《口腔麻醉與拔牙》PPT課件.ppt

1、Oral local anesthesia and extraction of teeth,Local anesthetic agent,Tetracaine (dicaine) Procaine Lidocaine Bupivacaine Articaine(碧蘭麻),Kinds of local anesthesia,superficial anesthesia infiltration anethesia block anethesia or conduction anethesia,block anethesia or conduction anethesia,Block anethe

2、sia of posterior superior alveolar never Block anethesia of anterior palatine never Block anethesia of nasopalatine nerve Block anethesia of infraorbital nerve Block anethesia of inferior alveolar nerve Block anethesia of lingual nerve Block anethesia of buccal nerve,Block anethesia of posterior sup

3、erior alveolar never,解剖標(biāo)志:上頜結(jié)節(jié) 進(jìn)針點(diǎn) 操作要點(diǎn) 麻醉范圍,Block anethesia of anterior palatine never,解剖標(biāo)志:腭大孔 進(jìn)針點(diǎn) 操作要點(diǎn) 麻醉范圍,Block anethesia of nasopalatine nerve,解剖標(biāo)志:切牙孔 進(jìn)針點(diǎn) 操作要點(diǎn) 麻醉范圍,Block anethesia of infraorbital nerve,解剖標(biāo)志:眶下孔 進(jìn)針點(diǎn) 操作要點(diǎn) 麻醉范圍,Block anethesia of inferior alveolar nerve,解剖標(biāo)志:下頜孔 進(jìn)針點(diǎn) 操作要點(diǎn) 麻醉范圍,B

4、lock anethesia of maxillary nerve,解剖標(biāo)志:圓孔 進(jìn)針點(diǎn) 操作要點(diǎn) 翼腭管注射法 顴下翼突注射法 麻醉范圍,Block anethesia of mandibular nerve,解剖標(biāo)志:卵圓孔 進(jìn)針點(diǎn) 操作要點(diǎn) 麻醉范圍,Complications of local anethesia and precaution and treatment,Swoon Anaphylaxis Toxication Infection Hematoma Breaking the needle Facial paralysis,Extraction of teethIndi

5、cation,Severe caries Peridontitis Severe apix Delayed deciduous teeth Multidentine malposed,Impacted teeth Traumatism Orthodontic treatment Teeth that are foci of infection Extraction for treatment,Contraindication,Bloody disease: hemophilia refactory anemia leukemia Cardiovascular disease Diabetes

6、mellitus Hyperthyroidism:thyr-oid crisis,Nephropathy Hepatitis Pregnancy and menstruation Acute infection Malignent tumor,Instruments,Dental forceps, elevator, chisel, Gingival seperator, curette, mallet,Steps for extraction,分離牙齦 挺松牙齒 安插牙鉗 搖動(dòng)或扭轉(zhuǎn) 拔出 拔牙創(chuàng)的處理 Cautions,各類牙拔除術(shù),阻生牙拔除 牙根拔除,Huring of extraction,拔牙創(chuàng)出血及血塊形成 血塊機(jī)化 骨組織的修復(fù) 上皮覆蓋拔牙創(chuàng),Complications of extraction of teeth,Operative complications Postoperative co