Best instruments for Atraumatic Extraction?

Long time sounds good to me ........ the longer more careful the extraction the more bone you preserve , all good for the future . All your tools seem right , this is not a sprint .. Regards Peter

Agree with Peter it takes time and skill not gadgets.

Hi Benjamin , great tool but I always split the roots and use luxators , periotomes and retain bone insitu as much as possible .... preservation is the key. When extracting to place an Implant I always tell the patient , " this will take longer for your benefit " . Having worked in a clinic in Africa for 6 months in the early 80s where I took out 200 teeth a day with minmal equipment and NO gloves , removal quicky with bone destruction is easy , this is more of a challenge. Peter

Peter is correct! Proper instrumentation, skill and judgement are the solution, not special extraction contraptions. I use a periotome from Salvin several times per day for extractions. It's great.

A tooth is a humbling experience.

How about a piezo? If you want a gadget they have a variety of periotome type tips. Works great, but still very slow.

try e.z. Xtract for A. Titan. It works very nicely for exts. of residual roots. Works like a gear puller. Good luck!

When I need to do a single tooth or root extraction surround by natural teeth, I like to use Benex extraction kit. The root come easy like when you use a corkscrew to open a bottle of wine http://www.benex-dent.com/en/

Nothing is too slow for corect work ! I agree with piezzo. The best way !!!

Carl Misch has a new set of Atraumatic Extractors used in tandem that seems to do teh job fairly easily and efficiently. Tooth is elvated both buccally and palatally WITHOUT buccal plate fracture. I am on my 90-day trial period offered through Surgical Solutions USA (surgicalsolutionsusa.com)

I have found best technique is to section multiple roots with a Hall microaire handpiece and 701 burr then displace the tooth by apically displacing the ligament around the tooth. The apical force displaces the tooth vertically without expanding or fracturing the cortical plates. That's really how all teeth are removed. Part geometry,root morphology,anatomy and understanding undercuts which prevent the delivery of the root. There are no magic forceps or corkscrews those are just gadgets. And if you know what you're doing it really doesn't take too long. Not much force is needed in most extractions just knowledge, technique and experience. Teeth are not elevated buccally or lingually but displaced vertically within the socket. Those movements just expand the cortices. If you are spending your valuable chair time trying to remove teeth it may be a better business decision and financial decision to refer this since you can charge more for a crown prep in the time wasted trying to remove teeth and treat complications. A general dental office or periodontal office is really not set up for surgery we use more efficient suction, light, and surgical handpieces but if you enjoy this go for it. Thanks for reading.

"Atraumatic Extraction" is the key to a successful end result in the esthetic zone. In the anterior region, the buccal bone is extremely fragile, and using periotomes to try to luxate a broken root, may result in destroying the buccal bone. If there is not enough root or tooth to hold, the Physics forcep is of no use. The Benex Extraction system at $2,400.00 is very expensive and is limited, the Sapian Root removal system is $1,700.00 and also has limitation. In September 2012, I published an inexpensive technique in " Implant News & Views",Vol 14 N0. 5; describing the "Tan Ger Technique for Atraumatic Root Removal in the Esthetic Zone". In this technique we use elongated Dentatus post screws or Dentatus Minitransional implants to screw into a root, and with the use of an every day "Vice Grip", are able to remove roots, without any damage to the fragile buccal plate. This technique may not work in every situation, but is it certainly worth trying. Gerald Rudick dds Montreal