For someone that has a hard time learning and memorizing things, your methods of using vídeo game references helps me SOOOO much!! Thanks for making these connections for people like me!!
Spot on, all the important elements of Perio Plastic surgery has been covered, Further, I liked the idea of Tank, damage and heal for understanding GTR, CTG and FGG in relation to the gingival margin has been also well set. Well done
Hi, Ryan. There is a discrepancy between this video and the perio practice questions. In this presentation you say that PDL cells are the slowest populators of the wound but in the practice questions you say that the bone cells are. Please clarify. Thanks so much for your hard work in making these videos. They have been a lot of help. :)
Hi, Kerry. I think I understand where the confusion is stemming from. The order of population in wound formation is epithelial --> CT --> PDL --> bone. I have them listed in the correct order in this video from fastest to slowest. The numbers (1-4) are referring to how they are labelled in the image, not the order they populate the wound. Hope that helps!
Loved it... I provide online support to overseas candidates appearing for the Australian dental council exams and I share your wonderful videos with them. I love all your videos. Keep doing the great job doctor :) Best wishes from India
Thanks, Dr. Rayan for this amazing lecture. I have been following your periodontics lectures from the beginning; it helped me a lot to get an overview. Hope to learn from you more!
It was an amazing lecture, most significant points had been covered, thank you very much Dr.Ryan. waiting for your next video. Will you be covering the PSR as well?
Thank you so much! I'm glad you enjoyed it. Unfortunately I am not familiar with the PSR system so I cannot confidently speak on it, but the good news is it's not covered on the board exam to my knowledge. At a glance it does appear the PSR screening tool applies many of the concepts we talked about in the first video like BOP and PPD but using a different probe and different measuring system. Instead of writing down every finding from six sites of every tooth, you quickly measure bleeding, calculus, and probing depth but only record the worst reading in each sextant of the mouth. The idea is to save some time, but the drawback is you have limited information to refer to back in the future. Hope that helps!
The score you gave at the very end: 3, 2, 1... is that 1 being the easiest/best prognosis or 3 being the easiest/best prognosis? I am a little confused because 3 wall defect is easiest to tx with bone graft, but Miller Class I for recession is one of the easiest treat overall right?
Thank you for posting these Dr. Ryan! I am a bit confused on some discrepancies. I would love it if you could help clear these up. - I have read that periodontal dressing/packs DO enhance healing. - Correction of inadequate zone of attached tissue - CT vs Laterally positioned sliding flap - Are Ultrasonic scalers more effective in sub or supra calc? - Does gingivectomy result in retention of all or most of the attached gingiva? - Does calculus have cytotoxic bacterial products even though its always covered by plaque? Sorry for the long comment. Thank you so much!
even cant say enough thanks to you Dr. for what you are doing for the fellow dentists. Have two questions regarding perio: 1) when do we start flap surgery, if when pocket depth is greater than 5 mm Or pocket depth is 5 mm, does bleeding on probing have any role here? 2) what will happen if we prescribe topical or systemic steroid to NUG or acute viral infections, what is the reason of being contraindicated?
Hi, I'm not sure about (1), but here's what I think about (2): Steroid is anti-inflammatory. We need our immune system to be working to prevent the uncontrolled bacterial/viral spread. Thus by prescribing steroid, we suppress our immune system from protecting us against infection. Steroid in oral cases is prescribed when the immune is hyper-responding, or in autoimmune cases
niether pocket depth nor BOP give as much info as CAL does. this is why CAL is most important information do decide treatment plan. 1)pocket depth: 5mm could be true clinical attachment loss, in which resective osseous surgery is indicated, or could be 5mm with a psuedopocket from hyperplasic gingiva (ei. if pt on phenytoin/nephedipine) in which case perio surgery is NOT indicated, rather a gingival surgery (gingivectomy) 2)BOP: good indication of inflammation but not always the case. if a pt is a smoker, the gums may not bleed due to vasoC that nicotine causes in gingiva. so even if CAL is 6/7mm, they may not BOP if they smoke.
Thanku doc for the video. Just wanna know one thing. In FGG and CTG u said FGG happens apical to free gingival margin and CTG happens coronal you free gingival margin - what does that mean ? Can u pls explain
This was awesome..I officially love you! Question: is it fair to conclude that perio surgery tends to result in new attachment, but root planing results in repair? if so, is this because of primary vs secondary intention? thanks
How long after surgical treatment do we re-evaluate the treatment? is it the same 4 to 8 weeks? Thank you for simplifying all these topics! love the videos.
Sir 3 wall defect means there is defect in 3 walls out of four or defect in 1 wall out of four? I know it’s very silly question but I’m very much confused in that
thank you very much for the effort, it's extremely helpful. i understand everything well. the part wasn't clear is the last slide. can you elaporate it?
Hi Dr. Ryan, in the video (10:50 min) you said that in the apically repositioned flap we reposition the flap apical to it’s original position but wouldn’t that expose some part of the root causing sensitivity along with other problems?
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@@mentaldental thank you so much for the reply one more questions so the videos you post here in u tube have a very little bit information and members get more info about the topics
Hey Dr. Ryan, what exactly is a four wall defect? Also woudn't a four wall defect be an ideal for regenerating infra bony pockets? Also is infrabony pocket and intrabony pocket the same thing?
A “four wall defect” is another name for an extraction site where all walls are maintained. Yes, it is the ideal site for regeneration. And that is correct, they are interchangeable.
I mostly play the Nintendo Switch or PC games! Right now I'm playing Super Mario 3D All-Stars, which is a blast from the past for me since I grew up playing Super Mario 64 as one of my first ever video games.
Hey Ryan! I’ve been watching and using your videos to study for the INDBE. Do you think even though you made them for the NDBE II they are still useful for the integrated exam? Thank you! I absolutely love your videos
After implant my gingival not repair level of other tooth because dr. Not done bone grafting at the time of implant there is possible to do bone grafting after implant I'm not taking my crown teeth now ...because it's not look good
