part 2 - oral surgery

Question 1

function of universal extraction forceps

Answer 1

extracts teeth on either side of the same arch

Question 2

functions of rongeurs

Answer 2

used to trim alveolar bone

Question 3

function of bone files

Answer 3

smooths surface of the bone after use of rongeur

Question 4

function of periosteal elevator

Answer 4

used to reflect and retrct the periosteum from surface of bone and detach gingival tissues from cervix of tooth

Question 5

function of curette

Answer 5

removes tissue from tooth socket

Question 6

straight elevator

Answer 6

applies leverage against the tooth to loosen it for periodontal ligaments

Question 7

hemostat

Answer 7

used to grasp and hold things

Question 8

equipment needed for alveoplasty and order it is used

Answer 8

1. forceps
2. elevators
3. rongeur
4. bone file
5. scalpel
6. suture material and needle
7. needle holder
8. susture scissors
9. sterile saline solution

Question 9

biopsy techniques

Answer 9

exfoliative
- removes tissue from all three epithelial layers of oral mucose

incisional
- if lesion is larger than 1 cm in all dimensions
- surgeon will remove portion of tissue from lesion

excisional
- removal of entire lesion plus some adjacent normal tissue

Question 10

postop instructions following forcep extraction

Answer 10

1. keep pack for 30-45 minute
2. do not disturb the clot
3. restrict strenuous work or physical activity
4. place cold pack for 20 min on and off intervals
5. after 24 hours apply external heat
6. start rinsing oral cavity with saline solution
7. instruct patient to eat soft foods

Question 11

suture materials

Answer 11

absorbable sutures
- plain catgut fastest healing)
- chromic catgut (slower healing)
- polyglactin

non-absorbable
- silk
- polyester fiber
- nylon

Question 12

suture procedures

Answer 12

1. remove suture material from sterile package
2. use needle holder and clamp suture
3. transfer needle holder to surgeon
4. retract tongue or cheek
5. after tying, use suture scissors to cut
6. retrieve suturing supplies from surgeon
7. record

Question 12

types of impaction

Answer 12

hard tissue impaction
- tooth is partially or fully covereed by bone and gingival tissues

soft tissue impaction
- oral condition where tooth is partially or fully covered by gingival tissues