Introduction toOral Surgery & Exodontia

3rd year BDS10th December, 2014

Presenter:Dr. Samir R. Qazi

BDS, FFDRCS, MPhilDepartment of Oral & Maxillofacial Surgery

Institute of Dentistry, CMH Lahore Medical College

Introduction

Introduction

Learning ObjectivesThis session will hopefully motivate students to:

• access online information related to this (exodontia) course, e.g. syllabus, lecture slides– facebook.com/groups/omfsurgery

• buy the necessary books (Tucker, Malmed)• study• pass the qualifying (theory) test on the first

attempt

Oral Surgery

Steps of Extraction

• Patient Evaluation– Case history– Extent of the problem– Concurrent infections

(LA)– Radiograph– Counseling - consent

• Unit preparation• LA topical and injection• Check effectiveness

• Gingival detachment• Proper positioning• Extraction• Post ext pressure pack• ? Need for stitich ?

Need for alveoloplasty

Course Outline

1. Introduction2. Cross infection control

(whole day workshop on 17th)

3. Patient evaluation4. Management of

medical problems

5. LA6. Extraction7. Complications8. Medical emergencies9. Test10. Feedback of test

Learning Objectives

Patient EvaluationBy the end of final year BDS, students should be able to:

• Eva luate a patient for tooth extraction.– Welcome; introduce; seat the patient– elicit relevant medical and dental h i sto r y– set up the instrument tray– perform exa m i n ati o n– order and interpret relevant i nve sti gati o n s– arrive at a d i a g n o s i s

(indications and contraindications for extraction of teeth)– Manage relative contraindications for extraction of teeth– Formulate, prioritize and finalize a t re at m e n t p l a n , and

take consent

Learning Objectives

Local AnaesthesiaBy the end of final year BDS, students should be able to:

• Select appropriate local anaesthesia (LA) and supplemental LA technique, and administer LA– Name the n e r v e s that need to be anaesthetized to extract

individual teeth– Discuss the functions of each constituent of L A c a r t r i d g e– Calculate the s a fe d o s e o f L A– Explain the reasons/mechanisms for L A fa i l u re– Identify signs of L A t ox i c i t y /o v e rd o s e , and manage LA

toxicity– List steps of i n fe r i o r a l v e o l a r n e r v e b l o c k , and of

i n fi l t ra ti o n a n a e s t h e s i a for extraction of teeth

Learning Objectives

Extraction ProcedureBy the end of final year BDS, students should be able to:

• Perform tooth extraction– Select appropriate fo rc e ps a n d i n st r u m e nt s for

tooth extraction, and follow p r i n c i p l e s o f u s e for each instrument

– Detach gingiva– Use the n o n - d o m i n a nt h a n d to retract soft tissues

and provide jaw support– L u xate tooth (expand bone) using elevators and

forceps– d e l i ve r the tooth– provide p o st ex t ra c ti o n ca re and instructions

Even More Learning Objectives

ExodontiaBy the end of final year BDS, students should be able to:

• Manage i nt ra - o p e rati ve a n d p o st- o p e rati ve co mp l i cati o n s of tooth extraction

• (initially) manage me d i ca l e me rge n c i e s during clinical practice: loss of consciousness, chest pain, respiratory distress

• use appropriate patient and operator p o s i ti o n s during history, LA and extraction

• follow c ro s s i n fe c ti o n co nt ro l guidelines during tooth extraction

• co mmu n i cate appropriately with the patient throughout the procedure

Learning ObjectivesThis session will hopefully motivate students to:

• access online information related to this (exodontia) course, e.g. syllabus, lecture slides– facebook.com/groups/omfsurgery

• buy the necessary books (Tucker, Malmed)• study• pass the qualifying (theory) test on the first

attempt