Advances in Methods of Atraumatic Tooth Removal: An Update (original) (raw)

2017, International Journal of Preventive and Clinical Dental Research

Dental extraction, once considered as punishment, has now become one of the finest works in dental surgery. Traumatizing the entire being with this deed was the idea 200 years ago, on the contrary today we try completing the procedure without the need of gingival reflection. This paradigm shift gave birth to atraumatic extraction techniques (AETs), which intend the removal of tooth or tooth root, while maintaining a harmonious relation with gingiva, bone, and other surrounding hard and soft tissue structures. Instruments, such as Benex vertical extractor, powered periotome, piezosurgery, sonosurgery, physics forceps, Ogram system, Easy X-Trac system and techniques, such as the orthodontic extrusion technique and rubber band extraction help in achieving this noble goal. The main benefits of AET are immediate implant placement, faster healing, and reduced need for bone grafting and soft tissue augmentation, leading to faster prosthetic rehabilitation in a limited time span. This review is an insight into each technique and instrument highlighting its advantages and drawbacks to instigate awareness and also allow for the better understanding among maxillofacial and dental professionals.