Oral Surgery Flashcards

1
Q

Categories of extractions: emergency

A

Broken tooth

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2
Q

Categories of extraction: preventive

A

Orthodontic purposes

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3
Q

Categories of extractions: conservative

A

Save teeth

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4
Q

Types of dental extractions: simple

A

Above the gum line

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5
Q

Types of dental extractions: surgical

A

Below the gum line/ impacted

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6
Q

Check medical history, radiographs, financial arrangements, consent forms

A

Pre-operative care

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7
Q

Foods, liquids or medication in the stomach when general anesthesia is administered may cause what?

A

Vomiting

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8
Q

Clean under nails, wash up go elbows with a scrub brush to clean hands and forearms for how long?

A

7 minutes (surgical scrub)

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9
Q

Scrub brush is packaged with what antiseptic contained in the brush

A

Chlorhexidine or iodophor

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10
Q

Pain control: pre medication

A

Anti-anxiety

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11
Q

Pain control: sedation

A

Sedative tranquilizers, iv conscious sedation, general anesthesia

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12
Q

Pain control: anesthetics

A

Local anesthetics, nitrous oxide

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13
Q

During post op:

A

Stay with patient until fully recovered to leave office. Give verbal and written post op.

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14
Q

Maintenance of surgical instruments: hinged

A

Placed in ultrasonic or hydrim with hinge in open position

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15
Q

Maintenance of surgical instruments: class of instruments

A

All classified as critical items and must be sterilized before use

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16
Q

Sterile gauze pressure pack stays in place for how long after procedure

A

30-45 minutes

17
Q

First 24 hours post op

A

Use cold pack 20 minutes on 20 minutes off

18
Q

After 24 hours post op

A

External heat can be used to promote healing and saline solution rinse every 2 hours.

19
Q

Alveolitis (dry socket) symptoms

A

Foul odour, taste and pain. Pain after extraction diminishes and then returns after 2-4 days

20
Q

Instrument transfer: used for many instrument transfers in surgery and a two-handed technique is frequently used

A

Palm grasp

21
Q

Instrument transfer: transfer of sharp items should be done (scalpels, needles)

A

One way transfer

22
Q

Instruments: used to loosen tooth. Locate the tooth out of the socket, and to compress bone and enlarge socket.

A

Elevators

23
Q

Instrument elevator: detach gingival tissue around the neck of the tooth. Separate or retract the periosteum from the surface of the bone

A

Periosteal elevator

24
Q

Instrument elevator: used to apply leverage against tooth to loosen it from periodontal ligament. Maybe he also used to remove smaller tooth fragments, retained roots and teeth that have been sectioned.

A

Straight/angular elevator

25
Q

Instrument: used for removing root tips or fragments that have broken from tooth during extraction

A

Root tip picks

26
Q

Instruments: the dentist places the beaks on the tooth and firmly grasps the tooth around and below the cementoenamel junction

A

Forceps

27
Q

Instrument forcep: can be used either in the right or left side of the dental arch (150)

A

Maxillary universal forceps

28
Q

Instruments: resembles a large spoon excavator. It is a double ended, scoop shaped with sharp edges that allow for a scraping motion. Used following the extraction to scrape the interior of the socket to remove diseased tissue or abscesses

A

Surgical curettes

29
Q

Instruments: used to incise or excise soft tissue with the least amount of trauma to the tissue. Designed with to sections the handle and the __

A

Scalpel and blade

30
Q

Instruments: used to retract tissue, remove small root tips, clamp off blood vessels, and grasp loose objects

A

Hemostat

31
Q

Instruments: when there is a need to remove or reshape bone this can be used

A

Mallet and chisel

32
Q

Instruments: used to trim and shape alveolar bone. Widely used after multiple extractions to eliminate sharp projections and to shape the edentulous ridge.

A

Rongeur

33
Q

Instruments: smooths the surface of the bone after the rongeur has removed most of the undesirable bone

A

Bone file

34
Q

Instruments: designed to hold cheeks and tongue during surgical procedures to maintain a clear field

A

Cheek and tongue retractors

35
Q

Instruments: used to trim and recontour soft tissue. Should never be used for non surgical tasks that would dull cutting surface.

A

Surgical scissors

36
Q

Instruments: the mouth prop is placed where

A

On the opposite side of the mouth being treated

37
Q

Instruments: used to keep socket clean as dentist removes tooth fragments. The tip is much narrower compared to HVE tips

A

Surgical aspirator