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Principles of oral surgery

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Principles of oral surgery

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Principles of oral surgery

  1. 1. Principles of Surgery
  2. 2. Make a Diagnosis Know your patient Examine your patient Look at the data Consider the alternatives Is picking up a knife the best thing to do?
  3. 3. Be Prepared forSurgery Proper instrumentation and supplies Surgical access  Mouth opening  Good visibility  Lighting  Suction  Flaps Good assistants
  4. 4. Be Aseptic Try not to make the patient worse than before he came to see you! Don’t contaminate your environment
  5. 5. A Chance to Cut is a Chance toCure  Buy a new knife  Be assertive  Watch where you are going  Consider closure
  6. 6. Principles of Flap Design
  7. 7. Types of Flaps Split thickness Full thickness
  8. 8. Indications for Flaps
  9. 9. Design Principles
  10. 10. Size
  11. 11. Anatomical Landmarks
  12. 12. Base-MarginRelationships
  13. 13. Thickness
  14. 14. Location of Margins
  15. 15. Relieving Incisions
  16. 16. Dental Papillae
  17. 17. Suturing
  18. 18. Sample Flaps
  19. 19. Maxillary Flaps
  20. 20. Mandibular Flaps
  21. 21. Apicoectomy Flaps
  22. 22. Palatal Flaps
  23. 23. Maxillary Third MolarFlaps
  24. 24. Mandibular Third MolarFlaps
  25. 25. Mandibular Third MolarFlaps
  26. 26. The Goal in FlapDesign
  27. 27. Three Prinicples of TissueHandling Gentle Gentle Gentle
  28. 28. But it’s Bleeding Tamponade Indirect pressure Cautery Ligation Hemostatics  Gelfoam  Surgicel  Collagen
  29. 29. Dead space What about it? Can I prevent it?  Proper suturing  Pressure dressings  Drains  Packing
  30. 30. Sew? When Resorbable or non-resorbable Swaged or tied Size Needle Material
  31. 31. Have a nice day

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