Periotomes Technique For Dental Extraction Procedures

One of the dental surgical procedures, atraumatic extraction, requires a specific tool called periotomes. It has two main types, which include a straight and another one is angled. The straight one generally helps while treating the teeth located at the front, and the angled one works with the teeth present at the back. The main benefit is that it enables the operator to take the teeth out, alleviating the chances of tissue damage. It also helps the patient to tackle postoperative pain as well. To further add to its advantages, this tool lacerates the ligament, which connects the tooth with other parts, which is why it gets easy to extract the tooth without causing any trauma to it. The blade is a fragile one that severs the periodontal fibers which are positioning the tooth. It is important to lacerate the periodontal fibers to effortlessly take the tooth out of its socket with reduced damage to the tissues and buccal bone.

Techniques For Using Periotome For Dental Extraction 

  1. It is mandatory to cover and guard the facial plate in every surgical procedure. In order to do this, the longer part of the blade has to make its way into the interproximal region of the root’s long axis while the tip of the blade is in the upper portion of the alveolar bone. The next step is to ligate the periodontal ligament, and for this purpose, the user deeply inserts the blade into the periodontal ligament, and with the help of a mallet and slight tapping, it makes its space beside the mesial and distal root. After this, it cuts the periodontal ligament, which is under the alveolar crest, and meanwhile, it pushes the tooth against the cribriform plate. The blade does not work on the facial bone as it can cause it to break because of its delicacy.
  2. A timing break of 10-20 seconds is essential when a user has positioned the blade in the desired area. This causes the periodontal ligament and the bone to undergo creep. The term “creep” has a definition which is the process during which any material alters its shape when it endures some force. While we push the tooth towards the alveolus, it will enlarge the bone and will expel the tooth out of its socket. This method works better when we are operating on a tooth that has no adjoining teeth.
  3. Then, the operator slowly inserts the tool and taps it in the downward direction in the periodontal ligament by using a mallet. This makes the operating tooth moveable. This method continues until one-third of the tooth has begun to move. As soon as this step completes, the operator initiates working on the next step of the technique.
  4. During the next step, it works like a lever. As soon as we twist the handle, one side handles the root, and the other one deals with the cribriform plate. This rotatory movement quickly dislodges the tooth and provides a specific amount of force which will help to enlarge the cortical plate. The tip of the tool is delicate, and care is essential while working with it.
  1. When we exert some pressure on the tooth, the lateral pressure on one side transforms into coronal pressure on the other side. This technique will push the root out of the socket and will ease the procedure. When the user realizes that the root is now disengaging from the socket, then he inserts the tool upwards to the root apex to dislodge the root from the socket in order to complete the surgical procedure successfully and effortlessly. Make sure to use the Rustproof instrument for dental surgeries.

Are There Any Differences Between Luxators And Periotomes?

These two surgical tools have many distinguishing factors, but the visual difference among both is important. The general design chosen by different brands for both tools is similar every time. If we compare a luxator with a periotome, then a luxator comes with short, thick, and wide plastic handles and has a long, thin tip at the end.

A periotome consists of a metallic, long, and round-shaped handle that has a saw-toothed appearance for appropriate hold. Another difference comes in the tip of both tools, which can bend in any shape to treat different areas under the tooth. Luxators come with a single tip, while other ones have two tips located at both ends. Despite the fact that these tools have some prominent differences, both tools are an integral part of the surgical toolkit.

Practical Differences

The practical usage of both tools is similar. Both the tools have an identical method of lacerating the periodontal ligament with the help of a sharp tip, exerting a small pressure instead of disrupting the ligament with extreme force. A luxator needs more force for better functioning than a periotome which requires less force. It is a multi-purpose tool that helps in serving purposes. It is an efficient tool that does not forcefully take the tooth out of its socket. 

It does have differences when we compare it with other tools, but its significance is irreplaceable during various surgical techniques.

Also read: 9 Exceptional Advantages of Taking Biotec Facial Treatments


The best place to buy dental surgical instruments is GerDentUSA Inc. It supplies and manufactures the Double-ended Periotome or German forged periotome at reasonable prices with premium quality. These equipment require low maintenance and make the surgeries successful.