Principles of Raising Clean Flaps – PDP126

Half way in to a tricky extraction you hear a voice..."Maybe now is a time to raise a flap?" You ignore this voice and keep sweating with the luxator in hand, because it has been far too long since you raised a flap and you dread the nurse's reaction. If this is you, then we got you. I brought on Consultant Oral Surgeon Dr. Sami Stagnell to share his tips and pearls in Oral Surgery, specifically WHEN and HOW to raise cleaner flaps, as well as what types of flaps to consider for each situation and when NOT to consider extending beyond an envelope flap. https://youtu.be/cx6HvrZtjcw Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Nice and Clean Extraction Sites - Use the spoon end of Mitchell's trimmer to clean the surgical site for 30 secs to 2 minutes. Highlights of this episode: 1:27 Protrusive Dental Pearl: Nice and Clean Extraction Sites13:43 How to gain confidence in raising a flap21:51 Envelope Flaps30:09 Guidelines regarding relieving incisions37:32 Raising a nice clean flap41:45 Guidelines in lifting the papilla44:56 Blades - 15 vs 15C vs 12 blade Improve your Oral Surgery Sectioning with this speed-increasing electric handpiece at Incidental Limited. And get 5% OFF their entire products with the code ‘onions‘! Check out the Oral Surgery Course that Dr. Sami Stagnell will be launching in 2023. If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth Click below for full episode transcript: Opening Snippet: /Sami/ So the first word you said was purposeful. And that is it like you're doing everything with direction and purpose and meaning. You're doing it for a reason. So get your blade down to bone, to hard tissue, be confident in where you're putting that blade and know where you are, raise the papillae first. So I tend to sort of raise the outer edges and round the margins because those are the bits that tear. And those the bits that you then don't want to sort of have to try and repair if they don't want it. /Jaz/ What instrument are you using to raise the papilla and beyond? Jaz's IntroductionHello, Protruserati. I'm Jaz Gulati and welcome back to another episode of The Protrusive Dental Podcast. This time, Oral Surgery specifically how to raise cleaner flaps and the principles of raising flaps in oral surgery, for exodontia. I'm joined today by Dr. Sami Staggnell. I know you will love his humor, and his humility. He's a really humble guy. He's a consultant oral surgeon, but he's so down to earth. So I know you'll enjoy all the tips and pearls he'll share with you. The main themes that we'll cover in this episode are like, when should we raise a flap like I've been in the past struggling with a difficult extraction, I'm thinking, it is now the best time to raise the flag? Or should I just keep going? Should I keep luxating, elevating and maybe the truth will come out? Or should I really start getting my handpiece in and start raising a flap, I mean, nowadays, I'm raising less and less flaps, I mean, I probably section 80 to 90% of all molars, and I do it flapless. So it's something that I'm having to do less and less. But obviously, for third molars, I'm raising flaps. And so I had lots to learn from Sami as well, in terms of how to make my own flaps cleaner and nicer. We're going to revise the different types of flaps and when to consider an envelope and when to extend beyond an envelope. And also, we talked a little about blades, are all blades build equally? Are there any that you should be avoiding? It was a surprise that he taught me today, which I'll be sharing with you as well. The Protrusive Dental Pearl, it only has to be oral surgery related. So one way I feel I have zero evidence for this maybe it exists, but I haven't read it, is how to reduce dry sockets. I was taught by this oral surgeon in Singapore,