Videoscope assisted minimally invasive surgery; Maxillary Furcation Debridement

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Posted on By Jonathan Blansett In Periodontics

67 yr old female with past history of s/rp; still has 7-8 mm probing depths around some of her maxillary molars. This video is of root instrumentation of the furcations. Always amazed at how difficult it can be to remove the calculus even when you can visualize it. Best regards, -jb

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3 Comments

Amazing video and it remains the key to ANY perio therapy. Thanks for sharing. Dr. Salama


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Jon
Very nice meticulous procedure. Ever consider removing some of that calculus and granulation tissue w a fine diamond on a high speed or to traumatic?

Thanks J

Rocco


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Hey Dr. Mele,

I would like to and it would certainly be more efficient. The problem (for now) is this is typically a 'look and see' type of instrument. Conventional debridement with ultrasonics and hand scalers, dry the surgical site with guaze, insert videoscope and see what's left to do. Those last little tags were in a spot where a conventional cavitron tip or hand scaler wouldn't reach it...out of frustration I finally had our assistant hold the camera in place and I hand scaled it off indirectly looking at the monitor. I am going to try a fine diamond football and/or flame bur with a slow speed handpiece next...the hshp with water spray would likely make it impossible to see through the lens.


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