Procedures & Administrative Considerations

Common Procedures

4×8 – extraction of 4 third molars (wisdom teeth)

Extraction – removal of teeth

Implant – (see implant flowchart in the next chapter)

• First stage (initial placement): single, multiple, all-on four (full arch)
• Second stage (typically 3-4 months post placement): assess for osseointegration, ISQ test, uncover

Graft –

• soft tissue
• alveolar ridge maintenance post-extraction
• block bone grafts from donor sites
• sinus lift with bone graft

Biopsy – examination of abnormal oral structures

Incise and Drain (I & D) – clinical lancing

Debridement – removal of damaged tissue or foreign object from a wound

Frenectomy – removal of tissue that prevents the normal position of teeth or tongue

Exposures – surgical uncovering of a tooth in preparation for orthodontic treatment

Luxate – surgical dislocation or displacement of a tooth from the alveolus to assist in eruption

Orthognathic Surgery – corrects conditions of the jaw related to structure, growth, malocclusion or trauma

TMJ (Temporomandibular Joint) Lavage – the TMJ is the most constantly used joint in the body. The joint is irrigated and manipulated, and a steroid injected

Cleft Lip and Palate Repair – surgical repair of the lip and/or palate

Administrative Considerations

• Most OMS procedures require IV sedation performed in-office, or in a hospital setting.
• Pre-op considerations for in-office treatment consist of informing the patient (or guardian) to arrive NPO with a responsible adult.
• An up-to-date health history must be requested for all patients.
• Certain procedures require specific medications (e.g. steroid for TMJ Lavage).
• Certain procedures require medical devices that need to be ordered (e.g. Implants).
• Certain procedures require provisional appliances that need to be coordinated with a dental manufacturing lab (e.g. dentures and surgical guides).