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Coupland's Elevators. Elevators (also known as luxators) are instruments used in dental extractions. They may be used to loosen teeth prior to forceps extraction, to remove roots or impacted teeth, when teeth are compromised and susceptible to fracture or when they are malpositioned and cannot be reached with forceps. [1]
James Robinson (22 November 1813 – 4 March 1862) was a British dentist and anaesthetist. On 19 December 1846, he became the first person to carry out general anaesthesia in Britain when he administered ether to a patient undergoing a tooth extraction.
Coupland's elevators (also known as chisels) [1] [2] are instruments commonly used for dental extraction. They are used in sets of three each of increasing size and are used to split multi-rooted teeth and are inserted between the bone and tooth roots and rotated to elevate them out of the sockets. [ 3 ]
Typically the tooth is lifted using an elevator, and using dental forceps, specific tooth movements are performed (e.g. rocking the tooth back and forth) expanding the tooth socket. Once the periodontal ligament is broken and the supporting alveolar bone has been adequately widened the tooth can be removed.
With pelicans, their sharp talons were used to be placed down on the inside of the mouth near the gums while the elevator helped pull the tooth out of its socket. Then, a pair of pincers would do the rest of the job, wiggling the tooth out of the gum until the extraction was complete. [8]
On 30 September 1846, Morton administered diethyl ether to Eben Frost, a music teacher from Boston, for a dental extraction. Two weeks later, Morton became the first to publicly demonstrate the use of diethyl ether as a general anesthetic at Massachusetts General Hospital, in what is known today as the Ether Dome . [ 104 ]
From this point on, his mental health declined, and his dental practice became sporadic. [1] On February 5, 1845, Wells advertised his home for rent. [11] On April 7, 1845, Wells advertised in the Hartford Courant that he was going to dissolve his dental practice, and referred all his patients to Riggs, the man who had extracted his tooth. [12]
On September 30, 1846, Morton performed a painless tooth extraction after administering ether to Ebenezer Hopkins Frost (1824–1866). [5] Upon reading a favorable newspaper account of this event, Boston surgeon Henry Jacob Bigelow arranged for a now-famous demonstration of ether on October 16, 1846, at the operating theatre of the ...
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