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Oral Surgery 1 > Instrumentation > Flashcards

Instrumentation Flashcards

1
Q

(elevating tissue)
• For interdental papillas, attached gingiva,
crestal periodontal fibers
- Fine/ precise mvmnts

A

WOODSON NO. 1

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2
Q

(elevating tissue)
• Pointed end for interdental papilla
• Broad end for free alveolar mucosa
elevation and flap retraction

A

MOLT NO. 9

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3
Q

(TECHNIQUE FOR ELEVATING MUCOPERIOSTEUM)

• Most common technique used, especially when combined with rolling/lifting component

A

• Push stroke

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4
Q

(TECHNIQUE FOR ELEVATING MUCOPERIOSTEUM)

• Good for interdental papilla

A

• Rolling/lifting

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5
Q

____ retractor

  • Great for tongue retraction, and flap retraction
  • Not used as a periosteal elevator (blunt ends)
A

• Seldin retractor

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6
Q

_____ retractor

  • Cheek, flap retractor
  • Workhorse of retractors in OMS
A

• Minnesota retractor

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7
Q

• Wieder retractor, a.k.a. “Sweetheart” retractor is used for _____ retraction

A

TOngue

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8
Q

• Any flap instrument for compressing bone around a nutrient ves

A

Burnisher

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9
Q
  • Three teeth opposed
  • Stabilize tissue while passing suture needle
  • Not good for grasping needle
  • Used on skin
A

ADSON FORCEPS

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10
Q
  • Multiple serrated tips
  • Grasping keratinized mucosal edges
  • Good for grasping needle
  • Not for skin or fine tissue
A

BROWN FORCEPS

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11
Q

• Grasping and manipulating large portions of tissue that are going to be removed from the
body
• I.E. epulis fissuratum, lesions, bone
• Not for grasping tissue that will remain
• Too much trauma from beaks

A

Allis tissue forceps

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12
Q
  • Most commonly used for alveoloplasties
  • Will crush/cut lips if not paying attention
  • A relatively atraumatic means of removing bone
  • Quick cut, does not create heat like a handpiece and bur
  • Types:
  • Side cutting
  • End cutting
A

Rongeurs

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13
Q
  • Used for final smoothing of small areas of sharpness
  • Pull stroke is the action stroke
  • Crosscut or parallel grooves
A

• Bone file

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14
Q
  • MUST NOT EXHAUST AIR INTO OPERATIVE FIELD
  • Electric vs Nitrogen powered
  • Completely sterilizable
  • High speed and torque
A

• Handpiece:

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15
Q
  • Air-driven handpiece during surgical extraction
  • Sudden edema
  • Crepitus to area
  • Possible for air embolus
  • Air forced through venous system
  • Possibly requires airway protection
  • ABX to prevent secondary infection
  • Resolves 3-7 days
A

Air emphysema

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16
Q 
• Carbide
• One time use, then throw away
• #6 or #8 for bone removal or grooves
• #702 or #703 for sectioning teeth/contouring 
alveolus/troughing
• #703 has larger radius versus #702
A

Burs

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17
Q
  • Surgical handpiece must be done under copious irrigation
  • Will generate heat and kill superficial bone
  • Thermal necrosis occurs at ____
A

47°C

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18
Q

• 6” or 15 cm
• Grasping surface on beak is crosshatched (prevent
needle spinning)
• As opposed to hemostats which are parallel
• Needle prone to spin

A

• Needle holder

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19
Q

• Tissue cutting only, do not use for suture cutting

A

• Iris scissors

20
Q
  • Tissue and suture cutting

* Serrated

A

• Dean angled scissors

21
Q
  • Passively placed to hold mouth open

* Decreases stress on TMJs

A

• Bite block

22
Q

Holding mouth open
• Ratcheting system to remain open
• Can severely damage TMJs and teeth

A

• Molt mouth prop

23
Q
  • Uses:
  • Luxate teeth, NOT to remove teeth
  • Minimizes root fractures
  • Requires a fulcrum point
  • Types:
  • Straight
  • Flag/Cryer
  • Pick
A

Dental elevators

24
Q

Dental elevator

• Offset shank to aid in luxation force

A

• MAGIC STICK!! (E-92)

25
Q

• Primary instrument for tooth delivery

A

• Forceps

26
Q

______ Forceps
• Beaks parallel to handle
• Palm under handle

A

• Maxillary

27
Q

______ forceps
• Beaks almost perpendicular to handle
• Palm on top of handle

A

• Mandibular

28
Q

_____ forceps
• Beaks adapt to root structure
• Beak aligned parallel to long axis of tooth
• Acts as a wedge to expand alveolar bone

A

Extraction forceps

29
Q

What motion is used with the ASH 13/Charlene forceps?

A

Twisting, turning motion

30
Q

SHould the forceps contact the crown or the root?

A

Root only

31
Q

What does ______ mean?

• Any strand of material that is utilized to ligate blood vessels or approximate tissues

A

‘suture’

32
Q
  • Sterile
  • All-purpose
  • composed of material that can be used in any surgical procedure
  • Causes minimal tissue injury or tissue reaction
  • ie, nonelectrolytic, noncapillary, nonallergenic, noncarcinogenic
  • Easy to handle
  • Holds securely when knotted
  • ie, no fraying or cutting
  • High tensile strength
  • Favorable absorption profile
  • Resistant to infection
A

Ideal Sutures

33
Q

ESSENTIAL _____ CHARACTERISTICS
• Sterility
• Uniform diameter and size
• Pliability for ease of handling and knot security
• Uniform tensile strength by suture type and size
• Freedom from irritants or impurities that would elicit tissue reaction

A

SUTURE

34
Q

_____ response to sutures (4-7 days)
• Invokes inflammatory response
• PMNL, mononeuclear cells, fibroblasts

A

• Initial response

35
Q 
• Suture made of single filament
• Less inflammatory response
• Less wicking
• Requires more ties to assure an 
adequate knot
A

Monofilament

36
Q
  • Multifilament
  • Greater inflammatory response
  • Greater wicking
  • Fewer ties for adequate knot
A

Braided

37
Q

How are gut sutures absorbed?

A

proteolytic enzymatic digestive process

38
Q

How are monocryl and vicryl sutures absorbed?

A

Hydrolysis

39
Q

The more zeroes characterizing a suture size, the _____ the resultant strand diameter

A

smaller

40
Q

• Straight line distance between the point of

the curved needle and swage

A

• Chord length

41
Q

• Distance between point to end along needle

A

• Needle length

42
Q

What type of needle point is used at UMKC?

A

Tapered

43
Q

• Maintains strength and tissue position if
one portion fails
• Requires more time and suture material
• Has minimal holding power against stress

A

Simple interrupted sutures

44
Q
  • Tension suture
  • Rapid
  • Minimizes number of sutures needed
  • Less suture material used
A

HORIZONTAL MATTRESS SUTURE

45
Q
  • Tension suture
  • Brings tissue into good apposition
  • Good to secure socket dressings
A

FIGURE OF EIGHT SUTURE

46
Q 
• Easy for linear long span wounds
• I.e. alveoloplasty full thickness 
mucoperiosteal flap approximation
• Involves one diagonal pass and one 
perpendicular pass
• Uses less material vs multiple interrupted
• Provides minimal tension-holding 
• Prone to failure if one portion fails
A

SIMPLE CONTINUOUS SUTURE

47
Q

• Greater tissue stability vs simple running
• Uses more suture material vs simple
running
• More stable in the event of a partial failure
or breakage

A

LOCKING CONTINUOUS SUTURE

Oral Surgery 1 (11 decks)

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