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Extraction Impacted Apicoectomy
Extraction & Surgeries
1

Indications
2

Contraindications
3 Selection Of Anestthetic Agent
4

Examination Of Teeth
5 Types of extraction
6 Post Operative Instructions
7 Some Important Complications Of Extraction

TYPES OF EXTRACTION.

  • Closed [ intra alveolar technique ]. When using forceps and elevators and exerting force.
  • Open [ transalveolar technique/ surgical extraction]. When a flap is raised, surrounding bone is cut and then taking the tooth out either as a whole. Or in segments.

STEPS IN INTRA ALVEOLAR EXTRACTION

  • Pre extraction evaluation of patient—History, clinical examination, investigation.
  • Anaesthesia.
  • Reflection of attached gingival around the tooth so that there id no trauma to the tooth and also to have a firm grip over the tooth.
  • Application of elevators and forceps.
  • Withdrawal or removal of tooth.
  • Compression of socket—to achieve haemostasis and to bring back the dilated cortical plates.
  • Debridement of socket.
  • Achieve haemostasis.
  • Post extraction instructions.

SURGICAL EXTRACTION

Indiacations

1. Impacted teeth.
2. When tooth fails to be extracted under intra alveolar method.
3. If tooth is broken at alveolar level or the root is broken.


Steps

1. Pre extraction evaluation of patient.
2. Anaesthesia.
3. Elevation of mucoperiosteal flap.
4. Bone removal -- by chisel/mallet or burs.
Techniques--- a. Buccal guttering.
b. Postage stamp technique.
6. Tooth removal.
7. Achieving haemostasis.
8. Wound debridement.
9. Suturing the mucoperiosteal flap.
10. Post extraction instructions.
11. Recall / review after 7 days and suture removal.

 
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