Lesson 1Choosing Place Reason: Rules for Office, Day Surgery Center, or Hospital Room UseThis part outline rules for picking office, day surgery center, or hospital room, thinking about patient other health, sleep needs, infection danger, things available, and ready for emergency to make sure safe, good 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 Choices for Lower Molar Surgery: Envelope, Triangle, and Vertical Release Cuts with Good/Bad SidesThis part analyze flap design rules for lower molar surgery, comparing envelope, triangle, and vertical release cuts, stressing blood flow, access, tension control, and how each design affect after 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 3Sleep Level Choice: Reasons for Local Sleep Alone, Local with IV Calm, or Full SleepThis part review patient, procedure, and body risk factors guiding sleep choice, comparing local alone, local with IV calm, and full sleep, including watching needs, air way think, and doctor-legal record.
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 4Making Final Diagnosis: Long-Time Root Tip Infection with Cheek Cortex Thin and Near Lower Jaw NerveThis part explain how to mix clinic, x-ray, and CBCT data to confirm long-time root tip infection, check cheek cortex thin, and see relation 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 Keeping Ways: Socket Graft Things (Self Graft, Other Graft, Animal Graft, Fake Graft), Membrane Types, and Choice Think with Infection and Cortex HolesThis part look at ridge keeping after infected molar pull, comparing socket graft things and membrane types, time with infection and cortex holes, and choice paths to keep volume for future implant place.
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 Cutting Plans: Root Split Patterns for Lower Molars, Tools, and Less Twist on NerveThis part cover root shape check, best root split lines for lower molars, bur and tool pick, controlled cutting order, and ways to cut twist pass and machine stress 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 Remove and Access Ways: Bone Cut Planning, Use Rotary Tools vs Piezo Surgery, Less Cortex LossThis part detail before bone cut design, pick and order of rotary vs piezo tools, water and cool ways, and methods to less cortex plate loss while sure good access and see for safe tooth remove.
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 8Clean Root Tip Lesion: Scraping Way, Remove Grain Tissue, Culture/Biopsy ReasonsThis part describe planned clean of root tip lesions, including scraping way, remove grain tissue, handle cyst lesions, and when to get cultures or biopsies to guide germ kill therapy and tissue diagnosis.
Instrumentation for periapical curettageStepwise removal of granulation tissueHandling cystic and fibrous lesionsIrrigation protocols and hemostasisIndications for culture and biopsy samplingLesson 9Handle Near Lower Jaw Canal During Pull: Soft Pull, Controlled Root Tip Scrap, and Use During Operation CBCT or GuideThis part focus on finding high-risk canal near, using soft pull and loose, controlled root tip scrap, and reasons for during operation CBCT or guide systems to avoid nerve hurt and handle surprise canal show safe.
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 Handle and Close: Main Close vs Open Heal, Use Collagen Membranes, Stitching Ways to Keep Ridge ShapeThis part address soft tissue handle around pull and graft places, comparing main close vs open heal, use collagen membranes, flap move, and stitching ways that protect grafts and keep ridge shape and hard 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
