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Shock method of operation in the extraction


. I almost 2 years experience with the impact of extraction method reported below. Clinical Materials and Methods 1. Clinical data 2002.2, ~ 2004.1. Extraction method using the impact of the author of 168 cases, male 89 cases, female 79 cases, aged 16 to 75 years. Distribution of teeth: 68 cases of third molars, anterior teeth in 15 cases, 36 cases of bicuspid, first and second molars in 49 cases, of which 65 cases of maxillary and mandibular 103 cases. Teeth: The 73 patients who complete crown and root of 42 cases, 53 cases of residual crown. 2, methods of operation anesthesia conventional methods, separation gums, teeth with a suitable collar pretty teeth, if not quite loose, the gap method used by quite another, such as moving or still can not quite fixed, but can not quite appropriate dental forceps extraction, can reverse the impact of trial law, that choice blunt osteotome into the neck or cheek side of tooth root bifurcation (tooth root and bone flap when necessary,[link widoczny dla zalogowanych], to be exposed root Ministry), and tooth long axis was 30. 45. Angle to the coronal and palate, tongue to the beating, beating power split between the teeth and increase the size of gaps between the tapping force, generally 1 to 3 times to the tooth dislocation, smooth removal, and then Socket Manipulative reduction, if necessary, to be stitched. Results 168 patients with tooth extraction using reverse the impact of law, the successful removal of 162 cases, 6 cases of root pruning, 3 lingual bone plate fracture. The average extraction time of 5min, did not occur torn gums, tongue, nerve damage, bleeding and infection after tooth extraction complications. Discussion of the tongue or distal to the impacted mandibular impacted wisdom teeth extraction often requires the use of impact method L1.2J. For the tongue, or distal to the impacted impacted, if they use from the mesial buccal collar, hard collar tooth depth, regardless of the principle of wedge, wheel principle, leverage force,[link widoczny dla zalogowanych], are not easy to stop leaving a large enough torque teeth shift. Impacted teeth such as the use of such split teeth, bone chisel can not be placed in the correct position so prone to failure. Buccal buccal bone plate by a slash through the outside, dense plate hypertrophy, by removing a large number of the buccal plate is very difficult to disarm the resistance. Lingual bone plate thinner, in the tongue to the lingual impacted the type of bone plate thinner, in some cases even loss of alveolar bone lingual phenomenon-3J, so the teeth from the buccal and lingual coronal shock to be easily shift the lingual plate, leaving teeth expand Socket dislocation. Maxillary impacted wisdom teeth or palate to the distal side tilt is serious,[link widoczny dla zalogowanych], difficult to place dental collar. At this point the impact is often used to make teeth can be easily dislocated. Distal mandibular second molar teeth with cervical caries in the impacted wisdom teeth were near, adjacent teeth due to resistance,[link widoczny dla zalogowanych], and greater resistance to dislocation, dislocation of clamp pliers with teeth sometimes difficult, but the impact is often with a smooth dislocation. For the root, residual crown teeth, because in most cases have the line pulp treatment, root and alveolar bone occur more adhesion, dentin than the crisp, easy dislocation of only using the conventional method, and prone to quit if the match can be achieved with less impact is often effect. Impact method can be used in two cases: ① teeth with the teeth very loose collar can not be used by gap method can not be quite loose; ② has been quite loose teeth, but not with the dental forceps dental forceps or pliers to teeth can not be smooth dislocation. As the impact of the equipment, placed in the position, size and direction of impact, and the assistant surgeon with the other important factor for success. The author advocates a wide blade with a blunt impact devices for bone chisel, because the bone chisel blade is flat, and the tooth contact area is large and easy to slip in shock. Osteotome placed in the tooth or root points and at the neck, so that shocks can guarantee a block of bone chisel, can impact spread tooth. Bone chisel and tooth long axis of the acute angle, as close to the long axis of tooth. According to mechanics, impact can be decomposed into the same direction with the tooth long axis of the dislocation force and with the tooth long axis perpendicular to the tongue, palate to the thrust, the closer the bone chisel tooth axis, the greater the force generated by dislocation. Assistant with a hammer strikes the force split between the teeth and the use of force by gaps between the rally-style percussion with intermittent mode, the hand surgeon must have a cutting grip fulcrum, and holding back enough to force to control the movement of bone chisel. Different according to different conditions imposed by force, if too much force or not to stand and can lead to root pruning or lingual plate fracture, therefore, the surgeon and assistants to act in harmony. There were 6 cases in this information COMING (3 cases occurred in the mandibular impacted wisdom tooth extraction surgery), 3 cases of lingual plate fracture (mandibular impacted wisdom tooth extraction), its causes and impact than too much on too large, the also associated with anatomical abnormalities. [
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