A Technique for Atraumatic Extraction of Teeth Before Immediate Implant Placement Using Implant Drills

Immediate flapless implant placement in a smoker patient: A challenge for optimum aesthetics and secondary stability: A case report

The objective of this case report was to restore the young patient with missing teeth and extruded tooth using an immediate implant and synthetic bone graft material for the esthetic and comfort purpose. A 21-year young man reported extrusion of a tooth as well as missing teeth. Clinical examination revealed missing teeth in relation to (irt) 11 and 21, extrusion of tooth in relation to (irt) 12, patient had generalized fluorosis, and localized marginal gingivitis with melanin pigmentation. The patient is a known smoker, and he was advised the cessation of smoking before the treatment. This paper describes a step-by-step approach to different treatment phases, starting with surgical guide fabrication, immediate implant surgical procedures, bone grafting procedure, and later prosthesis fabrication. Follow-up resulted in a satisfactory outcome.

[Geostatics in minimally invasive surgical exodontias]

Minimally invasive technology is popularly applied in alveolar surgery. However, constrained by the traditional mechanics principle, minimally invasive techniques are not thoroughly implemented in complicated procedures, such as impacted tooth extraction. In these procedures, bone injury is difficult to restrict to the mildest degree. In this paper, the basic principle of geostatics is applied to analyze the obstacles and their elimination in tooth extraction to provide the foundation for minimally invasive tooth extraction.

Application of Endodontic Files for the Extraction of Root Tips: A Biomechanical Investigation and Case Study

PURPOSE

To investigate the appropriate endodontic file for the extraction of root tips through a biomechanical study and to evaluate the clinic efficiency of this technique.

MATERIALS AND METHODS

Nine hundred molar roots were randomly divided into 3 groups (3, 5, and 7 mm) and amputated to the corresponding length. Different files were inserted into the root tips, and a pullout test was conducted using a universal testing machine. The pullout force was recorded and files with greatest pullout force were selected for clinical study. Patients' root tips were extracted using these files. The duration and incidence of postoperative complications were recorded.

RESULTS

The greatest pullout force was obtained for the 25^# Hedström file, regardless of the length of the root tip and the type of file. The pullout force of Hedström files was significantly greater than that of Kerr files in each file group and root length group (P < .05). Clinically, the direct success ratio of this technique was 81.4%. The incidence of postoperative complications was very low.

CONCLUSION

The results of this study suggest that the application of endodontic files for the extraction of root tips is an acceptable technique. The 25^# Hedström file is the optimum choice for root extraction in most cases when using endodontic files.

Sonosurgery for atraumatic tooth extraction: a clinical report

The preservation of an intact labial plate during tooth extraction is a critical determinant of whether an immediate implant can be placed and is also an important predictor of the esthetic result. The purpose of this clinical report was to present a method for atraumatic tooth extraction by using an air-driven sonic instrument with specially designed inserts. This surgical technique provides the clinician with an efficient method for atraumatic tooth extraction and preservation of an intact labial plate.

Three dimensional socket preservation: a technique for soft tissue augmentation along with socket grafting

BACKGROUND

A cursory review of the current socket preservation literatures well depicts the necessity of further esthetic considerations through the corrective procedures of the alveolar ridge upon and post extraction. A new technique has been described here is a rotational pedicle combined epithelialized and connective tissue graft (RPC graft) adjunct with immediate guided tissue regeneration (GBR) procedure.

RESULTS

We reviewed this technique through a case report and discuss it's benefit in compare to other socket preservation procedures.

CONCLUSION

The main advantages of RPC graft would be summarized as follows: stable primary closure during bone remodeling, saving or crating sufficient vestibular depth, making adequate keratinized gingiva on the buccal surface, and being esthetically pleasant.

Contemporary management of tooth replacement in the traumatized dentition

Dental trauma can result in tooth loss despite best efforts at retaining and maintaining compromised teeth (Dent Traumatol, 24, 2008, 379). Upper anterior teeth are more likely to suffer from trauma, and their loss can result in significant aesthetic and functional problems that can be difficult to manage (Endod Dent Traumatol, 9, 1993, 61; Int Dent J 59, 2009, 127). Indeed, teeth of poor prognosis may not only present with compromised structure but trauma may also result in damage to the support tissues. Injury to the periodontium and alveolus can have repercussions on subsequent restorative procedures (Fig. 19). Where teeth are identified as having a hopeless prognosis either soon after the incident or at delayed presentation; planning for eventual tooth loss and replacement can begin at the early stages. With advances in both adhesive and osseointegration technologies, there are now a variety of options for the restoration of edentate spaces subsequent to dental trauma. This review aims to identify key challenges in the provision of tooth replacement in the traumatized dentition and outline contemporary methods in treatment delivery.

Technological advances in extraction techniques and outpatient oral surgery

There have been several exciting technological advances in extraction techniques and outpatient oral surgery within the last decade. A variety of new instruments and techniques are revolutionizing the fields of oral and maxillofacial surgery and dentistry. This article reviews the newer innovations in dentistry including the powered periotome, piezosurgery, the Physics Forceps, laser therapy, orthodontic techniques, and use of polyurethane foam.

Soft tissue closure of grafted extraction sockets in the posterior maxilla: the rotated pedicle palatal connective tissue flap technique

The sequelae of socket collapse and localized ridge resorption after tooth extraction in the posterior maxilla can adversely affect esthetics, function, and future implant placement. Immediate grafting of extraction sockets may help to preserve natural ridge contours; but lack of available soft tissue can prevent primary closure or exert tension that hampers graft turnover and compromises the visible gingival scallop. Exposed barrier membranes may also be susceptible to bacterial infection that may lead to secondary graft failure. The rotated pedicle palatal connective tissue flap is a relatively simple technique for soft tissue coverage of grafted sockets without excessive tension. This article presents the technique.