Tissue Preparation

Question 1

Must be secured to undertake the restoration from someone in authority.

Answer 1

Written Permission

Question 2

Incisions and excisions for restorative purposes are made at this time.

• So that circulation will not be disrupted.
• There is an exception.

Answer 2

After Embalming

Question 3

Growths and mulilations that will distort the features.

• Remove prior to embalming
• Temporarily suture the remaining tissues to hold them in their normal position.

Answer 3

Exception to making incisions and incisions after embalming.

Question 4

Tissues must be like this before attempting any wax reconstruction.

• Ideal time

Answer 4

Firm and Dry

Question 5

• 8-10 Hours after embalming.
• Leakage or tissue gas should be evident by this time.

Answer 5

Ideal time for wax reconstructions

Question 6

• Set fractured bones.
• Suture loose flaps of skin.
• Support depressed tissues.
• Align fractures.
• Remove stains or foreign matter from the skin.
• Shave- normal and affected areas.
• Heavily massage cream the face.

Answer 6

Before Embalming

Question 7

To protect against drying and bleaching caused by chemical leakage.

• Ex: eye ennucleation - purge

Answer 7

Heavily Massage Cream the Face (Before Embalming)

Question 8

• Plug small skin punctures.
• Plug leakage from the ears and nose when it becomes clear fluid.
• Cotton saturated with a preservative chemical may be placed in deep cavities.

Answer 8

During Embalming

Question 9

• Use the common carotid arteries.
• Form and dry dissues are a necessity.

Answer 9

Injection of the head when a wax restoration is necessary.

Question 10

• Bleach discolorations
• Reduce swelling
• Hypodermically inject unpreserved areas.
• Suture incisions
• Excise damaged or diseased tissues.

Answer 10

After Embalming

Question 11

• Remove
  
  • compress
  • padding
  • plugs
  • temporary sutures
• Excise all damaged and diseased tissues
• Undercut the edges
• Dry all moisture chemically
• Paint the tissue with a liquid sealer
• Apply a deep filler to fill the cavity
• Suture the margin of the cavity with a basket weave suture.
• Embed the wax in the threads
• Model the surface
• Reproduce pores and wrinkles.

Answer 11

Large Cavity and Excision Restoration - After Embalming

Question 12

• Compress
• Padding
• Plugs
• Temporary Suture

Answer 12

Remove (Large cavity and excision restorations)

Question 13

The second step during cavity and excision restorations after embalming. This is done after the removal of compresses, padding, plugs, and temporary sutures.

Answer 13

Excise all damaged and diseased tissues.

Question 14

Third Step in large cavity and excision restorations after embalming.

• Advantages:
  
  • The basket-weave suture does not have to be intradermal.
  • This kind of edge helps to lock the wax in position.
  • The margin tends to depress so the wax will continue slightly over the skin.

Answer 14

Undercut The Edges

Question 15

Forth Step

• If time permits, use a preservative chemical pack.
• Dry with cotton
• Sear tissue with a corrosive chemical.
  
  • Phenol or mortuary chemical
  • Avoid contact with skin (yours and the deceased’s)- use massage cream.

Answer 15

Dry all moisture Chemically

Question 16

Fifth step.

• Protects against future leakage.

Answer 16

Paint the tissue with a liquid sealer.

Question 17

Sixth Step.

• 1/4 from the surface.
• Cotton and a binding agent.
  
  • Plaster of paris
  • spray plastic
  • pore closer
• Mortuary wax (wound filler).

Answer 17

Apply a deep filler to fill the cavity.

Question 18

Seventh step.

Suture the margin of the cavity with this kind of suture.

Answer 18

Basket Weave

Question 19

Eigth Step. Embed the wax in this.

Answer 19

Threads (From the basket weave suture)

Question 20

Ninth Step. Model here.

Answer 20

The surface.

Question 21

Last step.

Answer 21

Reproduce pores and wrinkles.