Impacted Teeth Part c
-
Upload
mohsin-habib -
Category
Documents
-
view
226 -
download
0
Transcript of Impacted Teeth Part c
-
8/2/2019 Impacted Teeth Part c
1/34
SURGICAL TECHNIQUE
-
8/2/2019 Impacted Teeth Part c
2/34
1. Creation of mucoperiosteal flap.
2. Removal of bone / Tooth division.
3. Delivery of tooth / root portion.
4. Wound debridement or wound toilet.
5. Wound closure / Packing.
6. After care.
-
8/2/2019 Impacted Teeth Part c
3/34
ARMANTARIUM
-
8/2/2019 Impacted Teeth Part c
4/34
-
8/2/2019 Impacted Teeth Part c
5/34
Incision and flap reflection
Different designs Envelope & 3 corner.
Anterior limb, posterior limb and middleportion.
Objectives are good exposure to operativefield, broad based with good blood supplyand close on sound bone rather on bonydefect.
-
8/2/2019 Impacted Teeth Part c
6/34
-
8/2/2019 Impacted Teeth Part c
7/34
-
8/2/2019 Impacted Teeth Part c
8/34
-
8/2/2019 Impacted Teeth Part c
9/34
Commonly used Flap Designs
-
8/2/2019 Impacted Teeth Part c
10/34
-
8/2/2019 Impacted Teeth Part c
11/34
-
8/2/2019 Impacted Teeth Part c
12/34
-
8/2/2019 Impacted Teeth Part c
13/34
Bone removal
Balanced but not un necessary.
Occ:, buccal & distal aspect.
Down to cervical line of imp tooth butvaries according to angulations, depth andmorphology of roots.
Bone should not removed from lingualaspect as danger to lingual nerve.
-
8/2/2019 Impacted Teeth Part c
14/34
-
8/2/2019 Impacted Teeth Part c
15/34
-
8/2/2019 Impacted Teeth Part c
16/34
-
8/2/2019 Impacted Teeth Part c
17/34
-
8/2/2019 Impacted Teeth Part c
18/34
-
8/2/2019 Impacted Teeth Part c
19/34
Tooth sectioning
Depends on;
Direction of delivery of imp. tooth.
Angulations, depth and root pattern
(divergent roots).
Mesio angular, vertical, horizontal or distoangular.
-
8/2/2019 Impacted Teeth Part c
20/34
-
8/2/2019 Impacted Teeth Part c
21/34
-
8/2/2019 Impacted Teeth Part c
22/34
-
8/2/2019 Impacted Teeth Part c
23/34
-
8/2/2019 Impacted Teeth Part c
24/34
-
8/2/2019 Impacted Teeth Part c
25/34
-
8/2/2019 Impacted Teeth Part c
26/34
-
8/2/2019 Impacted Teeth Part c
27/34
-
8/2/2019 Impacted Teeth Part c
28/34
-
8/2/2019 Impacted Teeth Part c
29/34
-
8/2/2019 Impacted Teeth Part c
30/34
Wound toilet and closure
Debriment.
Bone trimming / filing
irrigation. Hemostasis bleeding points & brisk
ooze.
Flap approximated back and closed onsound bone.
-
8/2/2019 Impacted Teeth Part c
31/34
-
8/2/2019 Impacted Teeth Part c
32/34
-
8/2/2019 Impacted Teeth Part c
33/34
-
8/2/2019 Impacted Teeth Part c
34/34
Post operative morbidity
Swelling.
Pain.
Limitation of mouth opening.Complications:
Secondary bleeding.
Dry socket.
Nerve damage.