Abstract:
Introduction. Dental extractions are the most frequent procedures in oral surgery, which interest
future rehabilitation with prosthetic or implanto-prosthetic treatment. Therefore, we pay attention
to atypical dental extractions in order to preserve soft tissues, minimizing traumatic effect in
order to facilitate prosthetic or implant-prosthetic rehabilitation.
Aim of the study. The aim of study is to analyze the efficiency of different techniques of teeth
extractions.
Materials and methods. A clinical study has been performed to evaluate the following teeth
extractions techniques: with Periotome, Piezotome, Benex Root-Control and Shield technique.
The efficiency of each device has been analyzed regarding the working time, difficulty of
manipulation and traumatic effect.
Results. The usage of Periotome, Piezotome, Benex Root-Control and Shield techniques,
appeared to be effective procedures in atypical extraction to monoradicular teeth with minimal
traumatic effect, preserving soft and hard tissues. However, the upper mentioned techniques are
not suitable alone for the molars with divergent roots, due to the necessity of roots separation
before extraction. A combination of drilling burs and extractions devices are necessary in such
cases.
Conclusions. The usage of different devices for minimally invasive teeth extractions has a
positive effect upon soft and hard tissues healing and creates the possibility of immediate
implant inseration in particular cases. A combination of techniques is necessary in case of molar
extractions. Further studies are necessary to evaluate the efficiency of shield technique.
