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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]
There are three sizes usually used sequentially for dental 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 ...
However, most dental forceps are not designed for comfort, nor do they take the account of the dental practitioners hand positions throughout the procedure to mind. [9] Dental forceps have been designed to the point where dentists experience medical complications of their own on the carpal scale considering their hands are always placed in an ...
In order to obtain permission from patient for extraction of tooth, the dentist should explain that other treatment options are available, what is involved in the dental extraction procedure, the potential risks of the procedure and the benefits of the procedure. [2] The process of gaining consent should be documented in clinical notes. [2]
The dental key, (also known as Clef de Garengeot, Fothergill-Key, English-Key, Dimppel Extractor or Tooth Key) was first mentioned in Alexander Monro's Medical Essays and Observations in 1742, but had probably been in use since around 1730. It remained popular into the 20th century when it was replaced by the more modern forceps.
The most common locking mechanism is a handle ratchet, which consists of an asymmetrically serrated short protrusion near the finger loop of one of the handles, and a corresponding hook on the other. As the forceps are closed, the opposing teeth engage and interlock, keeping the handles adducted and the jaw surfaces clamped constantly.
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