Section 1

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Maxillary extractions

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Last updated

6 years ago

Date created

Mar 1, 2020

Cards (24)

Section 1

(24 cards)

Maxillary extractions

Front

anesthetize adjacent teeth too extraction will cause pressure on adjacent teeth also

Back

5 A's of bleeding

Front

ASA, anticoagulants, Antibiotics, Alcohol, Anticancer

Back

<2 mm (Oroantral communication)

Front

allow for good clot formation

Back

Buccal pressure

Front

expansion on buccal plate ww/ lingual apical pressure B-L side to side photo

Back

Gas sterilization

Front

ethylene oxide, 50 celcius for 3 hr then allow it to aerate for 8-12 hr at 80C or 4-7 days +sterilizes porous materials, large equipment, heat/moisture sensitive things -special equipment necessary, time

Back

Mandibular extraction

Front

anesthetize cross innervations

Back

Hep B & D

Front

spread via infected blood

Back

Mepivacaine

Front

3%, used if epinephrine is not a good option

Back

Contraindications for Extractions

Front

pregnancy: 2nd trimester safe uncontrolled disease (DM, ESRD, liver disease) Uncontrolled leukemia/lymphoma, infx/bleeding Blood disorders (have fresh frozen plasma) unstable angina, hx of MI (3-6 mo), dysrhythmia pt on chemo, MRONJ, immunosuppressant, steroid

Back

How long can sterilized products keep?

Front

</= 6-12 months

Back

Should we use quaternary ammonium compounds?

Front

not effective against hep B and become inactivated by soap/anionic agents

Back

3-6 mm (Oroantral communication)

Front

pack socket w/ figure 8 suture sinus precautions (noseblowing, smoking, sucking) Abx Decongestions

Back

HIV

Front

loses infectivity when dessicated

Back

Hep C

Front

spread via poop & infected blood

Back

Tractional forces

Front

used to deliver tooth from socket gentle forces only, shouldn't use more than necessary vertical pulling forces

Back

Moist heat

Front

+more efficient bc effective at lower temps/less time -dulls/rusts instruments, cost

Back

Hep A

Front

spread via poop

Back

Rotational forces

Front

internal expansion of the socket not useful for teeth w/ multiroots that are curved spinning forces

Back

>7 mm (Oroantral communication)

Front

consider flap closure

Back

Hep

Front

resistant to desiccation/chemical disinfectants inactivated by Halogen containing disinfectants, formaldehyde, ethylene oxide gas, heat sterilization, irradiation

Back

Lidocaine

Front

2%, 1:100,000 epi most common especially used in blocks

Back

Dry heat

Front

+easy, not likely to damage heat resistant tools -takes time, damages non heat resistant tools

Back

Articaine

Front

4%, 1:100,000 epi good for local infiltrations

Back

Bupivicaine

Front

0.5%, used for long acting LA required

Back