Restorative art up to week 6

Whip Stitch (Continuous Glover Suture) Chatacteristics

A very quick and easy suture to perform. Used to close long incisions. A ridge is usually noticeable with this suture

Rest periods

Advantageous for coordinating brain, hands, and eyes during modeling

Incisions and excisions for restorative purposes are generally made A. During embalming B. After embalming C. Before embalming D. Before pre-embalming treatments.

After embalming

Discoloration

Any abnormal color in or on the body, can be removed by embalming

The equal mixture of two primary hues A. Binary hues B. Intermediate hues C. Tertiary hues D. A tone

Binary hues

Ink

Can be cleaned with acetone or lemon juice

Iodine

Can be cleaned with bleach

Nicotine residue

Can be cleaned with bleach

Grease/oil

Can be cleaned with dawn dishwashing soap

Tar/Creosote

Can be cleaned with kerosene

Adhesives

Can be cleaned with rubbing alcohol

Extravascular Blood

Can be cleaned with soap and water

Paint

Can be cleaned with soap and water

Oil based paint

Can be cleaned with turpentine

Which of the following can be used to retard the setting time of a plaster of Paris solution? A. Cold water B. Warm water C. Table salt D. Drying powder

Cold water

Correct form

Depends on knowledge of structural relationships, objective analyzation, and manual coordination

Clean Stains

Discoloring caused by foreign matter, cannot be removed by embalming

Multiple views

Essential in all restorations, including bilateral form, direct view, and distance viewing

Rough form

Features should be constructed in their rough form first before smoothing with wax

Intra-dermal suture

Hidden subcutaneous suture used in visible areas like the face

Worm/Inversion suture

Hidden suture that draws in swollen tissue

Swelling can be reduced by all the following EXCEPT A. Applying heat from the electric spatula B. Methods of external pressure C. High injection pressure. D. Lancing or hypodermic aspiration

High injection pressure

Which of the following statements is CORRECT regarding the use of the electric spatula? A. Massage cream should be liberally applied before use. B. Hypodermic tissue building should always follow the application C. Very effective when treating large extensive areas of swelling. D. Produces a rapid means of reducing extensive swellings.

Massage cream should be liberally applied before use.

Clay

Media used to form and shape features

Collodion

Media used to form and shape features

Latex

Media used to form and shape features

Paper Mache

Media used to form and shape features

Silicone

Media used to form and shape features

Worm Suture (Inverted/Inversion, Draw Stitch) Characteristics

Named for the pattern it creates in the tissue. Generally used in visible areas such as the face, neck or hands. Used to gather or turn under excess skin. The best "hidden" suture choice if the wound is jagged or unevenly torn in that it allows excess skin to be pulled under.

In hypodermic tissue building, care should be exercised to avoid altering... A. arterial circulation B. natural depressions C. venous drainage D. applied surface cosmetics

Natural depressions

Intradermal Characteristics

Normally used in areas that are visible such as the face, neck or hands. "A hidden, subcutaneous suture." Used to hold the margins of "clean" or non-jagged cuts or incisions. This stitch is made entirely beneath the surface of the skin in the subcutaneous tissues. When carefully drawn together the edges will abut and should not pucker or gap.

Which of the following ingredients makes a restorative wax easier to spread over tissue surfaces? A. Starch B. Pigment C. Oil D. Perfuming Agent

Oil

Which of the following can be used to sear deep tissues? A. Anticoagulant B. Arterial Fluid C. Phenol D. Humectant

Phenol

Suturing: Pre embalming

Placed in large wounds to pull the edges together Placed in small wounds requiring future restoration Usually temporary and then removed for drying procedures

Modeling

Process of constructing a solid, three-dimensional form or feature using pliable material

Smoothing

Process of smoothing wax with hand or brush using water, petroleum jelly, massage cream, or wax solvents

Which suture would be used to close a bullet entry or exit wound on an unexposed area of the body? A. The double intradermal B. The single intradermal C. Basket weave D. Purse String

Purse string

Which of the following is the recommended site for arterial injection for arterial injection of the remains when wax restoration of the head and face is necessary? A. Right femoral artery B. Right axillary artery C. RCC artery D. Iliac artery

RCC artery

Pre-Embalming

Restorative treatments performed before embalming operation

Concurrent

Restorative treatments performed during embalming operation

Lip wax

Soft wax usually tinted for mucous membranes or to bring line of closure to mouth

When added to a restorative wax, which of the following would NOT convert the consistency of the wax to a softer state? A. Starch B. Massage cream C. White petroleum jelly D. Cream cosmetics

Starch

Whip Stitch Techniques

Start from the skin surface on the one side and emerge thru the skin on the opposite , generally at a slight angle.

Suture

Stitch used to close wounds or tie vessels, tissues, or bones

In a cold environment, which wax is suggested for minor integumentary restorations? A. Wound filler B. Derma-surgery C. Restorative D. Surface restorer

Surface restorer

Which of the following is a restorative wax of soft consistency? A. Wound filler B. Restorative C. Surface restorer D. Derma-surgery

Surface restorer

Intradermal Technique

Sutures alternate internal to the wound or incision in the lower layer of the dermis at intervals not to exceed 1/8th inch per suture

Bridge stitch

Temporary suture consisting of individually cut and tied stitches to sustain proper position of tissue

Basket Weave Suture Technique

The end of the ligature is knotted inside the wound. A crisscross network of stitches is made in the base of the wound (not superficially).

Lock Stitch Techniques

The ligature is passed through both ends of the incision from the outside. It's locked tight by looping the needle through the thread and pulling it closed.

Worm Suture Technique

This stitch does not enter the incision, rather it parallels the margins. Stitches are made parallel to the incision, crossing the incision on the surface. The distance of each stitch is directly related to the amount of reduction required.

Ligature

Thread, cord, or wire used for tying vessels, tissues, or bones

Dry

Tissues must be dry to prevent leakage and ensure wax, clay, or cosmetics stay intact

Firm

Tissues must be solid to apply waxes and other feature-building products

Purpose of embalming

To close incisions or wounds, to aid in RA process

Which lip wax is most adhesive? A. Translucent B. Opaque C. Transparent D. Matte

Translucent

Bridge Suture Technique

Typically a single stitch is made, tied and cut separately. They can be deep into muscle, subcutaneous or surface sutures.

Firm wax

Used as a wound filler or to fill large cavities

Basket Weave Suture Characteristics

Used as an anchor for wax in deep issue restorations. It also sustains tissue in its proper position. Employed when there are large areas of missing flesh where the margins of the wound cannot be drawn together.

Lock Stitch (Blanket Suture, Half Stitch) Chatacteristics

Used for closure of incisions sites and autopsies. Known for it's tight closure which lessens the risk of leakage. Leaves a visible ridge on the surface of the skin.

Sealant

Used to achieve dryness, such as liquid sealer, hobby cement, clear nail polish, rubber cement, liquid latex, super glues

Hypodermic bleaching

Used to bleach extravascular discolorations

Surface compress

Used to bleach extravascular discolorations

Bleaching Agents

Used to bleach intravascular discolorations

Cavity fluid

Used to bleach intravascular discolorations

Phenol and alcohol

Used to bleach intravascular discolorations

Preservative gel

Used to bleach intravascular discolorations

Suturing: Post embalming

Used to close incision sites at injection points, at the entry points of the trocar, needles and medical appliances, and to close autopsy incisions. Used to anchor wax

Whip suture

Used to close long incisions or long bone donation sites

Medium wax

Used to give final form and shape to facial features

Soft wax

Used to recreate skin texture or delicate facial features

The Bridge Suture (Temporary or Interrupted Stitch): Characteristics.

Usually a temporary suture. Typically a pre-embalming stitch Embalming and RA stitch Can be used post-embalming: Used to replace hair and attach armatures

Firming wax

Wax made firm by adding talcum powder, corn starch, or cooling

Softening wax

Wax softened by heat of hand or by mixing with massage cream, petroleum jelly, or applying heat