minor oral surgery Flashcards
Surgical XLA
Gingival flap is raised and bone removal necessary
Operculectomy
Surgical removal of gingival flap over P/E tooth (typically lower 8)
Alveolectomy
Adjustment/removal of bone spicules from alveolar ridge post XLA - smoothes ridge for denture
Gingivectomy
Periodontal soft tissue surgery - adjusts shape of gingivae + oral hygiene
Periodontal Flap
Raising + replacing of surgical flap for complete subgingival debridement to be carried out
Soft Tissue Biopsy
Partial/ Full removal of soft tissue oral lesion to be sent away for pathological investigation (GA)
Reasons for a Frenectomy
Frenum is fibrous tissue covered in mucous membranes
Lingual Frenectomy - frenum can prevent tongue movement
Upper Labial Frenectomy - can cause diastemer between upper centrals and impacts fit of denture
Instruments for Surgical XLA
Scalpel Periosteal Elevator Surgical Burs and Handpieces Elevator Bone Forceps Curette and Irrigation Sutures
Use of a Periosteal Elevator
removes flap from bone exposing bone that hides the tooth
Use of an Elevator
Loosens and eases tooth from socket
Use of Bone Forceps
Removes sharp edges of bone
Use of Curette and Irrigation
Clears socket of debris
Patient care during Surgical XLA
Prescription after treatment Lubricant on pt lips Mouthwash offered Gauze to bite on Post op instructions
3 Types of Haemorrhage
Primary - bleeds @ time of op as blood vessels are cut
Reactionary - few hours after op due to disturbance of blood clot
Secondary - few days post op due to infection at site
How to treat a Haemorrhage
Use pressure
Haemostatic agent - adrenaline / gelatine sponge
