Minor Oral Surgery Techniques Flashcards
why do teeth fracture
thick cortical bone
root shape
root number
hypercementosis
ankylosis
caries
alignment
what do you warn the patient
of the procedure
describe sectioning
give idea of what to expect
possible damage to adjacent teeth
post op complications
what are the things to warn the patient of about the procedure itself
pressure no pain
lifting gum up
possible drilling
stitches
what are the post op complications
pain
swelling
bruising
jaw stiffness
bleeding
dry socket
infection
nerve damage risk
what are the general surgical principles
maximal access with minimal trauma
bigger flaps heal same as smaller ones
wide based incision
scalpel in one firm stroke
no sharp angles
adequate sized flap
minimise trauma to dental papillae
no crushing
keep tissue moist
ensure flap margins and sutures lie on sound bone
make sure wounds not closed under tension
aim for primary healing
what instrument is used for soft tissue retraction
howarth’s periosteal elevator
what is used for debridement
physical - bone file/handpiece/mitchells trimmer/victoria curette
irrigation - sterile saline
suction - under flap
what are the aims of suturing
reposition tissues
cover bone
prevent wound breakdown
achieve haemostasis
encourage healing by primary intention
what type of sutures are used
resorbable monofilament/polyfilament
non-resorbable monofilament/multifilament
how do you achieve haemostasis peri-operatively
LA with vasoconstrictor
artery forceps
diathermy
bone wax
how do you achieve haemostasis post-operatively
pressure
LA with vasoconstrictor
diathermy
whiteheads varnish pack
surgicel
sutures
