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level: RELFECTION AND SUTURING

Questions and Answers List

level questions: RELFECTION AND SUTURING

Question	Answer
performed to separate the mucoperiosteal flap from the underlying bone	Reflection
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 tissues	labial or buccal vestibule
When the attachment between bone and periosteum is strong, then ___________ are maybe used	scissors or surgical blades
closing the wound to protect the wound from contamination	Suturing
importance of suturing:To ____wound margins	coapt
importance of suturing:Sutures also aid in	hemostasis
importance of suturing:Sutures help hold a ______- over bone	soft tissue flap
importance of suturing:Sutures may aid in maintaining a ____ in the alveolar socket	blood clot
TRUE OR FALSE: Sutures can be placed across the empty tooth socket	FALSE
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 papilla	mobile 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 angle	FALSE
TRUE OR FALSE: When passing the needle through the flap, the surgeon must ensure that an adequate amount of tissue is taken	TRUE
TRUE OR FALSE: Suture should not be tied too tightly	TRUE
TRUE OR FALSE: The knot should be positioned so that it falls directly over the incision line	FALSE
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 properly	TRUE
TYPES OF SUTURES MATERIALS (resorbable): plain catgut	5 days
TYPES OF SUTURES MATERIALS (resorbable): tanned/chromic	7-9 days
TYPES OF SUTURES MATERIALS (nonresorbable):monofilament	Polypropylene
TYPES OF SUTURES MATERIALS (nonresorbable):multifilament	Silk, polyesters
TYPES OF SUTURE NEEDLES:Considered atraumatic and are mainly used for suturing thin mucosa	Round 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 tissues	Triangular Needles
TYPES OF SUTURE NEEDLES:These needles have sharp cutting edges and are preferred for suturing thicker tissues	Triangular Needles
TYPES OF SUTURE NEEDLES:The most suitable needles are ______ and ____ long, in both cases	semicircular 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 mouth	Interrupted 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 long	Continuous Suture