Line 40: |
Line 40: |
| | | |
| ==Surgical or Open Technique== | | ==Surgical or Open Technique== |
− | A surgical or open technique is an extraction technique involving raising a flap of tissue to remove bone that forms part of the socket, to allow access to the root and facilitate its extraction (pic13) | + | [[File:Tooth Extraction 4.jpg|200px|right|thumb|Surgical or open extraction technique.]] |
| + | [[File:Tooth Extraction 5.jpg|200px|right|thumb|Triangle flap]] |
| + | [[File:Tooth Extraction 6.jpg|200px|right|thumb|Pedicle flap]] |
| + | A surgical or open technique is an extraction technique involving raising a flap of tissue to remove bone that forms part of the socket, to allow access to the root and facilitate its extraction. |
| | | |
− | ====When Should this Technique be Used?==== | + | ====Indications==== |
| This technique should always be used for extraction of canine teeth, but the same principles can be applied to extraction of any tooth in the mouth. A surgical extraction technique is also used for retrieval of root remnants and if any abnormal tooth morphology exists. It may also be the surgeon’s preference to use a surgical technique if multiple adjacent teeth need to be extracted. | | This technique should always be used for extraction of canine teeth, but the same principles can be applied to extraction of any tooth in the mouth. A surgical extraction technique is also used for retrieval of root remnants and if any abnormal tooth morphology exists. It may also be the surgeon’s preference to use a surgical technique if multiple adjacent teeth need to be extracted. |
| | | |
Line 53: |
Line 56: |
| #Use a fine, monofilament absorbable suture material. | | #Use a fine, monofilament absorbable suture material. |
| | | |
− | ====Physical and Biological Requirements for Intraoral Suture Materials:==== | + | ====Intraoral Suture Materials==== |
| + | '''Physical and Biological Requirements for Intraoral Suture Materials:''' |
| #Fast absorption with minimal tissue reactivity | | #Fast absorption with minimal tissue reactivity |
| #Good short-term tensile/knot strength with sutures of small diameter | | #Good short-term tensile/knot strength with sutures of small diameter |
Line 70: |
Line 74: |
| An envelope flap is a gingival flap (i.e. not extending apical to the mucogingival junction) created by making a sulcular incision and elevating some of the attached gingiva on the lingual and buccal aspects and no vertical releasing incisions. | | An envelope flap is a gingival flap (i.e. not extending apical to the mucogingival junction) created by making a sulcular incision and elevating some of the attached gingiva on the lingual and buccal aspects and no vertical releasing incisions. |
| An extended envelope flap is useful for extraction of several adjacent teeth. They are mucogingival flaps, i.e. incisions extend apical to the mucogingival junction. Flaps used for extraction procedures are full-thickness flaps that also include the periosteum. | | An extended envelope flap is useful for extraction of several adjacent teeth. They are mucogingival flaps, i.e. incisions extend apical to the mucogingival junction. Flaps used for extraction procedures are full-thickness flaps that also include the periosteum. |
− | *A triangle flap is a mucogingival flap consisting of a sulcular incision and one vertical releasing incision (pic14) | + | *A triangle flap is a mucogingival flap consisting of a sulcular incision and one vertical releasing incision. |
− | *A pedicle flap is a sulcular incision with two vertical releasing incisions, this flap provides the best exposure. (pic15) | + | *A pedicle flap is a sulcular incision with two vertical releasing incisions, this flap provides the best exposure. |
| | | |
| ==Technique for Surgical Extraction of an Upper Canine== | | ==Technique for Surgical Extraction of an Upper Canine== |