What happens during exo/laop

Question 1

Where to stand when taking out teeth

Answer 1

Q1,2,3 all can stand at 8 o’clock, Q4 stand at 10 o’clock.

support alveolar bone w fingers

Question 2

risks of upper wisdom teeth extraction

Answer 2

oro-antral perforation, possible root fracture.

In the event of perf, don’t blow nose/use straw/spit for 2 weeks

Question 3

things to look out for in lower wisdom laop

Answer 3

size of crown, root length and morph, type of impaction, its relasionship with adjacent structures: IDN, 7, ramus

Question 4

suturing

Answer 4

needle 120 deg angle
prolene- monofilament non-resorbable for skin size 7-0
vicryl- multifilament resorbable for muscles/oral cavity
monocryl- monofillament resorbable
silk- multifilament non-resorbable for ligating arteries

Question 5

LA

Answer 5

mepivacane 2% = 20mg per ml.
scandonest 1 carpule 2.2ml
max dose 6.6mg/kg

Question 6

steps in laop

Answer 6

give LA
test for LA
raise flap don’t cut too distal later you cut the lingual nerve
dont cut on place where there’ll be depression. flap needs to be sutured and lying on bone if not you kenna dehescience

Question 7

4 As of pharm

Answer 7

Antibiotic
Amox- 500mg 3 times a day
Augmentin- 625mg 2 times a day
macrolides- clarithromycin, azithromycin
clindamycin
ciprofloxacin
metronidazole (not used for oroatral perf cos sinus has O2 and metro for anaerobics only)

Anti-inflammatory
NSAIDs, coxibs, steroids: ibuprofen, arcoxia, dexamethasone

Analgesics
codeine (tramadol), panadeine

Antiseptic
CHX 0.2%