3. What type of follow-up care should be planned? In consultation with Clarence’s physician, a safe INR (international normalized ratio) should be agreed upon for his extraction and a new appointment scheduled. The INR should be measured within 24 hours of the extraction. In the meantime, an antibiotic should be given to reduce infection. If necessary, pain can be controlled with ibuprofen/acetaminophen or a prescription pain medication.
2. What should Dr. Wagoner do to control the hemorrhage at this time? Most likely, the hemorrhage is mainly from capillaries, since Dr. Wagoner has not yet removed bone. Therefore, the bleeding should decrease within a relatively short time. He should keep finger pressure with moistened gauze over the area (or have an assistant do it) for several minutes. He should check regularly and remove the pressure only when the bleeding has stopped or has been reduced to a mild ooze. If the flap is large enough, it should be secured with sutures. Conclusion Pain, edema, trismus, infection, ecchymosis, hemorrhage, nausea, dislocation of the condyles, and dry socket are the most common complications arising after oral surgery. The dental practitioner must be able to identify these complications. The practitioner must also take the appropriate precautions to minimize the risks and, if necessary, manage the complications associated with oral surgery. Many postoperative dentoalveolar complications can be reduced or eliminated with proper patient consultation, education, and counseling on what to expect. This communication helps eliminate patient complaints and c. Gastrointestinal upset. d. Pulmonary embolism. 2. The most common complications in wisdom tooth extraction are: a. Pain after surgery and dry socket. b. Trismus and dislocation of the condyles. c. Infection and nausea. d. Ecchymosis, hemorrhage, and edema. 3. Oral surgery patients should be instructed to ingest yogurt, cottage cheese, or ginger ale before taking pain medication in order to prevent: a. Dry socket. b. Nausea. c. Infection. d. Hemorrhage. 4. According to the U.S. Drug Enforcement Administration, a medication with the highest abuse potential would be classified as a: a. Schedule I drug. b. Schedule II drug. c. Schedule III drug. d. Schedule IV drug. 5. The medications of choice for postsurgical pain are acetaminophen and: a. Ibuprofen. b. Aspirin. c. Hydrocodone. d. Codeine phosphate.
unnecessary postsurgical callbacks to the office (Sun et al., 2015).
WORKS CITED https://qr2.mobi/Oral_Surgery_comps
COMMON COMPLICATIONS ASSOCIATED WITH ORAL SURGERY Final Examination Questions Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 164, or complete your test online at EliteLearning.com/Book 1. Which is a common postoperative complication associated with oral surgery? a. Tooth erosion. b. Dislocation of the condyles. 6. According to the “2–4–24” mnemonic for controlling pain, how much acetaminophen should be taken every 6 hours for the first 24 hours? a. 300–500 mg. b. 600 mg.
c. 650–1,000 mg. d. 1,000–1,500 mg. 7. Edema usually manifests postoperatively within: a. 3 to 4 hours.
b. 12 to 24 hours. c. 24 to 48 hours. d. 48 to 72 hours.
8. In long and involved procedures, the transection of lymphatics and capillaries and the inflammatory process caused by surgical flap and bone removal can lead to more: a. Edema. b. Nausea. c. Trismus. d. Dislocation of the condyles. 9. Postoperatively, edema may be minimized by: a. Adhering to an all-liquid diet for the first 48 to 72 hours. b. Applying heat at bedtime for 3 consecutive days. c. Administering 1 to 2 tablets of Tylenol with Codeine No. 3 every 4 hours as needed. d. Applying ice to the outside of the affected area every 20 minutes for the first 24 hours. 10. Which side effect associated with edema can be reduced by the administration of corticosteroids? a. Swelling and inflammation. b. Nausea and vomiting. c. Trismus. d. Hemorrhage.
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