Table of Contents TASK 1............................................................................................................................................1 1. Charts, images and record of teeth are required for set up of extraction of teeth and minor oral surgery process.....................................................................................................................1 2. Equipments, instruments, material and medicaments which are required...............................1 3. Three pre operative instructions for patient and which dental nurse will be ensuring compliance with 3 instructions....................................................................................................2 TASK 2............................................................................................................................................3 1. Support and monitoring of patient...........................................................................................3 2. Five methods of aspirating, irrigating and protecting soft tissue of service user during oral surgery..........................................................................................................................................3 3. Assistance to operator in preparation of placing and packs of sutures....................................3 4. Response to complications.......................................................................................................3 5. Completion of record and charts with all necessary information............................................4 TASK 3............................................................................................................................................4 1. Individual with post operative instructions..............................................................................4 2. Importance of confirming leaving of patient surgery theatre after oral procedure of surgery5 REFERENCES................................................................................................................................6
TASK 1 1. Charts, images and record of teeth are required for set up of extraction of teeth and minor oral surgery process Radio graphic x ray, Dental chart, dental photographs, Periodontal chart, details of patient, Orthodontic measurements are the charts, records and images are required by dental profession for extraction of teeth in minor oral surgery process. 2. Equipments, instruments, material and medicaments which are required ProcessEquipmentsInstrumentsMaterialMedicaments Whenextracting deciduous teeth Curved deciduous elevators which varies in size, extractionforceps of right angle and periosteal elevator Upper and lower Deciduous AnteriorTeeth Forceps,Molar Forceps Mixutreof Calcium hydroxide,and zincoxide powder. Anesthetic Injection,bone morphogenetic protein Whenextracting permanent teeth Mirror, Operative burs,Excavators, dentalforceps, elevators,probes and curettes Forceps for lower rootwithfine blades Dental forcepsIbuprofen, Anesthetic Injection, implantsPeriosteal elevator, tissue forceps, anesthetic syringe, hemostat, scissors, needle holder. Sterile Monoject syringe for irrigation that is cleaning for mouth TitaniumClindamycinand Amoxicillin ApicectomyCotton forceps, gutta-percha and paper points. All Microhead handpiece, narrow periapical Diaket, Mineral trioxide aggregate, Zinc Anesthetic Injection and epinephrineto 1
these are required for easy grasping curette tips, micro-mirror and micro-explorers oxide eugenol, Amalgam, Glass ionomer cement restrict bleeding FrenectomyChisel,cutting instrumentswith finblade, Rongeur, forceps, curettes. Cotton forceps, scissors, needle holder. CO2laserand erbium-doped yttrium aluminum garnet Anesthetic Injection and Tylenol BiopsySyringewith30 gaugeneedle gloves,and anaesthetic Surgicalforceps, tooth artifact Noralsaline solution,ejector, local anaesthetic injection, Ibuprofen, stitches Removalof impacted teeth Retractor, needle holder forceps, scalpl, Rongeur, cotton balls, forceps, tray for surgical extraction of teeth local anaesthetic injection, and drug like, Advil, Nuprin,Motrin Removalof buried roots Cloth clips which are 4 angled, roux retrcator,tongue spatula, anatomic tweezers,non magnifying mirror Langenbeck retractors, scalpel, blade, surgical and anatomic tweezers Xylene which is solvent Local anaesthetic injection and Ibuprofen 3.Threepreoperativeinstructionsforpatientandwhichdentalnursewillbeensuring compliance with 3 instructions The patient can not eat or drink anything before surgery apart from water. Further, the patient need to refrain smoking before mid night of surgery (Weltman and et.al., 2015). That is at least before 8 hours.Further, it is important to take medication which are only prescribed or approved by dentist. The nurse ensure compliance of these instructions by asking patient and his 2
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or her family members which is recorded in daily maintenance sheet of patient (Little and et.al., 2017). TASK 2 1. Support and monitoring of patient ï‚·Administration of regional or local anaesthesia:In this case it is important for the nurse to monitor respiratory rate, anxiety level, pan level, colour, skin temperature and regularity of Heart rat of patient. ï‚·Duringprocedureoforalsurgery:Useofsterilisedclinicalequipments,high monitoring of dental process, pain assessment and use of appropriate recovery kit. 2. Five methods of aspirating, irrigating and protecting soft tissue of service user during oral surgery Five methods of aspirating are, local anaesthesia, oral biospy, acute dentoalveolar abscess, Salivary mucoceles andfine-needle aspiration cytology. Five methods of irrigating are white teeth diet, alcohol free mouthwash, humming while brushing, tooth brushing like pencil tooth brushing. Five methods of protecting soft tissue are, using fluoride tooth paste, and antibacterial product, less consumption of sugar, keeping moisture in mouth and regular brushing. 3. Assistance to operator in preparation of placing and packs of sutures Suture is cut by leaving tails of 2. 4 mm and will be placed 4mm away from first. However, the preparation do suture will be focus on stitches which will depend upon edge of wound (Peden and Cook, 2014).When preparation assistance operator will require needle holder, toothed forceps, suturing material and suturing scissors. Further, during packing suturing requires mirrors, scalers, polishers and rinser. 4. Response to complications ï‚·Nerve damage:Use of soft bristle brush and avoid edibles which can damage tooth enamel. In case of damage it is important for nurse to ensure reduce in pressure on nerves. ï‚·Haemorrhage:Damping a sheet of gauze and by folding into postage stamp size and place over socket firmly. ï‚·Oral Natural Fistula:In this it is important to irrigate the wound because fistual drain creates pressure and can led to infection. 3
ï‚·Equipment failure:Replacing with necessary tool by ensuring that tool is place in safe condition. ï‚·Collapse:Administering adrenaline is the best way to deal with dental collapse which aid in deriving loss of control over situation.Further, nurse can rinse mouth with like warm water, can use dental floss and interdental cleaner. 5. Completion of record and charts with all necessary information Records and charts comprise different type of information that is written notes, models which have been study for patient surgery, clinical photographs, radio graphs, referral letters, laboratory and drug prescription, medical history and results of special investigation. TASK 3 1. Individual with post operative instructions Individual with post operative instructions Extractionoferupted permanentanddeciduous teeth:Patient needs to avoid rinsingandspittingatleast from24hours.Moreover, Apicectomy:Moirtusing Sammygauzepadincold water for applying to surgical site. Ferectomy:Cleansingof Removalofimpactedteeth: Patient should use gauze pad on surgicalsite.Further,the serviceusershouldavoid rinsingsuckingandtouching 4 Illustration1: Patient record (Source:Dental records: An overview,2010)
after 24 hours it is important forpatienttorinsemouth with specified solution which has8 ounces of luke warm waterand1andhalf teaspoon of salt Implants:Liquiddietor pureedfoodlikeyogurt, puddingarethesuggested ediblesafterimplant.In addition, service user need to avoid alcoholfor 24 hours becauseofintakeof medicines for pain. mouth before and after of every meal. It is important for the patient to use soft bristle brush Biopsy:Do not such straw at least for 24 hours. Moreover,It is important for the patient to use soft bristle brush and brush gently(PostoperativeCare, 2016). surgical area. Removalofburiedroots: Rinsingofmouthsregularly withsolutionofLukewarn waterandsalt.Further,the patientshould avoid brushing for at 72 hours near extraction site. 2. Importance of confirming leaving of patient surgery theatre after oral procedure of surgery The patient undergone oral surgery is at risk of infection and requires appropriate wound care and pin management.However, confirming patient fitness before discharging person from surgery room is important because prolonged inactivity reduces strength of muscle and there is risk of infection at surgical site. 5
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REFERENCES Books and Journals Little, J.W. and et.al., 2017.Dental Management of the Medically Compromised Patient-E-Book. Elsevier Health Sciences. Weltman, N.J. and et.al., 2015. Management of dental extractions in patients taking warfarin as anticoagulant treatment: a systematic review.J Can Dent Assoc.81.p.f20. Peden, C.J. and Cook, S.C., 2014. Sedation for dental and other procedures.Anaesthesia & Intensive Care Medicine15(8).pp.362-365. Online Dentalrecords:Anoverview.2010.[Online].Availablethrough: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3009547/>. PostoperativeCare.2016.[Online].Availablethrough: <https://www.healthline.com/health/postoperative-care>. 6