Choice of Teeth for Extraction in Orthodontics -OUUSSAMA SANDID -MOHAMAD ABOUALNASER
Meeting complications of extraction teeth
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Transcript of Meeting complications of extraction teeth
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THIRD MOLARSURGERY
Complications and Managements of
Presenter: 黃偉家
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①Contemporary Oral and Maxillofacial Surgery, 6th, 2013②Management of Complications in Oral and Maxillofacial Surgery, 2012③Oral sugery, 2007 ④A Practical Guide to the Management of Impacted Teeth, 2010⑤Oral and Maxillofacial Surgery: An Objective-Based Textbook, 2nd, 2007
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乾槽症Alveolar Osteitis
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第3,4 天第12 小時
纖維蛋白溶解
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Management
PreventionGood surgical technique Copious irrigationChlohexidine, Tetra
Gentle irrigation Mechanical debridement ?Obtundant dressings
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Pain and Swelling腫 痛
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第
12小時
不超過3 天
第3 天開始消退
第
1,2天
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IV steroids ?Good surgical techniqueHome care instruction
Analgesics Ice pack ?Hot pack
Management
Prevention
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Infection
感染
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感染機率約3%
拔牙後2~3 週
近端感染
遠端感染
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近端傷口感染
遠端轉移感染
代謝疾病器官移植血液疾病
免疫低下
心內膜炎
人工瓣膜特定 CHD曾經患病
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Medical historyProphylactic antibiotics ?Infection control
Antibiotics I & DReferral
Management
Prevention
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Hemorrhage
出血
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區域因素
全身因素
Von Willebrand disease
Myocardial infarction
Vitamin K deficiency
Atrial fibrillation
Hemophilias
Leukemia
Cerebrovascular accidents Aaspirin
Liver disease
Warfarin
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本人家人藥物
Medical historyHemostasis at surgeryHome care instruction
Tea bag3 questions燒・壓・縫・綁・塞
Management
Prevention
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TMD顳顎關節
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Bone Fracture下頷骨折
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0.0049%
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Preoperative evaluationHome care instruction
Fixitionor…
閃開 !讓專業的來
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of Teeth Displacement
松下問童子言師採藥去只在此山中雲深不知處
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厚薄
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舌側 頰側
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Submandibular space
下頷舌骨肌Mylohyoid muscle
頷下間隙
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閃開 !讓專業的來
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ComplicationNeurologic
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舌神經
下齒槽神經
Lingual nerve
Inferior alveolar nerve
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!
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閃開 !讓專業的來
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Thanks for attention