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Oral Surgery is for Gunners

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lunalovegood's version from 2016-07-24 17:12

Section

Antecedent
Question Answer
Oroantral fistula <2mmno treatment necessary
Oroantral fistula sinus precautions no blowing nose, sneeze w/ mouth open, no straws, no smoking
Oroantral fistula 2mm-6mmgelfoam, figure 8 sutures, sinus precautions --> Ab, nasal spray, oral decongestant
Oroantral fistula >7mmconsider refer to OMS --> buccal advancement flap
"Bruised" nerveneuropraxia
Temporary paresthesia, self-healing, no discontinue neural sheathneuropraxia
Nerve sheath interrupted, NOT severedaxonotmesis
May cause neuroma, may repair w/ surgery. Immediate paresthesia.axonotmesis
Nerve sheath severed neurotmesis
Immediate anesthesia. Somewhat repairable in youth w/ nerve graft.neurotmesis
Alveolar osteitis aka...dry socket
Alveolar osteitis - moderate to severe pain. S&S of infection???no
High fibrinolytic activity around extraction socket -->alveolar osteitis
Alveolar osteitis Tx?irrigation + medicated dressed (gelfoam + eugenol)
Alveolar osteitis risk factors - smoking, tobacco, improper home care, past dry sockets, & 3 MORE???birth control, tooth/gum infection, corticosteroids
Complete disruption of TMJ jointdislocation
Partial dislocation of TMJ jointsublaxation
Post-op bleeding - what type of gauze?4x4 (no 2x2!!!)
Dry gauze or moistened gauze?moistened makes oozing not coagulate in gauze then dislodge
Gauze ---> bite firmly for ___ minutes30 minutes (don't take out, don't chew)
Oozing normal for up to ___ hours24
Tea bag???!??!30 minutes - tannic acid is vasoconstrictor
Get worried when...prolonged oozing, bright red bleeding, large clot formation
No spitting for ___ hours12
No strenuous exercise for ___ hours12-24 hours (higher BP)
Wrist ____, arm ____ to your bodystraight, close
When do you need to see?proper adaptation of forceps OR root tip removal
All extractions at ___ chair positions 7 or 8 'o' clock
For ____ extractions occlusal plane is 45-60 degrees to floor, for ____ parallel to floor.maxillary, mandibular
Elbow at level of...patient's shoulder
Could extract for _________ o'clock - but need throat screen12
Envelope flap --- _________ tooth distal, ___ tooth mesial1 distal, 2 mesial MINIMUM
Flap w/ vertical release --- _________ tooth distal, ___ tooth mesial 1, 1
memorize

 

Forceps for Teeth
Question Answer
Maxillary anterior#1 and #99-C --- #150
Maxillary premolars#150, #150-A
1st & 2nd Maxillary molars#89 and #90 --- #88R and #88L "upper cowhorn" --- #53R and #53L for intact crowns
Erupted Maxillary 3rds#210-S
Maxillary root fragments#286 -- has a long and slender beak
Maxillary primary teeth#150-S
Mandibular anteriors & premolars#74, #74-N and #74-extra-N ----- #151, #151-A -- #203 -- has thinner beak
Mandibular molars#23 "cowhorn" --- #17
Mandibular 3rds#222
Mandibular primary teeth#151-S
Universal forceps#150, #151
Conform well for premolars#150-A, #151-A
Primary#150-S, #151-S
Upper cowhorns#88R and #88L
Lower cowhorn#23
Reckless use will fracture alveolar, crush gingival tissue, damage adjacent teethupper cowhorns #88R and #88L
Crown intact maxillary molars#53R and #53L
Maxillary molars NOT ENTERING furcation#89 and #90
Maxillary molars ENTER furcation#88R and #88L
3rd molars#210-S for maxillary --- #222 for mandibular
Mandibular molars MUST BE BIFURCATED#17
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Teeth for Forceps
Question Answer
#1maxillary anterior
#99-Cmaxillary anterior
#150"universal" forceps, good for conical shaped roots (anterior & premolars)
#150-Amaxillary premolars
#89 and #90maxillary molars NOT ENTERING FURCATION
#88R and #88Lmaxillary molars ENTER FURCATION but be careful
#53R and #53Lmaxillary molars CROWN MUST BE INTACT
#210-Smaxillary 3rds
#286maxillary root fragments
#150-Smaxillary primaries
#74, #74-N, #74-extra-Nmandibular anteriors and premolars
#151lower universal
#151-Amandibular premolars
#203mandibular anteriors and premolars (thinner beak)
#23mandibular molars "cowhorn" most popular
#17bi-furcated mandibular molars
#222mandibular 3rds (or conical rooted 2nd molars)
#151-Smandibular primaries
memorize

 

Sched-owls
Question Answer
No accepted medical use1
heroin, LSD, marijuana1 #marijuanaruinslives
WRITTEN Rx2
NO REFILL2
oxycodone2
morphine2
fentanyl2
hydrocodone2
demerol2
Severe psychic/physical abuse liability2
Refill up to 5 times3
Significant abuse potential3
Hydrocodone combo (vicodin, norco)3
Codeine + acetominophen3
Lower abuse liability4
Refill 5 times in 6 months4, 5
phenobarbital4
valium4
propfol4
tramadol 4
Very low abuse potential5
Robitussin5
Ibuprofen MAXIMUM dosage3200mg/day
Ibuprofen dose400-800mg q4hours --> 800mg 3x/day
Acetaminophen MAXIMUM dosage4000mg/day
Acetaminophen dose500-1000mg q4h
P.O.by mouth
Suspsuspension
Suppsuppository
Solsolution
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