Desired Outcome: Successful removal of teeth with minimal patient discomfort. Accurate and efficient room preparation.

 

Measurement:  Response of the patient and doctor. Inspection of the room. The number of times the assistant must leave the room to obtain supplies or instruments.

 

Simple Extractions

 

1.       Set up the following items for this procedure:

A.     Oral surgical pack	E.      Forceps	I.        Patient bib
B.     Extra gauze	F.      Syringe with blue needle	J.       Cotton rolls
C.     Interosseous with pink needle	G.     Advil/Tylenol tablets	K.     2x2�s
D.     Topical anesthetic	H.     Injectable anesthetic

 

Procedure

 

1.       Professionally and warmly greet and seat the patient.

 

2.       Place the bib on the patient and put on the appropriate personal protective equipment.

 

3.       Review the day�s scheduled treatment and the health history form with the patient and make any necessary changes to the patient�s chart.

 

4.       Apply the topical anesthetic to the proposed surgical site and inform the doctor the patient is ready.

 

5.       Use the surgical evacuation tip as the doctor injects anesthetic around the surgical site. Once the gingival tissue and tooth are numb, the doctor will extract the tooth or teeth.

A.     Evacuate the patient�s mouth, as needed.

B.     Prep a 2x2 to place in the extraction site(s).

 

6.       Once the extraction is complete, slowly return the patient�s chair to an upright position, assist them as needed, and give them the appropriate post-operative instructions.

 

7.       Escort the patient to the front desk and clearly communicate to the patient and receptionist when the patient should return.

 

8.       Complete the necessary documentation in the patient�s chart and clean and prepare the room for the next patient. Refer to the appropriate corresponding SOPs for further instructions.

 

Surgical Extractions

 

1.       Set up the same supplies and instruments as with Simple Extractions, in addition to high speed and burs, root tip pick, scalpel, 15 blade for scalpel, and suture supplies.