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.

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