口腔麻醉与拔牙.ppt

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1、Oral local anesthesia and extraction of teeth,Local anesthetic agent,Tetracaine(dicaine)ProcaineLidocaineBupivacaine Articaine(碧兰麻),Kinds of local anesthesia,superficial anesthesiainfiltration anethesiablock anethesia or conduction anethesia,block anethesia or conduction anethesia,Block anethesia of

2、 posterior superior alveolar neverBlock anethesia of anterior palatine neverBlock anethesia of nasopalatine nerveBlock anethesia of infraorbital nerveBlock anethesia of inferior alveolar nerveBlock anethesia of lingual nerveBlock anethesia of buccal nerve,Block anethesia of posterior superior alveol

3、ar never,解剖标志:上颌结节进针点操作要点麻醉范围,Block anethesia of anterior palatine never,解剖标志:腭大孔进针点操作要点麻醉范围,Block anethesia of nasopalatine nerve,解剖标志:切牙孔进针点操作要点麻醉范围,Block anethesia of infraorbital nerve,解剖标志:眶下孔进针点操作要点麻醉范围,Block anethesia of inferior alveolar nerve,解剖标志:下颌孔进针点操作要点麻醉范围,Block anethesia of maxillary

4、 nerve,解剖标志:圆孔进针点操作要点翼腭管注射法颧下翼突注射法麻醉范围,Block anethesia of mandibular nerve,解剖标志:卵圆孔进针点操作要点麻醉范围,Complications of local anethesia and precaution and treatment,SwoonAnaphylaxisToxicationInfectionHematomaBreaking the needle Facial paralysis,Extraction of teethIndication,Severe cariesPeridontitis Severe

5、apixDelayed deciduous teethMultidentine malposed,Impacted teethTraumatismOrthodontic treatmentTeeth that are foci of infection Extraction for treatment,Contraindication,Bloody disease:hemophilia refactory anemia leukemiaCardiovascular diseaseDiabetes mellitusHyperthyroidism:thyr-oid crisis,Nephropat

6、hyHepatitisPregnancy and menstruationAcute infectionMalignent tumor,Instruments,Dental forceps,elevator,chisel,Gingival seperator,curette,mallet,Steps for extraction,分离牙龈挺松牙齿安插牙钳摇动或扭转拔出拔牙创的处理Cautions,各类牙拔除术,阻生牙拔除牙根拔除,Huring of extraction,拔牙创出血及血块形成血块机化骨组织的修复上皮覆盖拔牙创,Complications of extraction of teeth,Operative complicationsPostoperative complicationspostoperative hemorrhageinfectionAcute infectionDry socketChronic infection,Goodbye,