Define the specialty of oral and maxillofacial surgery.
Oral and maxillofacial surgery is involved in the diagnosis and surgical treatment of diseases, injuries, and defects affecting the hard and soft tissues of the head and neck region
Describe the role of an oral surgery assistant
Do the advanced prep with radiographs (setting them up on the view boxes) and necessary forms and patient instructions, prep treatment room/decontaminate/set up. Do patient prep before surgery (making sure they took their antibiotics) and help surgeon and
State the importance of the chain of asepsis for this specialized area of dentistry
It is important because the chain is used to minimize the number of organisms that can enter the open wound
List the instruments used for a forceps extraction
- anesthetic
- periosteal elevator
- forceps
- surgical curette
- sterile gauze sponge
- surgical aspirator tip
Describe the surgical procedures that are commonly performed in a general oral and maxillofacial surgery practice
Extractions of impacted or erupted teeth, Alveoplasty (contours and smooths alveolar bone after multiple extractions), biopsies to check if lesions are malignant or noncancerous
Describe the type of postoperative instructions provided to a patient after a surgical procedure
- keep pack in for 30-45 mins
- don't rinse mouth vigorously
- don't do strenuous work to control bleeding.
- Swelling - 1st 24hrs place cold pack 20mins on 20 mins off and after 24hrs you can apply external heat to area of face.
- after 24hrs can rinse w
discuss the possible complications
alveolar osteitis (dry socket) which is caused by the blood clot has been dislodged or dissolved too soon causing severe pain
The ____ is a surgical instrument used for cutting or severing the tooth and bone structure
chisel
The surgical instrument used to reflect and retract the periodontal ligament and periosteum is the _____
elevator
In a ____, a tooth is partially to fully covered by bone and gingival tissue.
hard tissue impaction
An instrument used to hold or grasp an item is a ______.
Hemostat
A surgical instrument used to remove tissue and debris from the tooth socket is the ______.
surgical curette
__________ is the procedure of surgical reduction and reshaping of the alveolar ridge
Alveoplasty
A surgical instrument used to smooth rough edges of bone structure in the _______.
bone file
In a ________, a tooth is partially to fully covered by gingival tissue
oral brush biopsy
A surgical instrument used to grasp a tooth, hold it, and remove it from its socket is a _______.
forceps
_____ is the act of putting on a piece of clothing, such as gloves.
Donning
A tooth that has not erupted is termed _______.
impacted
The surgical removal of a questionable lesion for evaluation is an ________.
incisional biopsy
A _______ is a hammer-like instrument used with chisel to section teeth or bone.
mallet
A _____ is a surgical knife.
scalpel
An _________ is the dental specialty that focuses on treatment of the head and neck.
oral and maxillofacial surgeon
_________ is the dental specialty that focuses on treatment of the head and neck.
Oral and maxillofacial surgery
A patient who is seen and treated by a doctor and then is sent home for recovery is considered an _______.
outpatient
A _______ is an instrument used to hold back soft tissue.
retractor
A surgical instrument used to cut and trim alveolar bone is the _______.
rongeur
What type of surgical procedure would a general dentist most commonly perform?
single extraction
How can a dental assistant further her or his career as a surgical assistant?
Obtain continuing education in oral and maxillofacial surgery
In what type of setting are oral surgery procedures completed?
Dental office
Outpatient surgical center
Hospital
Most oral and maxillofacial procedures are considered ______.
minor surgery
The periosteal elevator is used to reflect and retract _______.
periosteum
Universal forceps are designed to be used for _______.
left or right of same arch
What surgical instrument is used to trim and shape bone?
Rongeur
If a chisel is placed on the tray setup, wha additional surgical instrument must be set out?
mallet
What equipment is used to perform a surgical scrub?
Orange stick
antimicrobial soap
scrub brush
The term donning means _______.
putting on
What procedure is generally completed by the surgeon following the removal of multiple adjacent teeth?
Sutures & Alveoplasty
When a tooth is directly under gingival tissue, it is said to be _________.
soft tissue impacted
________ is completed when cells are scraped from a surface lesion.
Oral brush biopsy
The term suture refers to _______.
stiching
Which is an absorbable suture material?
Catgut
What is the approximate time frame for the removal of non-absorbable sutures?
5-7 days
How long should the patient be instructed to keep sterile gauze on the surgical site to control bleeding?
30 mins
What analgesic may be prescribed for mild pain?
Ibuprofen
What should you instruct a patient to place to control swelling during the first 24 hrs?
cold pack
In an _______ biopsy, the entire lesion is removed.
excisional
The surgical reshaping of the alveolar ridge is known as an _______.
alveoplasty
Before use, surgical instruments are classified as critical items and must be _______.
sterilized
Periosteal elevators are used to _________
separate the periosteum from the surface of the bone.
During oral surgical procedures _________ may be used for pain control.
- IV conscious sedation
- local anesthetic
- nitrous oxide/oxygen sedation
The function of the rongeur is to
trim the alveolar bone
when a malignant tumor is diagnosed, the patient.
requires immediate treatment by a qualified specialist.
The common term for alveolitis is
dry socket
General dentists have the skill and knowledge to
perform minor oral surgery procedures in their practices
The primary function of the surgical curette is to
scrape the interior of the socket to remove tissue and/or initiate hemorrhage
A bone file is commonly used after the
rongeurs
A surgical chisel with a one-sided bevel edge is used to
remove bone
Surgical aspirating tips are ______ those used in restorative dentistry.
smaller than
During a surgical procedure, personal protective equipment (PPE) includes
sterile gloves & sterlie gowns
Postoperative patient instructions should be
written and verbal
To maintain a current status of the patient's health during a surgical procedure, the dental assistant should _____ as a baseline.
obtain vital signs
The term universal means that the forceps may be used _______.
on either side of one arch
If a scalpel is used, _______ will be needed.
sutures
A ________ is used to control immediate postoperative bleeding.
gauze pressure pack