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

Atraumatic extraction of maxillary first premolar

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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 30

www.directadentalgroup.com
info@directadental.com

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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.

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