Short Communication [Link]

008

Exodontia chair positions: A brief overview

Ashvini Kishor Vadane1*, Janardan Bhagwat Garde2, Alka Dattatray Sherkhane3
1,3
Senior Lecturer, 2Professor and HOD, 1,2M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune,
Maharashtra, 3Shri Yashwantrao Chavan Memorial Medical & Rural Development Foundation's Dental College & Hospital,
Ahmednagar, Maharashtra, India

*Corresponding Author: Ashvini Kishor Vadane

Email: drashvinivadane@[Link]

Abstract
Exodontia is a branch of dentistry. Exodontia deals with the therapeutic extraction of tooth from its normal anatomic position,
i.e., alveolar socket. aim of this short article is to discuss chair positions to be followed by clinicians.

Keywords: Chair position.

Introduction Trans-alveolar extraction

The painless removal of the whole tooth or tooth root It is also known as “open extraction”. It is a minor
with minimum trauma to the investing tissues, so that surgical procedure. This procedure is the therapeutic
wound heals uneventfully. [As per Geoffrey L. Howe] extraction of impacted tooth. In this procedure, access
Exodontia is a minor surgical procedure that is gained through a surgical flap which also helps in
involves principles of surgery as well as principles of visualizing tooth and to facilitate extraction,
physics. Dental surgeons should apply these principles appropriate bone removal is also performed.
appropriately to perform extractions with less
complications. The use of controlled force is important
for extraction of an erupted tooth. Excessive force can Chair position in exodontia
damage surrounding vital structures like soft tissues It is of prime importance to follow proper patient’s
and alveolar bone. It also increases intraoperative & position, operator’s position and chair position for
postoperative complications. Operator’s excessive performing successful extractions. Extractions can be
haste can also increase patient’s anxiety. Operator’s performed by operator either in sitting position or in
gentle tissue handling is necessary for better tissue standing position. Standing extractions are most
healing. Operator should use appropriate as well as commonly practiced as compared to the sitting
sharp and well cared instruments for successful dentistry.
exodontia. Successful exodontia depends on a proper
knowledge based technique and operator’s skill. Patient’s position
Operator should have knowledge of basic anatomy of Patient’s head rest, back rest should be in a single line.
maxilla & mandible and individual tooth anatomy for Patient should sit straight.
performing successful extractions.

Exodontia is of two types as follows

1. Intra-alveolar extraction.
2. Transalveolar extraction.

Intra-alveolar extraction
It is also known as “closed extraction” or
“conventional extraction”. In case of an erupted tooth,
this type of extraction is performed by expanding bony
alveolar socket. Dental extraction forceps, dental
elevators are used for performing this type of
extraction and principles of lever, wedge and wheel &
axle are applied. Fig. 1 a]: Chair Position for Maxillary Extractions.

International Dental Journal of Student Research, January-March, 2020;8(1):37-39 37

Ashvini Kishor Vadane et al. Exodontia chair positions: A brief overview

Fig. 1b]: Chair Position for Maxillary Extractions.

Fig. 3: Pictorial Presentation to describe chair

positions in exodontia.2

Operator’s Position
Operator should stand in front of the patient, for
extractions in all quadrants except 4th quadrant.
Operator should stand at 7 o’clock position for
performing extractions in first, second and third
quadrants whereas, he should stand at 11 o’clock for
performing extractions in fourth quadrant. Right
handed operator should always stand on right side of
the patient. Left handed operator should follow exact
mirror-image positions as that of right side. While
performing extractions, dentist’s arms should be
closed to body & force should be applied from
shoulder and wrist should be in steady position.

Fig. 2a]: Chair Position for Mandibular Extractions. Chair Position

Extractions of maxillary teeth
Whenever operator plans to do maxillary teeth
extractions, the chair’s height should be adjusted such
that the operating field should be approximately 3 inch
/ almost 8 cm below the operator’s shoulder and
operating field, i.e., maxillary arch should make 45
degree to 60 degree angle with the floor.

Extractions of mandibular teeth

Whenever operator plans to do mandibular teeth
extractions, the chair’s height should be adjusted such
that the operating field, i.e., mandibular arch should be
just below the operator’s elbow level / at the operator’s
elbow level and it should be parallel to the floor.
Fig. 2b]: Chair Position for Mandibular Extractions. When performing exodontia in operator’s sitting
position, the patient should be in supine position and
operating field should be at the just below the
operator’s elbow level / at the operator’s elbow level.

Source of funding
None.
International Dental Journal of Student Research, January-March, 2020;8(1):37-39 38
Ashvini Kishor Vadane et al. Exodontia chair positions: A brief overview

Conflict of interest 4. Hupp J. Textbook of “Contemporary Oral and

Maxillofacial Surgery”-7th Edition.
None.
5. Robinson PD. Tooth Extraction: a practical guide. Ist ed.
Oxford: Wright; 2000:34-5.
References
1. Bhandari AJ. Dental Operator's Posture And Position. Int J How to cite: Vadane AK, Garde JB, Sherkhane AD.
Dent Health Sci 2(5). Exodontia chair positions: A brief overview. Int Dent J
2. Kumaresan R. The most compatible position of operator for Student Res 2020;8(1):37-9.
mandibular right posterior teeth extraction. Plast Aesth Res
2016;3:257-8.
3. Gadicherla S. Evaluation of a New Ergomonic Position for
Operator/Clinicians for the Extraction of Mandibular
Posterior Molar Teeth. J Int Oral Health 2018;10:36-9.

International Dental Journal of Student Research, January-March, 2020;8(1):37-39 39