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

Dental Economics 07/2012

...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
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

SDI

SDI

SDI

3.0mm

3.25mm

4.0mm

5.0mm

3.25mm

4.0mm

5.0mm

3.0

ISI

ISI

ISI

TSI

TSI

TSI

Logical Progression
(Transitional Implant)

Dual Stabilization

Engage

M ACRO

One-piece and two-stage implants

designed for immediate or early loading.

Bone Level Implant - Unchallenged stability now at bone level.

Wide-diameter, short-length implant.

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
2013 OCO Biomedical Inc.

0344
326-1 06/13

Why you need good x-rays

thomas

October 2013

May 2014