PROF.DR. / KHALED ATEF ELHAYES

Professor Oral & Maxillofacial Surgery

scholar.cu.edu.eg/pdkaepdkae@yahoo.com

Exodontia can be defined as

Painless Removal of a tooth or tooth root from its socket with

Minimal Injury to the bone and surrounding structure so that

postoperative healing is uneventful and No Postoperative

Prosthetic Problem is created.

U A : 45O to the floor

L A : Slightly tilted backward

U A : Pt. mouth is between elbow & Shoulder of Operator

L A : Pt. mouth is at elbow of Operator

Anatomical Considerations

Armamentarium

(DENTAL FORCEPS)

UPPER SET OF FORCEPS

UPPER ANTERIOR

UPPER PREMOLAR

UPPER MOLAR

UPPER R.R

BAYONET

JOCKEY

COW HORN

L. Anterior L. Premolar L. Molar

L. Anterior L. Premolar L. Molar

Adaptation of forceps to the tooth

WRONG GRIPS

LOWER 8

Rotation extraction movement is used at the following :

1. Upper Central incisor & lower 2nd premolar ( 1/5 ).

2. Rudimentary upper 8 .

3. Mesiodens.

4. Loose teeth.

5. Any long standing Remaining root.

6. Final extraction movement for all teeth.

ORDER OF MULTIPLE TEETH EXTRACTION :

1. Upper Posteriors.

2. Upper Anteriors.

3. Lower Posteriors.

4. Lower Anteriors.

OPERATIVE COMPLICATIONS

• Fracture of teeth.

• Traumatic injury to alveolar process.

• Fracture of tuberosity.

• Fracture of Jaw.

• Gingival laceration.

• Loosening or Extraction of neighboring teeth.

• Extraction or injury to un-erupted tooth.

• Disturbing artificial restoration.

• Bruising lip or cheek.

OPERATIVE COMPLICATIONS

• Injury to the tongue.

• Breaking an instrument.

• Forcing of tooth or root into soft tissues.

• Forcing of tooth or root into maxillary sinus.

• Injury to inferior dental canal.

• Emphysema .

• TMJ Dislocation.

• Bleeding.

POST-OPERATIVE COMPLICATIONS

• Hemorrhage.

• Swelling.

• Alveolar osteitis.

• Osteomyelitis.

PROF.DR. / KHALED ATEF ELHAYES

Professor Oral & Maxillofacial Surgery

scholar.cu.edu.eg/pdkaepdkae@yahoo.com