Evaluation of Minimally Invasive Vertical Extraction Technique of Crowded Lower Incisors: A Case Series Study
DOI:
https://doi.org/10.15218/edj.2025.3Keywords:
Atraumatic vertical tooth extraction, Minimally invasive procedures, Tooth extractionAbstract
Background and Objective: Innovations in tooth extraction techniques and instruments have evolved over time to minimize trauma to surrounding tissues. In severely crowded cases, extracting anterior teeth poses a challenge for surgeons due to the risk of traumatizing adjacent teeth and surrounding hard and soft tissues. This study aims to evaluate the applicability and popularization of a novel a traumatic vertical extraction technique, known as minimally invasive vertical extraction of lower anterior teeth.
Methods: A prospective interventional clinical study was conducted at a private clinic from November 2019 to December 2021. Fifteen patients with severely crowded lower anterior teeth, where conventional extraction was not possible without trauma to adjacent teeth and tissues, were enrolled. The surgical technique involved the administration of local anesthesia, drilling a small hole in the tooth crown, passing a surgical wire through the hole, applying vertical traction force to extract the tooth, and post-extraction care.
Results: The mean± (SD) age of the patients was 26.5±1.24 years, with an age range of 25-38 years. The patients included nine (60%) male and six (40%) females. 15 lower anterior teeth in15 patients were successfully extracted using this technique, indicating an overall success rate of 100%.
Conclusion: The results suggest that atraumatic vertical extraction by this novel technique may be used with a high success rate for extraction of severely crowded teeth, and its use causes no force on the adjacent teeth and hard and soft tissue investing the extracted tooth.
References
Gadhia A, Pepper T. Oral Surgery, Extraction of Teeth. StatPearls. Treasure Island (FL) ineligible companies. Disclosure: Tom Pepper declares no relevant financial relationships with ineligible companies.: StatPearls Publishing, Copyright © 2023, StatPearls Publishing LLC.; 2023. [PubMed ID: 36943972].
Ali D. Reasons for Extraction of Permanent Teeth in a University Dental Clinic Setting. Clinical, Cosmetic and Investigational Dentistry. 2021;13(1):51-7. https://doi.org/10.2147/CCIDE.S294796
Edward J, Aziz MA, Madhu Usha A, Narayanan JK. Comparing the Efficiency of Two Different Extraction Techniques in Removal of Maxillary Third Molars: A Randomized Controlled Trial. Journal of maxillofacial and oral surgery. 2017;16(4):424-9. [PubMed ID: 29038624]. https://doi.org/10.1007%2Fs12663-016-0935-1
Ghallab NA, Elaskary A, Elsabagh H, Toukhy AE, Abdelrahman H, El-Kimary G. A novel atraumatic extraction technique using vestibular socket therapy for immediate implant placement: a randomized controlled clinical trial. Oral and maxillofacial surgery. 2023;27(3):497-505. [PubMed ID: 35718834]. https://doi.org/10.1007%2Fs10006-022-01089-4
Abella Sans F. Minimally Invasive Alternatives to Dental Extraction and Implant Placement. In: Plotino G, editor. Minimally Invasive Approaches in Endodontic Practice. Cham: Springer International Publishing; 2021. p. 203-31. https://doi.org/10.1007/978-3-030-45866-9_9
Hong B, Bulsara Y, Gorecki P, Dietrich T. Minimally invasive vertical versus conventional tooth extraction. The Journal of the American Dental Association. 2018;149(8):688-95. http://dx.doi.org/10.1016/j.adaj.2018.03.022
Mohamed AG, Ibrahim AE, Milad AA. Tooth Extraction using Vertical, Conventional, and Surgical Techniques in Sebha Dental College: A Descriptive “Cross-sectional Study”. The Open Dentistry Journal. 2023;17(1):1-10. http://dx.doi.org/10.2174/18742106-v17-20230815-2023-9
Oghli AA, Steveling H. Ridge preservation following tooth extraction: a comparison between atraumatic extraction and socket seal surgery. Quintessence International. 2010;41(7):605-9.
Muska E, Walter C, Knight A, Taneja P, Bulsara Y, Hahn M, et al. Atraumatic vertical tooth extraction: a proof of principle clinical study of a novel system. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116(5):e303-10. [PubMed ID: 22762920]. https://doi.org/10.1016/j.oooo.2011.11.037
LI Yan-xiang YL-j, LING Xiao-wan, ZHOU Wen-jie, WANG Yue-ping. Application and advancement of minimally invasive instruments and micro-power devices in tooth extraction. China Journal of Oral and Maxillofacial Surgery. 2023;21(2):191-6. https://doi.org/10.19438/j.cjoms.2023.02.016
Sharma SD, Gupta A, Bansal P, Alexander M, Vidya B, Gupta H. Minimally traumatic extraction techniques in nonrestorable endodontically treated teeth: A comparative study. Natl J Maxillofac Surg. 2022;13(1):S91-s6. [PubMed ID: 36393928]. https://doi.org/10.4103/njms.njms_309_21
Dietrich T, Schmid I, Locher M, Addison O. Extraction force and its determinants for minimally invasive vertical tooth extraction. J Mech Behav Biomed Mater. 2020;105(1):103711. [PubMed ID: 32279853]. https://doi.org/10.1016/j.jmbbm.2020.103711
Mutashar HA, Abdulrazaq SS. Evaluation and Comparison of Physics Forceps and Conventional Forceps in Bilateral Dental Extraction: A Randomized, Split-Mouth, Clinical Study. Cureus. 2023;15(4):e38206. [PubMed ID: 37252611]. https://doi.org/10.7759/cureus.38206
Niemiec B. Extraction Techniques and Equipment. The Veterinary Dental Patient 2021. p. 305-17. https://doi.org/10.1002/9781118974674.ch22
Alraqibah M A, Rao JKD, Alharbi BM. Periotome versus piezotome as an aid for atraumatic extraction: a randomized controlled trial. Journal of the Korean Association of Oral and Maxillofacial Surgeons 2022; 48(6), 356–362. https://doi.org/10.5125%2Fjkaoms.2022.48.6.356
Lee W. Immediate implant placement in fresh extraction sockets. Journal of the Korean Association of Oral and Maxillofacial Surgeons 2021; 47(1), 57–61. https://doi.org/10.5125%2Fjkaoms.2021.47.1.57
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Saeed Hameed Tutmayi (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in Erbil Dental Journal is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).
