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Oral Surgery > Minor Oral Surgery Techniques for Fractured Teeth and Retained Roots > Flashcards

Minor Oral Surgery Techniques for Fractured Teeth and Retained Roots Flashcards

1
Q

What are reasons for teeth fracturing?

A

reasons for teeth fracturing:

  • thick cortical bone
  • root shape
  • root number
  • hypercementosis
  • ankylosis
  • caries
  • alignment
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2
Q

What is hypercementosis?

A

hypercementosis is a root with too much cementum on it

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3
Q

What is ankylosis?

A

ankylosis:

  • fusion between root and bone
  • loss of PDL space
  • direct contact between tooth and bone
    • difficult to distinguish between the two
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4
Q

What are patient warnings to give to give prior to minor oral surgical techniques?

A

patient warnings prior to minor oral surgical techniques:

  • explain the procedure to the patient
  • if the tooth needs sectioning, describe this to the patient
  • give the patient an idea of what to expect during the procedure - explain the minor oral surgical procedure in lay terms
    • pressure, no pain
    • lift the gum
    • possible drilling (same drill as the one used for fillings)
    • stitches
  • if adjacent teeth are cllose by then it would be sensible to watn of possible damage to these teeth
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5
Q

What post-operative complications should a patient be warned of before a minor oral surgical procedure?

A

warnings of post-operative complications prior to minor oral surgical procedures:

  • pain
  • swelling
  • bruising
  • jaw stiffness
  • bleeding
  • dry socket
  • infection (although this is unusual)
  • nerve damage risk
    • temporary, permanent, altered
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6
Q

A general surgical principle is to have X access with Y trauma

A

X - maximal

Y - minimal

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7
Q

What heal quicker - bigger flaps or smaller ones?

A

bigger flaps heal just as quickly as smaller ones

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8
Q

Why should a wide based incision be used with surgical techniques?

A

a wide based incision should be used with surgical procedures due to circulation

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9
Q

What kind of stroke should a scalpel be used in when making an incision?

A

when making an incision, a scalpel should be used in one firm continuous stroke

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10
Q

What can be said about angles in a surgical procedure?

A

there should be no sharp angles when creating an incision for a surgical procedure

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11
Q

What should there be minimal trauma to with a minor oral surgical procedure?

A

with a minor oral surgical procedure, there should be minimal trauma to dental papillae

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12
Q

In minor oral surgical procedures, flap reflection should be down to X and done clearly

A

X - bone

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13
Q

Tissue should be kept X during a minor oral surgical procedure

A

X - moist

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14
Q

When doing a minor oral surgical procedure, what should you ensure that flap margins and sutures lie on?

A

when doing a minor oral surgical procedure, ensure that flap margins and sutures lie on sound bone

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15
Q

When doing a minor oral surgical procedure, make sure thta wounds are not closed under X

A

X - tension

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16
Q

Following a minor oral surgical procedure, you should be aiming for healing by X to minimise scarring

A

X - primary intention

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17
Q

Why should you be aiming for healing by primary intention following a minor oral surgical procedure?

A

you should be aiming for healing by primary intention following a minor oral surgical procedure to minimise scarring

18
Q

Why is soft tissue retraction done during a minor oral surgical procedure?

A

during a minor oral surgical procedure, soft tissue is retracted to:

  • give access to the operative field
  • protect soft soft tissues
19
Q

What instruments can be used for soft tissue retraction?

A

soft tissue retraction - instruments:

  • Howarth’s periosteal elevator
  • Bowdler-Henry retractor (rake)
20
Q

What type of flap is used for closure of an OAC?

A

a buccal advancement flap is used for closure of an OAC

21
Q

What is a buccal gutter?

A

a buccal gutter is a gutter between the buccal cortex and buccal surface of the root

22
Q

Where is a stitch placed first?

A

a stitch is placed in the first area that is incised

23
Q

Flaps should be designed to be X than the defect that you are going to cerate

A

X - wider

24
Q

Should a flap be resting on a hole?

A

no, a flap shouldn’t be resting on a hole - it should be on healthy bone

25
Q

What instruments can be used to physically debride?

A

physical debridement:

  • bone file
  • handpiece
  • Mitchell’s trimmer
  • Victoria curette
26
Q

What can a bone file or handpiece be used to remove?

A

a bone file or handpiece can be used to remove sharp bony edges

27
Q

What can a Mitchell’s trimmer or Victoria curette remove?

A

a Mitchell’s trimmer or Victoria curette can be used to remove soft tissue debris

28
Q

What can be used for irrigation in minor oral durgical techniques?

A

sterile saline/water into the socket and under the flap can be used for irrigation in minor oral surgery procedures

29
Q

Where should sterile saline/water be used in irrigation in minor oral surgery procedures?

A

in minor oral surgical procedures, sterile saline/water should be introduced into the socket and under the flap for irrigation

30
Q

During minor oral surgical procedures, where should be aspirated to remove debris?

A

during minor oral surgical procedures, you should aspirate under the flap to remove debris

31
Q

When suctioning as part of a minor oral surgical technique, what should you check the socket for?

A

when suctioning as part of a minor oral surgical procedure, check the socket for retained apices

32
Q

When suturing, what should be compressed?

A

when suturing, compress the blood vessels

33
Q

What are the aims of suturing?

A

aims of suturing:

  • reposition tissues
  • cover bone
  • prevent wound breakdown
  • achieve haemostasis
  • encourage healing by primary intention
34
Q

Sutures can either be Xfilament or Yfilament

A

X/Y - mono

X/Y - multi

35
Q

What are examples of resorbable sutures?

A

resorbable sutures:

  • monocryl (monofilament)
  • vicryl (multifilament)
36
Q

What are examples of non-resorbable sutures?

A

non-resorbable sutures:

  • prolene (monofilament)
  • mersilk (multifilament)
37
Q

What is a monofilament resorbable suture?

A

monofilament resorbable suture = monocryl

38
Q

What is a multifilament resorbable suture?

A

multifilament resorbable suture = vicryl

39
Q

What is a monofilament non-resorbable suture?

A

monofilament non-resorbable suture = prolene

40
Q

What is a mulitfilament non-resorbable suture?

A

multifilament nono-resorbable suture = mersilk

41
Q

How can haemostasis be achieved per-operatively?

A

peri-operative - achieving haemostasis:

  • LA with vasoconstrictor
  • artery forceps
  • diathermy
  • bone wax
42
Q

How can haemostasis be achieved post-operatively?

A

post-operative - achieving haemostasis:

  • pressure
  • LA with vasoconstrictor
  • diathermy
  • Whitehead’s varnish pack
  • surgicel
  • sutures

Oral Surgery (9 decks)

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