Post on 18-May-2020
PROF.DR. / KHALED ATEF ELHAYES
Professor Oral & Maxillofacial Surgery
scholar.cu.edu.eg/pdkaepdkae@yahoo.com
Exodontia can be defined as
Painless Removal of a tooth or tooth root from its socket with
Minimal Injury to the bone and surrounding structure so that
postoperative healing is uneventful and No Postoperative
Prosthetic Problem is created.
U A : 45O to the floor
L A : Slightly tilted backward
U A : Pt. mouth is between elbow & Shoulder of Operator
L A : Pt. mouth is at elbow of Operator
Anatomical Considerations
Armamentarium
(DENTAL FORCEPS)
UPPER SET OF FORCEPS
UPPER ANTERIOR
UPPER PREMOLAR
UPPER MOLAR
UPPER R.R
BAYONET
JOCKEY
COW HORN
L. Anterior L. Premolar L. Molar
L. Anterior L. Premolar L. Molar
Adaptation of forceps to the tooth
WRONG GRIPS
LOWER 8
Rotation extraction movement is used at the following :
1. Upper Central incisor & lower 2nd premolar ( 1/5 ).
2. Rudimentary upper 8 .
3. Mesiodens.
4. Loose teeth.
5. Any long standing Remaining root.
6. Final extraction movement for all teeth.
ORDER OF MULTIPLE TEETH EXTRACTION :
1. Upper Posteriors.
2. Upper Anteriors.
3. Lower Posteriors.
4. Lower Anteriors.
OPERATIVE COMPLICATIONS
• Fracture of teeth.
• Traumatic injury to alveolar process.
• Fracture of tuberosity.
• Fracture of Jaw.
• Gingival laceration.
• Loosening or Extraction of neighboring teeth.
• Extraction or injury to un-erupted tooth.
• Disturbing artificial restoration.
• Bruising lip or cheek.
OPERATIVE COMPLICATIONS
• Injury to the tongue.
• Breaking an instrument.
• Forcing of tooth or root into soft tissues.
• Forcing of tooth or root into maxillary sinus.
• Injury to inferior dental canal.
• Emphysema .
• TMJ Dislocation.
• Bleeding.
POST-OPERATIVE COMPLICATIONS
• Hemorrhage.
• Swelling.
• Alveolar osteitis.
• Osteomyelitis.
PROF.DR. / KHALED ATEF ELHAYES
Professor Oral & Maxillofacial Surgery
scholar.cu.edu.eg/pdkaepdkae@yahoo.com