PREOPERATIVE PROCEDURE Patient positioning - position of the patient should be correct to allow for easy access to the biopsy site and patient comfort . Operating dentist should stand on the right hand side of the patient and the head of the patient should be placed at the level of the elbow of the operating dentist. This enables the ease of access to the operating area
Sterile set up Sterile techniques refers to the procedures and practices applied to prevent contamination from pathogens. It is crucial to sterilize the surgical setup before a dental procedure. Sterile area- the sterile area contain all the sterile material and surgical instruments needed for surgery. Wear sterile gloves before placing the sterile drapes and performing the instrument set up. When setting up, apply the non-sterile draping first, the operatory tray draping, then place the sterile items in the sterile field.
Once the process of the opening the sterile items begins, traffic in and out of the operating room must be closely monitored. Sterile supplies should be opened as close as possible to the surgery start time. Only the sterile supplies required for that surgery should be opened to prevent unnecessary waste.
Local Anaesthetic Administration Local anesthesia is important for pain management in dentistry Peripheral infiltration of local anesthetic with a vasoconstrictor is often helpful, injecting at least 1 cm away from the lesion’s perimeter to prevent distortion of the lesion itself.
Biopsy Technique & Hemostasis has been explained in other modules.
Postoperative Care and Instructions Immediate Care- after the biopsy , the wound or the site of biopsy should be closed with the help of suture. Bleeding should be stopped, if any with the help of hemostatic agents. Prescribe the patient with appropriate analgesics for pain management, and antibiotics if necessary. Explain the patient regarding the post surgical instructions carefully.
Biopsy Complications and Management If any complications occur, address it properly, and the management should be done accordingly. For example, any excessive bleeding can be controlled by applying pressure packs or hemostatic agents.
This module provides dental students with a comprehensive understanding of the practical aspects of conducting an oral biopsy. It covers patient positioning, Anaesthesia administration, the biopsy procedure itself, postoperative care, specimen handling, complications, and infection control measures. Mastery of this module is essential for ensuring the safety of the patient, the accuracy of the biopsy, and successful patient outcomes.