3.1 Extractions
The extraction of teeth is the most common procedure in OMS. Indication for tooth extraction include tooth decay, periodontal disease, over-crowding (orthodontics), oral oncology, and trauma to the teeth and jaws.
Extractions require the Aseptic Technique protocols, and are performed with or without Sedation.
Armamentarium:
• Surgical Tray (includes upper and lower universal forceps)
• Indicated Forcep:
Disposables:
Anesthetic
Barriers (light handle, etc)
Patient Drape
Gauze
Sterile Saline (NaCl .09%)
Scalpel Blade
Suction Tubing
Sutures
Preoperative Considerations:
• Follow written Pre Op Instructions (sedation).
• Check if a denture will be placed following extraction: ensure that denturist or dentist has coordinated fabrication.
Intraoperative Considerations:
• Socket or ridge preservation often occurs at time of extraction in preparation for a future implant: ensure that grafting materials are in the operatory.
• Excessive bleeding during extraction may require the use of cauterization. Ensure that the cautery unit is at hand.
• Effective assisting is required: do not desiccate socket with suction: be mindful of the inferior alveolar nerve (during lower third molar extraction), and the maxillary sinus (during upper molar extraction).
Postoperative Considerations:
• Follow written Post Op Extraction instructions, AND advise patient not to rinse if grafting has been placed following extraction.
• Follow written Post Op Wisdom Teeth instructions.