Lesson 1Setting selection rationale: criteria for office, ambulatory surgery center, or hospital operating room useDis section outline criteria fi choosin office, ambulatory surgery center, or hospital operatin room, considerin patient comorbidities, anesthesia needs, infection risk, resource availability, an emergency preparedness to ensure safe, efficient 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/consDis section analyze flap design principles fi mandibular molar surgery, comparin envelope, triangular, an vertical releasin incisions, wid emphasis pon blood supply, access, tension control, an how each design affect postoperative pain an ridge preservation.
Biologic principles of mucoperiosteal flapsEnvelope flap indications, pros, and consTriangular flap design and clinical usesVertical releasing incisions and limitationsFlap tension management and repositioningLesson 3Anesthesia level decision: indications for local anesthesia alone, local with IV sedation, or general anesthesiaDis section review patient, procedure, an systemic risk factors guidin anesthesia choice, comparin local anesthesia alone, local wid IV sedation, an general anesthesia, includin monitorin needs, airway considerations, an medico-legal documentation.
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 nerveDis section explain how to synthesize clinical, radiographic, an CBCT data to confirm chronic periapical infection, assess buccal cortical thinnin, an evaluate de relationship to de inferior alveolar nerve fi safe surgical plannin an prognosis.
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 defectsDis section examine ridge preservation after infected molar extraction, comparin socket graft materials an membrane types, timin in de presence a infection an cortical defects, an decision pathways to maintain volume fi future implant placement.
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 minimizing torque on nerveDis section cover root morphology assessment, ideal root separation lines fi mandibular molars, bur an instrument selection, controlled sectionin sequences, an strategies to reduce torque transmission an mechanical stress near de inferior alveolar 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, minimizing cortical lossDis section detail preoperative osteotomy design, selection an sequencin a rotary versus piezoelectric instruments, irrigation an coolin strategies, an methods to minimize cortical plate loss while ensurin adequate access an visibility fi safe tooth removal.
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 indicationsDis section describe systematic debridement a periapical lesions, includin curettage technique, removal a granulation tissue, management a cystic lesions, an when to obtain cultures or biopsies to guide antimicrobial therapy an histopathologic 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 navigationDis section focus pon identifyin high-risk canal proximity, usin gentle traction an luxation, controlled apical curettage, an indications fi intraoperative CBCT or navigation systems to avoid nerve injury an manage unexpected canal exposure 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 contourDis section address soft tissue handlin aroun extraction an graft sites, comparin primary closure versus open healin, use a collagen membranes, flap advancement, an suturin techniques dat protect grafts an preserve ridge contour an keratinized 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
