Forceps Extraction for Adult

A. General Objective :
Upon completion of this module, the student will
(1) identify and define the use of each forceps used for the extraction of
maxillary and mandibular teeth.
(2) demonstrate operator position in relation to the treatment areas of

the mouth.
(3) demonstrate the steps in a forceps extraction of the adult’s teeth.

B. Descriptive :
This module discusses how to use dental instrument correctly for
provision of equipment to work safely including dentist and dental nurse
in dental treatment procedure such as each forceps used for the
extraction of maxillary and mandibular teeth.
C. Characteristic of Student :
The second level student (semesters 3/4) passed the course PPAKG I.
D. Competence :
Student is able to apply of each forceps used for the extraction of
maxillary and mandibular teeth.
E. Indicator of Learning Target : The student has capability to
(1) demonstrate operator position in relation to the treatment areas of

the mouth.
(2) demonstrate the steps in a forceps extraction of the adult’s teeth.
F. Material :
Forceps are used for the actual removal of the tooth from its socket after it has
been slightly loosened with the elevators. The objective is to remove the tooth
without fracturing the root tips. The handles of forceps are designed for a palm
grasp position and may have a hook on one handle to provide additional
leverage by providing placement for the little finger. The beaks of the forceps
are designed to fit the convexity (curve) of the crown with the nibs of the
beaks placed onto the cementum of the tooth just below the cementoenamel
junction. The term universal means that the forceps may be used either on the
left or right side of one dental arch or in some instances that it may be used on
the maxillary or mandibular arch
 Module Dental Instrument JKG Semarang

Maxillary Anterior
Forcep used the extraction of maxillary incisors and cupids as following:

Extracting Forceps of Upper Anterior

Extracting Forceps of Upper Anterior Root

Maxillary Premolars and Molars

Forceps used the extraction of maxillary premolars and molars as following:

Extracting Forceps of Upper Premolar

Extracting Forceps of Upper Molar, Left

Extracting Forceps of Upper Molar, Right

Extracting Forceps of Upper Posterior Root

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 Module Dental Instrument JKG Semarang

Mandibular Anterior
Forceps used the extraction of mandibular incisors and cupids as following:

Extracting Forceps of Lower Root

Extracting Forceps of Lower Anterior

Mandibular Premolars and Molars

Forceps used the extraction of mandibular premolars and molars as following:

Extracting Forceps of Lower Premolar Extracting Forceps of Lower Molar

Maxillary and Mandibular Third Molar

Several types of forceps used for the extraction of maxillary and mandibular
third molar as following:

Extracting Forceps of Upper Third Molar

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 Module Dental Instrument JKG Semarang

Learning Strategy : demonstration, simulation, discussion and

individual practice.
A. Tool of Learning : Practice guidelines and dental instrument.
B. Procedure :
Duration
Activities
(minutes)
10 Opening tutorial:
(1) Greetings.
(2) Outline the topics/sub topics.
(3) Perform apperception by giving questions to the students
about dental assisting in forceps extraction of the permanent
teeth.
Duration
Activities
(minutes)
30 Giving material:
(1) Provide detail material of the topics/sub topics (general
objectives must be given in this stage).
(2) Instructor’s demonstration.
(3) Perform practical stimulation by giving example of patient (one
student will be requested to be a patient).
30 Individual practice (exposure with typodont):
(1) The students perform practical simulation one by one.
(2) The other students give comments related to their friend’s
performance.
30 Practical simulation with a fellow student:
(1) Every student has gained confidence in positioning her/himself
and her/his patient (one student as a dental therapies and one
student as a patient).
(2) Every student is ready to:
a. identify forceps used for the extraction of maxillary and
mandibular teeth.
b. define the use of each forceps used for the extraction of
maxillary and mandibular teeth.
c. identify the specialized instrumentation for oral surgery
related to extraction of the permanent teeth.
d. define the use of each specialized instrument for oral
surgery related to the permanent teeth extraction.
e. describe the steps in a forceps extraction.
f. demonstrate exchanging forceps in oral surgery.
(3) Skill Evaluation (attachment).
10 Discussion:
Discuss result of the skill evaluation.
10 Closing tutorial:
(1) Summarize pre operative care.
(2) Inform topics/sub topics for the next meeting.
 Module Dental Instrument JKG Semarang

SKILL EVALUATION
Name :
Instructor :
Date :
Procedure : Role of the dental assistant in forceps extraction of the permanent teeth.
Performance objective : The student will
1. identify and define the use of each forceps used for the extraction of
maxillary and mandibular teeth.
2. identify and define the use of the specialized instrumentation for oral
surgery related to extraction of the permanent teeth.
3. describe the steps in a forceps extraction.
4. demonstrate exchanging forceps in oral surgery.
SE = Student evaluation C = Criterion met
SE IE
IE = Instructor evaluation X = Criterion not met
Instrumentation : Forceps Extraction Kit
Forceps : Identify and define the use of each forceps as follow:
1. Maxillary anterior.
2. Maxillary premolar and molar.
3. Mandibular anterior.
4. Mandibular premolar and molar.
The specialized : Identify and define the use or the specialized instrumentation -
instrumentation for oral surgery related to extraction of the permanent teeth
as follow:
1. Elevators
- Periosteal Elevator.
- Root Elevator.
- Tooth Elevator.
- Apical Elevator.
2. Curette.
Procedure of forceps : State the procedure of forceps extraction as following:
extraction 1. the surgeon checks that there is adequate anaesthesia.
2. area of the extraction is swabbed with disinfecting solution.
3. using a periosteal/tooth elevator, if indicated, use a scalpel.
4. the beaks of the forceps are placed.
5. the tooth is luxated in the socket, when this is complete,
the tooth can be freely lifted.
6. if the root tip has fractured, use root picks/elevator to
remove the fragments.
7. if indicated, sutures are placed to close the surgical site.
8. the cheek is retracted and folded gauze is placed over the
extraction site and out toward the lips or cheek.
9. the patient is instructed to bite on the pack for at least 30
minutes to control the bleeding and to aid in clot formation.
Exchanging forceps in : 1. position of the dental assistant.
oral surgery 2. hold the forceps (grasp).
3. place the forceps to the operator’s hand.
4. release the forceps.
Comments :