S-17 Microsurgery Ergonomics and Instruments
CE Hours: 1.5
Description: Team endodontic microsurgery has different procedural goals to non-surgical treatment. Although the aim of achieving a favourable patient centred outcome is the same – to preserve a tooth without any functional impairment, where the parameters are those valued by the patient – the entire mindset with a microsurgical approach requires a refocused treatment strategy for the team. Because extended treatment time and associated factors (an open surgical wound, prolonged bleeding) are critical in affecting healing outcomes and morbidity, the microsurgical team needs to be even more efficient than the non-surgical team in order to provide the same level of care. This means two chairside assistants are needed, each with different roles. The operatory setup also requires some changes to ensure both assistants are able to perform at the highest level of teamwork and efficiency. The instruments and materials are also different, but similarly to non-surgical treatment, are arranged in the sequence of use to ensure time is not wasted and the procedure occurs in a logical order.
Learning Objectives:
- Describe how to provide apical microsurgery in a fast, efficient and predictable way.
- Describe how to ergonomically design a surgical operatory.
- Describe basic patient positioning.
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Ivan N. Vyuchnov, II, DDS MSc
Dr. Ivan N. Vyuchnov, received his dental degree at
Moscow State University of Medicine and Dentistry (MSUMD)
distinction in 2006.
Prior completing his studies in dental school, he was
awarded with a Russian presidential scholarship award that gave
him and opportunity to study abroad as an international student at
the State University of New York at Stony Brook, where he
completed his international research internship at the Department
of Oral Biology with an emphasis on cariology and malodor
studies.
During his stay in the United States of America, he joined
the American Association of Endodontists and later improved his
dental skills taking a continuing education hands-on classes
learning how to operate dental surgical microscope at the
University of Pennsylvania (UPenn Dental School) provided by
Dr. Syngyuk Kim on Surgical Endodontics and later did a hands-
on provided by Dr. Remington - a private practitioner at the
Institute of Microscope Training.
In 2007 he completed his GPR at the Department of
General Dentistry and Anesthesiology in Moscow State University
of Medicine and Dentistry.
In 2009, he obtained a degree from the Department of Oral
Surgery and Implantology in order to be able to perform surgical
endodontic procedures as a dentist seeking to limit his practice to
endodontics.
In 2012 he was awarded the Master of Science degree for
defending his dissertation thesis on the use of dental operating
microscope in the surgical treatment of periapical granulomas.
Dr. Vyuchnov is an active member of the following communities:
American Assosiation of Endodontists
Russian Society of Endodontics
European Association of Endodontology
International Assosiation of Endodontics
Russian Society of Microscopic Dentistry
Disclosure(s): No financial relationships to disclose
