After viewing this video,I became more confident in my extractions and my fear of sectioning went out the door. Life is so much better with no more second guessing myself and no anxiety 😅
Clear and well presented video. Idea: prepare an access cavity into the pulp chamber before sectioning. With a coarse diamond bur it takes maybe 10 seconds. Then you'll know exactly where the furcation is, zero guessing.
Awesome video thanks 🙏 One thing I'd add is while sectioning mb from db I like to retract the gingiva and feel/see the the furcation area between the two from the buccal aspect,therefore deciding the section.
Hey doc, great video and beautiful work. Myself, I suture virtually everything unless there is no exposed bone. I just get way fewer healing complications. A cross mattress in a socket like that keeps food out and keeps the sponges in. I personally would also add a little sponge pad on top of the furcal bone. I also advise no rinsing. I think it agitates the wound surface too much and patients are generally bad at it. So I just tell them not to do it and again, way fewer dry sockets!
Nice surgery!!! endodontically treated tooth is much more difficult due to its brittleness.; I used peristomes to loosen PDL and bone expansion, no bone removal
great tip - induces PDL trauma which causes bleeding and 'self severing' effect of PDL. I sometimes add rotational forces with forceps to induce PDL trauma
Thanks! I use the Z45L NSK for when I need the angulation help- Z85L NSK is the other one I have :) I know Incidental in the UK do some electric handpieces too 🫡
Great video thank you, can you use a electric handpiece for bone removal for a surgical extraction or does it need to be a slecial surgical motor and bur?
Thank you for such an informative video! Do you plan on making a similar instructional video for mandibular molars? And I am also curious about your approach for more badly decayed, less predictable endo-treated posteriors (a tooth you know that will be mush through and through)
I'm sharing your channel with all of my dentists in my community health center. Your content is top notch, best on RU-vid. Thank you! Cheers from the Pacific Northwest USA
Hello from Indonesia doc, this video is amazing especially for new general practioner dentist like me to be more confident in sectioning upper molar, very clear video very clear explanation. Thank you so much doc, may God bless you😊😊😊😊
Thank you so much for another awesome video you are doing great!! also like going all around before sectioning just like colleague mentioned.. Never forget to check the sinus.. Best regards
I don't know how i got the chance to see this youtube channel, but thank you, Dr. Gulati, i'm new degreed doctor and assistant in Oral and Maxillofacial surgery, still learning those things... The information was really helpful, i'm gonna use it :)
Is there any special consideration when it comes to using handpieces? To prevent post OP surgical complications? or a fast handpiece can be used when doing the bone removal?
yes there are - we covered this on the webinar which can be found in Sectioning School. You can try a 1 week free trial of the Ultimate Education Plan to access this instantly: protrusive.co.uk/ultimate In a nutshell - we must be careful to not create an air embolism/surgical emphysema. We talked about the gold standard (separate surgical motor with saline), silver standard (electric handpiece) and bronze to the regular fast handpiece - if using the bronze option, we must be careful not to displace tissues or raise flaps. There are also fast hanpieces that are rear venting which can prevent this rare but serious complication.
1) Thanks for commenting 2) This channel is for Dental education for Dentists and as a policy I cannot support all patient queries - mostly because otherwise I would have no time to spend with my family 😅 3) The most common answer to any and all patient queries on RU-vid is usually: Speak to your Dentist, they are best positioned to help you 4) Good luck
a general statement to advocate sectioning - the further back you get, the more the risk is increased. However, once you see the image of the broken tuberosity with all 3 molars attached to the tuberosity, you cannot unsee that! But you're right, the risk is low in this case as it's the first molar
@@ew3075 Thanks - honestly I just used a crown prep shoulder diamond bur (coarse) - nowadays I use Lindemann burs which are great for sectioning but very aggressive so take care doc
All done nice❤may be you could do the Valsava test to be sure the sinus membrane is not perforated…no sutures is the correct answer to this kind of extactions👌
thanks doc! You know I was once taught my oral Surgeons to try and avoid the valsalva test as it may make things worse. I see the rationale but it's not something I routinely do after extractions. Thanks for raising it!
@@protrusive totally agree with you but when doing this test pacient should not blow like crazy 🤪 just a little obstruction so you could be sure that it will be safe and avoid unnecessary complications 🫣🤝All the best😊
