Professional Documents
Culture Documents
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k) Preradiation therapy.
l) Teeth involved in jaw fractures.
m) Esthetics.
n) Economics.
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a) Maxillary teeth.
b) Mandibular teeth.
c) Modifications for extraction of primary teeth.
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Flap clevation.
Bone removal.
Closure.
LOCAL ANESTHESIA
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b.
c.
Sedation:
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b)
c)
Orthodontic
reasons:
Patients
about
to
undergo
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i)
j)
k)
l)
m)
Contraindications:
These are relative and not absolute, many times extraction can
still be done with use of additional care, modified techniques and
resolution of underlying problem that contraindicate extraction. Two
groups: Systemic and Local.
Systemic contraindications:
In these situations the patients general health is such that it
cannot withstand surgical treatment as the condition may be further
aggravated.
Metabolic diseases e.g. Severe uncontrolled diabetes, endstage renal disease with severe uremia. Patients with mild or
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Local Contraindications:
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i.
ii.
with the wrist locked and arm held against the body, the surgeon
should be prepared to apply force with the shoulder and upper arm
without any wrist pressure. He or she should be standing straight
with the feet comfortably apart.
4.
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the crown is completely separated from the roots and the roots are
then cut apart. This is followed by application of elevators or forceps
for the extraction of the crown and then the roots.
The advantage of odontectomy are: the reduction in the
number and incidence of fracture crowns or roots during extraction,
less danger of oro-antral fistulation or injuring neuro-vascular
bundles, less possibility of fracture of mandibular or maxillary and
less incidence of tearing out large areas of cortical and cancellous
bone with the tooth during extraction.
Hypercementosis of rests.
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Ankylosed roots.
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