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Surgical Mini-Lectures

1

ncision design, graft techniques, closure techniques,iming for implant placement, and determination of im-lant size for both molars and single rooted teeth. Inddition, techniques for immediate provisionalizationill be shown.

References

Block MS: Placement of implants into extraction sites, Atlas of theral and Maxillofacial Surgery Surgical Clinics, ed Dale J Misiek, WB

aunders, Philadelphia, Pennsylvania, September, 1994, pp. 77-92Block MS: Hard and soft tissue grafting for esthetic implant restora-

ions. In Dental Implants: The Art and Science, editor Charles Babbush,.B. Saunders, Phila, Pa, 2000, Chapter 11, pp 217-228

626re You Truly Ready for an Officenesthetic Emergency?ichard C. Robert, DDS, MS, South San Francisco, CArthur W. Curley, JD, Larkspur, CA

In every oral and maxillofacial surgery office the careroviders must be ready for a medical or anestheticmergency that could happen on any day, at any time.owever, when many new employees begin working inn oral and maxillofacial surgery office, they have limitededical background.Death or serious injury always turns a bright light on

he oral surgery office, particularly when it involveselivering conscious sedation or general anesthesia.laims of substandard care often focus on deficits in

esuscitation due to poor planning and ineffective orelayed implementation. This program will review the

egal obligations and the consequences of being unpre-ared for an office emergency.Even though resuscitating a patient is not a routine

vent, the administrators of sedation and general anes-hesia must maintain the tools and data to use in thevent of an emergency. Legal standards mandate havingteam that can resuscitate a patient just as if it were fromn ICU unit at a hospital or EMT’s. This course will showou how create that team, through organization andffective staff training.You will learn how to organize your crash cart and

he rest of your emergency preparedness program, andrain the members of your staff to be knowledgeable,ffective team members in the management of emergen-ies. We will review how to store and organize yourmergency medications, intubation supplies, intrave-ous drip supplies, etc in your crash cart for instantetrieval. Plans for virtually “fool proof” labeling andrganization for all items—from drugs to batteries—wille discussed. Tips will be provided on how to effectivelyse your office computer to help provide first-rate teach-

ng materials for your entire office staff.Actual clinical and legal case examples will be utilized

o demonstrate fatal outcomes associated with insuffi- b

06

ient office organization and emergency drills. In addi-ion, videos of emergency drills will illustrate how toaximize the teaching potential of your drills. The pro-

ram will benefit, and is appropriate for, surgeons, man-gement and staff.

References

Office Anesthesia Evaluation Manual, The American Association ofral and Maxillofacial Surgeons. 7th Edition, 2006Medical Emergencies In The Dental Office, Stanley F. Malamed’s, 5th

dition, Mosby 2000Advanced Cardiovascular Life Support, American Heart Association,

006

631T-Guided Surgery: All-on-Four, Guidedygoma, Maxillofacial Implants Versusonventional Surgical Approachdmond Bedrossian, DDS, San Francisco, CA

The growing interest for flapless surgery in conjunc-ion with immediate loading of the edentulous patientsas led to the development of software programs whichllow for treatment planning, fabrication of a surgicalemplate as well as the production of a prosthesis whichan be secured to the patient immediately following thelacement of the implants. This presentation will helphe implant team understand the steps required for treat-ent planning as well as the fabrication of the provi-

ional, immediate-load prosthesis once the surgical tem-late has been produced from the stereolithographicodel. The fact that the prosthesis is connected to the

mplants immediately following the surgical procedureeaves no room for error. It is imperative that the Oralnd Maxillofacial surgeon, the restorative dentist and theaboratory technician be aware of each other’s abilitiesnd limitations. Understanding each other’s responsibil-ties will lead to a more predictable outcome, minimizerrors and allow for correction of minor discrepanciesuring the execution of this treatment concept.Immediate loading of the edentulous patient may also

e predictably executed using chair side conversionechniques immediately following the installation of themplants. Treatment of certain clinical conditions includ-ng patients who have existing full complement of nonestorable teeth or existing implants with peri implanti-is is better managed using chair side conversion tech-ique. This presentation will compare and contrast “an-logue vs computer assisted” protocols for the immedi-te loading of the edentulous patients. Is computeruided surgery for beginners or is it an advanced con-ept? A controversial point worthy of discussion.

References

van Steenberghe D, Naert I, Andersson M, Bajnovic I, Van Cleynen-

reugel J, Suetens P, A custom template and definitive prosthesis

AAOMS • 2009