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Avoiding and Managing Surgical Complications

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38 videos

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    I think I can. I think I can.

    14:06 Published: 07/14/2017

    One of the biggest mistakes a clinician can make is to "think" that they can successfully perform a surgical procedure. It is essential to KNOW that you can do it before you pick up the first instrument. This video discusses a case where the doctor had no plan, did not know how to handle a broken root tip, and after an hour of struggling, finally sent the patient to Dr. Reznick to complete the surgery. The basic principles of how to handle a broken root on a mandibular molar are discussed.  Run Time - 14:06.

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    A Bit of a Stretch

    20:37 Published: 01/07/2017

    CBCT Guided is an incredible tool that improves the accuracy and efficiency of dental implant placement. But, tools sometimes fail, and when they do, the clinician needs to know what to do to either fix the tool or choose a different one. In this case presentation, it was discovered that the patient's mandibular opening was inadequate to use fully-guided technology to place a dental implant at the mandibular second molar position. Dr. Reznick discusses the strategies to overcome this problem and still ensure accurate implant placement. Run time 20:37

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    Guided Surgery, Ridge Splitting, and Sinus Lifts for Success in Implant Surgery

    1:33:42 Published: 12/25/2016

    This is the third of three videos of Dr. Reznick's all-day course given at the CAD-Ray Symposium in Hawaii on February 13, 2016. The course was recorded by our friends at DentalTown, and they have allowed us to share this video with our subscribers. Duration - 1:33:42.

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    Dental Implant Complications: From Bleeding to Integration to Function

    1:09:26 Published: 08/03/2016

    This is the second of three videos of Dr. Reznick's all-day course given at the CAD-Ray Symposium in Hawaii on February 13, 2016. The course was recorded by our friends at DentalTown, and they have allowed us to share this video with our subscribers. Duration - 1:09:26.

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    Avoidance and Management of Dental Implant Complications

    1:07:15 Published: 06/30/2016

    This is the first of three videos of Dr. Reznick's all-day course given at the CAD-Ray Symposium in Hawaii on February 13, 2016. The course was recorded by our friends at DentalTown, and they have allowed us to share this video with our subscribers. Duration - 1:07:15

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    Immediate Management of a Palatal Root Sinus Perforation

    8:57 Published: 04/25/2016

    The roots of maxillary posterior teeth are frequently close to the maxillary sinus floor. Small perforations into the sinus can occur with extractions, especially when periapical pathology is present. Managing this properly will minimize the risk of a chronic oral-antral fistula developing. This video discusses such a case and how to manage a small perforation. Duration- 8:57.

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    Full bony horizontal impaction #32

    8:26 Published: 04/25/2016

    This video shows the removal of a full bony horizontal impaction of tooth #32. The initial split was not successful. Re-evaluation of the root anatomy led to a favorable outcome. Run Time- 8:25.

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    Ankylosed #32

    7:11 Published: 04/25/2016

    Erupted 3rd molars in adults can be very challenging. This video discusses the removal of an ankylosed erupted mandibular 3rd molar in an adult male. Duration 7:11

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    Managing an Acute Bleed in Surgery

    4:45 Published: 04/25/2016

    If not managed immediately, a severe intraoperative bleed can lead to significant blood loss and morbidity. Dr. Reznick shows how he managed a sudden episode of bleeding while removing an impacted third molar. Duration- 4:44

     

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    Bisphosphonate Osteonecrosis – What You Need to Know

    34:21 Published: 04/25/2016

    Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ) is a recently recognized complication of a class of drugs that is used to treat osteoporosis and bone disease in a variety of cancers. Millions of patients have been exposed to these drugs. There is a lot of incomplete information and misinformation around regarding dental management of these patients. This course attempts to make some sense of it all. Run Time- 34:21

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    Non-Extraction to Avoid BRONJ

    18:37 Published: 04/25/2016

    Osteonecrosis of the jaws is a significant complication of the the use of bisphosphonate drugs. Dental extractions should be avoided in patients who have been on the IV preparations Aredia and Zometa. This video shows a technique to submerge non-restorable teeth in these patients, that would otherwise be extracted. Duration: 18:36.

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    Intraoral incision and Drainage (I & D)

    9:05 Published: 04/25/2016

    Odontogenic infections are commonly seen in dental practice. When the infection spreads in to the soft tissue and forms an abscess, surgical drainage is frequently indicated as part of the management. This video demonstrates how to do an intraoral I & D procedure. Duration- 9:06

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    Surgical Removal of Impacted Third Molars – Part II

    10:54 Published: 04/25/2016

    In Part II of this 3 video series, Dr. Reznick discusses the risks of 3rd molar removal. The most common post-operative sequelae and complications are reviewed, along with the more significant ones to be aware of before performing surgery. This video also discusses the risks of NOT removing third molars in patients before they reach the age of 25. Duration- 10:45

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    Informed Consent for Oral Surgery

    12:56 Published: 04/25/2016

    Before an invasive surgical procedure can be performed, the patient must give their Informed Consent. But, what does this mean. And what must be discussed. Isn't Informed Consent just the paper they sign? Find out in this course. Duration- 12:55.

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    Lingual Mylohyoid Ridge Sequestrum

    9:30 Published: 04/25/2016

    The sequestration of a small bone spicule from the mylohyoid ridge area is sometimes seen after extraction of mandibular 2nd or 3rd molars, or sometimes without apparent cause. This is something that is easily managed... if you know what it is. Run Time- 9:30

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    Delayed 3rd Molar Postop Infection

    10:51 Published: 04/25/2016

    Patients may present anytime after surgery with a late complication. This video shows management of a late infection in a 3rd molar site due to a bony sequestrum. Duration- 10:51

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    Managment of a late operative bleed

    6:25 Published: 04/25/2016

    This video presents the case of an 83 year old man on coumadin who began bleeding 6 days after tooth extraction, and presented with a large "liver clot". A few "secrets" are revealed in easily managing this postoperative complication. Run Time 6:25

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    Basics of Odontogenic Infections Management

    25:44 Published: 04/25/2016

    This course reviews some basic principles regarding the management of infections of dental origin. Topics include I & D technique, culture/sensitivity testing, and antibiotic use. Duration 25:43

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    Common medical emergencies in dental practice

    37:18 Published: 04/25/2016

    Medical emergencies are fortunately uncommon in dental practice. However, it is extremely important to be familiar with the most common conditions which can occur, so they can be diagnosed and managed properly. This video reviews the basics of what you need to know for the medical emergencies that are most likely to occur in dental practice. Duration: 37:17.

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    Subcutaneous air emphysema

    16:33 Published: 04/25/2016

    Subcutaneous air emphysema is a rare but dramatic complication in dentistry. It is due to air being driven into the perioral soft tissues during a dental procedure. This video discusses the etiology and treatment of this complication. It can be prevented by the use of a rear-venting handpiece for surgical procedures. Duration - 16:32

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    Retrieving a Palatal Root Tip

    2:14 Published: 04/25/2016

    Other than in a textbook, have you ever seen how a small root fragment is removed? In this video the technique for removing a small palatal root tip of an upper molar is shown. Run Time- 2:14

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    The Dog is Awake

    8:18 Published: 04/25/2016

    In this video, Dr. Reznick discusses the removal of a bony impacted mandibular 3rd molar in a medically-compromised 92 year old woman. Special considerations in this case are discussed. Run time 8:17

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    Management of surgical and post operative complications

    36:03 Published: 04/25/2016

    This course covers the basics of managing the common intraoperative and postoperative complications that can occur with any oral surgical procedure. Duration- 36:02

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    Plan B mesloangular partial bony #17

    6:19 Published: 04/25/2016

    Knowing what to do when Plan "A" doesn't work is an important part of learning surgery. A mesioangular #17 did not come out as planned. Dr. Reznick shows how he quickly analyzed the problem and completed the surgery. Duration- 6:18

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    Punt!

    13:45 Published: 04/25/2016

    If you choose to do more advanced surgical extractions in your practice, it is important to have the proper training so that you are able to complete every procedure. This video shows how Dr. Reznick approaches removal of an impacted third molar that an inadequately trained GP worked on for over 30 minutes without success. Duration 13:45.

  • A Tricky Situation

    A Tricky Situation (HD)

    13:18 Published: 10/15/2015

    This is another lesson in our series discussing intraoperative surgical complications. Preoperative evaluation of the patient and radiographs should alert the clinician to potential pitfalls. Should they occur, prior planning will help manage the situation and avoid untoward consequences. Run Time 13:18.

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    Be Prepared! (HD)

    10:38 Published: 10/08/2015

    No doctor should perform a surgical procedure without being fully prepared to deal with the most common complications. The unexpected can always occur, and when it does, being prepared will save the day. Run Time- 10:38.

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    It Looked Like it Would Just Pop Out! (HD)

    9:25 Published: 08/02/2015

    There is no such thing as a "simple" extraction. Even very straightforward procedures can have complications. In. this video, we see how to deal with fractured roots in a partially erupted third molar/. Duration 9:25.

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    Root in the Sinus? No problem… (HD)

    25:14 Published: 01/10/2015

    This video course discusses a case in which a root tip, after being pushed into the maxillary sinus during extraction, becomes infected and needs to be removed. Dr. Reznick describes the technique to retrieve the root and then reconstruct the oral-antral communication and bony defect that resulted from this therapeutic misadventure. The Caldwell-Luc antrostomy is demonstrated, as well as a direct sinus lift and ridge augmentation. Duration- 25:14.

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    Oops! Help! (HD)

    14:01 Published: 01/08/2015

    This is another video in our series of learning from another doctor's mistakes how to get out of trouble and how to avoid making the same mistake. In this case, an impacted maxillary third molar is displaced into the pterygomaxillary fissure region. Dr. Reznick discusses what probably caused this, how to avoid it and how to remove the tooth safely and successfully. Duration- 14:01

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    Removal of Lower Second Molar Roots (HD)

    8:31 Published: 12/15/2014

    This video teaches what to do when the crown of a brittle, endodontically-treated lower molar breaks in the forceps. A general dentist attempted to remove a tooth, but was not able to complete the procedure. Dr. Reznick teaches you how to deal with this complication when it occurs, so that you will be able to remove the entire tooth and roots in their entirety. Run time - 8:31

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    Removal of Maxillary Molar Roots After Crown Fracture (HD)

    11:42 Published: 12/14/2014

    An important component of surgical training is understanding what needs to b done to complete a procedure if a tooth does not come out as easily as expected. When the crown breaks off with the forceps, a non-surgical extraction becomes a surgical one and the approach and instruments must change. This video shows a technique of maxillary molar root removal after the crown has fractured off. It also shows what to do when the roots project into the maxillary sinus and removal perforates the sinus membrane.  Run time- 11:42

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    Surgical Removal of an Endodontically Treated Maxillary Premolar (HD)

    12:41 Published: 12/10/2014

    This video demonstrates a technique used for surgical removal of a brittle maxillary premolar tooth after subcrestal lingual cusp fracture. The tooth must be sectioned into buccal and lingual roots. Pre-op and post-op regimen and decision regarding immediate implant placement are also discussed. Run time 12:41.

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    Look Before You Leap (HD)

    25:02 Published: 01/21/2014

    One of the basic fundamentals taught by Dr. Reznick is proper pre-surgical evaluation of the patient and the procedure to be performed. For the removal of a tooth, following the Standard of Care regarding pre-operative radiographs is essential to plan the surgical approach and to minimize the risk of complications. When this is not done, not only will the procedure be more difficult, but the risk of untoward events and litigation are significantly increased. In this case, a dentist failed to properly evaluate the clinical situation before attempting surgery and the patient ended up in Dr. Reznick's office for management of a failed surgical attempt. Run Time- 25:02 (HD)

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    Removal of Tooth #3 with Perforation into the Sinus (HD)

    17:05 Published: 09/14/2013

    An infected maxillary molar can encroach upon the maxillary sinus and create an oral-antral fistula when extracted. Large defects will not close on their own. When this complication is anticipated, surgery is planned to close the defect primarily. This video demonstrates a technique to do just that. Run time- 17:05

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    Full Bony Impacted Teeth # 1 and 32 (HD)

    15:03 Published: 09/14/2013

    This case demonstrates and discusses the removal of full bony impacted third molars in a healthy 16 year old. Run Time: 15:03

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    Removal of Tooth #19 with Ridge Preservation Grafting (HD)

    13:17 Published: 09/14/2013

    This case demonstrates the technique for surgical removal of a broken lower first molar, and discusses the fine points of the procedure. The technique of ridge preservation grafting is also shown. Running time: 13:17

  • Retrieval of a Root Fragment from an Endodontically-Treated Mandibular Molar (HD)

    17:29 Published: 09/13/2013

    Mandibular molars can be difficult teeth to remove, especially after root canal treatment. It is not uncommon for the brittle roots to break during extraction. This video shows the technique for removal of a fractured distal root tip, and then bone grafting to prepare the site for an implant. Duration- 17:29