2. Principles of exodontia 2

Question 1

Aims

Answer 1

Question 2

Surgical tooth extraction involves

Answer 2

Altering tooth’s path of removal to aid tooth extraction

Question 3

What are the ways a tooth’s path of removal can be altered to aid tooth extraction in Surgical tooth extraction

Answer 3

1) bone removal
2) tooth sectioning
3) raising flaps

Question 4

Minimally invasive surgery
What does it include?
Advantages of minimally invasive surgery?
Disadvantages of minimally invasive surgery?

Answer 4

Question 5

Flap design
What flaps do we raise?

What do those flaps include

Answer 5

Full thickness mucoperiosteal flap (FTMP)
Which include:
– Surface mucosa
– Submucosa
– Periosteum

Question 6

Why raise a flap

Answer 6

Question 7

Flap design considerations
(What do we consider when making a flap?)

Answer 7

Question 8

Size of a flap?

what may happen if flap is too small?

Answer 8

Question 9

Anatomical considerations of a flap?

Answer 9

Question 10

What are the different types of flap designs?

Answer 10

• Envelope flap
• 2 sided flap
• 3 sided flap

Question 11

Envelope flap - where is it placed?

Answer 11

Question 12

2 sided flap
Used when?
Used for removal of which teeth?

Answer 12

Question 13

3 sided flap - where is it placed?

Answer 13

Question 14

Key principles for Making flaps

Answer 14

Question 15

Equipment for a flap

Answer 15

Question 16

Once flaps have been made, what happens?
How Is it done?

Answer 16

Reflection

Question 17

1
what happens after reflection?

2
purpose of this step?

3
what instrument may we use for this step?

4
where should the instrument sit?

Answer 17

• flap retraction

Question 18

1
what would we usu do after we have access to the surgical site

2
why do we remove bone?

3
how much bone do we remove/ method (image)

Answer 18

1
usu remove bone

2
to access root surface of tooth

3
- need balance of taking tooth out in efficient manner but also not causing too much trauma to the patient

Question 19

Bone removal method part 2

Answer 19

Question 20

1
Tooth sectioning techniques

2
What are the main Burs used?

Answer 20

Question 21

How do we section lower molars or upper 1st premolar

Answer 21

Question 22

Circumferential bone removal around roots

Answer 22

Question 23

How to section upper molars?

Answer 23

Question 24

Method of removing teeth

Answer 24

Question 25

Do you have to cut all the way through the crown?

Answer 25

Question 26

KEATS VIDEOS

LOWER BONE REMOVAL + SECTIONING

Answer 26

Question 27

KEATS VIDEOS

UPPER BONE REMOVAL + SECTIONING

Answer 27

Question 28

Repositioning

Answer 28

Question 29

Sutures
What are the purposes of sutures?

Answer 29

Question 30

Sutures
What are the different suture materials?

Answer 30

• vicryl (last 1 week)
• other use if want stitches to last longer

Question 31

What are the types of sutures?

Answer 31

Question 32

Suture equipments

Answer 32

• needle holders
• tissue forcesps
• scissors

Question 33

KEATS VIDEOS

SIMPLE + HORIZONTAL INTERRUPTED SUTURE

Question 34

Question 35

Question 36

Summary

Answer 36