Armamentarium and Introduction Flashcards
What are the names of the blades used in oral surgery
10, 11, 12
We use #15
Which part of the blade do you cut with
“belly” of the blade with firm uniform cut
This is used for elevation of the mucoperiosteum
periosteal elevator #9 molt
What is the technique for using the periosteal elevator
pry/push and roll/scrap
use with concave side side toward bone
What are the type of retractors used
Minnesota*
Austin
Mirror
Weider (sweetheart) - tongue
What are two purposes of hemostats
for handling delicate tissues or biopsy
for handling needles
What is NOT a purpose of homestats
picking up whole teeth
What are the different tissue forceps
Adson with and without teeth Stillies Allis Russian Cotton pliers
Which Adson is more gentile; with out without teeth
With teeth!!
What are three instruments for removing bone
bur and handpicks; #8 round/703 fissure
rongeur
bone file
What are some characteristics of using burs and handpieces
high torque
no venting into wound; no air into the wound
nitrogen or electrical driven
What are two characteristics of Rongeur
blumenthal
combination of side or end cutting
What are the main three workhorses of oral surgery
Addison with and without teeth
Russian
What are the two kinds of dental curettes
periapical
double ended
What are four instruments used for suturing
needle holder
needle
suture material
scissors
What is the proper grip of the needle holder
thumb and ring finger with palm down
What are the characteristics of suture material
size (0-6)
monofilament vs braided
resorbability
What is the main suture material used
3.0 chromic gut
What is the irrigation tool used
12 frasier
What are the components of dental elevators
handle
shank
blade; this is where the variation occurs
What are the basic types of dental elevators
straight; luxate teeth
triangle or pennant
pick
What are the two types of straight elevators
small; 301
large; 34S
What are the characteristics of triangular elevators
pennet shaped; usually paired
cryer is the most common
What are triangular elevators used for
broken root remnants
What are the two types of pick type elevators
crane
cogswell - heavy
What is the purpose of the pick elevators
remove roots
thin and delicate
What are the components of extraction forceps
handle
hinge; english vs. american
beak
What is the difference between the english and american hinge of the extraction forceps
horizontal = american vertical = english
What are the characteristics of the beak of extraction forceps
greatest variation
adapt to the root of the tooth, not the crown
What is the main maxillary forcep
150
What are the three site specific maxillary forceps
#53 R and L #88 R and L Anterior #1A
What are the four universal mandibular forceps
#151* #17 #23; cowhorn Ash
What are the three MAIN preferred forceps for OMFS
150
151
23
This principle of surgery is to gather data and evaluate before deciding what procedure will be performed
developing a surgical diagnosis
This principle of surgery is treatment based on research and science, not just “good ideas”
evidence based therapy
These radiographs are ideal for diagnostic imaging
PA
Panorex
CBCT
This is a list of all the possible problems
differential diagnosis
It is important to discuss these with the patient
treatment options; RCT vs extraction (etc.)
What are three things important to the proposed treatemnt
determine an appropriate treatment option harmonizing the diagnosis with patient needs
discuss and obtain informed consent
document the consent discussion and add the signed consent form to the patient record
What are two basic necessities for surgery
visibility (access, lighting, clear surgical field)
qualified assistant
What are six important characteristics of infection control
aseptic technique sterile instruments operatory disinfection barrier techniques sharps protocol protection of the patient and staff
What are the five basic principles of an incision
sharp blade of proper size firm continuous stroke avoid anatomic structures perpendicular to surface place incision in proper location for closure and healing
What are four things to utilize when handling tissue
gentile retraction
careful sectioning
avoid burns from drills
tissue forceps
What are four important things to prevent/preserve involving hemostasis
excessive bleeding
preserve visibility to facilitate surgery
prevent hematoma
prevent wound breakdown and infection
What is “packing the socket”
applying pressure directly on wound or vessel to control bleeding from socket and bone
This is the surgical excision of dead, devitalized tissue and removal of all foreign material from a wound, accompanied with adequate irrigation
debridement
What are some methods to control edema
pressure dressing elevation of head ice corticosteroids NSAIDs post-operative mobilization
This is a major problem regarding asepsis
cross-contamination
