In this video, Dr. Wolfgang Bolz (Munich) demonstrates the surgical procedure for an atraumatic extraction of an upper molar. In this particular case, the tooth to be removed had previously been treated endodontically and provided with a crown. As the ultimate goal is to bridge the gap with an implant, tissue should be protected as far as possible during the extraction of the upper molar.
Since Dr. Bolz recommends the separation of the tooth and in order to gain an optimal overview of the anatomy in the furcation area, the dental crown is removed first. Then, the actual extraction of the molar can begin: Following a sulcular incision, a buccal flap is mobilized so that the furcation becomes clearly visible and accessible - every step very precautiously conducted to not traumatize any tissues.
Then, the roots are separated using a milling tool. The individual roots are luxated and removed. Following extraction of the upper molar, granulation tissue and possible bone chips have to be removed carefully in order to facilitate proper healing. Once the extraction of the upper molar has been completed, the wound closure is performed using adaptive suturing.