Dentaltown April 2023 - 31
Be Safe.
Be Sure.
I fi nd the decision to go from just using forceps luxators to fl apping and
troughing to be one I delay too often myself. Often it takes a minute or two
when you decide to do the buccal trough and, contrary to what you fear,
they will heal just fi ne. I think too much force on the bone is actually worse
than troughing some off . ■
Be Successful!
Quick, Easy & Reliable
PSP Imaging
Deluxe Safe'n'Sure:
ToothHiker
Post: 8 of 31
1/22/2023
I know we all get humbled on extractions from time to time, even OS.
I once saw an OS attending an OS residency who couldn't get a #16 out.
Th irty minutes later he said, " F it! I'm making an executive decision and the
risk isn't worth the benefi t. " Point of the story: We all get humbled.
Th ere are three basic tenets to every tooth extraction, including this one:
1. Remove the tooth/make the tooth smaller (section).
2. Remove bone/make the hole bigger (trough-just not the MN lingual).
3. Flap for better visibility.
When you're stuck, be quick to jump to one or all of these. Just use good
common sense and do no harm.
As for this tooth, sometimes on an MN molar you have to section it near
to the apex-especially if the roots are fused. Just know your anatomy and
where your bur is at all times. ■
Safe'n'Sure OPT:
Each OPT includes a sturdy
carbdoard insert pre-loaded.
Perfect for plates with
magnets or if you want
extra protection.
pilotdentist
Post: 9 of 31
You have a ton of bone between 30/31. You need to get comfortable
troughing way deeper on mesial and distal, and if needed, occasionally
360 degrees around a tooth root, to relieve all undercuts and be able to get
a 301 elevator in there to loosen roots if the entire crown is broken off .
If you get comfortable troughing, you will be able to get 100% of teeth
roots out.
And as others have said, this tooth has some perio loss, and with good
elevation could come out in one piece and not need troughing.
Tip: For fused molar roots, try a twisting motion similar to premolars;
often you will feel it release and come out as one piece.
With the mesiodistal split, you need to be careful to keep the pieces
together to support the whole structure to come out as one. Once a piece is
removed, any forceps work will not be successful. ■
These and more are available through your
local dealer, or for more information visit
www.flowdental.com
Both available in sizes 0, 1, 2, 3
1/22/2023
EZ-Glide tab allows quick
loading, and the oversized
yellow tab makes sealing fast
andeasy. Center seams are
butterflied for easy removal
of plates.
FREE FACTS, circle 5 on card
APRIL 2023 | 31 | DENTALTOWN.COM
http://www.flowdental.com
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Dentaltown April 2023
Table of Contents for the Digital Edition of Dentaltown April 2023
Dentaltown April 2023 - Cover1
Dentaltown April 2023 - Cover2
Dentaltown April 2023 - 1
Dentaltown April 2023 - 2
Dentaltown April 2023 - 3
Dentaltown April 2023 - 4
Dentaltown April 2023 - 5
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Dentaltown April 2023 - Cover3
Dentaltown April 2023 - Cover4
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