Module 9

Minor Oral Surgery, Anaesthesia & Sedation

Minor Oral Surgery

1. Tooth removal2. Removal of retained root3. Apicectomy4. Removal of cysts5. Alveolar ridge preparation6. Frenectomy7. Biopsy8. Electrosurgery9. Laser surgery

Tooth Removal

• Why?• How?

– Forceps Extraction– Surgical Extraction

Tooth Removal Instruments

• Forceps• Elevators• Luxation Instruments

The Surgical Plan

1. Raising a flap

2. Bone removal

3. Extraction

4. Debridement

5. Sutures

Local Anaesthesia

• LA Agents• Batch Numbering• Equipments:

– Anaesthetic cartridges– Self-aspirating syringes– Needles

Local Anaesthesia

• Methods:– Dental infiltration injections– Regional block injections– Intra-osseous injections– Intra-ligamentary injections– Topical anaesthetics

General Anaesthetics

• GA agents• Methods:

– Inhalation anaesthesia– Intravenous anaesthesia

Conscious Sedation

• Why?• Methods:

– Oral Sedation– Relative Analgesia (RA)– Intravenous Sedation

Regulations

• The Medicines Act 1968• The Poswillo Report 1990• A Conscious Decision July 2000