Question 141 · LDEK · Medically compromised patient
Indicate the true statements concerning surgical procedures in patients with the history of recent radiation therapy:
1) post-extraction wound should be tightly sutured, but without excessive tissue stress;
2) wide spectrum antibiotic should be administered prophylactically before the surgery, without the need for continuity;
3) local anesthetic with vasoconstrictors should be used;
4) the wound should be tightly closed, therefore incising and performing the periosteal flap is indicated in order to mobilize the tissues;
5) alveoplasty at the post-extraction site should be considered in order to smooth out the bony edges.
The correct answer is:
2) wide spectrum antibiotic should be administered prophylactically before the surgery, without the need for continuity;
3) local anesthetic with vasoconstrictors should be used;
4) the wound should be tightly closed, therefore incising and performing the periosteal flap is indicated in order to mobilize the tissues;
5) alveoplasty at the post-extraction site should be considered in order to smooth out the bony edges.
The correct answer is:
- A. 1,4.
- B. 1,5.
- C. 2,4.
- D. 3,5.
- E. 4,5.
Hint
Irradiated bone depends on a fragile blood supply; choose measures that protect perfusion and allow primary healing.
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