Lesson 1Setting Selection Rationale: Criteria for Office, Ambulatory Surgery Centre, or Hospital Operating Room UseThis part outlines rules for picking office, day surgery centre, or hospital theatre, thinking of patient health issues, sleep needs, infection chance, tools available, and emergency readiness for safe, smooth care in Ghana.
Office setting signs and limitsWhen to use a day surgery centreHospital theatre signsChecking medical risk and ASA levelEmergency readiness and tool needsLesson 2Flap Design Options for Mandibular Molar Surgery: Envelope, Triangular, and Vertical Releasing Incisions with Pros/ConsThis part looks at flap making rules for lower molar surgery, comparing envelope, triangle, and side cut flaps, stressing blood flow, reach, pull control, and how each affects after-surgery pain and ridge keeping.
Body rules of gum-bone flapsEnvelope flap signs, good and badTriangle flap making and usesSide cut flaps and limitsFlap pull handling and placing backLesson 3Anaesthesia Level Decision: Indications for Local Anaesthesia Alone, Local with IV Sedation, or General AnaesthesiaThis part reviews patient, procedure, and body risk factors guiding sleep choice, comparing local alone, local with IV calm, and full sleep, including watch needs, airway thoughts, and legal records.
Checking patient worry and health issuesSigns for local sleep aloneWhen to add IV calm to localRules for picking full sleepWatch, wake-up, and record needsLesson 4Formulating the Final Diagnosis: Chronic Periapical Infection with Buccal Cortical Thinning and Proximity to Inferior Alveolar NerveThis part explains how to mix clinic, X-ray, and 3D data to confirm long-term root tip infection, check cheek bone thinning, and weigh closeness to lower jaw nerve for safe surgery planning and outlook.
Main clinic signs of long-term root tip infectionX-ray and 3D signs of bone thinningMapping closeness to lower jaw nerveDifference diagnosis and root canal vs surgery careRisk grouping and outlook recordsLesson 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 gaps, and choice paths to keep space for future tooth plants.
Checking socket walls and gap shapesSelf-bone, donor-bone, animal-bone, and fake choicesMelting vs non-melting coversTiming fill in infected pull spotsWays to keep 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 cutter pick, controlled split steps, and ways to cut twist pass and machine stress near lower jaw nerve.
X-ray check of root shapeMaking root split patterns by molar kindTool pick for exact splittingWays to cut twist on the nerveHandling broken roots and hard partsLesson 7Bone Removal and Access Techniques: Osteotomy Planning, Use of Rotary Instruments vs Piezoelectric Surgery, Minimising Cortical LossThis part details pre-cut bone design, pick and order of spinning vs vibration tools, wash and cool ways, and methods to cut bone shell loss while ensuring good reach and sight for safe tooth out.
Rules of bone cut design and planningPicking spinning vs vibration toolsHand tool control, wash, and heat cutKeeping cheek and tongue bone shellsDuring-surgery check of reach and sightLesson 8Debridement of Periapical Lesion: Curettage Technique, Removal of Granulation Tissue, Culture/Biopsy IndicationsThis part describes full clean of root tip sores, including scrape way, out of growth tissue, handling cyst sores, and when to take samples or cuts to guide germ-kill treatment and tissue diagnosis.
Tools for root tip scrapingStep-by-step out of growth tissueHandling cyst and fibre soresWash plans and blood stopSigns for sample and cut takingLesson 9Managing Proximity to the Mandibular Canal During Extraction: Gentle Traction, Controlled Apical Curettage, and Use of Intraoperative CBCT or NavigationThis part focuses on spotting high-risk canal closeness, using soft pull and loosen, controlled root tip scrape, and signs for during-surgery 3D or guide systems to dodge nerve hurt and handle surprise canal show safely.
Pre-surgery mapping of jaw canalGentle loosen and pull waysControlled root tip scrape near canalUse of during-surgery 3D and guideHandling guessed nerve showLesson 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 handling around pull and fill spots, comparing first close vs open mend, use of jelly covers, flap push, and stitch ways that guard fills and keep ridge shape and tough tissue.
Rules for first close vs open mendFlap push and free waysUse of jelly covers for coverStitch pick and pull controlAfter-surgery soft tissue change review
