PRINCIPLES AND TECHNIQUES
FOR SURGICAL EXTRACTION
Surgical extraction of an erupted tooth is a technique that should not be reserved for the extreme situation. Aprudently used open Extraction technique may be more conservative and cause less operative morbidity than a closed extraction. Forceps extraction techniques that require great force may result not only in removal of the tooth but also of large amounts of associated bone and occasionally the floor of the maxillary sinus (Fig. 8-25). The bone loss may be less if a soft tissue flap is reflected and a proper amount of bone removed it may also be less if the tooth is sectioned. The morbidity of fragments of bone that are literally torn from the jaw by the conservative closed technique exceeds by far the morbidity of controlled surgical extraction.