O.S. Accelerator Course (2 Years Access | One-Time Payment)$1995USD / year for 2 years Add To Cart
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
O.S. Accelerator Course™$175USD / month for 12 months
x 12 Monthly Payments
1 Yr Access
25 CE Credits