口腔麻醉与拔牙.ppt

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1、OrallocalanesthesiaandextractionofteethLocalanestheticagentTetracaine(dicaine)ProcaineLidocaineBupivacaineArticaine(碧兰麻)KindsoflocalanesthesiasuperficialanesthesiainfiltrationanethesiablockanethesiaorconductionanethesiablockanethesiaorconductionanethesiaBlockanethesiaofpost

2、eriorsuperioralveolarneverBlockanethesiaofanteriorpalatineneverBlockanethesiaofnasopalatinenerveBlockanethesiaofinfraorbitalnerveBlockanethesiaofinferioralveolarnerveBlockanethesiaoflingualnerveBlockanethesiaofbuccalnerveBlockanethesiaofposteriorsuperioralveolarnever解剖标志:上颌

3、结节进针点操作要点麻醉范围Blockanethesiaofanteriorpalatinenever解剖标志:腭大孔进针点操作要点麻醉范围Blockanethesiaofnasopalatinenerve解剖标志:切牙孔进针点操作要点麻醉范围Blockanethesiaofinfraorbitalnerve解剖标志:眶下孔进针点操作要点麻醉范围Blockanethesiaofinferioralveolarnerve解剖标志:下颌孔进针点操作要点麻醉范围Blockanethesiaofmaxillarynerve解剖标志:圆孔进针点操作要点翼

4、腭管注射法颧下翼突注射法麻醉范围Blockanethesiaofmandibularnerve解剖标志:卵圆孔进针点操作要点麻醉范围ComplicationsoflocalanethesiaandprecautionandtreatmentSwoonAnaphylaxisToxicationInfectionHematomaBreakingtheneedleFacialparalysisExtractionofteethIndicationSeverecariesPeridontitisⅢSevereapixDelayeddeciduous

5、teethMultidentinemalposedImpactedteethTraumatismOrthodontictreatmentTeeththatarefociofinfectionExtractionfortreatmentContraindicationBloodydisease:hemophiliarefactoryanemialeukemiaCardiovasculardiseaseDiabetesmellitusHyperthyroidism:thyr-oidcrisisNephropathyHepatitisPregnan

6、cyandmenstruationAcuteinfectionMalignenttumorInstrumentsDentalforceps,elevator,chisel,Gingivalseperator,curette,malletStepsforextraction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Huringofextraction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ComplicationsofextractionofteethOperativecomp

7、licationsPostoperativecomplicationspostoperativehemorrhageinfectionAcuteinfectionDrysocketChronicinfectionGoodbye