This 14-hour evidence-based course on third molar surgery reviews, refreshes, and reinforces your knowledge on an extremely important aspect of oral surgery. There is didactic with video clips, literature reviews, and procedures performed on life-like dentoform models. Model work includes mandibular mesioangular, horizontal, distoangular, and vertical (coronectomy). Maxillary includes vertical and mesioangular. All are partial or complete bony impactions.
What to Expect
- Surveillance vs. surgical management. Does it need to come out or not?
- Patient evaluation relative to ASA Classification, anxiety level, and tooth difficulty based on age, Pell and Gregory levels, facial form analysis, and CBCT.
- How difficult will it be?
- Why cases get exponentially harder with age.
- Referral criteria based on your level of experience.
- Flaps: bigger for the less experienced clinician.
- But if too small, can be converted to bigger, if needed, during the case.
- Sutures? Fewer than you would think, but enough.
- Access and instrumentation.
- Supplies and sterile saline irrigation.
- Surgical high speeds work, but you may occasionally need a straight.
- Pros and cons for where and how to use both high speed and straight.
- Step-by-step surgery techniques for each angulation.
- Do them on life-like dentoform models.
- Videos with freeze-frame to emphasize key points
- Things definitely not to do and where NOT to do them.
- Other things you should do to prevent complications and mitigate problems.
- Established ways to avoid nerve injury, but what to do if there is nerve injury.
- How third molar post-op infections are more complicated than other dental infections and how to prevent/manage.
- What we need to know about the sinus to avoid or manage issues.
- Less painful, more effective injections. Intraosseous as a last resort.
- Broken roots. How to remove them. When it’s OK to leave one.
- Preventing/treating dry sockets.
- Forms: How consent forms and post-op instructions are more detailed than for other exodontia.
- Safe sedation for the GP (nitrous and/or oral) – creates easier/faster surgery for you, less stressful for the patient: Where to get the training.
- If you want deeper (IV moderate sedation): where to get the training.