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Exodontia Principles and Techniques: DR - BILLAL 49DDCH - 2017
Exodontia Principles and Techniques: DR - BILLAL 49DDCH - 2017
PRINCIPLES AND
TECHNIQUES
DR.BILLAL 49DDCH_2017
OUTLINE
• DEFINITION
• TYPES
• INDICATION OF INTRA-ALVEOLAR EXTRACTION
• CONTRA INDICATION OF EXTRACTION
• PRE OPERATIVE ASSESSMENT
• SURGEON PREPARATION
• PATIENTS PREPARATION
• TRAY SETUP
• POSTIONING OF THE PATIENTS
• SURGEON POSITON
• ANESTHESIA
• BASIC PRINCIPLES OF EXTRACTION FOR INDIVIDUAL TOOTH AND
• AFTER CARE
• POST OPERATIVE INSTRUCTION
DEFINATION & TYPES
2. TYPES :
A. Intra-Alveolar extraction or conventional extraction or forcep
extraction
B. Trans Alveolar extraction or surgical extraction
INDICATION OF INTRA-ALVEOLAR EXTRACTION
1. SEVERE CARIES
2. SEVERE PERIODONTAL DISEASES
3. FAILURE OF ENDODONTIC TREATMENT
4. ORTHODONTIC PURPOSE
5. PROSTHODONTIC PURPOSE
6. TEETH FROM FACTURE LINE
7. ECONOMICALLY FAILURE TO PRESERVE THE TOOTH
CONTRA INDICATION OF EXTRACTION
A. SYSTEMIC CONTRA :
1. Severe uncontrolled DM
2. Severe MI
3. Uncontrolled leukemia and lymphoma
4. Bleeding disorder
5. Pregnancy (1st & 3rd trimester)
B. LOCAL CONTRA :
1. Tumor
2. Sever infection at the extraction site
PRE OPERATIVE ASSESSMENT
A. History Taking 1. Medical History :
(i) H/O Hypertension
(ii) H/O Jaundice
(iii) H/O Kidney diseases
(iv) H/O Rheumatoid arthritis
(v) H/O Cardiac diseases
(vi) H/O Asthma
(vii) H/O Bleeding disorder
2. Dental History
(i) H/O Extraction
(ii) H/O Uncontrolled bleeding
B. Clinical Examination :
(i)Accessibility (mouth opening)
(ii) Tooth mobility
(iii) Crown Condition of the tooth (G. Caries, large restoration, facture, cervical caries)
(iv) Oral hygiene status
(v) Presence of infection at the site of injection
CONT……………
C. Radio logical Examination :
1. Prophylactic Antibiotics
2. Prophylactic Mouth cleansing
(i) Scaling
(ii) Polishing
(iii) Brushing
(iV) Rinsing with antiseptic mouth wash
(v) Placement of a towel on the patients chest
(vi) Eye wear
TRAY SETUP
Armamentarium
1. Mirror
2. Twizer
3. Caries probe
4. Elevator(Straight &angular)
5. Forcep(Upper& lower,Anterior,Premolar &Molar)
6. Cryer elevator/triangular elevator
7. Bayonet forcep
8. Root forcep
TRAY SETUP
9.Bone file
10.Ronger
11.Curettor
12.Local Anesthesia
13.Syringe
14.Cotton Pallet
15.Suture Material
16.Neddle Holding Forcep
POSTIONING OF THE PATIENTS
Movement:
1. The Final withdrawal movement for Most of the upper and lower teeth is an outward-
occlusal direction. Except the lower third molar which should be in a lingual- occlusal way
and maxillary 3rd molar should be disto-buccal.
The proper use of forceps
in luxation and removal of teeth
ways.
WHEEL AND AXEL