PRINCIPLES OF SIMPLE

EXODONTIA

Dr. Vigneshwar pon

Dental -2
 TUTORIAL OUTCOMES

• Fundamentals requirements of exodontia

• Chair positions of exodontia
• Principles of elevators and teeth forceps
use
 THE THREE FUNDAMENTAL
REQUIREMENTS OF EXODONTIA :
• Before you start , you should have :
• An adequate access and visualisation (position)
• An unimpaired path of tooth extraction
• Application of controlled extraction force
(instruments)
 CHAIR POSITIONS

• Patient’s head
• Below your elbow
• M y be tilted towards you
• Or straight
• The upper occlusal surface is 60 degree with the
floor
• The lower occlusal surface is parallel to the floor
• You could be positioned
• Either ahead
• Or behind the patient
Retractors. Instruments used to displace tissues and improve
surgical access.
● Elevators, Luxators, and Periotomes. Shanked instruments
used to disrupt the periodontal
ligament and mobilise teeth against the bony socket.
● Extraction Forceps. Pincer-type instruments used to grasp,
mobilise, and deliver teeth or roots.
● Ancillary Soft Tissue Instruments. Additional instruments used
during and after dental
extraction, to manipulate the soft tissues.
● Suturing Equipment. Specialised equipment necessary for
the handling of a suture needle and
soft tissues, for wound closure.
● Surgical Suction and Irrigation. Suction and irrigation
devices that can be safely and effec-
tively used in a surgical site.
● Surgical Handpieces and Burs. Drills designed specifically
for use in dentoalveolar surgery.
MECHANICAL PRINCIPLES OF EXODONTIA

• Lever : elevators
• Wedge : forceps and
elevators
• Wheel and axle : Cryer
 FIVE EXTRACTION FORCEPS MOVEMENTS

• Apical
• Wedge
• Rotation centre

• Buccal (all teeth accept lower

molars)
• Lingual ( lower molars )
• Rotational ( single ,cone shaped
root)
• Traction
 STEPS OF SIMPLE EXODONTIA

• Loosening
• Luxation by elevators
• Adaptation of forceps
• Luxation with the
forceps
• Tooth removal
• Congrats , the tooth is out ( it’s a boy
)
 TUTORIAL OUTCOMES

• Fundamentals requirements of exodontia

• Chair positions of exodontia
• Principles of elevators and teeth forceps
use