Alle Uday Kumar
Orthodontics, Phoenix Hospital, Abu Dhabi, ARE.
Cureus. 2023 Jul 5;15(7):e41403. doi: 10.7759/cureus.41403. eCollection 2023 Jul.
Extractions are routinely performed in orthodontics to gain space for teeth alignment. Crowded, malaligned, and overlapped teeth make it difficult for the dental surgeon to engage the beaks of the extraction forceps on the concerned tooth for extraction. An improper grip often leads to complications of instrument slippage, crown fracture, and more commonly, luxation of adjacent teeth. This article aims to help with atraumatic orthodontic extractions and reduce such complications. This case report examines an interproximal reduction technique using standard grit, taper, flat-end diamond bur (Mani TF-20, ISO 171/014, Mani, Inc., Tochigi, Japan) for the tooth to be extracted to create enough space for proper placement of the forceps and to prevent injury to adjacent structures. It can be useful for orthodontic extractions or other cases of tooth extractions with inadequate access.
正畸治疗中通常会进行拔牙操作以获得牙齿排列所需的空间。牙齿拥挤、排列不齐和重叠会使口腔外科医生难以将拔牙钳的喙部准确放置在需要拔除的牙齿上进行拔牙。握持不当通常会导致器械滑脱、牙冠折断等并发症，更常见的是相邻牙齿的松动。本文旨在帮助实现无创伤的正畸拔牙并减少此类并发症。本病例报告探讨了一种邻面减径技术，该技术使用标准粒度、锥形、平头金刚石车针（Mani TF-20，ISO 171/014，日本枥木县万尼株式会社）对要拔除的牙齿进行处理，以创造足够的空间以便正确放置拔牙钳，并防止对相邻结构造成损伤。该技术对于正畸拔牙或其他因操作空间不足而进行的牙齿拔除病例可能会有所帮助。
