Oral Surgery Instruments and Techniques

<p>To remove soft tissue from bony defects (D)</p> Signup and view all the answers

<p>Weider retractor (C)</p> Signup and view all the answers

<p>Non-Resorbable sutures (C)</p> Signup and view all the answers

<p>To cut sutures during or after placement (C)</p> Signup and view all the answers

<p>Scalpel retractor (C)</p> Signup and view all the answers

<p>Bayonet Forceps (A)</p> Signup and view all the answers

<p>Reduced trauma and lower fracture risk (D)</p> Signup and view all the answers

<p>Buccolingual rocking motion (C)</p> Signup and view all the answers

<p>To expose the tooth and surrounding area for effective extraction (C)</p> Signup and view all the answers

<p>Palm grasp with the right hand and control with the little finger (B)</p> Signup and view all the answers

<p>To apply pressure to the tooth (A)</p> Signup and view all the answers

<p>To create space between the tooth and the surrounding bony walls (B)</p> Signup and view all the answers

<p>Tractional forces (A)</p> Signup and view all the answers

<p>Replace the gauze and contact the dentist if it doesn't stop after an hour (B)</p> Signup and view all the answers

<p>To facilitate luxation of teeth before applying forceps (A)</p> Signup and view all the answers

<p>Attempt to replant if intact (A)</p> Signup and view all the answers

<p>Improper use of elevators (D)</p> Signup and view all the answers

<p>By avoiding removal of pathological tissue (C)</p> Signup and view all the answers

<p>Perforation of the maxillary sinus (B)</p> Signup and view all the answers

<p>To gather essential information for accurate diagnosis (B)</p> Signup and view all the answers

<p>Permanent alteration of nerve structure (C)</p> Signup and view all the answers

<p>History of allergy to local anesthetic agents (D)</p> Signup and view all the answers

<p>Paresthesia (D)</p> Signup and view all the answers

<p>Patients remain awake during procedures (C)</p> Signup and view all the answers

<p>Clinical and radiological evaluations (B)</p> Signup and view all the answers

<p>Mild gingivitis (D)</p> Signup and view all the answers

<p>Palpation (C)</p> Signup and view all the answers

<p>Hepatitis B virus (D)</p> Signup and view all the answers

<p>To prevent the spread of infectious agents (C)</p> Signup and view all the answers

<p>To cool the bur and prevent thermal damage to the bone (A)</p> Signup and view all the answers

<p>It causes less trauma to the surrounding tissue. (A)</p> Signup and view all the answers

<p>They can penetrate tissues more easily in confined spaces. (C)</p> Signup and view all the answers

<p>To retract the cheek away from the operative area (D)</p> Signup and view all the answers

<p>To aspirate blood and saliva for better visibility (A)</p> Signup and view all the answers

<p>Irrigation is necessary to prevent heat damage during bone cutting. (C)</p> Signup and view all the answers

<p>To retract the tongue during procedures (B)</p> Signup and view all the answers

<p>To provide a cooling effect and prevent heat damage to bone (D)</p> Signup and view all the answers

<p>Plain gut sutures (B)</p> Signup and view all the answers

<p>Excessive force during extraction (D)</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>Remove it immediately (A)</p> Signup and view all the answers

<p>Intraoral photographs (A)</p> Signup and view all the answers

<p>Smooth the sharp edges and suture the wound (D)</p> Signup and view all the answers

<p>Careful handling of instruments (C)</p> Signup and view all the answers

A low-speed, high-torque handpiece is used to remove bone during oral surgery, preventing damage.

Irrigation with distilled water or saline prevents bone damage during cutting with surgical burs.

Curved needles are typically used for suturing in the oral cavity.

A surgical curette is used to remove soft tissues from bony defects in oral surgery.

A bone file smooths the bone surface before closure during oral surgery.

A Kilner retractor is used to retract the cheek and mucoperiosteal flap simultaneously.

Non-resorbable sutures require removal after the surgical procedure.

Suture scissors are used to cut sutures during or after placement in oral surgery.

Irrigation during bone removal in oral surgery helps remove debris, cool the tools, and improve visibility, preventing thermal damage.

A tapered needle is better for penetrating dense tissue because it's less traumatic than a cutting needle.

Curved needles are used in oral surgery for reaching hard-to-access areas in the mouth.

The Kilner retractor elevates the mucoperiosteum during flap surgery, exposing the operative site.

Suction instruments remove blood, saliva, and debris to provide better visibility during oral surgery.

Irrigation is crucial when using surgical burs to prevent heat buildup and potential bone damage during bone removal.

A mouth mirror aids in visualizing oral structures during surgery.

Irrigation solutions cool the surgical area, prevent heat damage to bone, and improve visibility.

Plain gut sutures are absorbed by the body, simplifying post-op care.

A root can be pushed into the maxillary sinus during extraction due to excessive force or weakened bone.

Symptoms of sinus perforation after a root is pushed into the maxillary sinus can include sinusitis, nasal voice, and bubbles when exhaling.

Radiographs and endoscopy (and potentially MRI) are used to confirm a root in the maxillary sinus.

If a root is in the maxillary sinus, it needs to be removed (or extracted) to prevent complications.

Mandible fracture during extraction is often caused by excessive force, inappropriate technique, or existing conditions like pathological cysts.

Support the jaw and avoid excessive force to prevent T.M.J. dislocation.

Cowhorn forceps are designed for upper third molars with angled beaks.

Physic forceps provide a greater mechanical advantage and reduced trauma/fracture risks during extractions.

Lower molar extraction with cowhorn forceps involves a bucco-lingual rocking motion.

Soft tissue retraction exposes the tooth and surrounding area for efficient extraction.

The recommended grip technique uses a palm grasp with the right hand control by the little finger during forceps use.

The opposite hand, during extraction, reflects soft tissues for visibility and protects adjacent tissues.

Buccal/labial pressure is applied to stabilize the tooth in its socket for extraction.

Elevators are used to loosen teeth before applying forceps; they provide luxation, not direct removal.

Coupland's chisel elevates for bone splitting.

Elevators primarily work using the lever principle to lift teeth.

Do not leave it in place. Instead, perform a typical or atypical tooth extraction.

Attempt to replant if the tooth is intact.

Indicates a perforation of the maxillary sinus, not a normal healing process.

Caused by improper use of elevators (tools used to loosen teeth).

Minimized by avoiding excessive force and removing pathological tissues, not ignoring X-rays or removing teeth quickly

Gather essential information for accurate diagnosis, not to establish treatment plans outright.

Includes biographic data, chief complaint, medical history and systems review, not clinical examinations.

Use palpation, not inspection, percussion, or auscultation.

To confirm the diagnosis of lesions, not to visualize hard tissues, test tooth vitality, or withdraw fluids.

Provide pain relief in a specific area, not induce unconsciousness or enhance procedure duration.

Depends on duration of exposure and concentration, not temperature, age, or type of procedure.

Has quick onset of action, low systemic toxicity, minimal allergic reactions, and doesn't permanently alter nerve structure.

Acute inflammation at injection site and history of allergy to local anesthetic agents, not cognitive impairments or minor surgical procedures.

Altered sensation (e.g., tingling) after local anesthesia wears off.

Patients remain awake during procedures, not higher complication rates, complex equipment, or greater expense.