Oral Surgery Volume 4, Extraction and Impacted Teeth

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The document discusses various techniques for removing impacted and embedded teeth including elevators, separation of roots, incision techniques, and finger support/stabilization.

Techniques discussed include using elevators, separating roots, making incisions, using low speed bone cutting and removal with elevators.

Complications discussed after removing third molars include tuber fracture of the upper third molar, fracture of the mandible angle after removing a lower third molar, and foreign bodies like bone cutters becoming lodged in the lingual area after removing a lower third molar.

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

protects from legal action!!!!!


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