Dental News - Atraumatic extraction of maxillary first premolar

Dr Manouchehr Kiaei, Sweden

Fri. 15. November 2019

save

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).

Fig. 3

Fig. 4

Figs. 5–7: Luxation was continued with Luxator P1 (straight blade, dark green).

Fig. 6

Fig. 7

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.

Fig. 11

Fig. 12

Figs. 13–15: The remains of the root were removed with the help of diamond tweezers.

Fig. 14

Fig. 15

$Fig. 9: During luxation, the palatal root was partially fractured while in the alveolus.$

$Figs. 10–12: The fractured root was carefully luxated with Luxator P1 and Luxator L3S.$

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.

Tags:

To post a reply please login or register

Atraumatic extraction of maxillary second premolar

A 76-year-old female patient visited our clinic owing to pain in the left maxilla. She had a fistula in the buccal gingiva between tooth #25 and position ...

Maxillary first molar atraumatic extraction

A 75-year-old female patient visited our dental clinic reporting a loose crown on tooth #26. The tooth had been endodontically treated in the past and had a...

Screw-retained restoration of a maxillary first molar and second premolar

Dental implants are widely accepted as a successful method for replacing missing teeth. The success of dental implant treatment depends on many factors, ...

It’s time for atraumatic extractions

COLOGNE, Germany: Piezotome Cube STAR is a new piezo-surgery device manufactured by ACTEON. Being introduced at IDS 2019, Piezotome Cube STAR provides full ...

Dentine thickness in buccal roots of maxillary first premolars following preparation with three techniques

Coronal and root fractures in teeth are the third major cause of dental loss after caries and periodontal disease, being responsible for 4.3% of endodontic ...

One-year follow-up of Straumann Fast Molar Solution in bilateral maxillary premolars

The following clinical case report presents the successful treatment of bilateral sites using both immediate and conventional implant placement with the ...

ACTEON moves towards atraumatic extractions with new hand-piece

COLOGNE, Germany: France-based company ACTEON earlier this week released its latest surgical device, Piezotome Cube STAR. Providing full preservation of ...

Endodontic treatment of maxillary left first molar with complicated root canal system

The patient reported on in this article was referred to my dental office by his general dental practitioner. There was a large cavity and symptoms of ...

Orthodontic management of maxillary lateral incisors agenesis

The purpose of this article is to show the diferent modalities of treatment for upper lateral incisors agenesis. In daily practice, orthodontists often meet...

Third molar extraction may have positive effect on sense of taste

PHILADELPHIA, U.S.: Taste disorders and other neurosensory defects have been reported postoperatively in a number of patients who have undergone extraction ...

Education

Live webinar
Wed. 3 June 2026
1:00 pm EST (New York)