OMFS surgries

[mmasurf]

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i was looking for omfs surgery videos and i came across this clip. these surgeons extract a tooth atraumatically has anyone been taught this approach?

download link
http://bitshare.com/files/40kj04hm/atraumatic.avi.html

 

[lotexigeus]

that's pretty sweet

 

[gigawatt]

Easy X-TRAC: http://www.dental--health.com/video_easy_extractions.html

 

[armorshell]

I always thought 'atraumatic extraction' was the dumbest term ever. as if anything about jamming a razor thin blade down someone's pdl or jacking there tooth out with a hydraulic car jack is 'atraumatic'.

 

[DrReo]

Once you touch that soft tissue, it's neglect to state atraumatic.

 

[DrJeff]

There's a reason why that clip is from a couple of years ago, and no recent one's are available 😉

Here's a hint at why - It doesn't PREDICTABLY work in the hands of the general population of clinicians the way it does in that one clip

 

[mmasurf]

the only reason people don't use this technique is because they aren't educated on it, and people want to do quick procedures so they get more money. In reality that tissue is prestine and cant get better than that.

 

[DrJeff]

the only reason people don't use this technique is because they aren't educated on it, and people want to do quick procedures so they get more money. In reality that tissue is prestine and cant get better than that.

Most don't don't do a procedure just because it's quick or just for the money, since after the procedure YOU have to manage that patient, and as such YOU as the clinician either yourself or through a specialist, want to have the best, usually easiest (read as on/for the patient) thing done. With online forums such as dentaltown, you hear about new materials/techniques, not just from the manufacturer, but from actual doc who try these things out in their offices under realworld conditions (which often differ quite a bit from manufacturers demos) and you can start to figure out if say 50 realworld docs sya it's great because of A, B, and C, that it's might very well be as good as the manufacturer says. If 1 doc says it's great and 49 say "not so great" well then you can make likely a more educated descision about that material/technique before you buy it yourself.

In that video, it sure looks to me like the tooth being extrated is a virgin premolar quite possibly for ortho reasons. In my daily practice, I can tell you that for every virgin premolar I take out for my local orthodontist, I take out dozens of heavily decayed/restored/broken down teeth where with a technique like that I would have serious doubts about the speed at which that technique could work and/or it's ability to remove the more common root caries and/or furcation involvment tooth that I see coming out.

 

[Mackchops]

There's some videos here. http://physicsforceps.com/index.html

I've heard pretty good things about these. Save that ridge so you've got somewhere to put your titanium!

 

[mike3kgt]

I am an Physician of the Mouth. I extract teeth in one minute.

http://www.youtube.com/watch?v=SJj7_xwXCgY

 

[lotexigeus]

http://www.youtube.com/watch?v=rODoiiyhqs0

oopsies

 

[mmasurf]

so when this doctor cracked the alveolus would it be correct to leave the broken buccal plate in the socket suture it up and hope the remaining bone can remodel and stay intact or should he have taken it out?

 

[shabu2]

so when this doctor cracked the alveolus would it be correct to leave the broken buccal plate in the socket suture it up and hope the remaining bone can remodel and stay intact or should he have taken it out?

If periosteal integrity was not disrupted, it has a good chance of healing.

 

[jk5177]

If periosteal integrity was not disrupted, it has a good chance of healing.

What do you mean by "periosteal integrity"?

 

[jk5177]

I don't think that method works with posterior molars that are hard to access.

 

[armorshell]

What do you mean by "periosteal integrity"?

He means that the free buccal plate is still attached to the periosteum (AKA: You didn't flap the gingiva/didn't rip the gingiva off with the tooth). It will thus still have periosteal blood supply and be viable.