Extraction Procedures: Indications, Equipment & Complications

Extractions Indications - Peridontal Dz - Tooth resorbtion - Caries - Malocclusion - Persistant decidudous teeth - Non-functional malformed teeth Patient Prep - Secure airway - Preoperative antibiotics - May not have any affect as bacteria are often stuck in biofilm...

Extractions Indications - Peridontal Dz - Tooth resorbtion - Caries - Malocclusion - Persistant decidudous teeth - Non-functional malformed teeth Patient Prep - Secure airway - Preoperative antibiotics - May not have any affect as bacteria are often stuck in biofilm and there is not blood flow to certain areas - Analgesia Equipment - Luxator - Cutting periodontal ligament - Thin - Elevator - Wraps around tooth being extracted - Thick and curved - Elevate tooth away from bone - Periosteal elevator - Elevate gingiva off bone - Root tip picks - Retrieve tooth fragments - Thin and pointy - Extraction forceps - Grasp tooth to remove it - Root tip forceps - Retrieving tooth remnants - Thin long blade - High speed hand piece - Air driven, water can be turned on - Burrs - Round - For a root canal - Cavity prep - Cutting small teeth - Burr bone - Fissure cross - Small taper - Long - Cutting edges - Cutting teeth, cavity prep, root canals - Inverted - Trapezoid crosscut - Undercutting - Cavity prep - Pear - All purpose cavity prep - Round top with flat top - Diamond - No cutting edges - Smooth bon Complications - Dry socket - Alveolar osteitis - Painfull inflammation and infection of bone - Hemorrhage - Retained tooth - Trauma - Oral nasal fistula Things too note - Perfuse hemorrhage of mouth - Roll gauze on and off extraction site - Always suture sockets - Cannot flush an open socket - It does not need to be open to drain - Flush sulcus - Ensure bleeding in socket - Close socket - Tension free Post-op - Pain management - Soft food 7-14 days - Look for bloody discharge - Sutures - Rechecks important