OS1-DR.-CRUZedited.pdf - OS 311 DR CRUZ o ORAL SURGERY dental specialty Diagnosis Reason why to exo-because of pathology orthodontics(serial exo

OS1-DR.-CRUZedited.pdf - OS 311 DR CRUZ o ORAL SURGERY...

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OS 311 - DR. CRUZ ORAL SURGERY : dental specialty Diagnosis - Reason why to exo --because of pathology, orthodontics (serial exo), prothodontic (if tooth is mobile & cannot be used as an abutment - Product of analysis/evaluation of data Treatment planning Surgical/adjunctive treatment - Hyperaemia --initial stage of reaction of the pulp Ex. Medications, hot or cold compress Prognosis - Possible outcome of tx - Favorable or not favourable Follow up (evaluation) SCOPE OF ORAL SURGERY 1. Diseases 2. Injuries - Traumatic - Fractures - Cuts - Wounds 3. Defect - Cleft palate, cleft chin 4. Function & Esthetic Aspects - Mandibular prognathism (overgorowth of the mandible) - Cleft lip & palate o Rule of 10 - OS can be done in an infant 1. if 10 weeks old 2. if 10 lbs. 3. if 10 grams haemoglobin (nomal amount for adult: 14- 16grams) 5. Teeth, hard & soft tissues in the OC PREOPERATIVE HEALTH STATUS EVALUATION Medical History - Biographic data - Chief complaint (verbatim px‟s remarks) - History of chief complaint (HPI) - Medical Hx - Social & family medical hx - Review of system (cephalo-caudal) - Physical examination o Have you taken any medicine or drugs during the past 2 years? o Pregnant women/px vitamins + iron o Px‟s taking steroids allergy, asthma, autoimmune disease, SLE o Px‟s taking pills (14yo) – hormonal problem , cyst problem o Px‟s who is in Aspirin Therapy - Preventing from stroke - Get medical certificate from the attending physician - Ask the px to stop taking medication for 5-7 days because cells should be eliminated & surgery can be done after 5 days after medication is stopped. --2 days after post op can bring back the medication o If the Px is Pregnant - Do not do Os during the 1 st & last trimester, if done theratogenic may occur - Safest: 2 nd trimester (with the clearance from the OB Gyne) COMMON HEALTH CONDITION TO INQUIRE VERBALLY OR ON A HEALTH QUESTIONNAIRE Hypertension - 120/80, 110/80 normal BP - Can lead to stroke (CVA) - 40 id the pulse pressure (120-80) normal - Pulse pressure is too high/BP do not extract - Baseline BP before doing anything - BP is too high --stroke may occur/possible --aneurysym may broke that causes stroke o Essential Hypertension - Pressure in BV is high o Malignant Hypertension - Hypertension ids the product in the problem in the body (Liver is common) Angina Pectoris (“cry of the heart for oxygen”) - Myocardium doesn‟t received adequate BS & oxygen - Pain Substernal pain that radiates to the left shoulder - Nitrogycerine tablet --soft --put sublingually --can melt easily & absorbed - Nitrostat --tube --stick on the left chest --absorbed by the skin * Side Effect of Nitrogycerine/Nitrostat - severe headache dilation - tachycardia - bradycardia - Rest is needed Myocardial Infarction - Result of continuous & not treated or corrected Angina Pectoris - Necrosis: coagulation - Myocardium fibers (necrotic) --muscle will not follow --effect: arrhythmia (PQRST is not followed) - Cardiac output is diminished - No surgery after MI (6mos) - Usually died in cardiac arrest during morning (MI Pxs) -
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