Student Notes

Dental Extraction practical Session

As a demonstrator, you should demonstrate the component parts of the dental forceps

• Each one of the forceps is composed of 3 parts: Handle, joint and working part or
beaks
• The handle is serrated to avoid slippage during handling.
• The difference between maxillary and mandibular forceps being on a straight line in
maxillary and at right angle in mandibular forceps.
•
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• As a demonstrator you should demonstrate the pattern of movements starting

buccal then palatal and maintain the sustain position to allow the bone to expand.

• Highlight the importance of the apical grip in controlling the movements delivered to
the tooth to be extracted and therefore apical pressure is made at the start.

• Demonstrate the importance of knowing the anatomy of the roots and how it affects
the delivery motion of the tooth using the dental forceps, for e.g. the Upper central
and Lower 5 delivered by rotation due to conical roots.

• Please stress on the importance of the role of the left hand for right handed
operator and the right hand for the left handed operators.
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• You should demonstrate the operator positions during extraction and the
difference between maxillary and mandibular teeth.
• For maxillary always in front of the patient whether right or left handed operator.
• For mandibular teeth, right rear (10 Oclock position) for lower right teeth and right
front (8 Oclock) for lower left . This is for right handed operators and vice versa for
left handed operators.
•

• The proper handling of the forceps is very essential.

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• The postoperative instructions should be carefully informed and revised

• The pressure pack for 15 minutes
• No hot fluids , smoking or hot drinks.
• No spitting or interfering with the healing socket
• Rinsing with normal saline starting from the 2nd day 4 times daily for 4 to 5 days.
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• Demo starts with a situation of a 45 year old healthy female patient complaining of
a severely painful lower right 2nd premolar. After clinical & radiographic
examination you decide it is non-restorable. – (40 minutes)
• After case discussion with students of the case, brief case-oriented anatomy revision
for 5 minutes. YOU SHOULD ASK QUESTIONS AND WAIT FOR THE STUDENTS TO
ANSWER RATHER THAN GIVE THE INFORMATION DIRECTLY.
• What is the supply for this tooth 2nd premolar?
• What are these branches of?

Demo starts following the 4-stage-approach following the supplied checklist.

Last student sits on the chair for the other students to visualize point of insertion.
In the fourth stage, each student has 3-5 minutes max. to carry out the skill practice and
demonstrate the position and extraction movement, highlighting the rotation movement for
this specific tooth.

Extraction Checklist

Not
Steps Achieved achieved

Identify the proper extraction forceps for the case

Proper position of the patient and operator for extraction

Proper handling of the forceps

Grip of the tooth to be extracted

Proper extraction movements (B-L / Rotation)

Role of the supporting non-dominant hand

Postoperative instructions