Some teeth can be easily extracted, but dentists know that unusual root geometries or decayed teeth can be frustrating, time consuming, invasive and difficult to deliver. Why are these extractions problematic?
The scientific answer to tooth extraction problems is in three parts: (1) no two axis view of the geometry, (2) awkward techniques, and/or (3) utilizing instrumentation not capable of delivering the wanted result. Any tooth will come out with excessive force and surrounding tissue trauma, but why solve it that way?
Another reason is many tooth removal doctrines and protocols used today are still based on concepts found over 50 to 150 years ago with little or no scientific advancement in many areas.
Sir John Tomes, a prominent dentist in England, also known as the “Father of British Dentistry”, published A System of Dental Surgery, London, 1859, which was the standard textbook used for many years and were modern concepts for his time. Many of Tomes’s tooth extraction techniques; many of his forceps shapes and other instrument designs from the 1850’s are still the bases for today’s principles used in exodontia. Modern for his time, but not very modern in today’s dentistry. Scientific advances in bioengineering for surgery design can today offer so much more compared to the past.
The anatomy is not the problem; the problem is how it is resolved. Modern sciences can solve the majority of difficult extractions with (a) two-axis parallel micro-motion, (b) passive specific motion (PSM) principles, and (c) employing precise anatomical armamentarium, while still preserving original surrounding anatomy.
The advancement of surgery is about protecting tissues that are not the problem for a given procedure.
Surgery is the diagnosis and treatment of tissues through motion. The key sciences that guide motion are physics, geometry and mathematics. These are also the key sciences for engineers. The science of motion is multifaceted. When motion meets the anatomy for surgery, special considerations are required to preserve the anatomy. This is where bioengineering can assist with design.
The Ögram System techniques are based on PSM and Atraumatic Motion Theory (AMT): if the technique and instrument in harmony can deliver sequenced, two-axis parallel motion protocols for a given geometry in a given space, then the probability of motion for that geometry is solved without trauma. Form follows function.
Why be frustrated with trial and error or lost production when the motion equations for exodontia technique to yield atraumatic results have already been solved? One motion will always be more efficient than any other. No two motions can yield the same response. The key is to know what that motion is, how it is achieved, and how it relates with the surrounding tissues. The exact instrument allows the outcome – atraumatic technique and skill make it happen.
Advance your modern practice and raise your surgical skills. Learn the Ögram System to redefine the science of exodontia to sound new levels that are easy to implement and offer modern optimal care for your patients while increasing your bottom line.