New Instruments for Extraction of Teeth: Success Rates?
Dr. S. asks:
I have heard from my colleagues and in lecture courses that there are new techniques for extracting teeth that do minimal damage to the surrounding bone. This is supposed to aid in the immediate installation of implants. The more bone that is conserved, the greater is the likelihood of attaining primary stability. I have seen advertisements for new kinds of surgical forceps, periotomes, elevators with tin cutting edges and corkscrew kinds of extraction instruments that pull the teeth straight out of the socket. My concern is for the cases where you have curved roots or flared roots or badly broken down teeth. How successful are these new instruments in all these and routine simple cases?
15 Comments on New Instruments for Extraction of Teeth: Success Rates?
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Eric
3/27/2012
The Ogram instruments did not work very well in my hands.
Alejandro Berg
3/27/2012
I use hand periotomes(Prof Shulte) and Piezo periotomes from NSK. They are both very nice and that is the way we do all extarction for our implants. We also do root section in molars to preserve the septum. I didnt have a very pleasant experience with the meissinger "cork screw" type system. So we stay with periotomes and very fine exactatomes from Hartsell & sons.
Hope this helps
Alex
dr. dan
3/27/2012
I usually section certain teeth and use atitan forceps. Recently started with the misch forceps. The jury is still out on this for me.
Drhck
3/27/2012
I did a study on the Golden Misch lower forcep on 40 teeth. They are very effective at removing teeth, especially mandibular molars. However, they will break buccal bone. Sectioning molars helps much. I would use them on conical roots and uncomplicated premolars and anteriors. When roots diverge or are otherwise complicated, I agree that periotomes are a great help. If anyone wants an email of the study, email me at hckddsmsd@gmail.com
Robert Wolanski
3/27/2012
There are times when the meissinger system does not work as it can pull our of a very decayed root and you must be careful not to over prepare the site (just like implants). I do not use it on posterior teeth but prefer sectioning like the dentists above. When is is truly and amazing instrument is when it removes and anterior tooth with thin facial plate and ZERO damage is done to the plate. Like all things in dentistry there is no one way of doing anything. I am glad I have this in my quiver. I have posted a your tube video on this subject as well
Dr. Prasanth Pillai, Koch
3/27/2012
Recently I was introduced to the Physics Forceps (www.PhysicsForceps.com ) . I have only seen a demo and not used one yet. It will be interesting to know opinion of doctors who are familiar with this forceps.
Jerry Rosenbaum
3/28/2012
The Misch forceps are fantastic. They may be one of the only instruments I have ever bought that turned out to be better than advertised. You must use a very slow, but steady pressure for them to be effective.
Gustavo Perdomo
3/27/2012
What happen in some situations where we don't have enough buccal plate or almos nothing to be able to anchorage the buccal atraumatic part of the forcep over the thin or very few remaining buccal plate of the socket.
This is my main concern additional to dilaceration or curve roots.
Rodgeru
3/27/2012
They break buccal bone if they are used improperly. See the training videos on youtube for techniques.
Sathyabama
3/28/2012
Hi!
Have been associated with this Physics forceps by Dr Richard Golden from Golden Dental solutions - its a great instrument in that when used carefully with the buccal leveraging extractions are easier. It uses the principle of the elevators to expand the PDL fibres and delivers the tooth.
Is there any published evidence on this I doubt it, which should be the next step in marketing these forceps.
David Nelson DDS
3/28/2012
I have used the Golden Misch since 2008. Periotombes and elevators are my first choice. The G-M forceps are worthwhile to have in your armamentarium. I like them, but they have limited applications where they are the best choice.
Adam
3/28/2012
Physics forceps work great for anteriors especially with esthetic concerns. The technique is not that difficult.
Baker vinci
3/29/2012
I may have said it, but it wasn't posted!
seth rosen
4/3/2012
Ögram course was a waste of my time. Guy was extremely pushy about buying Schumacher instrument and was then visibly irritated after I told him that I already owned about$7000 worth (they are sensational btw). It took over four hours to get to the start of how he thinks exteactions should be done...he's not a dentist. He supposedly "engineers" surgeries to be least invasive, yet I can't find a single mention of him surgically. And, this really irked me, he goes on and on about being a "car" guy, yet every fact he used as an example was false.
Richard Hughes, DDS, FAAI
4/4/2012
I still like using my SSW and HF forceps and periotomes, Tatum Luxators and elevators. Really cannot comment as per the Misch forceps.
