tailieunhanh - Ebook Wiggs's veterinary dentistry - Principles and practice (2/E): Part 2

Part 2 book "Wiggs's veterinary dentistry - Principles and practice" includes content: Oral surgery – general, oral surgery – fracture and trauma repair, oral surgery – oral and maxillofacial tumors, basic endodontic therapy, advanced endodontic therapy, restorative dentistry, crowns and prosthodontics, occlusion and orthodontics, domestic feline oral and dental diseases, small mammal oral and dental diseases, exotic animals oral and dental diseases. | 247 12 Oral Surgery General Heidi B. Lobprise Main Street Veterinary Dental Clinic Flower Mound TX USA Introduction bundles for ligation and non crushing forceps can secure tissues such as the tongue for temporary hemorrhage Tissues other than teeth bone and periodontal structures control during the procedure 1 . require surgical intervention at times. Basic surgical Preference for suture material may vary but typically skills and rules for other body systems are often applica- an absorbable product of 4 0 to 5 0 size with a swaged ble with some modifications. A good aseptic technique on needle works best. The type and size of suture can be in the clean contaminated environment of the oral cavity adjusted according to the size of the patient condition can be challenging but should be followed when possible. and thickness of the tissue and goal of the procedure. Specific aspects from tissue healing to instrumentation For extractions synthetic absorbable material is recom- and techniques are covered in greater detail in other mended and products that will stay intact longer texts that are good resources see Suggested Reading . polyglacton 910 or polyglycolic acid are preferred with oronasal fistula repair and other complicated proce- dures. In thin friable tissue a tapered needle may be pre- Basic Surgical Principles ferred while a reverse cutting needle may be needed for Tissues of the oral cavity tend to heal rapidly due to thicker mucosa and gingiva. s everal factors including more extensive monocytic A suture technique may also be adjusted according to phagocytic activity and epithelialization compared to need often using a simple interrupted pattern and skin warmer temperatures high metabolic activity specialized patterns where indicated. Sutures should higher mitotic rate and an excellent blood supply 1 . incorporate adequate bites of tissue and be secured The oral cavity s excellent blood supply can prove to snugly to resist loosening