3.2 Orthodontic Interventions

Orthodontic Interventions are surgeries designed to assist in orthodontic treatment (correction of malocclusions)

Categories:

• Bollard Plates – titanium plates that are temporarily screwed into the jaw. They provide anchorage for orthodontic movement.
• Exposures – surgical uncovering of a tooth in preparation for orthodontic treatment
• Frenectomy – removal of tissue that prevents the normal position of teeth, tongue, (or prosthetic)
• Luxate – surgical dislocation or displacement of a tooth from the alveolus to assist in eruption
• Transplant – surgical removal of a tooth from one location to another

Orthodontic Intervention procedures require the Aseptic Technique  protocols and are usually performed under IV sedation.

Armamentarium:

• REMOVE FORCEPS from Surgical Tray

Disposables:
Anesthetic
Barriers (light handle, etc)
Patient Drape
Gauze
Saline
Scalpel Blade
Suction Tubing
Sutures
Yankauer Suction

Procedure Specific Equipment:

• Bollard Plates:
  – screwdrivers (2)
  – plates and screws
  

• Exposure:
  
  – cautery (cut)
  – etch, bond, orthodontic cement, bracket, light, silk suture
  – periodontal dressing

• Frenectomy
  – hemostat x 2

• Transplant
  – silk  suture

Preoperative Considerations:
• Follow written Pre Op Instructions (sedation).

Intraoperative Considerations:
• Ensure that a bowl with sterile saline is available for transplanted tooth.
• Excessive bleeding during procedure may require the use of cauterization. Ensure that the cautery unit is at hand.
• A little bleeding is okay; never dessicate the surgical site with your suction!

Postoperative Considerations:
• Follow written Post Op Oral Surgery instructions.

• Follow written Post Op Exposure instructions (if applicable).

• Advise the patient to schedule a follow up visit following exposure to remove periodontal dressing, or following transplant to remove silk suture.