Category: Surgery Instructor(s): Angelo Cardarelli, Jason Motta Jones Course structure: Lessons: 11 lectures | Duration: 5 hours 27 min Course overview The Impacted Wisdom Teeth course by Dr Jason Motta Jones includes a series of theoretical lessons and footage of a number of surgeries using the ReLIVE formula.The course is a support tool seeking to help anyone to feel confident and equipped to perform Wisdom Tooth surgery.This course enables you to:-Learn how to manage and prevent intra - and post operative complications;-Assess the position of the wisdom teeth - from anaesthesia to incision - with a special emphasis on surgical treatment and post-operative patient management;-Explore how to prevent neurological damage and safely perform an extraction procedure with preventive risk analysis.-Finally, the course outlines the development of surgical techniques such as odontotomy and the surgical instruments needed. Curriculum Intra and post surgical complication in extractive surgery The discussion centers on potential complications that can occur during oral surgery procedures and strategies to prevent or manage them. Informed consent, meticulous surgical technique, and proper post-operative care are emphasized as crucial factors in minimizing risks. Specific complications such as bleeding, root fragments, and dry sockets are addressed, along with techniques for their resolution. The speaker also highlights the importance of patient education and appropriate referral to specialists when necessary. Nerves in extractive surgery The transcript covers various aspects of wisdom teeth extraction surgery, emphasizing risk mitigation and patient safety. It delves into the potential complications associated with nerve damage, highlighting anatomical variations and the importance of meticulous surgical technique. The discussion also explores risk assessment systems, utilizing factors like tooth position and proximity to nerves, and the role of 3D imaging in planning procedures. Specific surgical steps are outlined, emphasizing best practices for minimizing nerve injury and promoting healing. Post-operative care protocols are also addressed, including pain management and infection control strategies. Surgical extraction of impacted mandibular third molar The speaker details a dental procedure involving tooth extraction, emphasizing meticulous technique throughout each stage. They explain the use of anesthesia, surgical tools, and irrigation techniques to minimize patient discomfort and prevent damage to surrounding structures. Particular attention is given to suturing procedures for proper wound closure and optimal healing. Lower right third molar extraction with deep scar tissue adhesions and fibrosis The speaker explains a dental extraction procedure, highlighting the complexities that arise when dealing with an inflamed and infected tooth. They outline the steps involved, from administering local anesthesia to carefully removing the tooth while minimizing harm to surrounding tissues. Specialized instruments are used to facilitate the process, and thorough cleaning of the surgical site is emphasized at its completion. The speaker stresses the importance of precision and meticulous technique throughout the procedure. Lower right impacted third molar removal [48] The transcript explains a surgical procedure for removing an impacted tooth. It outlines the steps involved, such as anesthesia administration, tissue manipulation, and specialized instrument use for tooth extraction. The speaker stresses the need for precision throughout the procedure to prevent harm to surrounding tissues, particularly the lingual nerve. Post-extraction care, including suturing and minimizing complications, is also discussed. Surgical technique for impacted teeth The discussion focuses on surgical approaches for wisdom tooth extraction, emphasizing patient-specific indications based on potential health issues. Various flap designs are presented, each with pros and cons regarding visibility and closure. Bone sectioning techniques using piezoelectric surgery are highlighted for minimizing soft tissue damage. Different methods for tooth sectioning are explained, considering factors like tooth angle and root structure to ensure smooth extraction. The importance of thorough socket cleaning and appropriate suturing techniques is stressed to minimize complications and promote healing. Surgical instruments for impacted wisdom teeth The speaker focuses on the crucial role of surgical checklists and specialized instruments in ensuring safe and successful wisdom tooth extractions. They stress that even experienced surgeons can benefit from checklists to minimize human error and promote patient safety. The discussion delves into specific instrument types, techniques, and their applications during the procedure, emphasizing precision, control, and patient comfort. Finally, the speaker highlights the importance of providing patients with detailed post-operative instructions through a comprehensive checklist to facilitate proper healing and recovery. Surgical extraction of element 38: the importance of dental follicle removal This video shows an element 38 extraction procedure with contextual ostectomy. A special focus in the description is given to the removal procedure of both the inflammatory tissue and the dental sac, the latter representing a potential risk factor for future infections. Piezoelectric approach in a partially impacted wisdom tooth extraction This video shows the surgical removal of a partially erupted third molar in the lower left quadrant. The use of ultrasonic tips allows to safely approach the clinical scenario, with the presence of curved roots, a deep socket and the critical inclination of the element. Impacted maxillary third molars: classification, surgical extraction and how to manage complications This video shows the surgical avulsion of moderately to severely impacted maxillary third molars. The Author illustrates Archer’s classification and the indications for the surgical extraction of impacted wisdom teeth, with special focus on how to manage possible complications such as tuberosity fractures, oro-antral communications (Rehrmann flap and the use of Bichat’s fat pad), maxillary sinus displacement, Bichat’s fat pad herniation, and incomplete extraction. A recorded surgery completes the lecture. Prof. Cardarelli: Piezosurgery of impacted wisdom teeth Additional video material. The text focuses on a new approach to tooth extraction that minimizes injury to the patient's tissues. The author describes in detail the multidisciplinary approach in dentistry, the importance of anatomical knowledge and the use of special tools for root removal. The topics of anesthesia, conscious sedation, and the use of modern technologies such as piezosurgery to improve the accuracy and safety of surgery are also discussed.
