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Flashcards in Tissue Preparation Deck (21):

Must be secured to undertake the restoration from someone in authority.

Written Permission


Incisions and excisions for restorative purposes are made at this time.

  • So that circulation will not be disrupted.
  • There is an exception.

After Embalming


Growths and mulilations that will distort the features.

  • Remove prior to embalming
  • Temporarily suture the remaining tissues to hold them in their normal position.

Exception to making incisions and incisions after embalming.


Tissues must be like this before attempting any wax reconstruction.

  • Ideal time

Firm and Dry


  • 8-10 Hours after embalming.
  • Leakage or tissue gas should be evident by this time.

Ideal time for wax reconstructions


  • Set fractured bones.
  • Suture loose flaps of skin.
  • Support depressed tissues.
  • Align fractures.
  • Remove stains or foreign matter from the skin.
  • Shave- normal and affected areas.
  • Heavily massage cream the face.

Before Embalming


To protect against drying and bleaching caused by chemical leakage.

  • Ex: eye ennucleation - purge

Heavily Massage Cream the Face (Before Embalming)


  • Plug small skin punctures.
  • Plug leakage from the ears and nose when it becomes clear fluid.
  • Cotton saturated with a preservative chemical may be placed in deep cavities.

During Embalming


  • Use the common carotid arteries.
  • Form and dry dissues are a necessity.

Injection of the head when a wax restoration is necessary.


  • Bleach discolorations
  • Reduce swelling
  • Hypodermically inject unpreserved areas.
  • Suture incisions
  • Excise damaged or diseased tissues.

After Embalming


  • Remove
    • compress
    • padding
    • plugs
    • temporary sutures
  • Excise all damaged and diseased tissues
  • Undercut the edges
  • Dry all moisture chemically
  • Paint the tissue with a liquid sealer
  • Apply a deep filler to fill the cavity
  • Suture the margin of the cavity with a basket weave suture.
  • Embed the wax in the threads
  • Model the surface
  • Reproduce pores and wrinkles.

Large Cavity and Excision Restoration - After Embalming


  • Compress
  • Padding
  • Plugs
  • Temporary Suture

Remove (Large cavity and excision restorations)


The second step during cavity and excision restorations after embalming. This is done after the removal of compresses, padding, plugs, and temporary sutures.

Excise all damaged and diseased tissues.


Third Step in large cavity and excision restorations after embalming.

  • Advantages:
    • The basket-weave suture does not have to be intradermal.
    • This kind of edge helps to lock the wax in position.
    • The margin tends to depress so the wax will continue slightly over the skin.

Undercut The Edges


Forth Step

  • If time permits, use a preservative chemical pack.
  • Dry with cotton
  • Sear tissue with a corrosive chemical.
    • Phenol or mortuary chemical
    • Avoid contact with skin (yours and the deceased's)- use massage cream.

Dry all moisture Chemically


Fifth step.

  • Protects against future leakage.

Paint the tissue with a liquid sealer.


Sixth Step.

  • 1/4 from the surface.
  • Cotton and a binding agent. 
    • Plaster of paris
    • spray plastic
    • pore closer
  • Mortuary wax (wound filler).

Apply a deep filler to fill the cavity.


Seventh step.

Suture the margin of the cavity with this kind of suture.

Basket Weave


Eigth Step. Embed the wax in this.

Threads (From the basket weave suture)


Ninth Step. Model here.

The surface.


Last step.

Reproduce pores and wrinkles.