Lesson 1Place Choice Reasons: Rules for Clinic, Day Surgery Center, or Hospital Room UseThis lesson outlines rules for picking clinic, day center, or hospital room, thinking about patient health issues, sleep needs, infection risks, available tools, and emergency plans for safe care in limited settings.
Office setting indications and limitationsWhen to use an ambulatory surgery centerHospital operating room indicationsAssessing medical risk and ASA statusEmergency preparedness and equipment needsLesson 2Flap Cut Choices for Lower Back Tooth Surgery: Simple, Triangle, and Side Release Cuts with Good and Bad SidesThis lesson looks at flap cut ideas for lower back tooth surgery, comparing simple, triangle, and side release cuts, stressing blood flow, reach, tension control, 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 3Sleep Level Choice: When to Use Local Alone, Local with Vein Sleep, or Full SleepThis lesson reviews patient, procedure, and body risk factors guiding sleep choice, comparing local alone, local with vein sleep, and full sleep, including watch needs, air way 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 4Making the Final Problem Call: Long-Term Root Tip Infection with Outer Bone Thinning and Near Lower Jaw NerveThis lesson explains how to combine clinic, picture, and 3D scan data to confirm long-term root tip infection, check outer bone thinning, and see link to lower jaw nerve for safe surgery plans 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 Methods: Hole Fill Materials (Own Bone, Donor Human, Animal, Synthetic), Cover Types, and Choices with Infection and Bone HolesThis lesson looks at ridge keeping after infected tooth pull, comparing hole fill materials and cover types, timing with infection and bone holes, and choice paths to keep volume for future tooth plants.
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 Back Teeth, Tools, and Less Twist on NerveThis lesson covers root shape check, best root split lines for lower back teeth, tool choice, controlled cutting steps, 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 Removal and Reach Methods: Bone Cut Planning, Spinning Tools vs Sound Wave Surgery, Less Outer Bone LossThis lesson details before cut design, choice and order of spinning vs sound wave tools, water and cool plans, and ways to cut less outer bone while getting good reach and sight for 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 8Cleaning Root Tip Problem: Scraping Method, Removing Soft Tissue, Test/Biopsy NeedsThis lesson describes ordered cleaning of root tip problems, including scraping method, removing soft tissue, handling cyst problems, and when to get tests or biopsies to guide germ fight therapy and tissue check.
Instrumentation for periapical curettageStepwise removal of granulation tissueHandling cystic and fibrous lesionsIrrigation protocols and hemostasisIndications for culture and biopsy samplingLesson 9Handling Near Jaw Canal During Pull: Soft Pull, Controlled Root Tip Scraping, and Use of During Surgery 3D Scan or GuideThis lesson focuses on finding high-risk canal near, using soft pull and loosen, controlled root tip scraping, and needs for during surgery 3D scan or guide systems to avoid nerve hurt 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 Care and Closing: Full Close vs Open Heal, Use of Soft Covers, Stitching Methods to Keep Ridge ShapeThis lesson addresses soft tissue handling around pull and fill sites, comparing full close vs open heal, use of soft covers, flap move, and stitching methods 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
