surgical removal of teeth

Question 1

features of the 4 different types of sutures

Answer 1

vicryl - braided, resorbable

monocryl - monofilament, resorbable

silk - non resorbable, braided (think like making silk stuff need to braid a lot together)

prolene - non resorbable, monofilament

Question 2

principles of oral surgery
how to catgorise answer

Answer 2

initial:
assessment (write about indications and contraindications)
anatomy
asepsis
anesthesia
access

PREOP
- assess systemic health
- local factors: indications and contraindications of the exo procedure to be performed
- assess anatomy, how close to sinus for maxila, IDN for mandible, root morpho of teeth to be extracted
- achieve profound anesthesia

INTRAOP
- asepsis
- access should be adequate, broad base flap for blood supply, avoid damage to vital structures, minimal tension
- atraumatic: irrigation for bone removal etc
- hemostasis: local measures (compression, suture for primary closure, vasoconstrictor, ligate, electrocautery)
- wound closure should be well apposed and tension free

POSTOP
- analgesics after considering patients hepatic renal status
- antibipotics
- chx m/w for OH
- STO, review in 7-14 days

Question 3

what is the ASA classification system and what falls under each category?

Answer 3

is used to assess the physical status of a patient before undergoing surgery or anesthesia
6 classes

ASA I - healthy patient
ASA II - mild systemic disease eg controlled HTN, mild asthma,mild obesity
ASA III - severe systemic disease eg uncontrolled diabetes, severe asthma, chronic heart or kidney disease
ASA IV - severe systemic disease that is a constrant threat to life eg unstable angina, severe heart failure, liver failure
ASA V - moribund patient not expected to survive without the operation eg multiple organ failure, severe brain injury
ASA VI - declared brain dead patient