Chapter 5: Oral Surgery Introduction



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Normal Laboratory Values

Introduction


The following is a list of normal laboratory values for comparison against during testing and treatment.

Hematology

The following hematology values are provided:



  • hematocrit:

  • Males = 472

  • Females = 422

  • hemoglobin:

  • Males = 16 g/dl2

  • Females = 14 g/dl2

  • white blood count (WBC): 7000/ml3000

  • mean corpuscular volume (MCV): 907

  • mean corpuscular hemoglobin (MCH): 292

  • mean corpuscular hemoglobin concentration (MCHC): 342

Coagulation

The following coagulation values are provided:



  • Ivy bleeding time: 5 mm wound--1 to 9 minutes

  • prothrombin time (PT): 11 to 16 seconds (compared to normal control)

  • partial thromboplastin time (PTT): activated, 32 to 46 seconds
    (compared with normal control)

  • platelets: 140,000 to 440,000/ml

  • International Normalized Ratio (INR): 1 to 1.5

Blood Chemistry

The following are blood chemistry values for oral surgery:



  • HCO3 = 18 to 21 mEq/L

  • pCO2 =80 to 100 mmHg

  • Ph = 7.38 to 7.44

  • pO2 = 80 to 100 mmhg

  • Calcium: 9 to 11 mg/dl

  • Carbon dioxide: 21 to 30 Meq/L

  • Chloride: 98 to 106 Meq/L

  • Cholesterol

  • Total: 180 to 240 mg/dl

  • Esters: 100 to 180 mg/dl

  • Creatinine: 1 to 1.2 mg/dl

  • Glucose: 75 to 105 mg (fasting)

  • Osmolality: 280 to 300 mOsm/L

  • Phosphatase

  • Phosphorus: 3 to 4.5 mg/dl, 1-1.5 Meq/L

  • Potassium: 3.5 to 5.0 Meq/L

  • Protein: 5.5 to 8.0 g/dl

  • Sodium: 136 to 145 Meq/L

  • Urea nitrogen: 10 to 20 mg/dl

Instrument List and Sources

Introduction


The following are recommended surgical instruments and their sources. These instruments can be obtained from many vendors; however, a source is provided simply as a starting point. This does not recommend these sources over any others that are available.

Suppliers


The following surgical items can be obtained from the listed source:

Item

Catalog No.

Source

Surgical pack:

Huck towels (5), sterile, 16" x 30"

Minnesota retractor

301 elevator

34s elevator

190 Woodward elevator

191 Woodward elevator

Curette, double ended, Miller #11

Hemostat, curved Kelly, 5 1/2"

Needle holder, 6 inch

Scissors, Dean

Rongeurs, Blumenthal


542-310

100-2102


100-7934

100-6436


600-2134

600-6802


600-2571

100-8381


100-2570

100-8553


100-7453

Medline Industries

One Medline Place

Mundelein, IL 60060-4486

1-800-323-5886



Bone file, Miller #21

Bard Parker handles #3 (2)

Periosteal, Woodson #1

Cannula, Irrigation, 16 gauge

Suction tip, Frazier, #12


600-1254

003-0993


62-000-97

09-001-67

09-000-66


Henry Schein

5 Harbor Park Drive

Port Washington, NY 11050

1-800-851-0400



Tubing for suction

003-2952

Ace Surgical Supply Co

P.O. Box 1710

Brockton, MA 02403

1-800-441-3100




Osteotome, hand pressure,

Woodward 69W



E69W

Hu-Friedy

3232 North Rockwell Street

Chicago, IL 60618

(312) 975-6100




Towel clamps (Gizmo)




Hemox, Inc.

P.O. Box 362115

Melbourne, FL 32936

1-800-323-4393



Tubing adaptor




Quality Aspirators

P.O. Box 382120

Duncanville, TX

1-800-858-2121



Cup, Stainless Steel, 14 oz




W. Lorenz Surgical Instruments

9850 Interstate Center Drive

Jacksonville, FL 32218

1-800-874-7711



Bur, surgical, 703

384367

Midwest

901 W. Oakton Street

Des Plaines, IL 60018

(312) 640-4956



Disposable Items:

Needle 25 gauge long

Bard Parker blade #12

Bard Parker blade #15

Suture 3-0 on X-1 needle

Anesthetic


194-9460

100-0124


100-1259

654-9902



Henry Schein

5 Harbor Park Drive

Port Washington, NY 11050

1-800-851-0400



Syringe, 20cc disposable, Luer-loc

325-170

Medline Industries

One Medline Place

Mundelein, IL 60060-4486

1-800-323-5886



Handpieces, Surgical:

Air or nitrogen driven

Hall




Zimmer

Impact air




Innovators, Inc.

KaVo




KaVo America

Micro-Aire 2910




Micro-Aire Surg.

Modified Midwest




Rio Dell Dental

Electric

Hall




Zimmer

Stryker




Stryker Instruments

Osteopower 2I




OsteoMed
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