Oral and maxillofacial surgery II.
Anaesthesia Suture
1
Anaesthesia
Topical By injection
- Infiltration
- Nerve block
2
Infiltration
■ Syringe
■ Short needle
Raise lip or cheek
The puncture is situated into mucosa appr. 1 cm from fornix vestibuli. Do not touch periosteum.
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Infiltration anaesthesia
Suitable for
- simple extractions in
maxilla, mandibular incisors, canines
- soft tissue surgery
m
Nerve block anaesthesia		
> Foramen mandibulare > Foramen mentale > Foramen palatinum majus > Foramen incisivum > Foramen infraorbitale >Tuber maxillae		\
		
		
5
Nerve block anaesthesia
N. alveolaris inferior
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Nerve block anaesthesia
Nervus alveolaris inferior In sulcus colli mandibulae
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8
Nerve block anaesthesia
N. alveolaris inferior
Indirect
Put the forefinger on the occlusal surface Rotate inside (nail inside) 1 cm up occlusal surface the puncture is situated
9
Nerve block anaesthesia
N. alveolaris inferior
Indirect
1. The needle goes behind the crista temporalis, the syringe
on the opposite canine
10
Nerve block anaesthesia
N. alveolaris inferior
Indirect
2. The needle goes deeper in the contact with the bone The syringe goes mesial
11
Nerve block anaesthesia
N. alveolaris inferior
12
Nerve block anaesthesia N. alveolaris inferior		
Direct Put the forefinger on the occlusal surface Rotate inside (nail inside) 1,5 cm deep		\
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Nerve block anaesthesia N. alveolaris inferior	
Area blocked Molars Premolars Tongue	\
14
Nerve block anaesthesia
N. alveolaris inferior
> The puncture at the same place
> The syringe on opposite premolars
> The puncture goes into the small pink depression medial from crista temporalis and lateral from plica prerygomandibularis
1,5 cm deep Molars, premolars, mucosa, skin, bone
Nerve block anaesthesia
N. mentalis
F. mentale
The puncture is situated behind he distal surface of 2nd premolar The needle goes between roots of premolars
16
Nerve block anaesthesia
N. mentalis F. mentale
The puncture is situated behind the distal surface of 2nd premolar The needle goes between roots of premolars, From up to down Forward and mesial
Premolars and canine, mucosa, skin.
17
Nerve block anaesthesia
Foramen palatinum majus
Distal surface of l.st molar The puncture is 0,5 - 1 cm before
Half of palate
18
Nerve block anaesthesia
Foramen incisivum
Nervus incisivus ^KT*TWT~^C7
Papilla incisiva ^fe m I ml
Next tu papilla, mm.
mesial direction kIPtF i
Triangular area behind incisors
19
Anaesthesia on f. infraorbitale
■ Find the margo infraorbitalis
■ Raise the lip
■ The puncture is sitruated between canine and 1st premolar
■ The needle goes to the region (appr 1 cm below margo infraorbitalis)
20
Anaesthesia on tuber maxillae
■ The durg si delivered on tuber maxillae
■ Tje puncture is situated behind 2nd molar (distal surface), goes behind and upper around tuber maxillae.
21
Suture			
		ifffi	
Suture material		row	
Silk,nylon	mm		
Needels			
- bent, rounded			
- straight		\	
Needle holders			
- autofix	Mm,		
-without fixation			
			
			
22
Suture
Suture material
Silk,nylon
Needels
- bent, rounded
- straight Needle holders
- autofix -without fixation
■_ m.i*m	WLKMH	'        H-Kiii. m.ac ■-«■■                           PL |J.
* KIMM	Mum Mrik	* '
> M.111H	H         ■ IUI	
■ KFII« * kmi	'i HIHN 3 ■Mtll	
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Suture
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