Chapter 55 Flashcards
Surgery for the treatment of diseases and corrections of defects of the periodontal tissues is categorized as
Periodontal surgery
Patient preparation for oral and maxillofacial surgery
Reduce oral bacteria count
Reduce inflammation of gingiva and improve tissue tone
Remove calculus deposits
Instruct in Presurgical personal oral care
Instruct in use of foods
Per dentists directions
Motivate the pt who will have teeth remaining
The pts nutritional state can influence resistance to infection and healing
True
At appts prior to surgery the pt should be given instructions concerning what?
Food and liquid intake Alcohol and medication restriction Transport to and from the appt The night before the appt Personal items
Immediate post surgical instructions
Control bleeding Rinse (after 24 hours) Biofilm control Rest Diet Pain Ice pack Complications
True or false.. heat is used for swelling
FALSE
Treatment of a fractured jaw may be _______ and the pt may suffer considerably
Complex
Causes of fractured jaws
Trauma and predisposing
What are the predisposing factors of a fractured jaw
Pathologic conditions such as tumors, cysts, osteoporosis, or osteomyelitis. They weaken the bone
A fracture is classified by using a combination of descriptive words for its what?
Location
Direction
Nature
Severity
Simple fracture
Has no communication with the outside
Compound fracture
Has communication with the outside
Comminuted fracture
Shattered
Incomplete fracture (greenstick)
One side is broken and the other is bent. Occurs in young children usually. In incompletely calcified bones
Mandibular locations for fractures
Alveolar process Condyle Angle Body Symphysis
A horizontal fracture line that extends above the roots of the teeth, above the palate, across the maxillary sinus, below the zygomatic process, and across the pterygoid plate
Le Fort 1
The midface fracture extends over the middle of the nose, down the medial wall of the orbits, across the infraorbital rims, and posteriorly across the pterygoid plates
Le Fort 2
The high level cranio-facial fracture extends transversely across the bridge of the nose, across the orbits and the zygomatic arches, and across the pterygoid plates
Le Fort 3
Basic treatment of a jaw fracture
Reduction of the fracture
Fixation of fragments
Immobilization for healing
Control of complications
How long is healing time for an uncomplicated mandibular fracture?
6 weeks
How long is healing for an uncomplicated maxillary fracture?
4-6 weeks
_____ means positioning of the parts on either side of the fracture so they are in apposition for healing and restoration of a fraction
Reduction
What is closed reduction?
The closure of teeth in normal occlusion for the pt
When wires and or elastic bands are placed between the maxillary and mandibular arches
Intermaxillary fixation
