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