Extractions, Bone Graft, Sinus Lift, Membrane | Oral Surgery Techniques #1 with Dr. Gallagher

<p>Key Concepts:</p><p><br></p><p>1. Less Traumatic Extraction for Future Implant Sites - Prioritizing preservation of interradicular bone and the buccal cortical plate while extracting broken-down, root canal–treated molars, since that bone is critical for long-term implant stability.</p><p><br></p><p>2. Lateral Window Sinus Lift Technique - Creating a controlled bony window on the lateral sinus wall, then carefully elevating the Schneiderian membrane without perforation to gain vertical bone height for future implant placement.</p><p><br></p><p>3. Socket Preservation &amp; Bone Grafting - Grafting extraction sites (teeth #14–15) simultaneously with the sinus lift to preserve alveolar ridge volume and prepare an adequate implant site.</p><p><br></p><p>4. Flap Design and Primary Closure Technique - Using a full-thickness mucoperiosteal flap with a sulcular incision extended to a distal releasing incision, then achieving primary closure with a layered suturing approach over the grafted membrane.</p><p><br></p><p>Key Instruments:</p><p><br></p><p>- Straight Back-Action Elevator - Wedged into the PDL space between the alveolar bone and root (not into the root) to gain a purchase point and elevate posterior root fragments with a wiggling motion, minimizing surrounding bone removal.</p><p><br></p><p>- Spade Elevator - Used as a secondary instrument when the straight elevator couldn&#39;t gain sufficient purchase, especially useful near interradicular bone to further minimize drilling.</p><p><br></p><p>- Periosteal Elevator - Used to reflect a full-thickness mucoperiosteal flap by elevating tissue cleanly off the bone, exposing the surgical site for the sinus lift and grafting.</p><p><br></p><p>- Sinus Curette (Sinus Augmentation Curette Kit) - Spoon-shaped instrument used to gently push and release the sinus floor/Schneiderian membrane after the bony window was created, without tearing the membrane.</p><p><br></p><p>- Root Tip Picks (as needed) - Used selectively for retrieving small remaining root fragments while preserving as much surrounding bone as possible for the future implant site.</p><p><br></p><p>Top 15 Viewers on this Episode on TikTok LIVE 115 Q&amp;A:</p><p>1st – kim baker🌷, @kimdotybaker</p><p>2nd – S, @sattyboiii</p><p>3rd – USU, @hx.amza</p><p>4th – Marcus Chan, @marcuschan60</p><p>5th – Joi, @thisisjoi</p><p>6th – Deyvvi🇪🇨, @deyvida07</p><p>7th – @fratdaddykush</p><p>8th – David, @davelo6</p><p>9th – sriacosta, @sriart8</p><p>10th – Lion, @408williamrd</p><p>11th – granitq, @xozen00</p><p>12th – Carleigh B, @carleighbryant</p><p>13th – Apo kirkuki, @apo.reben</p><p>14th – @hofblinders</p><p>15th – Kay flynn, @kayflynn17</p><p><br></p><p>Top Questions:</p><p>(11:36) &quot;Did you do a bone graft after the extraction?&quot;</p><p>(14:39) &quot;How did you get primary closure?&quot;</p><p>(16:47) &quot;What is a sinus lift? Isn&#39;t the sinus your nose?&quot;</p><p>(16:47) &quot;What about removing buccal bone?&quot;</p><p>(19:46) &quot;Can impurity from a sinus lift perforation cause a sinus infection?&quot;</p><p><br></p><p>Now available on:</p><p>- Dr. Gallagher’s Podcast &amp; YouTube Channel</p><p><br></p><p>My watch in this episode = Tag Heuer Aquaracer Calibre 16 Chrono</p><p><br></p><p>9.2026</p><p><br></p><p>#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #oralsurgeon #doctorgallagher #doctorgallagherspodcast </p>