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32 Cards in this Set

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reverse cutting needles
-used to suture
-cutting edge faces
suture thread size
-more "0"s = smaller
gut suture (3)
-monofilimentous
-easier to tie, very passive
-gone in 3-4 days
wicking (3)
-capillary action that pulls fluid and bacteria into body
-important for immunocompromised
-silk whicks
silk
-harder to tie
vertical mattress
-to close oral-anthrum (?) perferations
figure 8
-holds something is socket
removal (3)
-grab at knot
-cut flush with the tissue
-don't pull knot through tissue! You are contaminating the wound
3 layers of tissue
periosteum
submucosa
mucosa
what is in submucosa (3)
vessels
artery
veins
_______
mucoperiosteal flap
-full thickness
-
long vs short incisions
-take same amount of time to heal
-do less iatrogenic damage w/ big flap (better access)
more access needed (2)
-extend envelope
-drop releasing incision
releasing incision (2)
-base has to be >/= margin (b/c of blood supply)
-go 1-2 teeth away from where you are working b/c you want to replace flap on solid bone, not empty hole (will get infected)
subperiosteal abscess (4)
-iatrogenic
-flap not cleaned before replacing
-irrigate flap extensively (under retractor too)
-appears 5 weeks after surgery
releasing incision on palate (3)
-NEVER!!!
-risks GP artery
-instead scallop around teeth
damage: long buccal nerve
-frequently cut
-not a problem
damage: facial artery
-BAD!! Don't damage
damage: mental nerve
-can damage w/ retractor
damage: lingual nerve (3)
-if section all the way through tooth into lingual plate
-flap design for 3rds
-no releasing incisions on lingual of mandible EVER!!
nasopalatine nerve
-okay to sacrifice (same as long buccal)
suture and papillas
-put a suture in every papilla violated
aid after palatal surgery (3)
-stent for 10 days
-or else gravity pulls flap away from blood supply, impedes healing and promotes infection
-must have in tori area
surgical extraction (3)
-reflect M-P flab
-buccal bone removal
-division of crown/roots
indications for surg ext (11)
-when reg ext fails
-divergent, curved roots
-old RCTed teeth
-hypercementosis
-submerged, ankylosed (often deciduous)
-impacted teeth
-ankylosed teeth
-extensive caries, large restoration
-geriatric pts w/ dense bone
-questionable path of delivery
-root fragment
maxillary considerations for surg ext (2)
-when molar is in close prox to sinus
-to preserve the maxillary cuspid eminence
root tips (3)
-can be left in mouth if no infection in tooth and extraction will be uneccessarily traumatic
-but if there is infection, must extract!
-xray at 3mo, 6mo
removing root fragments
-can flap or no flap depending on how big, how many, etc
pattern of tooth sectioning of max molars (4)
-"T" design
-find furcation, cut upward
-then cut central groove
-best to cut from furcation first or else common error to not go deep enough, and crown fractures off
max sinus prox alternative surg (5)
-envelope flap
-remove buccal bone from roots
-cut off buccal roots
-remove crown w/ palatal root intact
-then extract buccal roots individually
mand molar surg ext (5)
-put bur in furcation
-cut up 2/3rds of way
-insert elevator (?), fracture tooth
-this protects lingual plate (lingual nerve)
-document!
mand bicuspids malposed to lingual (4)
-flap
-window in bone on buccal
-tap tooth, it will crack out lingual (?)
-ok b/c far from lingual nerve?