ORS - Principles of Exodontia

Question 1

What is exodontia?

Answer 1

• Extraction of the tooth

- Painless removal of the whole tooth, or root with minimal trauma to the investing tissues

Question 2

Indications for exodontia

Answer 2

1. Unrestorable teeth
2. Periodontal disease
3. Pericoronitis
4. Teeth associated with large pathology
5. Orthodontic reasons
6. Trauma
7. Teeth interfering with construction of a prosthesis
8. Teeth within fracture line
9. Abnormal teeth
10. Any tooth impeding the eruption of another tooth
11. Financial/Phobia

Question 3

How to decide what the best treatment plan is for the patient

Answer 3

1. Informed Consent
Discuss alternative options (whether to keep the tooth or not:
a. Restore to function
b. Restore but not functional
c. Prognosis

2. Is it safe to perform the extraction?
   a. Check medical history - complex etc..
   b. Know your limitations and when to refer
3. Cross Infection Control
   a. Protect your patients
   b. Protect yourselves

Question 4

What are the factors affecting the difficulty of extraction?

Answer 4

1. The tooth itself
2. Supporting structures
3. Proximity to adjacent structures
4. Access