Tooth extraction: what instruments does the dentist use?

August 18, 2017

Tooth extraction is an unpleasant, painful and even frightening procedure. But it seems so only to the patient - for a dental surgeon this is a completely ordinary, everyday and ordinary operation. UltraSmile . ru offers to see what tools the dentist uses to remove teeth. You can also find out ways to restore teeth>>>

Forceps

This is the main device that helps pull the tooth out of the socket. The doctor literally grabs the tooth with forceps and begins to swing it, which leads to the destruction of the ligaments holding the root. Next, the dentist carefully removes the tooth along with the root, again using forceps. The device looks, of course, scary, but not a single dental surgeon can do without forceps. It is noteworthy that such a seemingly simple tool is available in many variations: with inclined, thick or thin, with rounded or even flat nippers (or, in scientific terms, cheeks).


Dental forceps

Rehabilitation after tooth extraction with ultrasound

For recovery after surgery to be effective and comfortable, you must:

  • Apply a cold compress to the site of tooth extraction;
  • the gauze pad should be removed after the recommended time;
  • Take painkillers strictly according to the doctor's prescription.

What is not recommended to do:

  • consume hot food and drinks 2-3 hours after manipulation;
  • visit baths and saunas;
  • heat the intervention site;
  • physical exercise.

Elevator

When an impacted or unerupted tooth (most often wisdom teeth) needs to be removed, the dentist will use an elevator. The tool consists of a handle and a working part, which is used to extract the root. The elevator operates on the principle of a lever, that is, the doctor literally picks up the tooth from below and removes it from the bone tissue. Removing teeth using elevators is very traumatic, but in some situations you simply cannot do without them.


Elevator for tooth extraction

Auxiliary Tools

Forceps and elevators are the main tools of a surgeon. But in addition to them, scissors, scalpels, raspators (thin “spatulas” for separating gums from bone tissue), tweezers, clamps and all kinds of hooks are also used. A chisel (to separate bone tissue and expand the hole if the root is very deep) and a hammer can also be used. Patients are often horrified by the thought of having a chisel manipulated in their mouth, but there is nothing scary about such a procedure. With the right anesthesia, you will not feel anything. In addition, when removing teeth, a drill can also be used - the device will be required if the tooth has several roots and they will need to be separated before removal. This will significantly facilitate the process of extracting the tooth, because the doctor will not extract it entirely, but in parts.


Auxiliary Tools

Stages of tooth extraction using ultrasound

Atraumatic tooth extraction with ultrasound is similar to manipulations during standard surgery. The only difference is the tools – an ultrasound machine and conventional elevators and forceps. The whole procedure consists of several stages:

Initial consultation

To carry out an innovative dental technique for tooth extraction with ultrasound at a reasonable price, Implantmaster in Moscow has all the necessary latest equipment. Before carrying out medical manipulations, a thorough visual and instrumental examination of the oral cavity is carried out at the consultation. Next, the specialist will order an x-ray.

We perform cone beam computed tomography. The pictures are more accurate, and the Rg radiation is even less. Thanks to this, the most accurate diagnosis can be made.

Our doctors use a Labomed Magna dental microscope to thoroughly examine the condition of teeth and surrounding tissues.

Analyzes

An examination is carried out to determine contraindications to surgery. If no contraindications are identified, then a treatment plan is drawn up. The doctor answers all the patient’s questions. He explains in detail the surgical procedure and schedules an appointment.

Anesthesia

At the Implantmaster clinic, all surgical interventions are performed under pain relief using anesthesia. Our specialists perform atraumatic removal of all teeth, even multi-rooted ones.

Surgical intervention

The maxillofacial surgeon, implant surgeon, in order to prevent breakage of the partition between the roots, separates them from each other. Using a periotome, the marginal gum is gently moved away from the tooth to preserve its integrity. Next, an innovative piezo scalpel - the VarioSurg LED ultrasonic surgical system from NSK (made in Japan) - separates the roots and then segments them. Removal becomes safe, painless and as comfortable as possible for the patient. Immediately after ultrasound exposure, it can be implanted. Our highly qualified specialists use the latest materials and technologies, such as Straumann implants. Their osseointegration takes place in 3-5 weeks, and they can also be installed when the bone level is small. We also install Osstem implants, these are the best budget implants from Korea.

Subsequent application of platelet membranes containing cell growth factors accelerates regeneration.

Laser

The use of laser is one of the greatest achievements of medicine in general and dentistry in particular. In addition to making the dentist’s work easier, the device provides patients with a comfortable procedure and a fairly quick, painless recovery. The laser will not terrify a person, as can happen, for example, with a drill, because it works completely silently.


Laser

In general, in dentistry, lasers are used to treat shallow caries, install implants, treat gums, remove plaque, and even whiten teeth. When applied to the process of tooth extraction, the laser allows for a careful incision of the gums (in this case, the beam stops the capillaries, which means there will be no bleeding and severe trauma to the tissue), a more careful separation of the roots, as well as antiseptic treatment of the wound and restoration of damaged tissue.

Video of wisdom tooth removal using laser

Review: Maria

The wisdom tooth tormented me for 4 years, always getting worse at the wrong time, and never erupted. I read horror films about how such operations are carried out - they cut out the gums, saw out pieces of the impacted figure eight, imagined a bloody crumb in the mouth, and... every time I put off going to the dentist, washing down my tears of pain with nimesil. Then the esthetician dentist, where I do whitening, told me about ultrasound. For me, the nightmare ended before it even began! It all took 15 minutes, this is due to freezing time. They showed two terrible pieces of the tooth, and it had already begun to deteriorate under the gums, and separately two long crooked roots. I rinsed with an antiseptic for 3 days, they didn’t even prescribe an antibiotic. I recommend it to anyone who is afraid of tooth extraction and suffers pain.

Piezo device

Along with a laser, a piezoelectric device is another modern device that makes the dental treatment process more comfortable and safe. The device generates ultrasonic waves that replace a traditional drill. It works almost silently; when removing teeth, it allows you to make incisions in the gums, the teeth themselves, and bone tissue. In this case, the cuts are made using ultrasonic vibrations, and the tip of the device does not come into contact with the surface being treated. Due to this, the tissues are practically not injured, the operation is carried out with high precision even in difficult-to-reach areas.


Piezo device

Installing an implant immediately after tooth extraction

Single-stage dental implantation - the implant is installed after tooth extraction, in one visit. They administered anesthesia, extracted the tooth, and immediately installed an artificial rod in the socket. As a result, complex surgical procedures were combined.

Typically, implantation is carried out several months after removal, when the bone has recovered.

Qualified implant surgeons at the Implantmaster clinic perform both standard and simultaneous implantation. Our doctors use advanced materials and technologies, such as Straumann implants. They take 1.5 months to engraft into the jawbone; they can be implanted with a minimal amount of bone. We also install Osstem implants, these are the best budget implants made in Korea.

This is interesting: the tools that our ancestors used

It's surprising, but all modern hand tools for tooth extraction have been in use for several centuries. Of course, their ancestors looked very scary, and sometimes a simple operation led to very sad consequences, even death.

One of the first devices for removing teeth were pelicans, so named because of their external resemblance to the bird of the same name. They have been in use since the 14th century. The components of the device were a rotating claw and a base - the tooth was placed between them and twisted out of the hole.


Pelican

Another “torture instrument” of dentists was a special key. A claw was placed at the tip of the shaft, which allowed the tooth to be rotated around its axis. Fortunately, this method has not been used since the end of the 19th century.


Key

A rather unusual instrument is a goat's leg, with a double tip that resembles an animal's hoof. It was used to extract remains of tooth roots.


Goat leg

This is only a small part of the instruments previously used in dentistry. Most of them bear little resemblance to medical devices, causing associations with torture devices. No wonder people were afraid to go to the doctor! Perhaps it was then that a fear of dentists was formed, passed on to modern generations at the level of instinct. However, today there is simply no point in being afraid of dentists. Advanced instruments and devices, together with high-quality anesthesia, make the process of treatment and tooth extraction absolutely painless.

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