The Elevator dental tool plays an essential role in the world of dental procedures. The primary function of this tool is luxation of the teeth before extracting. The instrument offers multiple purposes such as reflection of the gingiva, mobilizing and removing teeth, and removing roots. It is a simple instrument, and there are three parts to it: shank, handle, and blade.
Types of Teeth and Roots Removed with an Elevator
Typically, elevators are used on exposed, impacted, decaying, and tilted teeth. The elevators luxate fractured roots at the gingival line apical third region and root stump at an alveolus.
Types of Blades:
There are three types of blades in dental elevators:
Straight:
It has a concave surface on one side. Such elevators are suitable for posterior teeth.
Triangular:
This luxates fractured roots from the socket.
Apical:
The pointy edge of the Elevator drills a hole into the root. A buccal plate is used as a fulcrum while using the apical edge elevator.
Rules to follow while using the Elevators
• The adjacent tooth should not act as a fulcrum as it can result in the luxation of the other tooth. On the other hand, use your finger or interdental bone for resting the tool.
• Elevation and luxation service should start from the mesial region of the tooth.
• The flat surface of the elevator blade should face the root of the tooth.
• Use finger guards while operating with elevators to prevent injuries to the nearby tissues.
• Exert pressure on the tooth that requires extraction.
Types of Elevators and Their Purpose
Let us discuss the types of elevators and their purposes:
Dental Periosteal Elevator:
This Elevator uses in lifting tissue flaps with full thickness. If the tips are not sharp enough, tissue scraping occurs.
Crossbar elevator:
These remove mandibular molar roots as well as impacted mandibular third molar roots.
Cryer's Elevator
It is a straight elevator that has a triangular blade and removes root stumps of mandibular molars.
Coupland Dental Elevator:
Commonly used in dental extractions, Coupland Elevators are used to split multirooted teeth. They are inserted between the bone and tooth roots of lower molars and third molar teeth.
Hazards of Using Elevators:
Discussed below are a few hazards associated with using Elevators:
• It can damage the adjacent teeth.
• It can fracture mandible or maxilla.
• It can accidentally penetrate the maxillary antrum and soft tissues.
• The elevators can force the third molar into the antrum.
• It can push the third apical root of the molar into the canal, lingual plate, or pterygomandibular space.
What is New About Elevators?
Since elevators may cause trauma to the nearby teeth and nerve endings, Anglevators are a better solution. An Anglevator is a luxating tool that combines six primary dental tools used in extractions: chisel, luxator, Proximator, periotome, crane pick, and Elevator. These help extractions less painful, atraumatic and are universal instruments used on every extraction. Check out GerDentUSA Inc for all dental and oral surgical instruments. They manufacture and supply top quality tools that provide surgeries with high success rates.