Basic Surgical Techniques Flashcards
what are the three basic surgical technique principles
risk assessment
aseptic technique
minimal trauma to hard and soft tissues
name the 12 stages of surgery
consent
surgical pause/ safety check
anaesthesia
access
bone removal as necessary
tooth division as necessary
debridement
suture
achieve haemostasis
post op instructions
post of meds
follow up
what are the three things to look at on the radiological assessment of a tooth to be extracted
root morphology
the bone
surrounding structures
what level of consent should be achieved for procedures requiring general anaesthetic or sedation
written consent
what must be stated in the written consent
risks and complications
what steps should be involved in the surgical safety checklist
check correct patient - check DOB and address
get patient to tell you what tooth they understand is being extracted in their own words
what is the step that would come after the surgical safety checklist
administering local anaesthesia
how deep should the surgical access flap be
down to the bone
what is a mucoperiosteal flap
lifting the mucosa and the periosteum - this is maximal access with minimal trauma
why when doing a 3 sided flap in the mandible do you not leave distal-leave-in incisions
this is where the lingual nerve sits
what is another term for a two sided flap
envelop flap
what handpiece and bur is used for bone removal
electrical straight handpiece with saline cooled bur
how fast does the electrical straight handpiece and saline cooled bur used rotate
40 revs per minute
what is surgical emphysema
air driven into soft tissues near the bone - can be life threatening and can spread to neck and chest, causing sepsis in worst case scenario
why do we not use air driven handpieces in oral surgery
may lead to surgical emphysema
