Summary
Presurgical assessment of the patient includes evaluation of the level of anxiety, ‘determination of health status and any necessary ‘modifications of routine procedures, evaluation of the clinical presentation of the tooth to be removed, and radiographic evaluation of the tooth root and bone. All four of these major factors must be weighed when estimating the difficulty of the extraction. If any factor or combination of factors presents a level of difficulty that seems too great, the dentist should refer the patient to an oral and maxillofacial surgeon.
Preoperative radiographs allow surgeon to plan extraction more
carefully.
because roots are larger at apical end than at cervical end.
Surgical extraction will probably be required.
difficult. because fracture of tooth is likely. Note hypercementosis of
second premolar.
almost impossible because fracture of root will almost surely occur.
. er management tltn be delivered. B, Periapical radiolucency around mandibular premolar represents
,mental foramen. Surgeon must be aware that this is not pathologic condition. Intact Iarnina dura is
noted in B but not in A.
