With active orthodontics, sometimes the bracketed teeth have some mobility. When using traditional elevators, using the adjacent tooth or inter-proximal area as a mini-fulcrum occurs. With mobile adjacent teeth and if fancy restorations are present, other means to luxate may be needed. 📌Woodson elevator to raise the flap (find the one I use at drwahan.com). 📌Offset spade is my next one. I can move the tooth but I feel more force is needed to get the tooth out (find this exact spade at drwahan.com). 📌The 77R offset elevator is next. It moves it more but the tooth needs more inter-proximal force and I don’t want to as the second molar has movement (at drwahan.com). 📌So I use the Potts elevator and place it superiorly and twist my wrist to push it out. 📌📌📌Another option would have been a purchase point and using the Cogswell B elevator. ➡️Find over 500 step by step extraction videos on my dental extraction playlist at my youtube. https://youtube.com/@drwahan?si=nmG91J43FtcsSkjp ➡️Subscribe to my oral surgery video podcast at drwahan.com. Watch it on Spotify, youtube, apple and everywhere.
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