How to make molar extractions easier
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- เผยแพร่เมื่อ 9 ส.ค. 2016
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If anyone want to use aerotor while splitting, leave 1mm tooth structer before furcation. Then use elevator to mesial or distal side of tooth to seperate middle
I'm a dental student, and I'm still new to extractions. But I used this technique for the first time. Pretty awesome stuff. Was literally the easiest lower molar I've done.
Glad to hear it was helpful. Back when I was in school if you had to section a tooth it was almost viewed as a failure. Sectioning and removing roots individually is less traumatic to the patient, helps preserve bone and lowers the chances of a buccal wall fracture
Dr. Revering, thank you so much for sharing. Any tips that help to make extractions easier are greatly appreciated.
That's a really great method, I usually just section lower molars, but opening the mesial and distal contact points really gives you a lot more space to work with. Will definitely try this out.
Alex Wegenschimmel I think you’ll find the experience better for both you and the patient. Keep doing good work. -Brad
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Yep that sounds great- try luxating and forceps- minimal movement, then remove M-D areas IP, try again and then see if you get enough movement to extract tooth, if not apply sectioning of the tooth and remove in two parts.
Quick and concise explanation. Very helpful. Many thanks.
Very nice review. Thank you. I had not heard of the slight mesial and distal reduction via diamond bur to allow for a slight amount more space when using the elevators.....
Great tips! Thank very much for posting. I'm going to use your advice this week.
This is scary
thank you for sharing thats great tip, which handpiece and bur you use for sectioning?
Great technique! Can't wait to apply it ;)
Excellent idea ...thanx a lot doc ❤
thanks for the great video. I am a student and took out tooth 31 today there will be other chances to try ths technique
This was super helpful for me 👍 Thanks a lot 🙂
It's a good tip, but I'm wondering if it will make the crown weaker, and then any use of forceps will just fracture the crown from the root and make the extraction more difficult.
Yesterday i have extracted like this. Felt very difficult for extraction lower first molar. Splitted. And luxtated by elevator
can i use the interdental split on vital decayed molar?
Thankyou for sharing your knowledge and experience
Very good explanation
What about maxillary molars...how do you section them
Good Info Dr. ,thanks
A good technique sir
Thank you
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Thank you for the upload!!!
You're welcome!
Appreciate it.Thanks a lot.Regards from India.
Pretty smart. Never thought of it!
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Thank you
wow ..that's a good idea...interdental cuts ..
👌🏻
Thank you, will start to utilise this technique.
Did you?
Thanks, it’s help a lot!
No problem!
thank you
gud tchachniqe we cn use in wisdom tooth also
tips for extraction of upper canines and premolars without breaking buccal plate? i find these much more difficult than molars, particularly endo treated broken at gumline
for single rooted use a lot of rotational force. Hold one direction for 10-20 seconds even if there is no movement, switch to the other. Rinse, repeat. do plenty of rotational force prior to buccal/lingual.
Its really a wonderful techniques which helped me a lot during extraction
Glad it helped.
@@PivotDentalCompany can i use the interdental split on vital decayed molar?
@@H982FKL-TG Vitality shouldn't matter. Consider the physics involved in extracting the tooth with the least amount of energy transferred to bone.
i will try this out
Pretty cool. Great method. I like the way this doctor explains things. I would never want to be a dentist though.
Wise man
Thankyou very much for this tips ...
Can we apply this tips for maxillary third molar ?
Yes.
I had my molar out wednesday, todsy sunday i can wiggle something Sharp and hard , is there supposed to be a plug to fill in the hole or is this part of my tooth still attached. Helppppp!!!
Catrina Watkins Sorry, I can’t help. Ask your dentist tomorrow
I do it this way
why is my dentist watching this mid extraction?😓
for me the extraction of premolars is so diffcut roots are long and slim can you advice me think you
For multi rooted premolars treat like a molar and section it. For single roots still remove the mesial and distal contact to get movement in that direction. Also, a figure 8 motion will help expand the socket. In some cases I've used a Physics Forcep but be careful. Too much time of pressure on the buccal mucosa will result in a painful (but temporary) ulcer for the patient during healing.
Get as far apical as possible with a periosteal elevator, then use your elevators to luxate, then switch to a forcep. Get as far apical as possible, move buccal for 5 seconds, move lingual for 5, then repeat. Use controlled force and reposition the forceps further apically if possible. Once you have some movement, rotate in a figure 8 and get that tooth out
How did you get the patients permission/justify an infra operative radiograph?
Simon Henderson what do you mean? It’s a confirmation film to verify the correct path. Why would a patient object? Are you serious??
@@PivotDentalCompany I think you should be able to clinically see the path. Under regulations where I work this probably would not be justified. I appreciate these differ from place to place. Plus if you keep your cut in tooth structure say two thirds can you not probagate root speration with a elevator much as you would sectioning a third molar crown?
I feel sorry for the tight regulations under which you work. What happens when your assistant misses catching the apex of a tooth during a root canal? Does he/she retake the film? What if contacts are not open on a bitewing film rendering it non-diagnostic? I bet another attempt at a bitewing would be okay. Sectioning a molar is done with the intention of making the extraction less traumatic. If the angle is off and you catch it with a film then there's still an opportunity to correct the path. Imagine severing the root which leads to more bone removal in order to get a purchase point. If that could have been avoided by taking a film then I think it's worth it. Hopefully your superiors can see the benefit compared to other procedures.
Sir do you have any video on how to extract an isolated tooth specially 3rd molar when there is no tooth on mesial side
I don't have a video specific to that.
@@CrossTimbersDental okay sir 😊
Nice
the technique might work, but there is a very high chance of damaging the alveolar bone under furcation.
Who cares...it will level off anyhow. Just like doing surgical extractions removing buccal bone.
Useful
Glad to hear that
#easydentistry
My thanks for the greats tips and information. but can I ask how the tooth was deemed unrestorable ??? The x-ray shows amazing bone support as we all the abscence of related pathologies ?
I don't know the case of course but sometimes pt can't afford RCT and restorative tx.
Patient can't afford RCT and periodic visit, so they oftenly choose extraction instead
well, you can use cow horn to split the molar
I agree with you but think about it. There would be so much pressure (patient may feel pain or not) for the patient. When you use handpieces, you are giving so much better experience to your patient.
@@amirbee9 woww sir. Thanks for this late but good answer. Actually when i made that comment, i had just came out of my dental college and lacked practical knowledge. Now i rarely use thr cow horn in my clinic lol. Bur and handpiece all the way..
@@raaga1994 Ur welcome doctor. We all getting better day to day. Good luck!
I can't understand the reason for breaking of mesial and distal contact points. A small elevator would fit into interproximal spaces anyway. We can't elevate roots toward adjacent teeth because they would break. So no need to create extra space there. I could only justify this procedureIn if the tooth would be a single rooted or with fused roots. It would then be similar to extraction of upper wisdom tooth. In my opinion partial crown removal would be more practical as we can visualise root anatomy, location of furcation. Splitting roots is much easier after crown removal.
My molar came out in two sections last week. I distinctly remember her using a drill, but didn't ask why.
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I now hate myself for not applying my brains to figure this one out on my own
Hate is a strong word.
I'm about to use a pair of pliers....
Go for it!
Would be faster to trough deeper inter radicularly, at least 50% of the bone that the root is encased in, in my opinion
It's a trade off. Is it worth it to trough deeper subtracting more bone in order to make the extraction faster? Each doc will have to weigh it out.
Great advice
Excellent video, great technique. Don't listen to those BDS's lol
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Seriously?!?!?!?!
i could use a pair of cowhorns to get that molar out in 10 seconds
Ek dam bekar method
well, you can use cow horn to split the molar
Horizontally, not to mention alveolar bone damage.
You can, but the cracking noise will scare the patient, even if they are prepared. Plus, if you section the tooth with a bur you'll get a nice leverage point