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When is suturing after a dental extraction NOT necessary?
- usually not necessary for small teeth - incisors because blood clot fills alveolus, turns to fibrous tissue, and eventually turns to bone
- gingival tissue may by too fragile to suture
- area may need to be left open to drain due to an infection
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When is it necessary to suture after a dental extraction?
extractions of larger teeth or several small teeth close together to help it heal faster and prevents alveolar osteitis
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What is alveolar osteitis?
- when blood clot is lost from alveolus, saliva then contacts bone
- saliva is hyptonic so it increases infections and inflammation
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What kind of suture material, size, and needles do we use for dental extractions?
- absorbable - chromic gut is good
- 4-0 or 5-0
- taper needle usually - swaged on
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How do we suture after a dental extraction?
- appose edges of gingiva over extraction site
- take a biteo on one side
- pull needle through
- then take a bite on opposite side and tie off
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What kind of suture pattern do we use?
simple interrupted, cruciate
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How many knots do we put in the suture?
5 - 6 throws
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What happens if there is a retained root tip?
can lead to abscess, infections, sequestra, or inflammation
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If there is a retained root tip what do we do?
- use smaller elevator to extract
- do not push too hard
- may force tip through bottom of alveolus
- may require surgery
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When would we have to do surgery for a retained root tip?
if root tips are retained and cannot be elevated
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What kind of dental analgesias can we use?
- local analgesia
- regional blocks
- systemic analgesics
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What kind of local analgesia can we use?
2% lidocaine with epinephrine - no more than 2 mg/kg
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What kind of systemic analgesics can we use?
- opioids (morphine, butorphanol, fentanyl patches)
- NSAIDs (aspirin, carprofen)
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How long should pain relief be provided post-extractions?
24 - 48 hours
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What kind of home care should clients need to know about after extractions?
- medication directions
- pet may have blood-tinged saliva for 2 - 3 days following extraction
- pet should have no difficulty eating normal food
- pets can swallow small kibbles whole without digestive problems in most pets
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Can pets still eat kibbles without any teeth?
even without teeth, many animals will chew dry food once the gums heal
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Should the client change dry food to wet food? Why or why not?
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What can you do if the pet refuses his normal dry food?
add an approximately equal amount of water to the kibbles about 30 minutes before feeding
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Animals require general anesthesai and endotracheal intubation for dentistry...what do we expect after extubation?
minor coughing
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