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

Deep caries non-restorable

tooth
1.

Severe abrasion non

treatable tooth
2.

Periodontally affected
teeth
3.

Pulpal and apical

pathology
4.

Broken down teeth with periapical

lesions
& cellulitis
5.

Cyst or
neoplasm
6.

Malposed &
supernumerary teeth
7.

Impacted
teeth
8.

Teeth involved in jaw

fracture line
9.

10.

Fractured teeth

11. Intruded,

teeth

extruded

12. Over

retained primary teeth

13. Natal

Tooth

or Neonatal

14.

Remaining roots

1.

Medical and dental

history

2.

Clinical examination

3.

Radiographic
examination

 compone

nts

Strong
metal
Light
Non corrosive material
(stainless steel or cobalt
cromium alloys)

 Suitable

design
Serrated

size, shape,

 Suitable
Sharp

pattern

enough

Angulations

accessibility

for better

 Heavy
Free
Not

and strong

of rocking

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
Seat pt. comfortably
position

Head, neck & trunk

in one
line

Backrest at level of
his
scapula

Headrest under his

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 &

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

Mandibular
extraction

In front & to right

side of pt
In case of extraction

ofAll
: 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

socket

of tooth from its

Apical
grip

Outward
moveme
nt

Inward
moveme
nt

Rotatio
n

Final
moveme
nt

Apic
al
grip

Grasp tooth below cemento-enamel

junction

Forceps
blades
forced
down
periodonta
l
membrane

Outwar
d
moveme
nt

In labial or buccal direction as first

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

Inward
moveme
nt

In lingual or palatal direction as

second
extraction movement for all
teeth..Except???

Rotatio
n

What are the teeth extracted

by
pure rotation
movement ???

Final
moveme
nt

car
e

instructio
ns

 Remove

any
fragments

Trim

sharp edges

Squeeze

the

socket
Control
Apply

pack

bleeding

pressure

 Bite

on pressure pack for

an hour

 No

mouth wash for 24

hours

 No

smoking for 24
hours

 Analgesics

prescribed

may be

 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