口腔麻醉与拔牙.ppt

单击此处编辑母版标题样式,,单击此处编辑母版文本样式,,第二级,,第三级,,第四级,,第五级,,,,*,单击此处编辑母版标题样式,,单击此处编辑母版文本样式,,第二级,,第三级,,第四级,,第五级,,,,*,单击此处编辑母版标题样式,,单击此处编辑母版文本样式,,第二级,,第三级,,第四级,,第五级,,*,,*,单击此处编辑母版标题样式,,单击此处编辑母版文本样式,,第二级,,第三级,,第四级,,第五级,,*,,*,口腔麻醉与拔牙,,Local anesthetic agent,Tetracaine (dicaine),,Procaine,,Lidocaine,,Bupivacaine,,Articaine(,碧兰麻,),Kinds of local anesthesia,,superficial anesthesia,,infiltration anethesia,,block anethesia or conduction anethesia,block anethesia or conduction anethesia,Block anethesia of posterior superior alveolar never,,Block anethesia of anterior palatine never,,Block anethesia of nasopalatine nerve,,Block anethesia of infraorbital nerve,,Block anethesia of inferior alveolar nerve,,Block anethesia of lingual nerve,,Block anethesia of buccal nerve,Block anethesia of posterior superior alveolar 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 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,,Swoon,,Anaphylaxis,,Toxication,,Infection,,Hematoma,,Breaking the needle,,Facial paralysis,Extraction of teethIndication,Severe caries,,Peridontitis Ⅲ,,Severe apix,,Delayed deciduous teeth,,Multidentine malposed,Impacted teeth,,Traumatism,,Orthodontic treatment,,Teeth that are foci of infection,,Extraction for treatment,Contraindication,Bloody disease: hemophilia refactory anemia leukemia,,Cardiovascular disease,,Diabetes mellitus,,Hyperthyroidism:thyr-oid crisis,Nephropathy,,Hepatitis,,Pregnancy and menstruation,,Acute infection,,Malignent 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 complications,,Postoperative complications,,postoperative hemorrhage,,infection,,Acute infection,,Dry socket,,Chronic infection,Goodbye,谢谢观赏,。