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

IMPACTED TOOTH----SURGICAL REMOVAL

SMALL CYST ----- ENUCLEATION

PERIAPICAL SURGERIESAPISECTOMY

PRE PROSTHETIC SURGERIES:
--ALVEOPLASTY
--SMALL TORI REMOVAL
REQUIREMENTS OF ANY SURGICAL
PROCEDURE:
RAISE A FLAP

BONE GUTTERING

REMOVE
-TOOTH
-LESION



PRINCIPLES OF SURGERY
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 ACCESSGOOD 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


BASE OF THE FLAP SHOULD NEVER BE:

- STRETCHED

- TWISTED
PRINCIPLES OF INCISIONS
- SHARP BLADE
- FIRM CONTINIOUS STROKE




-AVOID CUTTING VITAL STRUCTURES
-GO LAYER BY LAYER


-INCISE PERPENDICULAR TO THE
EPITHELIAL SURFACE
-EASY SUTURING
-DECREASE NECROSIS
-INCISE OVER HEALTHY BONE



-NEVER INCISE OVER BONY
PROMINENCES

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

-NEVER INCISE THE PAPILLA

TYPES OF MUCOPERIOSTEAL FLAP

1) ENVELOP FLAP

2) THREE CORNERED

3) FOUR CORNERED

ENVELOP FLAP
THREE & FOUR CORNERED FALP
BONE REMOVAL
TECHNIQUES FOR BONE REMOVAL:

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

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)

SURGICAL REMOVAL OF AN IMPACTED
TOOTH




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! !)

DONT PULL OR STRETCH THE
TISSUES.

HOLD THE TISSUE WITH A TISSUE
FORCEPS AND NEVER PINCH.
HEMOSTASIS
ACHIEVED BY EITHER GAUZE OR
COTTON
APPLY PRESSURE

PACK

HAVE PATIENCE
NEVER WIPE

CLAMPPING A VESSEL----LIGATION

THERMOCOAGULATION

TOPICAL HEMOSTSTIC AGENTS
EPINEPHRINE
GELFOAM
THROMBIN
OXIDISED CELLULOSE
DEAD SPACE
AREA OF WOUND DEVOID OF TISSUE
AFTER CLOSURE

AFTER REMOVING TISSUES, ORGANS IN
DEPTHS OF WOUND

FAILURE TO APPROXIMATE WOUND IN
LAYERS
ELIMINATION
PROPER SUTURING OF TISSUE PLANES

PRESSURE DRESSING

PACK EMPTY SPACE INCORPORATING
WITH ANTI BIOTICS

SUCTION DRAIN
SUCTION DRAIN


Thank you

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