Tooth #24 was severely decayed down to the marginal bone edge. (Image: Dr Manouchehr Kiaei)
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.
Tooth #24 was severely decayed down to the marginal bone edge.
Figs. 2–4: The tooth was luxated with Luxator P4 (dual edge, lilac).
Figs. 5–7: Luxation was continued with Luxator P1 (straight blade, dark green).
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.
Figs. 13–15: The remains of the root were removed with the help of diamond tweezers.
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.