If extraction be determined upon, _a careful examination of the tooth_
to be removed should be made. This will allow some idea to be formed of
the amount of sound tissue present, and also of the force which will be
necessary for the dislodgment of the tooth. In the case of roots, the
edges must be defined, and for this purpose a blunt probe, similar in
pattern to that shown in fig. 1 will be found useful.
[Illustration: FIG. 1.]
=Instruments.=--The instruments in general use for the removal of teeth
are forceps and elevators. _The Forceps_ is an amplified pair of pincers
or pliers. It is made up of three parts, namely, the blades or portions
beyond the joint which are applied to the tooth, the joint itself, and
the handles. Forceps should be made of fine steel, should be light and
yet strong enough to withstand without bending any strain that may be
put upon them.[1] The blades should be shaped to fit the tooth they are
intended to remove, and they should be clear of the crown when applied.
On longitudinal section a blade should present a thin wedge-shaped
appearance. Two kinds of joints are met with. In the first variety one
half of the forceps passes through a slot in the other, the two being
held together by a rivet passing through the centre (fig. 2). In the
second variety (fig. 3) the two halves are held together side by side by
a screw or pin which takes the entire strain. Most forceps of English
manufacture are made on the latter plan, which has the advantage of
permitting the instrument to be easily cleaned; it also allows a slight
lateral movement of the two halves--a point of some practical
importance. It is urged against this style of joint that it is weak; in
practice, however, this is not found to be the case.
[Illustration: FIG. 2.]
[Illustration: FIG. 3.]
The handles should be of a size and shape to lie comfortably in the palm
of the hand, and should be in such relation to the blades that when the
latter are applied in the direction of the long axis of the tooth, the
handles clear the lips.
As a general rule, in forceps designed for the removal of the anterior
teeth in the maxilla, the blades and handles are in the same line (fig.
4),
[Illustration: FIG. 4.]
[Illustration: FIG. 5.]
while for the upper back teeth the handles form a curve of greater or
less extent with the blades (fig. 5). In forceps for the lower teeth the
blades are bent down from the handles to an angle of nearly ninety
degrees. In one class, namely, the hawk’s-bill, when the blades are
applied to the tooth the handles are at right angles to the line of the
arch (fig. 6), while in other classes the handles are in line with the
arch (fig. 7).
[Illustration: FIG. 6.]
[Illustration: FIG. 7.]
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