Presentation on theme: "Indcations And Contra-Indications Of Extractions"— Presentation transcript:
1Indcations And Contra-Indications Of Extractions Presented By:Muhammad Wasif HaqLiaquat College Of Medicine And Dentistry
2Dental Extraction: Dental Extraction is defined as : “The removal of a tooth from oral cavity by means of elevators and forceps”.Also referred as “Exodontia”.
3Indications Of Extraction: Indications advocated for dental extraction:-Unrestorable carious tooth.-Pulp necrosis and irreversible pulpitis;untreatable by endodontic therapy,calcified root canal,patient refusal.
4Indications Of Extraction: Indications advocated for dental extraction:-Severe periodontal disease; Bone loss,grade 3 mobility,furaction involvement.-Impacted teeth ;Mal-alligned,resorption of roots of adjacent teeth.
5Indications Of Extraction: Indications advocated for dental extraction:-Orthodontic treatment ; Crowding,Space creation.Maxillary and Mandibular 1st Pre-molar.-Mal-alligned teeth ; Tissue trauma,mal-positioning,esthetics.
6Indications Of Extraction: Indications advocated for dental extraction:-Esthetics ; Stained teeth, excessively protruded teeth,mal-alligned.-Cracked and fractured tooth ;Tooth in fracture line,pain,Dialceration,healing, infection.
7Indications Of Extraction: Indications advocated for dental extraction:-Pre-prosthetic extraction ; Unsuitable abutments,interference with appliance-Supre-numerary teeth ; Impacted,resorption, displacement,failure for erruption.
8Indications Of Extraction: Indications advocated for dental extraction:-Pre-radiation therapy ; Osteoradionecrosis.-Economical reason ; Unaffording patient.-Lack of time ; Unavailability of time for other options.
9Contraindications Of Extraction: Contraindications for Dental ExtractionSystemic Local
10Contraindications Of Extraction: Systemic Contraindications:-Uncontrollable metabolic disease e.g Diabetes, End stage renal disease, Uremia.-Uncontrollable leukemia and lymphomas.-Uncontrollable cardiac diseases ; Severe M.I.,Angina Pectoris, Recent M.I., Dysarrythmias.
11Contraindications Of Extraction: Systemic Contraindications:-Uncontrolled hypertension ; Risk of myocardial insufficiency, C.V.A.-Bleeding diathesis ; Hemophilia, Thrombocytopenia.-Pregnancy ; 1st and 3rd Trimester ; Relative contra-indication.
12Contraindications Of Extraction: Local Contraindications:-Therapeutic irradation ; osteoradionecrosis.-Teeth in area of malignant tumor.-Severe pericoronitis.-Acute dento-alveolar abscess.