Overview

Dental Extraction is a surgical procedure to remove teeth that are severely damaged, decayed, or causing problems.

Dental extraction is crucial for relieving pain, preventing infection spread, and preparing for prosthetic replacement.

Learn more in our comprehensive RxDx BDS Course

Indications

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Severe Caries

Extensively decayed tooth

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Periodontal Disease

Severe gum disease

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Trauma

Fractured tooth

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Orthodontic Reasons

Space creation

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Impacted Teeth

Wisdom teeth

Contraindications

Absolute Contraindications

✗ Patient refusal
✗ Uncontrolled bleeding

Relative Contraindications

✗ Pregnancy
✗ Recent heart surgery
✗ Bisphosphonates

📋 Equipment Checklist

Check off items as you gather them:

Pre-procedure Preparation

Preparation includes patient assessment, radiographs, anesthesia planning, and understanding contraindications.

Step-by-Step Procedure

Step 1: Patient Assessment

Review medical history, assess tooth.

⚠️ Common Mistakes to Avoid:

  • Incomplete assessment
  • Missed contraindications

💡 Pro Tip:

Check for bleeding disorders.

Step 2: Anesthesia

Administer local anesthesia.

⚠️ Common Mistakes to Avoid:

  • Inadequate anesthesia
  • Wrong technique

💡 Pro Tip:

Ensure complete numbness.

Step 3: Luxation

Loosen tooth with elevator.

⚠️ Common Mistakes to Avoid:

  • Inadequate luxation
  • Root fracture

💡 Pro Tip:

Use proper technique.

Step 4: Extraction

Remove tooth with forceps.

⚠️ Common Mistakes to Avoid:

  • Incomplete removal
  • Tissue damage

💡 Pro Tip:

Use controlled force.

Step 5: Socket Care

Clean and inspect socket.

⚠️ Common Mistakes to Avoid:

  • Missed fragments
  • Poor cleaning

💡 Pro Tip:

Inspect thoroughly.

Step 6: Closure

Suture if necessary.

⚠️ Common Mistakes to Avoid:

  • Poor closure
  • Excessive suturing

💡 Pro Tip:

Use appropriate technique.

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Post-procedure Care

Post-procedure care involves pain management, wound care, and monitoring for complications.

Complications & Management

Complication Incidence Signs Management Prevention
Bleeding 5-10% Excessive bleeding Pressure, sutures Proper technique
Dry socket 2-5% Severe pain Dressing, analgesics Proper care
Root fracture 3-8% Incomplete extraction Surgical removal Proper technique
Infection 1-3% Pain, swelling Antibiotics Sterile technique

Clinical Pearls

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Always check medical history before extraction.

🎯

Use proper anesthesia technique.

⚡

Luxate thoroughly before extraction.

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Inspect socket for fragments.

📊

Provide clear post-op instructions.

🎨

Use appropriate closure technique.

⚠️

Monitor for complications.