Latest trends in atraumatic extraction of teeth

Abstract

Ridge preservation is crucial in any extraction situation, especially if the site is planned for a future dental implant. Atraumatic extraction and socket management will lead to a predictable foundation for future treatment. Traditionally, conventional forceps along with elevators have been used in the extraction process. With forceps, the tooth is usually rotated in a buccal-lingual direction, which may result in weakening or fracturing of the buccal or lingual plate. An elevator is most commonly inserted mesially or distally with a leveraging or wedging force, which also may traumatize the hard and soft tissue. The basic process of atraumatic tooth extraction and preservation of soft and hard tissues begins with four generalized principles that should be applied to all extractions. By following atraumatic extraction technique, the quantity and quality of bone will be preserved, along with the gingival architecture. This will ultimately lead to more predictable implant positioning and placement. By adhering to the basic principles of atraumatic extractions and the use of atraumatic extraction kit rather than the use of periotome is a more predictable healing pattern may be obtained, as the vitality of the periodontal ligament and the surrounding blood supply is maintained.