Oral Surery

Question 1

how many upper forceps are there and what are they?

Answer 1

6
straight ant
universal
molar L
molar R 
bayonet third molar
bayonet root

Question 2

how many lower forceps are there and what are they?

Answer 2

4
universal
molar
cowhorn
root

Question 3

how to tell the difference between upper and lower forceps?

Answer 3

upper = beak in line with handle 
lower = beak at 90degrees

Question 4

how to tell the upper ant and upper universal apart?

Answer 4

same beak tips
universal hand is much more curved
ant is straight

can both be used for premolars but the universal are more curved which can make these favourable for reaching the premolars

Question 5

how to tell the upper and lower root and universal forceps apart?

Answer 5

they have the same curved handle (upper) but the root forceps tip is smaller

Question 6

which upper ant tooth needs the root forceps instead of the ant forceps sometimes?

Answer 6

lateral as its small and the beak of the ant forcep might be too wide

Question 7

why are the upper bayonet tips a Z shape?

Answer 7

to reach further back in the mouth

Question 8

how to tell upper molar left and right apart?

Answer 8

beak to cheek

Question 9

how many roots does an upper molar have?

Answer 9

3 - 2B and 1P

Question 10

what is the upper bayonet root forceps for?

Answer 10

remaining roots

laterals

Question 11

why does the upper bayonet third molar forceps not have beaks?

Answer 11

as the 8s are so variable

Question 12

which teeth are removed with the lower universal forceps?

Answer 12

5-5

anything single root

Question 13

how to identify the lower cowhorn forceps?

Answer 13

very curved tips which touch - to squeeze out tooth

Question 14

which teeth should lower cowhorn forceps be used on?

Answer 14

lower teeth with 2 separate roots - often 6s

Question 15

how to identify lower molar forceps?

Answer 15

both tips have beaks as roots of lower are M and D so both beaks engage a furcation

Question 16

if extracting from which quadrant do you stand behind their right shoulder?

Answer 16

lower right - 4

otherwise stand in front of the patient

Question 17

patient chair position for an upper extraction?

Answer 17

45-90 degrees back - more upright than lower

Question 18

patient position for lower extraction?

Answer 18

45-0 degrees back - flatter

Question 19

for which extraction does the mandible need to be supported?

Answer 19

lower molars

Question 20

technique of extraction ?

Answer 20

place forceps as far down root as possible
support alveolar bone with 2 fingers of the non extracting hand
apply apical pressure
check in 10 mins for haemostasis and do post op instructions

Question 21

forms of apical pressure when extracting a posterior tooth?

Answer 21

figure of 8

buccal expansion

Question 22

apical pressure when extracting an anterior tooth?

Answer 22

rotation and buccal expansion

Question 23

post op instructions for pain?

Answer 23

expected when LA wears off in 5 hours ish
variable but settles in 1-2 days
normal painkillers 1-2 hours before LA wears off for 3 days after that get prescribed if it persists
ibuprofen is best

Question 24

post op instructions for bleeding?

Answer 24

to prevent : don’t explore socket /eat hot/hard foods/drink alcohol for 24 hours / eat to other side of mouth / don’t rinse for 24 hours

do brush teeth normal / chlorhexidine mouthwash

if t bleeds : damp tissue bite on for 20-30 mins, again for 1hour if persists, contact practice if persists

Question 25

post op instructions for healing?

Answer 25

don't smoke as it delays healing and drys the socket making it sore

Question 26

post op instructions for other possible symptoms?

Answer 26

``` adjacent teeth sensitive pain of TMJ/MOM limited mouth opening - settles 1-2 wks swelling - resolves in weeks, contact us if it increases after 2-3 days or think its infected - cold pack for 5 mins possible bruising ```

Question 27

why do we use elevators and luxators?

Answer 27

to aid mobility prior to using forceps

Question 28

difference between elevators and luxators?

Answer 28

LOOK AT TIPS | luxator is rounded at the tip and couplings is flat and sharp

Question 29

what is a luxator used for?

Answer 29

to sever and tear the PDL = mobility

Question 30

how do elevators work?

Answer 30

create space by using one of the following movements - wedge - lever - wheel and axel

Question 31

how many warrick james elevators are there and what are they?

Answer 31

3 left straight right

Question 32

how to tell left and right warrick james and cryers elevators apart?

Answer 32

hold them with the tips facing inward and then the L is in L and and R in R and note : cryers the tip must be facing inwards and upwards

Question 33

which tooth extraction are warrick james especially helpful in?

Answer 33

8s

Question 34

how many cryers elevators are there?

Answer 34

2 L and R

Question 35

where are cryers elevators most useful?

Answer 35

furcation of molars

Question 36

how to hold an elevator/luxator?

Answer 36

put it in palm of hand and curl thumb, middle, ring and pinky round handle index finger on shank for support and control

Question 37

how to use a luxator?

Answer 37

luxate in B sulucs M->D use buccally

Question 38

why place 2 fingers on bone when extracting a tooth?

Answer 38

supports bone prevents bone fracture retracts tissue

Question 39

how to use a couplings elevator?

Answer 39

lever : in IP at 90 degrees to long axis and try to hook under the crown and pus it up wedge : in at 45 degrees to long axis, twisting M->D find a good application point to help you best apply the motion use buccally ideally M->D

Question 40

which elevtaor uses the wheel and axel motion?

Answer 40

cryers