Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

DH200 Int Clinic > W Ch 40 > Flashcards

W Ch 40 Flashcards

1
Q

Strand of material used to control bleeding, stabilize wound edges in proper position, protect wound, and aid in pt comfort

A

Suture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ideal suture has adequate _____ strength

This strength is the amount of strength the material will ___ _____ ____

Wound gains strength and suture loses strength

A

Tensile

Retain throughout healing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Functions of sutures (6)

A

Close periodontal wounds and secure grafts

Maintain hemostasis (end bleeding)

Reduce posttx discomfort

Promote primary intention healing

Prevent bone exposure

Protect wound from debris and trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Characteristics: (science class vs PE)
Biologic
Physical

A

Bio:
Sterile
Reabsorption
Minimal inflammatory reaction in tissue

Physical:
Tensile strength
Flexible
Plasticity (maintain shape)
Elasticity
Maneuver
Fluent through tissue w min trauma
Length and diameter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What material type?

Animal origin- catgut and silk
Vegetal origin- cotton and linen

Vs

Developed to reduce tissue reactions and unpredictable absorption

A

Natural

Synthetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Natural absorbable: (absorbed in…)

Monofilamentous, derived from purified collagen of sheep/cattle and lasts about 8 days before degrading

Chromatic salts to delay enzyme resorption for 18 days

A

Plain gut

Chromic gut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Synthetic resorbable sutures: (hydrolysis breakdown)

All these types begin with prefix

A

Poly

(Water makes you P!… Poly)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If suture is non absorbable pt returns removal after

A

1 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Non absorbable

Natural (1)
Synthetic (5)

A

Silk - can cause inflammation

-Nylon
-All the polys (polyester, polypropylene, polytetrafluoroethylene
-Coated sutures (antibacterial agents)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Number of strands :
-Typical of gut, nylon, PYFE and other synthetic sutures

-Typical of silk, nylon, polyglycolic, polyester, and other synthetics

A

Monofilament

Multifilament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Most suture types used for perio flaps and closure?

What is used for extraction socket, bone grafting, free gingival grafting?

What is preferred for implant flap closure? If swelling and pain anticipated?

A

Gut, absorbable

Absorbable

Non absorbable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Allows suture material and needle to act as one unit

A

Swayed end (eyeless)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is weakest part of body of swaged needle?

A

Swaged end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Extends from tip to widest part of needle

A

Point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

2 opposing cutting edges for difficult to penetrate tissue like skin
Sharpest

A

Reverse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

3rd cutting edge on concave curve of needle

A

Conventional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Most frequently used knot in dentistry

Easiest and most reliable

A

Square knot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

3 to 4 mm suture tail is left to assist in locating for removal

True or false

A

False 2-3mm tail

19
Q

Each stitch brought over a loop of preceding one

Forms series of loops on one side of incisor and stitches over incision

Used after alveolectomy (removing alveolar bone)

A

Blanket (Continuous)

20
Q

Stripes of interrupted sutures

One knot per incision

A

Interrupted

21
Q

Series of stitches tied at one or both ends

Can include sling, suspension , and blanket sutures

A

Continuous uninterrupted

22
Q

EnCIRCLES tooth for suspension and retention of a flap

A

Circumferential

23
Q

Flaps are both the lingual and facial sides

Joined by passing suture through each interdental area

Coverage accomplished by coapting papillae (edges not touching)

A

Interdental

24
Q

Flap is on one side facial or lingual and sutures pass through interdental papilla, around tooth, and into adjacent papilla

Suture adjusted two flap can be positioned for correct healing

A

Sling or Suspension

25
Q

Suture removal. How long after surgery? No longer than? Why?

A

7 days after surgery

No longer than 14 days to prevent tissue infection

26
Q

Who requires a consult with cardiologist?

A

Pts with valvular heart disease

27
Q

Record! deviations in color, size, shape, adaption of flap or coaptation of healing

A
28
Q

If a suture is placed without a dressing what should the cotton tip be dipped in to aid in debris removal?

A

0.12% chlorhexidine mouth rinse or 3% peroxide

29
Q

Steps to suture removal

A
  1. Check notes, locate sutures
  2. Caution when removing dressing and tearing suture
  3. When exposed remove debris by irrigation by water or chlorhexidine on cotton tip
  4. Grasp end of suture above knot with pliers in non dominant hand and gently draw up, golf with slight tension (finger rest for control)
  5. Scissors in dominant hand and insert blade just under knot
  6. Gently pull suture out opposite of where it was cut7. Place on gauze
  7. Count total removed
    9*irrigate with water or antiseptic10 post removal instructions written and verbal
    11.obeserve tissue and note any adverse reactions or bleeding
30
Q

Periodontal dressings are based on personal preference and judgment of clinician

True or false

A

True

31
Q

Dressing needs to have a _____ surface to resist accumulation of biofilm

Should adhere to self, teeth, tissues

A

Smooth

32
Q

Types of dressings (5)

A

Zinc oxide with Eugenol

Chemical cured

Visible light cured

Collagen dressing

Alternative material for periodontal dressing.

33
Q

Ex- Kirkland periodontal pack

Advantages:
Firm and heavy-support for tissues and flap
Slow setting
Produced in quantity and stored (frozen) in work sized pieces

Disadvantages:
Shape unpleasant taste
Irritating, hypersensitive
Rough hard and brittle. Encourages Biolfim retention

A

Zinc Oxide with Eugenol Dressing

34
Q

Ex- PerioCare- metal oxides and CoePak-zinc oxides (2 paste systems)

Advantages:
Pliable easy to place with light pressure
Resists biofilm and debris
Easy often comes off in 1 piece

A

Chemical Cured Dressing

35
Q

Advantages:
Color is like gingiva compared to others, preferred for anteriors
Easy removal, often in 1 piece

A

Visible Light Cure Dressing
(VLC)

Same light cure for composites and sealants

36
Q

Absorbable
Decreased inflammation and reduces discomfort
Special use in perio surgery (grand site on palate)
Bullet shape for deep biopsy sites
Can be placed on clean moist or bleeding wounds

A

Collagen Dressing

37
Q

Anti inflammatory and antioxidant properties
Reduces edema
Topical application

Ex curcumin (turmeric) gel
Not the norm, seasoning used often in diff culture

A

Alternative Material for Periodontal Dressing

38
Q

A well placed dressing locks _____ _____ and cannot be displaced

A

Mechanically

Interdentally

39
Q

Epithelium begins to cover a wound in _____ days

Complete healing _____ days

A

5-6

7-14

40
Q

If needed is dressing replaced in entirety or patched?

A

In entirety

41
Q

Smooth instrument can be inserted under the border and gentle pressure applied. This instrument material can be?

A

Plastic

42
Q

Pt can return to normal oral care after how many days?

With what and how often should they rinse their mouth?

A

3-4

0.12% chlorhexidine twice daily during healing period

43
Q

Follow up visit should be rescheduled?

A

1-2 weeks

44
Q

Can the pt take aspirin post surgery?

A

NO. anticoagulant

DH200 Int Clinic (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions