Particularities of atypical dental extractions

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.