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branch of dentistry that focuses on the diagnosis and treatment of diseases, injuries, and malformations.
oral surgery
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extraction of teeth
exodentics
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oral surgeon perform treatment of bone fractures and and reconstructions. (general dentist can extract)
maxillofacial surgeon
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carious teeth that cant be restored
removal needed for ortho
teeth withouy sufficient bone support
malpostioned teeth (ortho cant fix)
teeth accidently fractured or dislocated
indications for oral surgery
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tooth can be saved
avoided during active infection
patient suffering from potential serious disease
pregnancy(wait until at least 2nd trimester)
contraindications
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sedation
pre-medication
local anesthetic
general anesthetic
pain control
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surgical reduction or reshaping of the remaining alveolar ridge
alveolectomy
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surgical removal of apex of tooth
apicoectomy
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rock back and forth
luxated
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surgical removal of frenum
frenectomy
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procedure in which the tissue is taken from the one site and placed at another
graphs
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tooth that is blocked from eruption by gingival tissue only
soft tissue impaction
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blocked by bone and tissue
bony impactions
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tooth between centrals
mesiodens
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minor surgery undertaken to obtain a specimen of a suspicious legion on the oral mucosa
biopsy
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wedge shaped section of adjacent normal tissue plus a section of abnormal tissue is obtained to provide the pathologist with a specimen for comparing normal and abnormal
incision method
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if possible the entire lesion mass and adjacent and underlying normal tissue are excised to provide the pathologist a sample fo patients tissue
excision method
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deep-seated tumors are examined by exploring and obtaining a specimen using deep surgical excision
exploratory biopsy
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no smoking, sucking, or spitting!
rinse gently with warm salt water
avoid hot/cold/chips,popcorn
eat soft foods
change gauze
patient instructions
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absorbable: dont remove
(gut, collagen, polydioxanone)
non-absorbable: 5-7 days
(silk, nylon, polypropylene)
*more durable and easy to manipulate*
sutures
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cut at point of knot (count each one) refer to patient history to make sure each one was taken out
removal of sutures
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