Thanks for your informative Podcasts, As GDP's we tend to fracture Maxillary Tuberosity when we apply distal pressure using a Cryer Elevator or a spade elevator. Problem is when we solely depend on elevators. We should use elevator just to luxate, once luxated its better to use Forceps with Buccal force! Thanks once again❤🎉
@protrusive
4 ай бұрын
great input doc thank you!
@narad8165
2 жыл бұрын
in the absence of lower third molar, if the upper third molar has not over erupted,it can be sign of ankylosing with tuberosity. Better use a handpiece on the distal to free it.
@protrusive
2 жыл бұрын
great point!!!
@cynthiariley8290
2 жыл бұрын
Does this mean in the case of over eruption, the probability of tuberosity fracture lessens?
@narad8165
2 жыл бұрын
@@cynthiariley8290 yes, that's a dream wisdom ext. We can charge for impaction.
@cynthiariley8290
2 жыл бұрын
Thanks for the reply. I am a patient with an over-erupted maxillary third molar. However, it does have curved roots. I’m a bit anxious about upcoming removal due to having known someone who experienced tuberosity fracture
@narad8165
2 жыл бұрын
@@cynthiariley8290 once I fractured a tuberosity. Along with tuberosity some portions of the palatal bone also fractured. Small muscles which lodge there were also hanging. I cut those muscles from the bone(s) and removed the bone. Then I sutured the gaping soft palate. That night I didn't sleep well. However it healed very well. When I removed the suture after 3 weeks, the wound was healed. I saw the patient again after a year, when even the tuberosity seemed to have rebuilt itself. Don't worry, this is very rare and the tuberosity is the most useless bone you will ever have.
@ErMr-1998
2 жыл бұрын
Today in Surgery happend,terrible yes,thank you for the video. We expected ,can happend, removing a Wisdom tooth at 37 Years old woman. Was my first time I saw that.❤️ All the bests.
@protrusive
2 жыл бұрын
it was mean to be - hope you managed OK
@furbyinthemicrowave5344
2 жыл бұрын
in my 22 years experience I have found upper 8's that are palatally placed are the ones to be careful of . If a 7 is the most distal tooth then the worst thing you can do is put your elevator between the 6 and 7 and try to elevate distally.
@protrusive
2 жыл бұрын
great contribution, thank you for sharing your wisdom!
@kvgolfa
2 жыл бұрын
So how should you extract the 7?
@protrusive
2 жыл бұрын
@@kvgolfa with care, using sectioning if appropriate and reflecting slightly the soft tissues first to help you if this sometimes unavoidable complication happens
@benlloyd3155
5 ай бұрын
Agreed. Much better to simply remove the crown and then deliver the roots separately.
@ebzzzz1
2 жыл бұрын
Thank you for your videos Jaz !!
@hollyharris2139
8 ай бұрын
There is a bone firmly attatched to "something" where my 15th molar was extracted lol the 2nd dentist broke it off 3 days post op. There was so much pain. .and then realized it was not going to come out after I let him know I could feel everything even after being numbed 5x. Need to see a surgeon now but Appts are weeks out and now its infected. 😅 .. so idk. Watching this helped me understand what could have potentially caused this bone on the upper side of my gum.. 🎉 when my dentist said "...Im going to try one more time" I wish I had said nevermind.
@buney
7 ай бұрын
My dentist broke the end of jaw off removing a wisdom tooth then continued to try and pull it through my rear gums tearing the flesh with it! I woke up in hospital where they tried to do the same!
@protrusive
7 ай бұрын
so sorry to read this hope you're OK - wisdom teeth can be a real nuisance
@dr.amratasrivastava2284
2 жыл бұрын
Today only ..I got tuberosity fracture .. 🥺 .Thankfully , less soft tissue fracture .. Thanx for video . Would always try use buccal forces more ..Thanx
@protrusive
2 жыл бұрын
it happens bud - we learn! wishing you all the best
@prithvijith2831
2 жыл бұрын
Sir i have a doubt....why artificial tooth should not be placed on tuberosity?
@protrusive
2 жыл бұрын
you mean like an implant?
@MariaBKBK
5 ай бұрын
@@protrusive Dr. I think he means in removable dentures, they teach us not to replace a terminal tooth if it's going to be mounted at tuberosity level, and to always leave that space in the wax and eventually in the final dentures.
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