A 70-year-old female patient visited our clinic owing to a fractured maxillary first molar. Tooth #24 had previously had a large composite restoration that was no longer in place at the time of the dental appointment.
Tooth #24 was severely decayed down to the marginal bone edge.
Figs. 2–4: The tooth was luxated with Luxator P4 (dual edge, lilac).
Figs. 5–7: Luxation was continued with Luxator P1 (straight blade, dark green).
Fig. 8: The tooth was removed with the help of diamond tweezers.
Fig. 9: During luxation, the palatal root was partially fractured while in the alveolus.
Figs. 10–12: The fractured root was carefully luxated with Luxator P1 and Luxator L3S.
Figs. 13–15: The remains of the root were removed with the help of diamond tweezers.
By means of a gentle extraction technique, we managed to preserve the interradicular septum. Luxator P4, with its extremely sharp dual-edge blade, was used at the beginning, followed by Luxator P1 once some space had been created. Although the blades of these sophisticated instruments are reinforced with a titanium coating, they should only be used to cut the periodontal ligament and never to elevate the tooth.
Luxator is a registered trademark owned by Directa AB in Sweden. All Luxator instruments are manufactured in Sweden by Directa. For further information, visit www.directadental.com.
Dental restoration
Tooth extraction
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:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-1.jpg "Tooth #24 was severely decayed down to the marginal bone edge.")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-2.jpg "Figs. 2–4: The tooth was luxated with Luxator P4 (dual edge, lilac).")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-3.jpg "Fig. 3")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-4.jpg "Fig. 4")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-5.jpg "Figs. 5–7: Luxation was continued with Luxator P1 (straight blade, dark green).")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-6.jpg "Fig. 6")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-7.jpg "Fig. 7")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-8.jpg "Fig. 8: The tooth was removed with the help of diamond tweezers.")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-9.jpg "Fig. 9: During luxation, the palatal root was partially fractured while in the alveolus.")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-10.jpg "Figs. 10–12: The fractured root was carefully luxated with Luxator P1 and Luxator L3S.")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-12.jpg "Fig. 11")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-13.jpg "Fig. 12")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-14.jpg "Figs. 13–15: The remains of the root were removed with the help of diamond tweezers.")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-15.jpg "Fig. 14")
:sharpen(level=0):output(format=jpeg)/up/dt/2019/10/Atraumatic-extraction-of-maxillary-first-premolar-11.jpg "Fig. 15")
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