Do you sit or stand during dental extractions?

[Mauricio45]

I know we were taught in dental school to stand during dental extractions but I've noticed some dentists on the outside sit during dental extractions. I always sit during extractions as I find I have more control that way.

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[periopocket]

Not only do I stand while doing exos, unfortunately sometimes I find myself standing while doing operative, fixed and even endo 🙁


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[FanOfCostco]

Standing. according to faculty, the body mechanics you have standing gives you more leverage. Basically when you sit down you are limited by how your body can contort and how far your arm can rotate.

 

[Localnative]

private practice can never imagine sitting
standing is just overall more comfortable for rotational movements, the hips, the posture etc. increased spine mobility from cervical to lumbar when standing.
sitting = more strain on the cervical spine/neck.
only time i ever sat was microsurgical stuff in residency.

 

[vellnueve]

I prefer standing.

 

[Saddleshoes]

Standing. according to faculty, the body mechanics you have standing gives you more leverage. Basically when you sit down you are limited by how your body can contort and how far your arm can rotate.

I have found the above statement to be true. Additionally, I feel I have far great control of the application of power while standing. I believe that seating leads to hurky-jurky application of power. AND Hurky-Jurky movements leads to snapped off roots.

 

[suarez 7]

I used to stand because that is what we were taught in school. I sit for my extractions now because I feel I can get better visibility and access. I have noticed much better ergonomics and I dont get sore backs like I used to when I stand.
Oral Surgeons will stand because that is what they are used to in residency, and they dictate to us that we must stand for this procedure.
Try both and see what works

 

[Localnative]

"Oral Surgeons will stand because that is what they are used to in residency, and they DICTATE to us that we must stand for this procedure"

1) could care less what you or any other clinician prefers.
2) it's personal preference for the most part and what feels more comfortable. nothing to do with residency, externships, etc.

 

[gabooncito]

I guess it depends of how you were taught... I do it sitting down.


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[nealofgrafton]

"Oral Surgeons will stand because that is what they are used to in residency, and they DICTATE to us that we must stand for this procedure"

1) could care less what you or any other clinician prefers.
2) it's personal preference for the most part and what feels more comfortable. nothing to do with residency, externships, etc.

not a 100% true. some residency programs beat you into sitting down, I've heard Iowa is like that. I stand because that's how I was taught. Not that standing gives me any super special advantage but for the sake of argument I'd rather have my patient semi reclined instead of fully reclined in case a tooth falls back...

 

[Localnative]

not a 100% true. some residency programs beat you into sitting down, I've heard Iowa is like that. I stand because that's how I was taught. Not that standing gives me any super special advantage but for the sake of argument I'd rather have my patient semi reclined instead of fully reclined in case a tooth falls back...

1. that's not a sweeping generalization, but rather culled from my own personal experience.
2. that's what a gauze throat screen, if properly placed, is for.
3. good luck with your neck in 20 years. hope you have good disability insurance.

 

[Vicviper]

Sometimes I sit, but most of the time I stand. I feel like I can get better angles and leverage standing most of the time. However, If I'm going after a stubborn root tip, I'll often sit.

 

[Hoteego]

Standing. according to faculty, the body mechanics you have standing gives you more leverage. Basically when you sit down you are limited by how your body can contort and how far your arm can rotate.

That is just an untrue statement. You are using your hands and wrists to extract teeth and very little actual arm rotation.Extracting teeth does not require body leverage. It is about controlled movements and standing to do extractions does not really allow the best visibility or control. It was something taught in dental school that has no basis in fact. Barbers used to stand to do extractions because their chairs did not recline or go any lower. Oral surgeons just never used their heads when teaching this archaic method of tooth extraction.

 

[FanOfCostco]

That is just an untrue statement. You are using your hands and wrists to extract teeth and very little actual arm rotation.Extracting teeth does not require body leverage. It is about controlled movements and standing to do extractions does not really allow the best visibility or control. It was something taught in dental school that has no basis in fact. Barbers used to stand to do extractions because their chairs did not recline or go any lower. Oral surgeons just never used their heads when teaching this archaic method of tooth extraction.

Using wrist... hmm... not worried about carpel tunnel?

 

[sgv]

I've seen every OMFS attending do the little two step move when taking out lower molars. They make two little tiny steps with one foot and then the other with knees bent. Then they slowly shift their weight onto the foot that's ipsilateral to the tooth while almost locking their wrist and elbows to create a very large arch of rotation so they don't snap off a crown. You just can't create the same large arch of rotation as easily when you're sitting down on a swiveling chair.

 

[Drifter_]

Extracting bony impacted thirds must take a toll on your body. For all OS out there, do you find your back hurt at the end of the day after doing 8-10 cases of wisdom teeth extractions?