Indcations And Contra- Indications Of Extractions Presented By: Muhammad Wasif Haq Liaquat College Of Medicine And Dentistry.
Post on 26-Mar-2015
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Indcations And Contra-Indcations And Contra-Indications Of ExtractionsIndications Of Extractions
Presented By: Muhammad Wasif Haq
Liaquat College Of Medicine And Dentistry
Dental Extraction:Dental Extraction:
Dental Extraction is defined as :
“The removal of a tooth from oral cavity by means of elevators and forceps”.
Also referred as “Exodontia”.
Indications Of Extraction:Indications Of Extraction:
Indications advocated for dental extraction:
-Unrestorable carious tooth.
-Pulp necrosis and irreversible pulpitis;untreatable by endodontic therapy,calcified root canal,patient refusal.
Indications Of Extraction:Indications Of Extraction:
Indications advocated for dental extraction:
-Severe periodontal disease; Bone loss,grade 3 mobility,furaction involvement.
-Impacted teeth ;Mal-alligned,resorption of roots of adjacent teeth.
Indications Of Extraction:Indications Of Extraction:
Indications advocated for dental extraction:
-Orthodontic treatment ; Crowding,Space creation.Maxillary and Mandibular 1st Pre-molar.
-Mal-alligned teeth ; Tissue trauma,mal-positioning,esthetics.
Indications Of Extraction:Indications Of Extraction:
Indications advocated for dental extraction:
-Esthetics ; Stained teeth, excessively protruded teeth,mal-alligned.
-Cracked and fractured tooth ;Tooth in fracture line,pain,Dialceration,healing, infection.
Indications Of Extraction:Indications Of Extraction:
Indications advocated for dental extraction:
-Pre-prosthetic extraction ; Unsuitable abutments,interference with appliance
-Supre-numerary teeth ; Impacted,resorption, displacement,failure for erruption.
Indications Of Extraction:Indications Of Extraction:
Indications advocated for dental extraction:
-Pre-radiation therapy ; Osteoradionecrosis.
-Economical reason ; Unaffording patient.
-Lack of time ; Unavailability of time for other options.
Contraindications Of Extraction:Contraindications Of Extraction:
Contraindications for Dental Extraction
Systemic Local
Contraindications Of Extraction:Contraindications Of Extraction:
Systemic Contraindications:
-Uncontrollable metabolic disease e.g Diabetes, End stage renal disease, Uremia.
-Uncontrollable leukemia and lymphomas.
-Uncontrollable cardiac diseases ; Severe M.I.,Angina Pectoris, Recent M.I., Dysarrythmias.
Contraindications Of Extraction:Contraindications Of Extraction:
Systemic Contraindications:
-Uncontrolled hypertension ; Risk of myocardial insufficiency, C.V.A.
-Bleeding diathesis ; Hemophilia, Thrombocytopenia.
-Pregnancy ; 1st and 3rd Trimester ; Relative contra-indication.
Contraindications Of Extraction:Contraindications Of Extraction:
Local Contraindications:
-Therapeutic irradation ; osteoradionecrosis.
-Teeth in area of malignant tumor.
-Severe pericoronitis.
-Acute dento-alveolar abscess.
Thank You:Thank You:
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