Oral Surgery Volume 4, Extraction and Impacted Teeth

8/8/2019 Oral Surgery Volume 4, Extraction and Impacted Teeth

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Oral Surgery

Volume 4


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Ext rac tion techn ique

and

Removal of Impac ted tee th


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D en tal Surgery/M inor Oral Surgery

D ef in itionincludes all surg ical procedures w ith in the

oral cav ity tha t can be performed under local anes thes ia on an ou tpa tien t bas is. As a spec ial ized area w ith in OMS all bas ic

pr inc iples of th is med ical d isc ipline applyto D en tal/M inor Oral Surgery as well.


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Surg ical procedure

-each surg ical procedure represen ts an injuryand only:

- the intention to bring healing - the patients agreement to the procedure- responsible screening about own skills

and abilities

pro tec ts from legal ac tion!!!!!


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E leva tors

Hooked Angled S tra igh t


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Roo t separa tion Upper molar

Lower molar


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Sepera ted roo ts and crown of lower molar


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Loosen ing of cerv ical a ttachmen t


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F inger suppor t upper e xtrac tion


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F inger suppor t lower e xtrac tion


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F inger suppor t/S tab iliza tion

Why is the f inger suppor t impor tan t?to f ixed the mand ible

to ma xim ize the effec t of appl ied force- to avo id trauma of TMJto palpa te the boneto sense the too th movemen tto s tab ilize the process


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Rema in ing Roo tsRadices relictae


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Removal techn ique1 s t: 2 ver tical inc is ions cover ing the alveolar area

2nd

: low speed bone cu tting and removal w ith eleva tor


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Removal of rema in ing roo tsClosure by single suture


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Removal of impac ted 3 rd molarsX-Ra y re ad ing


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Removal of impac ted 3 rd molarsInc is ion techn ique for lower 3 rd molar


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Removal of impac ted 3 rd molarsc rown sep a r a tion / p a rti a l


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Removal of impac ted 3 rd molarsc rown sep a r a tion / tot a l


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Removal of impac ted 3 rd molarsX-Ra y re ad ing a n d possible nerve imp a c tion


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theore tical s itua tion


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clin ical s itua tion


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Removal of impac ted 3 rd molarsin c ision te ch nique upper 3 r d mol a rs


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Removal of impac ted mes iodensinc is ion techn ique


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C ompl ica tions af ter removalU pper 3 r d mol a r

tuber fr a c ture


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Compli c a tions a fter remov a lLower 3 r d mol a r

Foreign bo d y-bone c utter lingu a l

Oral Surgery Volume 4, Extraction and Impacted Teeth

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