After submit my assignment, 4 of us hve nothing to do so just walk around without any lab coat *ahaha is not supposed to be that way* in the clinic area. Then one of our friendly + sporting senior *well he know all the people thou he is first batch !*was measuring a patient's BP (blood pressure). Curiousity makes me stand and look at them.*no one was there that time*. Then another senior washelping him as well to prepare. *thou like something big going to happen...=P*
They started to wear mask ,gown and a longer surgical glove while the instruments are ready and nicely placed. Another smart looking senior (2nd batch) was standing beside me and trying to help them to adjust light. cool right? so many things to be ready...haizs..but sadly I'm not allowed to take any photos....if not I can show what I"m talking about .
Minor surgery started after the senior who in house show the lecturer where he will incise and cut. As usual LA is given but this time is infiltration on the lower gum and some near by soft tissues . Then surgery is started smoothly. First he give a excision on the gum then slowly elevate the mucoperiosteal flap (gingival attaching the bone). This is not as easy as I thought cause the bone and gum really stick tight and the blood is oozing out. Retraction of the flap is done by using a L shape metal.Though suction of blood is done, but stay calm and be sure where to remove and trim the projection of bone with rongeur (a type for cutter like to cut the projected or over hang bony) is really improtant because when there are so many eyes looking at what you are doing, it really makes people nervous.
After cutting, trimming is done with file. *how to determine is smooth enough and the trimming can stop? ok,if the bone is rough in nature, then remove the L shape retractor ,place back the mucoperiosteal flap and use fingers to feel again.If it is smooth mean it is alright! * Continue with applying some iodine+ saline for irrigation, then suture it back. *something I learn.. a THROW mean another round of surgical notch * Senior placed 5 suture then continue another long acting LA as block.
PHEW...... one hour just pass like that. maybe what i explain is brief cause I'm still new with all of the term. But is a good experience to observe and there's a smart senior explaining step by step beside me when we were observing how the surgical went on! I really love it! thanks to the super smart senior lar, he shares his knowledge !
*well this alveoloplasty is cause by alot of reason. From what my super smart and handsome looking today taught me is due to....sometimes is due to the tooth that had been extracted and socket left open ,so covering of this gum will cause this problem in long duration. or it might be cause by nature, or etc.. placing LA on which side to which side is depend on the place surgical is done. NO block is given during surgical is because there's no use of blocking mental neve when the place to work is no going to affect that part though is mandibular. while injecting LA, touch te bone with needle then move backward then only start inject the LA. Needle shouldn't place in one part and inject till the end because if directly injected to the nerve will cause nerve damage. So, should move the needle around the area where we injected...COOL huh?? this is all explained by him oh... SMART right? ahahha I did learn alot ! *
oh another thing I noticed today which is patient asked to lye on the chair awhile after any procedure is done this is because to prevent pooling of blood that will make patient feel dizzy.=)
ask more learn more!!!!! which is really TRUE!!!!!!!
though I'm not smart but learning is FUN!!!!!
Is excited to see all these! some of my friends feel is YUCK and GERLI... but ....working in a blood field, is really challenging cause a bone don't really look like a bone when you see it. SO on spot decision and observe is really important. A small mistake will bring alot of complication!
PS : what I wrote is not 100% correct k... this is just what I learn and using my lay man's term to note it down....=)
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