The next point which demands attention is the =position of the operator
and patient=. The chair should be placed before a good light, and if a
proper dental chair is not to hand an ordinary arm chair may be
utilised; failing this, two ordinary chairs may be placed back to back,
on one of which the left leg of the operator should be raised to form a
rest for the patient’s head. The patient should be placed in such an
unconstrained position as will allow the operator to exert all necessary
movements with freedom.
[Illustration: FIG. 13.]
[Illustration: FIG. 14.]
The operator should place himself so as to use his force to the greatest
advantage. His left arm may be utilised, if necessary, for steadying the
movements of the patient’s head, while the fingers of the left hand can
be employed--
(1) To keep the cheek and other soft parts away so as to obtain a clear
view of the tooth to be extracted and its immediate neighbours;
(2) To support the mandible;
(3) To grasp the alveolus and so allow some idea to be gained of the
effect of the force employed.
The special positions for the removal of different teeth will be
described in chapter ii.
It may be advantageous, before describing the steps of the operation of
extraction, to refer briefly to a few =points in the anatomy of the teeth
and jaws= which have a direct bearing upon the manner of carrying it out.
If the teeth be examined it will be noticed that they are capable of
division into--
(1) Teeth with single, rounded tapering roots;
(2) Teeth with single roots more or less irregularly flattened or
curved;
(3) Teeth with multiple roots.
Under (1) are included the upper incisors (temporary and permanent) and
the lower bicuspids; (2) the lower incisors and canines (temporary and
permanent), and also the upper canines and bicuspids; (3) the upper and
lower molars (temporary and permanent) and frequently the first upper
bicuspids.[2]
The shape of the roots, as we shall subsequently find, has an important
bearing upon the manner in which force is to be applied when severing
them from their attachments.
A correct acquaintance with the disposition of the alveoli of the teeth
is of importance for skilful and successful operating. Fig. 15 gives a
general idea of the appearance of the alveoli, but it is needless to say
that a full knowledge can only be really obtained by a careful study of
the bones themselves; by this means, too, some idea of the strength of
different portions of the alveolar borders can be obtained--a matter of
some moment when applying force in the process of removing a tooth from
its socket. The points to be specially noted in the maxilla are the
thinness of the outer alveolar wall as compared with the inner, the
prominence of the canine socket, and the cancellous character of the
bone in the region of the third molar. In the mandible the outer
alveolar border will be seen to be thinner than the inner, with the
exception of that portion in the region of the
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account