Positioned for Success: The Surgeon-Patient-Microscope Dynamic
Description:The incorporation of the Surgical Operating Microscope into the contemporary Endodontic surgical practice has elevated the precision and expanded the scope of the treatments possible because of the increased magnification of the field in concert with brilliant illumination. However, the transition to integration was not always a smooth learning curve. Positioning of the SOM relative to the operative field, while providing adequate and stable retraction, has proven to be a major hurdle. This presentation will provide guidelines for effective implementation of the SOM, incorporating basic ergonomic principles, radiographic and CBCT pretreatment cues, procedure-specific positional variations, and line of sight optimization for surgical procedures. It will also suggest alternative reflection and retraction platform strategies to ease the acquisition and visualization of the surgical field.
At the conclusion of this presentation, participants will be able to:
- Demonstrate proper surgical ergonomics and its influence on performance.
- Recognize the importance of “Virtual Surgery” in the pre-treatment assessment of access and positioning.
- Describe the changes in angulation and reflection and their influence on field visualization and “line of sight”.
- Examine the various means of retraction and their respective applications.
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Stephen P. Niemczyk, DMD
Dr. Niemczyk graduated from the University of Pennsylvania School Of Dental Medicine, receiving his D.M.D. in 1982 and his postgraduate Endodontic certificate in 1984. Since 1995, Dr. Niemczyk has been the Director of Endodontic Microsurgery at Albert Einstein Medical Center in Philadelphia and was recently named the Assistant Post Graduate Director in 2018. He also serves as a surgical consultant to the Naval Postgraduate Endodontic Program in Bethesda, MD, and the U. S. Army Endodontic Residency Program in Fort Gordon, GA. Dr. Niemczyk has lectured extensively in the U.S., Central America, Europe, the Middle East and Asia on topics ranging from Microsurgery and Intentional Replantation to advances in Non-Surgical Endodontics and Cone-Beam CT. He has authored numerous papers, chapters on Microsurgery in Dental Clinics of North America, Ingle’s Endodontics 7th Edition and CBCT in Non-Surgical Retreatment. He is a member of the Scientific Advisory Board for the JOE and the Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. He is the founder of Endodontic Microsurgical Innovations, dedicated to the development of new treatment techniques and instrumentation. He is a Diplomate of the American Board of Endodontics, and maintains a full-time practice limited to Endodontics in Drexel Hill, PA.
In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: DENTSPLY Tulsa Dental Specialties (Individual(s) Involved: Self): Honorarium