Intro to Extractions Flashcards
What are the differences between luxators and elevators?
Luxators thinner with sharp blade - bit more delicate
Elevators more rounded end - harder metal so more robust
How should luxators/elevators be held?
Palm grasp grip with index finger 1cm away from working end.
What is an important thing to check if using small extraction forceps?
That the beak closes as otherwise may not be able to get a firm grasp on small teeth
What tools are available to help with root tip extraction?
Root tip picks/elevators
Root tip extraction forceps
What pain relief is recommended for dental work?
Multimodal peri-operatively
Regional Nerve Blocks
Post op analgesia
What tool should be used to cut gingival attachment to a tooth?
A no. 11 or no. 15 scalpel blade.
Approximately what angle should the luxator be inserted at?
About 30 degrees to the tooth
What is the correct technique for use of an elevator?
‘Wedge’ it into the periodontal space and then rotate around the long axis of the instrument. Count to 10 while holding instrument under tension to cut periodontal ligaments. Relax after this and then attempt to push deeper.
Where are the most useful points to luxate/elevate?
Mesial and Distal aspects of the tooth. NOT THE BUCCAL
How are extraction forceps used?
Grasp tooth as far apically as possible. Rotate and then apply traction for a few seconds. Repeat and in the opposite direction.
What should the tooth be inspected for post-extraction?
Inspect the apex for roundness. Sharp edges may = root fragmentation
What needs to be done when extracting a multi-rooted tooth?
First cut the gingiva.
Use a dental drill to cut the crown into its seperate roots.
How is the dentral drill held?
With a MODIFIED PEN GRIP
What needs to be ensured while drilling and prior to drilling?
Always have water flow.
Make sure at full speed before drilling
How is a 3 rooted tooth sectioned?
First cut between palatal and buccal roots.
Second Between the two buccal roots
