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37 Cards in this Set
- Front
- Back
Surgical Assistant's Role
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1. Advanced Preparation
2. Treatment room prep 3. Patient prep 4. During surgery 5. After Surgery |
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Advanced Preparation
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1. Check patient record and radiographs
2. Consent forms 3. Verify requested info given to patient 4. Preop instructions |
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Treatment Room Preparation
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1. Place barriers
2. Set tray, keep instruments sterile 3. Prepare control medications 4. Have postoperative instructions ready |
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Patient Preparation
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1. Update medical history and lab reports
2. Make sure patient has taken prescribed medications 3. Place radiographs 4. Take vitals 5. Seat and drape patient 6. Adjust chair |
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During Surgery
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1. Maintain chain of asepsis
2. Assist administering anesthetic 3. Monitor sedation 4. Transfer and receive instruments 5. Aspirate and retract 6. Maintain clear field with light 7. Monitor patient 8. Steady patient's head |
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After Surgery
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1. Stay with patient until recovered
2. Give verbal and written postop instruction 3. Confirm postop visit 4. Update patient records 5. Breakdown and disinfect 6. Transport all contaminated items |
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Where are oral surgeries done?
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1. Private office
2. Hospital or outpatient surgical suite |
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Why do some surgeries need to be done in a hospital?
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1. Anesthesia
2. Medical history 3. Severity of procedure |
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Use of Elevators
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Reflect and retract the periosteum from surface of the bone.
Straight elevators apply leverage against tooth to loosen it from periodontal ligament and eases the extraction. |
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Use of Root Pick
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Removal of root tips or fragments during extraction
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Use of Forceps
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Romove tooth in one piece from alveolus after being loosened in sockets.
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How is a forcep used?
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The beaks grasp the crown at or below the cervical line. The handles are held firmly in a palm grasp.
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Universal Forcep
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Allows the surgeon to use the same instrument for left and right sides of the same arch and for specific teeth.
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Use of Surgical Curette
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Following the extraction it scrapes the interior of the socket to remove diseased tissue or abscesses.
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Use of Rongeur
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Trims alveolar bone
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Use of Hemostat
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Grasps and holds soft tissue, bone, and tooth fragments.
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Surgical Scrub
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Lessens chance of infection in case gloves are broken.
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Gloves
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They are prepackaged and putting them on is important.
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Surgical Scrub Process
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1. Hair covered, mask, glasses
2. No Jewelry 3. Stick under nails 4. Wet hands and forearms warm water and 5ml soap 5. Scrub brush 7 minutes 6. Rinse warm water. KEEP HANDS UP AND ABOVE WAIST LEVEL 7. Dispense more soap and repeat washing without brush 8. Dry with sterile towel patting |
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Purpose of keeping arms up and above waist
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Allows water to run toward elbows keeping hands clean.
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Alveoplasty
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Surgical shaping and smoothing of the margins of the tooth socket after extraction usually for placement of prosthetic.
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Soft Tissue Impaction
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Tooth is located under the gingival tissue
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Hard Tissue Impaction
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Tooth is partially or totally covered by tissue and bone
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Removing Suture
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1. Remove debris
2. Clip beside knot, curved beak under 3. Pull by knot out on knot side |
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Absorbable Suture
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1. Plain catgut
2. Chromic catgut 3. Polyglactin 910 (Vicryl) |
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Plain Catgut
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Fastest healing for mucous membrane and subcutaneous tissue
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Chromic Catgut
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Slower healing allows internal tissues to heal first
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Polyglactin 910
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Synthetic absorbable
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Nonabsorbable Suture
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1. Silk
2. Polyester 3. Nylon - removed in 5-7 days |
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Silk
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Strength and easy to apply
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Polyester Fiber
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Strongest
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Nylon
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Strength and elasticity
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Interrupted and horizontal mattress sutures
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Single tooth socket
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Mattress and figure-eight sutures
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Two or more papillae
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Postop instructions for extraction
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Bleeding
1. Keep pack 30-45m 2. If bleeding cont. call 3. Don't disturb clot 4. Take it easy Swelling 5. If so take ibprofen before and after 6. In first 24 hrs place cold pack 20m on 20 off, after 24 hrs apply heat and gently rinse with warm saline solution every 2 hrs. 7. Drink liquid and eat soft day of and nothing hot or cold, next day chew opposite side |
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Alveolitis
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Dry socket from
1. Not caring for site 2. Not following home care 3. Smoking, sneezing, coughing, spitting, drinking from straw in 24 hrs 4. Oral contraceptives |
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Treatment of Dry Socket
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1. Anti-inflammatory drug to ease discomfort
2. Patient scheduled to clean socket and place medicated guaze 3. Patient returns daily to get dressing changed 4. Antibiotic may be given and instruction to rinse daily with salt water -can take up to 2 weeks |