Postoperative Healing Stents
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Questions and Answers

What is the primary objective of postoperative healing stents?

  • To control bleeding after extraction
  • To promote healing and minimize complications (correct)
  • To apply pressure to the soft tissues after surgery
  • To facilitate hemostasis and prevent hematoma formation
  • What is the purpose of a stent in vestibuloplasty?

  • To apply pressure to the soft tissues after surgery
  • To control bleeding after extraction
  • To maintain the skin graft in place until revascularization occurs (correct)
  • To facilitate hemostasis and prevent hematoma formation
  • What is the function of a palatal stent?

  • To apply pressure to the soft tissues after surgery and facilitate hemostasis (correct)
  • To maintain the skin graft in place until revascularization occurs
  • To control bleeding after extraction
  • To promote healing and minimize complications
  • What type of patients would require an anti-hemorrhagic stent?

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

    What is the purpose of applying pressure over the extraction socket in an anti-hemorrhagic stent?

    <p>To stop the bleeding until the late coagulation mechanism starts</p> Signup and view all the answers

    What is the first step in fabricating an anti-hemorrhagic stent?

    <p>Making upper and lower impressions before surgery</p> Signup and view all the answers

    What is the purpose of pouring impressions to obtain casts?

    <p>To mount the casts in centric relation</p> Signup and view all the answers

    What is the purpose of adapting molding wax on the cast?

    <p>To cover the lingual, buccal and top surface of the ridge</p> Signup and view all the answers

    What is the purpose of closing the articulator?

    <p>To allow the opposing teeth to touch the top of the wax</p> Signup and view all the answers

    What type of stent is used after ridge augmentation?

    <p>Skin or mucous graft inlay stent</p> Signup and view all the answers

    Study Notes

    Postoperative Healing Stents

    • Aim to promote healing and minimize complications following surgical procedures.

    Stents for Plastic Surgery of the Oral Mucosa

    • Used in intra-oral surgeries, such as vestibuloplasty (sulcus deepening procedure) or removal of soft tissue malignancy.
    • Required to maintain skin grafts in place until revascularization occurs from the underlying raw area (skin or mucous graft inlay stent).
    • Used after ridge augmentation.

    Palatal Stent (Palatal Pressure Plate)

    • Functions:
      • Apply pressure to soft tissues after surgery to facilitate healing and prevent collapse.
      • Facilitate hemostasis and avoid hematoma formation.
    • Used after surgeries in the palate, such as tori removal, palatal mucosal grafting, or removal of impacted canine or large cyst in the palate.

    Anti-Hemorrhagic Stent

    • Used to control bleeding after tooth extraction in patients with:
      • High bleeding tendency (e.g., leukemic patients).
      • Clotting problems (e.g., hemophilic patients).
    • In patients with high bleeding tendency, the stent applies pressure over the extraction socket to stop bleeding until the late coagulation mechanism starts.

    Fabrication of Anti-Hemorrhagic Stent

    • Upper and lower impressions are made before surgery.
    • Impressions are poured to obtain casts, which are mounted in centric relation using an inter-occlusal record.
    • The tooth to be extracted is removed from the stone cast.
    • A layer of molding wax is adapted to cover the lingual, buccal, and top surface of the ridge.
    • The articulator is closed to allow the opposing teeth to touch the top of the wax.
    • The wax is processed in clear heat-cured acrylic resin or cold-cured resin.
    • The stent is inserted immediately after extraction, where bleeding is controlled as the patient closes and applies gentle pressure over the extraction site.
    • The stent gains its retention by using wrought wire.

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    Description

    This quiz covers postoperative healing stents used to promote healing and minimize complications after surgical procedures. It includes stents for plastic surgery of the oral mucosa and their applications.

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