General principles of periodontal surgery

Question 1

The difference between Premedication and Prophylaxis

Answer 1

Premedication = Given before a procedure to prepare the patient (for anxiety, pain, or side effects)
Prophylaxis = Given to prevent a disease or infection before it happens
🚀 Easy way to remember:
🩺 Premedication → “Prepare the patient”
🦠 Prophylaxis → “Prevent the disease”

Question 2

1st step in outpatient surgery

Answer 2

Patient preparation

Question 3

Enlist 4 components of patient preparation in outpatient surgery

Answer 3

1. Re evaluation after phase 1 therapy (Phase 1 therapy helps to minimize surgical procedure and reduce patients apprehension and fear.
   While reevaluation phase consists of reprobing and reexamining all findings that previously indicated the need of surgery)
   2.Premedication
   3.Smoking
   4.Informed Consent

Question 4

Prophylatic antibiotics are only indicated pts who are………..

Answer 4

medically compromised like bacterial endocarditis, rheumatic heart diseases,

Question 5

Premedications used before surgery

Answer 5

NSAIDS and mouth rinses are used 1 hour before surgery

Question 6

……. are given Some times to reduce postoperative complications like pain and swellings

Answer 6

Premedications antibiotics are give before surgery and continued after surgery 4 to 7 days.

Question 7

patient preparation in outpatient surgery whats the importance of SMOKING CESSATION

Answer 7

Smoking effects on healing.
Patient should be informed that, he should quit smoking completely or to stop smoking for minimum 3 to 4 weeks after procedure to get good result

Question 8

Emergency Equipments/Drugs during periodontal surgery

Answer 8

“AAA G50 NOA IN”
🔹 AAA → Atropine, Adrenaline, Aminophylline
🔹 G50 → Glucagon, 50% Glucose
🔹 NOA → Normal Saline, Oxygen, Ambu Bag
🔹 IN → IV Cannulas, NSAIDs

Question 9

what are the MEASURES TO PREVENT CROSS INFECTION during periodontal surgery

Answer 9

All staff should be properly vaccinated.
By usage of Personal protective equipment like gloves ,mask ,head cover, googles or face shield ,gown ,
Barrier films should be applied on handles ,unit syringes.
Usage of disposable and sterilized instruments.
Surgery should be ventilated properly.
Proper dispose off medical waste products.

Question 10

why Instruments must be sharp during surgery

Answer 10

, because dull instruments leads trauma resulting poor cutting and excessive force applied to compensate for their ineffectiveness.

Question 11

Patient should be monitored during whole procedure frequently by observing facial expressions, pallor and perspiration BECAUSE?

Answer 11

these signs shows patient feeling pain, anxiety or fear.

Question 12

TISSUE MANAGEMENT 3 things to keep in mind

Answer 12

1.Operate gently and carefully and avoid truamatic instruments
2.observe the patient all the time
3.use of sharp instruments

Question 13

OBJECTIVE OF HAEMOSTASIS DURING SURGERY?

Answer 13

1.It provides operator clear view of surgical site ,which is necessary for wound debridement and scaling root planning.
2.It also prevents excessive loss of blood into oropharynx and stomach

Question 14

Management of hemostasis is done by?

Answer 14

1.Suctioning
2.Pressure pack with moist gauze
3.LA
4.suture

Question 15

.Absorbable gelatin sponge.
Oxidize cellulose.
.Oxidized regenerated cellulose.
Microfibrillar collagen haemostate.
Thrombin.
are used for?

Answer 15

.If there is slow and constant bleeding than hemostasis is achieved by these agents

Question 16

If bleeding is continued even all local measures applied, than search and recognized the

Answer 16

Systemic deficiencies through LAB ANALYSIS such as MEDICATIONS,HTN,PLATELET DEFICIENCY,DEFICIENCY OF COAGULATION FACTORS