Surgical Extraction of
Maxillary 4th Premolar
• Avoid structures exiting infraorbital foramen
mesially and salivary duct papillae distally
• Section tooth into three segments (distal,
mesiobuccal and palatal segments)
• Elevate and extract segments routinely
• Curettage, flush and close surgical site
Click on slide to see the play arrows in the lower left corner.
Follow instructions in colored text to see animations.
Extraction of
Maxillary 4th Premolar
D
A: Buccal view maxillary 4th premolar
Extraction of
Maxillary 4th Premolar
D
B: Mesial view of maxillary 4th premolar
C
D
D: Extracted segments
C: Sectioned upper 4th premolar
Extraction of Maxillary 4th Premolar
Palatal View
Buccal View
Extraction of Maxillary 4th Premolar
1. Create flap
Extraction of Maxillary 4th Premolar
2. Remove buccal bone
Extraction of Maxillary 4th Premolar
3. Make V-shaped cut at the furcation. Find the furcation for the
first cut, angle the drill bit and gently drill from lateral to medial.
Click on drill to
make first cut, then
go to next slide.
Extraction of Maxillary 4th Premolar
Find the furcation for second cut, angle the drill bit and gently
drill from lateral to medial.
Click on drill to see
second cut.
Extraction of Maxillary 4th Premolar
4. Remove V-section
If you cut through correctly, the center cusp will drop out.
Extraction of Maxillary 4th Premolar
5. Remove buccal maxillary bone to expose more of the root.
Click on drill.
Extraction of Maxillary 4th Premolar
6. First use a Dental Elevator to loosen the distal root,
then remove distal portion of distal root
Click on elevator.
Extraction of Maxillary 4th Premolar
7. Then extract the distal root by using a dental forceps to twist it
counter-clockwise, clockwise, then pull.
Click in box
Go to next slide
Extraction of Maxillary 4th Premolar
7. Then extract the distal root by using a dental forceps to twist it
counter-clockwise, clockwise, then pull.
Click on dental forceps.
Extraction of Maxillary 4th Premolar
8. Put the dog in dorsal recumbence
to section the mesial and palatal roots.
Click on drill.
Extraction of Maxillary 4th Premolar
9.Loosen and extract mesiobuccal root
Click on dental elevator.
Extraction of Maxillary 4th Premolar
9.Loosen and extract mesiobuccal root
Click on dental elevator.
Extraction of Maxillary 4th Premolar
9.Loosen and extract mesiobuccal root
Click on dental extractors.
Extraction of Maxillary 4th Premolar
10. Put the dog between lateral
and dorsal recumbence again to
remove interradicular bone over
the palatal root.
Extraction of Maxillary 4th Premolar
10. Expose the palatal root by
using the burr drill to remove
interdiccular bone.
Mouse-over drill and hit
play button that appears.
Extraction of Maxillary 4th Premolar
11. Use the dental elevator to
loosen the palatal root.
Mouse-over large
box and hit play
button that appears.
Extraction of Maxillary 4th Premolar
12. Use dental forceps to
extract
the loosened palatal root.
Mouse-over large
box and hit play
button that appears.

Extraction canineupm4a

  • 1.
    Surgical Extraction of Maxillary4th Premolar • Avoid structures exiting infraorbital foramen mesially and salivary duct papillae distally • Section tooth into three segments (distal, mesiobuccal and palatal segments) • Elevate and extract segments routinely • Curettage, flush and close surgical site Click on slide to see the play arrows in the lower left corner. Follow instructions in colored text to see animations.
  • 2.
    Extraction of Maxillary 4thPremolar D A: Buccal view maxillary 4th premolar
  • 3.
    Extraction of Maxillary 4thPremolar D B: Mesial view of maxillary 4th premolar
  • 4.
    C D D: Extracted segments C:Sectioned upper 4th premolar Extraction of Maxillary 4th Premolar Palatal View Buccal View
  • 5.
    Extraction of Maxillary4th Premolar 1. Create flap
  • 6.
    Extraction of Maxillary4th Premolar 2. Remove buccal bone
  • 7.
    Extraction of Maxillary4th Premolar 3. Make V-shaped cut at the furcation. Find the furcation for the first cut, angle the drill bit and gently drill from lateral to medial. Click on drill to make first cut, then go to next slide.
  • 8.
    Extraction of Maxillary4th Premolar Find the furcation for second cut, angle the drill bit and gently drill from lateral to medial. Click on drill to see second cut.
  • 9.
    Extraction of Maxillary4th Premolar 4. Remove V-section If you cut through correctly, the center cusp will drop out.
  • 10.
    Extraction of Maxillary4th Premolar 5. Remove buccal maxillary bone to expose more of the root. Click on drill.
  • 11.
    Extraction of Maxillary4th Premolar 6. First use a Dental Elevator to loosen the distal root, then remove distal portion of distal root Click on elevator.
  • 12.
    Extraction of Maxillary4th Premolar 7. Then extract the distal root by using a dental forceps to twist it counter-clockwise, clockwise, then pull. Click in box Go to next slide
  • 13.
    Extraction of Maxillary4th Premolar 7. Then extract the distal root by using a dental forceps to twist it counter-clockwise, clockwise, then pull. Click on dental forceps.
  • 14.
    Extraction of Maxillary4th Premolar 8. Put the dog in dorsal recumbence to section the mesial and palatal roots. Click on drill.
  • 15.
    Extraction of Maxillary4th Premolar 9.Loosen and extract mesiobuccal root Click on dental elevator.
  • 16.
    Extraction of Maxillary4th Premolar 9.Loosen and extract mesiobuccal root Click on dental elevator.
  • 17.
    Extraction of Maxillary4th Premolar 9.Loosen and extract mesiobuccal root Click on dental extractors.
  • 18.
    Extraction of Maxillary4th Premolar 10. Put the dog between lateral and dorsal recumbence again to remove interradicular bone over the palatal root.
  • 19.
    Extraction of Maxillary4th Premolar 10. Expose the palatal root by using the burr drill to remove interdiccular bone. Mouse-over drill and hit play button that appears.
  • 20.
    Extraction of Maxillary4th Premolar 11. Use the dental elevator to loosen the palatal root. Mouse-over large box and hit play button that appears.
  • 21.
    Extraction of Maxillary4th Premolar 12. Use dental forceps to extract the loosened palatal root. Mouse-over large box and hit play button that appears.

Editor's Notes

  • #12 Remove buccal maxillary bone in animation to reflect previous slide.
  • #16 Show more root in the animation.
  • #17 Show more root in the animation.
  • #18 Show more root in the animation.
  • #20 Make palatal root look smaller.
  • #21 Make palatal root look smaller.
  • #22 Make palatal root look smaller.