures between the chest and pelvis ___________________________________________ Gland Adenosis – _________________________________ Organ that secretes a substance (i.e., hormone, saliva, breast milk) ___________________________________________ Blood Vessel Angiospasm – Contracting (spasm) of a blood vessel -spasm = contraction Hollow tubes that transport blood throughout the body Arter/o Arteri/o Artery Arteriosclerosis – Hardening of an artery -sclerosis = hardening Blood vessel that carries oxygenated blood away from the heart Arthr/o Axill/o 14 Joint Arthritic – _________________________________ Location where two or more bones make contact ___________________________________________ Axilla Axillary – __________________________________ Area under the joint where the arm connects to the shoulder – armpit ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons Combining Form Bronch/o Bronchi/o Cardi/o Cephal/o Cerebr/o Cervic/o Chondr/o Chondri/o Col/o Colon/o Meaning Word List Bronchus Bronchial – ________________________________ Large air passages connecting each lung to the trachea ___________________________________________ Heart (Figure 3) Cardiac – __________________________________ Muscular organ responsible for pumping blood throughout the body ___________________________________________ Head Cephalic – _________________________________ Structure that contains the brain, eyes, oral cavity, and ears ___________________________________________ Cerebrum Cerebral – _________________________________ Largest division of the brain, divided into left and right hemispheres ___________________________________________ Neck (Figure 5) Cervical – _________________________________ Refers to both 1) the neck area between the head and shoulders and 2)the neck of the uterus ___________________________________________ Cartilage Chondroma – ______________________________ Stiff, inflexible connective tissue found in many areas of the body (i.e., ears, joints, nose) __________________________________________ Colon (Figure 2) Colonoscopy – ______________________________ Last part of digestive system, removes water and salt from solid waste before elimination from the body ___________________________________________ -oma = tumor -scopy = the process of viewing with a scope © 2015 American Association of Oral and Maxillofacial Surgeons 15 Combining Form Coron/o Crani/o Cutane/o Cyst/o Meaning Word List Heart (Figure 3) Coronary – ________________________________ See Cardi/o ___________________________________________ Skull (Figure 1) Cranial – __________________________________ Bony structure in the head that supports the face and protects the brain ___________________________________________ Skin (Figure 6) Subcutaneous – _____________________________ Soft protective covering of the body ___________________________________________ Urinary bladder Cystic – ___________________________________ sub- = below, under (Figure 4) ___________________________________________ Collects urine from the kidneys before elimination from the body Derm/o Dermat/o Encephal/o Enter/o Skin (Figure 6) Dermatosis – _______________________________ See Cutane/o ___________________________________________ Brain Encephalitis – ______________________________ Center of the nervous system, located in the cranium ___________________________________________ Intestines (bowel) Enteritis – _________________________________ -itis = inflammation (Figure 2) ___________________________________________ Portion of the digestive system that extends from the stomach to the anus 16 © 2015 American Association of Oral and Maxillofacial Surgeons Combining Form Esophag/o Gastr/o Hem/o Hemat/o Hepat/o Ili/o Inguin/o Laryng/o Meaning Word List Esophagus (Figure 2) Esophagitis – _______________________________ Muscular tube that carries food, liquid, and saliva from mouth to stomach ___________________________________________ Stomach (Figure 2) Gastric – __________________________________ Pear-shaped sac located that secretes gastric juices to break down food ___________________________________________ Blood Hematemesis – _____________________________ Fluid that carries oxygen throughout the body ___________________________________________ Liver (Figure 2) Hepatic – __________________________________ Large solid organ that aids in digestion and detoxifies the body of drugs, alcohol, and environmental toxins ___________________________________________ Ilium (hip bone) Iliac – _____________________________________ Upper portion of the bony pelvis ___________________________________________ Groin Inguinal – _________________________________ Area where the thigh joins the trunk of the body ___________________________________________ Larynx (voice box) Laryngeal – ________________________________ Part of the respiratory system between the pharynx (throat) and trachea that is responsible for speech ___________________________________________ -emesis = vomiting © 2015 American Association of Oral and Maxillofacial Surgeons 17 Combining Form Lumb/o Lymph/o Muc/o Mucos/o Meaning Word List Lower back (Figure 5) Lumbar – _________________________________ Refers to the region between the bottom of the ribs and pelvis, composed of 5 vertebrae ___________________________________________ Lymph Lymphatic – _______________________________ Thin, yellowish liquid that circulates throughout the body through lymphatic vessels ___________________________________________ Mucous Membrane Mucosa - _________________________________ ___________________________________________ Inner lining of some organs and cavities Muscul/o My/o Nephr/o Neur/o 18 Muscle Muscular – ________________________________ Tissue capable of contracting in order to cause bodily movement (i.e., heart, leg muscle) ___________________________________________ Muscle Myoma – __________________________________ See Muscul/o ___________________________________________ Kidney (Figure 4) Nephritic – ________________________________ Filters blood of metabolic waste, which is then excreted as urine ___________________________________________ Nerve Nervous – _________________________________ Cord-like bundles of fiber through which sensory stimuli and motor impulses from the brain pass ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons Combining Form Ophthalm/o Oste/o Ot/o Pelv/i Pelv/o Meaning Word List Eye Ophthalmic – ______________________________ Organ of sight and light sensitivity ___________________________________________ Bone Osteoarthritis – _____________________________ Dense, porous, calcified connective tissue that comprises the major portion of the skeleton ___________________________________________ Ear Otorrhea –_________________________________ Organ of hearing and maintaining equilibrium ___________________________________________ Hip, pelvic cavity Pelvic – ___________________________________ -rrhea = flow, discharge (Figure 1) ___________________________________________ Basin-shaped bony structure that rests on the lower extremities and supports the spinal column Peritone/o Peritoneum (abdominal Peritoneal – _______________________________ wall) Serous membrane that lines the walls of the abdominal cavity Pharyng/o Pneum/o Pneumon/o ___________________________________________ Pharynx (throat) Pharyngitis – _______________________________ Portion of the digestive system that extends from the mouth and nose to the larynx ___________________________________________ Lung (Figure 3) Pneumonia - _______________________________ Spongy sac-like organs that remove carbon dioxide from the blood and supplies it with oxygen __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 19 Combining Form Pulmon/o Ren/o Rhin/o Spin/o Splen/o Synovi/o Thorac/o Thyr/o Thyroid/o 20 Meaning Word List Lung (Figure 3) Pulmonary – _______________________________ See Pneum/o ___________________________________________ Kidney (Figure 4) Renal – ____________________________________ See Nephr/o ___________________________________________ Nose Rhinorrhea – _______________________________ First portion of the respiratory system that contains nostrils and organs of smell ___________________________________________ Spine (Figure 5) Spinal – ___________________________________ Spinal column, composed of vertebrae ___________________________________________ Spleen Splenic – __________________________________ Blood reservoir located to the left of the stomach ___________________________________________ Synovial Membrane Synovectomy – _____________________________ Lubricating fluid, within a membrane lining, secreted into joints __________________________________________ Chest (Figure 1) Thoracic – _________________________________ Part of the body located between the neck and diaphragm, containing the lungs and heart ___________________________________________ Thyroid Gland Thyroiditis – _______________________________ Two-lobe gland located in front of and on both sides of the trachea ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons Combining Form Tonsill/o Trache/o Meaning Word List Tonsil Tonsillar – _________________________________ Small masses of tissue embedded in the lateral walls of the opening between the mouth and pharynx ___________________________________________ Trachea (wind pipe) Tracheal – _________________________________ (Figure 3) ___________________________________________ This tube extending from the larynx to the bronchi bringing oxygen to the lungs Umbilic/o Ur/o Navel, umbilicus Umbilical – ________________________________ Scar where the umbilical cord was attached – belly button ___________________________________________ Urinary tract, urine Urology – __________________________________ (Figure 4) ___________________________________________ Organs and tubes of the body that produce and excrete urine Uret/o Urethr/o Vascul/o -logy = study of Ureter (Figure 4) Ureteral – _________________________________ One of two tubes leading from the kidney to the bladder ___________________________________________ Urethra (Figure 4) Urethral – _________________________________ Tube carrying urine from the bladder to the outside ___________________________________________ Vessels Vascular – _________________________________ Ducts that circulate fluids (i.e., blood, lymph) ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 21 Combining Form Vertebr/o Meaning Word List Vertebra (Figure 5) Vertebral – ________________________________ One of 26 pieces of bone making up the spinal column ___________________________________________ Use Stack 2 (Anatomical Roots) and Word List 2 flashcards to reinforce your learning. Exercise 3 A. Complete the following sentences by placing the correct term in the blank. Abdominal Hepatic Vertebral Renovascular Axillary Laryngeal Peritoneum Cephalic Musculoskeletal Spinal 1. The lining of the abdomen is also known as the ___________________________. 2. A alcoholic will often develop a(n) _____________________________ disorder. 3. A symptom of appendicitis is right-sided ____________________________ pain. 4. People are often paralyzed due to ________________________________ trauma. 5. After being hit in the head, the patient complained of __________________ pain. 22 © 2015 American Association of Oral and Maxillofacial Surgeons 6. After being hoarse for three months, the patient underwent a biopsy that revealed _______________________ cancer. 7. Breast cancer often spreads to the ___________________________ lymph nodes. 8. After bending over to pick up a 150 pound box, the patient experienced pain in the lower _____________________________ area. 9. __________________________________ disease can cause high blood pressure. 10. Orthopedic physicians specialize in the ______________________________ system. B. Match the combining form to its meaning. _______ 1. Cerebr/o A. Spleen _______ 2. Rhin/o B. Groin _______ 3. Thyr/o C. Thyroid _______ 4. Inguin/o D. Navel _______ 5. Lumb/o E. Cerebrum _______ 6. Splen/o F. Nose _______ 7. Thorac/o G. Chest _______ 8. Umbilic/o H. Lower back © 2015 American Association of Oral and Maxillofacial Surgeons 23 C. The suffix “-itis” means “inflammation of.” Match the following inflammations to the meanings. _______ 1. Adenitis A. Inflammation of the liver _______ 2. Gastritis B. Inflammation of the skin _______ 3. Dermatitis C. Inflammation of the heart _______ 4. Carditis D. Inflammation of the neck of the uterus _______ 5. Hepatitis E. Inflammation of a gland _______ 6. Arthritis F. Inflammation of the brain _______ 7. Tonsillitis G. Inflammation of a nerve _______ 8. Osteoarthritis H. Inflammation of the stomach _______ 9. Synovitis I. Inflammation of the tonsils _______ 10. Encephalitis J. Inflammation of a joint _______ 11. Cervicitis K. Inflammation of the intestine _______ 12. Neuritis L. Inflammation of the kidney _______ 13. Enteritis M. Inflammation of the synovial membrane _______ 14. Nephritis N. Inflammation (and breakdown) of the joints 24 © 2015 American Association of Oral and Maxillofacial Surgeons Suffixes Relating to the Study of Specialties Instructions: Review and learn the following suffixes. Suffix Meaning -iatrics -iatry Field of study -ian -ician Specialist -ist -iatrist Specialist -logy Study of Word List Psychiatry – Study of mental disorders psych/o = mind Pediatrician – Specialist in the treatment of children ped/o = children Pathologist – Specialist in the area of diseases path/o = disease Enterology – Study of intestines (intestinal tract) enter/o = intestines Combining Forms Relating to Specialties Instructions: Using the previously covered suffixes, write the definition of the following medical terms. Combining Form Meaning Word List Gynec/o Woman, female Gynecology – Study of women (female reproductive system) Obstetr/o Midwife Obstetrics – Pertaining to the surgical branch specializing in the management of pregnancy, labor, and the postpartum period Onc/o Tumor Oncology – _________________________________ ___________________________________________ Orth/o Straight Orthopedics – Pertaining to the branch of surgery specializing in correcting (straightening) skeletal deformities © 2015 American Association of Oral and Maxillofacial Surgeons 25 Combining Form Meaning Disease Path/o Word List Pathology – _________________________________ ___________________________________________ Ped/o Child, foot Pediatrics – Branch specializing in the treatment of children Psych/o Mind Psychology – Study of mental disorders (mind) Radi/o X-ray, radiation, radius (bone in the lower Radiology – ________________________________ arm) ___________________________________________ Use Stack 3 (Medical and Surgical Specialties) and Word List 3 flashcards to reinforce your learning. Exercise 4 A. Complete the following sentences by writing the correct term in the blank. Cardiologist Gynecologist Obstetrician Orthopedic Psychiatrist 1. Dermatologist Nephrologist Oncologist Pathologist Urologist Gastroenterologist Neurologist Ophthalmologist Pediatrician If a patient were diagnosed as having an infection of the uterus, she should be seen by a(n) ______________________________. 2. If a patient were diagnosed as having coronary heart disease, he should be seen by a(n) ______________________________. 26 © 2015 American Association of Oral and Maxillofacial Surgeons 3. If a patient were diagnosed as having a pinched nerve, he should be seen by a(n) ______________________________. 4. If a patient were diagnosed as being pregnant, she should be seen by a(n) ______________________________. 5. If a patient were diagnosed as having schizophrenia, he should be seen by a(n) ______________________________. 6. If a patient were diagnosed as having a cancer, he should be seen by a(n) ______________________________. 7. If a patient were diagnosed as having renal failure, she should be seen by a(n) ______________________________. 8. If a patient were diagnosed as having cystitis, he should be seen by a(n) ______________________________. 9. If a patient were diagnosed as having glaucoma (a disease of the eye), he should be seen by a(n) ______________________________. 10. If a 4-year-old patient were diagnosed as having the flu, he should be seen by a(n) ______________________________. 11. If a patient were diagnosed as having a skin rash of unknown origin, he should be seen by a(n) ______________________________. 12. If a patient were diagnosed as having a peptic ulcer, he should be seen by a(n) ______________________________. © 2015 American Association of Oral and Maxillofacial Surgeons 27 13. If a patient were diagnosed as having a fractured arm, she should be seen by a(n) ______________________________. 14. B. If a patient expires, the autopsy should be done by a(n) _____________________. Complete the definition of each of the following. Example: Enter/o/path/y = Pertaining to the diseases of the intestine (or a disease of the intestine) y = pertaining to path/o = diseases enter/o = intestines 1. Arth/algia _________________________________________________________ -algia = pain in/painful 2. Hepat/oma ________________________________________________________ -oma = tumor 3. Sub/hepat/ic _______________________________________________________ sub- = below 4. Inter/vertebr/al _____________________________________________________ inter- = between 5. Hypo/derm/ic ______________________________________________________ hypo- = below 6. Cephalo/pelv/ic ____________________________________________________ 7. Broncho/spasm _____________________________________________________ -spasm = contraction of 8. Retro/periton/eal ___________________________________________________ retro- = behind 9. Radi/ation ________________________________________________________ 28 © 2015 American Association of Oral and Maxillofacial Surgeons C. Match the following specialties to their meaning. _____ 1. Psychiatry A. The study of tumors _____ 2. Gastroenterology B. The study of the mind _____ 3. Gynecology C. The study of the heart _____ 4. Nephrology D. The study of the eyes _____ 5. Oncology E. The study of nerves _____ 6. Ophthalmology F. The study of women _____ 7. Neurology G. The study of skin _____ 8. Cardiology H. The study of kidneys _____ 9. Pathology I. The study of diseases _____ 10. Dermatology J. The study of the stomach and intestines Plural Endings When some words become plural, an s is not used to designate that status. The following suffixes show a plural status in alternative manners. Singular Suffix Plural Suffix Examples -a -ae Singular Plural Vertebra (spinal bone) Vertebrae (multiple vertebra) -ex, -ix -ices Singular Plural Index (second digit of hand) Indices (second digits of both hands) © 2015 American Association of Oral and Maxillofacial Surgeons 29 Singular Suffix Plural Suffix Examples -is -es Singular Plural Anastomosis (a surgical communication, opening) Anastomoses (multiple surgical communications) -nx -nges Singular Plural Phalanx (bone of finger or toe) Phalanges (bones of fingers or toes) -on -a Singular Plural Ganglion (mass of nerve tissue) Ganglia (more than one mass of nerve tissue) -um -a Singular Plural Bacterium (a micro-organism) Bacteria (multiple micro-organisms) -us -i Singular Plural Ramus (left or right jaw bone) Rami (both jaw bones) Exercise 5 Write the plural form for each of the following terms. 1. Thrombus (blood clot) ________________________________________________ 2. Crisis ____________________________________________________________ 3. Apex (top of an organ or body part) ________________________________________ 4. Ovum (egg) ________________________________________________________ 5. Bursa (sac-like cavity filled with fluid found where friction occurs) ___________________ 6. Prosthesis (artificial replacement of a body part) _______________________________ 7. Varix (enlarged, twisted blood vessel) _______________________________________ 30 © 2015 American Association of Oral and Maxillofacial Surgeons 8. Diverticulum (out pouches or pits usually in the colon) __________________________ 9. Bronchus _________________________________________________________ 10. Metastasis (transfer of disease from one body part to another) ______________________ Answers – Chapter 2 Exercise 2 1. 2. 3. 4. 5. -y -ism -sis -eal -ary 6. 7. 8. 9. 10. -emia -sis -al -ary -ic Word List Definitions (Pages 14-22) • • • • • • • • • • • • • • • • • • • Abdominal – Pertaining to the abdomen Adenosis – Abnormal condition of a gland Arthritic – Pertaining to a joint (or arthritis) Axillary – Pertaining to the armpit Bronchial – Pertaining to the bronchus Cardiac – Pertaining to the heart Celiac – Pertaining to the abdomen Cephalic – Pertaining to the head Cerebral – Pertaining to the cerebrum Cervical – Pertaining to the neck Chondroma – Tumor involving cartilage Colonoscopy – The process of viewing the colon with a scope Coronary – Pertaining to the heart Cranial – Pertaining to the skull Cystic – Pertaining to the bladder or to a cyst Dermatosis – Abnormal condition of the skin Encephalitis – Inflammation of the brain Enteritis – Inflammation of the intestine Esophagitis – Inflammation of the esophagus © 2015 American Association of Oral and Maxillofacial Surgeons 31 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Gastric – Pertaining to the stomach Hematemesis – Vomiting of blood Hepatic – Pertaining to the liver Iliac – Pertaining to the ilium Inguinal – Pertaining to the groin Laryngeal – Pertaining to the larynx Lumbar – Pertaining to the lower back Lymphatic – Pertaining to lymph Mucosa – Pertaining to mucous membrane Muscular – Pertaining to muscle Myoma – Tumor of the muscle Nephritic – Pertaining to the kidney Nervous – Pertaining to nerves Ophthalmic – Pertaining to the eye Osteoarthritis – Inflammation of the joint (and bony components) Otorrhea – Discharge from the ear Pelvic – Pertaining to the pelvis Peritoneal – Pertaining to the wall of the abdomen Pharyngitis – Inflammation of the throat Pneumonia – A condition of the lung (an infectious condition) Pulmonary – Pertaining to the lung Renal –Pertaining to the kidney Rhinorrhea – Discharge from the nose (runny nose) Spinal – Pertaining to the spine Splenic – Pertaining to the spleen Subcutaneous – Pertaining to below the skin Synovectomy – Excision of the synovial membrane Thoracic – Pertaining to the chest Thyroiditis – Inflammation of the thyroid Tonsillar – Pertaining to the tonsil Tracheal – Pertaining to the trachea Umbilical – Pertaining to the navel (belly button) Urology – The study of the urinary system Ureteral – Pertaining to the ureter Urethral – Pertaining to the urethra Vascular – Pertaining to little vessels Vertebral – Pertaining to vertebrae 32 © 2015 American Association of Oral and Maxillofacial Surgeons Exercise 3 A. 1. 2. 3. 4. 5. Peritoneum Hepatic Abdominal Spinal Cephalic 6. 7. 8. 9. 10. Laryngeal Axillary Vertebral Renovascular Musculoskeletal B. 1. 2. 3. 4. E F C B 5. 6. 7. 8. H A G D C. 1. 2. 3. 4. 5. 6. 7. E H B C A J I 8. 9. 10. 11. 12. 13. 14. N M F D G K L Word List Definitions (Page 26) • • • Oncology – The study of tumors Pathology – The study of disease Radiology – The study of the use of x-rays or other penetrating radiation Exercise 4 A. 1. 2. 3. 4. 5. 6. 7. 8. Gynecologist Cardiologist Neurologist Obstetrician Psychiatrist Oncologist Nephrologist Urologist 7. 8. 9. 10. 11. 12. 13. 14. Nephrologist Urologist Ophthalmologist Pediatrician Dermatologist Gastroenterologist Orthopedic Pathologist B. 1. 2. 3. 4. 5. Painful joint Tumor in the liver Pertaining to being below the liver Pertaining to being between vertebrae Pertaining to being below the skin © 2015 American Association of Oral and Maxillofacial Surgeons 33 6. C. 7. 8. 9. Pertaining to the head and pelvis (a term used to describe the relationship between the infant’s head and the mother’s pelvis) Contraction or spasms of the bronchus Pertaining to being behind the abdominal wall (peritoneum) Process of using radium 1. 2. 3. 4. 5. B J F H A 6. 7. 8. 9. 10. D E C I G Thrombi Crises Apices Ova Bursae 6. 7. 8. 9. 10. Protheses Varices Diverticula Bronchi Metastases Exercise 5 1. 2. 3. 4. 5. Illustration Source LifeART Collection Images – Copyright ©1989-2001 by Lippincott, Williams & Wilkins, Baltimore, MD 34 © 2015 American Association of Oral and Maxillofacial Surgeons Common Prefixes 3 Directional Prefixes Instructions: Using the previously covered suffixes and roots (and some new ones), write the definition of the following medical terms. Prefix Meaning Word List Ab- Away from Abnormal – Not normal Ante- Before, forward Antepartum – ______________________________ __________________________________________ -partum = birth, labor Circum- Around Circumzygomatic – _________________________ __________________________________________ zygomat/o = zygoma (cheek bone) E- Out, away Edentulous – _______________________________ ___________________________________________ dent/o = teeth -ulous = inclined to Em- In Empyema – Condition involving pus within (pus pockets) EnEndo- In, within Endoscope – _______________________________ __________________________________________ Epi- Upon, on, above Epidermis – Pertaining to the outer layer of the skin ExExo- Out, away from Excision – _________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 35 Prefix Extra- Meaning Outside Word List Extraoral – ________________________________ ___________________________________________ or/o = mouth In, not In- Incision – __________________________________ ___________________________________________ Inter- Between Intervertebral – ____________________________ ___________________________________________ Intra- In, within Intravenous – ______________________________ __________________________________________ ven/o = vein Near, beside, abnormal, away Para- Paramedic – _______________________________ __________________________________________ Through Per- Percutaneous – _____________________________ __________________________________________ Around Peri- Pericardium – ______________________________ __________________________________________ After Post- Postmortem – ______________________________ __________________________________________ mort/o = death PrePro- Before, in front of Precancer – A condition that has the tendency to become a cancer Retro- Behind, backward Retroperitoneum – __________________________ __________________________________________ 36 © 2015 American Association of Oral and Maxillofacial Surgeons Prefix Sub- Meaning Word List Under, below Sublingual – _______________________________ __________________________________________ lingu/o = tongue Supra- Above Suprahepatic – _____________________________ __________________________________________ Trans- Across, through Transurethral – ____________________________ __________________________________________ Use Stack 4 (Directional Prefixes) and Word List 4 flashcards to reinforce your learning. Miscellaneous Prefixes Instructions: Using the previously covered suffixes and roots (and some new ones), write the definition of the following medical terms. Prefix AAn- Meaning Word List No, not, none, without Apnea – ___________________________________ __________________________________________ -pnea = breath Allo- Other, different Allograft – _________________________________ __________________________________________ Anti- Against Antiseptic – ________________________________ __________________________________________ -sept/o = infection © 2015 American Association of Oral and Maxillofacial Surgeons 37 Prefix Meaning Word List Auto- Self Autolysis – The destruction of tissues due to one’s own enzymes Bi- Two Bilateral – Pertaining to two sides later/o = side Brady- Slow Bradycardia – ______________________________ __________________________________________ Contra- Against, opposite Contraindication – __________________________ __________________________________________ Down, lack of, loss De- Dehydration – ______________________________ __________________________________________ Through, throughout, completely Dia- Diagnosis – ________________________________ __________________________________________ -gnosis = knowledge Separation, take apart Dissection – ________________________________ Dis- __________________________________________ sect/o = to cut Painful, difficult Dys- Dyspnea – _________________________________ __________________________________________ Echo- Sound Echocardiography – _________________________ ___________________________________________ -graphy = process of recording Hemi- Half Hemifacial – ______________________________ __________________________________________ Hyper- Over, excessive, increased Hypertrophy – Increased development, excessive size -trophy = development, nourishment 38 © 2015 American Association of Oral and Maxillofacial Surgeons Prefix Hypo- Meaning Under, below, decreased Word List Hypodermic – ______________________________ ___________________________________________ Macro- Large Macrocephalic – ____________________________ ___________________________________________ Mal- Bad Malnutrition – ______________________________ ___________________________________________ Micro- Small Microcephalic –_____________________________ ___________________________________________ Neo- New Neonatal – _________________________________ ___________________________________________ nat/o = birth Poly- Many Polyneuritis – ______________________________ ___________________________________________ Re- Back, again Reattach – To connect or join again Semi- Half Semicoma – ________________________________ ___________________________________________ Tachy- Fast Tachycardia – ______________________________ ___________________________________________ Uni- One Unilateral – ________________________________ ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 39 Use Stack 5 (Miscellaneous Prefixes) and Word List 5 flashcards to reinforce your learning. Exercise 6 A. For each of the following, identify the prefix with the opposite meaning. Prefix Meaning Prefix Meaning Example: a. Ex- Out, away En- In, within 1. Bi- ____________________ ________ ____________________ 2. Macro- ___________________ ________ ____________________ 3. Post- ____________________ ________ ____________________ 4. Hypo- ____________________ ________ ____________________ 5. Brady- ____________________ ________ ____________________ 6. Epi- ____________________ ________ ____________________ 40 © 2015 American Association of Oral and Maxillofacial Surgeons B. Match the following prefixes to their meaning. _____ 1. Auto- A. Through _____ 2. Dys- B. Many _____ 3. Neo- C. Around _____ 4. Macro- D. Without _____ 5. Hyper- E. In _____ 6. Ante- F. Self _____ 7. Sub- G. Against _____ 8. Contra- H. Difficult _____ 9. An- I. Upon _____ 10. Epi- J. Excessive _____ 11. Circum- K. Before _____ 12. E- L. Out _____ 13. Em- M. New _____ 14. Per- N. Large _____ 15. Supra- O. Above _____ 16. Poly- P. Under © 2015 American Association of Oral and Maxillofacial Surgeons 41 C. Complete the crossword puzzle. The word list can be found on page 44. Across 1. 3. 5. 7. 8. 9. 42 Alternating slow and fast heart rate Opposite side Type of medication that literally means “against life” Poorly healed fracture Painful urination Above the stomach Down 2. 4. 6. Excessively functioning thyroid Within the cerebrum Within the liver © 2015 American Association of Oral and Maxillofacial Surgeons D. Identify the prefixes in each of the following and provide the meaning of the word. Term Prefix Meaning Example: a. Dysphagia Dys- Painful swallowing __________ _______________________________ -phagia = eating, swallowing 1. Anencephaly _______________________________ 2. Antispasmodic __________ _______________________________ _______________________________ 3. Endotracheal __________ _______________________________ _______________________________ 4. Exocolitis __________ _______________________________ _______________________________ 5. Hemigastrectomy __________ _______________________________ _______________________________ 6. Intracranial __________ _______________________________ _______________________________ 7. Peribronchial __________ _______________________________ _______________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 43 Term 8. Postpartum Prefix __________ Meaning _______________________________ -partum = birth _______________________________ 9. Transabdominal __________ _______________________________ _______________________________ 10. Polymyositis __________ _______________________________ _______________________________ Word List (Exercise 6C) Antibiotic Bradytachycardia Contralateral Dysuria Epigastric Hyperthyroidism Intracerebral Intrahepatic Malunion Answers – Chapter 3 Word List Definitions (Pages 35-37) • • • • • • • Antepartum – Before birth Circumzygomatic – Around the cheek bone (zygoma) Edentulous – Inclined to have no teeth Endoscope – An instrument used to view inside Excision – The process of cutting out Extraoral – Outside the mouth Incision – The process of cutting into 44 © 2015 American Association of Oral and Maxillofacial Surgeons • • • • • • • • • • Intervertebral – Pertaining to being between vertebrae Intravenous – Pertaining to being within a vein Paramedic – Pertaining to a profession that is close to or similar to medicine Percutaneous – Pertaining to going through the skin Pericardium – Pertaining to being around the heart Postmortum – Pertaining to the period of time after death Retroperitoneum – Pertaining to being behind the abdominal wall Sublingual – Pertaining to being under the tongue Suprahepatic – Pertaining to being above the liver Transurethral – Pertaining to going through the urethra Word List Definitions (Pages 37-39) • • • • • • • • • • • • • • • • • • • • Apnea – Without breath Allograft – The transplant of tissue from one person to a different person Antiseptic – Pertaining to opposing or inhibiting an infection (infectious organisms) Bradycardia – Condition involving a slow heart rate Contraindication – Against indication Dehydration – The process of having a lack of water Diagnosis – Complete or thorough knowledge Dissection – Process of cutting apart Dyspnea – Painful or difficult breathing Echocardiography – Process of recording the heart using sound waves (ultrasonagraphy) Hemifacial – Half (one side) of the face Hypodermic – Pertaining to being below the skin Macrocephalic – Pertaining to having an unusually large head Malnutrition – Process of having bad (or insufficient) nutrients Microcephalic – Pertaining to having an unusually small head Neonatal – Pertaining to a new birth Polyneuritis – Inflammation of many nerves Semicoma – A partial or mild state of comatose Tachycardia – Condition involving a fast heart rate Unilateral – Pertaining to one side Exercise 6 A. 1. 2. 3. 4. 5. 6. BiMacroPostHypoBradyEpi- Two Large After Under Slow Above UniMicroPreHyperTachySub- One Small Before Over Fast Under © 2015 American Association of Oral and Maxillofacial Surgeons 45 B. 1. 2. 3. 4. 5. 6. 7. 8. F H M N J K P G C. 1. 2. 3. 4. 5. 6. 7. 8. 9. Bradytachycardia Hyperthyroidism Contralateral Intracerebral Antibiotic Intrahepatic Malunion Dysuria Epigastric D. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Anencephaly Antispasmodic Endotracheal Exocolitis Hemigastrectomy Intracranial Peribronchial Postpartum Transabdominal Polymyositis 46 9. 10. 11. 12. 13. 14. 15. 16. AnAntiEndoExoHemiIntraPeriPostTransPoly- D I C L E A O B Condition in which a person has no brain Pertaining to stopping spasms Pertaining to being inside the trachea Inflammation of the colon’s outer coating Excision of half of the stomach Pertaining to being within the skull Pertaining to being around the bronchus The period after giving birth Pertaining to going across the abdomen Inflammation of many muscles © 2015 American Association of Oral and Maxillofacial Surgeons Diagnosis & Treatment Terms 4 Suffixes Relating to Treatment Instructions: Using the previously covered suffixes and roots (and some new ones), write the definition of the following medical terms. Suffix -centesis Meaning Word List Surgical puncture to remove fluid Arthrocentesis – ___________________________ __________________________________________ -crit Separation Hematocrit – ______________________________ __________________________________________ -ectomy Excision, remove Splenectomy – Removal of the spleen -gram Record Pneumogram – Record of lung activity -graph Instrument for recording Electrocardiograph – _______________________ __________________________________________ electr/o = electricity, electrical -graphy Process of recording Electrocardiography – ______________________ __________________________________________ -lysis -lytic Breakdown, separation, destruction Hemodialysis – Process of separating certain elements from the blood -opsy Process of viewing Biopsy – __________________________________ __________________________________________ bi/o = life © 2015 American Association of Oral and Maxillofacial Surgeons 47 Suffix Meaning Fixation, put into place -pexy Word List Gastropexy – ______________________________ __________________________________________ -plasty Surgical repair Angioplasty – ______________________________ __________________________________________ -rrhaphy Suture Herniorrhaphy – Repair by suture of a hernia -scope Instrument used to view Bronchoscope – ____________________________ __________________________________________ -scopy Process of examining with a scope Arthroscopy – _____________________________ __________________________________________ -stasis -static Stopping, controlling Hemostasis – ______________________________ __________________________________________ -stomy Artificial opening Tracheostomy – ____________________________ __________________________________________ -therapy Treatment Chemotherapy –____________________________ __________________________________________ chem/o = chemical -tomy Process of cutting Osteotomy – _______________________________ __________________________________________ -tripsy Process of crushing Lithotripsy – _____________________________ __________________________________________ lith/o = stone 48 © 2015 American Association of Oral and Maxillofacial Surgeons Use Stack 6 (Treatment Suffixes) and Word List 6 flashcards to reinforce your learning. Exercise 7 A. Match the suffix to its meaning. _____ 1. -centesis A. Remove _____ 2. -gram B. Suture _____ 3. -plasty C. Cutting _____ 4. -scope D. Fixation _____ 5. -ectomy E. Record _____ 6. -rrhaphy F. Crushing _____ 7. -tomy G. Surgical repair _____ 8. -pexy H. Puncture to remove fluid _____ 9. -tripsy I. Instrument used for viewing _____ 10. -stomy J. Artificial opening © 2015 American Association of Oral and Maxillofacial Surgeons 49 B. Complete each sentence with the appropriate term. Arthrocentesis Bronchoscopy Lithotripsy 1. Angioplasty Gastrorrhaphy Rhinoplasty Biopsy Urinalysis Tracheostomy A patient requests a “nose job”. The correct medical term for this procedure is _______________________________________. 2. Suturing of the stomach could also be called __________________________. 3. As part of his cancer treatment, the patient underwent a procedure to create an artificial opening of his windpipe. He underwent a _____________________. 4. Often, patients undergo __________________________ before coronary bypass surgery. 5. A man has been experiencing kidney stones. He could have these eliminated by _________________________________. ` 6. A woman has been experiencing shortness of breath and coughing up of blood. She underwent a(n) __________________________________ with biopsy as a diagnostic tool. 7. A patient had a variety of laboratory work performed as a part of an annual examination. Included in this laboratory work was a(n) ______________________. 8. A patient experiencing tightness and discomfort in his knee underwent a(n) ________________________________ to remove fluid. 9. A patient presents, who had with a lump in the floor of the mouth, underwent a _____________________________ to determine the nature of the lump. 50 © 2015 American Association of Oral and Maxillofacial Surgeons Miscellaneous Combining Forms Instructions: Using the previously covered suffixes and roots (and some new ones), write the definition of the following medical terms. Combining Form Algesi/o Meaning Word List Suffering, pain Analgesic – ________________________________ __________________________________________ Ankyl/o Bent, crooked, stiff, fixed Ankylosis – Condition involving a fixed or fused (joint) Bacteri/o Bacteria Bacterial – _________________________________ __________________________________________ Bi/o Life Biology – __________________________________ __________________________________________ Carcin/o Cancer Carcinoma – Cancerous tumor Cirrh/o Orange-Yellow Cirrhosis – Literally, the term means pertaining to orange-yellow. However, cirrhosis is a chronic condition involving the degeneration of liver cells – often giving the person an orange-yellow hue to the skin. Cis/o To cut Excision – Process of cutting out Cry/o Cold Cryosurgery – ______________________________ __________________________________________ Cyan/o Blue Cyanotic – Pertaining to a bluish discoloration of skin due to a lack of oxygen Cyt/o Cell Cytology – _________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 51 Combining Form Meaning Electricity Electr/o Word List Electromyogram – ________________________ __________________________________________ Red Erythr/o Erythrocyte – ______________________________ __________________________________________ -cyte = cell Esthesi/o Aesthesi/o Sensation, feeling Anesthesia – _______________________________ __________________________________________ Fibr/o Relating to fibrous tissue Fibroma – _________________________________ __________________________________________ Fistul/o Tube, pipe Fistula - ___________________________________ __________________________________________ Hist/o Histi/o Tissue Histology – ________________________________ __________________________________________ Hydr/o Water Hydration – Process involving water Infer/o Below, beneath Inferior – __________________________________ ___________________________________________ Leth/o Death Lethal – ___________________________________ __________________________________________ Leuk/o White Leukemia – ________________________________ ___________________________________________ Fat, lipid Lip/o Lipoma – __________________________________ __________________________________________ 52 © 2015 American Association of Oral and Maxillofacial Surgeons Combining Form Lith/o Meaning Word List Calculus, stone Nephrolith – _______________________________ __________________________________________ Melan/o Black Melanoma - ________________________________ ___________________________________________ Morph/o Shape, form Morphology – ______________________________ __________________________________________ Mort/o Death Mortality – ________________________________ __________________________________________ Narc/o Numb, sleep Narcotic – _________________________________ __________________________________________ Necr/o Death Necrosis – _________________________________ __________________________________________ Norm/o Normal Normocephalic – ____________________________ __________________________________________ Pseud/o False Pseudocyst – _______________________________ __________________________________________ Purul/o Py/o Pus Pyorrhea – _________________________________ __________________________________________ Sarc/o Muscular, flesh-like Sarcoma – _________________________________ __________________________________________ Scler/o Hard Scleroderma – ______________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 53 Combining Form Meaning To cut Sect/o Word List Resection – ________________________________ __________________________________________ Infection Seps/o Sept/o Sepsis – ___________________________________ __________________________________________ Sound Son/o Sonogram –________________________________ __________________________________________ Suppur/o Suppurat/o Pus forming Suppurative - ______________________________ __________________________________________ Heat Therm/o Thermal – _________________________________ __________________________________________ Thromb/o Clot/clotting Thrombosis – ______________________________ __________________________________________ Tox/o Toxic/o Poison Toxic – ____________________________________ __________________________________________ Xen/o Strange, foreign Xenograft – ________________________________ __________________________________________ Dry, dryness Xer/o Xerostomia – _______________________________ __________________________________________ stom/o = mouth 54 © 2015 American Association of Oral and Maxillofacial Surgeons Use Stack 7 (Miscellaneous Combining Forms) and Word List 7 flashcards to reinforce your learning. Suffixes Relating to Diseases and Conditions Instructions: Using the previously covered prefixes, suffixes, and roots (and some new ones), write the definition of the following medical terms. Combining Form -algia Meaning Pain Word List Arthralgia – ________________________________ ___________________________________________ -cele Hernia, cyst Mucocele – _________________________________ ___________________________________________ -crine Secretion Endocrine – ________________________________ ___________________________________________ -cyte Cell Leukocyte – ________________________________ ___________________________________________ -dynia Pain Pleurodynia – Pain in the pleural cavity of the chest -edema Swelling Lymphedema –______________________________ ___________________________________________ -emesis Vomiting Hyperemesis – ______________________________ ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 55 Combining Form -genic Meaning Produced by, producing Word List Carcinogenic – ______________________________ ___________________________________________ -gnosis Knowledge Prognosis – _________________________________ ___________________________________________ Inflammation -itis Otitis – ____________________________________ ___________________________________________ -malacia Softening Encephalomalacia –__________________________ ___________________________________________ -megaly Enlargement Splenomegaly – _____________________________ ___________________________________________ Resemblance to -oid Carcinoid – ________________________________ ___________________________________________ Tumor, mass -oma Osteoma – _________________________________ ___________________________________________ -paresis Slight paralysis Hemiparesis – ______________________________ ___________________________________________ -pathy Disease, emotion Arthropathy –______________________________ ___________________________________________ -penia Deficiency Osteopenia – _______________________________ ___________________________________________ 56 © 2015 American Association of Oral and Maxillofacial Surgeons Combining Form -pepsia Meaning Word List Digestion Dyspepsia – ________________________________ ___________________________________________ -phagia Swallowing Aphagia – _________________________________ ___________________________________________ -phasia Speech Dysphasia _________________________________ ___________________________________________ -plakia -plasia -plasm A plate or flat plane, usually on a mucous membrane Leukoplakia – ______________________________ Formation Neoplasm – ________________________________ ___________________________________________ ___________________________________________ -porosis Porous, less density Osteoporosis – ______________________________ ___________________________________________ -prandial Meal Postprandial – ______________________________ ___________________________________________ -ptosis Drooping Glossoptosis – ______________________________ ___________________________________________ -ptysis Spitting Hemoptysis – _______________________________ ___________________________________________ -rrhage -rrhagia Bursting forth Hemorrhage – ______________________________ ___________________________________________ -rrhea Flow, discharge Rhinorrhea – _______________________________ ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 57 Combining Form -sclerosis Meaning Hardening Word List Arteriosclerosis – ___________________________ ___________________________________________ -spasm -stenosis Involuntary contraction of muscles Cardiospasm – _____________________________ Tightening, stricture, narrowing Ureteral Stenosis – __________________________ ___________________________________________ ___________________________________________ -trophy Development Hypertrophy – _____________________________ ___________________________________________ Thing -us Thrombus – _______________________________ ___________________________________________ Use Stack 8 (Suffixes Related to Diseases) and Word List 8 flashcards to reinforce your learning. 58 © 2015 American Association of Oral and Maxillofacial Surgeons Exercise 8 A. Match each suffix to its meaning. _____ 1. -centesis A. Surgical repair _____ 2. -logy B. Process of recording _____ 3. -dynia C. Hardening _____ 4. -lysis D. Pertaining to _____ 5. -graphy E. Pain _____ 6. -al F. Treatment _____ 7. -emia G. Surgical puncture _____ 8. -sclerosis H. Secretion _____ 9. -therapy I. Blood condition _____ 10. -plasty J. Study of _____ 11. -edema K. Meal _____ 12. -ptysis L. Spit _____ 13. -rrhage M. Bursting forth _____ 14. -prandial N. Separation _____ 15. -crine O. Swelling © 2015 American Association of Oral and Maxillofacial Surgeons 59 B. Complete the following sentences by writing the correct term in the blank. Cephalocentesis Craniotomy Dysentery Neurospasms Cervicodynia Cystostomy Hepatomalacia Splenectomy Colonorrhaphy Cytotoxic Hypothermic Urolith 1. To cut into the skull is also known as _________________________________. 2. Bloody bowel movements are symptoms of ____________________________. 3. Softening of the liver is also known as ________________________________. 4. A term which means destructive to cells is _____________________________. 5. A surgical puncture of the head is also known as ________________________. 6. To suture the colon is also known as __________________________________. 7. An artificial opening in the bladder is called a(n) ________________________. 8. To remove the spleen is also known as ________________________________. 9. A patient who has been experiencing pain on urination and decrease in fluid output may be told he has a(n) _______________________________________. 10. A person, experiencing pain in the neck, may refer to his condition as _______________________. 11. A condition in which there is a low body temperature is known as being ____________________________________. 12. 60 Contractions of a nerve are also known as _________________________. © 2015 American Association of Oral and Maxillofacial Surgeons C. Match the term to the meaning. _____ 1. Pyorrhea A. Suture in the intestine _____ 2. Cardiospasm B. Hardening of the skin _____ 3. Tracheostenosis C. Cancerous tumor of glandular tissue _____ 4. Osteonecrosis D. Inflammation of the bladder _____ 5. Enterorrhaphy E. Narrowing of the trachea _____ 6. Microlith F. Pus discharge _____ 7. Adenocarcinoma G. Small calculus _____ 8. Scleroderma H. Hernia of bladder _____ 9. Septicemia I. Death of bone _____ 10. Osteomalacia J. Contractions of the heart _____ 11. Thrombolysis K. Destruction of a clot _____ 12. Electroencephalogram L. Record of brain activity _____ 13. Osteoma M. Tumor of the bone _____ 14. Cystitis N. Blood infection _____ 15. Cystocele O. Softening of the bone © 2015 American Association of Oral and Maxillofacial Surgeons 61 D. Match the term to the meaning. Note: Some terms may be used more than once. _____ 1. Arthrotic A. Pertaining to a joint _____ 2. Arthritis B. Puncture of the joint to remove fluid _____ 3. Arthroscope C. Process of recording (x-raying) a joint _____ 4. Arthralgia D. Inflammation of a joint _____ 5. Arthropathy F. Pain in a joint _____ 6. Arthroscopy G. Removal of a joint _____ 7. Arthroplasty H. Instrument used to view a joint _____ 8. Arthrotomy I. Record of a joint after x-ray exam _____ 9. Arthral J. Swelling a joint _____ 10. Arthrectomy K. Disease of the joints _____ 11. Arthrocele L. Disease of the joints _____ 12. Arthrocentesis M. Surgical repair of a joint _____ 13. Arthrodynia N. Cutting of a joint _____ 14. Arthrogram O. Process of viewing a joint with a scope _____ 15. Arthrography 62 © 2015 American Association of Oral and Maxillofacial Surgeons E. Define each of the terms underlined in the following reports. Radiology Report Patient: Johnson, Peter Technique: Lateral views of the chest Exam: Chest Findings: The examination shows lower lobe peribronchial disease compatible with scarring or bronchitis. Cardiomegaly with mild chronic congestive failure. Low probability for pulmonary embolus. 1. Radiology ______________________________________________________ 2. Peribronchial ___________________________________________________ 3. Bronchitis ______________________________________________________ 4. Cardiomegaly ___________________________________________________ 5. Pulmonary _____________________________________________________ Operative Report Patient: Griffen, Mary Postoperative Diagnosis: Invasive squamous cell carcinoma of palate Operation: 1. 2. Excision of carcinoma of palate Direct laryngoscopy Anesthesia: General via nasal endotracheal intubation 6. Carcinoma _____________________________________________________ 7. Excision _______________________________________________________ 8. Laryngoscopy ___________________________________________________ 9. Anesthesia _____________________________________________________ 10. Endotracheal ___________________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 63 F. Match the combining form to its meaning. _____ 1. Cry/o A. Red _____ 2. Algesi/o B. Black _____ 3. Infer/o C. Suffering _____ 4. Fistul/o D. Below _____ 5. Melan/o E. Cold _____ 6. Narc/o F. Shape _____ 7. Erythr/o G. False _____ 8. Pseudo H. Pus _____ 9. Morph/o I. Tube _____ 10. Lip/o J. Sleep _____ 11. Suppur/o K. Sound _____ 12. Xen/o L. Dry _____ 13. Son/o M. Fat _____ 14. Xer/o N. Foreign 64 © 2015 American Association of Oral and Maxillofacial Surgeons G. Identify the suffix in each of the following terms and provide the meaning of the word. Term Suffix Meaning Example: a. Iliac -ac Pertaining to the ilium 1. Cystoscopy __________ ________________________________ 2. Axillary __________ ________________________________ 3. Rhinitis __________ ________________________________ 4. Neuralgia __________ ________________________________ 5. Appendectomy __________ ________________________________ 6. Bronchial __________ ________________________________ 7. Cystocele __________ ________________________________ 8. Cardiomyopathy __________ ________________________________ 9. Laryngoscope __________ ________________________________ 10. Gastric __________ ________________________________ 11. Necrotic __________ ________________________________ 12. Cytopenia __________ ________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 65 Term Suffix Meaning 15. Aphasia __________ ________________________________ 16. Chondroplasty __________ ________________________________ 17. Electroencephalograph __________ ________________________________ Answers – Chapter 4 Word List Definitions (Pages 47-48) • • • • • • • • • • • • • • Arthocentesis – Puncture of a joint Hematocrit – To separate blood (laboratory test) Electrocardiograph – The instrument used to record the electrical activity of the heart Electrocardiography – The process of using the instrument that records the electrical activity of the heart Biopsy – Viewing life (or tissue taken from a live being) Gastropexy – A surgical procedure that involves fixing or putting the stomach back in place Angioplasty – A surgical repair of a vessel Bronchoscope – The instrument used to view the inside of the bronchus Arthroscopy – The process of using a scope to view a joint Hemostasis – To stop or control blood flow Tracheostomy – A surgical procedure that creates an artificial opening to the trachea Chemotherapy – Treatment involving the use of chemicals Osteotomy – The process of cutting bone Lithotripsy – A procedure that crushes a stone (normally a kidney stone) Exercise 7 A. 1. 2. 3. 4. 5. 66 H E G I A 6. 7. 8. 9. 10. B C D F J © 2015 American Association of Oral and Maxillofacial Surgeons B. 1. 2. 3. 4. 5. 6. 7. 8. 9. Rhinoplasty Gastrorrhaphy Tracheostomy Angioplasty Lithotripsy Bronchoscopy Urinalysis Arthrocentesis Biopsy Work List Definitions (Pages 51-54) • • • • • • • • • • • • • • • • • • • • • • • • • • • • Analgesic – Pertaining to a group of drugs that creates a state of no pain (pain killer) Bacterial – Pertaining to bacteria Biology – The study of life Cryosurgery – Surgery involving the application of extreme cold to remove abnormal tissue Cytology – The study of cells Electromyogram – A record of the electrical activity of muscles Erythrocyte – A red blood cell Anesthesia – A condition or state of having no sensation Fibroma – A tumor involving fibrous tissue Fistula – An abnormal condition or state of having a tube connecting two anatomical areas Histology – The study of tissues Inferior – Pertaining to something that is below or beneath a point of reference Lethal – Pertaining to death Leukemia – A malignant blood condition involving the blood or bone marrow, characterized by an accumulation of white blood cells Lipoma – A benign tumor composed of fatty tissue Nephrolith – A kidney stone Melanoma – A malignant tumor that has a black appearance Morphology – Literally: the study of shapes or forms (This is a term used to describe a neoplasm’s form or type. [i.e., carcinoma, fibroma, sarcoma]) Mortality – Pertaining to death Narcotic – Pertaining to a class of drug that causes a person to be numb Necrosis – Abnormal condition in which tissue dies Normocephalic – Pertaining to having a normal head Pseudocyst – False cyst (an accumulation of fluid that appears to be a cyst, but it is not) Pyorrhea – Discharge composed of pus Sarcoma – Malignant tumor that arises in connective tissue (bone, cartilage, fat cells) Scleroderma – A chronic autoimmune condition that is characterized by the hardening of the skin Resection – The process of cutting back Sepsis – An infection © 2015 American Association of Oral and Maxillofacial Surgeons 67 • • • • • • • Sonogram – A record (diagnostic image) that is made using sound waves capturing equipment Suppurative – The formation or discharge of pus Thermal –Pertaining to heat Thrombosis – A condition involving a blood clot Toxic- Pertaining to poison Xenograft - The transplant of tissue from one species to an unlike species Xerostomia- Dry mouth Word List Definitions (Page 55-58) • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Arthralgia – Pain in a joint Mucocele – A cyst or cavity filled with mucous secretion Endocrine – A body system composed of glands that secrete hormones into the blood stream Leukocyte – White blood cell Lymphedema – Swelling or localized fluid retention due to a compromised lymph system Hyperemesis – Excessive vomiting Carcinogenic – Pertaining to the production or cause of cancer Prognosis – A prediction of an outcome made before knowledge of the actual outcome Otitis – Inflammation of the ear Encephalomalacia – Softening of the brain Splenomegaly – Enlargement of the spleen Carcinoid – Resemblance of a cancer Osteoma – A tumor that arises in the bone Hemiparesis – Slight paralysis of half of the body Arthropathy – A condition or disease of a joint Osteopenia – Deficiency of bone mass (precursor to osteoporosis) Dyspepsia – A condition in which there is painful digestion Aphagia – A condition in which there is an inability to swallow Dysphasia – A condition in which speech is difficult Leukoplakia – White patches of the mucous membrane Neoplasm – Abnormal new mass of tissue Osteoporosis – Abnormal loss of bony tissue that results in porous bone Postprandial – After meals Glossoptosis – Downward displacement (drooping) of the tongue Hemoptysis – Coughing of blood Hemorrhage – Excessive discharge of blood Rhinorrhea – Runny nose Arteriosclerosis – Hardening or thickening of the arterial walls Cardiospasm – Spasms (contraction) of the cardiac sphincter (located between the esophagus and stomach) Ureteral stenosis – Tightening of a ureter Hypertrophy – Increase in the size of an organ or tissue 68 © 2015 American Association of Oral and Maxillofacial Surgeons • Thrombus – Stationary blood clot Exercise 8 A. 1. 2. 3. 4. 5. 6. 7. 8. G J E N B D I C 9. 10. 11. 12. 13. 14. 15. F A O L M K H B. 1. 2. 3. 4. 5. 6. Craniotomy Dysentery Hepatomalacia Cytotoxic Cephalocentesis Colonorrhaphy 7. 8. 9. 10. 11. 12. Cystostomy Splenectomy Urolith Cervicodynia Hypothermic Neurospasms C. 1. 2. 3. 4. 5. 6. 7. 8. F J E I A G C B 9. 10. 11. 12. 13. 14. 15. N O K L M D H D. 1. 2. 3. 4. 5. 6. 7. 8. A D H F J O M N 9. 10. 11. 12. 13. 14. 15. A G J B F I C E. 1. 2. 3. 4. 5. 6. 7. Study of the use of x-rays and other penetrating radiation Pertaining to around the bronchi Inflammation of the bronchi Enlargement of the heart Pertaining to the lungs Malignant tumor (growth) The process of cutting out © 2015 American Association of Oral and Maxillofacial Surgeons 69 8. 9. 10. The process of viewing the larynx with a scope Pertaining to no sensation Pertaining to within the trachea F. 1. 2. 3. 4. 5. 6. 7. E C D I B J A G. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 13. --scopy -ary -itis -algia -ectomy -al -cele -pathy -scope -ic -ic -penia -phasia -plasty -graph 70 8. 9. 10. 11. 12. 13. 14. G F M H N K L Process of viewing the bladder with a scope Pertaining to the axillae (armpits) Inflammation of the nose Nerve pain Removal of the appendix Pertaining to the bronchi Swelling or herniation of the bladder Disease of the muscle of the heart Instrument used to view the larynx Pertaining to the stomach Pertaining to death Deficiency of cells Without speech Surgical repair of cartilage Instrument used to measure the electrical activity of the brain © 2015 American Association of Oral and Maxillofacial Surgeons Oral and Maxillofacial Terms 5 The following are word components not previously covered in Chapters 1-4. Note: Several digestive system and musculoskeletal system components have already been introduced. You will need to reference these when completing the exercises. Illustrative Overview of the Cranial Cavity Structure of the Tooth (Figure 7) Crown Enamel Dentin Pulp Gum Bone Cementum Root Blood vessels and nerves © 2015 American Association of Oral and Maxillofacial Surgeons 71 Bones of the Face (Anterior View) (Figure 8) Frontal Bone Nasal Bone Zygomatic Bone Maxilla Mandible Bones of the Face (Lateral View) (Figure 9) Frontal Bone Lacrimal Bone Sphenoid Bone Nasal Bone Ethmoid Bone Zygomatic Bone Temporal Bone Zygomatic Arch Maxilla Mandible 72 © 2015 American Association of Oral and Maxillofacial Surgeons Structures of the Mandible (Figure 10) Condyle Coronoid Process Ramus Body Mental Foramen Combining Forms Relating to the Orofacial Areas Instructions: Using the previously covered prefixes and suffixes, write the definition of the following medical terms. Combining Form Alveol/o Amel/o Meaning Word List Hollow cavity, pit Alveolar – __________________________________ Tooth socket in the jaw bone ___________________________________________ Enamel (Figure 7) Amelogenesis – ______________________________ Hard, thin covering of a tooth ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 73 Combining Form Meaning Word List Apex, summit, tip Apicoectomy – ______________________________ Terminal end of the root of a tooth ___________________________________________ Aur/i Aur/o Auricul/o Ear, hearing Auricular – _________________________________ Blephar/o Eyelid Apic/o ___________________________________________ Blepharoplasty – ____________________________ ___________________________________________ Brux/o Grind Bruxism – __________________________________ ___________________________________________ Bucc/o Cheek Buccal – ___________________________________ ___________________________________________ Cement/o Rough stone, cementum Cementoma – _______________________________ ___________________________________________ Chei/o Condyl/o Dent/o Dont/o Lip Cheilitis – __________________________________ Upper or lower fleshy margin of the mouth ___________________________________________ Condyle (Figure 10) Condylar – _________________________________ Rounded projection on a bone ___________________________________________ Teeth (Figure 7) Dentoalveolar – _____________________________ ___________________________________________ Faci/o Face Cervicofacial – ______________________________ ___________________________________________ 74 © 2015 American Association of Oral and Maxillofacial Surgeons Combining Form Fren/o Frenul/o Front/o Meaning Word List Frenulum Frenectomy – _______________________________ Band of tissue that holds down a body part (i.e., tongue, lip, cheeks) ___________________________________________ Forehead (Figure 8) Frontonasal – _______________________________ ___________________________________________ Geni/o Chin Genioplasty – _______________________________ ___________________________________________ Gingiv/o Gums (Figure 7) Gingivitis – _________________________________ ___________________________________________ Gloss/o Tongue Ankyloglossia – _____________________________ ___________________________________________ Gnath/o Jaw (Upper or lower) Retrognathia – ______________________________ (Figure 8) ___________________________________________ Labi/o Lip Labial – ____________________________________ ___________________________________________ Lingu/o Tongue; language Sublingual – ________________________________ ___________________________________________ Mal/o Cheek Malar – ____________________________________ ___________________________________________ Mandibul/o Lower jaw, mandible (Figure 10) Mandibular –_______________________________ ___________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 75 Combining Form Maxill/o Meaning Upper jaw, maxilla Word List Maxillary – _________________________________ (Figure 8) ___________________________________________ Menisc/o Crescent shaped Meniscus – Pertaining to the crescent shaped cushion found in joints Nas/i Nas/o Nose Nasolabial – ________________________________ ___________________________________________ Occlus/o Shut, close up Malocclusion – ______________________________ ___________________________________________ Odont/o Tooth (Figure 7) Odontogenic – ______________________________ ___________________________________________ Mouth Or/o Oropharynx – ______________________________ ___________________________________________ Osse/o Bone Osseous – __________________________________ ___________________________________________ Palat/o Saliv/o Palate Palatonasal – _______________________________ Roof of the mouth ___________________________________________ Spit Salivary – __________________________________ ___________________________________________ Saliva, salivary gland Sial/o Sialolith – __________________________________ (Figure 2) ___________________________________________ Clear liquid secreted by salivary gland to moisten food and start the digestive process 76 © 2015 American Association of Oral and Maxillofacial Surgeons Combining Form Sinus/o Stom/o Stomat/o Meaning Word List Depression, cavity, or channel (i.e., facial si- Sinusitis – __________________________________ nuses) ___________________________________________ Mouth Stomatoplasty – _____________________________ ___________________________________________ Temple, temporal bone (Figure 9) Tempor/o Temporomandibular – _______________________ ___________________________________________ Zygomat/o Cheek bone (Figure 8) Zygomatic – ________________________________ ___________________________________________ Use Stack 9 (Oral and Maxillofacial Combining Forms) and Word List 9 flashcards to reinforce your learning. Exercise 9 A. Provide the medical term for each of the following definitions. Osteoradionecrosis Micromandible Intermaxillary Prognathism Buccolabial Agnathia Orthognathic Orthodontics Orolingual Ankyloglossia Microgenia Extraoral 1. Pertaining to the cheek and lip – _______________________________________. 2. Having an extremely small mandible – _________________________________. © 2015 American Association of Oral and Maxillofacial Surgeons 77 3. Congenital absence of the upper or lower jaw– ___________________________. 4. Between the bones of the upper jaw – __________________________________. 5. Marked forward projection of the jaw – _________________________________. 6. Death of the bone after radiation exposure – _____________________________. 7. Pertaining to the bones of the jaw – ____________________________________. 8. Having an unusually small chin – ______________________________________. 9. Pertaining to the mouth and tongue – ___________________________________. 10. Pertaining to straight teeth – __________________________________________. 11. Tongue-tied – _____________________________________________________. 12. Outside the mouth – ________________________________________________. 78 © 2015 American Association of Oral and Maxillofacial Surgeons B. Define each of the terms underlined in the following reports. Office Note Patient: Wilson, Mark This 58-year-old patient presents with an edentulous mandible and partially edentulous maxilla due to periodontal disease. He has significant bone loss that results in nerve impingement in the left mandible that causes sharp pain each time he chews when his denture is in place. He also has micrognathia of the mandible. Plan: Sinus lift, with autograft from iliac crest. 1. Edentulous_________________________________________________________ 2. Periodontal ________________________________________________________ 3. Micrognathia ______________________________________________________ 4. Autograft _________________________________________________________ 5. Iliac _____________________________________________________________ Office Note Patient: Owens, Linda The patient presents with a large unsightly hypertrophic scar extending from the corner of her right eye down to the angle of her mandible. The scar developed after extensive injuries from a motor vehicle accident 14 months ago in which she was thrown through the windshield. Scar contraction and muscle injuries have led to mechanical ptosis of her right eyelids. The oral and maxillofacial surgery treatment plan includes: 1. Upper and lower lid blepharoplasties 2. Scar revision of 11cm hypertrophic scar on the right side of face by excision 6. Hypertrophic ______________________________________________________ 7. Ptosis ____________________________________________________________ 8. Blepharoplasties ____________________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 79 Office Note Patient: Howard, John A 47-year-old man diagnosed as having severe obstructive sleep apnea underwent a nasopharyngoscopy 4 weeks ago. He presents today for discussion of recommended surgery – reconstruction of the upper airway via maxillary osteotomies (LeFort I) and mandibular sagittal split with internal fixation and genioglossus muscle advancement. C. 9. Apnea ____________________________________________________________ 10. Nasopharyngoscopy _________________________________________________ 11. Osteotomies _______________________________________________________ 12. Genioglossus ______________________________________________________ Match the following inflammations with their meaning. _______ 1. Alveolitis A. Inflammation of the tongue _______ 2. Cheilitis B. Inflammation of the sinuses _______ 3. Glossitis C. Inflammation of the eyelid _______ 4. Gingivitis D. Inflammation of a salivary gland _______ 5. Condylitis E. Inflammation of the throat _______ 6. Blepharitis F. Inflammation of the gums _______ 7. Sinusitis G. Inflammation of the ball of the lower jaw _______ 8. Pharyngitis H. Inflammation of the mouth _______ 9. Stomatitis I. Inflammation of the alveolus _______ 10. Sialadenitis J. Inflammation of the lip 80 © 2015 American Association of Oral and Maxillofacial Surgeons D. Match the medical term to its correct definition. _______ 1. Macrodontia A. Having no tongue _______ 2. Leukoplakia B. Inflammation of the pulp _______ 3. Pulpitis C. Excision of the gum _______ 4. Periodontist D. Unusually large teeth _______ 5. Anodontia E. Cutting into the frenum _______ 6. Aglossia F. Thickened whitish patches _______ 7. Cheilorrhaphy G. Physician who specializes in the tissue supporting the teeth _______ 8. Gingivectomy H. _______ 9. Frenotomy Excision of the crescent-shaped cushion found in a joint _______ 10. Odontoma I. Absence of teeth _______ 11. Meniscectomy J. Suture of the lip _______ 12 Periapical K. Neoplasm made of calcified masses of teeth _______ 13. Palatoplasty L. Cyst or swelling of the mucosa _______ 14. Macrognathia M. Painful esophagus _______ 15. Odontogenic N. Unusually large jaw _______ 16. Esophagodynia O. Pertaining to maxilla and other facial bones _______ 17. Maxillofacial P. Surgical repair of the palate _______ 18. Mucocele Q. Arising in tissues that give origin to the teeth R. Around the apex of the root of the tooth © 2015 American Association of Oral and Maxillofacial Surgeons 81 E. Complete the crossword puzzle. Word List can be found on page 83. Across 5. 9. 10. 82 Physician that specializes in the treatment of the tooth pulp Drooping of the eyelid Puncture of a joint Down 1. 2. 3. 4. 6. 7. 8. Painful tongue Inside the mouth Excision of half of the tongue Pertaining to the skull and face Death of the bone Under the lower jaw Excessive sensitivity to stimuli © 2015 American Association of Oral and Maxillofacial Surgeons F. Match the combining form to its meaning. _______ 1. Amel/o A. Tongue _______ 2. Zygom/o B. Bone _______ 3. Or/o C. Chin _______ 4. Saliv/o D. Grind _______ 5. Occlus/o E. Cheek bone _______ 6. Nas/o F. Mouth _______ 7. Gloss/o G. Shut _______ 8. Osse/o H. Nose _______ 9. Geni/o I. Enamel _______ 10. Brux/o J. Spit _______ 11. Tempor/o K. Ear _______ 12. Aur/o L. Temple _______ 13. Cement/o M. Forehead _______ 14. Front/o N. Cheek _______ 15. Mal/o O. Rough stone Word List (Exercise 11E) Arthrocentesis Blepharoptosis Craniofacial Endodontist Glossodynia Hemiglossectomy Hyperesthesia Intraoral Osteonecrosis Submandibular © 2015 American Association of Oral and Maxillofacial Surgeons 83 Answers – Chapter 5 Word List Definitions (Pages 73-77) • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Alveolar – Pertaining to the tooth sockets Amelogenesis – The process during which tooth enamel is formed Apicoectomy – Excision of a tooth’s root tip (apex) Auricular – Pertaining to the sense of hearing Blepharoplasty – Surgical repair of the eyelid Bruxism – Pertaining to grinding Buccal – Pertaining to the cheek Cementoma – A tumor composed of tissue resembling cementum Cheilitis – Inflammation of the lip Condylar – Pertaining to the condyle Dentoalveolar – Pertaining to the teeth and tooth sockets Cervicofacial – Pertaining to the neck and face Frenectomy – Excision of the frenum Frontonasal – Pertaining to the frontal and nasal bones Genioplasty – Surgical repair of the chin Gingivitis – Inflammation of the gum Ankyloglossia – Crooked or bent tongue Retrognathia – Abnormal posterior positioning of the jaw Labial – Pertaining to the lips Sublingual – Below the tongue Malar – Pertaining to the cheek Mandibular – Pertaining to the mandible Maxillary – Pertaining to the maxilla Nasolabial – Pertaining to the area of the nose and lip Malocclusion – A condition in which the upper and lower teeth do not fit together in biting or chewing Odontogenic – Pertaining to the formation or development of teeth Oropharynx – Pertaining to the area of the mouth and pharynx (throat) Osseous – Pertaining to bone Palatonasal – Pertaining to the area of the palate and nasal cavity Salivary – Pertaining to saliva Sialolith – Salivary stone Sinusitis – Inflammation of the sinuses Stomatoplasty – Surgical repair of the mouth Temporomandibular – Pertaining to the area of the temporal and mandibular bones Zygomatic – Pertaining to the zygoma 84 © 2015 American Association of Oral and Maxillofacial Surgeons Exercise 9 A. 1. 2. 3. 4. 5. 6. Buccolabial Micromandible Agnathia Intermaxillary Prognathism Osteoradionecrosis 7. 8. 9. 10. 11. 12. Orthognathic Microgenia Orolingual Orthodontics Ankyloglossia Extraoral B. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Pertaining to having no teeth Pertaining to the area around the tooth Having an extremely small jaw Taken from one site and grafted to a different site in the same person Pertaining to the hip bone Pertaining to an area that has experienced excessive increase in size Drooping Surgical repairs of the eyelids Without breath Process of viewing the nose and the pharynx with a scope Cutting of bone Pertaining to the area of tongue and chin C. 1. 2. 3. 4. 5. I J A F G 6. 7. 8. 9. 10. C B E H D D. 1. 2. 3. 4. 5. 6. 7. 8. 9. D F B G I A J C E 10. 11. 12. 13. 14. 15. 16. 17. 18. K H R P N Q M O L E. 1. 2. 3. 4. 5. Glossodynia Intraoral Hemiglossectomy Craniofacial Endodontist 6. 7. 8. 9. 10. Osteonecrosis Submandibular Hyperesthesia Blepharoptosis Arthocentesis © 2015 American Association of Oral and Maxillofacial Surgeons 85 F. 1. 2. 3. 4. 5. 6. 7. 8. I E F J G H A B 9. 10. 11. 12. 13. 14. 15. C D L K O M N Illustration Source LifeART Collection Images – Copyright ©1989-2001 by Lippincott, Williams & Wilkins, Baltimore, MD 86 © 2015 American Association of Oral and Maxillofacial Surgeons 6 Lecture Guides The Lecture Guides contained in this chapter accompany the Lessons in Unit 6 of the course. Lesson 11 - Radiographic Examinations _____________________________________________ Oral and Maxillofacial Surgery Review Radiographic Examinations _____________________________________________ Click to edit Master title style _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Intraoral Radiographic Views _____________________________________________ _____________________________________________ Periapical Radiograph • Shows Tooth in its entirety Periapical tissues around the roots of the teeth • Small rectangular film (1” X 1.5”) • Technique _____________________________________________ _____________________________________________ _____________________________________________ Film inside mouth Conventional dental x-ray unit _____________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 87 Bitewing Radiograph • Shows The crowns of both the maxillary and mandibular teeth _____________________________________________ _____________________________________________ • Technique Patient bites on a tab that holds the film Conventional dental x-ray unit _____________________________________________ • Used for detection of caries _____________________________________________ Occlusal Radiographs • Used to evaluate Impacted teeth Cysts Salivary stones Trauma • Larger film (3” x 2.25”) • Exposures From above for maxilla From below for mandible _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Extraoral Radiographic Views _____________________________________________ _____________________________________________ Panoramic Radiograph • 5” x 12” radiograph • Provides lower face image • Used to evaluate Third molars Fractures Disease Orthognathic surgery Implant surgery _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ 88 © 2015 American Association of Oral and Maxillofacial Surgeons Lateral Cephalogram • Used to evaluate _____________________________________________ _____________________________________________ Entire facial skeleton and cranial base Soft tissues of the face _____________________________________________ • Taken from the side (lateral view) _____________________________________________ Posterior-Anterior Cephalogram • Taken from the posterior aspect (back to front) • Used to evaluate Facial bones, jaws, and skull _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Conventional CT Scan • Large series of 2-D images Taken around a single axis of rotation (axial cuts) • Data reformatted into images (coronal reformatted images) _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Cone Beam CT Scan • C-shaped arm makes 360o rotation • Captures images from different angles • Discriminates between multiple types of structures _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 89 _____________________________________________ Cone Beam CT Scan _____________________________________________ _____________________________________________ _____________________________________________ 3-Dimension CT Images _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Virtual Surgical Planning _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Lesson 12 – Anesthesia Administration ____________________________________________ Oral and Maxillofacial Surgery Review Anesthesia Administration Click to edit Master title style ____________________________________________ ____________________________________________ ____________________________________________ 90 © 2015 American Association of Oral and Maxillofacial Surgeons Definitions • Anesthetic ____________________________________________ ____________________________________________ Partial or total loss of sensation • Analgesic Reduces pain ____________________________________________ ____________________________________________ Oral Administration • Enteral administration Through the digestive system • Formats Pill Liquid Lollipop ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Oral Administration • Advantages ____________________________________________ ____________________________________________ No intravenous access needed Patient acceptance • Disadvantages Affects not achieved with one dose Wait time needed Not predictable ____________________________________________ ____________________________________________ Parenteral Administration • • • • Intramuscular Intravenous Inhalation Transmucosal ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 91 Intramuscular Administration • Advantages No intravenous access needed More rapid onset of effect More reliable absorption • Disadvantages Not titratable Wait time needed “Shot” required Potential long duration of action Monitoring required Intravenous Administration • Methods ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Bolus (bulb) Drip Needle (push) • Advantages ____________________________________________ Titratable Rapid onset More predictable effects Emergency situation assistance • Disadvantages Intravenous access needed Monitoring required Inhalation Administration • Nasal mask • Full face mask • Intubation ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Inhalation Administration • Advantages Quick acting Titratable Good patient acceptance Quick recovery • Disadvantages ____________________________________________ ____________________________________________ ____________________________________________ Special equipment needed Not predictable or effective ____________________________________________ 92 © 2015 American Association of Oral and Maxillofacial Surgeons Transmucosal Administration • Route: through the mucosa • Delivery systems ____________________________________________ ____________________________________________ Injections Dissolvable lozenge/pill ____________________________________________ ____________________________________________ Depth of Anesthesia • Nitrous oxide analgesia Pain reduction Euphoria Dissociation • Local anesthesia Small part of body affected Consciousness retained ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Depth of Anesthesia • Minimal sedation ____________________________________________ ____________________________________________ Characteristics Appears to be relatively awake Communicates clearly • Moderate conscious sedation ____________________________________________ Characteristics Appears to be sedated Responds to verbal and tactile stimuli Maintains airway independently Depth of Anesthesia • Deep sedation Partial or complete loss of protective reflexes Characteristics Possible difficulty maintaining an independent airway Decreased response to tactile or verbal stimuli ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 93 ____________________________________________ Depth of Anesthesia • General anesthesia Partial or complete loss of protective reflexes Characteristics Needs assistance in maintaining airway Does not respond to stimuli ____________________________________________ ____________________________________________ ____________________________________________ Lesson 13 – Craniofacial Anatomy ____________________________________________ Oral and Maxillofacial Surgery Review Craniofacial Anatomy Click to edit Master title style ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Bony Structures ____________________________________________ ____________________________________________ Bones of the Cranium Coronal Suture Parietal Bone Frontal Bone Sphenoid Bone Ethmoid Bone Lambdoid Suture Temporal Bone Occipital Bone ____________________________________________ ____________________________________________ ____________________________________________ Styloid Process Mastoid Process ____________________________________________ Supraorbital Foramen 94 © 2015 American Association of Oral and Maxillofacial Surgeons ____________________________________________ The Facial Skeleton ____________________________________________ Nasal Bone ____________________________________________ Lacrimal Bone Zygoma Nasal Conchae Infraobital Foramen Vomer Maxilla ____________________________________________ Mandible Mental Foramen ____________________________________________ Temporomandibular Structures ____________________________________________ Articular Eminence Glenoid Fossa Postglenoid Process Condyle Sigmoid Notch ____________________________________________ Zygomatic Arch Coronoid Process Maxilla Ramus Mandibular Angle Mandibular Body Mental Protuberance ____________________________________________ ____________________________________________ Temporomandibular Structures ____________________________________________ Articular Eminence Glenoid Fossa Postglenoid Process Condyle Sigmoid Notch ____________________________________________ Zygomatic Arch Coronoid Process Maxilla Ramus ____________________________________________ Mandibular Angle Mandibular Body Mental Protuberance ____________________________________________ ____________________________________________ Sinuses ____________________________________________ ____________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 95 Paranasal Sinuses • Air-filled spaces • Types Frontal sinuses Ethmoid sinuses Maxillary sinuses Sphenoid sinus (not shown) • Functions Decrease weight of the bones Add resonance to voice Warm and humidify air Provide a trauma buffer ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Muscles of Mastication ____________________________________________ ____________________________________________ Temporalis Muscle • Fan shaped • Origin ____________________________________________ ____________________________________________ Temporal line on the parietal bone • Insertion ____________________________________________ Coronoid process of the mandible • Function Elevates and retracts the mandible ____________________________________________ Masseter Muscle • Origin Zygomatic arch and the maxilla ____________________________________________ ____________________________________________ • Insertion Coronoid process and ramus of the mandible ____________________________________________ • Function Elevation and retraction of the mandible 96 ____________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons Lateral Pterygoid Muscle • The superior head Origin and Insertion • The inferior head ____________________________________________ ____________________________________________ Origin and Insertion • Function Opens the jaw Assists with lateral movements ____________________________________________ ____________________________________________ Medial Pterygoid Muscle • Deep head: origin ____________________________________________ ____________________________________________ Medial side of pterygoid plate behind upper teeth • Superficial head: origin Pyramidal process of palatine bone and maxillary tuberosity ____________________________________________ • Insertion Medial aspect of the mandibular angle • Function ____________________________________________ Elevate the mandible Assists with lateral movement ____________________________________________ ____________________________________________ Facial and Neck Muscles ____________________________________________ ____________________________________________ Facial and Neck Muscles Frontalis Procerus Orbicularis Oculi Occipitofrontalis Nasalis Levator Labii Zygomaticus Buccinator Orbicularis Oris Mentalis Depressor Anguli Oris Stylohyoid Levator Scapulae Trapezius Sternocleidomastoid Scalenes Digastric Sternohyoid ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Omohyoid © 2015 American Association of Oral and Maxillofacial Surgeons 97 ____________________________________________ ____________________________________________ Blood Supply and Nerves of the Face ____________________________________________ ____________________________________________ Blood Supply to the Face • External Carotid Artery ____________________________________________ ____________________________________________ Facial Artery Angular Artery Lateral Nasal Branch Superior Labial Artery Inferior Labial Artery ____________________________________________ Superficial Temporal Artery Transverse Facial Artery Frontal Branch Orbital Artery ____________________________________________ Internal Maxillary Artery Posterior Auricular Artery Fifth Cranial Nerve • Trigeminal nerve • Function Sensory Root Motor Root • Branches Ophthalmic Nerve Maxillary Nerve Mandibular Nerve • Semilunar ganglion Trigeminal Branches • V1 – Ophthalmic nerve Sensory nerve Upper, central face ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ • V2 – Maxillary nerve V1 V2 Sensory nerve Upper jaw region • V3 – Mandibular nerve Sensory nerve Lower jaw region to ears and temples V3 Motor nerve Muscles of mastication 98 ____________________________________________ ____________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons ____________________________________________ Seventh Cranial Nerve • Facial nerve • Sensory portion ____________________________________________ Taste from the anterior twothirds of the tongue • Motor component ____________________________________________ Muscles of facial expression ____________________________________________ ____________________________________________ Seventh Cranial Nerve Branches ____________________________________________ Frontal Branch Zygomatic Branch ____________________________________________ Buccal Branch Marginal Mandibular Branch ____________________________________________ Cervical Branch Lesson 14 – Oral Anatomy __________________________________________ Oral and Maxillofacial Surgery Review Anatomy of the Mouth __________________________________________ Click to edit Master title style __________________________________________ __________________________________________ The Mouth Cupid’s Bow Philtrum Vermillion Border __________________________________________ __________________________________________ __________________________________________ Commissure Vermillion __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 99 Dental Arches and Quadrants • Arches (2) Upper and lower • Quadrants (4) __________________________________________ __________________________________________ Maxillary (upper) Right and left quadrants Mandibular (lower) __________________________________________ Right and left quadrants __________________________________________ The Dentitions • Definition The natural teeth in the jawbones • Primary dentition First set of 20 primary teeth Also known as “baby teeth” or “deciduous teeth” • Permanent dentition Second set of 32 secondary teeth Also known as “adult teeth” • Mixed dentition Both primary and permanent teeth present Tooth Numbering Systems __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Primary: 20 Teeth __________________________________________ Permanent: 32 Teeth Oral Cavity Directions • • • • • • Anterior Posterior Medial Lateral Mesial Distal __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ 100 © 2015 American Association of Oral and Maxillofacial Surgeons __________________________________________ Additional Terms • • • • • Eruption Exfoliation Occlusion Occlusal Surface Incisal Surface __________________________________________ __________________________________________ __________________________________________ __________________________________________ Intraoral Anatomy __________________________________________ Linea Alba Gingiva __________________________________________ Vestibule __________________________________________ Intraoral Anatomy __________________________________________ __________________________________________ Maxillary Buccal Frenum Mandibular Buccal Frenum __________________________________________ Maxillary Labial Frenum __________________________________________ Mandibular Labial Frenum Intraoral Anatomy Palatopharyngeal Arch Palatoglossal Arch __________________________________________ __________________________________________ Uvula Tongue – Dorsum Tongue – Lateral Border __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 101 Intraoral Anatomy – Mandible __________________________________________ __________________________________________ Tongue – Ventral Surface Mandibular Lingual Frenum __________________________________________ Sublingual Caruncle Floor of Mouth __________________________________________ Intraoral Anatomy – Maxilla __________________________________________ __________________________________________ Incisive Papilla Rugae __________________________________________ Hard Palate Soft Palate __________________________________________ Lesson 15 – Dentoalveolar Diagnoses __________________________________________ Oral and Maxillofacial Surgery Review Dentoalveolar Diagnoses Click to edit Master title style __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Infections __________________________________________ __________________________________________ 102 © 2015 American Association of Oral and Maxillofacial Surgeons Dentoalveolar Infections • Periapical abscess Pus enclosed in the tissues of the jaw bone around the root of the tooth __________________________________________ __________________________________________ Potential fistula Accompanying radiolucency __________________________________________ __________________________________________ Dentoalveolar Infections Mucous Membrane Involvement Infraorbital Cellulitis __________________________________________ __________________________________________ __________________________________________ __________________________________________ Dentoalveolar Infections Infraorbital and Supramandibular Cellulitis __________________________________________ __________________________________________ __________________________________________ __________________________________________ Multispace Cellulitis Dentoalveolar Infections • Incision and Drainage __________________________________________ __________________________________________ __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 103 __________________________________________ __________________________________________ Common Pathologic Lesions __________________________________________ __________________________________________ Fibroma and Papilloma • Fibroma Reactive hyperplasia of fibrous connective tissue Trauma or local irritation • Squamous papilloma Painless Exophytic, cauliflower-like surface Human papillomavirus Mucocele • Painless mucous-filled sac in the submucosa • Bluish in color • Duct is severed or obstructed __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Leukoplakia • • • • Precancerous A white patch or plaque Develops on tongue or cheek Caused by irritation __________________________________________ __________________________________________ __________________________________________ __________________________________________ 104 © 2015 American Association of Oral and Maxillofacial Surgeons Lichen Planus __________________________________________ • Chronic inflammatory disease • Interlacing white striations __________________________________________ • Malignant transformation possible in erosive lichen planus • Allergic or immune reaction __________________________________________ (Wickham striae) __________________________________________ Squamous Cell Carcinoma • Red/white lesion of the soft tissues • Risk factors – tobacco, alcohol, sunlight, human papillomavirus • May be asymptomatic • Metastasis to regional lymph nodes Odontogenic Cysts • Inflammatory cysts Radicular cyst Paradental cyst __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Odontogenic Cysts • Developmental cysts Dentigerous cyst Lateral periodontal cyst Odontogenic keratocyst Glandular odontogenic cyst __________________________________________ __________________________________________ __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 105 Nonodontogenic Cysts • Median mandibular cyst • Nasopalatine cyst • Pseudocyst Aneurysmal bone cyst Traumatic bone cyst Staphne bone defect __________________________________________ __________________________________________ __________________________________________ __________________________________________ Odontogenic Jaw Tumors • Derived from the tooth forming tissues • Benign or malignant • Common types Ameloblastoma Odontoma __________________________________________ __________________________________________ __________________________________________ __________________________________________ Nonodontogenic Tumors • Benign tumors Localized, no metastasis Slow growing Found in or are composed of a variety of different tissues • Malignant tumors __________________________________________ __________________________________________ __________________________________________ Primary or metastatic __________________________________________ __________________________________________ __________________________________________ Tumor Treatment __________________________________________ __________________________________________ 106 © 2015 American Association of Oral and Maxillofacial Surgeons Incisional Biopsy • Obtain a small portion of the lesion • Submitted to laboratory for diagnosis • Treatment based on definitive diagnosis __________________________________________ __________________________________________ __________________________________________ __________________________________________ Excisional Biopsy • Entire lesion is removed plus a border of normal tissue • Tissue is submitted to the laboratory for definitive diagnosis __________________________________________ __________________________________________ __________________________________________ __________________________________________ Curettage • Removal by scraping or scooping __________________________________________ __________________________________________ __________________________________________ __________________________________________ Resection • Partial or complete removal of organ or structure • Used to remove Aggressive lesions Malignant lesions Osteonecrosis • Structural replacements __________________________________________ __________________________________________ __________________________________________ Mandible Reconstruction plate Maxilla Obturator prosthesis __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 107 Lesson 16 – Dentoalveolar Procedures __________________________________________ Oral and Maxillofacial Surgery Review Dentoalveolar Procedures Click to edit Master title style __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Tooth Removal __________________________________________ __________________________________________ Exodontia – Simple Extraction • Visible tooth (full eruption) • Removed by forceps • No incision or suture needed __________________________________________ __________________________________________ __________________________________________ __________________________________________ Exodontia – Surgical Extraction • Not easily accessed • Steps Elevation of mucoperiosteal tissue flap Removal of alveolar bone or sectioning of the tooth or roots Removal of tooth Suture __________________________________________ __________________________________________ __________________________________________ __________________________________________ 108 © 2015 American Association of Oral and Maxillofacial Surgeons Impacted Teeth • Failure to emerge fully in expected position • Term applied to third molars (wisdom teeth) • Levels of severity Soft tissue Partial bony Full bony __________________________________________ __________________________________________ __________________________________________ __________________________________________ Soft Tissue Impaction • Crown covered by gum tissue only __________________________________________ __________________________________________ __________________________________________ __________________________________________ Bony Impaction • Partial Bony Part of tooth covered with bone but not entire tooth __________________________________________ __________________________________________ • Full Bony Tooth covered completely with bone __________________________________________ __________________________________________ __________________________________________ __________________________________________ Other Dentoalveolar Procedures __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 109 Operculectomy • Operculum definition Residual flap of tissue that overlies a portion of the tooth • May create a food trap • Also known as “removal of pericoronal gingiva” __________________________________________ __________________________________________ __________________________________________ __________________________________________ Surgical Exposure/Bond Bracket • Indications Delayed eruption of tooth Ectopic positioning of a tooth • Joint effort • Exposure and bonding Surgical access to the tooth Application of orthodontic appliance • Orthodontist guides eruption and positioning Apicoectomy • Indications __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Root disease after previous root canal treatment Retreatment not possible • Purpose __________________________________________ Eradicate infection • Technique Root tip resected Root filled with material Create an apical seal __________________________________________ Frenectomy • Types Maxillary labial Mandibular lingual __________________________________________ __________________________________________ • Techniques Scalpel Laser __________________________________________ __________________________________________ 110 © 2015 American Association of Oral and Maxillofacial Surgeons __________________________________________ __________________________________________ Prosthodontic Procedures __________________________________________ __________________________________________ Removal of Exostosis and Torus • Locations Buccal exostosis Lingual torus Palatal torus • Indications Denture preparation Repeated trauma to the area Periodontal disease __________________________________________ __________________________________________ __________________________________________ __________________________________________ Alveoloplasty • Indication Elimination of sharp edges after tooth extractions Preparation for dentures • Technique Creation of mucoperiosteal flap Bone smoothing __________________________________________ __________________________________________ __________________________________________ __________________________________________ Removal of Hyperplastic Tissue • Indication Epulis fissuratum Ill-fitting denture __________________________________________ __________________________________________ • Treatment Surgical removal __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 111 __________________________________________ Socket Graft • Placed within extraction socket Immediately after extraction • Preserves the dimensions of the alveolar bone • Technique Insertion of graft material Placement of barrier Closure Guided Bone Regeneration 1 3 2 • Surgical grafting procedure • Barrier membrane directs new growth • Purpose 4 Reconstruction of a site with insufficient bone volume or dimensions 5 Soft Tissue Allograft __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Subantral Sinus Augmentation • Also known as sinus lift • Purpose Increase the volume of maxillary bone before implants • Technique Creation of access window Lifting of sinus membrane Insertion of graft material Closure 112 1 2 3 __________________________________________ __________________________________________ __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons Autogenous Bone Graft __________________________________________ • Autograft definition • Harvest sites __________________________________________ • Purpose __________________________________________ Hip Tibia Chin Ramus Augment area of decreased volume or size __________________________________________ Basic Implant Parts Crown Abutment Screw __________________________________________ __________________________________________ __________________________________________ Abutment Implant Body Surgical Guide __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Pilot Hole Creation • Pilot hole drilled • Alignment pin checks alignment __________________________________________ __________________________________________ __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 113 Osteotomy • Increasing bit sizes used • Site is widened to the final depth, angulation, and shape to receive the final implant __________________________________________ __________________________________________ __________________________________________ __________________________________________ Implant Placement __________________________________________ __________________________________________ __________________________________________ __________________________________________ Cover Screw Placement __________________________________________ __________________________________________ __________________________________________ __________________________________________ Healing Abutment Placement __________________________________________ __________________________________________ __________________________________________ __________________________________________ 114 © 2015 American Association of Oral and Maxillofacial Surgeons __________________________________________ Transfer Abutment __________________________________________ __________________________________________ __________________________________________ __________________________________________ Final Restoration __________________________________________ __________________________________________ __________________________________________ __________________________________________ One-Day Implant • Also known as immediate load implant • Reduced osseointegration time • Candidacy criteria __________________________________________ Adequate bone height Adequate bone width Adequate bone density __________________________________________ __________________________________________ Lesson 17 – Maxillofacial Trauma __________________________________________ Oral and Maxillofacial Surgery Review Maxillofacial Trauma __________________________________________ Click to edit Master title style __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 115 __________________________________________ __________________________________________ Fractures __________________________________________ __________________________________________ Types of Fractures • • • • • • Closed Open (compound) Displaced Nondisplaced Comminuted Greenstick __________________________________________ __________________________________________ __________________________________________ __________________________________________ Dentoalveolar Trauma • Fractured teeth • Avulsed teeth • Fracture of the supporting alveolar bone • Injury to the dentoalveolar soft tissues __________________________________________ __________________________________________ __________________________________________ __________________________________________ Le Fort I Fracture __________________________________________ __________________________________________ __________________________________________ __________________________________________ 116 © 2015 American Association of Oral and Maxillofacial Surgeons Le Fort II Fracture __________________________________________ __________________________________________ __________________________________________ __________________________________________ Le Fort III Fracture __________________________________________ __________________________________________ __________________________________________ __________________________________________ Orbital Fracture • Cause __________________________________________ Blunt force of a blow __________________________________________ Diplopia Movement restriction Entropion __________________________________________ • Floor of the orbit or the medial wall is normally involved • Serious consequences __________________________________________ ZMC Fracture __________________________________________ __________________________________________ __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 117 Frontal Sinus Fractures __________________________________________ __________________________________________ __________________________________________ __________________________________________ Nosoorbitoethmoid Fractures __________________________________________ __________________________________________ __________________________________________ __________________________________________ Mandibular Fractures Subcondylar Coronoid Process Ramus Angle Symphysis __________________________________________ __________________________________________ __________________________________________ Parasymphysis Alveolar Process Panfacial Trauma __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ 118 © 2015 American Association of Oral and Maxillofacial Surgeons __________________________________________ __________________________________________ Trauma Repairs __________________________________________ __________________________________________ Fracture Repairs • Open Reduction Opening the site of the fracture __________________________________________ __________________________________________ With or without internal fixation • Closed Reduction No incision required Manipulated by radiographic guidance or feel __________________________________________ __________________________________________ Closed Reduction With Fixation __________________________________________ __________________________________________ __________________________________________ __________________________________________ Open Reduction Internal Fixation Intraosseous Wiring __________________________________________ __________________________________________ __________________________________________ Compression Plate __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 119 __________________________________________ External Fixation __________________________________________ __________________________________________ __________________________________________ __________________________________________ Laceration Repairs __________________________________________ __________________________________________ __________________________________________ Lesson 18 – Temporomandibular Disorders __________________________________________ Oral and Maxillofacial Surgery Review TMDs and TMD Treatment Click to edit Master title style __________________________________________ __________________________________________ __________________________________________ __________________________________________ TMJ Anatomy Glenoid Fossa Capsule Condyle Articular Eminence __________________________________________ Meniscus __________________________________________ __________________________________________ 120 © 2015 American Association of Oral and Maxillofacial Surgeons Temporomandibular Disorders • Inflammation of the joint space Capsulitis Synovitis __________________________________________ __________________________________________ • Internal derangement Adhesions Disk displacement __________________________________________ With reduction Without reduction Dislocation __________________________________________ Temporomandibular Disorders • Degenerative joint disease __________________________________________ __________________________________________ Osteoarthritis Rheumatoid arthritis • Disorders of the masticatory muscles Myofascial pain syndrome Myalgia Myositis Muscle spasm __________________________________________ • Ankylosis __________________________________________ Arthrocentesis • Puncture of a joint • Nonarthroscopic lysis and lavage __________________________________________ __________________________________________ __________________________________________ __________________________________________ Arthroscopy __________________________________________ __________________________________________ __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 121 __________________________________________ Arthroplasty __________________________________________ __________________________________________ __________________________________________ Total Joint Reconstruction __________________________________________ __________________________________________ __________________________________________ __________________________________________ Lesson 19 – Congenital Anomalies __________________________________________ Oral and Maxillofacial Surgery Review Congenital Anomalies Click to edit Master title style __________________________________________ __________________________________________ __________________________________________ Cleft Lip and Palate __________________________________________ • Congenital deformity • Effects of cleft lip __________________________________________ • Effects of cleft palate __________________________________________ Inability to form oral seal Difficulty speaking Regurgitation of food into nasal cavity Difficulty speaking • Multiple procedures or services needed • Team effort 122 __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons __________________________________________ Cleft Lip • Distinctions __________________________________________ Incomplete vs complete Unilateral vs bilateral • Repaired a few months after birth __________________________________________ __________________________________________ __________________________________________ Cleft Palate • Distinctions __________________________________________ Incomplete vs complete Unilateral vs bilateral • Presence of bifid uvula • Repaired a 6 to 12 months after birth __________________________________________ __________________________________________ __________________________________________ Jaw Relationships __________________________________________ __________________________________________ Class I Class III Class II Jaw Relationships __________________________________________ __________________________________________ __________________________________________ __________________________________________ Apertognathia Vertical Maxillary Excess __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 123 __________________________________________ Le Fort Procedure __________________________________________ __________________________________________ __________________________________________ Bilateral Sagittal Split Osteotomy __________________________________________ __________________________________________ __________________________________________ __________________________________________ Lesson 20 – Cosmetic Procedures __________________________________________ Oral and Maxillofacial Surgery Review Cosmetic Procedures Click to edit Master title style __________________________________________ __________________________________________ __________________________________________ Genioplasty __________________________________________ __________________________________________ __________________________________________ __________________________________________ 124 © 2015 American Association of Oral and Maxillofacial Surgeons Rhinoplasty __________________________________________ __________________________________________ __________________________________________ __________________________________________ Otoplasty __________________________________________ __________________________________________ __________________________________________ __________________________________________ Blepharoplasty __________________________________________ __________________________________________ __________________________________________ __________________________________________ Brow Lift __________________________________________ __________________________________________ __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 125 Face Lift __________________________________________ __________________________________________ __________________________________________ __________________________________________ Face Lift __________________________________________ __________________________________________ Before __________________________________________ After __________________________________________ Botox Injections __________________________________________ __________________________________________ __________________________________________ __________________________________________ Injectable Dermal Fillers Before __________________________________________ __________________________________________ __________________________________________ After __________________________________________ 126 © 2015 American Association of Oral and Maxillofacial Surgeons Laser Skin Resurfacing __________________________________________ __________________________________________ __________________________________________ __________________________________________ © 2015 American Association of Oral and Maxillofacial Surgeons 127 128 © 2015 American Association of Oral and Maxillofacial Surgeons Alphabetic Index to Word Components Component Meaning A a- No, not, without ab- Away from abdomin/o Abdomen abort/o Expulsion of a viable fetus -ac Pertaining to acanth/o Spiny, thorny acetabu/o Acetabulum acou/o, acous/o Hearing acr/o Extremities acu/o Sharp, severe ad- Toward, in direction of aden/o Gland adenoid/o Adenoids adhes/o Stick to adip/o Fat adnex/o Bound to adren/o Adrenal glands aero- Air aesthesi/o Sensation agress/o Attack -aise Comfort, ease -al Pertaining to albin/o White algesi/o Pain © 2015 American Association of Oral and Maxillofacial Surgeons 129 Component Meaning -algesia Sensitivity to pain -algia Pain aliment/o Nourishment all/o Other, different alopec/o Baldness alveol/o Hollow cavity, pit ambly/o Dim ambul/o To walk amel/o Enamel amyl/o Starch an- No, not, without andr/o Male aneurysm/o Aneurysm angio/o Vessel an/o Anus anky/o Bent, crooked, stiff, fixed ante- Before, forward anter/o Forward anti- Against aort/o Aorta apic/o Apex, tip aplast/o Defective, lack of development append/o Appendix appendic/o Appendix -ar Pertaining to -arche Beginning arter/o, arteri/o Artery arthr/o Joint -ary Pertaining to -ase Enzyme 130 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning -asthenia Lack of strength ather/o Plague, fatty substance -ation Process atop/o Strange, out of place atri/o Atrium aur/i, aur/o, auricul/o Ear auto- Self axill/o Armpit azot/o Urea, nitrogen B bacteri/o Bacteria balan/o Glans penis bi- Two bi/o Life bifid/o Split into two parts bil/i Gall, bile -blast Embryonic, immature blast/i Embryonic, immature blephar/o Eyelid bol/o To cast, throw brachi/o Arm brady- Slow bronch/o, bronchi/o Bronchus brux/o Grind bucc/o Cheek burs/o Bursa © 2015 American Association of Oral and Maxillofacial Surgeons 131 Component Meaning C calcin/o Calcium calcul/o Stone, calculus calor/i Heat carcin/o Cancer cardi/o Heart cari/o Decay, rot carp/o Carpals, wrist bones cartilage/o Cartilage cauter/o Burn, heat cav/i Hollow, cave cec/o Cecum -cele Hernia, cyst, swelling celi/o Abdomen, belly cement/o Rough stone, cementum -centesis Puncture to remove fluid cephal/o Head cerebell/o Cerebellum cerebr/o Cerebrum cervic/o Neck cheil/o Lip chem/o Chemical cholangi/o Bile duct chol/e Gall, bile cholecyst/o Gallbadder choledoch/o Common bile duct chondr/o, chondri/o Cartilage -cide Causing death circum- Around, about 132 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning cirrh/o Orange-yellow cis/o To cut col/o Colon colp/o Vagina colon/o Colon colp/o Vagina condyl/o Knuckle, knob conjunctiv/o Conjunctiva contra- Against, opposite corne/o Cornea coron/o Crown, Heart cort- Covering cost/o Rib cox/o Hip crani/o Skull -crine Secretion -crit Separation cry/o Cold crypt/o Hidden cubit/o Elbow cutane/o Skin cyan/o Blue cyst/o Bladder cyt/o Cell -cyte Cell D dacr/o Tear, tear duct, lacrimal duct © 2015 American Association of Oral and Maxillofacial Surgeons 133 Component Meaning dactyl/o Fingers and toes de- Down, lack of, loss dehisc/o Burst open, split demi- Half dem/o People, population dent-, dent/i, dent/o Tooth derm/o, dermat/o Skin -desis Bind together, surgical fixation of joint di- Two dia- Through, complete -dipsia Thirst dips/o Thirst dis- Absence of dissect/o Cutting apart dist/o Far diverticul/o Side pouches dont/o Tooth dors/o Back of body duct/o Tube duoden/o Duodenum dur/o Dura mater -dynia Pain dys- Painful, difficult E e- Out of -eal Pertaining to ec- Outside 134 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning ecchym/o Pouring out of juice echo- Sound -ectasia Stretching, dilation -ectasis Stretching, dilation ecto- Out -ectomy Remove, cutting out -edema Swelling electr/o Electricity em- In -ema Process embol/o Thrown in -emesis Vomiting -emia Blood condition en-, endo- In, within encephal/o Brain enter/o Small intestine eosin/o Red epi- Upon, on, above episi/o Vulva erupt/o Break out, burst forth erythr/o Red -esis Abnormal condition esophag/o Esophagus esthesi/o, -esthesia Feeling, sensation eti/o Cause eu- Well, good ex-, exo- Out, away from extra- Outside © 2015 American Association of Oral and Maxillofacial Surgeons 135 Component Meaning F faci/o Face fasci/o Fibrous bond, fascia febr/i Fever femor/o Femur fren/o, frenul/o Frenulum fibr/o Fibrous fibril/o Muscular twitching fibul/o Fibula fiss/o Crack fistul/o Tube, pipe fluor/o Luminous foll/i Sac follicul/o Small sac foramen/o Opening fren/o Frenula front/o Forehead furc/o Branching G galact/o Milk gangli/o Ganglion gastr/o Stomach -gene, -genic Origin, cause geni/o Chin genit/o Related to reproductive organs -genous Origin, cause ger/i Old age 136 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning geront/o Old age gingiv/o Gums glauc/o Grey -globulin Protein gloss/o Tongue glott/o Back of tongue gluc/o Sugar glyc/o Sugar glycer/o Sweet gnath/o Jaw -gnosis Knowledge gon/o Seed -gram Record, tracing, picture -graph Instrument for recording -graphy Process of recording gravid/o Pregnancy gynec/o Female, woman H hal/o Breath halit/o Breath hem/o, hemat/o Blood hemi- Half hepat/o Liver heter/o Different hist/o, histi/o Tissue humer/o Humerus hydr/o Water © 2015 American Association of Oral and Maxillofacial Surgeons 137 Component Meaning hyper- Over, excessive, increased hypn/o Sleep hypo- Under, below, decreased hyster/o Uterus I -ia Condition -iac Pertaining to -iactrics Field of study -ian Specialist -iasis Abnormal condition -iatrist Specialist -iatry Field of study -ic Pertaining to -ical Pertaining to -ician Specialist ile/o Ileum, small intestine ili/o Ilium, hip bone in- In, not infer/o Below, beneath infra- Below, beneath, inferior to inguin/o Groin inter- Between intern/o Within, inner intra- In, within intro- In, within -ion Process -ior Pertaining to 138 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning ir/o, irid/o Iris of the eye isch/o To hold back -ism Process, condition iso- Same, equal -ist Specialist -itis Inflammation -ium Structure, tissue J jejun/o Jejunum jugulo Throat juxta- Near, nearby K kera- Horn, hardness kerat/o Horny, hard, cornea kinesi/o Movement -kinesis Movement kyph/o Bent, hump L labi/o Lip lacer/o Torn, mangled lacrimin/o Tear, tear duct lact/o Milk lapar/o Abdomen, abdominal wall © 2015 American Association of Oral and Maxillofacial Surgeons 139 Component Meaning laps/o Slip, fall, slide downward laryng/o Larynx, voice box later/o Side leiomy/o Smooth muscle -lepsy Seizure letharg/o Drowsiness leth/o Death leuk/o White ligat/o Binding, tying off lingu/o Tongue lip/o Fat lith/o Stone -lith Stone lob/o Lobe -logist Specialist in the study of -logy Study of lumb/o Lower back lymph/o Lymph -lysis, -lytuc Breakdown, separation, destruction M macro- Large macul/o Spot mal- Bad mal/o Cheek -malacia Softening mamm/o Breast man/i, man/o Hand 140 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning mandibul/o Mandible, lower jaw mast/o Breast mastic/o Chew maxill/o Maxilla, upper jaw meat/o Meatus, passage medi/o Middle mediastin/o In the middle medull/o Medulla, inner section, middle, mega-, megal/o Large -megaly Enlargement melan/o Black mening/o, meningi/o Meninges men/o, menstru/o Menses, menstruation menisc/o Cresent mens-, mens/o Menses, menstruation ment/o Mind mes/o, mesi/o Middle meta- Beyond, over, between, change metacarp/o Metacarpals metatars/o Metatarsals metr/i, metr/o, metri/o Inner lining of uterus -metry Measurement micro- Small mictur/o Urination mono- One, single morbid/o Disease, sickness morph/o Shape, form mort/o Death muc/o, mucos/o Mucous multi- Many © 2015 American Association of Oral and Maxillofacial Surgeons 141 Component Meaning muscul/o Muscle mut/a Genetic change mut/o Unable to speak my/o Muscle myel/o Spinal cord, bone marrow myring/o Tympanic membrane, eardrum N nar/i Nostril narc/o Numbness nas/i, nas/o Nose nat/i, nat/o Birth necr/o Death neo- New nephr/o Kidney nev/o Mole neur/o Nerve noct/o Night nod/o Knot, swelling non- No norm/o Normal nuch/o Nape, neck region nucle/o Nucleus O obstetr/o Midwife, pregnancy occipit/o Back of the skull 142 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning occlus/o Shut, close ocul/o Eye odont/o Tooth -oid Like, resembling olecran/o Elbow olfact/o Smell olig/o Scanty, few -oma Tumor onc/o Tumor onchy/o Fingernail or toenail oo/o Egg oophor/o Ovary ophthalm/o Eye vision -opia Vision -opsy Process of viewing opt/o Eye optic/o Eye or/o Mouth orch/o Testes orchi/o Testes orchid/o Testes orth/o Straight -osis Abnormal condition oss/e, oste/o Bone -ostomy Artificial opening ot/o Ear -ous Pertaining to ov/i, ov/o Egg ovari/o Ovary © 2015 American Association of Oral and Maxillofacial Surgeons 143 Component Meaning P palat/o Palate pancreat/o Pancreas papill/o Nipple-like papul/o Pimple para- Near, beside, abnormal, away -paresis Slight paralysis -partum Birth patell/o Kneecap path/o Disease -pathy Disease, emotion pector/o Chest pedi/o Child ped/o Child, foot pelv/i, pelv/o Hip, pelvic cavity -penia Lack, deficiency peps/i, pept/o Digestion -pepsia Digestion per- Through peri- Around perine/o Perineum peritone/o Abdominal wall pernici/o Destructive, harmful pertuss/i Intensive cough petechi/o Skin spot -pexy Fixation, put into place -phage Cell that destroys -phagia Swallowing 144 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning phalang/o Phalanx pharyng/o Pharynx, throat -phasia Speech phleb/o Vein -plegic Paralysis phob/o Fear -plakia, plak/o Thin flat layer plant/o Sole of foot -plasia, -plasm Formation, growth -plasty Surgical repair -plegia, plegic Paralysis pleur/o Pleura, side of body -pnea Breathing pneum/o, pneumon/o Lung pod/o Foot poly- Many por/o Pore, small opening -porosis Pore, less density post- After poster/o Back, behind -prandial Meal pre-, pro- Before, in front of proct/o Anus and rectum prost/o Prostate prostat/o Prostate proxim/o Near pseud/o False psych/o Mind -ptosis Dropping, sagging, prolapsed -ptysis Spitting © 2015 American Association of Oral and Maxillofacial Surgeons 145 Component Meaning pulmon/o Lung purul/o Pus py/o Pus pyel/o Renal pelvis R radi/o Radiation, radius radicul/o Nerve root re- Back, again rect/o Rectum ren/o Kidney retro- Behind, backward rhin/o Nose -rrhage, -rrhagia Burst forth -rrhaphy Suture -rrhea Flow, discharge rrhythm/o Rhythm S sacr/o Sacrum saliv/o Saliva salping/o Fallopian tube sarc/o Flesh scler/o, -sclerosis Hardening, abnormal dryness scoli/o Crooked, curved -scope Instrument for viewing -scopy Process of viewing with scope 146 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning scrot/o Bag, pouch sect/o To cut semi- Half seps/o, sept/o Infection sial/o Saliva, salivary glands sialaden/o Salivary glands sigmoid/o Sigmoid colon sinus/o Sinus -sis Abnormal condition son/o Sound -spasm Contraction of muscle -sphyxia Pulse spin/o Spine splen/o Spleen spondyl/o Vertebra -stasis, -static Stopping, controlling -stenosis Tightening, stricture, narrowing stern/o Sternum stom/o, stomat/o Mouth -stomy Artificial opening sub- Under suppur/o, suppurat/o Pus forming supra- Above, excessive synov/o Synovial membrane T tachy- Fast tars/o Tarsals, ankle © 2015 American Association of Oral and Maxillofacial Surgeons 147 Component Meaning tempor/o Temple ten/o, tendin/o Tendon test/o, testicul/o Testicle -therapy Treatment therm/o Heat thorac/o Chest -thorax Chest thromb/o Clot, clotting thyr/o, thyroid/o Thyroid tibi/o Tibia, shin bone -tic Pertaining to tinnit/o Ringing, buzzing -tion Process tom/o Section, cut -tomy Process of cutting ton/o Tension tonsill/o Tonsil tox/o, toxic/o Poison trache/o Trachea trans- Across, through trigon/o Trigone -tripsy Crushing -trophy, troph/o, -trophic Development, nourishment tympan/o Tympanic membrane, eardrum U -ule Little uln/o Ulna 148 © 2015 American Association of Oral and Maxillofacial Surgeons Component Meaning ultra- Beyond, excess umbilic/o Umbilicus, navel uni- One ur/o Urinary tract, urine -uria Urination, urinary condition urin/o Urinary tract, urine uret/o Ureter urethra/o Urethra -us Thing urtic/o Rash uter/o Uterus V vagin/o Vagina valv/o Valve valvul/o Valve varic/o Twisted, swollen vein vas/o Vessel vascul/o Vessel ven/o Vein ventricul/o Ventricle vertebr/o Vertebra visc/o Sticky vulv/o Vulva X xanth/o Yellow © 2015 American Association of Oral and Maxillofacial Surgeons 149 Component Meaning xen/o Strange, foreign xer/o Dry Y -y Condition, process Z zygomat/o 150 Zygoma, cheek bone © 2015 American Association of Oral and Maxillofacial Surgeons
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