NOTE

optech lecture, not posted lms

  • she just talks about LA?

Evaluation Prior to Exodontia

  • Medical assessment
    • patients will carry on with meds as normal
    • you have to figure out how to stop the bleeding
      • pack and prescribe a TCA mouthwash if needed

Meds and Exos

Prolia Methotrexate blood thinners

  • access to tooth
    • impacted teeth, you’ll have to do a surgical exo
  • mobility of tooth
    • Perio teeth are mobile but they’re very inflammed and bleed a lot making the exo difficult
      • Most of the time you’ll find that the bleeding is not from the socket
      • rather its from the soft tissue
  • condition of crown
    • If the crown is heavily restored then you have to be prepared for a surgical extraction
    • when you put forceps on a sus crown try to get them as close as possible to the root so you’re less likely to fracture it
  • radiographic examination to assess relationship to sstructures, configuration of roots, condition of surrounding bone

    Crossover Stitch

    Link to original
    Figure of 8 Stitch