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Module 135 CE Hours
xModule 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.
$750USDAdd to cart
5 CE HoursVideos
- 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
xMastering Third MolarsView Objectives
xObjectives
- 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.
xMastering Third Molars
$750USD Add to cart -
Module 22 CE Hours
Medical ConsiderationsView Objectives
xObjectives
- Following completion of this course the participant will be able to:
- – Understand the American Society of Anesthesiologists (ASA) Classification System and how it used to evaluate the health of our patients.
- – Recite concerns about removing teeth safely in patients with Hypertension.
- – Demonstrate proper technique for taking blood pressure and sizing blood pressure cuffs.
- – State how diabetes impacts oral surgery procedures.
- – List tips for treating diabetic patients more safely and predictably.
- – Say why NSAIDS are a relative contraindication in patients with asthma.
- – Note important considerations for treating the asthmatic patient.
- – Safely manage the hyperthyroid patient.
- – Appreciate the nuance of sedating hyperthyroidism patients.
- – Understand appropriate drugs for pain management in hyperthyroid patients.
- – Identify the signs and symptoms of hypothyroidism.
- – Understand the importance of hypothyroid disorders as they pertain to exodontia.
- – List types of anemia and why anemia is a concern when doing oral surgical procedures.
- – State treatment considerations for people with angina, history of heart attack or congestive heart failure.
- – Recall the current American Dental Association guidelines for prosthetic joint antibiotic prophylaxis.
- – Understand the guidelines for the treatment of patients with a history of infective endocarditis.
- – Know what to prescribe for prophylaxis when a patient is already taking an antibiotic prescription.
- – Describe what scarlet fever is.
- – Explain how scarlet fever relates to infective endocarditis.
- – Identify osteoporosis via clinical presentations of the patient.
- – See how osteoporosis relates to exodontia.
- – State some of the main causes of liver failure.
- – Confidently manage patients with liver disease.
- – Identify suitable prescription options for patients with liver disease.
- – Understand some of the concerns regarding the management of a hemodialysis patient.
- – Find information on Hemophilia or Von Willebrand Disease.
- – Appreciate the concerns regarding the management of a Hemophiliac or Von Willebrand patient.
- – Know when it is safest to complete procedures on pregnant patients.
- – State considerations for managing a pregnant patient.
- – Understand the guidelines regarding radiographs during pregnancy.
- – Recite the drug categories and know how they relate to employing drugs in pregnant patients.
- – Choose a safe antibiotic for pregnant patients.
- – Select an appropriate drug for pain management in pregnancy.
- – Respect the concerns regarding sedation of pregnant patients.
- – Select the most appropriate topical and local anesthetic agents for pregnant patients.
- – Identify the significance of chemotherapy as it relates to exodontia.
- – Recall a suggested protocol for managing the chemotherapy patient.
- – Understand the suggested protocol for extractions on patients undergoing radiation therapy.
- – Safely manage an immunocompromised patient.
- – Be familiar with the the signs, symptoms, and management of common medical emergencies in the dental office including syncope, seizures, hypoglycemia, mild allergic reactions, hyperventilation, orthostatic hypotension, acute asthma, airway obstruction, heart attack, stroke, cardiac arrest, and anaphylaxis.
- – Discuss the concept of Advanced Cardiac Life Support training and why they should consider taking it.
xMedical Considerations
$195USD Add to cart -
Module 92 CE Hours
Surgical TechniqueView Objectives
xObjectives
- Following completion of this course the participant will be able to:
- – Position their patients properly when removing teeth in the maxilla.
- – Position their patients properly when removing teeth in the mandible.
- – Demonstrate the appropriate technique for using a straight elevator.
- – Compare and contrast an overhand forceps grasp with an underhand forceps grasp.
- – State the goals of an extraction.
- – List tips to facilitate better and more predictable extractions.
- – Recount the general technique for a simple extraction.
- – Explain what a purchase point is.
- – Realize how we use purchase points to our advantage.
- – Demonstrate how to make a purchase point.
- – Demonstrate the technique to create full thickness flaps.
- – Recite the areas where incisions should not be made.
- – State the fundamentals of proper flap design and reflection.
- – Know when to use envelope flaps.
- – Discuss the benefits of an envelope flap.
- – Demonstrate the technique to create an envelope flap.
- – Know when to use a three-cornered flap.
- – Demonstrate how to create a three-cornered flap.
- – Know when to use a four-cornered flap.
- – Demonstrate how to create a four-cornered flap.
- – Discuss the technique for completing a buccal advancement flap to repair a sinus perforation.
- – State the advantages and disadvantages of a buccal advancement flap.
- – Confidently section and surgically remove maxillary and mandibular molars.
- – Confidently section premolar teeth or broken roots when appropriate.
- – Understand what bone troughing is and why it is useful in select situations.
- – Be familiar with the equipment and technique necessary to create a trough during an extraction.
- – List reasons why bone is removed during extractions.
- – Discuss the proper approach to conservative bone removal.
- – State the goals of socket debridement.
- – Perform adequate socket debridement after an extraction.
xSurgical Technique
$195USD Add to cart