Latest trends in atraumatic extraction of teeth

Minimally traumatic tooth removal is the norm for removing teeth when a dental implant is planned at that site. The quantity of available bone is the primary requisite to place an implant. The initial use of a scalpel blade to widen the periodontal space followed by the use of luxators is one of the techniques that is being followed for atraumatic extraction. A case of accidental breakage of a number 11 scalpel blade while attempting tooth removal and the method adopted in removing this portion of the blade without further bone destruction is reported here. The authors have not found any previously published cases, reporting the breakage of a scalpel blade during the bone expansion procedure and its management.

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Alveolar Ridge Preservation Using Xenogeneic Collagen Matrix and Bone Allograft

International Journal of Dentistry ◽

10.1155/2014/172854 ◽

2014 ◽

Vol 2014 ◽

pp. 1-10 ◽

Cited By ~ 1

Author(s):

Andreas O. Parashis ◽

Charalampos J. Kalaitzakis ◽

Dimitris N. Tatakis ◽

Konstantinos Tosios

Keyword(s):

Bone Allograft ◽

Immunohistochemical Analysis ◽

Collagen Matrix ◽

Normal Mucosa ◽

Ridge Preservation ◽

Alveolar Ridge ◽

Keratinized Tissue ◽

Alveolar Ridge Preservation ◽

Freeze Dried ◽

Atraumatic Extraction

Alveolar ridge preservation (ARP) has been shown to prevent postextraction bone loss. The aim of this report is to highlight the clinical, radiographic, and histological outcomes following use of a bilayer xenogeneic collagen matrix (XCM) in combination with freeze-dried bone allograft (FDBA) for ARP. Nine patients were treated after extraction of 18 teeth. Following minimal flap elevation and atraumatic extraction, sockets were filled with FDBA. The XCM was adapted to cover the defect and 2-3 mm of adjacent bone and flaps were repositioned. Healing was uneventful in all cases, the XCM remained in place, and any matrix exposure was devoid of further complications. Exposed matrix portions were slowly vascularized and replaced by mature keratinized tissue within 2-3 months. Radiographic and clinical assessment indicated adequate volume of bone for implant placement, with all planned implants placed in acceptable positions. When fixed partial dentures were placed, restorations fulfilled aesthetic demands without requiring further augmentation procedures. Histological and immunohistochemical analysis from 9 sites (4 patients) indicated normal mucosa with complete incorporation of the matrix and absence of inflammatory response. The XCM + FDBA combination resulted in minimal complications and desirable soft and hard tissue therapeutic outcomes, suggesting the feasibility of this approach for ARP.

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Atraumatic Extraction, Implant Placement and Immediate Provisionalization

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1571 ◽

2014 ◽

Vol 15 (4) ◽

pp. 513-517 ◽

Cited By ~ 1

Author(s):

Matheus Coelho Bandéca ◽

Rudys Rodolfo de Jesus Tavarez ◽

Adriana Santos Malheiros ◽

Leily Macedo Firoozmand ◽

Etevaldo Matos Maia Filho ◽

...

Keyword(s):

Tooth Extraction ◽

Significant Loss ◽

Extraction Techniques ◽

Prosthetic Rehabilitation ◽

Implant Placement ◽

Soft Tissue Volume ◽

Minimal Trauma ◽

Immediate Implant ◽

Atraumatic Extraction ◽

Front Tooth

ABSTRACT Front tooth extraction typically results in significant loss of hard and soft tissue volume, both in the vestibular-lingual and mesiodistal directions. As these changes can compromise the esthetic results of prosthetic rehabilitation, extraction techniques that cause minimal trauma to the remnant tissues are applied in combination with immediate implant placement to minimize such alterations. The case reported in the present article illustrates a therapeutic plan consisting of atraumatic extraction followed by immediate implant placement and provisionalization. When carefully indicated and planned, our results indicate that this technique may provide promising immediate results relative to the maintenance and stability of the peri-implanted tissues. How to cite this article de Jesus Tavarez RR, Calixto AM, Filho EMM, Bandeca MC, Firoozmand LM, Gomes MGN, Malheiros AS. Atraumatic Extraction, Implant Placement and Immediate Provisionalization. J Contemp Dent Pract 2014;15(4):513-517.

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Multiple myeloma and pulmonary aspergillosis: dental treatment prior to chemotherapy and management of post extraction complications

BMJ Case Reports ◽

10.1136/bcr-2020-235038 ◽

2020 ◽

Vol 13 (4) ◽

pp. e235038 ◽

Cited By ~ 1

Author(s):

Amy Patrick ◽

Khadeeja Saeed ◽

Navdeep Kumar

Keyword(s):

Multiple Myeloma ◽

Dental Treatment ◽

Dental Service ◽

Team Approach ◽

Pulmonary Aspergillosis ◽

Oroantral Fistula ◽

Dental Management ◽

Wisdom Teeth ◽

History Of ◽

Atraumatic Extraction

This case study discusses the dental management of a patient with a history of multiple myeloma and pulmonary aspergillosis, whom was referred to a hospital-based dental service for urgent dental review. The patient had received a dental assessment in primary care prior to commencement of chemotherapy and had four teeth extracted without complications. However, following the commencement of chemotherapy, he presented with a significant infection associated with two of his wisdom teeth resulting in extraction. Despite atraumatic extraction, the upper right wisdom tooth socket developed an oroantral fistula. A multidisciplinary team approach was required to enable effective patient management in this complex patient regarding myeloma, aspergillosis and the medications used including bisphosphonates and chemotherapy. It highlights the higher risk of oral complications that can arise in myelosuppressed patients and emphasises the need to identify potential sources of dental infection prior to the commencement of chemotherapy.

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Forced eruption and implant site development in the aesthetic zone: A case report

European Journal of Dentistry ◽

10.4103/1305-7456.130635 ◽

2014 ◽

Vol 08 (02) ◽

pp. 269-275 ◽

Cited By ~ 7

Author(s):

Huseyin Gencay Keceli ◽

Mustafa Baris Guncu ◽

Zeynep Atalay ◽

Mustafa Serdar Evginer

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Bone Apposition ◽

Non Invasive ◽

Site Development ◽

Invasive Method ◽

The Aesthetic ◽

Atraumatic Extraction ◽

Forced Eruption ◽

Crown Dimensions

ABSTRACTA multidisciplinary approach to develop the future implant site in the aesthetic zone was illustrated. A patient with perio-endo combined lesion at her upper central incisors was treated. Before extraction, forced eruption was performed and 12 months later, satisfactory amount of bone apposition was detected. At 2 weeks after atraumatic extraction, implants were placed and loaded with implant-supported restorations following osseous healing. Variables related to crown dimensions, periodontal/peri-implanter soft-tissue health and patient's aesthetic satisfaction were recorded at baseline, before extraction and after prosthetic treatment. At 12-month control, crown dimensions in the implant site were identical to the baseline and in addition to the healthy peri-implant tissues, successful aesthetics were obtained. Forced eruption is a successful non-invasive method to develop the aesthetics of the peri-implant tissues and implant-supported restorations.

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Correction of Malpositioned Implants through Periodontal Surgery and Prosthetic Rehabilitation Using Angled Abutment

Case Reports in Dentistry ◽

10.1155/2014/702630 ◽

2014 ◽

Vol 2014 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Érica Dorigatti de Avila ◽

Rafael Scaf de Molon ◽

Luiz Antônio Borelli de Barros-Filho ◽

Marcelo Ferrarezi de Andrade ◽

Francisco de Assis Mollo ◽

...

Keyword(s):

Alveolar Bone ◽

Traumatic Injury ◽

Treatment Protocol ◽

Interdisciplinary Approach ◽

Central Incisor ◽

Maxillary Central Incisor ◽

Maxillary Tooth ◽

Immediate Implant ◽

Provisional Restoration ◽

Atraumatic Extraction

When dental implants are malpositioned in relation to the adjacent teeth and alveolar bone or in an excessive buccal or lingual position, the final prosthesis rehabilitation impairs the peri-implant health of the gingival tissues and the aesthetics of the patient. Thus, the purpose of this case was to report and discuss a multidisciplinary protocol for the treatment of a compromised maxillary tooth in a patient with an abscess in his right central incisor due to an excessive buccal implant position. The patient presented with an implant-supported provisional restoration on his right maxillary central incisor and a traumatic injury in his left central incisor. The treatment protocol consisted in (i) abutment substitution to compensate the incorrect angulation of the implant, (ii) clinical crown lengthening, (iii) atraumatic extraction of the left central incisor, and (iv) immediate implant placement. Finally, (v) a custom abutment was fabricated to obtain a harmonious gingival contour around the prosthetic crown. In conclusion, when implants are incorrectly positioned in relation to the adjacent teeth, associated with soft-tissue defects, the challenge to create a harmonious mucogingival contours may be achieved with an interdisciplinary approach and with the placement of an appropriate custom abutment.

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Successful Rehabilitation of Partial Edentulous Maxilla and Mandible with New Type of Implants: Molecular Precision Implants

Case Reports in Medicine ◽

10.1155/2014/307364 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8

Author(s):

Matteo Danza ◽

Dorina Lauritano ◽

Francesco Carinci

Keyword(s):

Close Contact ◽

Primary Stability ◽

Bone Implant ◽

Implant Placement ◽

High Bone ◽

New Type ◽

Atraumatic Extraction ◽

Maxilla And Mandible ◽

Implant System ◽

Surrounding Bone

The extraction of teeth results in rapid bone resorption both vertically and horizontally in the first month. The loss of alveolar ridge reduces the chance of implant rehabilitation. Atraumatic extraction, implant placement in extraction socket, and an immediate prosthesis have been proposed as alternative therapies to maintain the volume and contours tissue and reduce time and cost of treatment. The immediate load of implants is a universally practiced procedure; nevertheless a successful procedure requires expertise in both the clinical and the reconstructive stages using a solid implant system. Excellent primary stability and high bone-implant contact are only minimal requirements for any type of implant procedure. In this paper we present a case report using a new type of implants. The new type of implants, due to its sophisticated control system of production, provides to the implantologist a safe and reliable implant, with a macromorphology designed to ensure a close contact with the surrounding bone.

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Tooth autotransplantation part 3: surgical planning and technique

Orthodontic Update ◽

10.12968/ortu.2019.12.4.126 ◽

2019 ◽

Vol 12 (4) ◽

pp. 126-133

Author(s):

Hani Nazzal ◽

Sophy Barber ◽

Zynab Jawad ◽

Nadine Houghton ◽

Monty Duggal

Keyword(s):

Surgical Procedure ◽

Surgical Planning ◽

Periodontal Ligament Cells ◽

Careful Planning ◽

Recipient Site ◽

Tooth Transplantation ◽

Case Selection ◽

Atraumatic Extraction ◽

Operative Assessment ◽

Periodontal Healing

The practical aspects of pre-operative assessment and surgical procedure for autotransplantation are discussed in this part of the series. The success of tooth transplantation is dependent on case selection, careful planning and a surgical procedure that maintains viable periodontal ligament cells and intact cementum of the transplanted teeth. A thorough assessment of the donor tooth and recipient site is vital for successful planning and execution of tooth autotransplantation. The surgical procedure involves atraumatic extraction of the donor tooth, socket preparation and splinting of the transplanted tooth. Post-surgical procedures include monitoring of pulp and periodontal healing and restorative camouflage of the donor tooth. CPD/Clinical Relevance: Surgical planning and procedures are vital to the success of autotransplantation. Orthodontists should be aware of these factors and bear them in mind when preparing patients for autotransplantation to optimize surgical success.

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Open Healing: A Minimally Invasive Protocol with Flapless Ridge Preservation in Implant Patients

Biology ◽

10.3390/biology11010142 ◽

2022 ◽

Vol 11 (1) ◽

pp. 142

Author(s):

Alecsandru Ionescu ◽

Aliona Dodi ◽

Lucian Cristian Petcu ◽

Mihnea Ioan Nicolescu

Keyword(s):

Survival Rate ◽

Minimally Invasive ◽

Alveolar Bone ◽

Tissue Level ◽

Ridge Preservation ◽

Bovine Bone ◽

Alveolar Ridge ◽

Extraction Socket ◽

Atraumatic Extraction

We aimed to validate the safety and efficacy of the minimally invasive “open healing” flapless technique for post-extraction socket and alveolar ridge preservation, while assessing the alveolar bone changes. The study enrolled (n = 104) patients (0.55 sex ratio), with atraumatic extraction of (N = 135) hopeless teeth, followed by either immediate placement of tissue level implants (N1 = 26), or later stage implant insertion (N2 = 109). No flap was raised in either situation. Post-extraction sockets were filled with deproteinized bovine bone granules and covered by collagen resorbable membrane—left purposely exposed during healing. This yielded an uneventful healing, with sufficient bone formation, while avoiding soft-tissue problems. The need for additional augmentation was assessed clinically and by calibrated CBCT scans at six months, before either loading (N1) or implant insertion (N2). Implant success and survival rate were evaluated at 12-, 24-, and 60-month follow-up control sessions. The inserted implants had a survival rate of 98.5% and a success rate of 94.8% at five-year follow-up. Open healing technique with flapless approach can be favorable for preserving the 3D architecture of the post-extraction socket, as well as the alveolar ridge width and height.

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