Chisel
A surgical instrument used for cutting or severing the tooth and bone structure
Elevator
The surgical instrument used to reflect and retract the periodontal ligament
Hard tissue impaction
When the tooth is partially to fully covered by bone and gingival tissue
Hemostat
An instrument used to hold or grasp items
Surgical curette
A surgical instrument used to remove tissue and debris from the tooth socket
Alveoplasty
The procedure of surgical reduction and reshaping of the alveolar ridge
Bone file
A surgical instrument used to smooth rough edges of bone structure
Soft tissue impaction
When a tooth is partially to fully covered by gingival tissue
Exfoliative biopsy
A procedure in which cells are scraped from a suspicious oral lesion for analysis
Forceps
A surgical instrument used to grasp and remove a tooth from its socket
Donning
The act of placing an item on, such as gloves
Impacted
A tooth that has not erupted yet
Incisional biopsy
The removal of a section of a questionable lesion for evaluation
Mallet
A hammer-like instrument used with a chisel to section teeth or bone
Scalpel
A surgical knife
Oral and Maxillofacial Surgeon
A dentist who specializes in surgeries of the head and neck region
Oral and Maxillofacial Surgery
The dental specialty that focuses on treatment of the head and neck
Outpatient
A patient who is seen and treated by a doctor and then is sent home for recovery
Retractor
An instrument used to hold back soft tissue
Rongeur
A surgical instrument used to cut and trim the alveolar bone
What type of surgical procedures would a general dentist most commonly perform?
Single extractions
How can a dental assistant further is or her career as a surgical assistant?
Further education in specialized program for surgical dental assitants, or on the job training. Obtain certification in advanced cardiac life support, and the use of additional monitoring procedures
In what type of setting are oral surgery procedures completed?
Dental office, Outpatient clinic, Hospital
Most oral and maxillofacial surgeries are considered?
Minor surgery
What does the periosteal elevator reflect and retract?
Periosteum
Universal forceps are designed to be used for?
Left or right of the same arch
What surgical instrument resembles a spoon excavator?
A surgical curette
What surgical instrument is used to trim and shape bone?
Ronguer
What equipment is used to perform a surgical scrub?
Orange stick, Antimicrobial soap, Scrub brush
What procedure is commonly performed by the surgeon directly after removal of multiple teeth adjacent to one another?
Alveoplasty
When a tooth is directly under gingival tissue, it is said to be?
Soft tissue impacted
What type of biopsy is completed when the surface lesion is scraped to obtain cells?
Exfoliative biopsy
Which is an absorbable suture material?
Catgut
What is the approximate time frame for removing nonabsorbable sutures?
5-7 days
How long should a pressure pack remain on the surgical site to control bleeding?
30 minutes
What analgesic may be prescribed for swelling?
Ibuprofen
What should a patient use to control bleeding?
Cold pack
What are the roles of a oral surgery assistant?
Patient assessment and monitoring, Use of specialized instruments, Surgical asepsis, Surgical procedures, Pain control techniques, Patient home care instructions
Alveolitis
Dry socket from removal of blood clot
What specific items in a surgical suite replace items seen in a general dentistry?
Monitoring equipment, pain control units, and mobile trays
Root tip picks
Instruments used for the removal of root tips or fragments that may break away from the tooth during the extraction procedure
Cowhorn 23
Forcep that gets into the furcation of the tooth
Cowhorn F16
Has a curved end of handle for the pinky
Cryer 150
Universal Maxillary forcep (angle is up)
Cryer 151
Universal Mandibular forcep (angle is down)
Bayonet 286
Forcep for premolars and sometimes canines
Seldon elevator
Periosteal elevator with an angle
What method is used for bone filing?
The push-pull motion to smooth the surface of the bone after the ronguer has removed most of the undesirable bone
Needle holder
Looks and operates similarly to a hemostat, the beaks are straight with cross-pattern serrations on the surface, allowing to surgeon to grasp a needle firmly
How is the handle of a needle holder designed and what purpose does this feature serve?
The handle is held in place by a ratchet action that holds and object until the dentist releases it, it allows the dentist to tie the suture material by using the needle holder without snagging it in the joint of the instrument
Surgical scissors
Available with curved or straight blades that have smooth or serrated cutting edges. They are used to trim soft tissue
Suture scissors
Are designed to cut sutures only, they are sturdier than surgical scissors and can have a small notch on the cutting edge of one blade
Mouth props
Also known as a bite block, is a rubber block that allows the patient to rest and relax the jaw muscles. It is placed on the opposite side of the mouth being treated
Complex extraction
Used when conditions require additional skill, knowledge, and instrumentation to remove a tooth. An extraction of an impacted tooth is an example of this
The most common types of absorbable suture materials are?
Plain catgut (provides the fastest healing), Chromic catgut (slower healing process), Polyglactin 910 (Vicryl) a synthetic absorbable material
Nonabsorbable suture materials include:
Silk (For strength and easy application), Polyester fiber (one of the strongest), Nylon (for strength and elasticity)
What are the most commonly placed sutures for a single tooth socket?
Interrupted or horizontal mattress sutures
What sutures are used for suturing two or more papillae together?
Mattress suture and Figure-eight suture
What are the steps when removing a nonabsorbable suture?
Remove surface debris from site with a sterile cotton tip applicator and peroxide or antiseptic solution, use sharp and pointed suture scissors, remove by pulling toward the incision line, not away from it.