Lesson 1Setting Selection Rationale: Criteria for Office, Ambulatory Surgery Centre, or Hospital Operating Room UseThis part lists standards for picking clinic, day surgery centre, or hospital theatre, thinking about patient health issues, numbing needs, infection chance, tools access, and crisis readiness for safe, smooth care.
Office setting indications and limitationsWhen to use an ambulatory surgery centerHospital operating room indicationsAssessing medical risk and ASA statusEmergency preparedness and equipment needsLesson 2Flap Design Options for Mandibular Molar Surgery: Envelope, Triangular, and Vertical Releasing Incisions with Pros/ConsThis part studies flap making rules for lower molar surgery, comparing envelope, triangle, and upright release cuts, stressing blood flow, reach, tension handling, and how each affects after-surgery pain and ridge keeping.
Biologic principles of mucoperiosteal flapsEnvelope flap indications, pros, and consTriangular flap design and clinical usesVertical releasing incisions and limitationsFlap tension management and repositioningLesson 3Anaesthesia Level Decision: Indications for Local Anaesthesia Alone, Local with IV Sedation, or General AnaesthesiaThis part checks patient, procedure, and body risk factors guiding numbing choice, comparing local alone, local with vein sedation, and full sleep, including watch needs, airway thoughts, and legal records.
Assessing patient anxiety and medical comorbiditiesIndications for local anesthesia aloneWhen to add IV sedation to local anesthesiaCriteria for choosing general anesthesiaMonitoring, recovery, and documentation needsLesson 4Formulating the Final Diagnosis: Chronic Periapical Infection with Buccal Cortical Thinning and Proximity to Inferior Alveolar NerveThis part shows how to combine clinical, x-ray, and CBCT info to confirm ongoing root tip infection, check cheek bone shell thinning, and judge link to lower jaw nerve for safe surgery planning and outlook.
Key clinical signs of chronic periapical infectionRadiographic and CBCT features of cortical thinningMapping proximity to the inferior alveolar nerveDifferential diagnosis and endodontic vs surgical careRisk stratification and prognosis documentationLesson 5Ridge Preservation Techniques: Socket Graft Materials (Autograft, Allograft, Xenograft, Alloplast), Membrane Types, and Choice Considerations Given Infection and Cortical DefectsThis part looks at ridge keeping after infected molar pull, comparing socket fill materials and cover types, timing with infection and bone shell gaps, and choice paths to keep space for later implant fitting.
Assessing socket walls and defect morphologyAutograft, allograft, xenograft, and alloplast choicesResorbable versus nonresorbable membranesTiming of grafting in infected extraction sitesStrategies to maintain ridge width and heightLesson 6Tooth Sectioning Strategies: Root Separation Patterns for Mandibular Molars, Instrumentation, and Minimising Torque on NerveThis part covers root shape check, best root split lines for lower molars, tool and device pick, managed cutting steps, and ways to cut twist pass and mechanical strain near lower jaw nerve.
Radiographic evaluation of root morphologyDesigning root separation patterns by molar typeInstrumentation choice for precise sectioningTechniques to minimize torque on the nerveManaging fractured roots and difficult segmentsLesson 7Bone Removal and Access Techniques: Osteotomy Planning, Use of Rotary Instruments vs Piezoelectric Surgery, Minimising Cortical LossThis part details pre-surgery bone cut design, pick and order of spinning versus vibration tools, water spray and cooling ways, and methods to cut bone shell loss while ensuring good reach and sight for safe tooth take-out.
Principles of osteotomy design and planningChoosing rotary versus piezoelectric devicesHandpiece control, irrigation, and heat reductionPreserving buccal and lingual cortical platesIntraoperative assessment of access and visibilityLesson 8Debridement of Periapical Lesion: Curettage Technique, Removal of Granulation Tissue, Culture/Biopsy IndicationsThis part describes ordered cleaning of root tip spots, including scraping method, taking out growth tissue, handling cyst spots, and when to get samples or tissue checks to guide germ-killing treatment and tissue study diagnosis.
Instrumentation for periapical curettageStepwise removal of granulation tissueHandling cystic and fibrous lesionsIrrigation protocols and hemostasisIndications for culture and biopsy samplingLesson 9Managing Proximity to the Mandibular Canal During Extraction: Gentle Traction, Controlled Apical Curettage, and Use of Intraoperative CBCT or NavigationThis part stresses spotting high-risk canal nearness, using soft pull and loosen, managed root tip scraping, and needs for during-surgery CBCT or guide systems to dodge nerve harm and handle surprise canal show safely.
Preoperative mapping of the mandibular canalAtraumatic luxation and traction techniquesControlled apical curettage near the canalUse of intraoperative CBCT and navigationManagement of suspected nerve exposureLesson 10Soft Tissue Management and Closure: Primary Closure vs Open Healing, Use of Collagen Membranes, Suturing Techniques to Maintain Ridge ContourThis part deals with soft tissue care around tooth pull and fill spots, comparing first close versus open mend, use of collagen covers, flap move, and stitching ways that guard fills and keep ridge shape and tough tissue.
Criteria for primary closure versus open healingFlap advancement and releasing techniquesUse of collagen membranes for coverageSuture selection and tension controlPostoperative soft tissue remodeling review
