Академический Документы
Профессиональный Документы
Культура Документы
PPC
Wards
Characteristics:
syringe
Brand Name:
Barricaid
Characteristics:
a. Non brittle and very elastic
b. No mixing required
Application of Non Eugenol Packs
Materials Needed
non eugenol pack (Coe-Pak)
petroleum jelly
spatula (wooden tongue depressor)
mixing pad
Preparing the Periodontal Dressing
With the use of wooden tongue depressor, mix equal lengths of paste from
the tubes containing accelerator and base until the paste is uniform in color
Paste is placed in a paper cup of water at room temp.
In 2-3 minutes, the paste loses its tackiness
In 3-5 minutes it can be handled and roll it into two strips approximately the
length of the treated area
Remains workable 15-20 minutes
Inserting the Periodontal Dressing
The end of one strip is hooked around the distal surface of the last molar
remainder of the strip is brought forward along the facial surface to the
midline and gently pressed into place
The second strip is applied into the lingual surfaces by joining the pack at the
distal surface of the last molar tooth and then brought forward along the
gingival margin to the midline
Strips are joined interproximally by applying gentle pressure on the facial and
lingual surfaces of the pack
Pack shld extend from tooth to tooth covering the edentelous areas
Dressing shld not interfere with muscle and cheek, overextension causes
irritation.
Excess pack irritated mucobuccal fold and floor of mouth and interferes w/
tongue
Dressing shld extend only to the height of contour of the teeth
Shld not be in occlusal contact during clossure
Frenums shld move freely
Characteristic of a Well Placed Dressing
Shld be secured and rigid
Little bulk as possible
Is locked interdentally so it cannot be displaced
The patient is also told to rinse the mouth every 2 hrs w/ a glassful of an
equal mixture of warm water and 3% hydrogen peroxide
Purposes:
1. Alleviate pain
2. Control spread of infection
3. Establish drainage
Drainage Through the Pocket
Apply topical anesthesia
A flat instrument or a probe is carefully introduced into the pocket in an
attempt to distend the pocket wall
A small currette or a Morse scaler can then be gently used to penetrate the
tissue and establish drainage
When drainage cannot be easily established via the pocket or when the
abscess can be seen pointing through the gingiva, an external incision is
indicated
Drainage Through an External Incision
Abscess is isolated , dried and swabbed w/ antiseptic soln followed by a
topical anesthetic
W/ a Bard Parker no. 12 blade, a vertical incision thhrough the most fluctuant
area of the lesion, extending from the mucogingival fold to the gingival
margin
After the initial extravasation of blood and pus, irrigate the area w/ warm
water and gently spread the incision to facilitate drainage
After the drainage stops, the area is dried and painted w/ antiseptic
Patient w/out systemic complications are instructed to rinse hourly w/ a soln
of a teaspoon of salt in a glass of warm water and return the next day
Penicillin or other antibiotics are prescribed for patients w/ fever
Patient also instructed to avoid exertion and is put on a copious diet
Gingival Abscess
After topical anethesia is applied, the fluctuant area of the lesion is incised w/
no 12 blade
Incision is gently widened to permit drainage