Tooth #24 was severely decayed down to the marginal bone edge. (Image: Dr Manouchehr Kiaei)

Atraumatic extraction of maxillary first premolar

Back to clinical articles Europe

By Dr Manouchehr Kiaei, Sweden
November 15, 2019

A 70-year-old female patient visited our clinic owing to a fractured maxillary first molar. Tooth #24 had previously had a large composite restoration that was no longer in place at the time of the dental appointment.

Tooth #24 was severely decayed down to the marginal bone edge.

Figs. 2–4: The tooth was luxated with Luxator P4 (dual edge, lilac).

Fig. 3

Fig. 4

Figs. 5–7: Luxation was continued with Luxator P1 (straight blade, dark green).

Fig. 6

Fig. 7

Fig. 8: The tooth was removed with the help of diamond tweezers.

Fig. 9: During luxation, the palatal root was partially fractured while in the alveolus.

Figs. 10–12: The fractured root was carefully luxated with Luxator P1 and Luxator L3S.

Fig. 11

Fig. 12

Figs. 13–15: The remains of the root were removed with the help of diamond tweezers.

Fig. 14

Fig. 15

By means of a gentle extraction technique, we managed to preserve the interradicular septum. Luxator P4, with its extremely sharp dual-edge blade, was used at the beginning, followed by Luxator P1 once some space had been created. Although the blades of these sophisticated instruments are reinforced with a titanium coating, they should only be used to cut the periodontal ligament and never to elevate the tooth.

Luxator is a registered trademark owned by Directa AB in Sweden. All Luxator instruments are manufactured in Sweden by Directa. For further information, visit www.directadental.com.

Everything DirectaDentalGroup

P.O. Box 723
UPPLANDS VÄSBY, 194 27
Sweden
Tel.: +46 8 506 505 75
Fax: +46 8 590 306 0

www.directadentalgroup.com
info@directadental.com

NewsView All

Orsing stapt over naar exclusief gebruik van fossielvrije Hygoformic Bio

January 04, 2021 | Events, Interviews, News

HELSINGBORG, Zweden: Orsing, de innovatieve fabrikant van tandheelkundige verbruiksartikelen met hoofdkantoor in Zweden, is actief op zoek naar manieren om zijn bijdrage aan de uitstoot van broeikasgassen te verminderen en heeft kort geleden een reeks producten op de markt gebracht die uitsluitend zijn gemaakt van hernieuwbare grondstoffen. De ecologische productreeks van Orsing omvat de spiraalvormige speekselafzuiger Hygoformic met de Hygoformic Bio Adaptor, de afzuigslangen Hygovac Bio en Hygovac Bio Vent en de Bio Cup-beker, gemaakt van bamboevezels.

Orsing passe à l’utilisation exclusive de matériaux non fossiles pour Hygoformic Bio

December 29, 2020 | Events, Interviews, News

HELSINGBORG, Suède : Orsing, le fabricant novateur de consommables dentaires dont le siège social se trouve en Suède, recherche activement des façons de réduire son quota d’émission de gaz à effet de serre et a lancé récemment une ligne de produits entièrement fabriqués avec des ressources renouvelables. La ligne écologique d’Orsing comprend la pompe à salive en forme de spirale Hygoformic Bio et son adaptateur Hygoformic Bio, les pompes à salive Hygovac Bio et Hygovac Bio Vent, ainsi que le gobelet dentaire Bio Cup, en fibres de bambou.

Orsing passa esclusivamente a Hygoformic Bio non derivato da fonti fossili

December 28, 2020 | Events, Interviews, News

Orsing, innovativa azienda produttrice di materiali di consumo dentali con quartier generale in Svezia, è impegnata attivamente nella ricerca di soluzioni che riducano le emissioni di gas ad effetto serra e di recente ha introdotto una linea di articoli prodotti interamente da risorse rinnovabili.

WebinarsView All

On Demand Webinar

Ipersensibilità Dentinale. Gestione, metodi ed ergonomia

Consuelo Sanavia Igienista Dentale

Ipersensibilità Dentinale. Gestione, metodi ed ergonomia

L’ipersensibilità dentale HD è un fenomeno clinico che condiziona la vita e l’igiene orale orale del paziente. Distinguere e quantificare l’ipersensibilità può aiutare il professionista nella gestione e nella scelta del trattamento da effettuare.

On Demand Webinar

Computer-controlled local anaesthesia & paediatric patients: how to make your injections safe and effective

Aneta Olszewska DDS, PhD

Computer-controlled local anaesthesia & paediatric patients: how to make your injections safe and effective

Local anaesthesia can often be unbearable for young patients and stressful for a dentist. A computer-controlled local anaesthesia system allows the delivery speed and pressure to be adjusted to the clinical situation, developmental, anatomical, and physiological tissue differences observed in children. Effective anaesthesia is achieved with a lower amount of analgesic reducing the risk of toxic or allergic reactions and minimizing discomfort and sensation of numbness after the treatment. It helps prevent unwanted self- injuries to the lips, cheeks, and tongue.

On Demand Webinar

Computer-controlled local anaesthesia: why you should swap your traditional syringe or carpule for a digital system

Aneta Olszewska DDS, PhD

Computer-controlled local anaesthesia: why you should swap your traditional syringe or carpule for a digital system

Local anaesthesia can and should be atraumatic. A computer-controlled local anaesthesia system allows the delivery speed and pressure to be adjusted to the tissue absorption capacity. Effective anaesthesia is achieved with a lower amount of the analgesic and without the accompanying discomfort or a sensation of numbness after the procedure.

CORONAVIRUS
LIVE UPDATES

Atraumatic extraction of maxillary first premolar

A 70-year-old female patient visited our clinic owing to a fractured maxillary first molar. Tooth #24 had previously had a large composite restoration that was no longer in place at the time of the dental appointment.

Leave a Reply Cancel reply

Everything DirectaDentalGroup

CORONAVIRUSLIVE UPDATES

Atraumatic extraction of maxillary first premolar

A 70-year-old female patient visited our clinic owing to a fractured maxillary first molar. Tooth #24 had previously had a large composite restoration that was no longer in place at the time of the dental appointment.

Leave a Reply Cancel reply

Everything DirectaDentalGroup

CORONAVIRUS
LIVE UPDATES