Principles of Dentoalveolar Extractions
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Combines the basic sciences and principles of dentoalveolar extractions with basic and advanced surgical techniques Principles of Dentoalveolar Extractions is a comprehensive, technical text covering the basic sciences and principles of dentoalveolar extractions, exploring both the basic surgical techniques and advanced surgical practices. Highly illustrated with colour photographs throughout, this text discusses the procedures, pitfalls, and practicalities of exodontia. It highlights the most common surgical principles encountered in clinical practice, the range of surgical instruments available, and how to manage the potential complications associated with extraction procedures. This important text: Focuses solely on dentoalveolar extractions and surgery Contains full colour photographs and detailed illustrations to aid learning Offers a technical walk-through guide that can be used as a reference prior to surgery Includes a Preface written by Professor Andrew A. C. Heggie, AM Written for dental students, surgical trainees and other dental professionals, Principles of Dentoalveolar Extractions provides a comprehensive and pragmatic review of dentoalveolar extractions. Cover Half Title Page Title Page Copyright Contents Foreword About the Companion Website Chapter 1 Principles of Surgery 1.1 Wound Healing 1.1.1 Haemostasis 1.1.2 Inflammatory Phase 1.1.3 Proliferative Phase 1.1.4 Remodelling and Resolution 1.2 Patient Assessment 1.3 Radiographic Assessment 1.4 Informed Consent 1.5 Anaesthesia 1.6 Preparation of Equipment 1.7 The Surgeon’s Preoperative Checklist 1.8 Operative Note Chapter 2 Local Anaesthesia 2.1 Principles of Anaesthesia 2.2 Mechanism of Action 2.3 Common Local Anaesthetic Preparations 2.4 Side Effects and Toxicity 2.4.1 Local Risks 2.4.2 Systemic Risks 2.5 Basic Oral Anaesthesia Techniques 2.5.1 Buccal Infiltration Anaesthetic 2.5.2 Mandibular Teeth 2.5.2.1 Conventional ‘Open-Mouth’ Technique 2.5.2.2 Akinosi ‘Closed-Mouth’ Technique 2.5.2.3 Gow–Gates Technique 2.5.2.4 Mandibular Long Buccal Block 2.5.2.5 Mental Nerve Block 2.5.3 Maxillary Teeth 2.5.3.1 Greater Palatine Block 2.5.3.2 Palatal Infiltration 2.5.3.3 Nasopalatine Nerve Block 2.5.3.4 Posterior Superior Alveolar Nerve Block 2.6 Adjunct Methods of Local Anaesthesia 2.6.1 Intraligamentary Injection 2.6.2 Intrapulpal Injection 2.7 Troubleshooting Chapter 3 Basic Surgical Instruments 3.1 Retractors 3.2 Elevators, Luxators, and Periotomes 3.3 Dental Extraction Forceps 3.4 Ancillary Soft Tissue Instruments 3.5 Suturing Instruments 3.6 Surgical Suction 3.7 Surgical Handpiece and Bur 3.8 Surgical Irrigation Systems 3.9 Mouth Props Chapter 4 Simple Extraction Techniques 4.1 Maxillary Incisors 4.2 Maxillary Canines 4.3 Maxillary Premolars 4.4 Maxillary First and Second Molars 4.5 Mandibular Incisors 4.6 Mandibular Canines and Premolars 4.7 Mandibular Molars Chapter 5 Surgical Extraction Techniques 5.1 General Principles of Surgical Extraction 5.2 Practical Aspects of Surgical Extraction 5.3 Common Soft Tissue Flaps for Dental Extraction 5.4 Bone Removal 5.5 Tooth Sectioning 5.6 Cleanup and Closure Chapter 6 Intraoperative Complications 6.1 Lip Burns and Lacerations 6.2 Damage to Adjacent Teeth or Restorations 6.3 Mandible Fracture 6.4 Tooth Aspiration or Ingestion 6.5 Instrument Fracture 6.6 Intraoperative Bleeding 6.7 Oroantral Communication 6.8 Dentoalveolar Fracture Chapter 7 Third Molar Surgery 7.1 Treatment Planning of Impacted Third Molars 7.2 Difficulty Assessment and Preoperative Workup 7.3 Radiographic Assessment of Inferior Alveolar Nerve Risk 7.4 Surgical Approach to Third Molars 7.4.1 Maxillary Third Molars 7.4.1.1 Erupted 7.4.1.2 Unerupted/Partially Erupted 7.4.2 Mandibular Third Molars 7.4.2.1 Mesioangular 7.4.2.2 Distoangular/Vertical 7.4.2.3 Horizontal 7.4.2.4 Full Bony Impaction (Early Root Development) Chapter 8 Management of the Medically Compromised Patient 8.1 Ischaemic Cardiovascular Disease 8.2 Patients with a History of Infective Endocarditis 8.3 Hypertension 8.4 Medication-Related Osteonecrosis of the Jaws 8.5 Diabetes Mellitus 8.6 Increased Bleeding Risk 8.6.1 Bleeding Diatheses 8.6.2 Medications 8.6.2.1 Management of Antiplatelet Agents Prior to Dentoalveolar Surgery 8.6.2.2 Management of Patients Taking Warfarin Prior to Dentoalveolar Surgery 8.6.2.3 Management of Patients Taking Direct Anticoagulant Agents Prior to Dentoalveolar Surgery 8.7 Adrenal Suppression 8.8 The Irradiated Patient 8.8.1 Management of the Patient with a History of Head and Neck Radiotherapy 8.9 Hepatic or Renal Impairment 8.10 Pregnancy and Lactation Chapter 9 Postoperative Care and Late Complications 9.1 Immediate Postoperative Period 9.2 Postoperative Instructions 9.3 Postoperative Medications 9.4 24-Hour On-Call Service and Tertiary Hospital Referral 9.5 Management of Late Complications 9.5.1 Alveolar Osteitis 9.5.2 Acute Facial Abscess 9.5.3 Postoperative Haemorrhage 9.5.4 Temporomandibular Joint Disorder 9.5.5 Epulis Granulomatosa 9.5.6 Nerve Injury Appendix A Special Cases: Common Indications for Surgical Extraction A.1 Lone-standing Upper First Molars A.2 Palatally Impacted Upper Canines A.3 Bulbous Roots (Hypercementosis) A.4 Teeth with Aberrant Root Morphology A.5 Teeth with Extensive Crown Decay A.6 Retained Deciduous Molars Appendix B Extraction of Deciduous Teeth B.1 Principles of Paediatric Dental Extraction B.1.1 History Taking and Examination B.1.2 Radiographic Assessment B.1.3 Consent B.1.4 Local Anaesthetic B.1.5 Use of Sedation B.1.6 Extraction Technique B.1.7 Outcomes Following Extraction B.2 Techniques of Paediatric Dental Extraction B.2.1 Deciduous Incisors and Canines B.2.2 Deciduous Molars Bibliography Index EULA
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