Oral Surgery

Volume 4

Extraction technique and Removal of Impacted teeth

Dental Surgery/Minor Oral Surgery
‡ Definition includes all surgical procedures within the oral cavity that can be performed under local anesthesia on an outpatient basis. As a specialized area within OMS all basic principles of this medical discipline apply to Dental/Minor Oral Surgery as well.

the patients agreement to the procedure .responsible screening about own skills and abilities protects from legal action!!!!! .the intention to bring healing .Surgical procedure -each surgical procedure represents an injury and only: .

Elevators Hooked Angled Straight .

Root separation Upper molar Lower molar .

Seperated roots and crown of lower molar .

Loosening of cervical attachment .

Finger support upper extraction .

Finger support lower extraction .

to avoid trauma of TMJ to palpate the bone to sense the tooth movement to stabilize the process .Finger support/Stabilization ‡ Why is the finger support important? to fixed the mandible ± to maximize the effect of applied force .

Remaining Roots Radices relictae .

Removal technique 1st: 2 vertical incisions covering the alveolar area 2nd: low speed bone cutting and removal with elevator .

Removal of remaining roots Closure by single suture .

Removal of impacted 3rd molars X-Ray reading .

Removal of impacted 3rd molars X-Ray reading .

Removal of impacted 3rd molars X-Ray reading .

Removal of impacted 3rd molars X-Ray reading .

Removal of impacted 3rd molars X-Ray reading .

Removal of impacted 3rd molars X-Ray reading .

Removal of impacted 3rd molars X-Ray reading .

Removal of impacted 3rd molars Incision technique for lower 3rd molar .

Removal of impacted 3rd molars crown separation / partial .

Removal of impacted 3rd molars crown separation / total .

Removal of impacted 3rd molars X-Ray reading and possible nerve impaction .

theoretical situation .

clinical situation .

Removal of impacted 3rd molars incision technique upper 3rd molars .

Removal of impacted mesiodens incision technique .

Complications after removal Upper 3rd molar tuber fracture .

Complication after removal Lower 3rd molar fracture of the mandible angle .

Complications after removal Lower 3rd molar Foreign body-bone cutter lingual .

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