Minor Oral Surgery Techniques Flashcards
(29 cards)
why do teeth fracture?
- thick cortical bone
- root shape
- root number
- hypercementosis
- ankylosis
- caries
- alignment
If a tooth fractures, what must you say to the patient?
- explain procedure to patient (going to be surgical)
- tooth may need sectioning… explain
- warn patient of potential damage to adjacent teeth
how might you give a patient an idea of what to expect during a surgical tooth extraction?
- feel pressure but NO pain
- lift the gum up (flap)
- expect drilling & water from drill
- stitches going to be used
what post operative complications may arise from a surgical extraction?
- pain
- swelling
- bruising
- jaw stiffness
- bleeding
- dry socket
- infection
- nerve damage risk
when discussing procedures with patients, what is very important ?
use language that the patient understands
why is soft tissue retraction important during oral surgery?
- allows good access to operative field
- protects the soft tissues
what instrument can be used to retract soft tissues?
- Howarth’s periosteal elevator
- Bowdler-Henry Retractor (rake)
how can physical debridement be undertaken in surgical extractions?
- bone file or handpiece to remove sharp bony edges
- Mitchell’s trimmer or Victoria curette to remove soft tissue debris
how can irrigation debridement be undertaken in surgical extractions?
- sterile saline/water into socket & UNDER FLAP
how can suction debridement be undertaken in surgical extractions?
- aspirate UNDER FLAP to remove debris
- check socket for retained apices etc
why must the Bowdler-Henry Retractor be handled with care?
it has little sharp edges (like a rake) that can damage soft tissues
what are the main aims of suturing after a surgical extraction?
- reposition tissues
- cover bone
- prevent wound breakdown
- achieve haemostasis
- encourage healing by primary intention
what types of sutures are used in oral surgery?
- resorbable
- non-resorbable
what types of resorbable & non-resorbable sutures can be used in oral surgery?
- monofilament
- multifilament
how can haemostasis be achieved during operation of oral surgery extractions?
- LA with vasoconstrictor used
- artery forceps
- diathermy
- bone wax
If a 2 sided root is left in the canal due to the crown fracturing off, and you are struggling to elevate the root out, what can you do?
Separate the roots into 2
- can be separated using a motorised handpiece
Why can you not use a typical high speed/slow speed handpiece to separate roots in oral surgery?
you can cause surgical emphysema which can be fatal
how can haemostasis be achieved post-operatively?
- pressure
- LA with vasoconstrictor
- diathermy
- Whitehead’s Varnish Pack
- surgicel
- sutures
what is found within a Whitehead’s Varnish Pack?
- iodoform
- gum benzoin
- storax
- balsam tolu
- ethyl ether
what does HAPOIG mean?
- haemostasis achieved
- post operative instructions given
what is the most commonly used suture in oral surgery today?
Resorbable multi-filament sutures
what is the most common non-resorbable multifilament suture?
Black silk
what is the hardest suture material to use?
proline (monofilament non-resorbable suture)
- looks like fishing line
Why are multifilament suture materials better than monofilament materials?
You scar less!
