The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

1. Exodontia
Exodontia is not merely an exertion of
brute force, but is based on
biological science and fundamental
concepts to all surgical procedures.
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2. Documentation
• Date
•Review of significant medical history and allergies
•Significant clinical findings
•Operative notes
•Anesthesia used.
•Medication prescribed.
•Return follow up appointment.
•Signature
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3. Principles
•
All necessary biological information
•
Surgical techniques
•
Minimal amount of complications.
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4. Indications for Extraction
• Extensive dental decay
• Serious infection
• Preirradiation
• Advanced periodontal disease
• Teeth that interfere with placement of prosthesis.
• Orthodontic reason.
• Teeth in line of fracture.
• Teeth associated with pathology.
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5. Fundamental Elements
• Proper position of the patient to allow doctor comfort & leverage
• For maxillary extractions the upper arch should be perpendicular
to the floor.
• For Mandibular extractions, occlusal plane is parallel to the floor.
• Always be prepared with necessary instrumentation.
• Use of bite block
• Reflect cervical gingiva to expose crestal bone.
• All teeth should be luxated prior to forceps extraction.
• Avoid excessive force
• If no tooth mobility seen after various attempts, plan for surgical
extraction.
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6. Instrumentation
In order to perform proper exodontia, the operator
must have Adequate instrumentation as well as
knowledge and ability to Use them.
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7. Techniques and Principles
Regardless of the tooth to be extracted, some common principles
are Applicable.
• Before engaging the forceps , a periosteal elevator should be
used in an atraurmatic fashion to gently release the gingival
cuff and interdental papilla.
• A strong apical seating force is applied which helps snificantly
increase the mechanical value and to break the periodontal
ligament.
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8. • Lateral forces cause the alveolus to expand.
• In all cases, all forces used during extractions should
be applied in a slow and deliberate fashion.
• When routine exodontia can’t be accomplished, surgical
technique must be employed.
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9. www.indiandentalacademy.com
Leader in continuing dental education
www.indiandentalacademy.com

10. www.indiandentalacademy.com
Leader in continuing dental education
www.indiandentalacademy.com