![Dentoalveolar Surgery, An Issue of Oral and Maxillofacial Clinics of North America, E-Book Dentoalveolar Surgery, An Issue of Oral and Maxillofacial Clinics of North America, E-Book](https://123library.org/images/books/230446.png?w=254&h=360&fit=&c=2&assets_cache=20240420015230)
BOOK
Dentoalveolar Surgery, An Issue of Oral and Maxillofacial Clinics of North America, E-Book
(2015)
Additional Information
Book Details
Abstract
Editor Michael Kleiman, DMD and authors review the current state of Dentoalveolar Surgery. Articles include: Pre-prosthetic Surgery; Dentoalveolar Surgery for Patients on Modern Anticoagulants and Antiresorptive Medications; Dental Extractions and Preservation of Space; Managing Impacted Third Molars; Update on Coronectomy for Impacted Third Molars at High Risk for Paresthesia; Apicoectomies: Treatment Planning and Surgical Technique in a Modern World; Minimizing Pain, Swelling and Infections for Dentoalveolar Surgery; Implementing a “Culture of Safety in Dentoalveolar Surgery; Strategies for Minimizing Nerve Injuries in Dentoalveolar Surgery and What To Do If It Happens; Soft Tissue Procedures to Preserve and Restore Healthy Attached Gingiva around Natural Teeth and Implants; Surgical Treatment of Impacted Canines: What the Orthodontist Would Like the Surgeon to Know, and more!
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Dentoalveolar Surgery | i | ||
Copyright\r | ii | ||
Contributors | iii | ||
Contents | v | ||
Oral And Maxillofacial Surgery Clinics Of North America\r | viii | ||
Preface\r | ix | ||
Medical Management of Patients Undergoing Dentoalveolar Surgery | 345 | ||
Key points | 345 | ||
Introduction | 345 | ||
Presurgical evaluation | 345 | ||
Cardiovascular | 345 | ||
Hypertension | 346 | ||
Pacemaker/Defibrillator | 347 | ||
Coronary Artery Disease | 347 | ||
Anticoagulation | 349 | ||
Endocarditis prophylaxis | 349 | ||
Medication-related osteonecrosis of the jaw | 349 | ||
Summary | 351 | ||
References | 351 | ||
Dental Extractions and Preservation of Space for Implant Placement in Molar Sites | 353 | ||
Key points | 353 | ||
Introduction | 353 | ||
Socket healing | 353 | ||
Treatment planning | 354 | ||
Anatomic configurations after tooth extraction | 356 | ||
Loss of All Facial Bone to the Apex of the Tooth | 356 | ||
Loss of a Portion (3–6 mm) of the Facial Bone | 356 | ||
Loss of Less Than 3 mm of Facial Bone at the Crest | 356 | ||
Lack of Bone Inferior to the Apex of the Socket, with Extreme Proximity of Adjacent Vital Structures, Such as the Inferior ... | 356 | ||
Lack of Lingual Bone | 356 | ||
Concavity Within the Extraction Site When Removing an Ankylosed Deciduous Molar | 356 | ||
A Socket That is Larger Than the Proposed Diameter of the Implant in all Dimensions | 357 | ||
Socket That is Oval in Shape, With the Long Dimension Palatal to Facial and the Short Dimension Mesial to Distal | 357 | ||
Very Thin Surrounding Bone | 357 | ||
Bone Adjacent to the Neighboring Tooth (or Teeth) Absent, and Root Surface of Adjacent Tooth Exposed | 357 | ||
Treatment indications in 3 common situations | 357 | ||
The Tooth is Nonrestorable but has Intact Surrounding Bone and Relatively Healthy Gingiva, with Minimal Pain | 357 | ||
Surgical procedure | 357 | ||
The Tooth is Nonrestorable and has Intact Surrounding Bone; however, the Tooth is Acutely Painful and May Have Purulent Exu ... | 358 | ||
The Tooth is Nonrestorable but has Lost a Portion of the Buccal Bone | 358 | ||
Grafting material | 358 | ||
Bovine or equine sintered xenograft | 359 | ||
Mineralized bone allograft | 359 | ||
Autogenous bone | 359 | ||
Postoperative care | 361 | ||
Evidence for long-term preservation of bone | 361 | ||
Summary | 361 | ||
References | 361 | ||
Managing Impacted Third Molars | 363 | ||
Key points | 363 | ||
Obstacles to consensus | 363 | ||
Desires and perspectives of parties of interest | 363 | ||
Uncertain Terminology | 364 | ||
Misconceptions | 364 | ||
Related organizational policy statements | 364 | ||
American Association of Oral and Maxillofacial Surgeons | 364 | ||
The American Dental Association | 364 | ||
Academy of Pediatric Dentistry | 365 | ||
Cochrane Systematic Review | 365 | ||
United Kingdom’s National Health Service | 365 | ||
National Health Service of Finland | 365 | ||
United States Military | 365 | ||
American Public Health Association | 365 | ||
Third molars are different | 365 | ||
Clinically relevant science | 366 | ||
Known associated disease | 366 | ||
Potential adverse outcomes associated with third molar removal | 367 | ||
Consequences of third molar retention | 367 | ||
Things considered certain about third molar behavior and management | 367 | ||
Statements likely to be valid but requiring more study before being considered certain | 368 | ||
Recommendations supported by clinically relevant evidence | 368 | ||
Simplified approach to clinical decision making | 368 | ||
Symptoms and disease present | 369 | ||
Symptoms present/disease free | 369 | ||
Symptom free/disease present | 370 | ||
Symptom free/disease free | 370 | ||
Summary | 370 | ||
Acknowledgments | 370 | ||
References | 370 | ||
Coronectomy | 373 | ||
Key points | 373 | ||
Controversial issues concerning coronectomy | 374 | ||
Indications for coronectomy | 375 | ||
Contraindications for coronectomy | 376 | ||
Surgical technique | 376 | ||
Antibiotics | 377 | ||
Suturing | 377 | ||
The Distance Below the Alveolar Crest to Leave the Roots | 378 | ||
Results | 378 | ||
Alternative techniques | 380 | ||
Orthodontic Extrusion of the Third Molars | 380 | ||
Sequential Removal of Small Portions of the Occlusal Surface of the Impacted Third Molar | 380 | ||
Summary | 380 | ||
References | 380 | ||
Current Concepts of Periapical Surgery | 383 | ||
Key points | 383 | ||
Preoperative planning | 383 | ||
Determination of “success” | 387 | ||
The cracked or fractured tooth | 387 | ||
Concomitant periodontal procedures | 387 | ||
Surgical procedures | 388 | ||
Surgical access | 390 | ||
To biopsy or not? | 390 | ||
References | 392 | ||
Best Practices for Management of Pain, Swelling, Nausea, and Vomiting in Dentoalveolar Surgery | 393 | ||
Key points | 393 | ||
Best practices for controlling pain, swelling, nausea, and vomiting from dentoalveolar surgery | 393 | ||
Surgical technique from opening to closing | 394 | ||
Pain control | 394 | ||
Nonsteroidal antiinflammatory drugs and postoperative pain control | 395 | ||
Narcotics | 395 | ||
Acetaminophen | 395 | ||
Psychology of pain | 396 | ||
Swelling | 396 | ||
Steroids | 396 | ||
Protease inhibitors | 397 | ||
The power of the pineapple | 397 | ||
Low-level laser energy irradiation | 397 | ||
Other methods to decrease swelling | 397 | ||
Postoperative nausea and vomiting | 397 | ||
Fear as a cause of nausea | 398 | ||
Anesthetic drugs and nausea | 398 | ||
Local anesthesia toxicity and nausea | 399 | ||
Ingestion of blood and nausea | 399 | ||
Hypoglycemia and dehydration causing nausea | 399 | ||
Sex bias related to nausea | 399 | ||
Type of surgery | 399 | ||
Antiemetic medications for the prevention of nausea and vomiting: preemptive versus symptomatic management | 399 | ||
Summary | 401 | ||
References | 402 | ||
Developing and Implementing a Culture of Safety in the Dentoalveolar Surgical Practice | 405 | ||
Key points | 405 | ||
Introduction | 405 | ||
The culture of safety concept | 405 | ||
Hospital safety practices | 406 | ||
Culture of safety in oral-maxillofacial surgery | 406 | ||
Clinical care safety | 406 | ||
Intraoffice guest and health care team safety | 407 | ||
Safety from extraoffice threats | 408 | ||
Establishing a culture of safety | 408 | ||
References | 409 | ||
Trigeminal Nerve Injuries | 411 | ||
Key points | 411 | ||
Introduction | 411 | ||
Preoperative evaluation | 412 | ||
Surgical strategies for avoidance of injuries | 415 | ||
When injury occurs | 417 | ||
Summary | 423 | ||
References | 423 | ||
Soft Tissue Grafting Around Teeth and Implants | 425 | ||
Key points | 425 | ||
The ideal characteristics of the soft tissue tooth/implant interface | 425 | ||
Development of mucogingival diagnosis and surgery | 426 | ||
Gingival recession around teeth and implants | 426 | ||
Classification of recession | 426 | ||
Esthetic considerations | 426 | ||
Thick versus thin gingival architecture | 427 | ||
The relationship between implant placement and soft tissue | 428 | ||
Implants Should Be Placed 3 mm Below the Facial Gingival Margin in an Apicocoronal Dimension for the Following Reasons | 428 | ||
Implants Should Be Placed in a Buccolingual Dimension 1 to 2 mm Palatal from the Anticipated Facial Margin of the Restoration | 428 | ||
The Implant Should Be Placed with the Platform at the Level of the Gingival Zenith and 3 mm Apical to the Soft Tissue Margin | 428 | ||
Implants Should Be Placed with a Minimum of 1.5 mm Between the Adjacent Tooth and Implant | 428 | ||
Implants Should Be Placed with an Interimplant Distance of at Least 3 mm in a 2-Stage Protocol | 428 | ||
Papilla | 429 | ||
Papilla Adjacent to Teeth | 429 | ||
Papillae Adjacent to Implants | 429 | ||
Provisional Restoration | 429 | ||
Soft tissue management before implant placement | 430 | ||
Extraction Sockets | 430 | ||
Soft tissue management at the time of implant placement | 431 | ||
Treatment Planning for Soft Tissue Grafting Around Teeth and Implants | 431 | ||
Free soft tissue grafting | 431 | ||
The free gingival graft | 431 | ||
Indications for Free Gingival Graft | 433 | ||
Technique | 433 | ||
Soft tissue grafting on implants versus teeth | 434 | ||
Subepithelial connective tissue graft | 435 | ||
Technique for Subepithelial Connective Tissue Graft | 435 | ||
Donor site for subepithelial connective tissue graft | 435 | ||
Recipient Site for Subepithelial Connective Tissue Graft | 436 | ||
Partially covered subepithelial connective tissue graft | 436 | ||
Completely covered subepithelial connective tissue graft | 436 | ||
Partial-thickness double pedicle graft | 437 | ||
Technique for pedicle flap with vertical incisions | 437 | ||
Technique for envelope flap | 438 | ||
Semilunar and lateral sliding flaps | 439 | ||
Pinhole surgical technique | 439 | ||
Root surface and implant surface treatment | 439 | ||
Alternatives to autogenous soft tissue grafts | 439 | ||
Allograft | 440 | ||
Xenograft | 440 | ||
Guided Tissue Regeneration | 440 | ||
Living Cellular Construct | 440 | ||
Biologic agents | 442 | ||
Soft tissue grafts for ridge augmentation | 443 | ||
Donor and Recipient Wound Site Protection | 443 | ||
Summary | 444 | ||
Acknowledgments | 444 | ||
References | 444 | ||
Surgical Treatment of Impacted Canines | 449 | ||
Key points | 449 | ||
Introduction | 449 | ||
The orthodontist must be the “master of ceremonies” | 450 | ||
The surgical procedure | 451 | ||
The Palatal Canine and the Open Exposure Technique | 451 | ||
The Palatal Canine and the Closed Exposure Technique | 452 | ||
The Labial Canine and the Window Technique | 452 | ||
The Labial Canine and the Apically Repositioned Flap Technique | 452 | ||
The Labial Canine and the Closed Exposure Technique | 452 | ||
The Midalveolar Canine and the Tunnel (Closed Exposure) Technique | 454 | ||
Bonding the attachment | 454 | ||
It is all a question of making the right choices | 456 | ||
Is this treatment urgent? | 457 | ||
Supplementary data | 458 | ||
References | 458 | ||
Preprosthetic Surgery | 459 | ||
Key points | 459 | ||
Goals | 459 | ||
Bony recontouring procedures | 460 | ||
Preoperative Planning | 460 | ||
Alveoloplasty | 460 | ||
Maxillary Tuberosity Reduction | 461 | ||
Torus Removal | 463 | ||
Maxillary (palatal) torus removal | 463 | ||
Removal of Mandibular Tori | 464 | ||
Soft tissue procedures | 465 | ||
Frenectomy | 465 | ||
Skin Grafting | 467 | ||
Vestibuloplasty | 467 | ||
Index | 473 |