station 3 - XLA/ OS Flashcards
(39 cards)
1
Q
where should beaks engage
A
bifurcation
2
Q
what is the general movement
A
buccal and back
3
Q
when can you do a rotational movement
A
straight and conical teeth (lower premolars, central and sometimes laterals)
4
Q
when can you do a figure of 8 motion
A
conical roots AND mandibular molars
5
Q
where should you stand for maxillary teeth
A
in front of pt
6
Q
how should you posisiton the pt for maxillary XLA
A
- Pt up
- Pt flat so visual view of upper arch
7
Q
how should you hand placement be for maxillary teeth
A
- Thumb on palate
- Index in sulcus
- Tuck away other fingers so not in way
8
Q
where should you stand for XLA of mandibular RIGHT 4-8
A
behind pt
9
Q
where should you stand for XLA of mandibular LEFT 4-8
A
in front of pt
10
Q
how should you position the pt for XLA of mandibular RIGHT 4-8
A
- Low down – elbow height
- put them in a headlock – behind them
11
Q
what is you hand position for XLA of mandibular RIGHT 4-8
A
- Thumb lingual and index buccal sulcus
- Three fingers support mandible
- Right hand forceps 90 degrees
12
Q
where should you stand for mandibular XLA of right 1-3
A
in front of pt
13
Q
how should the pt be positioned for XLA of right 1-3
A
pt low down - elbow height
14
Q
how should the pt be positioned for XLA of left 1-8
A
pt low down - elbow height
15
Q
what is your hand position for XLA of left 1-8
A
- The claw
- Index in buccal, middle in lingual
- Thumb under chin
- Tuck other fingers so not in way
16
Q
what is your hand position for XLA of right 1-3
A
- The claw
- Index in buccal, middle in lingual
- Thumb under chin
- Tuck other fingers so not in way
17
Q
what are upper universals used for
A
- Used for maxillary single rooted
- Can be used for multi rooted if you can get enough grip/engagement
- Maxillary anterior and premolars
18
Q
what are upper straights used for
A
- Maxillary single rooted
- Antierors 1-3
- 2nd pre molar usually single rooted (1st – double rooted
19
Q
what are upper molars used for
A
- Maxillary molars (6,7 usually)
- maxillary 1st premolars
20
Q
what are upper narrows used for
A
- Maxillary anterior teeth or small roots/peads
21
Q
what forcep would you typically use for an upper anterior 1-3
A
upper straught OR upper universal
22
Q
what forcep you use for 2nd premolars
A
upper straught OR upper universal
23
Q
what forcep you use for 1st premolars
A
upper universal forcep
24
Q
what are lower narrows used for
A
- Lower anterior teeth or small premolars
- Peads or narrow rooted teeth
25
what are lower universals used fot
- Mandibular incisor’s, canines and premolars
26
what are lower molars used for
- Mandibular first and second molars
27
what are cowhorns used for
- Broken down molars
- Especially broken crowns
- Will slide under the molar and lift from under the furcation as to be less likely to fracture the remaining tooth
28
how should the day after they leave OS be spent
1. Have a restful day. No strenuous exercise or heavy lifting.
2. No smoking or alcohol for 24 hours.
29
how long will numbness last post Op
3-4hrs
30
how long will pain last following XLA and what should the pt do for this pain
4. You may experience some pain following surgery but it gradually improves over a period of 7 – 10 days. Simple painkillers should control the pain. Only take painkillers that are safe for you. If you have been advised to avoid, or you have had any problems with painkillers please discuss this with your dentist or doctor.
31
what happens if there is a sudden increase in pain and what may this indicate
5. If there is a sudden increase in pain after a few days this may indicate infection and you should seek help from your dentist or the dental hospital.
32
when will swelling reach its max and when should it resolve be
6. Swelling is common after surgery has been carried out in the jaw. The swelling reaches its maximum 2 – 3 days after surgery. The swelling should resolve 7 – 10 days after surgery.
33
when will brusising resolve by
7. Bruising of the face occasionally occurs and can take up to 2 weeks to resolve.
34
should there be bleeding for the socket after they leave and what should be done for this
8. Bleeding should be minimal by the time you leave the dental hospital. Blood stained saliva is to be expected for 24 – 48 hours after the operation. If the tooth socket (or surgical site) bleeds, sit upright, take a clean cotton handkerchief or tea-towel, place over the socket and bite down hard. Apply constant pressure for at least 30 minutes.
If bleeding continues, re-apply pressure for a further 30 minutes. If it continues to bleed, contact the Oral Surgery Department at the Dental Hospital
35
when should they and when should they avoid rinising mouth
9. Do not rinse your mouth for the first day. This may disturb the blood clot and cause bleeding. The next day start using salt mouthwashes (a glass of warm water with a teaspoonful of salt dissolved in it). Use as often as possible but at least after any food.
36
what is expected about mouth opening
10. Your mouth opening will be restricted for about a week. Eating semi-solid foods should be possible. Use your own discretion and gradually start eating normally according to your own pace.
37
what should the pt do if they have stiches in thier mouth
11. If you have stitches in your mouth, these should (unless you have been advised otherwise) dissolve and drop out after a period of 7 – 10 days.
38
recite all 11 post op instructions
1. Have a restful day. No strenuous exercise or heavy lifting.
2. No smoking or alcohol for 24 hours.
3. Immediately after the procedure you will still be numb. The numbness lasts for 3 – 4 hours before sensation returns slowly. Care should be taken to avoid biting the lip, tongue or cheeks during this time.
4. You may experience some pain following surgery but it gradually improves over a period of 7 – 10 days. Simple painkillers should control the pain. Only take painkillers that are safe for you. If you have been advised to avoid, or you have had any problems with painkillers please discuss this with your dentist or doctor.
5. If there is a sudden increase in pain after a few days this may indicate infection and you should seek help from your dentist or the dental hospital.
6. Swelling is common after surgery has been carried out in the jaw. The swelling reaches its maximum 2 – 3 days after surgery. The swelling should resolve 7 – 10 days after surgery.
7. Bruising of the face occasionally occurs and can take up to 2 weeks to resolve.
8. Bleeding should be minimal by the time you leave the dental hospital. Blood stained saliva is to be expected for 24 – 48 hours after the operation. If the tooth socket (or surgical site) bleeds, sit upright, take a clean cotton handkerchief or tea-towel, place over the socket and bite down hard. Apply constant pressure for at least 30 minutes.
If bleeding continues, re-apply pressure for a further 30 minutes. If it continues to bleed, contact the Oral Surgery Department at the Dental Hospital on
01382 635971 or during evenings and weekends contact NHS 24 on 111.
9. Do not rinse your mouth for the first day. This may disturb the blood clot and cause bleeding. The next day start using salt mouthwashes (a glass of warm water with a teaspoonful of salt dissolved in it). Use as often as possible but at least after any food.
10. Your mouth opening will be restricted for about a week. Eating semi-solid foods should be possible. Use your own discretion and gradually start eating normally according to your own pace.
11. If you have stitches in your mouth, these should (unless you have been advised otherwise) dissolve and drop out after a period of 7 – 10 days.
39
what is tx for dry socket
LA
explore socket with syringe
irrigate with saline until saline runs clear
dress with a sedative dressing (alvagel)
post op - analgesic advice
