CE0782L: Oral Surgery Secrets - Advanced Techniques for Today's Practice

Karl R. Koerner, DDS, MS

*Refunds for CDE participation courses must be requested at least 14 days prior to the first meeting of a course. All participation courses have a $100 non-refundable deposit. The deposit is necessary to cover the cost of materials that are incurred which are non-refundable to our office. If a cancellation is made less than 14 days before a course, no monetary refund will be given, and the money can not be transferred to another course, unless the CDE office is able to occupy the spot with another participant. Funds, minus the $100 non-refundable deposit, may be transferred to another course within the same CDE calendar year if the request is made 14 days before the course.

Course Description:

This oral surgery presentation gives ideas and recommendations that will simplify procedures, make them more easy and predictable, and help you broaden the range of operations performed in your office from exodontia to alveoplasty and apicos. Techniques are shared that will expedite the most stubborn extractions. Key elements of partial bony third molar impactions are also reviewed. Along with that, Dr. Koerner discusses effective one-drug oral sedation and how to minimize swelling with potent anti-inflammatories. He takes the confusion out of aesthetic bone grafts for extraction sites. In summary, Dr. Koerner clarifies current standards of care for surgery procedures common to general practice.

During the workshop part of the course, procedures will be performed on life-like models - using and reaffirming the surgical principles discussed in the didactic portion. Participants will perform a "surgical" extraction, partial bony impaction, apico and other procedures as time permits.

Course Objectives - As a result of attending this course, the participant should be able to:

• Perform oral surgery according to current standards of care
• More easily do "surgical" extractions and other difficult extractions like partial bony third molars
• Control patient anxiety
• Better control or prevent swelling, pain, infection, and bleeding
• Prevent or manage maxillary sinus problems and tuberosity fractures

Required Equipment - Please bring the following items for use during the lab portion of the class:

• Scalpel handle and two #15 blades
• Gingival flap retractor (such as Minnesota or Seldin #23)
• Periosteal elevator of choice (Molt #9, Woodson, etc.)
• Needle holder
• Suture material (preferred needle: fs-2 or c-6) 4 pack
• Handpiece: 6-hole connection for high speed, 5-hole connection for slow speed
  • Recommended: Surgical highspeed such as Sabra, Impact-Air 45, or Medidenta
  • Could be straight handpiece with appropriate burs (702, 1702, or 703
• Surgical length burs, such as 702, 1702, or 703
• Round burs, #4 and #6 for crown lengthening procedure (diamond or carbide)
  • note: this surgery will be covered, time permitting.
• Round burs #1 and/or #2 for making apico retroprep (in lieu of microhead or ultrasonic handpiece)
• Forceps, such as 151 (or apical retention forcep from Schumacher or Hu-Friedy)
• Straight elevators, such as 301, 34S
• Surgical scissors
• Root tip picks, such as Hu-Friedy Heidbrink 2-3 (larger) and/or West 2-3 (smaller)
• Cotton pliers
• Surgical spoon curette (wide spoon for infection and follicle enucleation)
• Regular periodontal curette, such as Gracie 7-8
• Wiedelstadt or similar chisel at least 1 mm wide
• Smallest plugger you have (for condensing cement into apico retroprep)
• Amalgam carver (a small one, for carving excess cement off retroprep)

Other optional instruments to be discussed in the course:

• Cogswell B: angled, pointed elevator from Hu-Friedy or Schumacher
• Small Cryers #21-22: from Schumacher
• Luxators (from JS Dental, Hu-Friedy, Zoll, Schumacher, etc.)

Instructor:

KARL KOERNER graduated from the UW School of Dentistry and completed a General Practice Residency in the U.S. Army. He has a Masters Degree in Instructional Technology. He is on the Clinical Research Associate's Board of Directors and also maintains a private general practice in Salt Lake City, Utah with an emphasis on oral surgery, including implants. Dr. Koerner has presented hundreds of didactic and participation courses at international, national and regional meetings and at the state level for many dental associations and AGD groups. He is the author of many articles on various aspects of oral surgery for the general dentist and has authored or co-authored the books Clinical Procedures for Third Molar Surgery, Color Atlas of Minor Oral Surgery, and Manual of Minor Oral Surgery for the General Dentist. He is editor and contributor to Dental Clinics of North America on "Basic Procedures in Oral Surgery" and co-editor of Dental Clinic's "Interdisciplinary Periodontal Surgery." He is past president of the Utah Dental Association and Utah Academy of General Dentistry and member of the International College of Dentists, Academy of Dentistry Internationale, SCADA, and Pierre Fauchard Academy.

Lunch Selection:

All meals are accompanied by a cookie and bottled water. Sandwiches come with a side salad, and salads come with rustic artisan bread.

Club Sandwich*: roasted turkey breast, Black Forest ham and crispy bacon with lettuce, tomato and mayo on ciabatta.

Vietnamese Veggie Sandwich: marinated fresh tofu, julienne carrots, mixed greens, cucumber, and cilantro, drizzled with soy sauce on baguette (sriracha hot chili sauce upon request).

Chicken Caesar Salad: sliced, roasted chicken breast, shaved parmesan and garlic croutons atop crisp romaine lettuce (anchovies upon request). Caesar dressing and a lemon wedge.

*Note: If we have not received your specified request by Friday, May 9, the default option - Club Sandwich - will be ordered for you.

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