A new Approach to Extract Remaining Root Apex Using Modifed Elevator Design | ||
| Journal of Oral and Dental Research | ||
| Article 1, Volume 3, Issue 1, December 2016, Pages 28-37 | ||
| Author | ||
| Kamal Turki Aftan | ||
| Abstract | ||
| Introduction: Dental elevators are often used in traditional surgical extraction procedure to extract remaining root apex. In this study, a conventional straight elevator was modifed by changing its blade into a different form that enables the operator to use this modifed elevator in innovative technique for extraction of remaining root apex without the need for surgical extraction procedure of flap reflection and bone removal. Aims: The aim of this study is to evaluate the feasibility of using a unique and innovative modifed elevator design in extraction of a retained root tip of upper and lower anterior teeth and upper premolar teeth. Materials and methods: A prospective comparative study design was used on 400 patients divided equally into two groups. In group A (study group), the patients were treated using a modifed elevator design for extraction of remaining root. In group B (control group), conventional surgical extractions involving flap reflection and bone removal were performed on patients for extraction of remaining root apices. The time was calculated in minutes and postoperative complications were assessed clinically. T-Test statistical analysis was used to examine differences in extraction time between groups. Results: By using the modifed elevator, 200 patients (120 males and 80 females) in group A underwent extraction of remaining root apex of upper and lower anterior teeth and upper premolar teeth without flap reflection or alveolar crest bone removal. In Group B, conventional surgical extraction was performed on the other 200 patients (130 males and 70 females). The mean age of patients was 44 years in group A and 43 years in group B. Surgical extractions of root apices in group B took longer time (mean = 20.23 ± SD 3.93 minutes) in comparison to extractions using modifed elevator in group A (mean = 2.36 ± SD 0.82 minutes). The difference in extraction time between group A and group B was statistically signifcant (p <0.01). Conclusions: The suggested approach for remaining root extraction using modifed elevator design is less invasive and time saving. | ||
| Keywords | ||
| modifed elevator design; dental elevator; surgical extraction; retained root; remaining root extraction | ||
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