Oral surgery for the general dentist:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa. [u.a.]
Saunders
2012
|
| Schriftenreihe: | The dental clinics of North America
56,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV, 312 S. zahlr. Ill., graph. Darst. |
| ISBN: | 9781455710324 |
Internformat
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| 245 | 1 | 0 | |a Oral surgery for the general dentist |c guest ed.: Harry Dym ... |
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| 300 | |a XIV, 312 S. |b zahlr. Ill., graph. Darst. | ||
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Datensatz im Suchindex
| _version_ | 1804148756394803200 |
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| adam_text | Oral Surgery for the General Dentist
Contents
Preface
xiii
Harry
Dym
and Orrett E. Ogle
Dedication
xv
Anxiety Control in the Dental Patient
1
Orrett E. Ogle and Marc B. Hertz
Oral sedation with benzodiazepines and anxiolysis with nitrous oxide are
2
effective methods to help alleviate anxiety and fear of dental procedures.
Many patients would prefer to have their dentistry performed with sedation
if it were offered to them. This article presents a detailed discussion on
minimal sedation that should give the reader a good understanding of
this valuable aspect of clinical care.
Hemostasis in Oral Surgery
17
Amandip Kamoh and Jason Swantek
The control of hemorrhage is a key component for the clinician to under¬
stand before performing oral surgical procedures. Hemostasis may be ob¬
tained primarily by local
hemostatic
measures. If hemostasis is not achieved
with this modality, various
hemostatic
agents exist, which may be used as
adjuncts to obtain hemostasis.
Preoperative,
perioperative,
and post¬
operative methodologies toward hemostasis in oral surgery have been
presented.
Oral Surgery for Patients on Anticoagulant Therapy: Current Thoughts on
Patient Management
25
Ladi Doonquah and
Anika D.
Mitchell
Minor oral surgical procedures make up a significant part of the daily prac¬
tice of dentistry. With the increased sophistication of medical technology
and medications there is increased likelihood of performing surgery on pa¬
tients who are being treated for conditions that require some type of anti¬
coagulant therapy. These patients are at an increased risk for
perioperative
bleeding or thrombotic complications if
anticoagulation
is discontinued or
the dosage is adjusted. Therefore, a fine balance needs to be obtained and
adequate preparation of these patients is the key to establishing this bal¬
ance. This article reviews suggested approaches to the management of
such patients.
Biopsy Techniques and Diagnoses
&
Treatment of Mucocutaneous Lesions
43
Michael H. Chan and Joshua C. Wolf
Oral
mucosa!
lesions are commonly encountered in clinical practice. One
study reported that they occurred in approximately
27.9%
of patients aged
17
years and older and in
10.3%
of children aged
2
to
17
years. The
diagnosis and treatment of mucosal diseases should be an integral part
of the general practitioner s practice. According to an American Dental
viii Contents
Association survey conducted in
2007, 44%
of biopsies were performed
by a general practictioner. Understanding of the fundamentals of diagnos¬
ing mucocutaneous lesions requires a sound knowledge of their origin and
clinical course, and of biopsy methods using contemporary diagnostic
tools and techniques.
Diagnosis and Management of Common
Postextraction
Complications
75
Joseph E. Pierse, Harry
Dym,
and
Earl Clarkson
Extraction of impacted teeth is one of the most common surgical proce¬
dures performed by oral and maxillofacial surgeons. Every surgical proce¬
dure results in some degree of postoperative bleeding and inflammation,
typically manifesting as pain and edema. Although the complex physiology
of the human body is beyond the scope of this article, the educated clini¬
cian should have an understanding of the time line associated with these
processes so as to determine whether a patient s complaint of postoper¬
ative bleeding, pain, or swelling represents a normal response to surgical
trauma or an aberrant reaction.
Management of Acute Postoperative Pain after Oral Surgery
95
Mark C. Fletcher and Joseph F.
Spera
This article provides a brief review of the acute pain mechanism as it re¬
lates to the effects of a surgical insult. A brief understanding of the phys¬
iologic modulation of acute pain establishes a rational framework for the
concept of preemptive and postoperative
analgesia. A
brief review of com¬
monly used analgesic agents is presented. Research in pain management
and new drug development is ongoing as new concepts in neurophysiol-
ogy and pharmacology are being elucidated.
Risk Management in the Dental Office
113
Harry
Dym
This article is devoted to risk-management strategies regarding oral surgi¬
cal procedures in the general dental office. Lawsuits are more likely to be
filed following poor outcomes related to oral surgical procedures rather
than after operative or prosthetic dental procedures. The article is not
meant to discourage practitioners from performing oral surgical proce¬
dures if they have the experience, training, and appropriate skill set to
complete the planned procedure. Rather, it advises clinicians as to the
steps one can take to limit the chances of litigation from occurring, and
avoid the emotionally and painful time-consuming process associated
with a malpractice lawsuit.
Endodontic Surgery
121
Stuart E.
Lieblich
Conventional endodontic therapy is successful approximately
80-85%
of
the time. Many of these failures will occur after one year. The presence of
continued pain, drainage, mobility or an increasing size of a radiolucent
area are some of the indications to treat the case surgically. Since many
of these cases may have had final restorations placed by the dentist, the
salvage of these cases is of importance to the patient. Advances in
Contents
periapical
surgery have included the use of ultrasonic root end prepara¬
tion. With the use of these piezoelectric devices, a more controlled apical
preparation can be achieved. Additionally, isthmus areas between canals
can be appropriately prepared and sealed. The precision afforded with
these devices reduces the chances for a malpositioned fill and a more suc¬
cessful outcome.
Local Anesthesia: Agents,Techniques, and Complications
133
Orrett E. Ogle and Ghazal Mahjoubi
This article outlines the different classes of local anesthetics available for
dental procedures. It also gives an overview of the mechanism of action
and metabolism of each different class of local anesthetic. Furthermore,
it discusses indications and contraindications of each local anesthetic
and the proper dosage of each. The techniques for the administration of
local anesthetics with the relevant anatomy are explained. An overview
is given of the possible complications that can occur because of local
anesthetic use and their possible treatment options.
Diagnosis and Treatment of Temporomandibular Disorders
149
Harry
Dym
and Howard Israel
Current concepts and recommended treatment for temporomandibular
disorders (TMDs) and temporomandibular joint pain and dysfunction
have evolved over time. This article attempts to distill the current informa¬
tion for this often confusing topic into relevant clinical issues that will allow
the general dental practitioner to be better able to diagnose and interpret
clinical findings, and institute a therapeutic regimen that will provide
needed relief to patients suffering from TMD dysfunction. Current manage¬
ment methods, both surgical and nonsurgical, are reviewed and
discussed.
Preoperative
Evaluation of the Surgical Patient
163
Stephen Petranker,
Levon
Nikoyan, and Orrett E. Ogle
A thorough
preoperative
evaluation to identify correctable medical abnor¬
malities and understand the residual risk is mandatory for all patients
undergoing any surgical procedure, including oral surgery. Routine
preop¬
erative
evaluation will vary among patients, depending on age and general
health. This article addresses the
preoperative
evaluation of surgical
patients in general, and the evaluation for general anesthesia in the oper¬
ating room.
Pediatrie Dentoalveolar
Surgery
183
Sean W. Digman and Shelly Abramowicz
Dentoalveolar surgery in children presents general dentists with unique
challenges not encountered in adults. The long-term effects that treat¬
ments have on these children must always be taken into consideration.
A clear understanding of the growth and development of
pediatric
patients
is necessary to correctly identify dental abnormalities.
Contents
Alveolar Bone
Grafting and Reconstruction Procedures Prior to Implant Placement
209
Harry
Dym,
David Huang, and Avichai Stern
Before implant placement, adequate bone must be present; this is a funda¬
mental step in treatment planning for implants. Understanding the basics
of bone grafting and reconstruction techniques is critical for successful im¬
plant placement. Alveolar bone grafting can be very intimidating when first
attempted. With careful instruction, education, and practice, grafting can
be accomplished by many practitioners. Different methods incorporate
similar surgical principles while leading to the development of more
advanced grafting techniques.
Sinus Lift Procedures: An Overview of Current Techniques
219
Avichai Stern and James Green
For more than
30
years the maxillary sinus augmentation graft has been
a mainstay of implant-directed maxillary reconstruction. The purpose of
this article is to review the fundamentals of maxillary sinus reconstruction
including anatomy and physiology of the sinus, indications for surgery,
preoperative
evaluation, surgical techniques, and management of com¬
plications. While there are some relative contraindications for the proce¬
dure, there are almost no absolute contraindications. With preparation,
education, and experience, the maxillary sinus augmentation/elevation
graft is a procedure that greatly benefits the patient, with a predictable
outcome.
Review of Antibiotics and Indications for Prophylaxis
235
Adam Weiss and Harry
Dym
Antibiotic prophylaxis to prevent infective endocarditis has been contro¬
versial through the years, with various changes made to recommenda¬
tions provided to treating physicians and dentists. The dentist must
always use his or her best judgment when applying any guideline. How¬
ever, it is important to remember that the guidelines may be cited in any
malpractice litigation as evidence of the standard of care. Early diagno¬
sis with prompt treatment with effective antimicrobial therapy is the best
way to lower the mortality and morbidity. When prescribing antibiotics,
the clinician must realize that the overprescription of antibiotics has
led to resistance to antibiotic regimens and the rise of antibiotic-resistant
bacteria.
Exodontia: Tips and Techniques for Better Outcomes
245
Harry
Dym
and Adam Weiss
This article reviews and highlights exodontia tips as well as new tech¬
niques to make simple and complex exodontia more predictable and effi¬
cient with improved patient outcomes. A discussion of a powered
periotome that has been developed to aid in the atraumatic extraction of
teeth and another new device, the piezosurgery, increasingly used for out¬
patient oral surgery procedures are included. Physics forceps, a new type
of exodontia forceps, is also discussed in this article.
Contents
Surgical
Management
of Cosmetic Mucogingival Defects
267
Harry
Dym
and Jonathan M. Tagliareni
Mucogingival conditions are deviations from the normal anatomic relation¬
ship between the
gingival
margin and the mucogingival junction. Mucogin¬
gival surgery is plastic surgery designed to correct defects in the
gingiva
surrounding the teeth. Common mucogingival conditions are recession,
absence, or reduction of
keratinized
tissue, and probing depths extending
beyond the mucogingival junction. Surgical techniques used to augment
cosmetic mucogingival defects include the free
gingival
autografi,
the sub-
epithelial connective tissue graft, rotational flaps, lateral sliding flaps, coro-
nally repositloned flaps, and the use of acellular dermal matrix grafts.
Suturing Principles for the Dentoalveolar Surgeon
281
M. Todd Brandt and W. Scott Jenkins
Dentists should be aware of the characteristics of suture material, and the
technique used should provide effectiveness and ease. Dentists who rou¬
tinely perform dentoalveolar surgery should have at least
1
type of absorb-
able and
1
type of nonabsorbable suture readily available within their
operatory
supply. This article focuses on the physical properties of suture
materials and their tissue reactivity, and it reviews various suturing tech¬
niques used in contemporary dentoalveolar surgery. Familiarity with the
concepts presented in this article, and continuous practice of the surgical
skills presented, enhances surgical acumen and allows for improved heal¬
ing, increased postoperative comfort, and successful surgery.
Index
305
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| series | The dental clinics of North America |
| series2 | The dental clinics of North America |
| spelling | Oral surgery for the general dentist guest ed.: Harry Dym ... Philadelphia, Pa. [u.a.] Saunders 2012 XIV, 312 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier The dental clinics of North America 56,1 Oralchirurgie (DE-588)4040729-9 gnd rswk-swf Oralchirurgie (DE-588)4040729-9 s DE-604 Dym, Harry Sonstige oth The dental clinics of North America 56,1 (DE-604)BV000003657 56,1 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024681410&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Oral surgery for the general dentist The dental clinics of North America Oralchirurgie (DE-588)4040729-9 gnd |
| subject_GND | (DE-588)4040729-9 |
| title | Oral surgery for the general dentist |
| title_auth | Oral surgery for the general dentist |
| title_exact_search | Oral surgery for the general dentist |
| title_full | Oral surgery for the general dentist guest ed.: Harry Dym ... |
| title_fullStr | Oral surgery for the general dentist guest ed.: Harry Dym ... |
| title_full_unstemmed | Oral surgery for the general dentist guest ed.: Harry Dym ... |
| title_short | Oral surgery for the general dentist |
| title_sort | oral surgery for the general dentist |
| topic | Oralchirurgie (DE-588)4040729-9 gnd |
| topic_facet | Oralchirurgie |
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