EdraClass - Oral Surgery
Maxillary Sinus Elevation – Piezosurgery – Endodontic Surgery
by Prof. Matteo Chiapasco, Prof. Angelo Cardarelli, Prof. Arnaldo Castellucci
The class offers a complete overview of the 3 main aspects of Oral Surgery, Maxillary Sinus Elevation – Piezosurgery – Endodontic Surgery, with 3 lecture, provided by the maximum expert in the fields, and over 200 min of content.
1 - Management of Complications Associated with Elevation of the Maxillary Sinus
by Prof. Matteo Chiapasco
When reduced dimension implants are not indicated in the atrophic posterior maxilla, because of the relevant reduction of residual alveolar crest volumes following atrophy and/or expansion of the maxillary sinus, sinus floor elevation with a crest or lateral approach has become a quite frequent surgical procedure in implant dentistry. These surgical procedures, although reliable, may expose also experienced surgeons to complications such as:
1) sinus membrane tears;
2) penetration/migration of implants into their maxillary sinus;
3) post-operative maxillary sinusitis.
The main objective of this lecture is to provide clinicians useful information as regards the prevention and management of these complications.
2 - Piezosurgery Treatment of Impacted Teeth
by Prof. Angelo Cardarelli
The avulsion of the included or semi-included dental elements is one of the most frequently used clinical procedures performed by the oral surgeon. This practice can be relatively simple or extremely arduous about many variables related to the element that has to be extracted such as the localization, anatomy of the dental crown and roots, depth, and type of inclusion. If some dental avulsion can be considered routine dental surgery, the extraction of Dental elements included requires considerable technical preparation, accurate knowledge of all noble anatomical structures, and mature surgical experience. It is essential to perform a correct treatment planning that allows, on the one hand, to minimize the risk of post complications surgical (pain, edema, trismus, alveolitis ...) and, on the other, to be able to manage those complications accurately, always with the lowest biological cost for the patient. In the latest years, Oral surgery has strongly suffered from the technological innovations introduced in this field. In particular, the use of ultrasound applied to surgery has changed some of the most frequent clinical procedures, such as the extraction of third parties molars included, thus spreading an innovative concept in all dentistry: piezoelectric surgery or piezosurgery.
Unlike implantology, it is a branch now widespread among dentists, extractive surgery still represents a "taboo" for many colleagues, who while practicing surgery daily implant, prefer to leave the avulsions often to maxillofacial surgeons or oral surgeons, considering it an intervention of greater complexity and often a source of anxiety and stress for the operator. So taking care of about 10 years of simple and complex extractive surgery I needed to elaborate a COURSE in which they have described simply and linearly the surgical techniques for the avulsion of the dental elements included, to provide a repeatable and predictable approach and method to reduce their invasiveness and traumatic procedures.
3 - Endodontic Surgery or Micro Surgical Endodontics?
by Prof. Arnaldo Castellucci
It is no longer acceptable to see patients that have been scheduled by an Oral Surgeon or a Maxillo-facial Surgeon, maybe under general anesthesia, for an apicectomy to remove a cystic wall which does not need any removal. Too many times these surgeons take care of the removal of the inflamed tissue, put a bone graft in the bony lesion and the don’t even put any retrofilling material at the apex of the infected root canal!
