chap 53-56

grasping teeth

designed allow the surgeon to use same instrument for left and right of same arch

resemble large spoon excavator

dbl ended scoop shaped instrument with sharp edges for scraping motion

trim alveolar bone

similar in size of forceps

resembles finger nail clippers

always follow the rongeur

smooth rough margins of the alveolus after extraction

surgical knife used to make a precise incision into soft tissue with least amount of trauma to tissue

multipurpose

used to grasp and hold things

similar to hemostat surgeon. to grasp a suture needle

diagnosis and surgical treatment of diseases, injuries, and defects effecting the heart and soft tissue of the head and neck.

• extraction of decay teeth that cannot be restored.
• removal of impacted teeth.
• extract of non-vital teeth.
• removal for ortho.
• cysts and tumors.
• root fragments
• biposys
• reconstructed surgery
• salivary gland surgery

• referred to as an oral surgeon
• dentist who has received 4 to 6 additional years of postgraduate training in hospital

• patient assessment and monitoring (medical history)
• use of specialized instruments
• surgical asepsis (sterilize packaging)
• surgical procedures
• pain control techniques (monitoring anesthesia)

• done in the private dental office
• the hospital or outpatient surgical suite

• wax spatula
• to reflect (separate)
• retract the periosteum from the surface of the bone
• always on a basic setup
• used before the forceps to detach the gingival tissues from around the cervix of the tooth
• always used after BP (bard parker)???

extract root tips

• straight elevator
• used to seperate tooth from periodontal ligament and ease retraction

• grasping teeth
• design to allow the surgeon to use the same instrument for the left and right arch

• resembles a large spoon excavator
• double end, scoop-sharpened instrument with sharp edges for scraping motion
• used following after the extraction to scrape the interior of the socket, to remove disease tissue

• used to trim alveolar bone
• resembles finger nail clipper

• always follows the rongeurs
• used to smooth rough margins of the alveolar bone

• surgical knife used to make a precise incision into soft tissue with least amount of trauma to the tissue
• discard into the sharp containers

• used to grasp soft tissue bone and tooth fragment
• grasping and holding

• similar to hemostat
• to grasp a suture needle

• trims soft tissue
• handles range in length from 3 1/2 to 6 1/4 in

used to cut suture material

hold or retract tissue during surgery

patient rests and relax muscle during surgery

• to remove or reshape bone
• single design to remove bone
• bi-bevel type to split teeth

• source of pressure
• used on the chisel handle

periosteum

301

surgical currette

rongeur

• hemostat is used to grasp and hold things
• needle hold is used to grab a suture needle

mallet

• orange stick
• antimicrobial soap
• scrub brush

putting on

• used to remove bone or divide tooth
• handpiece and bur
• sterile saline water is required for cooling
• no air

instrument, surgical drapes, and gloves hands of the surgical team sterile

prepared to hold surgical instrument and accessories that will be used during surgery

type of handwash used to lessen chance of infection

• check patient records and x rays
• consent form signed and available
• info request from patients physician must be received
• check for lab cases
• ensure surgical preparation has been prepared and sterilized
• provide preoperative instructions for taking any pre meds and eating, drinking after midnight

• prepare room with barriers
• keep instruments in sterile wraps until ready for use
• if it is open, place a sterile towel over the tray
• appropriate pain control meds ready for administration
• post operative instructions

• update medical history and lab reports
• check patient for prescribed medication
• place radiograph on view box
• take vital signs
• sit and drape the patient
• adjust the chair to comfortable position

• described as simple extractions
• perform on a tooth that is fully erupted and has a solid intact crown which is grasped firmly with forceps
• do not require placement of suture

when a patient will be recieving a partial or a full denture or implants.

when several teeth have been extracted within the same quadrant, the alveoplasty crest remains intact and the surgeon must perform an alveoplasty to conture and smooth the effected area.

• this term is used when the conditons requires additional skills, knowledge and instrumentation to removea tooth
• ex: extraction of an impacted tooth

tooth that has not been errupted

tooth is located under the gingival tissue

tooth is partially or totally  covered by tissue and bone

process by which tissue is removed and examined to distinguish malignancies from nonmalignant cancers in the oral cavity

INCISIONAL BIOPSY:cosmetic or functional impire bisurgery (chew/tongue)

EXCISIONAL BIOPSY: removal of the entire lesion plus some adjacent tissue

• EXFOLIATIVE BIOPSY: nonsurgical technique
• requires no anesthesia

alveoplasty

soft tissue impaction

exfoliative biopsy

• stitching
• if a scapel has been used,sutures are used to control bleeding and promote healing

• silk: silk strength and easy application
• polyster fiber: one of the strongest sutures
• nylon:strength and elasticity
•  non-absorbable sutures are usually removed 5 to 7 days after surgery

• they dissolve and become absorbed by the body
• plain catgut: provides faster healing for mucus membrane and subcutaneous tissues.
• chromic catgut:provides a slower healing process allowing the internal tissue to heal first
• poly glactin 910 vicryl: synthetic absorbable material

• failure of the healing process
• also known as a dry socket
• usually occurs 2 to 3 days after removal
• the socket is irrigated with warm saline solution