Minor Oral Surgery Technique

Question 1

why do teeth fracture in oral surgery?

Answer 1

• thick cortical bone
• root shape
• root number
• ankylosis
• caries
• alignment
• hypercementosis

Question 2

what do you do with a patient prior to oral surgery procedures?

Answer 2

• explain procedure to pt
• give pt an idea of what to expect during procedure (simple terms)
• possible risks/side effects [damage to adjacent teeth etc]

Question 3

what are the main post op complications you would explain to a pt?

Answer 3

• pain
• swelling
• bruising
• jaw stiffness
• bleeding
• dry socket (failure of clot to form, underlying bone & nerves are exposed causing intense pain)
• infection (unusual)
• nerve damage risk

Question 4

what are some general surgical principles for oral surgery?

Answer 4

• max access with minimal trauma
• scalpel one continuous stroke, no sharp angles
• keep tissue moist
• minimise trauma to dental papillae
• make sure sutured wounds are not closed UNDER TENSION
• aim for healing by primary intention (minimises scarring)

Question 5

what are the types of debridement?

Answer 5

physical:
- bone file/handpiece to remove sharp bony edges
- hand equipment to remove soft tissue debris

irrigation:
- sterile saline/water into socket and UNDER flap, washes anything out

suction:
- aspirate under flap to suck out debris

Question 6

what are the types of sutures and whats the difference between mono and multifilament sutures?

Answer 6

resorbable and non-resorbable.

multifilament - multiple suture filaments crossed. greater suture security - more strong.

monofilament - single fibre. smooth passing through tissues, does not harbour microorganisms on the filaments

Question 7

how is peri-operative haemostasis achieved?

Answer 7

• la with vasoconstrictor
• artery forceps
• bone wax