Strategies for Extracting when Roots Curved Towards Buccal?

Last Updated December 08, 2017
Reviewed By:  OsseoNews Team

Not specific to one case, but I was wondering how you deal with extracting teeth with roots that are curved bucco-lingually? It seems most of our elevator, luxator/proximator, east-west, etc. are all designed to deal with root curvature mesial-distally. I’ve been seeing a lot of them lately on mandibular teeth, and have had several maxillary premolars with the buccal root curved and fenestrating the buccal plate. My strategy has been to remove bone mesial-distally and palatal (if applicable), trying an elevator, breaking the root tip and so on and so forth until it finally wiggles free. I am against the approach of removing the buccal plate to get the thing out. Any other strategies for this scenario? I’d love to get these things out more efficiently.


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