The brand of cow horn is most important. The best one is the Karl Schumacher 23CR - the beaks have ample curvature to get around the crown and they are thinner and sharper than other brands. Yes, this is expensive as the Dickens!! But 23CR design fully facilitates the proper method of cowhorn use and effectiveness.
Thank you so much doctor! This is really terrific channel and love how you teach! My senior clinical associate must watch your channel because this is exactly how he showed me how to use this instrument and the other tips of extracting teeth. One of my classmate also recommended me to this channel.
2:37 yep 😂😂 I love using the cowhorn, taking a tooth out and seeing the beaks perfectly in the middle of the furcation, such a useful tool when the crown is shattered already
Absolutely! I typically just use Henry Schein brand as they seem to function well for me. If you want something a bit more upgraded, you could go to this one from Hu-Friedy: henryschein.co.uk/gb-en/specialmkts-gb/p/instruments/extracting-forceps/atraumair-forcep-23-cowhorn-lower-molar/1153365
Hey Doc, thanks for the video. Early in my career I've used the cowhorn all the time and it was great, but I started to section lower teeth almost all the time now instead. I think I was told that sectioning the tooth was a more pleasant experience compared to the pumping forces of the cowhorn, what do you think?
I’ve followed in your footsteps. The 23 is my go to when the roots look favourable To deliver in one piece. If I have any doubts I go right to sectioning. I feel the same that when you need added force it’s hard on the jaw (even with a bite block) and can’t be pleasant as a patient. I section molars probably 80 percent of the time as a guess, upper first molars almost 100 percent of the time. Just a preference I suppose. Thanks for watching!
Hi Doc! About the bite block you were talking about. By putting a bite block, do you get the space to use your other hand to support the tooth/jaw? I hope you get the question cause I think I might have confused you😅😂 Thank you 😊
The bite block would be placed on the opposite side of the mouth than the tooth being extracted and should always be in place for a lower extraction. You can either support the jaw yourself if you're able (the block shouldn't interfere) or you can have your assistant make a fist and push up on the jaw under the bite block to help support the patient while you're removing the tooth. Does that help? All the best! Thanks for watching!
We do use European style 90 degree / side facing handles as well. In fact that is the major forcep for many North American dentists and surgeons for premolars forwards on the lower. Can't say why, but this style of cowhorn seems to have caught on over the years! If you don't mind sharing you favourite forceps, people may be interested to hear. All the best!
The brand of cow horn is most important. The best one is the Karl Schumacher 23CR - the beaks have ample curvature to get around the crown and they are thinner and sharper than other brands. Yes, this is expensive as the Dickens!! But 23CR design fully facilitates the proper method of cowhorn use and effectiveness.
I tried this technique today and it worked at 100%. I was amazed!
That's great news! Keep it up!
Thank you so much doctor! This is really terrific channel and love how you teach! My senior clinical associate must watch your channel because this is exactly how he showed me how to use this instrument and the other tips of extracting teeth. One of my classmate also recommended me to this channel.
Terrific! Glad to hear you enjoy the content. There will be more to come! All the best!
Thanks for making this video, I just bought the #23 tool on etsy and you have made the only video about how to use it.
You bet! Good luck and all the best!
I’ve never seen the pumping technique. I’ve always loved the cow horn. I’m betting I will love it even more. Thanks for the education!
It's a game-changer. All the best!
Cool trick with the upper third molar! 💪
Very good explanation 👏 thank you so much for your effort
Please demonstrate 88R and 53 R forceps for upper right molar.
Good Explanation
Awesome video!
Thanks through eternity
2:37 yep 😂😂 I love using the cowhorn, taking a tooth out and seeing the beaks perfectly in the middle of the furcation, such a useful tool when the crown is shattered already
Thank you so much Dr. Hoium! I was wondering if you could provide a link for your favorite serrated cowhorn? Thanks!
Absolutely! I typically just use Henry Schein brand as they seem to function well for me. If you want something a bit more upgraded, you could go to this one from Hu-Friedy:
henryschein.co.uk/gb-en/specialmkts-gb/p/instruments/extracting-forceps/atraumair-forcep-23-cowhorn-lower-molar/1153365
Very good help 👍 👏
Hey Doc, thanks for the video.
Early in my career I've used the cowhorn all the time and it was great, but I started to section lower teeth almost all the time now instead. I think I was told that sectioning the tooth was a more pleasant experience compared to the pumping forces of the cowhorn, what do you think?
I’ve followed in your footsteps. The 23 is my go to when the roots look favourable
To deliver in one piece. If I have any doubts I go right to sectioning. I feel the same that when you need added force it’s hard on the jaw (even with a bite block) and can’t be pleasant as a patient. I section molars probably 80 percent of the time as a guess, upper first molars almost 100 percent of the time. Just a preference I suppose. Thanks for watching!
Hi Doc! About the bite block you were talking about. By putting a bite block, do you get the space to use your other hand to support the tooth/jaw? I hope you get the question cause I think I might have confused you😅😂 Thank you 😊
The bite block would be placed on the opposite side of the mouth than the tooth being extracted and should always be in place for a lower extraction. You can either support the jaw yourself if you're able (the block shouldn't interfere) or you can have your assistant make a fist and push up on the jaw under the bite block to help support the patient while you're removing the tooth. Does that help? All the best! Thanks for watching!
Where can I find this tooth model ?
I got this model on ebay. Just search for dentoform with removable teeth. All the best!
Why do North American forceps all look like upper forceps? You would get so much more leverage with 90 degree lower forceps
We do use European style 90 degree / side facing handles as well. In fact that is the major forcep for many North American dentists and surgeons for premolars forwards on the lower. Can't say why, but this style of cowhorn seems to have caught on over the years! If you don't mind sharing you favourite forceps, people may be interested to hear. All the best!
Has the same thought as well ... we are so fond of those 90 degree mandibular forceps .. but you know it helps us realise and “ feel “ the luxation .
Muy bueno.
i had a dental student use this on me today ans fucking destroyed my teeth. had to get the doctor to come get the job done.
Get a good mic please ... We can't hear you.