Today I want to go too far!
If you find on the web a video that shows you how to release the buccal flap in the mandible during GBR surgery that is:
- better than this
- better framed
- more in focus
- more defined
- with less blood
- with fewer disgusting clots
- with a faster performed procedure
…let me know!
The first person who will point out to me a better video than mine (if it is really better) will receive as a gift the free subscription to the video course
However, unfortunately I’m afraid you won’t find it because mine is truly the best ever 😉
I decided to post this short clip of one of the live surgeries from my last course because often people ask a question:
“How do you cut the periosteum safely when the nerve is very superficial?”
In fact, you should know that in order to release the mandibular flap in bone regenerative surgery (this is different for aesthetic muco-gingival surgery) you have to interrupt the periosteum from the mesial vertical incision to the distal one in a continuous way.
Moreover, you should know that, if you are working in the posterior mandible, in the middle of the cut you have to make there is the mental nerve that, once out of the bone, flakes off in its terminal branches, usually three.
Finally, you should know that the periosteum must be cut below the muco-gingival line because if you cut inside the keratinized tissue the flap will not release because you are inside a completely inextensible tissue.
However, on the other hand, you will actually risk perforating the flap that is very thin at that level.
In the video at the bottom of the page I explain exactly and very clearly how to avoid damaging the nerve even if it passes very superficially below the periosteum. That is, when the emergence of the mental nerve is very close to the mucogingival line.
From this CT scan cut, you can see how much the mental nerve is superficial.
In addition, there was a very mesial accessory foramen from which emerged most likely a collateral branch of the mandibular nerve, innervating who knows what area of the lip or chin… better not to cut it, don’t you think?
In order to work safely and not mess up these procedures, it’s essential to have a good understanding of the anatomical planes of the area and to know exactly how to handle the tissues for each individual technique.
And this is exactly what I teach in my video-course “SOFT TISSUE MANAGEMENT IN PERIODONTOLOGY AND IMPLANTOLOGY”.
You can find all the info at this link and read reviews from colleagues who have already bought it.
You can now enjoy the video for free…. and remember my challenge!!!
See you soon!!!