Upper premolar (208) extraction technique in photos
Slab fracture of 208x-ray at 45 degreesno sign of granuloma but as slab is below the gum line the tooth needs to be extractedInfraorbital and maxillary nerve blocks placedAll teeth descaled and polishedIncise to gingival junction with scalpel to distal edge of 209Place thumb on on infraorbital canal and make vertical incisionRaise a gingival flap using periosteal elevatorRound bur #6 to bur away buccal alveolar boneThe tooth sectioned at the furcationCrown removed and gutters cut using taper fissure burVet tome used to aid with extraction of distal root. Elevators and luxators also usedDistal root removed when looseDistal rootCrown height reduce on mesial roots until furcation visibleFurcation visibleBuccal root extracted with elevatorsTaper fissure bur used to remove the buccal bone of palatal rootPalatal root extracted using luxators, elevators and forcepsX ray to ensure all roots completely extractedRounded ends on sectioned roots indicate the root is fully removedCurette socketsFlush sockets with salineSmooth alveolar bone to ensure no rough edges with diamond football burMake periosteal releasing incision in the flap to ensure tension free closureSuture with 4/0 absorbable material simple interrupted patternClose up of extraction site after suturing
Pet DENTISTRY 