Forceps, elevators and Luxators

Question 1

What happens if the bone is stronger tan the tooth?

Answer 1

It will break at bone level (subgingival) - requires surgical removal

Question 2

How to remove a tooth that is weaker than the bone?

Answer 2

Surgical removal

Drill away bone around the tooth to effectively expand the socket

Question 3

Upper of lower?

Answer 3

Upper

Question 4

Upper of lower?

Answer 4

Lower

Question 5

Where do you use the forceps on the tooth?

Answer 5

Root of tooth at bone level

Question 6

Who is more likely to have root caries?

Answer 6

Old people

Perio pt

Question 7

Why not grab the crown?

Answer 7

Usually has caries

Question 8

Why do you initially push down th elong axis of the tooth?

Answer 8

Compress tooth - e.g. tiny micro cracks gets compressed

Strongest state

Question 9

Is the buccal side of the maxillary arch string of weak?

Answer 9

Weak - move tooth this way

Question 10

What movement do you not do with multirooted teeth?

Answer 10

Rotataion - root fracture!

Question 11

Steps in extraction?

Answer 11

Question 12

Straight line axis for upper anterior?

Answer 12

Excellent straight line axis

Nice straight forecep

Question 13

Where to place fingers for upper anterior extraction?

Answer 13

Buccal and palatally

Question 14

Use for what?

Answer 14

Upper anterior - straight forceps

Question 15

Use for what?

Answer 15

Upper premolar forceps

Question 16

Why be careful rotataing an upper 4?

Answer 16

Pull buccally - rotation may leave root apices behind

especially on orthodontic pt - root fragment left behind can displace 5 as gap is closed from braces

Question 17

Used for what?

Answer 17

Upper molar

Question 18

Used for what?

Answer 18

Support TMJ

Question 19

Beak to cheek ?

Answer 19

Yes

Question 20

Where to stand for bottom right ant?

Answer 20

Stand behind pt

Question 21

Where to stand for lower left ant?

Answer 21

In front of pt

Question 22

Forceps for lower molars?

Answer 22

Dual beak

Question 23

Where to stand for lower right molar extraction?

Answer 23

Behind pt

Question 24

What motion to expand socket for lower molar?

Answer 24

Figure of 8

Question 25

Where to stand for lower left molar?

Answer 25

In front of pt

Question 26

How to looses socket for lower Olaf’s?

Answer 26

Buccal-lingually

Then figure of 8 - make sire not to hot adjacent teeth

Question 27

For lower molars, how is the pt sitting n chair?

Answer 27

Upright and Lower down

Question 28

What to do after extraction?

Answer 28

Buccal plate squeezed back in

Achieved hemostasis quickly

Question 29

What to use if there is no crown?

Answer 29

Luxators and elevators

Question 30

What is more delicate - Luxators or elevator?

Answer 30

Luxators - use first

Question 31

How to use elevator?

Answer 31

Used within apical space and rotational movement of the PDL space

Rotate

Go in buccal - move elevator palatally

= tooth move palatally and bone move bucally

Question 32

Why keep the index finger extended toward the tip of a Luxators/elevator?

Answer 32

Preventing the instrument moving too far if it slips out of the PDL space and limiting damage to adjacent structures

Question 33

How to use luxator?

Answer 33

Don’t twist

Small wiggle as you separate the tooth and PDL

Question 34

Why not rotate luxators?

Answer 34

Fragile

Slip

Question 35

Where in th emuthdo you not se luxators?

Answer 35

Lingually - risk of slipping and penetrating FOM

Palatally - slip and damage greater palatine/incisive nvb

Question 36

Why not lever teeth out?

Answer 36

Crushed interdental bone / damage PDL

Mobility / avulsion of adjacent teeth

Sensitivity of adjacent teeth

Fractured restoration in adjacent teeth

Fractured basal bone