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Is this an easy technology to learn?
Yes, the concepts of Ögram are easier than what you learned in dental school, because it makes sense.
Do I need to take the Ögram System course to learn how to remove teeth atraumatically or can I read about Ögram and learn the technology that way?
Yes, take the course. Would you want to learn to fly an airplane because you read a ‘how to” book or learn by taking a flying lessons?
Why do I need to change the way I remove teeth? I’m an experienced dentist.
Traditional tooth removal methods are very dated and based on old concepts that are not found in any other modern medical surgery disciplines.
Did dentists design the Ögram System technology?
No. The dental profession was consulted in many countries by our staff. Important to us were the concern of the patient’s needs, reducing unpredictable procedures and unwanted trauma.
Surgery design is a specialized profession and requires a special education that dental schools do not teach. In dental school, dentists are taught techniques for surgery and how to implement them in a dental practice, but dental schools traditionally do not train their students to design the surgery technologies that they use.
Is the way the dental profession removes teeth in general a modern approach?
No. Based on historical research, dentistry has not significantly changed tooth removal in the last 50 to150 years. The improvements that are modern are support technologies, such as anesthesia, radiography and rotary.
What about the many new products that claim to advance to atraumatic extraction possibilities?
Our bioengineers analyze many of these concepts and find that most are just products to sell and offer very little improvement. The key to a good technology is one that repeats wanted atraumatic results in probability not possibility. If a medical device or concept technology can only deliver as promised occasionally, then it was probably luck. A better-designed technology would deliver atraumatic results to a higher percentile (i.e., 85% to 95%) in all equal and like cases. No technology is perfect.
Is tooth sectioning a good idea?
Absolutely. Most molars need sectioning. Non-impacted teeth that are to be extracted can be altered and sectioned, if necessary, for the benefit of an easy atraumatic extraction because it is a non-functioning tissue. However, surrounding hard and soft tissues should not be violated for the benefit of the extraction, as they are needed vital tissues.
We were taught to position forceps as apical as possible on a tooth. Is this a good scientific concept?
No. For two reasons: (1) this is one reason why postoperatively there is more bone loss buccal-lingual than mesial-distal many months later. How this happens will be shown in our course. (2) The fulcrum for all teeth on the long axis is the crest of the bone. There is a motion principle that states that efficient motion is compromised when engaging objects close to their fulcrum. These concepts are also taught in our course.
Does tooth removal cause bone loss?
Yes and no. There can be many reasons why bone resorption happens postoperatively after tooth removal. Bacterium, chemical and mechanical concerns are the prime reason for most bone loss. The mechanical concepts we can fix; this is accomplished with solid motion engineering concepts. If the mechanical technique during the extraction process damages the bone or the periosteum, then bone loss is probable.
Is “trenching bone” at the crest with a bur a sound procedure to help extract a non-impacted tooth?
No. Why induce a class three burn to osseous tissue that the patient wants to retain?
This dated and invasive concept needs to be avoided. This technique is used because old-fashioned techniques and instruments cannot deliver better results. Better-designed dental techniques and instruments do not need to alter wanted tissue for the sake of the extraction in the majority of extractions.
Can buccal-lingual motion with forceps deliver teeth atraumatically?
No. This is the easiest way to fracture buccal plate and advance future bone loss.
Was exodontia ever scientifically developed for atraumatic removals?
No. The Ögram System is the first atraumatic and systematic scientific showing for exodontia in the history of dentistry.
Do I need to acquire new instruments?
First of all, not knowing what your current instrument inventory is, it would be difficult to assess - you can call our office for clarification. Some instruments used are fairly common, but there are also instruments that are based on the new generation of extraction instruments that have been available since the late 80’s.
What kind of instrument is new generation?
For example, forceps that do not slip on tooth structure with light hand forces. If you have forceps that that require strong hand forces just to hold the tooth, they are not useable in this technology.
Do you sell or manufacture any products that are required to implement the Ögram technology?
No. We are a biomedical design consultant group for the advancement of surgery to the medical profession. There are no vendors at our courses.