Conventional tooth extraction techniques are known to extract teeth by using inefficient forceps that do not effectively grip the root.
These old methods also enable the elevators that do not reach the dept of the periodontal ligament (PDL), causing trauma to the patient’s hard and soft tissues.
As techniques and instruments advance around the world, tooth extraction processes have become atraumatic, making it less painful for the patient and easier for the healthcare professional.
This process also ensures the patient’s natural bone preservation, and gum retention.
Benefits of atraumatic tooth extraction:
Following are pros of the atraumatic gum extraction technique:
- The process completes in a lesser time frame
- It is minimally invasive
- Decrease the risk of inflammation
- It reduces the chances of tissue damage
- It prevents bone injury
- It preserves the sockets of the teeth
Best oral surgery instruments for atraumatic tooth extraction:
The atraumatic tooth extraction practice predominantly relies on surgical, dental instruments particularly designed to extract roots, navigate and serve the periodontal ligament.
These are designed to create a sharp, precise cut at the point of the incision. The product is revolutionizing the world of dentistry for its multipurpose features.
Extraction forceps are used primarily for removing teeth from bony sockets after separating the attached ligaments during an atraumatic operation. The forceps also help keep the integrity of the nearby tissues to minimize damage.
Periotomes are used to elevate pain during an extraction procedure. It disengages the surrounding tissues for minimum discomfort pre- and post-operation.
How are Periotomes used during atraumatic extraction?
Periotomes are dental surgical instruments used in a tooth removal process. The thin blades of the tool help detach the transgingival and circumferential fibers. In short, the instrument cuts the PDL to loosen up the tooth.
How are Anglevators used during the atraumatic extraction?
Anglevators are multifunctional, upgraded versions of dental elevators.
The length of the Anglevator’s tip depends on the teeth to-be-extracted.
The instrument is versatile and performs the role of other instruments, too: chisel, crane pick, elevator, and Proximator.
Anglevators are known to preserve the buccal plate during an extraction.
The sharp tip of the instrument creates clean and sharp incisions without preventing damage to the surrounding tissue fibers.
How do you use extraction forceps during the process of atraumatic extraction?
Forceps use vertical force on the loosened tooth by pulling it straight out of the socket.
Forceps are the second-biggest contributors to atraumatic tooth extractions.
Forceps have multiple variations and are selected depending on the type of the tooth and its location, during a surgical procedure.
Steps of atraumatic extraction
Teeth can be removed within minutes without causing trauma to the nearby tissues.
Analyze and evaluate the truth for extraction:
Assessment and analyzing the tooth and nearby oral area of the mouth will help make better decisions. Review the patient’s radiograph to analyze the bone structure, osseous tissue defect, crown-to-root ratio, and presence of abscesses.
Also, ask yourselves:
- Is the tooth fractured, broken, impacted, or decayed?
- Is a flap surgery needed?
- Is the tooth structure visible?
- Are the nearby tissues swollen?
A well-informed decision is made once you have all the answers.
Extract the tooth
Once the patient is under anesthesia, it is time to start the surgery.
Enter and navigate a periodontal ligament with the Periotomes. Cut the ligament as soon as you feel it.
Slowly nudge the root with a gentle twist. Use the Anglevators to continue extracting the PDL fibers.
With a constant light rotational force around the axis of the tooth and repeating the steps, a tooth extraction occurs.
Extract the tooth using vertical motion:
By applying gentle pressure, the tooth comes out of the socket vertically. This prevents the conventional form of extraction where the tooth is rolled into the buckle bone. The method is easier and atraumatic for both doctors and patients.
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