Minor Oral Surgical Procedures / oral surgery courses training by indian dental academy

MINOR ORAL SURGICAL
PROCEDURES

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com



WHY DO WE NEED A MINOR SURGERY ?

OR


WHAT ARE THE CONDITIONS?


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# TOOTH ------------ TRANS ALVEOLAR EXT

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IMPACTED TOOTH----SURGICAL REMOVAL

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SMALL CYST ----- ENUCLEATION

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PERIAPICAL SURGERIES—APISECTOMY

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PRE PROSTHETIC SURGERIES:
--ALVEOPLASTY
--SMALL TORI REMOVAL

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REQUIREMENTS OF ANY SURGICAL
PROCEDURE:
RAISE A FLAP
BONE GUTTERING
REMOVE
-TOOTH
-LESION

PRINCIPLES OF SURGERY
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DIAGNOSIS
BASIC NECESSITIES OF SURGERY
ADEQUATE VISIBILITY & ASSISTANCE
- ADEQUATE ACCESS
-ADEQUATE LIGHT
-SURGICAL FIELD FREE OF EXCESS BLOOD AND
FLUIDS
FLAP DESIGN
TISSUE HANDLING
HAEMOSTASIS
DEAD SPACE MANAGEMENT
SUTURING
EDEMA CONTROLL


ADEQUATE ACCESS—GOOD FLAP



PRINCIPLES OF FLAP:
1) BROAD BASE


2) FLAP
“SIDES HAVE TO BE EITHER PARALLEL
OR CONVERGE FROM BASE TO APEX”


3)

LENGTH : BREADTH
2
:
1




BETTER TO INCLUDE THE AXIAL BLOOD
SUPPLY


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BASE OF THE FLAP SHOULD NEVER BE:
- STRETCHED
- TWISTED


PRINCIPLES OF INCISIONS

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- SHARP BLADE
- FIRM CONTINIOUS STROKE


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

-AVOID CUTTING VITAL STRUCTURES
-GO LAYER BY LAYER


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-INCISE PERPENDICULAR TO THE
EPITHELIAL SURFACE
-EASY SUTURING
-DECREASE NECROSIS


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-INCISE OVER HEALTHY BONE


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-NEVER INCISE OVER BONY
PROMINENCES

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-NEVER INCISE THE ATTACHED GINGIVA,
OVER THE FACIAL ASPECT OF THE
TOOTH

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-NEVER INCISE THE PAPILLA


TYPES OF MUCOPERIOSTEAL FLAP
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1) ENVELOP FLAP

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2) THREE CORNERED

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3) FOUR CORNERED


ENVELOP FLAP


THREE & FOUR CORNERED FALP


BONE REMOVAL
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TECHNIQUES FOR BONE REMOVAL:
-CHISEL
-BUR


CHISEL
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BUR

Difficult and
complicated procedure
Pt not comfortable
Increased duration
Less bone necrosis,
less dry socket and
less infection
Good healing
Less swelling

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Easy procedure
Comfortable
Less duration
More necrosis
More chances for Dry
socket and infection
Delayed healing and
more swelling


TOOTH SPLITTING ( SURGICAL
REMOVAL OF AN IMPACTED
TOOTH OR A BROKEN TOOTH)


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SURGICAL REMOVAL OF AN IMPACTED
TOOTH


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SURGICAL REMOVAL OF A BROKEN
TOOTH ( TRANS ALVEOLAR
EXTRACTION)


DIAGNOSIS


LISTEN-----HISTORY



EXAMINATION



INVESTIGATION
RADIOLOGICAL
BIO CHEMICAL


BASIC NECESSITIES FOR SURGERY


ASEPTIC TECHNIQUE
-STERALIZATION


TISSUE HANDLING


A SURGEON WHO HANDLES TISSUES
GENTLY IS REWARDED WITH...(MONEY! !)


DON’T PULL OR STRETCH THE
TISSUES…………….


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HOLD THE TISSUE WITH A TISSUE
FORCEPS AND NEVER PINCH….


HEMOSTASIS
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ACHIEVED BY EITHER GAUZE OR
COTTON
APPLY PRESSURE
PACK
HAVE PATIENCE

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NEVER WIPE

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CLAMPPING A VESSEL----LIGATION

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THERMOCOAGULATION

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TOPICAL HEMOSTSTIC AGENTS
EPINEPHRINE
GELFOAM
THROMBIN
OXIDISED CELLULOSE

DEAD SPACE
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AREA OF WOUND DEVOID OF TISSUE
AFTER CLOSURE

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AFTER REMOVING TISSUES, ORGANS IN
DEPTHS OF WOUND

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FAILURE TO APPROXIMATE WOUND IN
LAYERS

ELIMINATION
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PROPER SUTURING OF TISSUE PLANES

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PRESSURE DRESSING

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PACK EMPTY SPACE INCORPORATING
WITH ANTI BIOTICS

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SUCTION DRAIN

SUCTION DRAIN


Thank you
Leader in continuing dental education


Minor Oral Surgical Procedures / oral surgery courses training by indian dental academy

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