Tooth Extraction using Vertical, Conventional, and Surgical Techniques in Sebha Dental College: A Descriptive “Cross-sectional Study”

Abstract

Objective: This study aimed to describe different techniques (vertical, conventional, and surgical) used in routine exodontia as well as the most teeth extracted per procedure. Methods: A descriptive cross-sectional study using data collected at the Department of Oral Maxillofacial Surgery, the Faculty of Dentistry, Sebha University, from March to December 2021, included 509 participants. The patient's age and gender, techniques of extraction, and tooth type were recorded. Results: The study included 509 participants aged 16 to 90. About 38.1% of the participants were male, and 61.9% were female. The conventional technique was the most performed (70.0%), followed by vertical (elevator) (26%), and then the surgical technique. The third molar was the most common tooth extracted by conventional technique. The vertical approach was the most successful for single and multirooted teeth. Conclusion: The result of this study suggests that the vertical extraction method may be used with a high success rate for the extraction of teeth unsuitable for conventional techniques. Therefore, the effectiveness of the exodontia technique is influenced by root morphology, position, and type of tooth.

Radiographic Evaluation Factors That Influence the Decision of the Tooth Extraction Method

“…Different conventional methods used for tooth extraction involve the use of luxators, elevators, forceps, and peristomes that operate on the socket expansion principle, and there are chances to traumatize the alveolar bone to some extent [7,8]. In contrast, there are other methods, such as vertical extraction systems, which have a high success rate for severely damaged tooth extraction [9,10]. Furthermore, a flap surgical method is very helpful in preserving alveolar bone, and a minimally invasive technique resulted in better preservation of the ridge [11,12].…”