Dentaltown July 2014 - (Page 48)
oral surgery
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New Technique Ideas Please!
Extracting a lower broken endo premolar. What are your tricks?
Dentaltown.com > Message Boards > Oral & Maxillofacial Surgery > Oral & Maxillofacial Surgery > New Technique Ideas Please!
Transitioning doc
Member Since: 08/02/06
Post: 1 of 32
So, I have already extracted this tooth, and it sucked. Just curious
how each of you would have tackled this thing. I may need some new
equipment, techniques, etc. Thanks! n
MAR 27 2014
ataller
Member Since: 11/30/12
Post: 2 of 32
Dr. Murph is going to tell you to shove a 301 in there. I personally prefer to use luxators.
They are very thin instruments-thinner than an elevator, larger than a periotome.
You push apically the luxator down the PDL space and wiggle. This severs the fibers and
makes room for the root. You will find if you do this correctly the tooth becomes incredibly
lose and just pops out. No flap or bone removal necessary. n
MAR 27 2014
shad lewis
Member Since: 08/17/02
Post: 3 of 32
Make the hole bigger or make the tooth smaller. I'd crown prep that a little and shove a
301 in it. n
MAR 27 2014
Brad Blair
Member Since: 01/11/08
Post: 4 of 32
Had a couple like that this morning and enthusiastically recommend the luxators from
Karl Schumacher. Used those for a while, then plucked it out with a hemostat. Done. n
MAR 27 2014
djh597
Member Since: 08/19/03
Post: 5 of 32
I typically reflect a very small buccal and lingual envelope flap. Remove 2-3mm buccal
and lingual bone. Grab a 13 and remove it. n
MAR 27 2014
Dale Rosenbach
Member Since: 06/14/07
Post: 9 of 32
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Not only would I not reflect, but I most certainly would not remove any B or L bone.
Rather, you can utilize a long narrow bur, like a #859 diamond needle bur, to provide some
wiggle room, but only interproximally. Then you can place your straight elevators and really get it
rocking, and do so in a force favorable manner: high
duration and low velocity. You have to remember that
you're trying to break millions of PDL fibers, and that
won't happen with high velocity and low duration like
so many inappropriately apply with their elevators.
I found the least expensive high quality burs from
NeoDiamond, #1312.11, which is a code for 1.2mm
wide at the widest and 11mm long of a diamond shank
(I do not know what the 13 means, maybe the noncutting shank is 13mm long). n
MAR 27 2014
Eric Krause
Member Since: 02/19/03
Post: 12 of 32
48
JULY 2014 » dentaltown.com
Luxators and apical retention forceps. No flaps, no bone removal. n
MAR 27 2014
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Table of Contents for the Digital Edition of Dentaltown July 2014
Dentaltown.com Highlights
Howard Speaks: Why Two Out of Three Cavities Go Untreated
Professional Courtesy: Appsolutely Amazing
Continuing Education Update
Ethical Dilemma: Don’t Underestimate the Embezzler
Money Versus Doctor
Full Arch Reconstruction
New Technique Ideas Please!
What is Normal in Terms of Transition from One Dentist to Another?
Open Sinus Lift
Look Before You Leap: Lessons from the Field
A Tale of Inherited Problems
Retire in Practice
You Should Know: Diashine
Townie Choice Awards Product Showcase
Product/Service Extras
Dentaltown Research: Periodontics, Product/Service Extra
Continuing Education: Oral Cancer in the Dental Office
What’s on Your Tray?
Ad Index
Product Profile: Synergy Dental Partners
Perio Reports
Perio Program Series—Step 3: Create a Plan
Dentally Incorrect
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