Dental Asia March/April 2019

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Clinical Feature Treatment The patient was given anaesthesia and plexus nerve block with a 2% vasoconstrictor. A pouch flap was made Figs. 4-5: Surgical manoeuvre through the use of Luxator LX 360 ® . Fig. 2: CT radiographs performed with Dental Scan to assess the shape of the inferior alveolar nerve and root morphology. Fig. 3: Localisation of the nerve at root level by CT. together with an intrasulcular incision at tooth 37 and a releasing incision distal to the same tooth. The distal incision must run at a 45 degree angle to the second molar and be at full thickness, with partial thickness at the end. This incision is the junction of the flap and avoids the risk of dissecting the lingual nerve. After skeletonising the jaw and placing a tongue protection, the Sharpey’s fibres are cut using the mechanical periotome Luxator LX by following the tooth circumference, while luxating the periodontal ligament (Figs. 4-5). The tooth is subsequently extracted using an elevator without luxating the surrounding tissues and, above all, with no damage to the mandibular nerve. Thanks to its controlled reciprocating movement, Luxator LX penetrates the space that lodges the periodontal ligament (0.15 – 0.38 mm) and separates the fibre bundle in the least traumatic way for the tooth. The gentle vertical movement applied to the periodont does not cause neural trauma. Using the mechanical periotome luxator LX, we managed to perform the extraction with no tissue damage and most importantly, with no damage to the mandibular nerve. The periapical X-ray (Fig. 6) shows how the Luxator LX blade - detached from the contra-angle to facilitate the X-ray – penetrates into the alveolus, facilitating tooth removal. Figure 8 shows the absence of root rests. The extraction was performed without sectioning/dividing the tooth. Figure 9 shows that the tooth was extracted in one piece. No traumatic operations to search for root rests were needed (Figs. 8-9). The alveolus was cleaned, washed with cold physiologic solution and sutured Fig. 6: X-ray of the tip of the Luxator LX inside the socket showing the depth of the Luxator LX insert. with silk thread 4/0. The edge could also be sutured, enabling the patient to recover without post-operatory pain (Fig. 7). After seven days, the suture stitches were removed and the patient reported a good post-operatory recovery with slight pain during the first three days, which was mitigated with common pain killers. The patient was advised to use an innovative gel toothpaste (HOBAGEL by HOBAMA), Fig. 7: Suture flap 36 DENTAL ASIA MARCH / APRIL 2019
Fig. 8: X-ray after extraction show no residue left in the root socket despite abnormal root morphology. IDS 2019, Cologne Germany March 12 – 16, 2019 Hall 10.2 · Stand T010 ... is the brilliant result of preparations using COOL-DIAMANT instruments. Fig. 9: Extracted tooth 38 showing complex crown and root morphology. with a mix of humectant and antibacterial subastances (i.e. cetylpyridinium chloride, Triclosan, essential oils) in technologically innovative microcapsules, to help fight pperiodontal plaque and reduce bleeding. Its medium-low RDA (+/-3o) is less abrasive on natural tooth and restorations material. 21 The dental hygienist will focus on reducing plaque close to the post-surgery recovery areas, detect poor home hygiene and promptly intervene to correct them. Professional dental hygiene sessions are extremely important to remove bacteria around the tooth, preferrably by Air Polish (EMS) with glicine powder to preserve the health of gingival tissues. Final polishing is of extreme importance to leave a smooth surface as a rough surface will be more receptive for bacteria. A silica-sbased polishing paste with a low RDA such as Prophy Paste CCS Yellow RDA 40 (Directa) is recommended. 22 Conclusion Mandibular third molar extractions are undoubtedly associated with neural injury risks that can cause temporary or permanent discomfort for the patient and legal actions for the dentist. A thorough pre-operative diagnosis is mandatory The superior grinding performance of these first-class instruments is assured by a significantly structured Busch functional surface with a precision coating of high-quality diamond grit. Please ask for our leaflet or enter www.busch.eu/en/innovations. There is no substitute for quality Unterkaltenbach 17-27 51766 Engelskirchen GERMANY Telefon +49 2263 86-0 Telefax +49 2263 20741 mail@busch.eu www.busch.eu MARCH / APRIL 2019 DENTAL ASIA 37
Page 4 and 5: CONTENTS MARCH / APRIL 2019 18 24 2
Page 6: First Words The New Age of Digitali
Page 10 and 11: Dental Updates New VOCO Prophylaxis
Page 12: Dental Updates AACD Welcomes 2019 C
Page 15 and 16: Periodontal Disease Bacteria Linked
Page 18 and 19: Dental Updates Henry Schein One Acq
Page 20 and 21: Under the Spotlight 18 DENTAL ASIA
Page 22 and 23: Under the Spotlight It is easy for
Page 24 and 25: Word of Mouth by Dr. Christoper Ho
Page 26 and 27: CELEBRATING DIGITAL TRANSFORMATION
Page 28 and 29: Dental Profile achieve very good re
Page 31 and 32: Dental Profile TAKING DIGITAL IMPRE
Page 33 and 34: Dental Profile The high-precision S
Page 35 and 36: Dental Profile MARCH / APRIL 2019 D
Page 37: Clinical Feature The importance of
Page 42 and 43: Clinical Feature Glass Ionomer Seal
Page 44 and 45: Clinical Feature Fig. 1.1: An erupt
Page 46 and 47: Clinical Feature 7 TH GENERATION AD
Page 48 and 49: Clinical Feature 1. Decay is noted
Page 50 and 51: User Report CENTION N: REDEFINING D
Page 53 and 54: User Report Amalgam GIC Cention N P
Page 56: User Report Fig. 15: Teeth 46 and 4
Page 59 and 60: User Report initial drilling channe
Page 61 and 62: User Report Fig. 16: Postoperative
Page 64 and 65: Behind the Scenes REPLACEMENT OF EX
Page 66 and 67: Behind the Scenes angles due to the
Page 68 and 69: Behind the Scenes and silanated for
Page 70 and 71: Behind the Scenes A JOURNEY THROUGH
Page 72 and 73: Behind the Scenes Fig. 11 Fig. 15 r
Page 74 and 75: Behind the Scenes The overall aesth
Page 77 and 78: In Depth With Fig. 1: Primescan - t
Page 79 and 80: In Depth With The blue light used b
Page 81: In Depth With The first set of data
Page 85 and 86: In Depth With Extending Dental Oper
Page 87 and 88: In Depth With combines the cutting-
Page 89 and 90:
Product Highlight BRAVIA ® XL Spec
Page 91 and 92:
Product Highlight COLTENE Unveils t
Page 93 and 94:
Product Highlight 3Shape launches T
Page 96 and 97:
Show Preview 9 th -12 th June 2019
Page 98 and 99:
Giving Back to Society February is
Page 102:
Advertisers’ Index Advertisers Pa
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Dental Asia March/April 2019

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