Periodontics | Surgical Therapy | INBDE, ADAT
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- เผยแพร่เมื่อ 25 มิ.ย. 2024
- In this video, we talk about principles of flap design and we explore the four categories of surgical therapy utilized routinely in periodontics, so stay tuned for lots of important information covered on the board exam. Thanks for watching!
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Who said dentists dont save lives?
You're saving 100000s of confused dentists lives daily.
Love you *hugs the laptop*
Thank you so much, this comment means a lot!
this is so true!!!!
I passed INBDE and Dr. Ryan was the biggest reason why! Thanks @mentaldental !
hi sakshi
can i ask one thing that what to do after bds
İt's probably the most efficient lecture i have ever listen. Thanks for making everthing simply about periodontics.
OH MY GOODDD THIS VIDEO IS SO GOOD. been so confused with flaps and this just made everything so easy. Thanksssssss
you are our hero Dr Ryan. Thanks million times for doing this. May God's blessings follow you throughout your life
Your videos are the definition of perfection. flawless. You are genius. Such an intelligent. adorable.
Thank you so much for the kind words! ☺️
@@mentaldental honestly, do really adore you.
Best voice in dentistry
Really revealed the concept which was all over misunderstood and foggy , thanx again again and again
Thanks, Dr. Rayan for this amazing lecture. I have been following your periodontics lectures from the beginning; it helped me a lot to get an overview. Hope to learn from you more!
Great video sessions towards preparations for competitive exams! Elaborate yet simplified touching on theoretically and practically relevant points .
Thanks, Dr. Rayan for this amazing lecture.
Way too informative and very good explanation for clearing concepts. So thankful.
I never understood the process of GTR until now. You are an awesome teacher Dr. Ryan
Happy to help!
Ty for the examples that make it easier to understand
Thanks a lot dr. Ryan...take a bow
Spot on, all the important elements of Perio Plastic surgery has been covered, Further, I liked the idea of Tank, damage and heal for understanding GTR, CTG and FGG in relation to the gingival margin has been also well set. Well done
Thank you very much! Glad you enjoyed the video.
Tried reading perio surgery from so many sources… never understood it, until I came across this video!
Amazing videos..explained very well,Thanks a lot doc! Keep uploading more.Many best wishes to you!
Thank you so much, Dr Ryan! 💐
Thank you so much for doing this!
thank you so much. nice concise way to summarize topics.
Thanku for making it so easy to learn ❤️❤️
A very beautiful and descriptive session.
Learning about games here too! Tks doc :)
I'm watching all your videos for INBDE review... Amazing job!
Loved it so much. Heartfelt thanks ♡♡
Perfect 👌
I really can't help but feel super thankful for all your help and hard work.
Thank you for the kind words!
For someone that has a hard time learning and memorizing things, your methods of using vídeo game references helps me SOOOO much!! Thanks for making these connections for people like me!!
Glad you like them! I definitely like to sneak in some video game references every now and again 😁
Very informative..plss kep doing videos
Dr Bryan you excellent teacher I enjoy every minute of your lecture I am ready for more
Thank you so much!
In the video of practice questions, you have mentioned PDL cells before bone cells.
thank you, so grateful
all your videos are very helpfull..i am very thankfull to you for all of them....
Amazing effort! Thanks
great lecture, keep up the good work!
Dude you’re amazing🥺❤️❤️
Very informative video, Thank you Dr.
thanks for your effort✨
Thank you for including ALL of the flap names 🥲 We appreciate this
You’re welcome! 😊👍🏼
Thank you heaps Dr.
This is a really great summary! Thanks so much Ryan!
You’re so welcome! 😁
Thank u so much Doc 😊
Thank You very much.
Loved it... I provide online support to overseas candidates appearing for the Australian dental council exams and I share your wonderful videos with them.
I love all your videos.
Keep doing the great job doctor :)
Best wishes from India
Could I get some guidance on registration for Australia as a dentist from India. Thanks
Amazing lecture sir keep up the good work 👍👍
Thanks Dr.
Thanks for watching! For more high yield dental content, subscribe to Mental Dental today: th-cam.com/users/mentaldental
Loved the tank/damage/healer analogy! Fellow gamer ftw
@@smoothbanana Right on!
The score you gave at the very end: 3, 2, 1... is that 1 being the easiest/best prognosis or 3 being the easiest/best prognosis? I am a little confused because 3 wall defect is easiest to tx with bone graft, but Miller Class I for recession is one of the easiest treat overall right?
Very good video. Thank you
Thank you 🙏
It was an amazing lecture, most significant points had been covered, thank you very much Dr.Ryan.
waiting for your next video. Will you be covering the PSR as well?
Thank you so much! I'm glad you enjoyed it. Unfortunately I am not familiar with the PSR system so I cannot confidently speak on it, but the good news is it's not covered on the board exam to my knowledge. At a glance it does appear the PSR screening tool applies many of the concepts we talked about in the first video like BOP and PPD but using a different probe and different measuring system. Instead of writing down every finding from six sites of every tooth, you quickly measure bleeding, calculus, and probing depth but only record the worst reading in each sextant of the mouth. The idea is to save some time, but the drawback is you have limited information to refer to back in the future. Hope that helps!
@@mentaldental
Thank you very much for this information. Indeed it helped a lot.
Thank you for your great effort
The way you teach makes complex and tough topics so simple! Thanks a lot!
Thank you for the kind words! 😊
Doc your the best
This is phenominal! Well done video. I want to learn more about peridontal regeneration. Your guidence is welcome.
thank you !!
Thankyou very much sir
You’re the best I swear to god
Love from ACTA.
Hi, Ryan. There is a discrepancy between this video and the perio practice questions. In this presentation you say that PDL cells are the slowest populators of the wound but in the practice questions you say that the bone cells are. Please clarify.
Thanks so much for your hard work in making these videos. They have been a lot of help. :)
Hi, Kerry. I think I understand where the confusion is stemming from. The order of population in wound formation is epithelial --> CT --> PDL --> bone. I have them listed in the correct order in this video from fastest to slowest. The numbers (1-4) are referring to how they are labelled in the image, not the order they populate the wound. Hope that helps!
@@mentaldental thank you that definitely helps!!
Thank you so much, Dr. Rayam. Taking AFK, on August wish me luck!!
Best of luck to you, you’ll do great!
Excellent Video !!!
Glad you liked it!
Thanks!and LOL for the mobile legends reference!
THANK YOUU
This was awesome..I officially love you!
Question: is it fair to conclude that perio surgery tends to result in new attachment, but root planing results in repair? if so, is this because of primary vs secondary intention? thanks
Best ever
Great video, especially on GTR, for the life of me I could never simplify that
Glad you liked it!
I have a question about the Undisplaced flaps, can u please write down about them and what difference does they make with modified widman
Thank you for posting these Dr. Ryan! I am a bit confused on some discrepancies. I would love it if you could help clear these up.
- I have read that periodontal dressing/packs DO enhance healing.
- Correction of inadequate zone of attached tissue - CT vs Laterally positioned sliding flap
- Are Ultrasonic scalers more effective in sub or supra calc?
- Does gingivectomy result in retention of all or most of the attached gingiva?
- Does calculus have cytotoxic bacterial products even though its always covered by plaque?
Sorry for the long comment. Thank you so much!
How long after surgical treatment do we re-evaluate the treatment? is it the same 4 to 8 weeks? Thank you for simplifying all these topics! love the videos.
You're awesome
Great
Can you please explain how osseous resective surgery will look like on a chart verus GTR
Hi Dr. Ryan, in the video (10:50 min) you said that in the apically repositioned flap we reposition the flap apical to it’s original position but wouldn’t that expose some part of the root causing sensitivity along with other problems?
Thanku doc for the video. Just wanna know one thing. In FGG and CTG u said FGG happens apical to free gingival margin and CTG happens coronal you free gingival margin - what does that mean ? Can u pls explain
god bless you :)
Why can’t we always use connective tissue graft for all surgeries?
thank you very much for the effort, it's extremely helpful. i understand everything well. the part wasn't clear is the last slide. can you elaporate it?
You're very welcome! The last slide of the presentation was a summary slide - what in particular did you need help with?
even cant say enough thanks to you Dr. for what you are doing for the fellow dentists.
Have two questions regarding perio:
1) when do we start flap surgery, if when pocket depth is greater than 5 mm Or pocket depth is 5 mm, does bleeding on probing have any role here?
2) what will happen if we prescribe topical or systemic steroid to NUG or acute viral infections, what is the reason of being contraindicated?
Hi, I'm not sure about (1), but here's what I think about (2):
Steroid is anti-inflammatory. We need our immune system to be working to prevent the uncontrolled bacterial/viral spread. Thus by prescribing steroid, we suppress our immune system from protecting us against infection.
Steroid in oral cases is prescribed when the immune is hyper-responding, or in autoimmune cases
@@benjamin_ong thank you very much.
niether pocket depth nor BOP give as much info as CAL does. this is why CAL is most important information do decide treatment plan.
1)pocket depth: 5mm could be true clinical attachment loss, in which resective osseous surgery is indicated, or could be 5mm with a psuedopocket from hyperplasic gingiva (ei. if pt on phenytoin/nephedipine) in which case perio surgery is NOT indicated, rather a gingival surgery (gingivectomy)
2)BOP: good indication of inflammation but not always the case. if a pt is a smoker, the gums may not bleed due to vasoC that nicotine causes in gingiva. so even if CAL is 6/7mm, they may not BOP if they smoke.
After implant my gingival not repair level of other tooth because dr. Not done bone grafting at the time of implant there is possible to do bone grafting after implant I'm not taking my crown teeth now ...because it's not look good
Sir 3 wall defect means there is defect in 3 walls out of four or defect in 1 wall out of four?
I know it’s very silly question but I’m very much confused in that
Hey Dr. Ryan, what exactly is a four wall defect? Also woudn't a four wall defect be an ideal for regenerating infra bony pockets? Also is infrabony pocket and intrabony pocket the same thing?
A “four wall defect” is another name for an extraction site where all walls are maintained. Yes, it is the ideal site for regeneration. And that is correct, they are interchangeable.
One question: regarding to the defects of the bone, the best prognosis is for the 3 wall.? Thank you
Yes, that is correct!
Hey Ryan! I’ve been watching and using your videos to study for the INDBE. Do you think even though you made them for the NDBE II they are still useful for the integrated exam?
Thank you! I absolutely love your videos
Yes, absolutely! They are also applicable to the INBDE.
I didn’t get what is 1wall or 2/3/4wall defect?can anyone please explain.thank you
If Gtr is an example of new attachment what SRP is an example for regeneration?
GTR is more consistent with regeneration and new attachment, whereas SRP alone can result in repair and reattachment.
Doesn't this carry the risks of gums receeding?
whats the benefit of joining the membership ? is there any extra videos to learn pls advice
The TH-cam membership gives you cosmetic add-ons on the platform, access to personal polls about Dr. Ryan, and occasionally early access to upcoming videos. The Patreon membership unlocks exclusive practice questions, slides of the videos, and study guides. All videos are freely available on TH-cam, there are no other extra videos locked behind a membership!
@@mentaldental thank you so much for the reply one more questions so the videos you post here in u tube have a very little bit information and members get more info about the topics
EXCUSE ME! may i know, where is phase therapy 2 part 1??
🤗🤗🤗
do u know that u r the best ??
Love it! What games do you like to play?
I mostly play the Nintendo Switch or PC games! Right now I'm playing Super Mario 3D All-Stars, which is a blast from the past for me since I grew up playing Super Mario 64 as one of my first ever video games.
@@mentaldental Side curiosity, which ortho programs did you apply to and why did you choose the one you did?
Is it the Bone cells or the pdl cells heal last?
Bone cells heal last. The numbers are just so you can match up the type of cell with the labels in the diagram.
@@mentaldental Thanks Dr. Ryan
Dr. Ryan is a Destiny player
Never played Destiny, but I used to play a bunch of MMOs 🤭
@@mentaldental Thats good actually, Destiny is ridden with microtransations
where's part one???
i love u
Lords Mobile Tank Damage and Healer..lol
My background with video games is strong in this video!
What games do u play?
Mostly Nintendo games! Used to play a lot of WoW back in the day though.
Thank you so much ❤❤❤
Why can’t we always use connective tissue graft for all surgeries?