Podcast
Questions and Answers
What type of handpiece is commonly used for removing bone during oral surgery?
What type of handpiece is commonly used for removing bone during oral surgery?
What should be used with surgical burs to prevent bone damage during cutting?
What should be used with surgical burs to prevent bone damage during cutting?
Which type of needle is typically used for suturing in the oral cavity?
Which type of needle is typically used for suturing in the oral cavity?
What is the primary use of a surgical curette in oral surgery?
What is the primary use of a surgical curette in oral surgery?
Signup and view all the answers
Which retractor is used to retract the cheek and mucoperiosteal flap simultaneously?
Which retractor is used to retract the cheek and mucoperiosteal flap simultaneously?
Signup and view all the answers
What type of sutures require removal after the surgical procedure?
What type of sutures require removal after the surgical procedure?
Signup and view all the answers
What is the primary function of suture scissors in oral surgery?
What is the primary function of suture scissors in oral surgery?
Signup and view all the answers
Which of the following is NOT a type of retractor mentioned for oral surgery?
Which of the following is NOT a type of retractor mentioned for oral surgery?
Signup and view all the answers
Which forceps is designed for upper third molars with angled beaks?
Which forceps is designed for upper third molars with angled beaks?
Signup and view all the answers
What is the advantage of using physic forceps during extraction?
What is the advantage of using physic forceps during extraction?
Signup and view all the answers
What is the recommended movement technique for extracting lower molars using Cowhorn Forceps?
What is the recommended movement technique for extracting lower molars using Cowhorn Forceps?
Signup and view all the answers
What is the primary purpose of soft tissue retraction during forceps extraction?
What is the primary purpose of soft tissue retraction during forceps extraction?
Signup and view all the answers
Which grip technique is recommended for handling forceps during tooth extraction?
Which grip technique is recommended for handling forceps during tooth extraction?
Signup and view all the answers
Which statement is not the role of the opposite hand during forceps extraction?
Which statement is not the role of the opposite hand during forceps extraction?
Signup and view all the answers
What is the aim of applying buccal/labial pressure during tooth extraction?
What is the aim of applying buccal/labial pressure during tooth extraction?
Signup and view all the answers
Which pressure application technique is effective for loosening teeth with single conical roots?
Which pressure application technique is effective for loosening teeth with single conical roots?
Signup and view all the answers
What is the recommended action if a patient experiences continuous bleeding after an extraction?
What is the recommended action if a patient experiences continuous bleeding after an extraction?
Signup and view all the answers
What is the primary function of elevators in dentistry?
What is the primary function of elevators in dentistry?
Signup and view all the answers
What should be done if an adjacent tooth is completely dislocated during extraction?
What should be done if an adjacent tooth is completely dislocated during extraction?
Signup and view all the answers
What is a common reason for pushing a tooth into premaxillary soft tissues?
What is a common reason for pushing a tooth into premaxillary soft tissues?
Signup and view all the answers
How can the risk of perforating the maxillary sinus floor be minimized?
How can the risk of perforating the maxillary sinus floor be minimized?
Signup and view all the answers
What does the presence of bloody discharge from the nose indicate during tooth extraction?
What does the presence of bloody discharge from the nose indicate during tooth extraction?
Signup and view all the answers
What is the primary purpose of history taking in oral diagnosis?
What is the primary purpose of history taking in oral diagnosis?
Signup and view all the answers
Which of the following is NOT a property of an ideal local anesthetic?
Which of the following is NOT a property of an ideal local anesthetic?
Signup and view all the answers
What is an absolute contraindication for administering local anesthesia?
What is an absolute contraindication for administering local anesthesia?
Signup and view all the answers
What is the term for the altered sensation, such as tingling, that may occur when local anesthesia wears off?
What is the term for the altered sensation, such as tingling, that may occur when local anesthesia wears off?
Signup and view all the answers
What is a significant advantage of local anesthesia compared to general anesthesia?
What is a significant advantage of local anesthesia compared to general anesthesia?
Signup and view all the answers
What should be assessed during the Pre-Extraction Evaluation (P.E.E.)?
What should be assessed during the Pre-Extraction Evaluation (P.E.E.)?
Signup and view all the answers
Which of the following conditions is NOT an indication for tooth extraction?
Which of the following conditions is NOT an indication for tooth extraction?
Signup and view all the answers
In a clinical examination, which method is used to assess for tenderness or abnormal responses?
In a clinical examination, which method is used to assess for tenderness or abnormal responses?
Signup and view all the answers
Which of the following is NOT considered a source of pathogenic organisms in the maxillofacial region?
Which of the following is NOT considered a source of pathogenic organisms in the maxillofacial region?
Signup and view all the answers
What is the primary reason for adhering to strict infection control protocols in oral surgery?
What is the primary reason for adhering to strict infection control protocols in oral surgery?
Signup and view all the answers
What is the purpose of using irrigation during bone removal in oral surgery?
What is the purpose of using irrigation during bone removal in oral surgery?
Signup and view all the answers
What is the main advantage of using a taper point needle over a cutting needle in oral surgery?
What is the main advantage of using a taper point needle over a cutting needle in oral surgery?
Signup and view all the answers
What is the primary reason for using a curved needle in oral surgery?
What is the primary reason for using a curved needle in oral surgery?
Signup and view all the answers
What is the primary function of the Kilner retractor in oral surgery?
What is the primary function of the Kilner retractor in oral surgery?
Signup and view all the answers
What is the primary reason for using suction instruments during oral surgery?
What is the primary reason for using suction instruments during oral surgery?
Signup and view all the answers
Which of the following statements is true regarding the use of surgical burs during oral surgery?
Which of the following statements is true regarding the use of surgical burs during oral surgery?
Signup and view all the answers
What is the function of the mouth mirror during oral surgery?
What is the function of the mouth mirror during oral surgery?
Signup and view all the answers
What is the primary purpose of using irrigation solutions during oral surgery?
What is the primary purpose of using irrigation solutions during oral surgery?
Signup and view all the answers
Which type of suture material is designed to be absorbed by the body without needing removal?
Which type of suture material is designed to be absorbed by the body without needing removal?
Signup and view all the answers
What can cause a root to be pushed into the maxillary sinus during extraction?
What can cause a root to be pushed into the maxillary sinus during extraction?
Signup and view all the answers
What is a common symptom of perforation of the sinus bottom after a root is pushed into the maxillary sinus?
What is a common symptom of perforation of the sinus bottom after a root is pushed into the maxillary sinus?
Signup and view all the answers
What must be done if a root has entered the maxillary sinus?
What must be done if a root has entered the maxillary sinus?
Signup and view all the answers
Which imaging technique is NOT used to diagnose a root in the maxillary sinus?
Which imaging technique is NOT used to diagnose a root in the maxillary sinus?
Signup and view all the answers
What is a recommended treatment for a small fracture of the alveolar bone?
What is a recommended treatment for a small fracture of the alveolar bone?
Signup and view all the answers
What is the primary method to prevent soft tissue damage during tooth extraction?
What is the primary method to prevent soft tissue damage during tooth extraction?
Signup and view all the answers
Study Notes
Oral Surgery Instruments and Techniques
- Handpieces for Bone Removal: Low-speed, high-torque handpieces are used for removing bone, minimizing damage. High-speed, low-torque handpieces are inappropriate for bone removal.
- Bone Preservation during Cutting: Irrigation with distilled water or saline is crucial with surgical burs to prevent bone damage from overheating. Lubricating oil, antiseptic solution, and hydrogen peroxide are unsuitable for this purpose.
Suturing Materials and Techniques
- Sutures for Oral Cavity: Curved needles are typically used in the oral cavity for suturing. Straight needles are less suitable for the confined spaces, while triangular and flat needles have different applications.
- Surgical Curettes: Curettes are used for removing soft tissue from bony defects, not for cutting bone or holding tissue flaps.
- Bone Files: Bone files are used to smooth bone surfaces, not to remove large amounts of bone rapidly or for irrigating the area.
- Retractors: Kilner retractors are used for simultaneous retraction of the cheek and mucoperiosteal flap; other retractors are used for different specific tissue retraction.
Sutures
- Removable Sutures: Non-resorbable sutures need removal after the surgical procedure, whereas resorbable sutures dissolve on their own.
- Suture Scissors: Suture scissors are specifically for cutting sutures, not for cutting bone, dissecting tissue or retracting tissue.
- Sutures for Oral Mucosa: Fine sutures (e.g., 5/0 or 6/0) are often used for suturing oral mucosa. Larger sizes (e.g., 1/0 or 3/0) are used in different situations.
Retractors (specific types)
- Henahan and Seldin Retractors: These are used for retracting soft tissue, not for elevating mucoperiosteum, cutting sutures, or removing granulation tissue.
Irrigation and Suction
- Irrigation in Bone Removal: Irrigation with saline or distilled water is essential for cooling the surgical bur during bone removal, preventing thermal damage and maintaining visibility of the surgical field.
- Suction Instruments: Suction instruments are used in oral surgery to remove blood, saliva, and debris, improving visibility during procedures .
Needle Types
- Taper Point Needles: Taper point needles are preferred for penetrating dense tissues because they cause less tissue trauma than cutting needles.
- Curved Needles: Curved needles are used more frequently in oral surgery due to the confined spaces and the need to navigate around structures and corners.
Retractors and Elevators (specific types)
- Kilner Retractor: Primarily used to retract the cheek or other soft tissues from the surgical site.
- Elevators: Elevators are used to gently luxate (or loosen) teeth before the extraction using forceps, not to remove bone during surgery.
Sinus Perforation and Extraction Complications
- Root in Maxillary Sinus: Teeth extraction causing root fragments in the maxillary sinus is a serious complication (often needing a surgical approach).
Fracture and Dislocation Complications
- Mandibular Fracture: Excessive force during extraction, or other patient-related conditions, can cause fracture of the mandible.
- Temporomandibular Joint (TMJ) Dislocation: Proper support and avoidance of excessive force are crucial during tooth extractions to prevent dislocation of the TMJ.
Soft Tissue Damage and Alveolar Bone Fractures
- Soft Tissue Damage Prevention: Careful instrument handling, adhering to proper extraction techniques, and avoiding unnecessary force are crucial to preventing soft tissue damage during procedures.
- Alveolar Bone Fracture Prevention: Proper technique and avoiding excessive force are necessary to prevent fracture of the alveolar bone.
Tooth Extraction Considerations
- Indications for extraction: Severe caries, severe periodontal disease, and orthodontic reasons are standard indications for extraction.
- Pre-Extraction Evaluation: Clinical & radiographic evaluations are essential to assess oral conditions.
Infection Control
- Infection Control Practices: Strict adherence to infection control protocols (including sterilization techniques) is essential to prevent the spread of infectious agents including microorganisms and viral pathogens.
Illumination and Operator Position
- Illumination: Appropriate lighting is crucial for optimal visibility during oral surgery.
- Operator Position: Position during extraction needs to consider the site's context & the required technique & access.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge of the instruments and techniques used in oral surgery. This quiz covers handpieces for bone removal, suturing materials, and surgical tools essential for successful procedures. Assess your understanding of how to preserve bone and the appropriate use of various sutures.
