29. Fields of dentoalveolar- and maxillofacial surgery. Definition of impacted and retained teeth. Most common interventions in dentoalveolar surgery.

Question 1

1. What are the 2 fields of oral surgery?

Answer 1

Dentoalveolar and maxillofacial surgery

Question 2

2. Field of dentoalveolar surgery
   a/ How should dentoalveolar surgery be set up?

Answer 2

1/ For minor oral surgery
2/ Performed in dental chair, in clean conditions

Question 3

2. Field of dentoalveolar surgery
   b/ Which are the treatments performed by dentoalveolar surgery?

Answer 3

1/ Impacted wisdom tooth
2/ cyst
3/ Surgical tooth removal
4/ Hyperplasia correction
5/ Apical root treatment

Question 4

3. Fields of maxillofacial surgery
   a/ How should maxillofacial surgery be set up?

Answer 4

Performed in sterile operating room which needs to be…
- Isolated and located on an upper floor
- Min. 36-40 m2 floor area
- North-facing if possible

Question 5

4. What are the major stages in the development of surgery?

Answer 5

1/ Development of the surgical techniques and instruments
2/ Recognizing the importance of post-operative rehabilitation
3/ Development of the methods and techniques of anaesthesia
4/ Development of hygiene

Question 6

5. Definition of impacted tooth

Answer 6

The development of the tooth is completed but its breakthrough is not realized due to a mechanical obstacle (usually in the case of lower third molars)

Question 7

6. Definition of retained tooth

Answer 7

The development of the tooth is complete or partial and does not show a tendency to break through (there is no mechanical obstacle, usually in the case of upper canines)

Question 8

7. Most common interventions in dentoalveolar surgery
   a/ What are the 6 most common interventions?

Answer 8

1/ Surgical removal of roots
2/ Surgical removal of impacted teeth
3/ Endodontic surgery (apicectomy + retrograde filling)
4/ Cyst surgeries
5/ Preprotetic surgical interventions
6/ Implantation

Question 9

7. Most common interventions in dentoalveolar surgery
   b/ What are the characteristics of root surgical removal? (types of root fractures, removed by …)

Answer 9

1/ Fracture of the root
- cervical
- middle
- apical
- root between the soft tissues

2/ Removal by forceps, elevators, dissection, surgical

Question 10

7. Most common interventions in dentoalveolar surgery
   c/ Localization of upper canines

Answer 10

a/ Palatial 85%
b/ Buccal 15%

Question 11

7. Most common interventions in dentoalveolar surgery
   d/ How do we remove a retained tooth (in this case, an upper canine)

Answer 11

By using 3 methods
1. Surgical-orthodontic
2.Surgical: removal
3.Surgical: transplantation