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NUR INAYAH BAHARUDDIN J 111 07 056 odontectomy
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Definition Removal of teeth by the reflection of a mucoperiosteal flap and excision of bone from around the root or roots before the application of force to effect the tooth removal.
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Indications for Extraction Localized or generalized neuralgias of the head Pericoronitis Production of caries Obstruction of placement of a partial or complete denture
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Indications for Extraction Obstruction of the normal eruption of permanent teeth Participation in the development of various pathologic conditions Destruction of adjacent teeth due to resorption of roots
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Planning of Treatment
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€€ Radiography Features
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Equipment, Instruments, and Materials
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Diagnostics set Local anesthesia, syringe, needle, and ampule (Lidocain HCl Epinephrin 2ml 2%) Scalpel and blade Periosteal elevators Rongeur forceps Bone burs Bone file Hemostat
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Equipment, Instruments, and Materials Retractors Needle holder and needle Surgical forceps and anatomic forceps Scissors Disposable plastic syringe Suction tip Handpiece Salin solution NaCl 0,9% Povidone iodine 10% Sutures (silk)
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Steps of Surgical Procedure The surgical procedure for the extraction of impacted teeth includes the following steps: Aseptic and antiseptic Local anesthesia
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Steps of Surgical Procedure Incision (triangular flap) and Reflection of the mucoperiosteal flap Removal of bone to expose the impacted tooth
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Steps of Surgical Procedure Sectioning tooth at the cervical line using a fissure bur, separation of crown from the root, with rotation of the elevator in a groove created on the impacted tooth. Luxation of the root of an impacted tooth using an angled Seldin elevator. Smoothing of bone edges of the wound using a bone file. Care of the postsurgical socket (irrigation with saline solution)
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Steps of Surgical Procedure Suturing of the wound (simple interrupted suture)
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Postoperative care RestAnalgesiaEdema DietAntibiotik Removal of suture
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Prescribed R / Amoxycilin tab @ 500 mg No.XV 3 dd 1 R/ Asam mefenamat tab @ 500 mg No. IX 3 dd 1 R / Becom C tab No.V 3 dd 1 Pro: Mr. Ilham A. Zainal Age: 21 tahun Adress: Adipura 2 No.5
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Refference Fragiskos FD. Oral surgery. NewYork: Springer- Verlag Berlin Heidelberg; 2007. On Line medical dictionary.
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