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Manual of Minor Oral Surgery for the General Dentist - LEK4R Manual of Minor Oral Surgery for the General Dentist - LEK4R http://lek4r.net/index.php?showtopic=11112 [26/3/2008 4:58:19 μμ] 2608_Koerner_FM 4/17/06 1:20 PM Page i Manual of Minor Oral Surgery for the General Dentist 2608_Koerner_FM 4/17/06 1:20 PM Page iii Manual of Minor Oral Surgery for the General Dentist Edited by Karl R. Koerner 2608_Koerner_FM 4/17/06 1:20 PM Page iv Karl R. Koerner, BS, DDS, MS, is an editor of and Europe and Asia contributor to Manual of Oral Surgery for General All rights reserved. No part of this publication may Dentists (Blackwell Publishing) and has co-authored be reproduced, stored in a retrieval system, or trans- Color Atlas of Minor Oral Surgery, 2nd ed. (Mosby) mitted, in any form or by any means, electronic, and Clinical Procedures for Third Molar Surgery, 2nd mechanical, photocopying, recording or otherwise, ed. (PennWell). He also is editor of and contributor except as permitted by the UK Copyright, Designs to a Dental Clinics of North America (Saunders) vol- and Patents Act 1988, without the prior permission ume on basic oral surgery. Dr. Koerner has produced of the publisher. video programs and contributed articles to publica- tions such as General Dentistry, Dentistry Today, The right of the Author to be identified as the Author Dental Economics, and the Journal of Public Health of this Work has been asserted in accordance with the Dentistry. Copyright, Designs and Patents Act 1988. Dr. Koerner is a past president of the Utah Dental North America Association and a former delegate to the ADA House. Authorization to photocopy items for internal or He has served as Utah Academy of General Dentistry personal use, or the internal or personal use of specific (AGD) president, is a Fellow in the AGD, and has clients, is granted by Blackwell Publishing, provided membership in the International College of Dentists. that the base fee of $.10 per copy is paid directly to He is licensed in Utah to administer IV sedation and the Copyright Clearance Center, 222 Rosewood licensed to practice dentistry in Utah, Idaho, and Drive, Danvers, MA 01923. For those organizations California. His practice is now limited to oral surgery. that have been granted a photocopy license by CCC, a separate system of payments has been arranged. Dr. Koerner has been teaching clinical courses on oral The fee code for users of the Transactional Reporting surgery to other dentists in the United States and Service is ISBN-13: 978-0-8138-0559-7; ISBN-10: abroad since 1981. In 2002, he joined Clinical 0-8138-0559-7/2006 $.10. Research Associates (CRA) in Provo, Utah, as an evaluator and clinician and began teaching their Library of Congress Cataloging-in-Publication Data “Update” courses throughout the country and abroad. Since 2002, he has co-presented more than 90 courses Manual of minor oral surgery for the general dentist / for CRA and serves on their advisory board. edited by Karl R. Koerner. p. ; cm. © 2006 by Blackwell Munksgaard, Includes bibliographical references and index. published by Blackwell Publishing, a Blackwell ISBN-13: 978-0-8138-0559-7 (alk. paper) Publishing Company ISBN-10: 0-8138-0559-7 (alk. paper) 1. Dentistry, Operative. 2. Mouth—Surgery. Blackwell Publishing Professional 3. Dentistry. [DNLM: 1. Oral Surgical Procedures. 2121 State Avenue, Ames, Iowa 50014-8300, USA 2. Surgical Procedures, Minor. WU 600 M294 Tel: +1 515 292 0140 2006] I. Koerner, Karl R. Editorial Offices: RK501.M34 2006 9600 Garsington Road, Oxford OX4 2DQ 617.6Ј05—dc22 Tel: 01865 776868 2005028549 Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton South, For further information on Victoria 3053, Australia Blackwell Publishing, visit our Dentistry Subject Site: Tel: +61 (0)3 9347 0300 www.dentistry.blackwellmunksgaard.com Blackwell Wissenschafts Verlag, Kurfürstendamm 57, The last digit is the print number: 9 8 7 6 5 4 3 2 1 10707 Berlin, Germany Tel: +49 (0)30 32 79 060 2608_Koerner_FM 4/17/06 1:20 PM Page v Contents Contributors vii Preface ix Chapter 1 Patient Evaluation and Medical History 3 Dr. R. Thane Hales Chapter 2 Surgical Extractions 19 Dr. Hussam S. Batal and Dr. Gregg Jacob Chapter 3 Surgical Management of Impacted Third Molar Teeth 49 Dr. Pushkar Mehra and Dr. Shant Baran Chapter 4 Pre-Prosthetic Oral Surgery 81 Dr. Ruben Figueroa and Dr. Abhishek Mogre Chapter 5 Conservative Surgical Crown Lengthening 99 Dr. George M. Bailey Chapter 6 Endodontic Periradicular Microsurgery 137 Dr. Louay Abrass Chapter 7 The Evaluation and Treatment of Oral Lesions 201 Dr. Joseph D. Christensen and Dr. Karl R. Koerner Chapter 8 Anxiolysis for Oral Surgery and Other Dental Procedures 221 Dr. Fred Quarnstrom Chapter 9 Infections and Antibiotic Administration 255 Dr. R. Thane Hales Chapter 10 Management of Perioperative Bleeding 277 Dr. Karl R. Koerner, and Dr. William L. McBee Chapter 11 Third World Volunteer Dentistry 295 Dr. Richard C. Smith Index 319 v 2608_Koerner_FM 4/17/06 1:20 PM Page vii Contributors Number in brackets following each name is the Ruben Figueroa, DMD, MS [4] chapter number. Oral and Maxillofacial Surgeon Assistant Professor, Director Predoctoral Oral and Maxillofacial Surgery, Director Louay M. Abrass, DMD [6] Oral Surgery Clinic, Boston University, Assistant Clinical Professor, Department of Henry Goldman School of Dental Endodontics, Boston University School Medicine, Boston, Massachusetts of Dental Medicine Adjunct Assistant Professor, Department of R. Thane Hales, DMD [1, 9] Endodontics, University of Pennsylvania Founder and Director of the Wasatch School of Dental Medicine Surgical Institute Private Practice Limited to Endodontics in International Lecturer and Clinician, Private Boston and Wellesley, Massachusetts Practice, Ogden, Utah George M. Bailey, DDS, MS [5] Gregg A. Jacob, DMD [2] Associate Professor, University of Utah Private Practice, Summit Oral and Medical School and Creighton School of Maxillofacial Surgery, P.A., Summit, Dentistry New Jersey President and Lecturer CPSeminars Private Practice Periodontics Karl R. Koerner, DDS, MS [Editor, 7, 10] International Lecturer and Clinician Shant Baran, DMD [3] Private General Practice Limited to Oral Resident, Department of Oral and Surgery, Salt Lake City, Utah Maxillofacial Surgery, Boston University Formerly Consultant and Instructor for School of Dental Medicine and Boston Clinical Research Associates, Provo, Utah Medical Center, Boston, Massachusetts William L. McBee, DDS [10] Hussam S. Batal, DMD [2] Private Practice Limited to Oral and Assistant Professor, Department of Oral Maxillofacial Surgery, Provo, Utah and Maxillofacial Surgery, Boston University, Boston, Massachusetts Joseph D. Christensen, DMD [7] Private General Practice, Salt Lake City, Utah vii 2608_Koerner_FM 4/17/06 1:20 PM Page viii viii CONTRIBUTORS Pushkar Mehra, BDS, DMD [3] Dr. Fred Quarnstrom, DDS [8] Director, Department of Dentistry and Oral Clinical Faculty of Dentistry, University of and Maxillofacial Surgery, Boston British Columbia Medical Center Affiliate Assistant Professor, University of Director, Department of Oral and Washington School of Dentistry Maxillofacial Surgery, Boston University Dental Anesthesiologist also in General Medical Center Dental Practice, Seattle, Washington Assistant Professor, Department of Oral and Maxillofacial Surgery, Boston University Richard C. Smith, DDS [11] School of Dental Medicine, Boston, Chairman of Ayuda Incorporated Massachusetts Private General Practice (Retired), Westlake Village, California Abhishek Mogre BDS [4] Current Advanced Standing DMD Student Vice President Predoctoral Association of Oral and Maxillofacial Surgery, Boston University, Henry Goldman School of Dental Medicine, Boston, Massachusetts 2608_Koerner_FM 4/17/06 1:20 PM Page ix Preface This handbook is a guide for the general prevention and/or management of compli- dentist who enjoys doing oral surgery. A cations. This handbook will help dentists broad range of knowledge and expertise in perform procedures more quickly, smoothly, this area is found among dentists. Some easily, and safely—thereby greatly minimiz- have had extensive experience and training ing doctor frustration and patient dis- through general practice residencies, mili- satisfaction. tary or other postgraduate programs, or a The procedures covered in this book are mentoring experience with a more experi- also done by oral and maxillofacial surgeons enced dentist; others have had only minimal and/or periodontists and endodontists. instruction and training in dental school. There are times that the patient would be Dental school oral surgery training varies better served by being referred to the spe- widely based on individual school require- cialist, such as when the patient is extremely ments for graduation. In addition, some apprehensive, medically compromised, an schools offer elective or extramural experi- older patient with dense bone, or has other ences, others do not. Even in the same mitigating circumstances. This book will dental school class, a few students might help readers more clearly understand the have the opportunity to perform extensive scope of each procedure and more accurately exodontia, but others will remove only a define their capabilities and comfort zones. few teeth before moving on to private prac- Procedures described are mainly dento- tice. This handbook is meant to diminish alveolar in nature, such as “surgical” extrac- the discrepancy between experienced and tions, the removal of impacted wisdom inexperienced generalists and provide an teeth (mainly
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