Special luxator forceps :a nightmare resolved
Third molar extraction, is considered a nightmare by dentists but with the help of the new special luxator forceps extraction is much easier and quicker!
Removal of mandibular third molar faces difficulty because of the eruption status, position & angulations of tooth in the arch, mouth opening of the patient and other factors.
Extraction using conventional forceps involves the separation of the periodontal ligament attachments, expansion of the alveolus & lifting of the tooth out of the socket with the forcep beaks. The forcep works by forces placed equally on the facial and lingual portion of the tooth combined with a third force - movement of the operator’s arm and wrist, thus elevating the tooth out of the socket. This pulling force technique also invites unnecessary trauma including broken roots & bone, inflammation & postoperative pain, loss of tissue, & stress for the patient & dental team. A specialized forceps has been implemented for extracting third molars in trismus patients in which, if the operator could utilise just two forces from buccal & lingual side along with luxating force, & these two forces eliminates the need for the third force (the clinician’s arm), the risk of fracturing the dental structures would be dramatically reduced. There would also be significantly less discomfort for the patient. This is the principle involved in SPECIAL LUXATOR FORCEPS & it is the essence of the new concept.
Though the forceps resembles American pattern; usage, force & area of application is different. Beaks of the forcep forms 1350 angulation with the handle. Beaks are thin and forms a Pythagorean triangle in cross section; with base towards mesial tooth & hypotenuse side towards distal most erupted tooth. This forceps should be engaged interdentally between distal most & adjacent mesial tooth. Mechanical efficiency of this instrument is equivalent to 2 straight elevators being applied simultaneously on buccal and lingual sides with equal magnitude of force. Point of application is above the crest of interdental bone. Mild continuous pressure should be applied on the forceps. Tooth gets luxated & extraction is done by giving a disto-occlusal rotational force same as that of path of exit of the tooth. There would also be significantly less discomfort for the patient. This is a straight access instrument. Double Angulation of beak from hinge facilitate better accessibility to the posterior teeth. Special luxator forceps has the advantage of thin long angulated beak which gives an added elevator action which reduces all the shortcomings of operating in a resticted mouth opening case. Conventional extraction forceps when used in the removal of Mandibular third molar will add to too much force on TMJ & also consumes more time. Special luxator forceps can be used in these cases which will make the extraction process as atraumatically as possible without the squeezing, grasping, twisting and pulling forces. This forceps utilizes the principles of forceps together with principles of Elevators.