Oral implant surgery is a simple surgical procedure, and its requirements are the same as those of general surgery. It is necessary to prepare the operating room environment, patients, instruments and medical personnel, and to ensure the principle of asepsis in implant surgery.
For the above link, briefly describe its corresponding requirements.
I. Operating room environment
The operating room must be prepared at least one single room, surgery as far as possible in the morning, the day before the operation to do a good job of cleaning and sanitation of the operating room, close the doors and windows, ultraviolet lamp disinfection, to ensure the sterility of the operating room. If the surgery is performed in an outpatient clinic, environmental disinfection and sterile clothing for the surgical staff must be in place. On the day of surgery, the patient enters the operating room wearing a good hat and footwear. If there are multiple surgeries, ensure the sterilization time and sterile environment in the operating room.
Second, the patient surgery preoperative preparation requirements
1.Exclude contraindications, women avoid menstruation
2.Patients need to take a good X-ray examination and take a good model
3.Prepare the oral cavity before surgery: remove the caries and root remnants, treat the oral disease, and clean the oral cavity;
4.Take blood test, liver function, blood sugar, clotting time, HBsAg. 2 weeks before surgery, control glycosylated hemoglobin ≤ 7% for diabetic patients, and ensure glycosylated hemoglobin ≤ 7% within 10 weeks after surgery.
5.Eat antimicrobials (conventional antimicrobials) one day before surgery
6.Take blood pressure, pulse, and temperature before surgery; for highly stressed patients, monitor indicators during surgery
7.Pre-operative intra-oral disinfection
III. Instrument and dressing preparation
1.Dressings.
Square towel (double layer, 5 pieces, 80cm*80cm or above), used to wrap the patient’s head and neck
Cave towel (double-layer, 1 piece, length can cover from head to knee, width should exceed both shoulders)
Cloth cover (double layer, 3, 1.5m/each, diameter 7cm or so, cover the implant motor and saliva tube), if there is no cloth cover available disposable medical sterile protective cover. If the suction tube is disposable and sterile, a cloth sleeve can be omitted.
Surgical tool box cloth (double layer, 2 pieces, depending on the actual size of the curved tray containing the surgical instruments in the clinic)
Implant case wrap (double layer, 2 pieces, 80cm*80cm, to wrap Branemark tool case or Replace tool case)
Surgical staff mask, cap, hand washing gown, hand washing pants and sterile surgical gown (2-3 sets for one surgery), sterile gloves
Sterile saline (1-2 bottles for 1 tooth, depending on the tooth, preferably cooled in the refrigerator 24-48 hours before surgery in summer)
Trolley *2 (put the implant instrument box and surgical tool box, depending on the overall configuration of the operating room)
2, extra-oral surgical toolbox.
Stomatoscope * 1 ~ 2, pull hook * 1 (available instead of stomatoscope) needle holder * 1.
forceps * 1, the size of the scraping spoon * 1, hemostatic forceps * 2 (curved straight)
Gum separator*1 Periosteal separator*1 Knife handle*1
Sharp blade or small round blade*1 Suture needle 5*12 size Suture 0# or 1#
Towel clamp 3-4, ophthalmic scissors *1 gauze, cotton balls a number of
Suction head * 1 (preferably rigid, while playing a pulling role)
50ml syringe (with needle) plus sterile container bowl *1 or infusion skin strip plus blood pressure cuff (for external cooling)
Another: (prepared for individual cases) bone chisel, bone file, small hammer, bone biting forceps, small bowl, bone powder, bone film
The above tools can be packaged and sterilized together
3.Implant surgery instruments.
Implant machine
4.Other.
Suck saliva with strong suction; hand sanitizer, iodophor, alcohol
Fourth, the medical staff
1, the doctor explained to the patient surgical and post-operative precautions, sign the surgical consent form;
2.Doctors and medical assistants wash their hands and get dressed, prepare for surgery;
3.Roving nurses do their roving work.