Advanced dental extractions: Techniques, pitfalls and post-op management
The mainstay of dental extraction is accurate diagnostics to ensure a complete diagnosis and a treatment plan to be put together. Imaging and advanced imaging techniques can assist with treatment planning including likely outcomes and the type of extraction techniques that may be required.
Oral extraction is the mainstay of treatment but adjunctive techniques such as partial coronectomy and dental sectioning can aid this with fractured or diseased teeth. Pick extraction with the aid of fragment forceps can also assist oral extraction.
More surgical techniques such as minimally invasive transbuccal extraction (MTE) and minimally invasive trephination and repulsion have been described; and are used when oral extraction methods have failed. Both have their merits in certain situations but carry an increased risk of complications compared to oral methods. Traditional repulsion and lateral buccotomy are seldom performed.
Post operatively the most common complications are sequestrum formation and fistula formation and ways of treating these will be discussed.
- Be aware of the main methods of dental extraction including adjunctive methods to oral extraction such as coronectomy and dental sectioning.
- Be aware of the surgical methods of extraction should the above be unsuccessfull.
- The relative pro's and con's of each method alongwith the likely complications.
- Dealing with post operative complications
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