A tricky procedure:
If and 'only' if you enjoy surgery, then you should seriously consider growing that part of your career and skill set. The reality is that you can be a very talented and ethical dentist, yet you have a fear to do surgery. Do not let fear stop you, there are ways to overcome this fear. You owe it to your patients to invest in yourself and grow and serve them with integrity and excellence. CHECK OUT HOW THIS COURSE is STRATEGICALLY SET UP TO HELP YOU GET AHEAD AND LEARN SURGERY. If Dr. Milan could do this Surgery through online mentorship, you can definetly improve your knowledge and confidence if you choose to do so.
The surgery was performed under general anesthesia by Dr. Milan and his team. The amount of tissue resection was immense and Dr. Milan needed to adhere to the plan:
1. Exposing the teeth and creating a reference
2. External bevel incision and resection
3. Bleeding control
4. Gingivoplasty.
How to handle the palate?
The palatal tissue is tricky to handle even under normal circumstances. You need to use #15 blades to thin it out while creating an internal bevel incision. External bevel incisions are tricky with a blade and a gingivectomy knife cane work better. A rectangular distal wedge was used in this case.
How was the bleeding controlled?
Any time you are resecting tissue and letting the tissue heal with secondary intention heal - expect bleeding. In this case, it was massive. Use all the tools you have: pressure, local anesthesia, astringent solution and electrocautery.
Dr. Milan did very well with hemostasis and also instructed the patient how to stop bleeding at home during the heling period.
Surgery is DONE!
All the preparations, discussions and consultations lead up to a beautifully executed procedure. It was Dr. Milan's first procedure of that kind and he did extremely well.
He gave his best and open the gate for this patient's new life.