Manual of Pediatric Anesthesia by Jerrold Lerman Charles J. Coté & David J. Steward
Author:Jerrold Lerman, Charles J. Coté & David J. Steward
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham
Alveolar Bone Grafting
An alveolar bone graft may be required to close a gap in the bony alveolar ridge; this procedure may be performed on an ambulatory basis. The operation is preferably performed as the permanent dentition erupts so that teeth may be guided into the grafted area. The bone is often harvested at the iliac crest; pre-incisional infiltration of the donor site with bupivacaine with epinephrine may significantly reduce postoperative pain and bleeding. IV morphine is usually required intra- and postoperatively. Prophylactic administration of dexamethasone and ondansetron significantly decrease PONV and speeds return to normal activity.
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