Third molars 3

Question 1

GA & IV sedation consent?

Answer 1

written consent form

Question 2

LA consent?

Answer 2

written consent is best practice
sticker in notes and pt signs it

Question 3

what to mention during consent?

Answer 3

explain procedure
risk of adjacent restoration fracture
explain risk of jaw fracture
dry socket
bruising
infection
pain
swelling
trismus

Question 4

IAN nerve damages

Answer 4

temporary: 10-20%
permanent: <1%

Question 5

Lingual nerve damages

Answer 5

temporary: 0.25-5%
permanent: 0.14-2%

Question 6

Risk of altered taste. why?

Answer 6

Chorda tympani damage
arises from facial nerve
taste buds from ant 2/3 of tongue caries fibres via lingual nerve

Question 7

How to make referral to OS?

Answer 7

Using SBAR
Situation
Background
Assessment
Recommendation

Question 8

Conditions due to damage to nerve?

Answer 8

Dysaesthesia - painful, uncomfortable
hypoaesthesia - reduced sensation
hyperaesthesia - increased sensation

Question 9

how long is nerve recovery?

Answer 9

max of 18-24 months to fully recover
after this, no hope for recovery

Question 10

When to take CBCT?

Answer 10

concerns of close proximity of 3rd molar to IAN
patient suitable for coronectomy