ORAL MAXILLOFACIAL SURGERY

OSPE spots

D/d:

• Radicular cyst
• Periapical granuloma
• Periapical cementosseous dysplasia
• Lateral periodontal cyst
• Unicystic ameloblastoma
• OKC
Effects:

• Cyst expansion-thinning of bone

• Root resorption
• Bone fracture
• Egg shell crackling
D/d:

• Dentigerous cyst
• Hyperplastic follicle
• Odontogenic cyst
• Ameloblastic fibroma
• Unicystic ameloblastoma
• Adenomatoid odontogenic tumour

D/d:

• Ameloblastoma
• Cherubism
• Odontogenic myxoma
• Aneurysmal bone cyst
• Central giant cell granuloma
• Central hemangioma
 Diagnosis: OKC

d/d:
• Residual cyst
• OKC
• Primodial cyst
d/d:

• Stafne’s bone cyst(most likely)

• Aneurysmal bone cyst

1) Vertical matrix
2) Advantages:
• High tensile strength
• Scars are not formed
1. Pyrexia 5.Raised mouth floor
2. Myalgia 6. L.n involement
3. Lethargy
4. Limited mouth opening

A= vicryl- resorbable
B=silk- resorbable
Advantages:

Resorbable
• Adequate strength
• Broken down by body
• Economical
• Biocompatible
• No foreign body left

1) Tissue forcep/adson forcep

2) To hold soft tissues and gingiva during surgical
procedures
1) Bone rounger
2) Use-to smooth bone or remove any bony spicule
after extraction
3) Reuse-after sterilization

1)cow horn
2)wedge principle
3)mandibular molars
1)universal BD forcep
2)use-removal of broken down roots

1) Cross bar/potts elevator

2) Wheel n axle
1)P.A view
2)Fracture of angle of mandible
1)Le fort I
2)clinical signs:
• Open bite and improper occlusion
• Mobility of tooth bearing area
• Mid palatal split
• Gurin’s sign positive
• Ecchymosis in buccal sulcusswelling of upper lip
3)treatment:

• Transosseuos wiring
• Miniplates and screws
• Krischner wires and Steinmann pins
 Q1.
• HIV
• Hepatitis B virus
• CMV
• Human T cell lymphotrophic virus (HTLVs)
Q2.
i. Take history of
-prosthetic heart valve
-Take history of endocarditis
-heart transplant
-CHD
ii. Practice good oral hygiene
iii. Antibiotic prophylaxis-amoxcillin 2g
iv. Symptoms that may indicate IE - seek expert advice.
1)fracture of buccal cortical plate
2)Management:
-alveolar fragments which has lost ½ of its periosteal
attachment should be removed
-if well attached sutured back
-analgesics and antibiotics prescribed
-fixation and short term immobilization
-rehabilitation
3)complications:
-infections
-loss of bone
-dry socket
-pain and discomfort

1)lead apron
2)radiography
3)hazards:

• ORN
• Mucositis
• Rampant carries
• Candida infections
1)radicular cyst
2)d/d:

• OKC
• Periapical Granuloma
• Lateral periodontal cyst
3)Post op complication:

• Fractues or thining of bone

 1)periapical radiograph-used for identifying perioapical
pathologies and also identifying root morphology before
extraction
2)bite wing xray-used to identify proximal caries,bone
loss and dental infections
3)occlusal xray-for identifying impacted tooth
positions,carries etc

• Aspirin
• Glucose tablets
• Antihistamines
• Nitroglycerine
• Epinephrine
• Albuterol
• Benadryl
Block Needle: Infilterate Needle:
-Length=41mm -length=21mm
-guage=30g -guage=27g
1.8ml L.A cartiridge
2% L.A agent
L.A dose =38mg
Epinephrine=0.382 mg (1:100,000)
Composition:

• L.A agent- 2% lidocaine

• Vasoconstrictor-epinephrine
• Reducing agent-Na metabisulphate(acts as
preservatives)
• Preservative-methyl paraben
• Fungicidal-thymol
• Vehicle-ringer’s lactate(min discomfort during inj)
• Isotonic soln-Nacl
• Diluting agent-distilled water
• NaOH-to adj PH
X-Rays Views
1. Water’s View
2.Submentovortex View
 3.Reverse towne’s view

4.Towne’s View

5.P.A View
 6.A.P View

7.sialography- sialoliths
LANDMARKS OF LOCAL ANESTHESIA