Week 6-General Restorative Treatments

General Restorative Treatments

Week 6

Classification of cases requiring restorative art treatment

•  Injury

Classification of cases requiring restorative art treatment

• Disease - (pathological condition)

   

Classification of cases requiring restorative art treatment

• Post-mortem tissue changes

   

Classification of cases requiring restorative art treatment

•  Post-embalming tissue changes

  • Dehydration

  • Discoloration

  • Bruising

• Natural age progression 

 Order of Restorative Treatments

•   Pre-embalming

  • Removing dirt/External Stains from the body

  • Setting Features

    • Eye caps

    • Mouth closure

  • Temporary suturing of loose flaps of skin

  • Shaving

 Order of Restorative Treatments

•   Concurrent-During Embalming

  • Application of pressure to an area to prevent swelling

  • Bleaching

    • Can also be done post embalming

 Order of Restorative Treatments

•    Post-embalming

  • Excising tumors

  • Reduction of swelling

  • Tissue Building

  • Drying, suturing, and gluing incisions

  • Applying cream

  • Applying wax

  • Cosmetics

  • Hairstyling

​These are some of the Restorative products that are commonly used. Let's Explore some of the other restorative chemicals that you may encounter at your practicum sites.

Types of Injury

• Abrasions

  • Friction injury of the skin resulting in removal of the epidermis

  • Prone to dehydration and discoloration

    • pink, yellow-brown, to to brown-black

•  Treatment

  • Massage cream pre-embalming

  • Remove the scab and apply a cauterizing agent post-embalming

  • Seal, Wax, and Cosmetics

Types of Injury

• Incisions

  • a clean cut into the skin

• and Lacerations

  • A wound or irregular tear in the flesh

• The treatment is similar

  • Massage cream to prevent dehydration

  • incision sealer and cotton to dry tissue

  • Suture the skin together usingng a basket weave stitch

  • Wax and cosmetics.

Types of Injury

•   Burns-Can be caused by heat, cold, caustics, radiation, friction, or electricity

  • Types and Treatment

    •  First-degree burn-redness of the skin

      • Apply massage cream and cosmetics

    •  Second-degree burn-Those resulting in acute inflammation of the skin and blisters

      • Remove blisters before embalming. Apply a surface compress, massage cream, and cosmetics.

Types of Injury

•  Third-degree burn- Destruction of cutaneous and subcutaneous tissues

  • Charred tissue should be excised. Apply a surface compress. When tissues are dry, cover them with a sealer. Pack deep wounds with cotton and a sealer. Suture large openings. Use wax to fill surface openings and apply cosmetics.

• Fourth-degree burn-Complete incineration

  • Not appropriate for reconstruction, but more like the actual construction of non-existent tissue.

Discolorations

• Discoloration- Can be removed during Embalming

  • Discolorations that happen before embalming

    • Disease

    • Decomposition

    • Medical treatments

    • Post-Mortem Lividity-Livor Mortis

  • Discolorations that happen during embalming

    • Using a fluid that is too strong

    • Inadequate Drainage

    • Use of strong Formaldehyde-based fluid on a Jaundice case. The result will be a green skin color.

Discolorations

• Discolorations that happen after embalming

  • Razor Burn- Always shave before embalming and apply a liberal amount of massage cream after embalming.

  • Gray discoloration of the buccal area due to inadequate drainage

  • Patches of dark-colored skin due to post-embalming decomposition.

• Post Mortem Stains-Cannot be removed with Embalming

  •  

Treating Surface Discolorations Post-Embalming

• Methods of Bleaching:

  • Bleaching Agents: Chemicals applied to lighten discolored areas.

    • Phenol: Most commonly used bleaching agent

    • Cavity Fluid

    • Syn-Gel

    • Other Bleaching Fluids

Treating Surface Discolorations Post-Embalming

• Application Techniques:

  • Apply the bleaching agent to the affected area

  • Cover with wet cotton to maintain contact

  • Alternatively, use an injection method for deeper penetration

  Effects of Bleaching:

  • Lightening of discolored tissue

  • Dehydration of treated areas

  • Fixation of tissues for improved preservation and restorative work

Excising Tissue

•   Definition:

  • To excise means to remove tissue by cutting.

  • Commonly performed in cancer cases to remove tumors.

  Pre-Embalming Considerations:

  • Ensure excision does not interfere with arterial circulation before embalming.

Excising Tissue

• Post-Embalming Procedure:

  1. Excision: Remove the tumor using a scalpel.

  2. Cauterization: Apply a cauterizing surface pack to control bleeding and preserve tissue.

  3. Wound Closure:

     • Once dry, suture using a basket-weave foundation for support.

     • Fill the wound with wound-filling wax.

     • Apply cosmetics to restore a natural appearance.