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BDS3 ORAL SURGERY > Minor Oral Surgery Techniques > Flashcards

Minor Oral Surgery Techniques Flashcards

1
Q

why do teeth fracture?

A
  • thick cortical bone
  • root shape
  • root number
  • hypercementosis
  • ankylosis
  • caries
  • alignment
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2
Q

If a tooth fractures, what must you say to the patient?

A
  • explain procedure to patient (going to be surgical)
  • tooth may need sectioning… explain
  • warn patient of potential damage to adjacent teeth
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3
Q

how might you give a patient an idea of what to expect during a surgical tooth extraction?

A
  • feel pressure but NO pain
  • lift the gum up (flap)
  • expect drilling & water from drill
  • stitches going to be used
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4
Q

what post operative complications may arise from a surgical extraction?

A
  • pain
  • swelling
  • bruising
  • jaw stiffness
  • bleeding
  • dry socket
  • infection
  • nerve damage risk
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5
Q

when discussing procedures with patients, what is very important ?

A

use language that the patient understands

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6
Q

why is soft tissue retraction important during oral surgery?

A
  • allows good access to operative field
  • protects the soft tissues
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7
Q

what instrument can be used to retract soft tissues?

A
  • Howarth’s periosteal elevator
  • Bowdler-Henry Retractor (rake)
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8
Q

how can physical debridement be undertaken in surgical extractions?

A
  • bone file or handpiece to remove sharp bony edges
  • Mitchell’s trimmer or Victoria curette to remove soft tissue debris
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9
Q

how can irrigation debridement be undertaken in surgical extractions?

A
  • sterile saline/water into socket & UNDER FLAP
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10
Q

how can suction debridement be undertaken in surgical extractions?

A
  • aspirate UNDER FLAP to remove debris
  • check socket for retained apices etc
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11
Q

why must the Bowdler-Henry Retractor be handled with care?

A

it has little sharp edges (like a rake) that can damage soft tissues

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12
Q

what are the main aims of suturing after a surgical extraction?

A
  • reposition tissues
  • cover bone
  • prevent wound breakdown
  • achieve haemostasis
  • encourage healing by primary intention
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13
Q

what types of sutures are used in oral surgery?

A
  • resorbable
  • non-resorbable
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14
Q

what types of resorbable & non-resorbable sutures can be used in oral surgery?

A
  • monofilament
  • multifilament
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15
Q

how can haemostasis be achieved during operation of oral surgery extractions?

A
  • LA with vasoconstrictor used
  • artery forceps
  • diathermy
  • bone wax
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16
Q

If a 2 sided root is left in the canal due to the crown fracturing off, and you are struggling to elevate the root out, what can you do?

A

Separate the roots into 2
- can be separated using a motorised handpiece

17
Q

Why can you not use a typical high speed/slow speed handpiece to separate roots in oral surgery?

A

you can cause surgical emphysema which can be fatal

18
Q

how can haemostasis be achieved post-operatively?

A
  • pressure
  • LA with vasoconstrictor
  • diathermy
  • Whitehead’s Varnish Pack
  • surgicel
  • sutures
19
Q

what is found within a Whitehead’s Varnish Pack?

A
  • iodoform
  • gum benzoin
  • storax
  • balsam tolu
  • ethyl ether
20
Q

what does HAPOIG mean?

A
  • haemostasis achieved
  • post operative instructions given
21
Q

what is the most commonly used suture in oral surgery today?

A

Resorbable multi-filament sutures

22
Q

what is the most common non-resorbable multifilament suture?

A

Black silk

23
Q

what is the hardest suture material to use?

A

proline (monofilament non-resorbable suture)
- looks like fishing line

24
Q

Why are multifilament suture materials better than monofilament materials?

A

You scar less!

25
Q

If you cross the vermillion border when suturing, what suture material must you use?

A

Monofilament materials

26
Q

what is an example of a monofilament resorbable suture material?

A

MONOCRYL (poliglecarpone 25)

27
Q

what is an example of a resorbable multifilament suture materials?

A

VICRYL RAPIDE (polyglactin 910)

28
Q

what is an example of a non-resorbable monofilament suture materials?

A

PROLENE (polypropylene)

29
Q

what is an example of a non-resorbable multifilament suture materials?

A

Mersilk (black silk)

BDS3 ORAL SURGERY (8 decks)

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