Dentaltown July 2021 - 25

rotational pressure. Hold for 10 seconds, rotate the opposite direction. Hold for 10 seconds. Once
you get a little movement on the tooth, begin the " fi gure eight dance " : Imagine drawing the
number 8, then move the tooth along that same pathway. If that doesn't begin loosening the
tooth more, you can push apically on the tooth while doing the fi gure-eight motion. Remember,
these aren't big movements-these are small movements, done with care not to fracture roots.
For upper molars:
Again, grasp the root as far apically as possible. For this one, make sure you're using good
forceps. Crappy 88R and 88L will not grab the tooth tightly enough. You need something where
you'll essentially become one with the root! Grab the tooth tightly, deep onto the root. With
your nondominant hand, place one fi nger fi rmly on the buccal plate. (I call this the " poor man's
physics forceps " technique.) Next, press apically, tilt buccally and hold. You should be pressing
with enough force, but not so much as to fracture the buccal plate. Keeping your fi nger on the
buccal plate helps to gauge this force. Hold and keep holding. Most times, you'll feel the palatal
root pop as it dislodges. The rest is just gently maneuvering the tooth out of the socket. If the
palatal doesn't pop, press apically, tilt lingually and hold. You can also use some rotational force,
just to tear as many PDL fi bers as possible. Keep repeating all of this, with utmost patience, until
the tooth is loose enough to remove.
Other things to think about:
* Don't get mad at the tooth!
* Don't hold your breath.
FREE FACTS, circle 20 on card
dentaltown.com \\ JULY 2021 25

http://pac-dent.com http://www.dentaltown.com

Dentaltown July 2021

Table of Contents for the Digital Edition of Dentaltown July 2021

Dentaltown July 2021 - Intro
Dentaltown July 2021 - Cover1
Dentaltown July 2021 - Cover2
Dentaltown July 2021 - 1
Dentaltown July 2021 - 2
Dentaltown July 2021 - 3
Dentaltown July 2021 - 4
Dentaltown July 2021 - 5
Dentaltown July 2021 - 6
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Dentaltown July 2021 - 16
Dentaltown July 2021 - Insert_Riverside1
Dentaltown July 2021 - Insert_Riverside2
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Dentaltown July 2021 - Cover3
Dentaltown July 2021 - Cover4
Dentaltown July 2021 - SI_Insert_1a
Dentaltown July 2021 - SI_Insert_1b
Dentaltown July 2021 - IAOS_Book_1
Dentaltown July 2021 - IAOS_Book_2
Dentaltown July 2021 - IAOS_Book_3
Dentaltown July 2021 - Smartbox_1
Dentaltown July 2021 - Smartbox_2
Dentaltown July 2021 - SI_Insert_1b
Dentaltown July 2021 - SI_Insert_2b
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