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Continuum 4: Third Molar Impaction Surgery Course

November 2, 2022 @ 7:00 pm - November 5, 2022 @ 5:00 pm CDT



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Course Instructor​: Dr. David Roberts 


Before the Course​

  • Read the suggested articles which are posted in the KCSI Learning Portal under Course Materials section.
  • You are encouraged to bring x-rays of cases you anticipate doing in the future.
  • Course content will primarily be with mild to moderately difficult cases. The principles presented will be applicable to more advanced practitioners who perform more difficult cases.


Zoom Sessions (Didactic)

  • Intro
  • Review some info from articles you read prior to the course. 
  • Review handouts on what you will perform on the models. 
  • Instruments
  • Suturing
  • Age, anatomy and other diagnostic factors
  • Avoiding and managing complications
    • Bleeding, teeth that can be lost in anatomic spaces
    • Avoiding, dealing with nerve injury
    • Other complications

8-Hour Hands-On (Model Surgery)​

Model 1 (2 teeth): Mandibular mesioangular impactions and mandibular vertical impaction/coronectomy

  • Patient forms used for third molar surgery

Model 3 (2 teeth): Maxillary vertical and mesioangular impactions

Discussion of Mild to Moderate Cases with Dr. Roberts:

  • Benefits of sedation for oral surgery

Model 2A (1 tooth): Mandibular horizontal impaction 

  • Technique for complete bony impactions (vs. partial bony)
  • Technique for distoangular third molar impactions.

Model 2B (1 tooth): Mandibular distoangular third molar impaction

If necessary, we will provide additional information in a follow up webinar or have the information available in the KCSI Learning Portal.

Discussion of Difficult Cases with Dr. Roberts:

  • Identify difficult cases
  • Knowing when to refer

Disclaimer: KCSI does not accept responsibility for the misuse of knowledge, poor judgment, or patient harm from performance outside the standard of care which we teach.


Zoom Sessions (Didactic)

  • Wednesday, November 2, 2022 at 7:00-10:00 PM CT (3 hours)
  • Thursday, November 3, 2022 at 7:00-10:00 PM CT (3 hours)

8-Hour Hands-On Model Surgery and Live Patient Treatment – Demo (In-Person at Forte Implant Center)

  • Saturday, November 5, 2022 at 8:00 AM to 5:00 PM CT

Venue in Dallas, TX

FORTE Implant Center
424 Maplelawn Dr
Plano, TX 75075

*Lunch and light refreshments will be provided.

Access to Zoom Meeting

You will receive access to the Zoom meeting through your account on the KCSI Learning Portal.

Please contact us if you have any questions or need help accessing your KCSI account.

Items to Bring to the Course

Instruments and supplies will be provided by KCSI.

You will need to bring your own:

  • Loupes
  • Headlight or light source
  • Eye protection

Continuum 1: 22 Hours Online (8 Hours Didactic – Prerequisite, 14 Hours Hands-On Model Work)

Instructor: Andrew Drollinger, DDS (Click here to learn more about Dr. Drollinger.) Location: Houston, TX or Online via Zoom Location in Houston, TX: Dental Health Products, Inc (DHP) 1631 Gillingham Lane Suite 100 Sugar Land, Texas 77478 https://bit.ly/3rTsy0J *Lunch and light refreshments will be provided for in-person participants. Part 1: 8 Hours Online, Didactic – Prerequisite (Included in Continuum 1 registration), Surgical Introductory Course (Online)
  • Surgical Extractions
  • Periotome Bur/Luxator ‘system’ for root removal
  • Managing Moderate Third Molar Impactions
  • What to Do When Complications Occur
  • Maxillary Sinus
    • Precautions
    • Medications
    • Preventing and Treating Perforations
    • Tuberosity Fractures
  • Infection Control
  • Bone Grafting Techniques for Socket Preservation
  • Multiple Extractions and Ridge Grooming
  • Bleeding Management
  • Incision and Drainage
  • When to Refer
Part 2: 14 Hours Online, Hands-On Model Work will cover the following: Discussion ranges from basic to advanced.
  • Instrumentation
  • Faster “surgical” extractions
  • Subtleties of sectioning and easier root retrieval
  • Flaps and suturing for exodontia and socket grafting
  • Extractions and the sinus
  • Multiple extractions and disease removal/alveoplasty
  • Exostoses excision and frenectomy
  • Incision, drainage and managing infection
  • Moderate third molar impactions, mandibular and maxillary case selection and things you need to know to avoid complications.
8 Hours Online, Didactic – Prerequisite
  • Complete at your own pace before Friday, November 12, 2021.
14 Hours Online, Hands-On Model Work
  • Date: Friday and Saturday, November 12-13, 2021
  • Time:
    • 7 AM-3 PM PDT (Lunch break at 12 PM with a few short breaks.)
    • 8 AM-4 PM MDT (Lunch break at 1 PM with a few short breaks.)
    • 9 AM-5 PM CDT (Lunch break at 2 PM with a few short breaks.)
    • 10 AM-6 PM EDT  (Lunch break at 3 PM with a few short breaks.)
  • Location: Zoom (Links are found in the online lab course)
    • Day 1 – Friday, November 12, 2021: Intermittent Didactic/Participation
      • Dental Operatory or lab location with WiFi. Can be conducted in your home if you have an electric motor and handpiece (such as a lab bench engine or implant motor with straight attachment.) You may also use a high-speed drill in your office.
    • Day 2 – Saturday, November 13, 2021: Intermittent Didactic/Participation
      • Dental operatory or lab with WiFi.
Dental Health Products, Inc (DHP) 1631 Gillingham Lane Suite 100 Sugar Land, Texas 77478 https://bit.ly/3rTsy0J
You will be responsible for providing all instruments and common office supplies from this list.  Instruments easy to have ready: 
  • Periosteal elevator: sharp point, sharp on sides, prefer curved on each end as a Molt #9
  • Needle holder: 6” long is standard
  • Surgical scissor: 6 “ long is standard
  • 151 forcep: “apical” style is the current standard (thin, tapered)
  • 301 elevator: could be a different small elevator, about 2mm wide
  • Luxator 3mm straight: sharp at tip, thin for 4mm, curved at tip
  • Surgical spoon curette: long shank, 4mm wide at tip, sharp
  • Root tip picks (2): like Heidbrink (#2-3) medium size
  • Scalpel handle for 15 or 15c blade: prefer flat with ruler
  • Retractor: Seldin 23 or Minnesota
  • Rongeur and bone file: Prefer Blumenthal 30 degree rongeur and HF 2X bone file as it is very sharp.
Instruments hard to get, which you may need to borrow or buy:
  • Mini Cryers: as HF 21-22 (5mm back to front, 5mm wide at base Cogswell B
  • Adson-Brown 43 tissue pick-ups with multiple teeth
Other items you will need: 
  • “Surgical” highspeed handpiece (could use a regular highspeed (not standard of care)
  • Slowspeed straight handpiece or surgical straight handpiece
  • Cabinet space in operatory to work on.
  • Gloves
  • Masks
  • Barrier gown to protect clothing
  • Air (air/water syringe)
  • Overhead light and headlight
  • Sharps container
A/V Equipment:
  • Strong WiFi
  • Computer near the work area (usually a laptop)
  • Webcam (preferably separate from the computer)
  • Webcam stand
KCSI will provide a kit of special supplies and a model, shipped to your mailing address.
  1. Dentoform Model
  2. Particulate bone graft (1cc)
  3. PTFE barrier membrane for GBR
  4. Small piece of collagen membrane
  5. Simulated OsgteoGen Plug (ear plugs)
  6. 3 packs of black silk suture C-6 or FS-2 needle 4.0 (easier to see and use than the normal 3.0 or 4.0 chromic gut)
  7. Two 15c scalpel blades
  8. 1 Hedstrom file, size 25 or 30 and 31mm long
  9. Monoject syringe
  10. 3 burs: 701,702,#8 round;  SL friction grip or 44.5 mm long straight handpiece burs as mentioned
  11. Small cup to hold water

KCSI Third Molar Surgery Proficiency Certificate

Why Should You Have a Certificate in Third Molar Surgery Proficiency?

After an intensive surgery course with so many concepts to assimilate and implement, instructors often wonder, “How much did doctors really learn?” Third molar surgery is a part of dentoalveolar surgery and an extension of surgical extractions. It requires expertise in patient evaluation and selection, oral anatomy, a knowledge of advanced oral surgery techniques, and the ability to prevent or manage a myriad of potential surgical complications. It is a discipline that calls for competence but also confidence to step into situations where you don’t always know in advance what it will take to create the best outcome. This proficiency assessment measures where doctors are cognitively with third molar impaction surgery.

How Can This Acknowledgment of Training Help Your Practice? 

It is a documentation of your cognitive level of knowledge from study and experience. Besides the personal satisfaction, it is a message (if desired) to your patients, your professional liability carrier, the state board, and your peers that you have the skills and capability to perform third molar surgery.

Third Molar Proficiency is Knowing:

  • Which cases require a CBCT and for which cases would a pano be sufficient.
  • Which teeth are obviously indicated for removal.
  • Which teeth are perhaps the easiest and most straightforward (erupted thirds or in late teens with roots not fully formed).
  • Which cases require sedation.
  • Which teeth should be followed (surveilled) for possible future removal (less than 1/3 root formation other situations).
  • Which teeth may be best “not attempted” by anyone (late 20s or older, no symptoms, no pathology).
  • Which cases are best referred to specialists (depends on your knowledge, ability, and experience).
  • Which teeth would likely be indicated for a coronectomy.
  • How “Pell and Gregory” plus age and access influence difficulty.
  • When is it appropriate to remove only one tooth when more are present (community health clinic, indigent patient, one tooth with pericoronitis).
  • How to efficiently, quickly, predictability, and safely perform the procedure.

Variables vs. Absolutes in Surgery

In oral surgery, some clinicians do things one way and some another. Those items to which I am referring are acceptable either way. Most are “personal preference.”


  • The type of retractor used (Minnesota, Seldin, Austin, etc.).
  • Types of elevators.
  • How many sutures in a given situation (some may not place any).
  • Envelope vs. triangular flap (would depend on the situation).
  • 702 vs. 703 bur.
  • Steroids or not? Which steroid?
  • How one holds excess suture material while suturing.
  • How to section teeth.
  • How to prescribe antibiotics.
  • How to treat dry sockets.

Assessment Sections 

You will be assessed 100+ questions on the following:

  • Chief complaint, severity of a patient’s medical condition, functional capacity, emotional status.
  • Indications and contraindications
  • Difficulty of the procedure. Age, Pell and Gregory and other classifications. Maxillary and mandibular.
  • Root morphology.
  • The surgical procedures
    • Access, bone removal, sectioning, tooth delivery, closure
    • Prevention and/or management of complications
  • Intraoperative and postoperative patient management

Completion of this certificate requires a score of 85% or higher with no more than two attempts.

Credit Hours

KCSI Continuum 4: Third Molar Impaction Surgery Course is 14 CE hours. The KCSI Third Molar Surgery Proficiency Certificate, a suggested post course assessment for KCSI Continuum 4, is an additional 3 CE hours.


November 2, 2022 @ 7:00 pm CDT
November 5, 2022 @ 5:00 pm CDT


Koerner Center for Surgical Instruction
(844) 446-9500
View Organizer Website


CE Hours
Lecture/Workshop, Self-Instruction, Online


FORTE Implant Center
424 Maplelawn Dr.
Plano, TX 75075 United States
+ Google Map
View Venue Website

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