口腔颌面外科学（中山大学）3.牙拔除术.pptVIP

Dry socket This postoperative complication cause moderate-to-severe pain but is without the usual signs and symptoms of infection. Clinical course pain develops on 3-4 day after removal socket appears to be empty the bony surfaces of the socket are exposed the dull, aching pain radiates to patient’s ear socket has a bad odor Treatment of the dry socket syndrome Therapeutic goal: relieving the patient’s pain Treatment: gentle irrigation insertion of a medicated dressing Thank you Principles of management of impacted teeth Indications for removal of impacted teeth Prevention of periodontal Disease Prevention of Dental Caries Prevention of pericoronitis Prevention of Root Resorption Impacted Teeth under a Dental Prosthesis Prevention of Odontogenic Cysts and Tumors Treatment of Pain of Unexplained Origin Prevention of Fracture of the Jaw Facilitation of Orthodoniic Treatment Contraindications for removal of impacted teeth Extremes of Age Compromised Medical Status Classification systems of impacted teeth Angulation mesioangular impaction severe mesial (horizontal ) vertical impaction distoangular impaction Relationship to Anterior Border of Ramus(pell and Gregory classification ) class 1 relationship class 2 relationship class 3 relationship Relationship to Occlusal Plane class A impaction class B impaction class C impaction Summary a mesioangular impaction with a class 1 ramus and a class A depth is easy to remove a class 2 and a class B, the degree of difficulty becomes greater. horizontal impaction with a class 2 and a class B depth is a moderately difficult extraction most difficult of all impactions is a distoangular impaction with a class 3 and a class C depth Other facts influence difficult degree of the impacted tooth’s removal Root morphology Size of follicular sac Density of surrounding bone Contact with mandibular second molar Relationship to inferior alveolar nerve Nature of overlying tissue Class