Page 267 - Read Online

Letter to Editor Plastic and Aesthetic Research

The most compatible position of operator

for mandibular right posterior teeth

extraction

Ramesh Kumaresan, Sivakumar Pendyala, Jawahar Dhanavel

Academic Unit of Craniofacial Clinical Care, AIMST University, Faculty of Dentistry, Kedah 08100, Malaysia.

Correspondence Author: Dr. Ramesh Kumaresan, Academic Unit of Craniofacial Clinical Care, AIMST University, Faculty of Dentistry,
Jalan Semeling-Bedong, Kedah 08100, Malaysia. E-mail: rame1264@gmail.com

Sir,

The positions of the dental chair, patient and operator are
[1]
critical for successful completion of tooth extraction.
Whilst, the proper positioning of the operator is very
important to have good visibility and accessibility of
the oral cavity, besides allowing the surgeon to have
maximal control of the force that is being delivered
[1]
to the patient’s tooth through the forceps. Also,
proper operating position and good posture reduces
fatigue and physical strain and possibility of developing
musculo-skeletal disorders.

For extraction of the mandibular right posterior teeth, a
right-handed operator would usually stand at the right rear
position (11 o’clock) or direct rear position (12 o’clock)
[2]
[Figure 1]. These positions give good visibility and maximal
accessibility to the oral cavity posteriorly as far as right
first mandibular molar. However, a diminished accessibility
is experienced by many operators when extracting the
right second and third molars from these positions. It also
results in unnecessary curvature of the spine or slumping of
shoulders during the surgical procedure leading to physical
strain [Figure 2]. Figure 1: Operator positions for tooth extraction
left rear position (2 o’clock) for extraction of the mandibular
With the intention to overcome this diminished accessibility
and to enhance the effectiveness of the operator, the authors right posterior teeth [Figure 3]. This compatible operator
recommend positioning of a right-handed operator at the
This is an open access article distributed under the terms of the Creative
Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows
Access this article online others to remix, tweak and build upon the work non-commercially, as long as the
author is credited and the new creations are licensed under the identical terms.
Quick Response Code:
Website:
http://www.parjournal.net For reprints contact: service@oaepublish.com
How to cite this article: Kumaresan R, Pendyala S, Dhanavel
J. The most compatible position of operator for mandibular right
DOI: posterior teeth extraction. Plast Aesthet Res 2016;3:257-8.
10.20517/2347-9264.2016.04
Received: 09-02-2016; Accepted: 07-06-2016
© 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc. 257