MODULE 13: MASTERING IMPACTIONS

(5 AGD/PACE CE Hours)

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This module cuts straight to the essentials of third-molar development, diagnosis, management, and removal.  You’ll walk away with the clarity and confidence to know exactly which cases you can handle safely—and which ones are more risky and should be managed by an oral surgeon.

FREE Sample Videos:

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Video Poster Image
Video Poster Image

Module 13 Videos:

(41Accelerated Topics  |  5 AGD / PACE CE Hours)

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Third Molar Development
Theories & Causes of Impaction
Sequelae of Impacted Third Molars
Third Molar White Paper Pt. 1
Third Molar White Paper Pt. 2
Third Molar White Paper Pt. 3
A.A.O.M.S. Position Statement on Third Molars
Prophylactic Third Molar Removal Pt. 1
Prophylactic Third Molar Removal Pt. 2
Mandibular Anatomical Overview
Maxillary Anatomical Overview
The Dental Follicle
CBCT Imaging vs. Panoramic Radiographs
IAN Proximity
Classification Systems
Case Selection
Surgical Consent
Surgical Site Preparation
Third Molar Anesthesia
Lingual Retraction
Third Molar Flap Design

The Incision Pt. 1
The Incision Pt. 2
Flap Elevation & Retraction
Bone Removal & Troughing Pt. 1
Bone Removal & Troughing Pt. 2
Purchase Points
Sectioning
Elevation & Force Application
Wound Debridement
Wound Closure Pt. 1
Wound Closure Pt. 2
Mesioangular Impactions
Horizontal Impactions
Vertical Impactions
Distoangular Impactions
Maxillary Impactions Pt. 1
Maxillary Impactions Pt. 2
Managing Postoperative Bleeding
Third Molars & Antibiotics
Coronectomy

Module 13 Objectives

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  • Assessment: Perform a comprehensive assessment of impacted teeth and identify key radiographic features.
  • Predicting Difficulty: Appreciate the radiographic and clinical factors that contribute to impaction difficulty.
  • Flap Design: Understand flap design principles for accessing impacted teeth and achieving predictable exposure.
  • Soft Tissue Management: Manage soft tissue effectively while minimizing trauma.
  • Bone Removal: Determine when bone removal is necessary and discuss conservative, safe removal techniques.
  • Handpiece Use: Demonstrate controlled use of surgical handpieces around impacted teeth.
  • Sectioning: Understand when and how to section impacted teeth for safer, more predictable removal.
  • Advanced Sectioning: Recognize complex sectioning scenarios and manage them effectively.
  • Maxillary Impactions: Discuss unique challenges of maxillary impactions and safe techniques for removal.
  • Sinus Considerations: Appreciate sinus proximity and strategies to avoid sinus complications.
  • Mandibular Impactions: Recognize the role of root morphology, bone density, and surrounding structures in lower impaction difficulty.
  • IAN Considerations: Appreciate when proximity to the inferior alveolar nerve increases risk and modify the approach accordingly.
  • Horizontal Impactions: Identify challenges and outline a predictable approach to removing horizontally impacted teeth.
  • Mesioangular Impactions: Understand why mesioangular impactions behave differently and how to remove them efficiently.
  • Distoangular Impactions: Recognize the increased difficulty and required modifications for distoangular impactions.
  • Vertical Impactions: Appreciate technique differences when extracting vertically impacted teeth.
  • Avoiding Complications: List the most common complications during impaction surgery and strategies to prevent them.
  • Root Retrieval: Retrieve root fragments safely and confidently during impaction removal.
  • Case Selection: Identify cases suitable for in-office management vs. those needing referral.
  • Surgical Planning: Outline a complete, structured plan for each impaction before picking up an instrument.

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