1. Indcations And Contra-Indications Of Extractions
Presented By:
Muhammad Wasif Haq
Liaquat College Of Medicine And Dentistry

2. Dental Extraction: Dental Extraction is defined as :
“The removal of a tooth from oral cavity by means of elevators and forceps”.
Also referred as “Exodontia”.

3. Indications Of Extraction:
Indications advocated for dental extraction:
-Unrestorable carious tooth.
-Pulp necrosis and irreversible pulpitis;untreatable by endodontic therapy,calcified root canal,patient refusal.

4. Indications 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.

5. Indications 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.

6. Indications 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.

7. Indications Of Extraction:
Indications advocated for dental extraction:
-Pre-prosthetic extraction ; Unsuitable abutments,interference with appliance
-Supre-numerary teeth ; Impacted,resorption, displacement,failure for erruption.

8. Indications Of Extraction:
Indications advocated for dental extraction:
-Pre-radiation therapy ; Osteoradionecrosis.
-Economical reason ; Unaffording patient.
-Lack of time ; Unavailability of time for other options.

9. Contraindications Of Extraction:
Contraindications for Dental Extraction
Systemic Local

10. Contraindications 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.

11. Contraindications 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.

12. Contraindications Of Extraction:
Local Contraindications:
-Therapeutic irradation ; osteoradionecrosis.
-Teeth in area of malignant tumor.
-Severe pericoronitis.
-Acute dento-alveolar abscess.

13. Thank You: