Armamentarium and Introduction Flashcards by Courtney Kast

What are the names of the blades used in oral surgery

10, 11, 12

We use #15

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Which part of the blade do you cut with

“belly” of the blade with firm uniform cut

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This is used for elevation of the mucoperiosteum

periosteal elevator
#9 molt

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What is the technique for using the periosteal elevator

pry/push and roll/scrap

use with concave side side toward bone

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What are the type of retractors used

Minnesota*
Austin
Mirror
Weider (sweetheart) - tongue

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What are two purposes of hemostats

for handling delicate tissues or biopsy

for handling needles

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What is NOT a purpose of homestats

picking up whole teeth

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What are the different tissue forceps

Adson with and without teeth
Stillies
Allis
Russian
Cotton pliers

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Which Adson is more gentile; with out without teeth

With teeth!!

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What are three instruments for removing bone

bur and handpicks; #8 round/703 fissure
rongeur
bone file

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What are some characteristics of using burs and handpieces

high torque
no venting into wound; no air into the wound
nitrogen or electrical driven

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What are two characteristics of Rongeur

blumenthal

combination of side or end cutting

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What are the main three workhorses of oral surgery

Addison with and without teeth

Russian

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What are the two kinds of dental curettes

periapical

double ended

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What are four instruments used for suturing

needle holder
needle
suture material
scissors

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What is the proper grip of the needle holder

thumb and ring finger with palm down

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What are the characteristics of suture material

size (0-6)
monofilament vs braided
resorbability

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What is the main suture material used

3.0 chromic gut

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What is the irrigation tool used

12 frasier

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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