Minor Oral Surgery Techniques for Fractured Teeth and Retained Roots Flashcards
What are reasons for teeth fracturing?
reasons for teeth fracturing:
- thick cortical bone
- root shape
- root number
- hypercementosis
- ankylosis
- caries
- alignment
What is hypercementosis?
hypercementosis is a root with too much cementum on it
What is ankylosis?
ankylosis:
- fusion between root and bone
- loss of PDL space
- direct contact between tooth and bone
- difficult to distinguish between the two
What are patient warnings to give to give prior to minor oral surgical techniques?
patient warnings prior to minor oral surgical techniques:
- explain the procedure to the patient
- if the tooth needs sectioning, describe this to the patient
- give the patient an idea of what to expect during the procedure - explain the minor oral surgical procedure in lay terms
- pressure, no pain
- lift the gum
- possible drilling (same drill as the one used for fillings)
- stitches
- if adjacent teeth are cllose by then it would be sensible to watn of possible damage to these teeth
What post-operative complications should a patient be warned of before a minor oral surgical procedure?
warnings of post-operative complications prior to minor oral surgical procedures:
- pain
- swelling
- bruising
- jaw stiffness
- bleeding
- dry socket
- infection (although this is unusual)
- nerve damage risk
- temporary, permanent, altered
A general surgical principle is to have X access with Y trauma
X - maximal
Y - minimal
What heal quicker - bigger flaps or smaller ones?
bigger flaps heal just as quickly as smaller ones
Why should a wide based incision be used with surgical techniques?
a wide based incision should be used with surgical procedures due to circulation
What kind of stroke should a scalpel be used in when making an incision?
when making an incision, a scalpel should be used in one firm continuous stroke
What can be said about angles in a surgical procedure?
there should be no sharp angles when creating an incision for a surgical procedure
What should there be minimal trauma to with a minor oral surgical procedure?
with a minor oral surgical procedure, there should be minimal trauma to dental papillae
In minor oral surgical procedures, flap reflection should be down to X and done clearly
X - bone
Tissue should be kept X during a minor oral surgical procedure
X - moist
When doing a minor oral surgical procedure, what should you ensure that flap margins and sutures lie on?
when doing a minor oral surgical procedure, ensure that flap margins and sutures lie on sound bone
When doing a minor oral surgical procedure, make sure thta wounds are not closed under X
X - tension
Following a minor oral surgical procedure, you should be aiming for healing by X to minimise scarring
X - primary intention
Why should you be aiming for healing by primary intention following a minor oral surgical procedure?
you should be aiming for healing by primary intention following a minor oral surgical procedure to minimise scarring
Why is soft tissue retraction done during a minor oral surgical procedure?
during a minor oral surgical procedure, soft tissue is retracted to:
- give access to the operative field
- protect soft soft tissues
What instruments can be used for soft tissue retraction?
soft tissue retraction - instruments:
- Howarth’s periosteal elevator
- Bowdler-Henry retractor (rake)
What type of flap is used for closure of an OAC?
a buccal advancement flap is used for closure of an OAC
What is a buccal gutter?
a buccal gutter is a gutter between the buccal cortex and buccal surface of the root
Where is a stitch placed first?
a stitch is placed in the first area that is incised
Flaps should be designed to be X than the defect that you are going to cerate
X - wider
Should a flap be resting on a hole?
no, a flap shouldn’t be resting on a hole - it should be on healthy bone
