(_d_) =Lower Molars.=--Lower molars have two roots, placed anteriorly and
posteriorly. The roots are much flattened and have a tendency to curve
backwards, this being well marked in the second and especially so in the
third molar; a fusion of the two roots is at times met with in the
second and frequently in the third molar. A section of a lower molar at
the neck shows both the buccal and lingual aspects to be composed of two
segments of a circle touching each other at one extremity; the anterior
segment being slightly the larger (fig. 28). Each blade of the forceps
used for these teeth should possess two grooves,
[Illustration: FIG. 29.]
[Illustration: FIG. 30.]
separated by a projection which fits into the division between the
anterior and posterior roots; for all practical purposes the blades may
be made of the same size, so that one instrument will suffice for both
sides of the jaw. The instrument best adapted for the removal of these
teeth is shown in fig. 29, though some operators prefer the shape
illustrated in fig. 30. The advantages of the former over the latter
may be briefly summed up as follows:
(1) A clear view of the tooth and its surroundings can be obtained
during the whole period of removal.
(2) Force can be applied with greater advantage.
(3) The alveolus can be easily embraced by the fingers, or by the finger
and thumb of the left hand.
(4) In removing the tooth from the socket a slight backward movement can
be employed.
One disadvantage of shape fig. 29 is that it is difficult to employ much
inward movement, and therefore, for teeth lying inwards, namely, with
the crown directed towards the tongue, hawk’s-bill-shaped forceps cannot
easily be used.
Another disadvantage is that the extent of inward movement is limited by
the proximity of the upper teeth, and in case of trismus it is often
better to use straight forceps (fig. 30). In cases where there are also
much swelling and rigidity of the cheek the straight forceps cause less
inconvenience to the patient.
In removing lower molars with forceps, the inner blade should be first
applied and then the outer, care being taken to get the points of the
blades between the interspace of the roots. For severing these teeth
from their attachments, a slight inward movement should be first made,
followed by one well outwards, this inward and outward movement being
repeated if necessary. The removal of the tooth from its socket is
carried out by force used in an upward and outward direction. The upward
force exerted upon lower teeth should always be well under control, as
not infrequently the resistance is very suddenly overcome, and, if such
precaution is not taken, there is danger of striking the upper teeth
with considerable force.
[Illustration: FIG. 31.]
As previously pointed out, the roots of these teeth are at times curved
a little backwards so that it is often needful in removing the teeth
from their sockets to twist the forceps in a curved direction backwards.
Public-domain text, read in full here on John Shaqi.
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