Surgical principles Flashcards

1
Q

When doing an envelope flap what are the basic principles of where you go from the tooth/area you want to work on?

A
  • 2 teeth anterior

- 1 tooth posterior

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2
Q

What are the components of a full thickness flap?

A
  • Mucosa
  • Submucosa
  • Periosteum
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3
Q

What is the primary tissue for bone healing?

A

-Periosteum

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4
Q

What is the purpose of a full thickness flap?

A

-To access bone

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5
Q

How far away should incisions be made from a defect?

A

6-8 mm

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6
Q

When placing a single releasing incision do you usually place it anterior or posterior?

A

-Anterior

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7
Q

Where should a releasing incision be made?

A

-Line angle of the tooth

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8
Q

What principles are used for the working area when doing a releasing incision?

A
  • 1 tooth anterior

- 1 tooth posterior

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9
Q

What are the five types of mucoperiosteal flaps?

A
  • Envelope flap
  • Vertical release
  • Edentulous envelop flap
  • Semi-lunar incision
  • Palatal Y incision
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10
Q

Where do you make the incision on an edentulous envelop flap?

A

-Thru scar at crest of ridge

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11
Q

When do you use a semi-lunar flap?

A

-Apical surgery

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12
Q

Where are the incisions made for a palatal Y flap?

A

-Anterior to cuspid at junction of GPA and NPA

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13
Q

What directions are incisions made and where at?

A

-Posterior to anterior in the sulcus

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14
Q

When you begin your reflection where do you begin?

A

-Anterior papilla and then move posterior

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15
Q

If you have a 3 corner flap where do you start your reflection?

A

-Anterior papilla pushing apically

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16
Q

What are three reasons for the suture?

A
  • Cover wound margins
  • Control bleeding
  • Cover bone to avoid necrosis
17
Q

What are the two requirement for removal or root tips?

A
  • Excellent light

- Excellent suction

18
Q

When are you justified to leave in a root tip?

A
  • small less than 5 mm
  • Tip deeply imbedded in bone
  • Tooth is not infected
  • Risk is greater than benefit
19
Q

What is the extraction sequence for FMX?

A
  • MX post
  • Mx ant
  • Mx cu
  • Md post
  • MD ant
  • Md Cu