my exodontia

8/19/2019 My Exodontia

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Exodontia is part of oral surgerydealing with

extraction of teeth

An ideal extraction is the painlessremoval of the whole tooth orremaining root or tooth portion withminimal trauma to the investingtissues, so that the wound heals

uneventfully and no future


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1. Deep caries non-restorabletooth


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2. evere abrasion nontreatable tooth


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!. "eriodontally a#ectedteeth


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$. "ulpal and apicalpathology


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5. Broken down teeth with periapical

lesions

& cellulitis


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%. &yst orneoplasm


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'. (alposed )supernumerary teeth


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*. +mpactedteeth


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. eeth involved in awfracture line


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1/. 0ractured teeth


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11.+ntruded, extrudedteeth


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12. Over retained primary teeth


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1!.atal or eonatal ooth


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1$. emaining roots


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1. (edical and dentalhistory

2. &linical examination

!. adiographicexamination


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components


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trongmetal

3ight

on 4corrosive material

5stainless steel or cobaltcromium alloys6


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uitable si7e, shape,design

errated


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uitable pattern

harp enough

Angulations for betteraccessibility


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8eavy and strong

0ree of roc9ing

ot a#ected by fre:uentsterili7ation


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0or upper anterior teeth


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0or upper premolarteeth


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0or upper molar teeth5)36


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0or lower anterior teeth


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0or lower premolar teeth


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0or lower molar teeth


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Bayonet forceps ……… indications???


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Reed’s forceps ……… indications???


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;oc9ey forceps …indications???


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accordingto


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=h>.oo>>.oo???


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"atientposition• eat pt. comfortably

• 8ead, nec9 ) trun9in oneline

• @ac9rest at level ofhisscapula

• 8eadrest under his


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Dentalchair

position


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• Angulation ofbackrest :

maxillary occlusalplane is about 45

degree angle tothe oor

•

Height of the chair:

pt’s mouth corner isbetween the

surgeon’s elbow &

(axillary extraction


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• Angulation ofbackrest :

mandibular occlusal

plane is parallel tothe oor

• Height of the

chair :

pt’s mouth corner isat the

leel of surgeon’s

(andibularextraction


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!n front & to rightside of pt!n case of extraction

of :

All maxillary teeth

Anteriormandibularteeth

"osterior leftmandibularteeth

* ocloc9 position


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#ehind & to rightside of pt

!n case of

extraction of : "osterior rightmandibularteeth

11 ocloc9position


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Bhat is the functionof non

-wor9ing

hand


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&utting tooth attachment

eparating tooth fromsoc9et walls

Dilating soc9et walls

emoval of tooth from itssoc9et


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Apicalgrip

=utwardmoveme

nt

+nwardmoveme

nt

otation

0inalmoveme

nt


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Apic

algrip


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Crasp tooth below cemento-enamel unction


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0orcepsbladesforced

downperiodontal

membrane


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=utwardmovement


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+n labial or buccal direction as rstextraction

movement for all teeth >>.Except


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+nwardmovement


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+n lingual or palatal direction assecond

extraction movement for allteeth..Except


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otatio

n


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Bhat are the teeth extractedby

pure rotationmovement


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0inalmovement


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care

instructions


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emove anyfragments

rim sharp edges:uee7e the

soc9et

&ontrol bleeding

Apply pressurepac9


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@ite on pressure pac9 foran hour


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o mouth wash for 2$hours


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o smo9ing for 2$hours


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Analgesics may beprescribed


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o hot drin9s or food for 12 hours

&onsume soft )cold meals for 12hours

se antiseptic mouth wash after

2$ hours

Apply ice pac9s after surgical

extraction


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my exodontia

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