Dental Nurse Practical Assignment

This practical assignment details the responsibilities of a dental nurse during tooth extraction and minor oral surgery procedures. It covers pre-operative instructions, patient support, assistance with surgical procedures, complication management, and post-operative care.

Provide support during the
extraction of teeth and minor oral
surgery procedures

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 surgery 5
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
Process Equipments Instruments Material Medicaments
When extracting
deciduous teeth
Curved deciduous
elevators which
varies in size,
extraction forceps
of right angle and
periosteal
elevator
Upper and lower
Deciduous
Anterior Teeth
Forceps, Molar
Forceps
Mixutre of
Calcium
hydroxide, and
zinc oxide
powder.
Anesthetic
Injection, bone
morphogenetic
protein
When extracting
permanent teeth
Mirror, Operative
burs, Excavators,
dental forceps,
elevators, probes
and curettes
Forceps for lower
root with fine
blades
Dental forceps Ibuprofen,
Anesthetic
Injection,
implants Periosteal
elevator, tissue
forceps,
anesthetic
syringe, hemostat,
scissors, needle
holder.
Sterile Monoject
syringe for
irrigation that is
cleaning for
mouth
Titanium Clindamycin and
Amoxicillin
Apicectomy Cotton forceps,
gutta-percha and
paper points. All
Microhead
handpiece,
narrow periapical
Diaket, Mineral
trioxide
aggregate, Zinc
Anesthetic
Injection and
epinephrine to
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these are required
for easy grasping
curette tips,
micro-mirror and
micro-explorers
oxide eugenol,
Amalgam, Glass
ionomer cement
restrict bleeding
Frenectomy Chisel, cutting
instruments with
fin blade,
Rongeur, forceps,
curettes.
Cotton forceps,
scissors, needle
holder.
CO2 laser and
erbium-doped
yttrium aluminum
garnet
Anesthetic
Injection and
Tylenol
Biopsy Syringe with 30
gauge needle
gloves, and
anaesthetic
Surgical forceps,
tooth artifact
Noral saline
solution, ejector,
local anaesthetic
injection,
Ibuprofen,
stitches
Removal of
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
Removal of
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. Three pre operative instructions for patient and which dental nurse will be ensuring
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
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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
 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.
 During procedure of oral surgery: Use of sterilised clinical equipments, 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 and fine-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
 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.
 Haemorrhage: Damping a sheet of gauze and by folding into postage stamp size and
place over socket firmly.
 Oral Natural Fistula: In this it is important to irrigate the wound because fistual drain
creates pressure and can led to infection.
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 Equipment failure: Replacing with necessary tool by ensuring that tool is place in safe
condition.
 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
Extraction of erupted
permanent and deciduous
teeth: Patient needs to avoid
rinsing and spitting atleast
from 24 hours. Moreover,
Apicectomy: Moirtusing
Sammy gauze pad in cold
water for applying to surgical
site.
Ferectomy: Cleansing of
Removal of impacted teeth:
Patient should use gauze pad on
surgical site. Further, the
service user should avoid
rinsing sucking and touching
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Illustration 1: Patient record
(Source: Dental records: An overview, 2010)

after 24 hours it is important
for patient to rinse mouth
with specified solution which
has 8 ounces of luke warm
water and 1 and half
teaspoon of salt
Implants: Liquid diet or
pureed food like yogurt,
pudding are the suggested
edibles after implant. In
addition, service user need to
avoid alcohol for 24 hours
because of intake of
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 (Postoperative Care,
2016).
surgical area.
Removal of buried roots:
Rinsing of mouths regularly
with solution of Luke warn
water and salt. Further, the
patient should 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.
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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
Dental records: An overview. 2010. [Online]. Available through:
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3009547/>.
Postoperative Care. 2016. [Online]. Available through:
<https://www.healthline.com/health/postoperative-care>.
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