Module 135 CE Hoursx
Module 13 Overview
Mastering Third Molars
Nearly every patient has third molars, yet very few dentists are confident and competent in managing them! This course will give you the foundation you need to accurately diagnose and manage third molar cases including: understanding how they form and impact, the timing for removal, when to monitor, when to refer, etc. You will also learn in great detail the nuances of flap creation, bone removal, sectioning, elevation, and suturing for all types of impacted third molars including mesioangular, horizontal, vertical, and distoangular.5 CE Hours
- Third Molar DevelopmentRuntime: 03:40
- Theories & Causes of ImpactionRuntime: 05:58
- Sequelae of Impacted Third MolarsRuntime: 09:25
- Third Molar White Paper Pt. 1Runtime: 05:35
- Third Molar White Paper Pt. 2Runtime: 06:51
- Third Molar White Paper Pt. 3Runtime: 09:00
- A.A.O.M.S. Position Statement on Third MolarsRuntime: 03:18
- Prophylactic Third Molar Removal Pt. 1Runtime: 07:04
- Prophylactic Third Molar Removal Pt. 2Runtime: 07:08
- Mandibular Anatomical OverviewRuntime: 09:04
- Maxillary Anatomical OverviewRuntime: 07:21
- The Dental FollicleRuntime: 04:14
- CBCT Imaging vs. Panoramic RadiographsRuntime: 04:51
- IAN ProximityRuntime: 06:11
- Classification SystemsRuntime: 05:37
- Case SelectionRuntime: 07:11
- Surgical ConsentRuntime: 12:36
- Third Molar AnesthesiaRuntime: 05:39
- Third Molar Flap DesignRuntime: 11:21
- The Incision Pt. 1Runtime: 09:40
- The Incision Pt. 2Runtime: 08:20
- Flap Elevation & RetractionRuntime: 11:27
- Bone Removal & Troughing Pt. 1Runtime: 12:56
- Bone Removal & Troughing Pt. 2Runtime: 08:14
- Purchase PointsRuntime: 04:23
- SectioningRuntime: 10:19
- Elevation & Force ApplicationRuntime: 06:16
- Wound DebridementRuntime: 06:00
- Wound Closure Pt. 1Runtime: 06:08
- Wound Closure Pt. 2Runtime: 09:27
- Mesioangular ImpactionsRuntime: 07:48
- Horizontal ImpactionsRuntime: 05:57
- Vertical ImpactionsRuntime: 05:19
- Distoangular ImpactionsRuntime: 08:53
- Maxillary Impactions Pt. 1Runtime: 08:21
- Maxillary Impactions Pt. 2Runtime: 08:40
- Managing Postoperative BleedingRuntime: 12:43
- Third Molars & AntibioticsRuntime: 12:05
- CoronectomyRuntime: 06:53
Mastering Third MolarsView Objectivesx
- Following completion of this course the participant will be able to:
- – Recall the stages and timeline of third molar development.
- – Discuss the phenomenon of third molar agenesis.
- – Recite the main theories of third molar impaction including the orthodontic, pathologic, phylogenic, Mendelian, and endocrinal theories.
- – List other potential contributors to third molar impaction.
- – List the sequelae of retaining impacted third molars.
- – Locate the third molar white paper for future reference.
- – Discuss the key points listed in the third molar white paper that should factor into treatment decisions made regarding third molars. These points include: predicting eruption, the effects of retaining third molars, timing for removal, orthodontic considerations, prosthodontic considerations, imaging techniques, coronectomy procedures, lingual retraction, socket grafting, and nerve damage and its management.
- – Appreciate and understand the A.A.O.M.S. standpoint on the management of third molars.
- – Understand current literature on the topic of prophylactic third molar removal.
- – Identify two major publications arguing against the prophylactic removal of third molars.
- – Describe what a germectomy is.
- – Discuss reasons why prophylactic third molar removal is beneficial.
- – Discuss reasons why prophylactic third molar removal could be detrimental.
- – Understand how the anatomy influences the various aspects of the removal of impacted mandibular third molars.
- – Describe the key anatomical considerations for mandibular third molar removal including: bony anatomy, nerves, vessels, the buccal fat pad, potential spaces, and muscle attachments.
- – Explain what a tooth follicle is.
- – Discuss when follicular tissue should be sent for histopathologic examination.
- – Appreciate current thinking regarding CBCT imaging vs. panoramic images as they pertain to third molar removal.
- – Recall studies citing surgical outcomes comparing the two aforementioned imaging modalities.
- – State when the IAN is at higher risk for injury during third molar removal by correctly identifying its relationship to the tooth roots.
- – Use proper terminology when describing the relationship of the IAN to the third molar roots including: superimposition, notching, grooving, perforation, and deflection.
- – Recite the Pell & Gregory difficulty classification for impacted third molars.
- – Recite Archer’s difficulty classification for upper impacted third molars.
- – Understand how Winter’s lines can be used to gauge the difficulty of an impaction.
- – Outline ways to identify confidence-building third molar cases to start tackling in your office.
- – State a logical progression for advancement into more difficult third molar cases.
- – Differentiate between implied consent and express or informed consent.
- – Recall how age, drug addiction, and mental capacity factors into the informed consent process.
- – Develop a template for more comprehensive treatment notes.
- – List the 5 main components of a proper informed consent process.
- – Learn how to anesthetize a patient sufficiently for the removal of four third molars.
- – State useful tips to apply when anesthetizing for all four third molars.
- – Discuss the factors that influence flap design.
- – Compare and contrast the envelope flap vs. the triangular flap when accessing third molars.
- – List helpful tips for designing and executing proper flaps.
- – Explain how you prepare the surgical site for an incision.
- – Outline the four main objectives of a third molar flap incision.
- – Recall the steps require to plan your incision line.
- – Demonstrate the appropriate technique for creating a successful third molar flap incision.
- – Demonstrate how to create a proper releasing incision.
- – Demonstrate the appropriate steps to elevate a clean third molar flap.
- – Understand the concept of physiologic dead space and how it applies to flap reflection.
- – Discuss how you would free the distolingual or lingual tissues if they are in the path of withdrawal when delivering a third molar.
- – List 3 common instruments that can be be used to retract third molar flaps.
- – Describe the proper technique for third molar flap retraction.
- – Explain why troughing and/or bone removal is necessary when removing impactions.
- – Recollect the goals of effective troughing and bone removal.
- – Describe nuances for an assistant to help with irrigation, suction, and isolation when removing impactions.
- – Purchase the appropriate equipment (handpieces, motors, burs, etc.) for bone removal and understand the rationale for the equipment recommended.
- – Discuss properties of surgical burs and list a few recommended burs for accurate troughing and bone removal.
- – Demonstrate the proper technique for troughing a third molar impaction.
- – Touch upon possible complications associated with bone removal and troughing in addition to ways to minimize the incidences of these complications.
- – Demonstrate how to create or utilize a purchase point for elevation.
- – State the goal of, and rationale for sectioning third molars.
- – List several tips to simplify sectioning and minimize failed sectioning attempts.
- – Demonstrate how to safely section a third molar.
- – Describe the appropriate way to elevate third molars to minimize complications and maximize success.
- – Describe how to properly debride the third molar surgical site following tooth delivery.
- – Discuss proper flap closure in the third molar region including: suture choice, suturing method, and tissue modification.
- – Recall what is known about suture-less flaps.
- – Demonstrate approaches and instruments for the successful removal of mesioangular mandibular third molar impactions.
- – Demonstrate approaches and instruments for the successful removal of horizontal mandibular third molar impactions.
- – Demonstrate approaches and instruments for the successful removal of vertical mandibular third molar impactions.
- – Demonstrate approaches and instruments for the successful removal of distoangular mandibular third molar impactions.
- – List tips for determining the degree of access to maxillary third molar sites.
- – Demonstrate approaches and instruments for the successful removal of maxillary third molar impactions.
- – Explain a protocol for assessing and managing postoperative bleeding.
- – Recall meta-analyses looking at the effect of antibiotics on the incidence of alveolar osteitis and post-op infection following third molar removal.
- – Understand situations where antibiotics may be recommended and how to appropriately integrate the use of chlorhexidine mouth rinses into your preoperative and postoperative regimen.
- – Discuss the effects of intra-socket medicament immediately following third molar removal.
- – Describe a coronectomy procedure and appreciate its difficulty to perform.
- – Understand current thinking on the application of the coronectomy procedure in select third molar cases.
Mastering Third Molars$750USD Add to cart
Module 101 CE Hourx
Module 10 Overview
Extracting Specific Teeth
Consider this module to be your user manual for extractions that will greatly enhance your ability to remove teeth with less frustration and fewer surgical errors! Many times in the beginning you may apply the wrong instrument or the wrong forces and as a result, you make the procedure more difficult than it needs to be. These videos convey the proper movements to use and instruments to employ for each and every tooth.1 CE Hour | 1 Month
- Mandibular IncisorsRuntime: 07:16
- Mandibular CaninesRuntime: 05:53
- Mandibular PremolarsRuntime: 05:58
- Mandibular MolarsRuntime: 09:04
- Erupted Mandibular Third MolarsRuntime: 05:46
- Maxillary CentralsRuntime: 04:52
- Maxillary LateralsRuntime: 04:51
- Maxillary CaninesRuntime: 07:20
- Maxillary PremolarsRuntime: 06:06
- Maxillary MolarsRuntime: 06:42
- Erupted Maxillary Third MolarsRuntime: 04:30
- Pedodontic ExodontiaRuntime: 08:24
Extracting Specific TeethView Objectivesx
- Following completion of this course the participant will be able to:
- – Describe the anatomy of maxillary and mandibular incisors, canines, premolars, and molars.
- – Recount the technique and instruments necessary to confidently extract maxillary and mandibular incisors, canines, premolars, and molars.
- – Discuss the instruments and approach necessary to remove erupted maxillary or mandibular third molars.
- – List instruments to extract primary teeth more safely and predictably.
- – Appreciate the nuances of extracting teeth in pedodontic patients.
- – Demonstrate the proper technique for removal of all primary teeth.
Extracting Specific Teeth$125USD Add to cart
Module 33 CE Hoursx
Module 3 Overview
Even the most experienced surgeons run into complications when they are extracting teeth! This module explores a variety of surgical complications and gives you the information needed to manage them or better yet, avoid them altogether! Complications however, are not always avoidable and therefore it is critical that you master this module before choosing to extract teeth for your patients.3 CE Hours | 2 Months
- Buccal Plate FracturesRuntime: 10:03
- BleedingRuntime: 09:41
- Bone ChipsRuntime: 03:43
- Postoperative PainRuntime: 06:17
- Dry Socket (Alveolar Osteitis)Runtime: 08:53
- Immediate Postoperative InfectionsRuntime: 07:45
- Postoperative SwellingRuntime: 04:16
- Liver ClotsRuntime: 04:39
- HematomasRuntime: 09:32
- Damage to Adjacent TeethRuntime: 06:48
- Wound DehiscenceRuntime: 05:30
- Tissue TearsRuntime: 05:10
- Extraction Socket HealingRuntime: 02:21
- TrismusRuntime: 04:46
- Burns & Avulsive injuriesRuntime: 05:02
- Puncture InjuriesRuntime: 03:12
- Mylohyoid/Lingual SequestrumRuntime: 03:52
- Broken InstrumentsRuntime: 05:14
- Buccal Fat Pad ExposureRuntime: 02:58
- Sinus CommunicationsRuntime: 07:18
- Tuberosity FracturesRuntime: 06:53
- Displacement of Root TipsRuntime: 09:37
- Infratemporal Fossa DisplacementRuntime: 05:11
- OsteomyelitisRuntime: 04:50
- OsteonecrosisRuntime: 08:01
- Managing Condylar DislocationsRuntime: 07:36
- Subcutaneous Air EmphysemaRuntime: 03:29
- Paresthesia, Dysesthesia & AnesthesiaRuntime: 09:21
- Lingual Nerve InjuriesRuntime: 08:06
- Palatal NecrosisRuntime: 03:49
- Iatrogenic Jaw FracturesRuntime: 04:16
- Broken NeedlesRuntime: 03:03
Surgical ComplicationsView Objectivesx
- Following completion of this course the participant will be able to:
- – List the causes of buccal plate fractures.
- – Prevent more buccal plate fractures.
- – Manage a buccal plate fracture.
- – Identify the difference between capillary, venous, and arterial bleeding.
- – Control intraoperative bleeding using a variety of local and hemostatic measures.
- – State the causes of bone chips after extracting teeth.
- – More readily avoid causing or leaving bone chips following an extraction.
- – Manage bone chips.
- – Define and understand what pain is.
- – Understand the etiology of postoperative pain.
- – Identify potential causes of dry socket.
- – Diagnose a dry socket.
- – Confidently treat a dry socket.
- – List causes of postoperative infections.
- – Manage most postoperative infections.
- – Discern between postoperative edema and postoperative infection.
- – Employ strategies to limit postoperative edema.
- – Recognize liver clots and describe why they form.
- – Resolve a liver clot.
- – State potential causes of hematomas.
- – Manage and limit the extent of hematomas when they form.
- – Avoid damaging adjacent teeth during extractions.
- – Share tips for managing teeth that are iatrogenically damaged during an extraction.
- – Describe what a wound dehiscence is and why they form.
- – Manage a dehiscence to complete resolution.
- – Avoid tissue tears during extractions.
- – Manage torn flaps and tissue.
- – Recall the timeline for normal healing of an extraction site.
- – List potential causes of postoperative infections.
- – Manage most minor to moderate postoperative infections.
- – Describe trismus and the causes and management of this condition.
- – State the causes of burns or avulsive injuries.
- – Treat tissue burns and avulsive injuries.
- – Prevent or limit puncture injuries during extractions.
- – Manage an inadvertent puncture injury.
- – Recognize a mylohyoid ridge sequestrum.
- – State the causes of lingual bony sequestra and management strategies for this condition.
- – Identify common causes of broken instruments.
- – Manage situations involving broken instruments.
- – Locate the buccal fat pad and know what this structure is.
- – Avoid and manage the exposure of the buccal fat pad.
- – Assess the risk for a possible sinus exposure.
- – Recognize signs and symptoms of sinus perforation.
- – Confidently and immediately manage a sinus perforation.
- – Describe the repair of a chronic oro-antral fistula.
- – State the potential causes of tuberosity fractures.
- – Manage a fractured tuberosity or know when to refer this complication to an oral surgeon.
- – Describe the management of roots displaced into the maxillary sinus.
- – Describe the management of roots displaced into soft tissue spaces.
- – Describe the management of roots displaced into the IAN canal space.
- – Locate the infratemporal fossa.
- – Prevent displacement of upper third molars into the infra temporal fossa.
- – Understand how to manage the displacement of a tooth into the infratemporal fossa.
- – Describe osteomyelitis.
- – Recognize clinically and distinguish between the types of osteomyelitis.
- – Appreciate the complexity of the management of osteomyelitis.
- – Describe osteonecrosis.
- – Recall causes and risk factors for osteonecrosis.
- – List the treatment goals for osteonecrosis.
- – Explain the staging categories for osteonecrosis.
- – Identify common causes of condylar dislocation and demonstrate 4 techniques for reducing a condylar dislocation.
- – Describe subcutaneous air emphysema and state how it happens.
- – Recognize the signs and symptoms of subcutaneous air emphysema.
- – Manage or refer subcutaneous air emphysema based on its severity.
- – Distinguish between paresthesia, dysesthesia, and anesthesia.
- – List the potential causes of paresthesia, dysesthesia, and anesthesia.
- – Assess and manage paresthesia, dysesthesia, and anesthesia.
- – Properly manage a lingual nerve injury.
- – List potential causes of lingual nerve damage.
- – Classify lingual nerve injuries.
- – Recognize palatal necrosis and state its cause.
- – Treat palatal necrosis.
- – State common causes of iatrogenic jaw fractures.
- – Prevent iatrogenic jaw fractures from occurring.
- – Prevent or limit cases of broken needles.
- – Manage a situation involving a broken needle.
Surgical Complications$250USD Add to cart