Danny let me get this straight through my thick skull…..

I am sorry I am so dim but here goes

I go through the buccal papilla and under the contact through to the palatal aspect and through the papilla. Now my blade has passed through both papilla in one fell swoop. I am on the palatal but at this point do I go back through the interproximal space again (under the contact) or do I go over the teeth (the suture would not then go throught the contact). I would imagine that if we repeat the first surgical pass with the blade that we would not be suturing anything but the two halfs of the flap but you have to be careful to use small sutures otherwise I could see tearing the papilla. I have 5-0 and 6-0 and find the blades to be fantastic with the scope.

I learned to press the flaps for 30 secs – 1 min per papilla and to exit on the buccal more coronal I guess to prevent tearing of the flap on tieing the sutures.

How many sutures…….one per papilla??

Danny, I am going to try my darndest to get there in May……cant promise but will try.

Your course sounds excellent and would really help me.

I will tell you something interesting. I would love for you to hear one of our Academy of Microscope Enhanced Dentistry lecturers…..Dr. Adriana MacGregor who is a periodontist in the Santa Barbara area and does all her tissue manipulation under alot of water keep the tissue hydrated. She had a hands on course this year for endodontists on flap design and treatment. From all accounts (I was organizing things so unable to attend) it was phenomenal and her work through the scope was astounding. I know that routinely these wonderful surgeons are using 7-0 and smaller sutures. Its really quite amazing to see their dexterity.

I have a long way to go, but I wont quit til I get there

Danny I will email you a message in a minute.

Glenn