in the absence of lower third molar, if the upper third molar has not over erupted,it can be sign of ankylosing with tuberosity. Better use a handpiece on the distal to free it.
Thanks for the reply. I am a patient with an over-erupted maxillary third molar. However, it does have curved roots. I’m a bit anxious about upcoming removal due to having known someone who experienced tuberosity fracture
@@cynthiariley8290 once I fractured a tuberosity. Along with tuberosity some portions of the palatal bone also fractured. Small muscles which lodge there were also hanging. I cut those muscles from the bone(s) and removed the bone. Then I sutured the gaping soft palate. That night I didn't sleep well. However it healed very well. When I removed the suture after 3 weeks, the wound was healed. I saw the patient again after a year, when even the tuberosity seemed to have rebuilt itself. Don't worry, this is very rare and the tuberosity is the most useless bone you will ever have.
Thanks for your informative Podcasts, As GDP's we tend to fracture Maxillary Tuberosity when we apply distal pressure using a Cryer Elevator or a spade elevator. Problem is when we solely depend on elevators. We should use elevator just to luxate, once luxated its better to use Forceps with Buccal force! Thanks once again❤🎉
in my 22 years experience I have found upper 8's that are palatally placed are the ones to be careful of . If a 7 is the most distal tooth then the worst thing you can do is put your elevator between the 6 and 7 and try to elevate distally.
@@kvgolfa with care, using sectioning if appropriate and reflecting slightly the soft tissues first to help you if this sometimes unavoidable complication happens
Today in Surgery happend,terrible yes,thank you for the video. We expected ,can happend, removing a Wisdom tooth at 37 Years old woman. Was my first time I saw that.❤️ All the bests.
There is a bone firmly attatched to "something" where my 15th molar was extracted lol the 2nd dentist broke it off 3 days post op. There was so much pain. .and then realized it was not going to come out after I let him know I could feel everything even after being numbed 5x. Need to see a surgeon now but Appts are weeks out and now its infected. 😅 .. so idk. Watching this helped me understand what could have potentially caused this bone on the upper side of my gum.. 🎉 when my dentist said "...Im going to try one more time" I wish I had said nevermind.
My dentist broke the end of jaw off removing a wisdom tooth then continued to try and pull it through my rear gums tearing the flesh with it! I woke up in hospital where they tried to do the same!
Today only ..I got tuberosity fracture .. 🥺 .Thankfully , less soft tissue fracture .. Thanx for video . Would always try use buccal forces more ..Thanx
@@protrusive Dr. I think he means in removable dentures, they teach us not to replace a terminal tooth if it's going to be mounted at tuberosity level, and to always leave that space in the wax and eventually in the final dentures.
in the absence of lower third molar, if the upper third molar has not over erupted,it can be sign of ankylosing with tuberosity. Better use a handpiece on the distal to free it.
great point!!!
Does this mean in the case of over eruption, the probability of tuberosity fracture lessens?
@@cynthiariley8290 yes, that's a dream wisdom ext. We can charge for impaction.
Thanks for the reply. I am a patient with an over-erupted maxillary third molar. However, it does have curved roots. I’m a bit anxious about upcoming removal due to having known someone who experienced tuberosity fracture
@@cynthiariley8290 once I fractured a tuberosity. Along with tuberosity some portions of the palatal bone also fractured. Small muscles which lodge there were also hanging. I cut those muscles from the bone(s) and removed the bone. Then I sutured the gaping soft palate. That night I didn't sleep well. However it healed very well. When I removed the suture after 3 weeks, the wound was healed. I saw the patient again after a year, when even the tuberosity seemed to have rebuilt itself. Don't worry, this is very rare and the tuberosity is the most useless bone you will ever have.
Thanks for your informative Podcasts, As GDP's we tend to fracture Maxillary Tuberosity when we apply distal pressure using a Cryer Elevator or a spade elevator. Problem is when we solely depend on elevators. We should use elevator just to luxate, once luxated its better to use Forceps with Buccal force!
Thanks once again❤🎉
great input doc thank you!
in my 22 years experience I have found upper 8's that are palatally placed are the ones to be careful of .
If a 7 is the most distal tooth then the worst thing you can do is put your elevator between the 6 and 7 and try to elevate distally.
great contribution, thank you for sharing your wisdom!
So how should you extract the 7?
@@kvgolfa with care, using sectioning if appropriate and reflecting slightly the soft tissues first to help you if this sometimes unavoidable complication happens
Agreed. Much better to simply remove the crown and then deliver the roots separately.
Today in Surgery happend,terrible yes,thank you for the video.
We expected ,can happend, removing a Wisdom tooth at 37 Years old woman.
Was my first time I saw that.❤️
All the bests.
it was mean to be - hope you managed OK
There is a bone firmly attatched to "something" where my 15th molar was extracted lol the 2nd dentist broke it off 3 days post op. There was so much pain. .and then realized it was not going to come out after I let him know I could feel everything even after being numbed 5x. Need to see a surgeon now but Appts are weeks out and now its infected. 😅 .. so idk. Watching this helped me understand what could have potentially caused this bone on the upper side of my gum.. 🎉 when my dentist said "...Im going to try one more time" I wish I had said nevermind.
My dentist broke the end of jaw off removing a wisdom tooth then continued to try and pull it through my rear gums tearing the flesh with it! I woke up in hospital where they tried to do the same!
so sorry to read this hope you're OK - wisdom teeth can be a real nuisance
How long does it take for the patient to heal ?
like most bony fractures, 4-6 weeks to stabilise
Today only ..I got tuberosity fracture .. 🥺 .Thankfully , less soft tissue fracture ..
Thanx for video . Would always try use buccal forces more ..Thanx
it happens bud - we learn! wishing you all the best
So scary
Thank you for your videos Jaz !!
Sir i have a doubt....why artificial tooth should not be placed on tuberosity?
you mean like an implant?
@@protrusive Dr. I think he means in removable dentures, they teach us not to replace a terminal tooth if it's going to be mounted at tuberosity level, and to always leave that space in the wax and eventually in the final dentures.
I'm a new subscriber :-)
welcome Doc!