Dentaltown April 2016 - (Page 82)

oral surgery message board Any More Tips on This Extraction? A Townie seeks advice on an upcoming complicated extraction. Dentaltown.com > Message Boards > Cosmetic Dentistry > Oral & Maxillofacial Surgery > Oral & Maxillofacial Surgery > Any More Tips ... nickdentist Member Since: 08/13/08 Post: 1 of 51 Related Message Boards Extraction Needed Extraction Needed #30 Extraction-Mesial Root Remaining Root Remaining I am taking out this #32 on a middle aged AA lady on Friday. I know that it is probably going to be a little difficult. My plan is Luxator, then using the 301 all around the tooth and also in the straight buccal. If no movement from that, make a trough through some buccal bone without laying a flap. Then try to elevate again. I don't see much of a furcation on this tooth, so I don't think a cowhorn will do me any good. Was going to try my 151 APR forceps and rotate and buccal lingual movements on the tooth. Hopefully it will come out after that. Just really hope those roots don't shear off halfway down into the socket. Does this sound like a good plan for it? Anything else I should be looking out for? ■ FEB 17 2016 roadrunnercc Member Since: 01/31/12 Post: 3 of 51 Also not present is much of a PDL. Your plan sounds good, by the way. I'd reconsider not laying a flap if you're going to trough bone. And be prepared if it does shatter. Root tip picks, patience, sutures, etc. Good luck! ■ FEB 17 2016 davidpalmer Member Since: 04/14/00 Post: 4 of 51 It's often a good idea to start with (and use often during the extraction) a spade proximator, one of the best instruments in dentistry. Keep trying to wiggle the instrument between tooth and bone, especially mesial and distal. Luxate, elevate, and then carefully remove with forcep. Grabbing it too quickly with the forcep will break a tooth like this nearly every time. ■ FEB 17 2016 nickdentist Member Since: 08/13/08 Post: 5 of 51 This patient has no plans for any kind of implants in the future. If the bottom half or so of those roots break and they are locked in there-is there anything wrong with laying a big envelope flap and taking away buccal bone until I can see them and elevate and pop them out to the buccal? ■ FEB 17 2016 denovo I think you will elevate this out and have no issues. ■ Member Since: 12/01/14 Post: 6 of 51 strugglin Member Since: 11/13/10 Post: 7 of 51 82 FEB 17 2016 As was mentioned, spade proximator on tooth and then Luxator or elevator, especially at the mesial. Should be able to work it down there good. Then with a forcep, seat it and then try to rotate the tooth to the distal to roll it out. Should take about three times of reseating it and rotating it distally to get it out. I personally have the 217 Hu-Friedy forceps, which gets a good hold of the tooth and it will rotate out distally. Buccal and lingual will do very little on dense bone. Bone looks way less dense on distal. Try this with the forcep before you lay flap and remove bone. I will be very surprised if you need to remove any bone. APRIL 2016 // dentaltown.com http://www.Dentaltown.com http://www.dentaltown.com/MessageBoard/thread.aspx?a=11&s=2&f=101&t=267370&g=1 http://www.dentaltown.com/MessageBoard/thread.aspx?a=11&s=2&f=173&t=231195&g=1 http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown April 2016

On Dentaltown.com
HOWARD SPEAKS: Lessons from Asia
PROFESSIONAL COURTESY: Today’s Active Topics
Continuing Education Update
Industry News
Love It!
Poll
What Do You Use to Calculate Offi ce Metrics?
When’s the Last Time You Googled Your Practice?
How is My Curing Different From Pulse Curing?
OFFICE VISIT: Family Ties
Breaking the Cookie Cutter: Finding Our Way Back to Individuality with Shape, Form and Texture
Choose Your Weapon: Finding the Best Fluoride Option for Your Patient
(Your Own) Practice, Made Perfect
Braces vs. Aligners: The Science of Picking the Best Appliance
You Be the Judge: The Case of the Lazy X-Rays
Product Profile: Premier
Principles of Flap Design and Closure
Any More Tips on This Extraction?
Dentistry’s Great Marketing Untruths
Product Profile: CreoDent Prosthetics
Product Profile: Ivoclar Vivadent
You Should Know: Dental Planet
New Products
Ad Index
Bio-Minimalism: Trends and Transitions in Endodontics
Material Classifi cation and Shade Selection Protocol for All-Ceramic Restorations
Dentally Incorrect

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