Professional Documents
Culture Documents
Simple Extractions
Pre-Extraction Preparations
Access
Status of the support structures
Status of tooth and crown
Adjacent structures
Interpretation of the preoperative
radiograph requires
Knowledge of normal radiographic anatomy
Assessment of the condition of the
surrounding bone
Assessment of the adjacent vital structures
Assessment of the condition of the adjacent
teeth
Assessment of the tooth in question
READY FOR SURGERY
Over garment
Mask
Cap: hair covered
Eye protection
Chair and Surgeons Position
Adequate access
Good visualization of the field
Unimpeded pathway of delivery of the tooth
Controlled forces to retract adjacent
structures and remove tooth
Position
Standing or sitting
In front or behind patient
Patient almost supine (back 10 to ground) for
maxillary teeth
Patient almost supine or semi-sitting (back 20 -
30 to ground)
Be comfortable. Back straight. Head not bent
forward blocking light.
Access
Luxate tooth
Deliver tooth
Do NOT lean on adjacent teeth
Alveolar bone used as fulcrum
Controlled, steady forces
Elevator: Luxate Delivery
Elevator: Alveolar Bone Fulcrum
Forceps Extractions
Extraction movement
Primary movement: Along longitudinal axis
of root
Mucoperiosteal flap
1. Envelope Flap :
It is a full-thickness flap.
Advantages
#12 is hooked
Instruments used in trans-alveolar surgery
Disposable Blade
2 Reflection of the Flap:
Austin
periosteal
Minnesota elevator
The retractor should be placed beneath the flap and held
firmly perpendicular on sound bone with no soft tissue
trapped between.