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Minimally invasive transbuccal surgery and screw extraction
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1 . Take Home Message:
An oral extraction of cheek teeth has its limits if the clinical crown of a tooth is broken. Minimally Invasive Transbuccal Surgery is a useful approach to continue oral extraction and allows the Screw Extraction (acc. to Stoll10) in these difficult cases.
2 . Introduction
Minimally Invasive Transbuccal Surgery was developed to provide a direct approach to difficult accessible areas in the mouth, for example alveoli with a fractured crown or retained roots. The transbuccal approach allows the use of instruments and endoscopes through a hole in the cheek. The use of straight instruments allows for better movement of instruments and application of increased force on the tips of the instruments. The transbuccal approach may be used in the standing horse and in lateral recumbency as well. Screw Extraction (acc. to Stoll) was developed to extract teeth which are not extractable with forceps in oral extraction procedure. Drilling via transbuccal approach into the reserve crowns of fractured teeth gives the chance to extract these teeth with a screw. Thus, Minimally Invasive Transbuccal Surgery is an alternative to trephination and repulsion in cases of fractured crowns and other cases of impossible oral extractions.
3 . Materials and methods
Minimally Invasive Transbuccal Surgery and Screw Extraction is recommended for certain, i.e. fractured crowns, absent crowns, malformed and dislocated teeth not allowing the use of spreaders and forceps (Fig.1). [...]
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