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Oral Surgery for the General Dentist, An Issue of Dental Clinics - E-Book

Oral Surgery for the General Dentist, An Issue of Dental Clinics - E-Book

Harry Dym | Orrett E. Ogle

(2012)

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Book Details

Abstract

Oral Surgery is a central subspecialty of dentistry. This issue of Dental Clinics of North America includes 18 articles covering the most relevant surgical procedures for the general dentist, including Patient Management, Legal Aspects and Risk Reduction for Office Oral Surgery, Update on Endodontic Surgery, Update on Local Anesthesia, Biopsy Techinques, Management of Common Post-Extraction Complications, Pediatric Dentoalveolar Surgery, Medical Assessment of the Surgical Patient, Sinus Lift Procedures, and Review of Antibiotics.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Dental Clinics of North America i
Copyright Page ii
Table of Contents vii
Dedication xv
Contributors iii
Preface xiii
Chapter 1. Anxiety Control in the Dental Patient 1
STATE LAWS 2
PREOPERATIVE EVALUATION 3
MONITORING 3
ORAL SEDATION: AGENTS AND TECHNIQUES 6
EMERGENCY AND REVERSAL 9
ORAL SEDATION IN CHILDREN 10
CONTROVERSIES 11
N2O ANALGESIA 11
TECHNIQUE 13
SUMMARY 15
REFERENCES 15
Chapter 2. Hemostasis in Oral Surgery 17
PREOPERATIVE ASSESSMENT 17
INTRAOPERATIVE CONTROL OF BLEEDING 19
VASOCONSTRICTOR 19
INTRAOPERATIVE CONSIDERATIONS 19
HEMOSTATIC AGENTS 20
MANAGEMENT OF POSTOPERATIVE BLEEDING 21
SUMMARY 22
REFERENCES 22
Chapter 3. Oral Surgery for Patients on Anticoagulant Therapy: Current Thoughts on Patient Management 25
ASSESSMENT 25
INVESTIGATIONS 26
ANTICOAGULANTS 28
HEMOSTATIC AGENTS FOR LOCAL USE 33
SURGICAL CONSIDERATIONS 34
DISCUSSION 36
SUMMARY 37
REFERENCES 38
Chapter 4. Biopsy Techniques and Diagnoses & Treatment of Mucocutaneous Lesions 43
APPROACH TO LESIONS 43
MUCOCUTANEOUS DISEASES 44
TYPES OF INSTRUMENTS 56
COMMUNICATION WITH PATHOLOGIST 59
DIAGNOSIS AND TREATMENT 60
SUMMARY 71
ACKNOWLEDGMENTS 71
REFERENCES 71
Chapter 5. Diagnosis and Management of Common Postextraction Complications 75
SURGICAL DAMAGE TO ADJACENT STRUCTURES 75
EVALUATION AND DETERMINATION OF SURGICAL DIFFICULTY 76
EXPECTED POSTOPERATIVE COURSE 76
BLEEDING 77
EDEMA 78
INFECTION 78
ALVEOLAR FRACTURE 81
ROOT FRACTURE 81
ALVEOLAR OSTEITIS 82
PARESTHESIA/ANESTHESIA 83
SINUS COMMUNICATION 83
TEMPOROMANDIBULAR DISORDER 85
TRISMUS 86
TISSUE EMPHYSEMA 86
DISPLACEMENT OF TEETH AND ROOTS 86
FOREIGN BODIES 87
NEEDLE BREAKAGE 88
REFERENCES 89
Chapter 6. Management of Acute Postoperative Pain after Oral Surgery 95
ACUTE PAIN MECHANISMS 95
MODULATION OF THE ACUTE PAIN MECHANISM 97
PREEMPTIVE ANALGESIA 100
POSTOPERATIVE ANALGESIC AGENTS 101
SUMMARY 109
REFERENCES 110
Chapter 7. Risk Management in the Dental Office 113
REASONS FOR LAWSUITS 113
CLINICAL NEGLIGENCE 114
DOCUMENTATION 115
HANDWRITING 115
RADIOGRAPHIC STUDIES 115
ALTERATION OF RECORDS 116
TIME-OUT PROCEDURE 116
WHEN TO REFER 117
INFORMED CONSENT 117
FOLLOW-UP 117
COMPLICATIONS 118
TERMINATING THE DOCTOR-PATIENT RELATIONSHIP 119
SUMMARY 119
REFERENCES 120
Chapter 8. Endodontic Surgery 121
PREOPERATIVE PLANNING 121
DETERMINATION OF SUCCESS 124
THE CRACKED OR FRACTURED TOOTH 126
CONCOMITANT PERIODONTAL PROCEDURES 126
SURGICAL PROCEDURES 127
SURGICAL ACCESS 129
TO BIOPSY OR NOT? 130
REFERENCES 131
Chapter 9. Local Anesthesia: Agents, Techniques, and Complications 133
AGENTS 133
RELATIVE ANATOMY AND TECHNIQUES 140
COMPLICATIONS 144
SUMMARY 146
REFERENCES 147
Chapter 10. Diagnosis and Treatment of Temporomandibular Disorders 149
RELEVANT TMJ ANATOMY 150
EVALUATION TECHNIQUES 151
DIAGNOSTIC IMAGING 152
HISTORY OF TMD/TMJ TREATMENT APPROACHES 152
PATHOPHYSIOLOGY OF TMJ DYSFUNCTION AND PAIN 153
PRINCIPLES OF NONSURGICAL MANAGEMENT OF TMD 153
PRINCIPLES OF SURGICAL MANAGEMENT OF TMJ DISORDERS 157
SUMMARY 159
REFERENCES 160
Chapter 11. Preoperative Evaluation of the Surgical Patient 163
PART 1 163
PART 2 164
SUMMARY 179
REFERENCES 179
Chapter 12. Pediatric Dentoalveolar Surgery 183
IMPACTED TEETH 184
SUPERNUMERARY TEETH 193
ODONTOMAS 193
SOFT TISSUE ABNORMALITIES 194
SALIVARY LESIONS 199
GENERALIZED DISORDERS OF DENTITION 201
PEDIATRIC IMPLANTS 203
ACKNOWLEDGMENTS 205
REFERENCES 205
Chapter 13. Alveolar Bone Grafting and Reconstruction Procedures Prior to Implant Placement 209
BONE ANATOMY AND HISTOLOGY 209
TYPES OF GRAFTS 211
SURGICAL PRINCIPLES OF GRAFTING 211
BONE HARVEST SITES 212
BONE GRAFT 215
SUMMARY 217
REFERENCES 217
Chapter 14. Sinus Lift Procedures: An Overview of Current Techniques 219
ANATOMY AND PHYSIOLOGY 219
INDICATIONS AND CONTRAINDICATIONS FOR SINUS RECONSTRUCTION 220
PREOPERATIVE EVALUATION 220
INFORMED CONSENT 221
SURGICAL TECHNIQUES 221
POSTOPERATIVE INSTRUCTIONS AND MANAGEMENT 230
MANAGEMENT OF COMPLICATIONS 231
SUMMARY 232
REFERENCES 232
Chapter 15. Review of Antibiotics and Indications for Prophylaxis 235
WHY WERE THE PREVIOUS GUIDELINES CHANGED? 236
2007 UPDATED ANTIBIOTIC PROPHYLAXIS GUIDELINES 236
DISCUSSION 242
REFERENCES 243
Chapter 16. Exodontia: Tips and Techniques for Better Outcomes 245
PRINCIPLE OF SIMPLE EXTRACTION 245
COMPLICATED EXODONTIA 248
INDICATIONS 250
FLAP DESIGN 252
BONE REMOVAL 254
SECTIONING OF TEETH AND REMOVAL 255
PERIOTOME 258
POWERED PERIOTOME 259
PIEZOSURGERY 262
USE OF PHYSICS FORCEPS FOR TOOTH EXTRACTION 264
SUMMARY 265
REFERENCES 265
Chapter 17. Surgical Management of Cosmetic Mucogingival Defects 267
FREE GINGIVAL AUTOGRAFT 268
TECHNIQUE 269
GRAFT HARVESTING 269
SUBEPITHELIAL CONNECTIVE TISSUE GRAFT 271
TECHNIQUE 271
PEDICLE GRAFTS: ROTATIONAL FLAPS 273
LATERAL SLIDING FLAPS 273
PEDICLE GRAFTS: CORONALLY ADVANCED FLAPS 273
ALLODERM: ACELLULAR DERMAL MATRIX GRAFT 276
REFERENCES 278
Chapter 18. Suturing Principles for the Dentoalveolar Surgeon 281
SUTURE MATERIAL 281
PHYSICAL PROPERTIES 282
BIOLOGIC RESPONSE TO SUTURE MATERIALS 283
SUTURE SELECTION 288
NEEDLE SELECTION 289
INSTRUMENTATION 291
SUTURE TECHNIQUES 294
SUMMARY 302
REFERENCES 302
Index 305