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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
used to grasp and hold things
similar to hemostat surgeon. to grasp a suture needle
oral maxillofacial surgery
diagnosis and surgical treatment of diseases, injuries, and defects effecting the heart and soft tissue of the head and neck.
indication for oral and maxillofacial surgery
- 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
- reconstructed surgery
- salivary gland surgery
oral and maxillofacial surgeon (OMFS)
- referred to as an oral surgeon
- dentist who has received 4 to 6 additional years of postgraduate training in hospital
surgical assistant knowledge and skills
- 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)???
root tip pick universal/curve
extract root tips
straight elevator 301
small half round elevator universal
- 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
mouth props or bite block
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
what does the periosteel elevator reflect and retract?
what number is given to the universal forcep?
what instrument resembles a spoon excavator?
what surgical instrument is used to trim and shape bone?
what is the difference between a hemostat and a needle holder?
- hemostat is used to grasp and hold things
- needle hold is used to grab a suture needle
when the chisel is placed in the tray setup, what additional surgical instrument must be set out?
what equipment is used to perform surgical scrub?
- orange stick
- antimicrobial soap
- scrub brush
the term donning means?
- used to remove bone or divide tooth
- handpiece and bur
- sterile saline water is required for cooling
- no air
chain of asepsis requires
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
advance preparation surgical assistant role
- 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
treatment room preparation
- 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
soft tissue impaction
tooth is located under the gingival tissue
hard tissue impaction
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
three types of biopsys
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
what procedure is commonly performed by the surgeon directly after removal of multiple teeth adjacent to one another?
which type of impaction is when a tooth is located directly under the gingival tissue?
soft tissue impaction
which type of biopsy is completed when a surface lesion is scraped to attain cells?
- if a scapel has been used,sutures are used to control bleeding and promote healing
what are three types of non-absorbable suture materials?
- 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
absorbable suture materials
- 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