Surgical Extractions

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48 videos

  • Piezotome Extraction with Immediate Implant

    0:22:41 Published: 03/19/2019

    Removing an ankylosed root in an older patient can be challenging. It is even more so when the surgeon is attempting to remove the root as atraumatically as possible, so that a dental implant can be immediately placed. Just like with any other task, having the right tools makes the job more efficient, precise, and straightforward. For atraumatic extractions, the use of the ultrasonic piezotome with a tip that is designed to separate the ankylosed tooth from the surrounding alveolar bone, along with Proximators to expand the socket and elevate the root, are essential. Following this with the accuracy of fully-guided implant placement provides the ideal way to preserve bone and restore function. This case illustrates how these instruments and technologies are used to make immediate implant placement at the time of extraction efficient and accurate. Run time 22:41

  • A Simple Extraction (no such thing)

    11:19 Published: 12/14/2018

    There is no such thing as a simple tooth removal. A non-surgical extraction can have many challenges and can result in unwanted complications. Making it look "easy" requires knowledge, skill and experience. This case, removal of an erupted mandibular central incisor, illustrates a number of points. Duration 11:19.

  • The BFD ain’t no BFD

    18:21 Published: 10/17/2018

    If you are going to do surgery, you need to understand what you are doing. This means knowing not just "how to do it", but also the biology, anatomy and potential complications. This is what separates the clinician from a technician. If you are a technician, you should not be doing surgery. This case illustrates a common complication of maxillary third molar surgery. Even in the most well-trained and experienced hands, it can still occur, but it is easily managed without any sequelae. Run time 18:31.

  • Ankylosed Tooth Extraction Using the Piezotome® CUBE

    09:48 Published: 10/08/2018

    This video shows the use of the Piezotome CUBE to facilitate removal of an ankylosed tooth root in the mandible. Atraumatic extraction of even the most difficult tooth can be performed if the right instruments are used. Traditionally, a surgical handpiece and bur would be used to separate an ankylosed root from the alveolar bone. But new technology allows the use of ultrasonic instruments to sever the periodontal ligament and widen the space between the root and bone without the risk of overheating or removing excess bone. The use of the Piezotome CUBE and Proximators is demonstrated by Dr. Reznick in this course.  Duration 09:48.

  • Removing an Ankylosed #18

    11:29 Published: 01/10/2018

    To be successful in surgery, you need to be able to anticipate potential problems. Ankylosed teeth will be encountered frequently, especially with endodontically-treated molars in older patients. Surgical removal can be a challenge, and knowing what to do when this is the situation is essential to good patient care and to minimizing stress in practice. This video shows what factors may be associated with ankylosis and a strategy to successful surgery. Run time 11:29.

  • Immediate Implant at No. 20

    14:24 Published: 10/09/2017

    In this video, the technique of atraumatic extraction of an endodontically-treated, fractured mandibular premolar is demonstrated, followed by immediate replacement with a dental implant. A sterile Isolite mouthpiece is used to provide airway protection, site isolation, jaw support, and patient comfort. Run time- 14:24

  • 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.

  • A Set of Partial Bonies

    21:31 Published: 09/13/2016

    This is a straightforward case of four partial bony third molars. Patient examination, radiographic evaluation and surgical strategy are all discussed. Duration- 21:31

  • Preserving Keratinized Gingiva After Multiple Extractions

    14:35 Published: 08/30/2016

    It is not uncommon to need to remove multiple adjacent teeth in a patient. Traditional surgical technique emphasizes trimming of the marginal gingiva, including the interdental papillae in order to facilitate primary closure of tissue over the surgical site. This technique has been around long before tooth replacement with dental implants was the standard of care. Unfortunately, this removes a significant amount of ketatinized gingiva, which is undesirable if implants are planned. Keratinized gingiva is also beneficial for supporting a removable prosthesis. This video shows a technique which preserves most all of the keratinized tissue following multiple tooth extractions and alveloloplasty. Run time- 14:35

  • Minimally-Invasive Extraction and Ridge Preservation (of a Mandibular Premolar)

    10:21 Published: 06/30/2016

    This video shows an alternate, minimally-invasive technique for ridge preservation grafting following the atraumatic removal of a mandibular premolar, which was completely subgingival. Use of Proximators is demonstrated and the grafting technique is introduced.  Duration - 10:21

  • Four Bicuspids

    7:23 Published: 04/25/2016

    Orthodontists frequently refer patients for removal of 4 erupted premolar teeth to alleviate dental crowding. Proper surgical technique is necessary to prevent root fractures and alveolar plate injuries that would hamper the orthodontic treatment. This topic is discussed in this video. Run Time - 7:23.

  • Surgical removal of impacted third molars

    5:13 Published: 04/25/2016

    This video presents the surgical removal of a straightforward mandibular third molar tooth. The classification, strategy and procedure is explained. This is an example of a good case for a dentist who is starting to incorporate surgery into their practice. Duration- 5:13.

  • Surgical Split – #18

    7:01 Published: 04/25/2016

    The technique of sectioning a mandibular molar in a 76 year old man, with a surgical handpiece is shown in this video. The roots are mobilized with an East-West elevator. Duration 7:00.

  • 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.

  • Extraction #20 with immediate implant

    12:30 Published: 04/25/2016

    Even when it is not in the Esthetic Zone, atraumatic extraction technique is critical when the extracted tooth will be replaced with an implant. This video shows a technique to remove an endodontically-treated mandibular premolar, followed by immediate implant placement. Duration - 12:30

  • Using cowhorn forceps to split lower molar

    3:34 Published: 04/25/2016

    This video is not coupled with continuing education credits.

    This video shows how a mandibular molar may be split, to facilitate its removal, using the cowhorn forceps. Duration- 3:33.

  • 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.

  • 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

  • New Instruments for Atraumatic Exodontia

    15:16 Published: 04/25/2016

    A new design of exodontia instruments has been introduced that modifies the surgical procedure to minimize trauma to the extraction site. These instruments are demonstrated, and typical cases are illustrated. Run Time 15:00

  • 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.

  • Number 9: Immediate Implant and Provisional

    10:58 Published: 04/25/2016

    A failing #9 is extracted with Proximators, and an immediate Replace Select implant with provisional crown is placed. Run Time- 10:58.

  • Basic Surgical Extraction Instruments

    18:36 Published: 04/25/2016

    Knowing which instruments to use is a basic requirement of performing surgical extractions. The instruments you should have at your disposal are reviewed in this course. Run Time -18:35

  • 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.

  • Surgical Removal of Impacted Third Molars – Part I

    29:19 Published: 04/25/2016

    Dr. Reznick uses this video to introduce students to the basic principles of removal of impacted 3rd molar teeth. This includes indications for removal, classification of impactions, surgical setup and preparation and radiographic evaluation. Duration- 29:19

  • 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

  • Management of a late post 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

  • Sectioning a maxillary first molar

    7:04 Published: 04/25/2016

    This video discusses the technique of sectioning of a maxillary first molar to remove this severely decayed tooth. The adjacent premolar is removed using Proximators. Duration- 7:04

  • The Root of the Matter

    9:50 Published: 04/25/2016

    Sectioning between the roots is a common technique to extract a multirooted tooth. But, which root do you remove first? Watch this video and see if you are right. Duration: 9:50.

  • Surgical Extraction Fundamentals

    18:42 Published: 04/25/2016

    This course discusses the basic principles involved in surgical extraction of teeth. Strategies for single versus multi-rooted teeth are outlined. Duration 18:42.

  • Oral Surgery Basics 1

    13:44 Published: 04/25/2016

    Dr. Reznick discusses some basic approaches to performing oral surgery procedures, discusses what instruments to have on your surgery basic instrument tray, and talks about his standard office perioperative medication routine. Duration- 13:44

  • Retrieving a Palatal Root Tip

    2:14 Published: 04/25/2016

    This video is not coupled with continuing education credits.

    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

  • 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

  • Plan B mesioangular 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

  • Immediate Implant and Provisional #8

    18:49 Published: 04/25/2016

    The anterior esthetic zone presents unique challenges to the implant surgeon. In this region, perfect implant placement is critical to get a good esthetic and functional result. The extraction-immediate implant case is especially complicated, since it is easy for the implant to become redirected during drilling and/or placement, even in the hands of an experienced surgeon. 3D imaging and CBCT-Guided implant surgery makes this process more accurate and predictable. It also allows for a custom provisional restoration to be made, which can be delivered at surgery, with minimal adjustment. The software and workflow of GALILEOS CBCT facilitate this treatment, as the software is very intuitive and the surgical guides allow deliver accuracy. This case demonstrates how GALILEOS Guided surgery made removal of tooth #8 and placement of an immediate implant a predictable and successful procedure. Run Time- 18:49

  • Removal of Small Buccal Exostosis

    6:20 Published: 04/25/2016

    This video shows the technique for removing a small buccal exostosis from the lateral maxilla using an osteotome. Duration 6:20.

  • Use of Proximators

    2:18 Published: 04/25/2016

    This video is not coupled with continuing education credits.

    This video shows a technique to remove a severely decayed maxillary incisor root using Proximators. Run Time- 2:18.

  • 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.

  • 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.

  • Stretching the Envelope- Made Possible by Guided Implant Surgery (HD)

    17:00 Published: 05/19/2015

    This video shows a case using the BioHorizons Guided Surgery kit in which a ridge-split was performed to widen a narrow alveolar ridge and allow placement of four dental implants to replaced a failed maxillary anterior bridge. Using the available technology to plan accurate surgery and create a surgical guide to direct implant placement, the BioHorizons Guided Surgery kit facilitated accurate, precise implant placement in half the time of traditional techniques. Duration 17:00.

  • Immediate Guided Implant After Removal of #28 Root (HD)

    20:34 Published: 02/26/2015

    In this video, Dr. Reznick demonstrates the power of CT-Guided implant surgery to immediately replace an extracted root. The indications and conditions for an immediate implant are discussed. GALILEOS Implant software is used to plan the case, and the new BioHorizons Guided Surgery system is used to precisely place the implant after root removal. Duration- 20:34

  • 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

  • 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

  • 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.

  • Sectioning a Maxillary Molar (HD)

    8:23 Published: 06/12/2014

    Surgical extraction of a multi-rooted tooth may be complicated by the fact that the roots go in different directions. When this is the case, especially when there is no clinical crown, it is necessary to section between the roots and remove them individually. The technique for doing this is discussed in this video, along with other topics of case management. Duration - 8:23.

  • 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)

  • 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

  • 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