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level: RELFECTION AND SUTURING

Questions and Answers List

level questions: RELFECTION AND SUTURING

QuestionAnswer
performed to separate the mucoperiosteal flap from the underlying boneReflection
The elevator (molt 9 periosteal elevator) is in direct contact with bone and reflection starts at the incision, usually at an angle, and is completed with gentle, steady strokes towards the ___________, without damaging the tissueslabial or buccal vestibule
When the attachment between bone and periosteum is strong, then ___________ are maybe usedscissors or surgical blades
closing the wound to protect the wound from contaminationSuturing
importance of suturing:To ____wound marginscoapt
importance of suturing:Sutures also aid inhemostasis
importance of suturing:Sutures help hold a ______- over bonesoft tissue flap
importance of suturing:Sutures may aid in maintaining a ____ in the alveolar socketblood clot
TRUE OR FALSE: Sutures can be placed across the empty tooth socketFALSE
PRINCIPLES OF SUTURING: When reapproximating the flap, the suture is passed first through the ___; the needle is regrasped with the needle holder and is passed through the _______ of the lingual papillamobile tissue; attached tissue
TRUE OR FALSE: When passing the needle through the tissue, the needle should enter the surface of the mucosa at a obtuse angleFALSE
TRUE OR FALSE: When passing the needle through the flap, the surgeon must ensure that an adequate amount of tissue is takenTRUE
TRUE OR FALSE: Suture should not be tied too tightlyTRUE
TRUE OR FALSE: The knot should be positioned so that it falls directly over the incision lineFALSE
TRUE OR FALSE: If a three-cornered flap is used, the vertical end of the incision must be closed separately. Two sutures usually are required to close the vertical end properlyTRUE
TYPES OF SUTURES MATERIALS (resorbable): plain catgut5 days
TYPES OF SUTURES MATERIALS (resorbable): tanned/chromic7-9 days
TYPES OF SUTURES MATERIALS (nonresorbable):monofilamentPolypropylene
TYPES OF SUTURES MATERIALS (nonresorbable):multifilamentSilk, polyesters
TYPES OF SUTURE NEEDLES:Considered atraumatic and are mainly used for suturing thin mucosaRound or Oval Cross-Section View
TYPES OF SUTURE NEEDLES:Their disadvantage is that great pressure is required when passing through the tissues, which may make suturing the wound harder.Round or Oval Cross-Section View
TYPES OF SUTURE NEEDLES:When they are used for thin mucosa, care is required because they may tear the tissuesTriangular Needles
TYPES OF SUTURE NEEDLES:These needles have sharp cutting edges and are preferred for suturing thicker tissuesTriangular Needles
TYPES OF SUTURE NEEDLES:The most suitable needles are ______ and ____ long, in both casessemicircular or threeeighths of a circle; 19-20 mm
TYPES OF SUTURES:This is the simplest and most frequently used type, and may be used in all surgical procedures of the mouthInterrupted Suture
TYPES OF SUTURES:The advantage is that when sutures are placed in a row, inadvertent loosening of one or even losing one will not influence the rest.Interrupted Suture
TYPES OF SUTURES:this is usually used for the suturing of wounds that are superficial but longContinuous Suture