Ch. 56 oral and maxillofacial surgery

Alveolitis

Pain and inflammation resulting from exposed bone associated with the disturbance of a blood clot after extraction of a tooth.

Alveoplasty

The surgical shaping and smoothing of the margins of the tooth socket after extraction of a tooth, generally in preparation for placement of a prosthesis.

Bone file

Surgical instrument used to smooth rough edges of bone structure.

Chisel

Surgical instrument used to cutting or severing a tooth and bone structure.

Curette

Surgical instrument used to remove tissue from a tooth socket.

Donning

Act of placing on an item, such as gloves; dressing.

Elevator

Surgical instrument used to reflect and retract the periodontal ligament and periosteum.

Excisional biopsy

Surgical procedure in which tissue is cut from a suspected oral lesion.

Exfoliative biopsy

Diagnostic procedure in which cells are scraped from a suspected oral lesion for analysis.

Forceps

Surgical instrument used to grasp and hold onto teeth for their removal.

Hard tissue impaction

Oral condition in which a tooth is partially to fully covered by bone and gingival tissue.

Hemostat

Surgical instrument used to hold or grasp items.

Impacted tooth

Tooth that has not erupted.

Incisional biopsy

Section of suspect oral lesion that is removed for evaluation.

Luxate

To dislocate, as a tooth from its socket.

Mallet

Hammer-like instrument used with a chisel to section teeth or bone.

Needle holder

Surgical instrument used to hold the suture needle.

Oral and maxillofacial surgeon

Dentist who has specialized in surgeries of the head and neck region.

Oral and maxillofacial surgery

Dental surgical specialty that diagnoses and treats conditions of the mouth, face, jaws, and associated areas.

Outpatient

Patient seen and treated by a physician, then sent home for recovery.

Retractor

Surgical instrument used to hold soft tissue away from the surgical site.

Rongeur

Surgical instrument used to cut and thin the alveolar bone.

Root tip picks

Surgical instrument used for the removal of root tips or fragments from the surgical site.

Scalpel

Surgical knife

Soft tissue impaction

Oral condition in which a tooth is partially to fully covered by gingival tissue.

Can a general dentist perform an extraction?

A single extraction

How can surgical assistants further their profession?

Obtain continuing education in oral and maxillofacial surgery.

In which two settings could a patient receive oral surgery?

Dental office and outpatient clinic.

Are outpatient oral and maxillofacial surgical procedures considered major and minor surgeries?

Minor surgeries

What does the periosteal elevator reflect and retract?

Periosteum

What surgical instrument resembles a spoon excavator?

Surgical curette

What surgical instrument is used to trim and shape bone?

Rongeur

What is the difference between a hemostat and a needle holder?

A hemostat has groves in its beak that are used for grasping and holding. Needle holder allows the surgeon to grasp a suture needle firmly.

When the chisel is used, what additional surgical instrument must be used?

A mallet

What equipment is used when a surgical scrub is performed?

Orange stick
Antimicrobial soap
Scrub brush

What does the term donning mean?

Putting on

What procedure is commonly completed after multiple teeth have been removed from the same quadrant or arch?

Alveoplasty
Sutures

Which type of impaction is it when a tooth is located directly under the gingival tissue?

Soft tissue impacted

Which type of biopsy is completed when a surface lesion is scraped to attain cells?

Oral brush biopsy

What does the term suture mean?

Stitching

What are the three types of nonabsorbable suture material?

Silk, polyester fiber, nylon

What is the approximate time frame for removing nonabsorbable sutures?

5 to 7 days after surgery

How long should a pressure pack remain on a surgical site to control bleeding?

30 minutes

What analgesic may be prescribed by the surgeon for swelling?

Ibuprofen

Would you instruct a patient to use a hot compress or a cold compress for swelling?

Cold compress