DT 4Oral Maxillofacial Flashcards
Define oral and maxillofacial
specialty of reconstructive surgery of the face, and bones of the face.
) Education required to specialize in oral and maxillofacial surgery
DDS takes 4-6 years
Indication for OMF Surgery
ortho space/anchorage
Root tips extraction
tooth decay beyond repair
Advanced periodontal disease
Tooth impacted
Contraindications for basic OMF Surgery
Esthetics
Current infection
Cost
Age
Poor health
3 records required for OMF surger
Exam
Radiographs
Records for referral
2 Exams for OMF surgery
Emergency- pt. calls with Pain
Specific- pt. calls in with discomfort
Radiographs taken for OMF surgery
Pariapical/ PANorex
Referral records for OMF surgery
DMD refer to oral surgeon
copy of records
referral letter
DRC sets up appt
Alveoplasty
reshape / smooth the bone after extraction
e.g for dentures
Excision of bone
removal of tori to better fit removable prosthesis
Exostosis
removal of bone for better fit prosthesis
Tuberosity surgery
removal of protuberance in maxilla
Augmentation
addition of bone at tuberosity/retromolar pad
Surgical Procedures:.Benign tumor
soft tissue or bone coverage
Surgical Procedures: . Cyst
fluid filled sac ( may become infected, damage nerve and adjacent teeth)
Surgical Procedure: granuloma
-Sac filled with fibrous granulation tissue
3 labelling requirements for a BIOPSY specimen
patient’s name
DOB
Date of surgery.
is sent by mail or courier
AVULSED tooth window of time for replantation
30 minutes
Avulsed tooth should be placed in ____
milk or water until given to dentist for replanting
Frenectomy purpose
prevent recesion and diastema
Subluxation
TMJ partial dislocation of the jaw
SOFT TISSUE surg procedues
to explore and drain abscess by incising tissue
HARD TISSUE surgical procedure
making small hole with a bur to difficult acces and drainage
FRACTURE TREATMENT
jaw fixation
uses wires, splints and screws to stabilize the jaw
Extraction for ERUPTED teeth
uncomplicated
complicated- req surg flap or sectioning
Surgical extractions for UNERUPTED teeth
Soft tissue impaction- access gingiva - tooth is sectioned and removed in pieces
Osseous- require bone removal OR sectioning - bone removed with BU
Residual root extraction
remainING roots are extracted from patient
Surgical exposure procedure
SOFT Tissue coverage unerupted, uncomplicated
HARD tissue coverage- complex
rigid anchorage
screw placed in for Orthodontics
oral surgery Expected Complications
Doesnt require pt to come in
some pain/ discomfort
swelling/bruising
bleeding
difficulty chewing/swallowing
oral surgery Unexpected Complications
require pt to come in for Emergency EXAM
Ongoing Pain
Alveolitis(dry socket)
b. Alveolitis
dry socket
Inflammation of the bone , starts 3-5 day post-op
chlorhexidine
antispetic mouth wash that helps reduce swelling
side affect - can cause teeth staining
oral surgeon’s preference of anesthesia
Local anesthesia Conscious Sedation ( require escort home) General Anesthesia (require escort home )
Post Operative Instructions : NUTRITION
first 12 hrs- cold/cool SOFT food
during 24 hours- high calorie liquid diet
regular diet withing a week
Post Operative Instructions : NUTRITION
first 12 hrs- cold/cool SOFT food
during 24 hours- high calorie liquid diet
regular diet withing a week
Post Operative Instructions: HEALING
Day of – Tea Bag 30 min
Restriction of activities day of surgery
After 24 hours- gentle saline
Post Operative Instructions: Maintain blood clots
No spitting
No straw use
No smoking
Post Operative Instructions: SWELLING
During 24 hour- cold pack (20 min on – 20 min off )
After 24 hours -Heat Pack
