Dentaltown December 2021 - 23

jpc36
Buccal bone around a max canine in an older person is often paper-thin. Keeping it intact is
very diffi cult. I agree that you should fi nd a way to get some reps. Even reading Tommy's thread
and watching the videos can boost confi dence. We all have to learn, the challenge is to learn
wisely. ■
4/7/2021
Here is a Yoda-style answer: Can you draw a line for how that tooth would come out? There
is a decent curve in the apical 5th of the tooth. Komet makes a bur that is fantastic for teeth like
this H254E FG 012. Surgical needle carbide.
I take out a good amount of teeth, and canines by far are my least favorite teeth to remove.
Don't take the buccal bone out on purpose but also realize upper canines are usually paper-thin
and unless the gods favor you that day, it's probably resorbing in the long run (unless you bonegraft
it). ■
4/7/2021
Nameless
When patients ask me if I will put them to sleep for extractions, I say, " No, but we will have
you laughing or your extraction is free. " I haven't had to do a free extraction yet. My best source
of new patients are patients I extracted teeth on. My extraction patients are trainwreck mouths,
though. They are so embarrassed to be at the dentist that it's actually quite easy to make it a great
experience. Treat them well, painless injection, extract fast. ■
4/7/2021
Make sure you are using
austindoc2
Member Since: 05/15/03
Post: 42 of 149
great-quality instruments such
as Schumacher and other quality
brands like these. Makes a world of difference in what
you can grab hold of and hold. With time I relied less
and less on elevators and more and more on just my
Schumacher forceps, start to fi nish. Softly and mildly
rotating and rocking a bit to bruise the PDL to loosen up
the teeth so they were ready to pop out a bit later.
When you get to where the patients are saying things
like, " Already out? You're kidding, " " That didn't hurt a
bit, " and " Thanks, I didn't feel a thing, " now those are
practice-builders. I don't know how to get to this point
other than practice, practice, practice. Plus, reading what
you see here on DT and a good dose of nitrous for the
patients.
I liked the post about making sure the pulp was
cleaned out if you were referring. ■
4/7/2021
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nealofgrafton1
Member Since: 09/05/15
Post: 26 of 149
Member Since: 05/10/02
Post: 25 of 149
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Dentaltown December 2021

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