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Oral Surgery Techniques For The

General Dentist
By Howard Rhoads, DDS
69 B.C.
Basic Instrumentation

Periotomes
Luxators
Elevators
Handpieces
Periotomes
Should always be used around all erupted teeth when possible.
ESPECIALLY erupted third molars.
Luxators
Cannot be used like an elevator. The tips will break.
Baby Cryers

Karl Schumacher #21 and #22


From Dental Town August 2010
Risks associated with use of a high speed
air turbine drill during a dental extraction
Subcutaneous emphysema of face, neck, chest
Pneumomediastinum
Facial Infection/Cellulitis
Thoracic infections/mediastinal abscess
Descending necrotizing mediastinitis
Visual disturbance, visual loss
Fatal air embolism
Cardiac arrhythmia, Cardiac arrest
Death
Surgical Burs
699
701
702*
703
8 Round
Traumatic forceps 88 cowhorn picture of model
ATRAUMATIC EXTRACTION
Physics Forceps
Socket Preservation
...in my opinion, socket
preservation should be
standard of care.
...all dentists should
accomplish this
simple technique of
socket grafting.
...especially important
in areas of the mouth
where shrinkage of
bone and soft tissue
will not allow implant
Dental Economics 07/2012 placement.
Dr Christensens Summary

To answer your question, socket grafting is not yet


the standard of care but in my opinion, it certainly
should be, at least in the smile zone.
I suggest all dentists should do the simple technique
of socket grafting where shrinkage should not allow
adequate implant placement or would lead to an
unsightly pontic.
Without Grafting

Soft tissue infiltration


30-60% potential bone loss in 2-3 years
Loss of height and width of ridge
May predispose the need for later grafting
The overhead cost of grafting material and
related products is high. If it is cost prohibitive
for the patient and the whole idea is to keep
epithilium from invading the socket at lease a $10
collagen plug and gel foam sutured into place will
minimize soft tissue infiltration.
OCO BIOM EDICAL IM PLANT PRODUCT LINES
Small Diameter Implant (SDI) Dual Stabilization
Small diameter, yet aggressive implant for thin ridge patients One-piece and two-stage implants designed for immediate or early loading.

2.2mm 2.5mm 2.9mm 3.0mm 3.25mm 4.0mm 5.0mm 3.25mm 4.0mm 5.0mm
SDI SDI SDI 3.0 ISI ISI ISI TSI TSI TSI

Logical Progression
(Transitional Implant)

Dual Stabilization Engage M ACRO


One-piece and two-stage implants Bone Level Implant - Unchallenged stability now at bone level. Wide-diameter, short-length implant.
designed for immediate or early loading. Perfect for sinus and nerve avoidance cases.

3.25mm 4.0mm 5.0mm 3.25mm 4.0mm 5.0mm 6.0mm 6.0mm 7.0mm 8.0mm
ERI ERI ERI Engage Engage Engage Engage M ACRO M ACRO* M ACRO*
* In Development * In Development

DesignedandManufacturedintheUSA
www.ocobiomedical.com U.S. Patent : US 8,277,218,B2 ISO13485:2003CERTIFIED
0344
2013 OCO Biomedical Inc. 326-1 06/13
Why you need good x-rays

thomas
October 2013

May 2014