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Keywords

Dental Operating Microscope, Tooth Extraction, fixed partial denture, under abutment extraction, root tip, exodontia procedure, roots, root tip, extraction, pontic, sectioning

Abstract

A dental patient may present with a fixed partial denture such that a tooth or a fractured tooth root that was once a terminal abutment or a pier abutment of the fixed partial denture may need extraction from underneath the abutment without removing the fixed partial denture. The patient may need to retain the fixed partial denture for financial or esthetic reasons, or to use the fixed partial denture as a long-term provisional restoration until the extraction site heals, or until a new fixed partial denture is fabricated.

This article presents a clinical report describing a technique for extracting a tooth or root tip from underneath a fixed partial denture, emphasizing use of magnification from dental loupes or a dental surgical operating microscope and coaxial illumination for precise control when performing this technique-sensitive exodontia procedure.

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