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