XLA Flashcards
Why is smoking an issue regarding extraction?
Reduced blood flow to the healing socket -
- causes problems with post-op healing
- higher risk of alveolar osteitis
What is alveolar osteitis?
dry socket - local inflammation of alveolus due to increased finbrinolysis and loss of blood clot.
5 predisposing factors to a pt developing alveolar osteitis:
- traumatic extraction
- female (4x more likely)
- smoker
- increased age
- immunosuppressions
Symptoms of alveolar osteitis:
- dull pain 3 days post XLA
- bad taste / smell
- poorly responsive to analgesia
- localised to the XLA site
- food debris / absent clot in the site
How is alveolar osteitis treated?
irrigation and dress with alvogyl
What are the 3 components making up alvogyl?
- butamen (anaesthesia)
- iodoform (antimicrobial)
- eugenol (analgesic)
When can alvogyl NOT be used?
if the pt has an allergy to idodine/seafood.
How long is the average canine root?
17mm
What type of forceps are used to extract wisdom teeth?
bayonets
Which teeth have the primary movement of rotation?
- upper 1s
- lower second premolars (5s)
Why is the primary movement of the majority of teeth buccal-palatal?
- oval roots don’t rotate
- expands the socket so the tooth can be rotated as a secondary movement
Which teeth have oval roots?
All except upper 1s and lower 5s
Name the 3 types of sutures:
- resorbable vs non-resorbable
- natural vs synthetic materials
- brained vs monofilament
4 types of suturing techniques:
- interrupted
- horizontal mattress
- vertical mattress
- continuous
Which of the following conditions does NOT pose a bleeding risk?
- atrial fibrillation
- previous coronary artery bypass
- pulmonary embolism 6 months ago
- prosthetic heart valve
- deep vain thrombosis 2 years ago
DVT 2 years ago