Introduction to

Oral Surgery & Exodontia

3rd year BDS
10th December, 2014
Presenter:
Dr. Samir R. Qazi
BDS, FFDRCS, MPhil
Department of Oral & Maxillofacial Surgery
Institute of Dentistry, CMH Lahore Medical College

Introduction

Introduction

Learning Objectives
This session will hopefully motivate students to:

access online information related to

this (exodontia) course, e.g. syllabus,
lecture slides
facebook.com/groups/omfsurge
ry
buy the necessary books (Tucker,
Malmed)
study
pass the qualifying (theory) test on
the first attempt

Oral Surgery

Steps of Extraction
Patient Evaluation
Case history
Extent of the problem
Concurrent infections
(LA)
Radiograph
Counseling - consent

Unit preparation
LA topical and
injection
Check effectiveness

Gingival
detachment
Proper positioning
Extraction
Post ext pressure
pack
? Need for stitich ?
Need for
alveoloplasty

Course Outline
1. Introduction
2. Cross infection
control
(whole day
workshop on 17th)
3. Patient evaluation
4. Management of
medical problems

5.
6.
7.
8.

LA
Extraction
Complications
Medical
emergencies
9. Test
10.Feedback of test

Learning Objectives

Patient Evaluation
By the end of final year BDS, students should be able to:

E v a l u a t e a patient for tooth extraction.

Welcome; introduce; seat the patient
elicit relevant medical and dental h i s t o r y
set up the instrument tray
perform e x a m i n a t i o n
order and interpret relevant i n v e s t i g a t i o n s
arrive at a d i a g n o s i s
(indications and contraindications for extraction of teeth)
Manage relative contraindications for extraction of teeth
Formulate, prioritize and finalize a t r e a t m e n t p l a n ,
and take consent

Learning Objectives

Local Anaesthesia
By the end of final year BDS, students should be able to:

Select appropriate local anaesthesia (LA) and

supplemental LA technique, and administer LA
Name the n e r v e s that need to be anaesthetized to
extract individual teeth
Discuss the functions of each constituent of L A
cartridge
Calculate the s a f e d o s e o f L A
Explain the reasons/mechanisms for L A f a i l u r e
Identify signs of L A t o x i c i t y / o v e r d o s e , and
manage LA toxicity
List steps of i n f e r i o r a l v e o l a r n e r v e b l o c k , and
of i n fi l t r a t i o n a n a e s t h e s i a for extraction of
teeth

Learning Objectives

Extraction Procedure
By the end of final year BDS, students should be able to:

Perform tooth extraction

Select appropriate f o r c e p s a n d i n s t r u m e n t s
for tooth extraction, and follow p r i n c i p l e s o f
u s e for each instrument
Detach gingiva
Use the n o n - d o m i n a n t h a n d to retract soft
tissues and provide jaw support
L u x a t e tooth (expand bone) using elevators and
forceps
d e l i v e r the tooth
provide p o s t e x t r a c t i o n c a r e and
instructions

Even More Learning Objectives

Exodontia
By the end of final year BDS, students should be able to:

Manage i n t r a - o p e r a t i v e a n d p o s t o p e r a t i v e c o m p l i c a t i o n s of tooth extraction

(initially) manage m e d i c a l e m e r g e n c i e s
during clinical practice: loss of consciousness, chest
pain, respiratory distress
use appropriate patient and operator p o s i t i o n s
during history, LA and extraction
follow c r o s s i n f e c t i o n c o n t r o l guidelines
during tooth extraction
c o m m u n i c a t e appropriately with the patient
throughout the procedure

Learning Objectives
This session will hopefully motivate students to:

access online information related to

this (exodontia) course, e.g. syllabus,
lecture slides
facebook.com/groups/omfsurge
ry
buy the necessary books (Tucker,
Malmed)
study
pass the qualifying (theory) test on
the first attempt