Exodontia Comprehensive Oral Surgery – Jason Hoium Module 1-13

Exodontia Comprehensive Oral Surgery – Jason Hoium

Module 1-13

Module 1 | Oral Anatomy & Biology

• 1. Bone (Cancellous vs. Cortical)
• 2. The Periosteum
• 3. Gingiva
• 4. Periodontal Ligament Fibers
• 5. Inferior Alveolar Nerve
• 6. Long Buccal Nerve
• 7. Lingual Nerve
• 8. Mental Nerve
• 9. Maxillary Nerve
• 10. Greater Palatine Nerve & Artery
• 11. Incisive Foramen
• 12. Lymph Nodes
• 13. Granulation Tissue
• 14. Facial Artery & Vein

Module 2 | Medical Considerations

• 1. ASA Classifications
• 2. Hypertension
• 3. Diabetes
• 4. Asthma
• 5. Hyperthyroidism
• 6. Hypothyroidism
• 7. Anemia
• 8. Cardiac Issues
• 9. Artificial Joints
• 10. Antibiotic Prophylaxis for Endocarditis
• 11. Scarlet Fever
• 12. Osteoporosis
• 13. Liver Disease & Hepatitis
• 14. Hemodialysis
• 15. Hemophilia & Von Willebrand Disease
• 16. Pregnancy Pt. 1
• 17. Pregnancy Pt. 2
• 18. Chemotherapy
• 19. Radiotherapy
• 20. The Immunocompromised Patient
• 21. Medical Emergencies Pt. 1
• 22. Medical Emergencies Pt. 2
• 23. Medical Emergencies Pt. 3
• 24. Advanced Cardiac Life Support

Module 3 | Surgical Complications

• 1. Buccal Plate Fractures
• 2. Bleeding
• 3. Bone Chips
• 4. Postoperative Pain
• 5. Dry Socket (Alveolar Osteitis)
• 6. Immediate Postoperative Infections
• 7. Postoperative Swelling
• 8. Liver Clots
• 9. Hematomas
• 10. Damage to Adjacent Teeth
• 11. Wound Dehiscence
• 12. Tissue Tears
• 13. Extraction Socket Healing
• 14. Trismus
• 15. Burns & Avulsive Injuries
• 16. Puncture Injuries
• 17. Mylohyoid/Lingual Sequestrum
• 18. Broken Instruments
• 19. Buccal Fat Pad Exposure
• 20. Sinus Communications
• 21. Tuberosity Fractures
• 22. Displacement of Root Tips
• 23. Infratemporal Fossa Displacement
• 24. Osteomyelitis
• 25. Osteonecrosis
• 26. Managing Condylar Dislocations
• 27. Subcutaneous Air Emphysema
• 28. Paresthesia, Dysesthesia & Anesthesia
• 29. Lingual Nerve Injuries
• 30. Palatal Necrosis
• 31. Iatrogenic Jaw Fractures
• 32. Broken Needles

Module 4 | Infections & Fascial Spaces

• 1. Alveolar Ridge
• 2. Buccal Vestibule
• 3. Mandibular Subperiosteal Abscess
• 4. Mentalis Space
• 5. Submental Space
• 6. Sublingual Space
• 7. Submandibular Space
• 8. Ludwig’s Angina
• 9. Buccal Space
• 10. Submasseteric Space
• 11. Parapharyngeal Space
• 12. Palatal Subperiosteal Abscess
• 13. Infra-orbital Space (Canine Space)
• 14. Temporal Spaces (Deep & Superficial)
• 15. Infra-temporal Space
• 16. Infections
• 17. Delayed Postoperative Infections

Module 5 | Diagnosis & Planning

• 1. Indications for Extraction
• 2. Patient Examination & Interview
• 3. Patient Psychology
• 4. Radiographic Analysis for Extractions
• 5. Tips for Dental Radiographs
• 6. Extraction Planning

• 1. Preoperative NSAIDS
• 2. Pain Management
• 3. Ibuprofen vs. Ibuprofen Sodium
• 4. Opioid Analgesics
• 5. Collaplug® vs. Gel Foam
• 6. Bone Wax & Bone Putty
• 7. Tranexamic Acid (Cyclokapron)
• 8. Alveogyl®
• 9. Warfarin (Coumadin)
• 10. Plavix (Clopidogrel)
• 11. Direct Oral Anticoagulants
• 12. Corticosteroids
• 13. Postoperative Antibiotics
• 14. Antibiotic Selection
• 15. Emergency Drugs

• 1. Needle Gauge
• 2. Aspirating
• 3. Needle Capping
• 4. Local Infiltrations
• 5. Mandibular Infiltrations
• 6. PDL Injections
• 7. Papilla Injections
• 8. Intraseptal Injections
• 9. The Gate Control Theory of Pain
• 10. Palatal Injections
• 11. Greater Palatine Nerve Block
• 12. Nasopalatine Nerve Block
• 13. PSA Nerve Block
• 14. AMSA Nerve Block
• 15. ASA Nerve Block
• 16. High Tuberosity V2 Block
• 17. Pterygopalatine V2 Block
• 18. Intraoral Cervical Plexus Injections
• 19. Mental Nerve Block
• 20. Vazirani-Akinosi Technique
• 21. Buccal Nerve Block
• 22. Gow-Gates Technique
• 23. Inferior Alveolar Nerve Block
• 24. Alternative Mandibular Block Techniques
• 25. Failed Mandibular Blocks
• 26. Local Anesthetic Allergies
• 27. Local Anesthetic Complications Pt. 1
• 28. Local Anesthetic Complications Pt. 2
• 29. Temporary Facial Nerve Paralysis
• 30. Infections & Anesthesia
• 31. Anesthetic Carpules
• 32. Types of Local Anesthetic
• 33. Articaine
• 34. Topical Anesthetic
• 35. Epinephrine
• 36. Oraverse® (Phentolamine)
• 37. pKa
• 38. Local Anesthetic Buffering
• 39. Using Anesthetic to Diagnose
• 40. Pediatric Local Anesthesia Pt. 1
• 41. Pediatric Local Anesthesia Pt. 2
• 42. Anesthetizing for a Full Mouth Clearance

Module 8 | Surgical Armamentarium

• 1. Gloves
• 2. Magnification & Headlights
• 3. Oropharyngeal Protection
• 4. Bite Blocks
• 5. Scalpels
• 6. Surgical Handpieces
• 7. Surgical Burs
• 8. Surgical Suction
• 9. Retractors
• 10. Periosteal Elevator
• 11. Periotomes
• 12. Luxating Hybrid Elevators
• 13. EL3SX Elevating Luxator
• 14. 301 Elevator
• 15. 77R & 46R Elevators
• 16. 303 Apexo Elevator
• 17. 63 Spade Elevator
• 18. Cryer Elevators
• 19. Cogswell B & Crane Pick
• 20. Root Tip Picks
• 21. Steiglitz Forceps
• 22. English vs. American Style Forceps
• 23. 88L & 88R Forceps
• 24. 23 Cowhorn
• 25. 222 Forceps
• 26. 210S Forceps
• 27. Curettes
• 28. Rongeurs
• 29. Bone Files
• 30. Hemostats
• 31. Tissue Forceps
• 32. Needle Drivers
• 33. Scissors
• 34. Castroviejo Needle Drivers
• 35. Austin Retractor
• 36. Dental Explorer
• 37. S-12 Straight Surgical Handpiece
• 38. 35cc Irrigating Syringe
• 39. Drop Control Scalpel
• 40. Blue Surgical Suction Tips
• 41. Serrated Minnesota Retractor
• 42. Lucas Serrated Curette
• 43. 60B Elevator
• 44. Modified Isodry Isolation
• 45. Potts Elevators
• 46. Warwick James Elevators
• 47. Corn Suture Pliers

Module 9 | Surgical Technique

• 1. Forceps Grip Pressure
• 2. Patient & Operator Positioning
• 3. How to Use An Elevator
• 4. Overhand vs. Underhand Forceps Grasp
• 4. Basic Principles of Extractions
• 6. Proper Application of Forces
• 7. Purchase Points
• 8. Incisions
• 9. Incision & Drainage Pt. 1
• 10. Incision & Drainage Pt. 2
• 10. Basic Principles of Flaps
• 12. Envelope Flaps
• 13. Three-cornered Flaps
• 14. Four-cornered Flaps
• 15. Buccal Advancement Flap
• 16. Sectioning Maxillary Molars
• 17. Sectioning Mandibular Molars
• 18. Sectioning Premolars
• 19. Bone Removal
• 20. Troughing
• 21. Distobuccal Elevation
• 22. Socket Debridement
• 23. Interproximal Contacts
• 24. Socket Irrigation
• 25. Forceps Force Vectors
• 26. Finger Rests
• 27. Extraction Positioning

Module 10 | Extracting Specific Teeth

• 1. Mandibular Incisors
• 2. Mandibular Canines
• 3. Mandibular Premolars
• 4. Mandibular Molars
• 5. Erupted Mandibular Third Molars
• 6. Maxillary Centrals
• 7. Maxillary Laterals
• 8. Maxillary Canines
• 9. Maxillary Premolars
• 10. Maxillary Molars
• 11. Erupted Maxillary Third Molars
• 12. Pedodontic Exodontia
• 13. Primary Upper Second Molars
• 14. Primary Upper First Molars
• 15. Primary Upper Canines
• 16. Primary Upper Lateral Incisors
• 17. Primary Upper Central Incisors
• 18. Primary Lower Second Molars
• 19. Primary Lower First Molars
• 20. Primary Lower Canines
• 21. Primary Lower Lateral Incisors
• 22. Primary Lower Central Incisors
• 23. Primary Root Tips

Module 11 | Suturing 101

• 1. Suture Needles
• 2. Monofilament vs. Polyfilament Sutures
• 3. Absorbable vs. Non-Absorbable Sutures
• 4. Suturing Fundamentals Pt. 1
• 5. Suturing Fundamentals Pt. 2
• 6. Suture Nomenclature
• 7. Holding The Needle Driver
• 8. Palming The Needle Driver
• 9. Gathering The Suture
• 10. Controlling The Suture
• 11. Needle Arc
• 12. Simple Interrupted Suture
• 13. Figure Eight Suture
• 14. Horizontal Mattress Suture
• 15. Locking Horizontal Mattress Suture
• 16. Vertical Mattress Suture
• 17. Locking Vertical Mattress Suture
• 18. Modified Vertical Mattress Suture
• 19. Continuous Suture
• 20. Continuous Locking Suture
• 21. Buried Knots
• 22. Knot Slippage
• 23. Surgeon’s Slip Knot
• 24. Hand-Tying Sutures
• 25. Suture Removal
• 26. Common Suturing Errors
• 27. Suturing Tips
• 28. Tongue Laceration
• 29. Stellate Laceration (Corner Stitch)

Module 12 | Clinical Tips & Situations

• 1. Orthodontic Extractions
• 2. Protecting the Airway
• 3. Diagnosing & Managing Pericoronitis
• 4. Buccal & Lingual Decay
• 5. Extracting Malaligned
• 6. Partially Soft Tissue Covered Roots
• 7. Impacted Third Behind a Mandibular Second
• 8. Endodontically Treated Teeth
• 9. Hypercementosis
• 10. Internal & External Resorption
• 11. Ankylosis
• 12. Fused Upper Molar Roots
• 13. Retained Roots in Edentulous Patients
• 14. Sectioning Tips
• 15. Sectioning Primary Molars
• 16. Extraction of Retained Primary Teeth
• 17. Impaction vs. Primary Retention & Secondary Retention
• 18. Managing Root Tips
• 19. Oroantral Communications
• 20. Extracting the Wrong Tooth
• 21. Tips for Multiple Extractions
• 22. Proper Gauze Placement
• 23. Iatrosedation
• 24. Molar Incisor Hypomineralization

Module 13 | Mastering Impactions

• 1. Third Molar Development
• 2. Theories & Causes of Impaction
• 3. Sequelae of Impacted Third Molars
• 4. Third Molar White Paper Pt. 1
• 5. Third Molar White Paper Pt. 2
• 6. Third Molar White Paper Pt. 3
• 7. A.A.O.M.S Position Statement on Third Molars
• 8. Prophylactic Third Molar Removal Pt. 1
• 9. Prophylactic Third Molar Removal Pt. 2
• 10. Mandibular Anatomical Overview
• 11. Maxillary Anatomical Overview
• 12. The Dental Follicle
• 13. CBCT Imaging vs. Panoramic Radiographs
• 14. IAN Proximity
• 15. Classification Systems
• 16. Case Selection
• 17. Surgical Consent
• 18. Surgical Site Preparation
• 19. Third Molar Anesthesia
• 20. Lingual Infiltration
• 21. Flap Design
• 22. The Incision Pt. 1
• 23. The Incision Pt. 2
• 24. Flap Elevation & Retraction
• 25. Bone Removal & Troughing Pt. 1
• 26. Bone Removal & Troughing Pt. 2
• 27. Purchase Points
• 28. Sectioning
• 29. Elevation & Force Application
• 30. Wound Debridement
• 31. Wound Closure Pt. 1
• 32. Wound Closure Pt. 2
• 33. Mesioangular Impactions
• 34. Horizontal Impactions
• 35. Vertical Impactions
• 36. Distoangular Impactions
• 37. Maxillary Impactions Pt. 1
• 38. Maxillary Impactions Pt. 2
• 39. Managing Postoperative Bleeding
• 40. Third Molars & Antibiotics
• 41. Coronectomy