Periodontal Microsurgery Root Resorption Repair

[uncdentist09]

Sloppy isolation. Two words....Implant crown. The more heroic you are in dentistry, the harder you fall.

[perieau]

@uncdentist09 don't fall off your high horse... and ask the patient who still has a healthy tooth 2+ years later whether he needs those "two words". Here are some nice two words: keep watching!

[3DUBz5]

was he sleep

[medicalterrylove2]

NASTY ASS TEETH!!! please take good care of your teeth. i brush and floss my teeth 3 times a day morning, afternoon and night (:

[sOlidsnakE327]

nice background music. lol

[XXpikica]

lol i didnt brush my teeth for like 5 months and i went to the dentist and she said its all nice and clean nd good.o.o

[2710Pocahontas]

That guy's teeth look so nasty! Just curious; was he a senior patient that was habitual smoker, coffee and tea drinker. If so, did you recommend whitening his teeth a few shades. I know that teeth yellow naturally with age, but this is ridiculous.

[metalkitty88]

Thank you for posting this, I really love periodontics and it was very inspirational!!

[1slowhatch]

going to brush my teeth after this..

[kkruse0123]

I'm in the dental hygiene program and I have to watch a periodontal surgery video. This one was really interesting seeing as how I'm only in my second semester. I just had a couple questions? What were your post operative instructions for the client?

[YhwhKhai]

Take care of your teeth people!

[perieau]

@YhwhKhai premed with Anaprox, 1 hr prior, take 1 every 6-8 hrs for next 24 hrs. Bump with half to one vicodin as needed. Most pts do not need pain meds past 24hrs. Ice pack for first day only. Soft foods, chewing on the other side. Dab with chlorhexidine dispensed 2x/day.

[zaxterry]

BRUSH YOUR TEETH YOU NASTY FOOL

[mralfonzorada]

HOLY JESUS!

[drkraver]

Very nice. Why didn't you cover that with a CT graft?

[perieau]

@drkraver the object was to repair the resorption. Fix it and put the tissue back.

[speedstacker136]

did you guy cut the gum all the way into the jawbone??

[perieau]

@speedstacker136 yes, you have to release the tissue off the bone.

[razie21]

Did Number 6 go endo?

[perieau]

@razie21 NO

[b7ray32]

@perieau i had a tooth extraction that went badly they had to cut the tooth into pieces and i needed stiches... when the anestetic wore off i had the worst pain of my life before my pain medicine prescription was ready i almost passed out.. my question is why do gum stiches hurt so badly???

[perieau]

@b7ray32 gum stitches do not typically hurt. Every situation is different but I find that when we premed patients on ibuprofen or naproxen sodium and keep them on it for 24 hours, that makes a huge difference in post op pain.

[perieau]

@razie21 no

[tomrw54]

Fantastic work. Incision looks great. Thanks for posting!

[flash348]

That foo got yellow teeth

[Callofduty4nub]

dang doesnt that hurt them or you use something that makes it feel numb?

[perieau]

@Callofduty4nub The patient was anesthetized with 4% articaine. Premedicated with Naproxen Sodium 550mg, taking it every 6-8 hours for 24hrs; bumping with Vicodin as needed. Patients typically take pain meds after for a day only (if that).

[kagami67]

you always seem very calm when doing this..and you always do a perfect job..you have inspired me..i would want to be a dentist..but i think id crack under the pressure..=(

[perieau]

Thanks so much for the kind words!! I never drink caffeinated coffee when I work, I try to get plenty of sleep and I am an exercise addict! The microscope really puts me into a "focused" world and having an awesome assistant makes all the difference as well.

[perieau]

Made my day!

When you come to Berkeley, I'll buy you dinner.

[wael7t7]

nice

[wael7t7]

great job dr.kwan

want to ask u that tooth was not endodontically treated right?

u did deep reduction into root n put that flowable copmosite i thought

is it irritative to pulp with out liner or base

due to high level of monemer in it?

then how about pocket depth it will be reduced?

and the attachment between connective tissue in the base of reflected flap and

cured composite

how it well be done?

thank u for this great job

[perieau]

No endo. Reduction was not very deep. Gerestore does not seem to irritate the pulp. We got attachment to the Gerestore in this case but if not we just have to maintain a deep sulcus. Any attachment is probably long junctional epithelial attachment.