Minor Oral Surgery in Dental Practice (Quintessentials of Dental Practice, Volume 27)

Minor Oral Surgery in Dental Practice (Quintessentials of Dental Practice, Volume 27)

John G. Meechan

Language: English

Pages: 288

ISBN: 2:00249391

Format: PDF / Kindle (mobi) / ePub


This is an authoritative and practical consideration of the clinician''s responsibilities as they relate to surgery in the everyday practice of dentistry. Featuring surgical principles, relevant pharmacology, and the various types of surgery undertaken in clinical practice, this book is logically structured, easy-to-read, well-illustrated, and loaded with practical guidance.

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concurrently to move the tooth either in the bucco-palatal/lingual direction, or to rotate it. 88 Multi-rooted teeth are usually delivered in a buccal direction, as lingual or palatal movement of the forceps is limited by the other jaw. Single-rooted teeth with round root cross-sections, such as upper incisors or lower premolars, can be rotated and then withdrawn vertically. For these forces to be successful in removing rather than fracturing a tooth, the clinician must develop an awareness of

shaped and fixed to the residual alveolus, using screws or implants (Figs. 9-12 and 9-13). Bone chips and bone substitutes can be used if they can be protected from occlusal forces and supported by membranes and/or titanium mesh. 186 Fig 9-12 (a) Anterior maxilla – buccal concavity, limited inter-arch space. (b) Osteotomy to reposition lower anterior teeth to increase inter-arch space and harvest bone. (c) Onlay graft harvested from the mandibular symphysis, secured by temporary screws –

rinses, gentle handling of soft tissues 190 and appropriate flap design (margins on sound bone) • use of correct insertion torques, in particular, for tapered implants, to limit compression of the bone • restrict the build up of frictional heat, keeping below the threshold of 47° C for one minute, above which osseointegration will be compromised • control of drill speed and torque and use of an intermittent drilling technique • use of irrigation to cool the drills and remove debris • use of

Introduction The successful practice of surgery is dependent upon the proper use of drugs. The most obvious example is the provision of anaesthesia during surgical procedures. This chapter will consider the following: • pain control • anxiety control • antibacterial drug use • other agents used in minor oral surgery. 65 Pain Control Pain control is important at two stages of surgery. These are: • operative pain control • post-operative pain control. Operative Pain Control The practice of pain

Excessive Soft Tissue/Flabby Ridges 13 Surgery to Increase the Size of the Denture Bearing Area Sulcus-Deepening Procedures Denture-Induced Hyperplasia and Removal Alveolar Augmentation Pre-implant Surgery Guided Bone Regeneration Alveolar Bone Augmentation Onlay Grafting Ridge Expansion Sinus Augmentation Open Techniques Closed Techniques Distraction Techniques Implant Surgery Soft-Tissue Surgery Free Grafts Recontouring and Regeneration Techniques Conclusions Further Reading Chapter 10

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