keywords flap reflection, coronectomy, wisdom teeth, extraction techniques, dental surgery, post-operative care, complications, dental instruments, patient management, oral surgery

summary In this conversation, Dr. Serv Wahan and Dr. Jaclyn Tomsic discuss various aspects of dental surgery, focusing on flap reflection techniques, the decision-making process between coronectomy and extraction, and the instruments used in wisdom teeth removal. They emphasize the importance of documentation in avoiding litigation and share insights on managing complications and post-operative care. The discussion also covers the indications and contraindications for performing a coronectomy, highlighting the need for careful patient assessment and surgical technique.

takeaways Small hole, big problem is a key principle in flap reflection. Always aim to extract the tooth if possible. Documentation is crucial to protect against litigation. Understanding the anatomy is vital to avoid nerve damage. Post-operative care is essential for patient recovery. Coronectomy can be a safer option in certain cases. Instruments should be chosen based on the specific case needs. Monitoring healing is important to identify complications early. Patient comfort and understanding are key during consultations. Indications for coronectomy include teeth close to nerves.

titles Mastering Flap Reflection Techniques

Sound Bites "Small hole, big problem." "It's a valid procedure, honestly." "You have to remove more bone."

Chapters 00:00 Flap Reflection Tips and Techniques

01:48 Coronectomy vs Extraction: Decision Making

05:58 Instruments and Techniques for Wisdom Teeth Removal

10:01 Managing Complications and Post-Operative Care

13:50 Indications and Contraindications for Coronectomy

keywords coronectomy, oral surgery, mandibular third molars, nerve injury, post-operative pain, surgical techniques, patient communication, dental procedures, oral health, wisdom teeth

summary In this conversation, Dr. Serv Wahan and Dr. Jaclyn Tomsic discuss the intricacies of coronectomies, a surgical procedure primarily performed on mandibular third molars. They delve into the definition, indications, risks, and post-operative outcomes associated with coronectomies. The discussion highlights the importance of patient communication, surgical techniques, and the evolving understanding of this procedure within the dental community. Through various studies and personal experiences, they emphasize the need for careful decision-making to minimize complications and enhance patient care.

takeaways Coronectomies involve the intentional retention of tooth roots. The procedure is primarily indicated for patients over 25 years old. Post-operative pain can vary between coronectomies and extractions. Efficiency in surgery can reduce recovery time and pain. Patient education is essential to avoid misunderstandings about risks. The risk of nerve injury increases with age and complexity of the case. Studies show that root migration can occur but is often manageable. Using PRF can aid in healing, though its necessity is debated. Communication with patients about potential outcomes is crucial. Coronectomies are becoming more accepted in dental practice.

titles Exploring Coronectomies: A Comprehensive Guide The Art of Coronectomies in Oral Surgery

Sound Bites "Post-op pain is a significant finding." "The goal is to prevent a nerve issue." "Patient communication is crucial in surgery." "Do no harm is our guiding principle."

Chapters 00:00

Introduction and Overview of Coronectomies 00:57 Understanding Coronectomies: Definition and Indications 03:13 Risks and Complications of Coronectomies 06:07 Post-Operative Outcomes and Studies 09:52 Surgical Techniques and Considerations 14:07 Patient Communication and Decision Making 17:49 Future of Coronectomies and Conclusion

• Perioperative emergencies are relatively rare but can be serious.
• Daylight savings time can increase the risk of cardiac events.
• Real-life experiences in emergencies highlight the need for preparedness.
• AEDs are essential in any medical or dental office.
• Training and simulation improve emergency response skills.
• Managing blood pressure in patients requires careful consideration.
• Allergic reactions can escalate quickly and require immediate action.
• Epinephrine is crucial for treating anaphylaxis.
• Experience and training are vital in handling emergencies.
• Emergencies can happen to anyone, regardless of experience.

• Navigating Perioperative Emergencies
• The Hidden Dangers of Daylight Savings

• "Daylight savings time causes heart attacks."
• "AEDs save lives. That's a thing."
• "You need this. Nobody could find an AED."
• "You have to have reps, right?"