How to extract a tooth as a professional dentist with minimal trauma in five steps.
Firstly 3 fundamentals not to be forgotten during extraction:
(1) Adequate access & visualization
(2) A clear pathway for the removal
(3) Usage of controlled force to luxate and remove the tooth.
Firstly 3 fundamentals not to be forgotten during extraction:
(1) Adequate access & visualization
(2) A clear pathway for the removal
(3) Usage of controlled force to luxate and remove the tooth.
Step 1
Loosening soft tissue attachment from the cervical portion of the tooth by Molt 9 periosteal elevator, that will give two advantages:
a- Allows ensuring profound anesthesia has been achieved
b- Allowing the elevator & tooth extraction forceps to be positioned more apically
Loosening soft tissue attachment from the cervical portion of the tooth by Molt 9 periosteal elevator, that will give two advantages:
a- Allows ensuring profound anesthesia has been achieved
b- Allowing the elevator & tooth extraction forceps to be positioned more apically
Step 2
Involves luxation of the tooth with a dental elevator.
Elevation should occur at the mesial and distal buccal aspects of the root.
No elevation should be attempted along buccal bone because it can easily fractured or the surgeon can lose control & cause soft tissue injury
Involves luxation of the tooth with a dental elevator.
Elevation should occur at the mesial and distal buccal aspects of the root.
No elevation should be attempted along buccal bone because it can easily fractured or the surgeon can lose control & cause soft tissue injury
Step 3
Involves adaptation of the forceps to the tooth.
The lingual beak is usually seated first and then the buccal beak.
The surgeon grasps the handles of the forceps at the ends to maximize mechanical advantage and control
Involves adaptation of the forceps to the tooth.
The lingual beak is usually seated first and then the buccal beak.
The surgeon grasps the handles of the forceps at the ends to maximize mechanical advantage and control
The forceps are forced apically as far as possible to grasp
the root of the tooth as apically as possible, Why?
1-The beaks of the forceps act as wedges to dilate the
crestal bone on the buccal and lingual aspects
2- Forcing the beaks apically, the center of rotation (fulcrum)
the root of the tooth as apically as possible, Why?
1-The beaks of the forceps act as wedges to dilate the
crestal bone on the buccal and lingual aspects
2- Forcing the beaks apically, the center of rotation (fulcrum)
Step 4
Involves luxation of the tooth with forceps.
In 3 stages:
1-Forceps apically seated as far as possible
2-Forces applied in the buccal and lingual directions should be slow, deliberate pressures & not jerky wiggle
3-Force held for several sec to allow the bone to expand.
Involves luxation of the tooth with forceps.
In 3 stages:
1-Forceps apically seated as far as possible
2-Forces applied in the buccal and lingual directions should be slow, deliberate pressures & not jerky wiggle
3-Force held for several sec to allow the bone to expand.
Step 5
Removal of the tooth from the socket.
Once the alveolar bone has expanded sufficiently and the tooth has been luxated, a slight tractional force, usually directed buccally, can be used.
Removal of the tooth from the socket.
Once the alveolar bone has expanded sufficiently and the tooth has been luxated, a slight tractional force, usually directed buccally, can be used.
A bit of advice
(It must be remembered that teeth are not pulled; rather, they are gently lifted from the socket once the alveolar process has been sufficiently expanded)
(It must be remembered that teeth are not pulled; rather, they are gently lifted from the socket once the alveolar process has been sufficiently expanded)
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