Principles of oral surgery

1. Principles of Surgery

2. Make a Diagnosis
 Know your patient
 Examine your patient
 Look at the data
 Consider the alternatives
 Is picking up a knife the best thing to
do?

3. Be Prepared for
Surgery
 Proper instrumentation and supplies
 Surgical access
 Mouth opening
 Good visibility
 Lighting
 Suction
 Flaps
 Good assistants

4. Be Aseptic
 Try not to make the patient worse than
before he came to see you!
 Don’t contaminate your environment

5. A Chance to Cut is a Chance to
Cure
 Buy a new knife
 Be assertive
 Watch where you are going
 Consider closure

6. Principles of Flap
Design

7. Types of Flaps
 Split thickness
 Full thickness

8. Indications for Flaps

9. Design Principles

10. Size

11. Anatomical Landmarks

12. Base-Margin
Relationships

13. Thickness

14. Location of Margins

15. Relieving Incisions

16. Dental Papillae

17. Suturing

18. Sample Flaps

19. Maxillary Flaps

20. Mandibular Flaps

21. Apicoectomy Flaps

22. Palatal Flaps

23. Maxillary Third Molar
Flaps

24. Mandibular Third Molar
Flaps

25. Mandibular Third Molar
Flaps

26. The Goal in Flap
Design

27. Three Prinicples of Tissue
Handling
 Gentle
 Gentle
 Gentle

28. But it’s Bleeding
 Tamponade
 Indirect pressure
 Cautery
 Ligation
 Hemostatics
 Gelfoam
 Surgicel
 Collagen

29. Dead space
 What about it?
 Can I prevent it?
 Proper suturing
 Pressure dressings
 Drains
 Packing

30. Sew?
 When
 Resorbable or non-resorbable
 Swaged or tied
 Size
 Needle
 Material

31. Have a nice day