Oral Surgery

Question 1

Anticoagulants, how to alter dose prior to xla…

Answer 1

Apixiban & Dabigatran x2 a day= so miss morning dose and take pm dose

Rivaroxaban x1 a day= if they take it in the morning delay until 4 hrs after Haem.
= if they take it in the evening then take as normal

Question 2

Antiplatelets, how to alter dose…

Answer 2

Aspirin, clopidogrel & dipyridamole

Don’t alter dose, pack + suture. Don’t advise NSAIDS, only paracetamol

Question 3

Impaction occurs when?

Answer 3

When there is a prevention of complete eruption due to lack of space, obstruction or development in an abnormal position. Resulting in partial eruption or not at all.

Question 4

Impaction is associated with…

Answer 4

Pericoronitis, increased risk of caries & periodontal disease in adjacent teeth, and orthodontic problems in later life

Question 5

Nice guidelines on wisdom teeth xla…

Answer 5

Prophylaxis xla of pathology free 8’s discontinued on nhs

Surgical xla of impacted 8’s limited to practice w/ evidence of pathology: unrestorable caries, non-treatable pulpal or periapical pathology, cellulitis, abscess, internal/external resorption of adjacent tooth, # of tooth, cyst/tumour, osteomyelitis.

1st episode unless severe not an indication, 2nd or subsequent episodes are indications.