Exodontia: Presented By:-Dr - Sateesh Bhatele
Exodontia: Presented By:-Dr - Sateesh Bhatele
Presented by:-
Dr.Sateesh Bhatele
Contents
• Definition
• Indications
• Contraindications
• Mechanical principles of extraction
• Preoperative assessment
• Clinical and radiological evaluation of tooth for
removal
• Chair position
• Techniques for tooth removal
• Specific techniques for removal of each tooth
• Operative Complications
• Post extraction care
• Post extraction Complications
• Healing of extraction socket
Definition
• Exodontia is defined as
orderly process of removal
of tooth or tooth root in a
painless manner with
minimal trauma to the
investing tissues so that the
wound heals uneventfully
and there is no
postoperative prosthetic
problem.
(Jeffry Howe)
Indications
• Advanced dental caries:-
most common and
widely accepted reason
• Severe periodontal
diseases
• Retained deciduous
teeth
• Malposed teeth
• Orthodontic reasons
• Preprosthetic
extraction
• Impacted teeth
• Supernumerary
teeth
• Teeth associated
with pathologic
lesions
• Pre-radiation
therapy (teeth in
the line of fire)
• Teeth present in
fracture line
Contraindications
LOCAL
• Acute Oral Infections
• Acute Pericoronitis
• Osteoradionecrosis
SYSTEMIC
• Uncontrolled Dibetes
• Acute Blood Dyscrasias
• Coagulation Defects
• Adrenal Insufficiency
Absolute Contraindication:-
• Clinical examination
• Radiological assessment
History
• Medical history:- hyper/hypotension, bleeding
disorders, diabetes, liver diseases etc.
2. Elevator technique
• Basic principles:-
DIADVANTAGES
• LEVER PRINCIPLE
• WEDGE PRINCIPLE
F P
L
P
H
w
RA RW
W
Intra-alveolar Extraction
• Ideally, the whole of the inner surface of the
forceps blades should fit the root surface, but it is
not possible to achieve because of variation in size
and shape of roots.
• Subcutaneous emphysema
Post operative care
• Rest:- patient should remain quiet for several
hours,
• preferably sitting in a comfortable chair or,
• if lying down, keeping the head elevated on
several pillows.
2. Foul odor
• Clot formation