Académique Documents
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Culture Documents
Tooth
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Transalveolar Extraction
Impacted Tooth
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Surgical Removal
Small Cyst
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Enucleation
Periapical Surgeries
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Apicectomy
Pre-Prosthetic
Surgeries
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Alveoloplasty
Small Tori Removal
Abscess
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Lesion
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Biopsy
Risk Assessment
Overall- Medical
Dental
Angina
Myocardial Infarct (heart
attack)
Heart murmurs
Endocarditis/Pros. Valves
Bleeding Disorders
Anticoagulant use
Asthma
Lung disease
Tuberculosis
Hepatitis
Sexually transmitted
disease
Renal disease
Hypertension
Diabetes
Steroid use
Seizure disorder
Implanted prosthesis
Allergies (drugs/non drugs)
Pregnancy
Breast feeding
Anxiety-reduction
protocol
(Patient / Doctor)
Before
appointment
During
appointment
After
surgery
Non pharmacologic
Distracting Conversation
No unnecessary noise
Further reassurance
Effective analgesics
b)
c)
Unexpected!!!!!!!
Forced to do minor surgery
Fracture mandible.
Principles of Surgery
Diagnosis
Flap design
Tissue handling
Haemostasis
Suturing
Instruments
Suction Tip (No. 3), Coupland Elevator, Periosteal Elevators (Big & Small), Adsons
forcep (Toothed & non Toothhed), BP blade & Handle (No. 3), Curette, Bone file, Bone
Rongeur, Needle Holder, Scissor, Cheek Retractor, Surgical Burs
Instruments
Suction
Tip
Instruments
Coupland
Elevator
Instruments
Periosteal
Elevators
Instruments
Instruments
Instruments
Curette
Instruments
Bone File
Instruments
Bone Rongeur
Instruments
Needle Holder
Instruments
Scissor
Instruments
Cheek
Retractor
Instruments
Surgical
Bur
Bone guttering
Envelop Flap
2.
Three cornered
3.
Four cornered
Transalveolar
1extraction 2
Transalveolar
root
of a maxillary first premolar
extraction
1
Transalveolar
root
of a maxillary first premolar
extraction
Removal of Impacted
teeth- Most common minor
surgical procedure
It Requires extensive training,
skill and experience to Perform
in an
ATRAUMATIC FASHION
Difficulty Index
3-4 simple
5-6 Moderate
7-10 very difficult
Angulation
Difficulty Index
3-4 simple
5-6 Moderate
7-10 very difficult
Difficulty Index
3-4 simple
5-6 Moderate
7-10 very difficult
Depth (Position A, B, C)
2.
State of eruption
3.
Root pattern
5.
4.
Favourable, unfavourable
Crown
Risk of intervention
Tooth Sectioning
Tooth Sectioning
Tooth Sectioning
PRE-OP
RADIOGRAPH
INTRAOP
INTRAOP
Intra-op
(Suturing Done)
7 Days postop
(Suture removal)
Pre-op
Intra-op
7 days Post-op
Preop
MO 32
mm
Preop
Preop
Intraop
Intraop
18 days postop
MO 60
mm
18 days postop
18 days postop
Preop
Preop
Intraop
2 days
Biopsy
Incisional
biopsy
Biopsy
Excisiona
l biopsy
Excision Biopsy
Pedunculated Lesion
TMJ Dislocation
TMJ Dislocation
6
4
65
Thank
You