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Video Details
Mastering Surgical Principles: Key to Constant Success

Description:
Clinical success depends on material and technique selection, but no material or technique will succeed if surgical principles are not respected. Attention to detail is imperative and mastering surgical principles is key to constant success. This course aims to review principles of flap design and elevation, as well as degranulation, debridement, suturing and wound stabilization of the most commonly performed periodontal, implant and advanced bone grafting procedures. Pharmacologic protocols and anesthesia will also be discussed.

Date Added:
5/21/2014

Author(s):

Rodrigo Neiva, DDS, MS Rodrigo Neiva, DDS, MS
Dr. Rodrigo Neiva currently heads the Department of Periodontics at Penn Dental Medicine as Chairman and Clinical Professor of Periodontics. After obtaining h...
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Online Videos / Surgery / Other Surgical / Mastering Surgical Principles: Key to Constant Success




Questions & Comments
Chad Edwards - (7/18/2019 12:25 PM)

Thanks for the great information. Would love some live video when appropriate .

ahmed abdelraziq - (8/18/2018 2:46 PM)

very informative presentation . thank you

Tiberiu Comsa - (12/19/2015 3:05 PM)

very usefull thank you

Rodrigo Neiva - (6/6/2015 7:35 AM)

Great question Vishal... The mucogingival junction can be restablished with an apically positioned flap. However, flap displacement (either coronally or apically) causes marginal flap necrosis and the consequence is loss of keratinized tissue. Hybrid methods of flap displacement (full-split-full, split-full, full-split) may overcome this problem to a certain extent but the success is totally dependent on periodontal and gingival biotype, and not gingival biotype alone. We should also be aware that flap advancement may shorten the vestible and cause limited access for oral hygiene.

VISHAL SINGH - (6/6/2015 12:27 AM)

comprehensive and informative presentation Dr Neiva....i have one question ....what happens to mucogingival junction in displaced and coronally advanced flap? should it not come back to its genetically determined position as suggested and proved in classical study by Aianmo et al? why are we losing the keratinized gingiva after manipulation of soft tissues in such surgeries?

Rodrigo Neiva - (6/5/2015 10:43 AM)

Ali, it depends. If the box is too close to the alveolar crest, a crown leghtening surgery is indicated. Radiographicaly you should see at least 3mm from this box to the alveolar crest.

Ali Khojasteh - (6/4/2015 3:23 PM)

Is it recommended to place light cure glass ionomer(resin modified GIC) on gingival floor of proximal box in a class 2 composite restoration? Thank you

Shawn Tokunaga - (5/24/2015 11:54 AM)

Thank you. Excellent for a novice like myself who has tried to put the parts and pieces together. Your presentation was concise and touched all necessary protocols. I am sure I will review your presentation quite often. Loved your closing thoughts.

Nnaemeka Okechukwu - (4/28/2015 11:14 AM)

Thoroughly enjoyed this referesher on the basics of surgery

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