MPS Dental Clinic

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11/05/2026

💥 “Doctor… my face got BIGGER after the surgery. Is this normal?” 😳🦷

One of the MOST common post-op fears after oral surgery is facial swelling and bruising (ecchymosis).
And honestly? Many patients panic when the cheek suddenly balloons up on Day 2 😅

But for INBDE / NEET-MDS students — this is a HIGH-YIELD topic you absolutely must know. 🔥

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🦷 SWELLING AFTER ORAL SURGERY
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Postoperative swelling occurs due to:
✔️ Surgical trauma
✔️ Inflammatory mediator release
✔️ Vasodilation & increased vascular permeability
✔️ Fluid accumulation in tissues

💎 Peak swelling usually occurs at:
➡️ 48–72 HOURS after surgery

That’s why patients often look WORSE on Day 2 or Day 3 before they improve.

Common after:
🔹 Third molar surgery
🔹 Bone removal
🔹 Extensive flap reflection
🔹 Traumatic extractions

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❄️ MANAGEMENT
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✅ FIRST 24 HOURS:
Use ICE packs
(20 min on / 20 min off)

➡️ Causes vasoconstriction
➡️ Reduces edema and pain

✅ AFTER 24–48 HOURS:
Switch to WARM compresses ♨️

➡️ Improves circulation
➡️ Helps resolution of swelling & bruising

💊 Drugs commonly used:
✔️ NSAIDs
✔️ Dexamethasone (very common after wisdom tooth surgery)

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🩸 WHAT IS ECCHYMOSIS?
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Ecchymosis = blood leaking beneath tissues causing discoloration.

Classic color progression:
🟥 Red/Purple
🔵 Blue
🟢 Green
🟡 Yellow

Usually appears:
➡️ 2–3 days post-op

Common in:
⚠️ Elderly patients
⚠️ Anticoagulant users
⚠️ Hypertensive patients
⚠️ Traumatic surgeries

Most cases are:
✅ BENIGN
✅ SELF-LIMITING

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🚨 RED FLAG SIGNS
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⚠️ Swelling worsening AFTER Day 3
⚠️ Fever
⚠️ Dysphagia
⚠️ Dyspnea
⚠️ Floor of mouth elevation

➡️ Think INFECTION or AIRWAY COMPROMISE 🚨

This is no longer “routine postoperative swelling.”

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🎯 INBDE RAPID REVIEW
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💎 Peak swelling = 48–72 hrs
💎 Ice first → heat later
💎 Dexamethasone reduces edema
💎 Ecchymosis is usually harmless
💎 Increasing swelling after Day 3 = suspect infection

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🧠 MCQ TIME
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1️⃣ Postoperative swelling after third molar surgery typically peaks at:

A. 6–12 hours
B. 24 hours
C. 48–72 hours
D. 7 days

2️⃣ Which is the MOST appropriate initial management for postoperative facial swelling?

A. Warm compress immediately
B. Ice packs during first 24 hours
C. Vigorous massage
D. Antibiotics in all patients

Post your answers in comment 👇

07/05/2026

Local Anesthesia in Pregnancy

🔹 2nd trimester = safest for elective dental care
🔹 Avoid extensive elective treatment in 1st trimester
🔹 Consult OB-GYN before significant treatment

Safest LA
🔹 Lidocaine = drug of choice
🔹 Prilocaine (methemoglobinemia risk)
🔹 Use articaine, mepivacaine, bupivacaine with more caution

Vasoconstrictor
🔹 Lidocaine with epinephrine is acceptable in normal dental doses
🔹 Always aspirate to avoid intravascular injection
🔹 Avoid felypressin

Chair position
🔹 Late pregnancy: avoid full supine position
🔹 Place on left side or put wedge under right hip
🔹 Prevents supine hypotensive syndrome

High-yield pearl
🔹 Pregnant patient → 2nd trimester + lidocaine with epi + left-side positioning

Medical disclaimer: This note is for education only and is not a substitute for professional medical advice, diagnosis, or treatment.

04/05/2026

Different types of tooth damage

04/05/2026

🪑 Syncope Management in Dental Chair – Quick Guide

⚠️ Recognize Early Signs (PRODROMAL)
Pale, cold, clammy skin
Anxiety, restlessness
Slow pulse (bradycardia)
Sudden drop in BP
Yawning, nausea, dizziness
Blurred/tunnel vision
Unresponsiveness

🚑 Immediate Management Steps

1. STOP & POSITION
Stop dental procedure immediately
Place patient in supine position
Elevate legs (Trendelenburg position) → improves cerebral blood flow
2. AIRWAY & VITALS
Ensure airway patency
Check Breathing & Pulse
Monitor vitals: BP, HR, SpO₂
Be ready to activate emergency support if needed
3. OXYGEN & SUPPORT
Administer O₂ (4–6 L/min)
Loosen tight clothing
Apply cold compress on forehead
4. REASSURE & RECOVER
Keep patient supine until fully conscious
Reassure and reduce anxiety
Slowly bring the patient to upright position only after recovery

❌ What NOT to Do
Do NOT leave patient unattended
Do NOT sit patient upright immediately
Do NOT throw water forcefully on patient
Avoid rushing the patient post-recovery

🛡️ Prevention Tips
Take thorough medical history
Reduce anxiety (communication, short appointments)
Avoid sudden position changes
Ensure patient has eaten (avoid hypoglycemia)
Use stress-reduction protocols

🧠 Key Takeaway
“Position + Oxygen + Reassurance = Rapid Recovery”

Image credits: Medscope Hub

02/05/2026

🦷 Oral Hygiene Simplified — What Actually Works 🪥

You brush twice daily…
But still getting caries? Gingivitis? Bleeding gums?

👉 Here’s the truth:
Brushing alone ≠ Clean mouth

Let’s fix this once and for all 👇

⚡ The REAL Oral Hygiene Blueprint (INBDE Gold)

🪥 1. Toothbrushing — It’s NOT about force

Use soft-bristled brush ONLY

Brush 2× daily (MOST important: before sleep)

Hard brushing = abrasion + recession

👉 Game changer:
⭐ Modified Bass Technique

45° toward gingiva

Vibrate → sweep

Targets sulcular plaque (EXAM FAVORITE)

🧵 2. The BIGGEST Mistake Students Forget

🚨 Toothbrush CANNOT clean between teeth

So if you’re not doing this:

Floss → tight contacts

Interdental brush → open embrasures (BEST for perio)

👉 That’s why patients get interproximal caries despite brushing!

💧 3. Mouthwash — Know the Truth

🟣 Fluoride rinse → Caries prevention

🔴 Chlorhexidine → Short-term only

⚠️ Long-term CHX =
→ Staining
→ Taste alteration
→ Calculus ↑

👅 4. Tongue Cleaning = Underrated Hack

Reduces halitosis

Lowers bacterial load

👉 Simple… but high-yield.

🍬 5. Diet Matters More Than You Think

❗ It’s NOT just sugar amount
👉 It’s frequency of intake

Frequent snacking = continuous acid attack

Night snacking = worst damage

💀 EXAM TRAPS YOU MUST KNOW

❌ Hard brush cleans better → WRONG

❌ Brushing alone prevents caries → WRONG

✅ Modified Bass = BEST for gingival margin

✅ Interdental brush > floss (in open embrasures)

❌ Chlorhexidine for daily long-term use → WRONG

🎯 Clinical Pearl

👉 Plaque control = Foundation of ALL dentistry

No scaling, filling, or surgery will last
if oral hygiene is poor.

🧠 MCQ TIME

📝 MCQ 1

A patient brushes twice daily but presents with recurrent interproximal caries. What is the most likely cause?

A. Improper fluoride concentration
B. Excessive brushing force
C. Lack of interdental cleaning
D. Use of soft-bristled toothbrush

📝 MCQ 2

Which oral hygiene technique is most effective for removing plaque from the gingival sulcus?

A. Fones technique
B. Stillman technique
C. Charter’s technique
D. Modified Bass technique

Post your answers in comment 👇

🔥 Your Turn

Be honest…
👉 Which of these are YOU actually following?

02/05/2026

🦷💀 “You didn’t protect the clot… now you’re in PAIN.”

That one small mistake after extraction?
👉 It can turn a simple procedure into 2–4 days of throbbing, radiating pain = DRY SOCKET

Let’s make this exam-proof + clinic-proof 👇

⚠️ THE GOLDEN RULE

PROTECT. THE. CLOT.

Because once it’s gone…
👉 Bone gets exposed
👉 Pain shoots up
👉 Healing crashes

🚫 Top Mistakes Students (and Patients) Make

Using a straw → suction pulls clot out

Smoking → 🚨 VASOCONSTRICTION (MOST IMPORTANT) + heat + suction

Spitting/rinsing early → disrupts clot

Hot foods → increases bleeding

✅ What Actually Helps Healing

Bite on gauze → stabilizes clot

Soft diet → no trauma

Ice packs → reduces swelling

Salt water rinse (after 24 hrs) → clean healing

🔥 Exam Trap You WILL See

Dry socket = clot lost + pain peaks at 2–4 days + foul odor

🧠 MCQ 1

A patient develops severe pain 3 days after extraction. History reveals frequent smoking post-procedure. What is the PRIMARY mechanism responsible?

A. Negative pressure dislodging clot
B. Vasoconstriction reducing blood supply
C. Bacterial infection
D. Thermal injury

🧠 MCQ 2

Which of the following instructions MOST directly prevents clot dislodgement after extraction?

A. Avoid hot foods
B. Use ice packs
C. Start antibiotics
D. Avoid using a straw

Post your answers in comment 👇

Be honest… how many of you thought smoking = suction only? 😏
That’s exactly where exams trap you.

01/05/2026

Kennedy’s classification ⬇️

Address

Congressional Road Block B1, Lot 13, Luzviminda 1
Dasmariñas
4114

Opening Hours

Monday 7am - 5pm
Tuesday 7am - 5pm
Wednesday 7am - 12:01pm
Thursday 7am - 5pm
Friday 7am - 5pm
Saturday 7am - 5pm

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