Dental extraction

Uses

• Loose teeth.
  Tooth mobility is an unreliable indicator of need to extract.
• Periodontal disease : if caused by loss of attachment.
• Supernumerary teeth : if affecting occlusion or crowding other teeth.
• Persistent deciduous teeth : if likely to interfere with eruption of permanent teeth, or predispose to periodontal disease by crowding.
• Advanced caries .
• Fractured teeth : if beyond repair, eg long axis root fractures, root fractures in the middle third, teeth with crown fractures when no endodontic treatment is authorized.
• Teeth on fracture line of fractured mandible or maxilla.
• Stomaliths caused by dental plaque.
• Malocclusion causing self-trauma.
• Dental pulp necrosis, eg discolored teeth.

Requirements

Materials required

Minimum equipment

• Molt P9 periosteal elevator.
• Root tip pick-Schein H1.
• Svenska luxators: 3 mm straight, 3 mm curved, 5 mm straight, 5 mm curved .
• Lindo-Levien elevators: LLL, LLM, LLS.
• MacPhail 6" needle holder or Mayo-Hagar needle holder.
• Fine toothed dissecting forceps.
• Straight scissors 5" .
  Must be sharp.
• Extraction forceps: small breed.
• Dental elevator: medium ST-8.
• Cutting burrs: 701, 702, 330, round 2, 3, 4 and 5 .
• Bone file .
• Drapes, clips, swabs.

Minimum consumables

• Suture material: vicryl 1.5 metric cutting needle swaged.
• Scalpel blade 11 and handle .

Sources

Publications

• Recent references from PubMed.
• Smith M M (1996) Lingual approach for surgical extraction of the mandibular canine tooth in dogs and cats. JAAHA 32 (4), 359-364 PubMed.
• Scheels J L et al(1993) Principles of dental extraction. Semin Vet Med Surg (Small Anim) 8 (3), 146-154 (Review).