Review ArticleInternational Journal of Research in Medical Sciences

Publication:
Trans-alveolar extraction: a spectacular oral surgical approach

Int J Res Med Sci. 2026;14(4):1805-1811.DOI10.18203/2320-6012.ijrms20261003

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Abstract

Dental caries’ has significantly become a widespread disease, raising a serious global concern. In certain cases, when caries or other oral symptoms like root resorption, tooth ankylosis seem to happen beyond care; ‘dental extraction’ becomes inevitable. But, in various cases like retained roots; hypercementosis; impaction; bony sclerosis; where simple extraction is unable to eradicate the distress; “complicated exodontia” or “trans alveolar extraction” ranges the highest accord. A ‘trans alveolar extraction is a surgical approach’ to successful tooth removal necessary; when a tooth or root cannot be extracted with standard forceps methods, often, because of fracture or other difficulties. The particular "open" or "surgical" technique involves making incisions and exposing the tooth and the underlying jawbone; with the purpose of removing the tooth fragment. It may also owe to alarming post-operative complications, and over-time, studies have evaluated its incidence and management, while effective research highlighting patient demographics, the diagnostic tools like indices for surgical difficulty, and post-operative care with agents like topical ozone therapy is still in progress. This paper chiefly imparts special mention to ‘complicated exodontia’-the otherwise typically established oral surgical procedure.

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Affiliations

  1. Department of Pediatric & Preventive Dentistry, West Bengal of Health Sciences & Magadh University, Kolkata, West Bengal, India
  2. Department of Dentistry, KPC Medical College, Kolkata, West Bengal, India
  3. Department of Paediatric and Preventive Dentistry, B.I.D.S.H., Patna, Bihar, India

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