Citation Information :
Ramesh N, Thangavel K, Aravind RJ, Kumar I, Priydharshini G, Ashmi A. Various Techniques Employed in the Removal of Apical Root Tips Following Dental Extraction. 2020; 9 (2):36-38.
Tooth extraction is one of the very common procedures performed in a dental setup. Tooth loss might influence the patients’ class of life and it is a significant indicator of oral hygiene. However, it is indicated in conditions where a tooth is already fractured or spoiled by dental caries beyond a situation where it could be restored by restorations like endodontic fillings or prosthetic options. Every so often, however, there is excessive harm for the tooth to be repaired. There are many reasons as to why a tooth has to be extracted. Few of them are trauma, periodontal diseases, orthodontic reasons, caries-affected, impactions, supernumerary teeth, and for prosthetic management. Tooth extraction is known to be the deletion of a tooth from its socket in the jaws. There are various techniques employed for the same. Though dentists handle it in a very effective manner, there are few chances of complications and failures to occur. One common failure encountered is the fracture of tooth. It may occur in either the crown portion or the root. Fracture of roots can still be classified into three. Of which this article, deals with the fracture at apical one-third and apical two-thirds of the root. This article deals with various techniques for the removal of the broken apical third or two-third that remains in situ.
Chrysanthakopoulos NA. Reasons for extraction of permanent teeth in Greece: a five-year follow-up study. Int Dent J 2011;61(1):19–24. DOI: 10.1111/j.1875-595X.2011.00004.x.
Jafarian M, Etebarian A. Reasons for extraction of permanent teeth in general dental practices in Tehran, Iran. Med Princ Pract 2013;22(3):239–244. DOI: 10.1159/000345979.
Adeyemo WL, Taiwo OA, Oderinu OH, Adeyemi MF, Ladeinde AL, Mobolanle O. Ogunlewe oral health-related quality of life following non-surgical (routine) tooth extraction: a pilot study. Contemp Clin Dent 2012;3(4):427–432. DOI: 10.4103/0976-237X.107433.
Kolokythas A, Olech E, Miloro M. Alveolar osteitis: a comprehensive review of concepts and controversies. Int J Dent 2010;2010:249073. DOI: 10.1155/2010/249073.
Harry D, Adam W. Exodontia: tips and techniques for better outcomes. Dent Clin North Am 2012;56(1):245–266. DOI: 10.1016/j.cden.2011.07.002.
Orr 2nd DL, Haworth G. Root tip recovery via local anesthetic needle. Oral Surg Oral Med Oral Pathol 1985;60(2):158. DOI: 10.1016/0030-4220(85)90284-1.
Stoner Kenneth E. Using a Hedstrom endodontic file to retrieve a root tip. J Am Dent Assoc 2002;133(4):473. DOI: 10.14219/jada.archive.2002.0206.
Sumer AP, Sumer M, Guler AU, Bicer I. Panoramic radiographic examination of edentulous mouths. Quintessence Int 2007;38(7):e399–e403.
Dachi SF, Howell FV. A survey of 3,874 routine fullmouth radiographs. I. A study of retained roots. Oral Surg Oral Med Oral Pathol 1961;14:916–924. DOI: 10.1016/0030-4220(61)90003-2.
Kharat DU, Saint T. Embedded root fragments in completely and partially edentulous jaws. Saudi Dent J 1991;3:8–12.
Bayanzadeh S, Shokri S. Radiographic evaluations of patients seeking removable prostheses treatment. J Dent Med 2004;16:78–81.
Simpson HE. The healing of extraction wounds. Br Dent J 1969;126(12):550–557.
Whitaker DD, Shankle RJ. A study of the histologic reaction of submerged root segments. Oral Surg Oral Med Oral Pathol 1974;37(6):919–935. DOI: 10.1016/0030-4220(74)90445-9.
Herd JR. The retained tooth root. Aust Dent J 1973;18(3):125–131. DOI: 10.1111/j.1834-7819.1973.tb03448.x.
Pietrokovski J. Extraction wound healing after tooth fracture in rats. J Dent Res 1967;46(1):232–240. DOI: 10.1177/00220345670460011601.
Glickman I, Pruzansky S, Ostrach M. The healing of extraction wounds in the presence of retained root remnants and bone fragments: an experimental study. Am J Orthodontics Oral Surg 1947;33(4):263–283. DOI: 10.1016/0096-6347(47)90063-X.
Smith RL. The role of epithelium in the healing of experimental extraction wounds. J Dent Res 1958;37(2):187–194. DOI: 10.1177/00220345580370020201.
Leonard M. The root tip: to pursue or not to pursue. Dent Today 2001;20(10):108.
Nayyar J, Clarke M, O’Sulliva M, Stassen LFA. Fractured root tips during dental extractions and retained root fragments. A clinical dilemma? Br Dent J 2015;218(5):285–290. DOI: 10.1038/sj.bdj.2015.147.
Casey DM, Lauciello FR. A review of the submerged-root concept. J Prosthet Dent 1980;43(2):128–132. DOI: 10.1016/0022-3913(80)90174-2.
Hurzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: a proof-of-principle report. J Clin Periodontol 2010;37(9):855–862. DOI: 10.1111/j.1600-051X.2010.01595.x.
Histology Antonio Nanci ten Cate's oral. Development, Structure, and Function. Amsterdam: ElsevierHealth Sciences; 2008.
Abhishek T, Vinay U, Chandurkar K, Rohit K, Anirudh R. Atraumatic technique for removal of broken root tips of maxillary posterior teeth with endodontic K file—A technical consideration. J Dent Oral Disord Ther 2018;6(2):1–4.
Singh C, Sharma D, Newaskar V, Agrawal D. A simple technique for removal of broken root tip of maxillary premolars: a technical note. J Maxillofac Oral Surg 2015;14(3):866–867. DOI: 10.1007/s12663-014-0696-7.