Oral Surgery Flashcards
How nutritional status can affect healing
Without adequate energy, micro, and
macronutrients patients may be at risk for
compromised immune function, delays in
wound healing and postoperative infections
requiring additional treatments
Factors implicated with prolonged recovery
Female gender
Length of surgery +30 mins
Impaction level
Cuando mejora la dificultad para comer en ortho extraction?
Day 3
Cuando mejora la dificultad para comer en impacted third molar extraction?
Day 6
More difficult
Greater the suffered disability
Soft diet
Food that are liquid or semi-liquid
Do not require opening the jaw wide or chewing
Progressively increase food texture post op
True
Rice or other small particulate foods such as seeds, etc are avoid until
Soft tissue completely healed
Adequate fluid
2 liters daily of liquid
In maxlio reconstructive cx
Careful remove prosto reclining and adjustments can increase
Comfort and masticatory ability
In cases where PX cannot meet their energy needs..
Meal replacement formulas
Instant breakfast, ensure, etc
Px that got through maxillofacial trauma
Usually need more energy (food goods)
True
Mandible or midface trauma increase basal metabolism by
Approx 10%
Px diet with MMF maxillomandibular fixation
Full liquid diet intake
Because px is unable to chew, restricted to a strained
Possible period of postoperative MMF ranging from
2-6 weeks
The progression of the diet consistency from liquid to solids is determined by
The oral surgeon
Adequate calories intake are crucial for
Wound healing
Within a week px usually progress to a ___ soft diet using food like __
Mechanical soft diet
Purée-like, finely chopped
Feeding via tube
That delivers nutrients into the stomach or small intestine
Not that common
Enteral nutrition
Enteral nutrition may be indicated in cases of
extensive reconstructive
procedures, head and neck cancer
surgery or surgery related to
trauma
When is considere a feeding tube prior to cx
a prolonged recovery time is expected or
there is preexisting malnutrition and it is
anticipated that the surgical procedure itself will
compromise the patient’s ability to meet their
energy and nutrient needs orally
