Definition Methods of extraction Intraalveolar extraction forceps elevators Transalveolar extractionsurgical extraction Indications for extraction 1 Sever caries 2 Pulp ID: 919252
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Slide1
Tooth Extraction (
Exodontia
)
Slide2Definition
Slide3Methods of extraction
:
Intra-alveolar
extraction (forceps
+ elevators)Trans-alveolar extraction(surgical extraction)
Slide4Indications for extraction
:
1. Sever
caries:
Slide52. Pulp
pathology:
Slide63.
Apical pathology:
Slide74.
Sever periodontal disease:
Slide85. Roots
and root fragments:
Slide96. Orthodontic
reasons:
Slide107.
Prosthetic considerations:
Slide118. Impacted
teeth:
Slide129.
Supernumerary teeth:
Slide1310.
Tooth in line of fracture of the jaw:
Slide1411.
Teeth I relation to bony pathology:
Slide1512.
Teeth prior to irradiation:
13.
Focal sepsis:
Slide16Contraindications for extraction
:
Local contraindications:
Acute and uncontrolled
infectionPrevious radiotherapy
Teeth located within areas of tumorSystemic contraindications:
Sever uncontrolled metabolic
disease
Sever uncontrolled cardiac
disease
Sever uncontrolled
hypertension
Bleeding
disorder
Uncontrolled leukemia and
lymphoma
Pregnancy
Patients who take or have taken a variety of medications
Uncontrolled epilepsy
Slide17Preoperative evaluation of accused
tooth
Clinical examination of the accused tooth:
Access to the Tooth
Mouth opening of the patientThe location and position of the tooth
Slide182. Mobility
of the Tooth
Greater-than-normal mobility
Less-than-normal
mobility
Slide193. Condition
of the
Crown
presence
of large cariesEndodontically treated tooth shape, position and size condition of adjacent teeth
large accumulation of calculus
Slide20Radiographic evaluation of the accused
tooth
When the dentist need to take an x-ray?
History
of difficult extraction.
extensive caries, large restoration or endodontically treated tooth.abnormal resistance to forceps extraction.
Impacted tooth or partially erupted tooth.
If after clinical examination you decided to remove the tooth surgically.
Any tooth in close relation to vital
structures.
Any tooth has been subjected to
trauma.
An isolated maxillary molar especially if it is unopposed and over-erupted.
Whenever underlying bony pathology is suspected e.g. cystic lesion, tumors.
Slide21Radiographic findings essential for tooth extraction:
relationship of the tooth to be extracted to adjacent
teeth
Slide22Relationship to Vital Structures
Slide23Configuration of Roots
Slide24Condition of Surrounding Bone
Slide25Instruments used in simple uncomplicated teeth
extraction
1.
Diagnostic
instruments
2. Dental forceps3. Dental elevators
Slide26General assessment and considerations for
extraction
Slide27Slide28