Definition and Indication of Dental Extraction

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The definition of dental extraction is a surgical procedure that can be done with forceps, elevators, or trans-alveolar pressure.

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The criteria of good dental extraction are:
a. The pulling of whole teeth or tooth root. 
b. Dental extraction without causing pain.
c. Dental extraction with the least possible trauma to the buffer tissue, so that the tooth extraction wound will heal normally.
d. Dental extraction without any problem after extraction

A tooth can not necessarily be extracted; dental extraction should pay attention to the following indications:
a. Teeth with Acute and chronic pulp disease cannot be done the root canal treatment.
b. Teeth with acute or chronic periodontal disease cannot be done periodontium care.
c. Traumatized teeth. Traumatized teeth need to be extracted in order to fracture treatment.
d. Impacted teeth do not have a place in the line of occlusion.
e. For the purpose of orthodontics treatment.
f. Non-vital or death teeth may cause focal infection.
g. Prosthetic considerations which aims to design and prosthesis stability. 
h. Teeth with pathological conditions in the surrounding bone.
i. Teeth with pathological conditions in the surrounding tissue and they will be treated accordingly, such as cysts, osteomyelitis, tumors, and bone necrosis.
j. Teeth that are close to the area will be radiation therapy, so that the affected osteoradionecrosis bone will not be aggravated by circumstances such as caries due to radiation or pulp nekrosis that may occur when teeth are not extracted.

Sources:
Howe, GL, 1989, Tooth Extraction, Second Edition, EGC: Jakarta
Krunger, G.O., 1974, Textbook of Oral Surgery. 4th ed, CV Mosby Co: St. Louis
Pedlar, J., Frame, JW, 2001, Oral and Maxillofacial Surgery, Churchill: London

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