Facilitating orthodontic teeth extraction–A technique suggestion

Abstract

Introduction: Extractions are routinely used in orthodontics as a method of gaining space. Sometimes the closures of these extraction spaces become problematic for the treating clinician. Many causes have been cited for such a mis-happening, one of it being narrowed out ridge due to fractured cortical plate, which often occurs during a traumatic extraction. Hence, any technique that facilitates teeth removal atraumatically and thus decreases the possibility of such a complication is welcome. Aims and objectives: To test a novel method utilizing localized inflammatory response in easing orthodontic extractions. Material and method: 40 individuals were included in this split mouth prospective clinical study. In all these subjects, teeth destined for extraction were bonded and engaged with arch wire on one side of the arch and the other side was used as control. Ease of extraction was compared and assessed by the dentist and the patients using four point Likert scale. The values obtained were used for statistical analysis. Result: Both the dentist and the patents perceived the extraction on the test side being easy, with less discomfort postoperatively with the difference between the test and the control being statistically significant. Conclusion: Localized inflammatory response in the periodontium of teeth destined for extraction can be used to facilitate their removal, thereby easing out the procedure both for the dentist and the patient.