Extraction Complications 2 Flashcards
what should you consider when you lose a patients tooth
stop
where did it go
suction
radiograph
what should be done to minimise soft tissue damage
use correct forceps on the correct part of the tooth
application point
controlled pressure
not excessive force
what are the different types of injuries that can cause nerve damage
crush injuries
cutting/ shredding injuries
transection
damage from LA
what is neurapraxia
contusion of nerve/ continuity of the epineural sheath and axons maintained
what is axonotmesis
continuity of axons but not epineural sheath disrupted
what is neurotmesis
complete loss of nerve continuity/ nerve transected
what is anaesthesia
numbness
what is paraesthesia
altered sensation (tingling)
what is dysaesthesia
unpleasant sensation (burning or pain)
what is hypoaesthesia
reduced sensation
what is hyperaesthesia
increased sensation
what are most post-operative bleeds due to
local factors - mucoperiosteal tears or fractures of alveolar plate
why might liver disease cause haemorrhage complications post op
clotting factors made in the liver
how do you manage a peri-operative haemorrhage
apply pressure on a damp gauze and bite on the gauze
place sutures
pack - surgicel
diathermy
what can be used to stem a bleed in the bone
bone wax
