Oral Surgery | Simple Extraction | INBDE, ADAT

In this video, we walk through the clinical steps for a simple tooth extraction. Thanks for watching!

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How to extract a tooth as a professional dentist with minimal trauma in five steps.

Firstly 3 fundamentals not to be forgotten during extraction:
(1) Adequate access & visualization
(2) A clear pathway for the removal
(3) Usage of controlled force to luxate and remove the tooth.

Step 1

Loosening soft tissue attachment from the cervical portion of the tooth by Molt 9 periosteal elevator, that will give two advantages:
a- Allows ensuring profound anesthesia has been achieved
b- Allowing the elevator & tooth extraction forceps to be positioned more apically.

Step 2

Involves luxation of the tooth with a dental elevator.
Elevation should occur at the mesial and distal buccal aspects of the root.
No elevation should be attempted along buccal bone because it can easily fractured or the surgeon can lose control & cause soft tissue injury.

Step 3

Involves adaptation of the forceps to the tooth.
The lingual beak is usually seated first and then the buccal beak.
The surgeon grasps the handles of the forceps at the ends to maximize mechanical advantage and control.

The forceps are forced apically as far as possible to grasp
the root of the tooth as apically as possible, Why?

1-The beaks of the forceps act as wedges to dilate the
crestal bone on the buccal and lingual aspects
2- Forcing the beaks apically, the center of rotation (fulcrum).

Step 4

Involves luxation of the tooth with forceps.
In 3 stages:
1-Forceps apically seated as far as possible
2-Forces applied in the buccal and lingual directions should be slow, deliberate pressures & not jerky wiggle
3-Force held for several sec to allow the bone to expand.

Step 5

Removal of the tooth from the socket.
Once the alveolar bone has expanded sufficiently and the tooth has been luxated, a slight tractional force, usually directed buccally, can be used.

[carmelaazulado]

I can't stop thanking you enough, nice and simple presentation ! :)

[abdulhakimsharif]

Very helpful video. I enjoy most of your videos Ryan.

Thanks heaps!

[hiram]

So helpful, thank you for making this

[dr.deepthyprakash]

Thank u so much ! Could you make a video on the LA Techniques?

[anilvadasserikara]

Very informative & nice presentation .thank u so much

[boss.mimoto]

Gonna do one for the first time tomorrow. Hope it’ll go well..

[مطيعالجماعي-سر]

Thank u sooo much, it is really useful

[nailafatima]

Plzzz make more videos on oral surgery

[despinatouratzidou]

Hi Dr. Ryan first of all I would like to thank you for the wonderful presentations. I have one question, in which cases do you choose to place stitches after the extraction and do you usually put any material inside the socket for anti-bleeding or just leave it as it is? Thank you

[palomamunoz]

Dr Ryan:
Bending back the bone doesn’t increase the chances of fracture of the plates? Also, isn’t that an old practice? I though we didn’t squeezed bone anymore to preserve as much bone as we can, better seating for removable appliances, more esthetics for bridges, better bone hight to implants, and probably a periodontist dies every time he/she sees someone bending plates after an ext

[abraral-ali]

Hello thank you so much for your great Videos ، is there a way where I can print out your lectures.?

[umerrajput]

good job champ
can u tell what is purchase point

[ابوعرب-فظث]

We want video of chair position for extraction ' doctor and for patients

[Not-ee]

in lower molars ext... shouldn't we apply lingual pressure first because it's less resistance than buccal? this how i learned it in my school but you said the opposite

[drmohamedmahmoud]

How i can get these slides to make it paper based?

[snigdha]

u could include wharfe classification for exodontia .

[melisagarip]

When do you use a figure eight movement?