It is usually known as surgical extraction or an open extraction of a tooth. When normal forceps extraction is not possible because of various difficulties, transalveolar extraction surgery is used. Usually, surgeries are required remove the root fragments, if the tooth fractures during regular extraction. Transalveolar extraction surgery is conducted for the following situations:
- If the tooth cannot be extracted by normal use of elevators or instruments.
- If the tooth experienced failure in extraction in the past.
- Extraction of a tooth which already had a root canal therapy.
- The damaged or fractured tooth that cannot be accessed by the dental forceps.
- Sclerosis of bone.
- Teeth which has an association with other diseases such as cysts, periapical granulomas and tumors.
- Teeth that are grossly decayed and with internal resorption or root caries.
- Teeth that lie intimate to major dental nerves.
The method of extraction will be depended upon the patient's age and overall health. The procedure starts with a local anesthesia. After that, an incision will be made over the mucosa to access the born. The incision will be made considering the location of the involved tooth, bone density and surrounding anatomical structure. Rotatory instruments, chisels or instruments used for trimming the bone will be used to remove the bone that surrounds the tooth. The tooth will be removed completely or as segments when the tooth became fully accessible. After that, the incision will be closed by placing sutures.