Tips and Practical Solutions to Dental Challenges
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Thomas Phillips, DVM, Fellow of the Academy of Veterinary Dentistry 2007 All veterinarians face challenging dental cases. This course will offer options and techniques to successfully accomplish difficult extractions, oronasal fistula, and tips and tricks for dental procedures.
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The document discusses access cavity preparation for endodontic treatment. It provides guidelines for preparing access cavities, including removing caries and restorations, locating all canal orifices, and achieving straight line access to the canals. Specific steps are outlined for preparing access cavities in anterior and posterior teeth, including maxillary and mandibular molars as well as maxillary central incisors. The goal of access cavity preparation is to allow for thorough cleaning, shaping, and filling of the root canal system.
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The document discusses the use of a universal curet for removing calculus. It begins by stating the learning objectives, which are to identify the parts, functions, and design of a universal curet and demonstrate its proper adaptation. It then describes the unique design of the universal curet, including its rounded back, rounded toe, semi-circular cross-section, and two cutting edges. It discusses techniques for recognizing the working end and adapting the curet to remove calculus from both posterior and anterior teeth. The document concludes by providing a video link demonstrating proper use of the universal curet.
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The document discusses ultrasonic scalers, including their definition, types, parts, differences from manual scalers, advantages, disadvantages, and tips. Ultrasonic scalers use high-frequency vibrations to remove plaque, calculus, and inflamed tissue from teeth and gums. There are two main types - piezoelectric and magnetostrictive. Key parts include the handpiece, cable, water control, power switch, and tips. Ultrasonic scalers are more efficient than manual scalers at removing calculus, require less space, and reduce treatment time and operator fatigue. However, they require water evacuation and can produce contaminated aerosols. The document also outlines four common types of ultrasonic
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The document discusses methods for determining the working length in root canal treatment. It defines working length as the distance from a coronal reference point to the point where canal preparation and obturation should terminate. The key methods discussed are the radiographic method, using an electronic apex locator, and non-radiographic methods. Ingle's radiographic technique is described as the recommended method, which uses a preoperative radiograph and subtracts 1mm from the estimated working length to the radiographic apex. Terminating instrumentation between 0.5-1mm from the radiographic apex is advocated.
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Sonic and ultrasonic scaling
Ultrasonic and sonic scalers were introduced in the 1950s as powered alternatives to manual instrumentation for removing supra and subgingival calculus. They use high frequency electrical or air pressure vibrations transmitted through interchangeable tips to remove deposits via mechanisms like cavitation. Studies found hand and powered instrumentation are similarly effective in reducing plaque, calculus, and pathogens and improving periodontal outcomes. While powered instruments provide improved access in furcations and heavy calculus, both techniques are important for periodontal therapy. Precautions are needed with powered instruments to prevent tissue damage or interference with devices like pacemakers.
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Exodontia refers to the extraction of teeth. It involves using levers and forceps to remove teeth while minimizing trauma to surrounding tissues. Elevators use principles of leverage to loosen teeth from their sockets. Forceps are used to dilate the socket and remove the tooth. Complicated extractions may require a transalveolar approach using surgical flaps and bone removal. Potential complications include damage to surrounding teeth, nerves or bone as well as post-operative issues like pain, bleeding and infection. Careful treatment planning and use of proper technique can help reduce complications from tooth extractions.
Surgical orthodontics-minor surgical procedures
minor surgical procedures are performed as an adjunct to or in conjunction vth orthodontic treatment.
Exodontia class
1. Exodontia refers to the painless removal of whole teeth or roots with minimal trauma to surrounding tissues to allow for uneventful healing and no postoperative prosthetic problems.
2. Key factors in exodontia include proper radiographic and clinical evaluation, choice of anesthesia, application of mechanical principles like leverage and wedges, and careful extraction technique and postoperative care of sockets.
3. Challenging extractions may require additional steps like mucoperiosteal flap reflection, bone removal, tooth sectioning, or leaving root fragments to avoid damage to surrounding anatomy.
Transalveolar extraction
This document discusses transalveolar extraction, also known as surgical extraction. It involves reflecting a muco-periosteal flap, cutting bone if needed, sectioning tooth roots, and removing the tooth. The document outlines the indications, contraindications, advantages, and steps of the procedure including incisions, bone removal, tooth elevation, debridement, suturing, and post-operative instructions. Potential intraoperative and postoperative complications are also listed.
Lxexodontia
All the mistakes are rectified.Complete and precise knowledge about EXODONTIA .I would like to again focus on compatibility of this ppt;some pictures differ from original one.Animations and Transitions added are not visible .Good for beginners to understand and remember.Images give you better way to grasp.Enjoy and have fun watching this ppt.
Armamentarium in implantology
This document lists and describes various instruments used in implant dentistry for incising and reflecting soft tissues, removing bone and tissue, grafting, retracting tissues, and drilling osteotomies. Key instruments include scalpels and blades for incisions, periosteal elevators and forceps for tissue reflection and grasping, rongeurs and burs for bone removal, bone scrapers and grafting tools for harvesting and placement of grafts, and osteotomes and piezosurgery units for bone modification and cutting. Proper instrumentation is essential for achieving optimal surgical outcomes in dental implant procedures.
Exodontia
The document discusses the principles and techniques of exodontia, or tooth extraction. It begins by defining exodontia as the painless removal of a whole tooth or root with minimal trauma. It then lists the minimum essential equipment needed and discusses pre-surgical evaluation including clinical and radiographic examination. Key techniques covered include forceps extraction, elevator extraction, and open or transalveolar extraction involving bone removal. Post-operative care of the extraction socket is also addressed.
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Tips and Practical Solutions to Dental Challenges
- 2. Preparations for Extraction • Intraoral radiograph all teeth to identify pathology or tooth & root malformations • Know the anatomy of the particular tooth • Adequate visibility through lighting, magnification, hemostasis or suction and use of air-water syringe • Closed extraction (single rooted teeth) versus open extraction (multirooted teeth)
- 3. Instruments and Surgical aids • Good lighting and visual access • Dental Technician or Assistant; 4 handed procedures • Soft tissue retraction • High speed dental unit • High speed handpieces • Suction • Air water syringe
- 6. Canine maxillary 4th premolar extraction
- 13. Dental Bur types • Round burs • Carbide burs sizes # ¼ to # 4 • Rapid removal of alveolar bone • Potential for soft tissue trauma • Diamond bur • Slower removal of bone • Less soft tissue trauma • Fissure burs • Rapid cutting or sectioning action
- 14. Bur Size • Bur # FG ¼ FG1/2 FG1 FG2 FG4 • Head dia. mm 0.5 0.6 0.8 1.0 1.4 • Head length mm 0.4 0.5 0.7 0.8 1.1
- 21. Luxators • Tip narrow or thinner • Act as a wedge in the periodontal ligament space • Can be used with slight gentle rocking motion to advance along the axis of the tooth root • Tips manufactured with multiple width for different diameter roots
- 22. Elevators • Tip thicker and more robust • Can apply more rotational force to a tooth root • May be winged or straight sided • Tips manufactured with multiple width for different diameter roots • Can be used to elevate roots by a wheel and axle type force for larger roots such as a canine tooth root
- 23. Luxators
- 25. Elevators
- 33. Canine maxillary 1st molar extraction
- 36. Flap for maxillary molar • Identify parotid salivary duct • Blunt dissection to minimize trauma to the duct
- 49. Bur Lengths Standard length 19 mm Surgical length 25 mm
- 62. Canine mandibular 1st molar extraction
- 66. Root Tip Fractures Arghh!! • Pre-extraction radiographs to show any tooth or root pathology for example; enlarged, bulbous root tip • Lighting and magnification to be able to see into the alveolus • Hemorrhage control via suction, sponges, light air-water lavage • Elevate with root tip pick, small luxator or elevator • Develop a trough around the root with a small surgical length bur • Remove alveolar bone if needed to increase access to root tip
- 72. Small luxators and root tip picks
- 73. Root tip forcep
- 75. Hypodermic needle used as a guide Smooth the surface of alveolar bone and roots
- 76. Feline Extractions • Tooth Resorption is the current name but has previously been identified as neck lesions and FORLs (Feline odontoclastic resorptive lesions) • Periodontal disease • Endodontic disease
- 77. Tooth Resorption Extraction versus crown amputation • Extraction if periodontal ligament space present, intact root canal, or inflammatory apical pathology • Crown amputation when there is ankylosis and boney replacement of the periodontal ligament and root structure and with loss of root canal
- 86. Oronasal Fistula
- 87. Surgical repair of oronasal fistulas • Tension free mucogingival flap • Double layer mucogingival flap • Graft implant to support mucogingival flap • Bone allograft material “Ossiflex” • Auricular cartilage autograft
- 100. Contact: Nassau Veterinary Clinic •talktous@nassauvet.com •518 766-2636