PROSEDUR EKSTRAKSI GIGI/PENCABUTAN GIGI (DEMO)

Summary

This video script provides a detailed walkthrough of a tooth extraction procedure, focusing on a patient with a large cavity in tooth 46. It covers the preparation phase, including anesthesia and aseptic techniques, followed by the extraction process itself, which involves elevation, luxation, and extraction of the tooth. The script also outlines the post-extraction care, emphasizing patient comfort and preventing complications. Instructions on oral hygiene and restrictions are provided to ensure a smooth recovery. The video effectively demonstrates each step to ensure safety and proper care during the procedure.

Takeaways

• 😀 The patient reports a large cavity in the lower right tooth (Gigi 46), which previously caused pain but is no longer painful.
• 😀 The patient requests the extraction of the tooth (Gigi 46).
• 😀 Preparation for the procedure includes using an apron to protect the patient from blood and saliva splashes.
• 😀 The operator must wear personal protective equipment (PPE), including a mask and gloves, during the procedure.
• 😀 An anesthetic solution is prepared and aseptic techniques are followed before anesthesia administration.
• 😀 Anesthesia is injected in a specific sequence, starting with the contralateral side (opposite), then ipsilateral (same side).
• 😀 Aspiration is performed after anesthesia injection to ensure the needle is not in a blood vessel. If negative, 1.5 cc of anesthetic is administered.
• 😀 Once anesthesia takes effect, the tooth is separated from the surrounding tissue using a periosteal elevator or a similar tool.
• 😀 The extraction of the tooth proceeds with luxation movements towards the buccal and lingual directions, followed by coronally (towards the crown).
• 😀 If sharp bone edges are present, they are smoothed using a bone file, and curettage is performed to remove any remaining tissue.
• 😀 Post-extraction care includes instructing the patient to bite down on a tampon for 30 minutes to 1 hour and to avoid hot/spicy foods and using a straw.
• 😀 Patients are advised not to touch the extraction site with their tongue, avoid frequent spitting, and brush the area gently while maintaining oral hygiene.

Q & A

What is the main complaint of the patient in the script?

The patient has a large cavity in tooth 46 on the lower right side. The tooth had previously caused pain about three months ago but is no longer painful.

Why does the patient want the tooth extracted?

The patient desires the tooth extraction, likely due to the large cavity and previous pain, despite it no longer being painful.

What is the purpose of the apron worn by the patient?

The apron is worn to protect the patient from splashes of blood and saliva during the procedure.

What types of personal protective equipment (PPE) are mentioned for the operator?

The operator wears a mask and gloves as part of their personal protective equipment during the procedure.

What is the process for administering local anesthesia during the procedure?

The anesthesia process involves performing asepsis on the area to be anesthetized, identifying internal and external landmarks, injecting anesthesia contralaterally and ipsilaterally, ensuring no blood vessel is hit through aspiration, and then depositing the anesthetic solution.

What is the purpose of massaging the anesthetized area?

Massaging the anesthetized area helps spread the anesthetic solution, ensuring the area is fully numb before beginning the extraction.

How is the tooth extracted once anesthesia takes effect?

Once anesthesia takes effect, the tooth is separated from the surrounding tissues using tools like periosteum or a being instrument. The tooth is then elevated, showing mobility, and extracted towards the buccal and lingual directions. Any sharp bone edges are smoothed with a bone file.

What is the purpose of curettage in the extraction process?

Curettage is used to remove any residual granulomatous tissue that may remain in the socket after the tooth has been extracted.

Why is irrigation with betadine performed after the extraction?

Irrigation with betadine is done to clean the extraction site and prevent infection by flushing out any remaining debris or bacteria.

What post-operative instructions are given to the patient after the extraction?

The patient is instructed to bite on a tampon for 30 minutes to an hour, avoid hot and spicy foods, refrain from touching the extraction site with their tongue, avoid drinking through a straw, and brush the extraction area gently to maintain oral hygiene.