Exodontia is part of oral surgery dealing with

extraction of teeth

An ideal extraction is the painless removal of

the whole tooth or remaining root or tooth
portion with minimal trauma to the investing
tissues, so that the wound heals uneventfully
and no future problems are created.

1.

Deep caries non-restorable tooth

2.

Severe abrasion non treatable tooth

3.

Periodontally affected teeth

4.

Pulpal and apical pathology

5.

Broken down teeth with periapical lesions

& cellulitis

6.

Cyst or neoplasm

7.

Malposed & supernumerary teeth

8.

Impacted teeth

9.

Teeth involved in jaw fracture line

10.

Fractured teeth

11.

Intruded, extruded teeth

12. Over

retained primary teeth

13.

Natal or Neonatal Tooth

14.

Remaining roots

1.

Medical and dental history

2.

Clinical examination

3.

Radiographic examination

components

Strong metal
Light

Non corrosive material

(stainless steel or cobalt cromium alloys)

Suitable size, shape, design

Serrated

Suitable pattern

Sharp enough

Angulations for better accessibility

Heavy and strong

Free of rocking

Not affected by frequent sterilization

For upper anterior teeth

For upper premolar teeth

For upper molar teeth (R&L)

For lower anterior teeth

For lower premolar teeth

For lower molar teeth

Bayonet forceps indications???

Reeds forceps indications???

Jockey forceps indications???

according to ??????

Oh .Noo.oo!!!

Patient position

Seat pt. comfortably

Head, neck & trunk in one

line

Backrest at level of his

scapula

Headrest under his

occipital protuberance

Dental chair
position

Angulation of backrest :

maxillary occlusal plane is

about 45 degree angle to
the floor

Height of the chair :

pts mouth corner is between

the surgeons elbow &
shoulder or slightly above
surgeon elbow

Maxillary extraction

Angulation of backrest :

mandibular occlusal plane is

parallel to the floor

Height of the chair :

pts mouth corner is at the
level of surgeons elbow

Mandibular extraction

In front & to right side of pt

In case of extraction of :

All maxillary teeth

Anterior mandibular
teeth

Posterior left mandibular

teeth

8 oclock position

Behind & to right side of pt

In case of extraction of :

Posterior right mandibular

teeth

11 oclock position

What is the function of non

-working hand????

Cutting tooth attachment

Separating tooth from socket walls

Dilating socket walls

Removal of tooth from its socket

Apical grip

Outward
movement

Inward
movement

Rotation

Final
movement

Apical
grip

Grasp tooth below cemento-enamel junction

Forceps blades
forced down
periodontal
membrane

Outward
movement

In labial or buccal direction as first extraction

movement for all teeth . Except?????????

Inward
movement

In lingual or palatal direction as second

extraction movement for all teeth..Except???

Rotation

What are the teeth extracted by

pure rotation movement ???

Final
movement

care

instructions

Remove any fragments

Trim sharp edges

Squeeze the socket

Control bleeding

Apply pressure pack

Clean patient lips

Bite on pressure pack for an hour

No mouth wash for 24 hours

No smoking for 24 hours

Analgesics may be prescribed

No hot drinks or food for 12 hours

Consume soft &cold meals for 12 hours

Use antiseptic mouth wash after 24 hours

Apply ice packs after surgical extraction