First extractions

[mdhan]

I'm set to extract my first tooth in clinic next Friday, and am excited but at the same time a little nervous. It's a simple extraction of a right upper third, so it looks really easy in theory and shouldn't worry me, but we all now how different a 'mental simulation' is from actually performing it...
Can anyone share his/her first experience with extractions? How hard was it? Did anything go wrong? And most importantly, how long did it take? Any replies would be greatly appreciated. THanks.

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[DrTacoElf]

I'm set to extract my first tooth in clinic next Friday, and am excited but at the same time a little nervous. It's a simple extraction of a right upper third, so it looks really easy in theory and shouldn't worry me, but we all now how different a 'mental simulation' is from actually performing it...
Can anyone share his/her first experience with extractions? How hard was it? Did anything go wrong? And most importantly, how long did it take? Any replies would be greatly appreciated. THanks.

Well i'm having my wisdom teeth pulled today and for the lowers you have to be careful not to damage the nerve. And for the uppers watch out for puncturing the floor of the sinus .

 

[aphistis]

1. Grab

2. Yank

That's all you need to know for oral surgery, right?

 

[Dr.SpongeBobDDS]

 

[toofache32]

1. Grab

2. Yank

That's all you need to know for oral surgery, right?

3. Bill

 

[DrTacoElf]

3. Bill

1. Bill

2. Grab

3. Yank

 

[aphistis]

1. Bill

2. Grab

3. Yank

Darn tootin'!

And toofache, whenever I see that avatar, I get cheesy 70's porn riffs floating through my head completely unbidden. Can't tell yet if that's funny or frightening.

 

[lnn2]

I'm set to extract my first tooth in clinic next Friday, and am excited but at the same time a little nervous. It's a simple extraction of a right upper third, so it looks really easy in theory and shouldn't worry me, but we all now how different a 'mental simulation' is from actually performing it...
Can anyone share his/her first experience with extractions? How hard was it? Did anything go wrong? And most importantly, how long did it take? Any replies would be greatly appreciated. THanks.

"for the maxilla, the patient should be positioned at a 60? angle"

1. Elevate, Elevate, Elevate. Elevate. Elevate the hell out of that tooth. If the sucker's not moving, don't grab the forcep!
"Elevators are used as a wedge from the MB line angle down to the ML apex. This expands the alveolar bone." Elevators are used in a rotating motion (like turning the car's key, 1/4 turn motion, in your case turn it clockwise). Work them down, while elevating off the alveolar crest. Always use a finger stop"

2. Luxate with Controlled force otherwise u'll fracture the roots or get yelled at!

3. Take your sweet time, who u'r trying to impress?!

4. Don't forget to finger compressing the bone after the extraction

For Max Molars try the Max cowhorn (53L/53R or 88L/R) (in up and down motion while squeezing the handles) in addition to 150

For Mand Molars, Cowhorn (#15/16) is the best best thing! (seat them on the lingual furcation first)

When **** hits the fan, call the resident (or instructor) to bail u out hey, it's just a tooth! the pt will get over it!

My 1st one was a Max 2nd molar. 1st one is always special, u'll never forget I didn't want to do it but the pt was a hot 20yo female so I said what the hell I was sweating bullets. I was very happy that the roots were intact Too bad they didn't allow Captain Morgan to assist me

 

[toofache32]

1st one is always special, u'll never forget

Are we still talking about dentistry?

I didn't want to do it but the pt was a hot 20yo female so I said what the hell

Ha....Now she's a snaggle-toothed hot 20yo female...

 

[lnn2]

Are we still talking about dentistry?

haha, not really!

Ha....Now she's a snaggle-toothed hot 20yo female...

I tried to convince her many times about RCT/Crown but to no avail; even before I did the extraction! It's shocking/sad to see some very good looking female in Urgent care that u wouldn't think twice about hooking up with. But once they open their mouths, u'll think to yourself, DAMN baby, what happened?
At my school most of the patients have no idea what dentistry is about. Most of them don't have to pay for dental care, yet we have a hard time getting them to show up Even the general public for that matter. I just saw Jay Leno show yesterday, a premed student didn't see the point of using the electric toothbrush instead of regular toothbrush!

 

[UNLV OMS GUNNABE]

I just saw Jay Leno show yesterday, a premed student didn't see the point of using the electric toothbrush instead of regular toothbrush!

Is there a problem with that?

 

[lnn2]

Is there a problem with that?

No, if you want to have a better chance of getting caries! I bet u'r still using the good old toothbrush, not that there's anything wrong with that! as long as u'r brushing everyday
But aren't u a d student? just thought u knew better

 

[ItsGavinC]

1. Grab

2. Yank

That's all you need to know for oral surgery, right?

Nope:

3. Bill somebody for the procedure.

[EDIT: didn't read the above post mentioning the exact same thing. Sorry.]

 

[DrJeff]

Wear dark colored scrubs, since this way when you sweat through them it won't be as noticable

And on a similar note, drink about a gallon of water in the couple of hours leading upto the appt time, this way you'll have enough fluid in you to meet the volume of sweat demand you'll be having

In all honesty, one of the coolest feelings you'll get is when you can feel the PDL fibers seperaing from their attachments Just go slow with the forceps, and make sure that you've properly(and thoroughly) elevated the tooth prior to putting the forceps on it and you'll be fine.

 

[UNLV OMS GUNNABE]

No, if you want to have a better chance of getting caries! I bet u'r still using the good old toothbrush, not that there's anything wrong with that! as long as u'r brushing everyday
But aren't u a d student? just thought u knew better

Last time I checked the literature there were only a couple of papers in favor of mechanical brushes and a ton that determined there was no statistical difference between the two modalities. Don't you use pubmed? just thought u knew better

 

[toofache32]

Last time I checked the literature there were only a couple of papers in favor of mechanical brushes and a ton that determined there was no statistical difference between the two modalities. Don't you use pubmed? just thought u knew better

That's what I thought, except in the case of manual dexterity or special needs patients. But it's been several years since I was in dental school and cared about this stuff.

 

[badabooom]

Last time I checked the literature there were only a couple of papers in favor of mechanical brushes and a ton that determined there was no statistical difference between the two modalities. Don't you use pubmed? just thought u knew better

he's just another victim of sonicare marketing

even the soniccare saleswoman that came to my school said that manual brush does better. someone gasped in surprise. she heard that, and she reaffirmed it "yes, it's true"

 

[Pi__Guy1]

I hated extractions. We had to extract at least 5 teeth our 1st week in OS rotation. Just like the other guy said, ELEVATE! Also, if you're extracting a highly decayed tooth, be very gentle. I grabbed onto the tooth w/ a 151, squeezed to get ready to luxate and the crown just fractured off right away. If that happens for your first extraction, don't sweat it. Just run off like a little girl and get the attending...

 

[trypmo]

[....]If that happens for your first extraction, don't sweat it. Just run off like a little girl and get the attending...

 

[lnn2]

Last time I checked the literature there were only a couple of papers in favor of mechanical brushes and a ton that determined there was no statistical difference between the two modalities. Don't you use pubmed? just thought u knew better

No, I only read pubdent You're right. There's little to no statistical difference bw them. Even if there was any researches done, they'll most likely be corporate sponsored. I spoke from my personal experience.

he's just another victim of sonicare marketing

even the soniccare saleswoman that came to my school said that manual brush does better. someone gasped in surprise. she heard that, and she reaffirmed it "yes, it's true"

I guess that I'm a victim of sonicare marketing. Yeah, it's called FREE Oral-B and FREE sonicare for d student.

I wouldn't jump into any conclusions untill you have used both Oral-B and Sonicare vs regular toothbrushes. I can give u a list of advantages of using mechanical over manual toothbrushes but then again I'd be wasting my time. You guys don't seem to be very receptive! that's just too bad! I'm just gonna leave u guys in the dark. Learn it my way or the hard way, your choice.

 

[texas_dds]

i will have to side w/sonicare on this one, and its only cause i have one. i will never use a manual again, it just doesnt feel as clean after. also, being in ortho treatment, i feel the sonicare does a better job in my hands.

 

[dental-wei]

a premed student didn't see the point of using the electric toothbrush instead of regular toothbrush!

is the electri toothbrush really better than regular toothbrush?
in my prof's view, she believes as long as you can use a rgular toothbrush to remove plaque effectively, its fine.

 

[lnn2]

is the electri toothbrush really better than regular toothbrush?
in my prof's view, she believes as long as you can use a rgular toothbrush to remove plaque effectively, its fine.

As long as u can use a regular SOFT toothbrush effectively, it's fine. IMO, mechanical tootbrush does a better job of polishing, removing extrinsic stains. It also prevents the excessive force of manual brushing that can cause gingival recession, tooth abrasion and decays in the long run known as class V caries.