PENGERTIAN ODONTEKTOMI

Odontektomi adalah tindakan mengeluarkan

gigi secara bedah, diawali dengan pembuatan
flap mukoperiosteal, diikuti dengan
pengambilan tulang undercut yang menghalangi
pengeluaran gigi tersebut.
• OD tidak hanya pada M3 rahang bawah
• OD  Impaksi P, impaksi C, impaksi I
Impaksi M3 rahang atas
Ekstraksi gigi ankilosis
Ekstraksi gigi complicated
Pengambilan fragmen akar
 What is the problem? Why remove it?
Periodontal pocket
Pericoronitis the amount of bone on
Caries the distal aspect of 2nd
molar
Root resorption
Denture irritation
Cyst and tumours
Unexplained pain
Jaw fracture bone loss
Orthodontic consideration
Inferior Alveolar Canal
 What is the problem? Why remove it?
Periodontal pocket
d/t entrapment of food, trauma
Pericoronitis from opposing tooth and
Caries infection in the operculum.

Root resorption
Denture irritation
Cyst and tumours
Unexplained pain
Jaw fracture operculum

Orthodontic consideration
Inferior Alveolar Canal operculitis
 What is the problem? Why remove it?
Periodontal pocket Food entrapement and
inaccessibility to toothbrush
Pericoronitis on the distal aspect of 2nd
Caries molar

Root resorption
Denture irritation
Cyst and tumours
Unexplained pain
Jaw fracture
Orthodontic consideration
Inferior Alveolar Canal
 What is the problem? Why remove it?
Periodontal pocket
Pericoronitis
Caries
Root resorption
Denture irritation
Cyst and tumours
Unexplained pain
Jaw fracture
Orthodontic consideration
Inferior Alveolar Canal
 What is the problem? Why remove it?
Periodontal pocket
Pericoronitis
Caries
Root resorption Impacted tooth beneath an
edentulous area gradually becomes
Denture irritation superficial d/t resorption of the
overlying bone irritate the soft
Cyst and tumours tissue beneath the denture
Unexplained pain
Jaw fracture
Orthodontic consideration
Inferior Alveolar Canal
 What is the problem? Why remove it?
Periodontal pocket
Follicular sac cystic degeneration
Pericoronitis
Caries
Root resorption
Denture irritation
Cyst and tumours
Unexplained pain
The epithelium contained within the
Jaw fracture dental follicle leads to Odontogenic T.

Orthodontic consideration
Inferior Alveolar Canal
 What is the problem? Why remove it?
Periodontal pocket
Pericoronitis
Caries Pain in the retromolar
region without any
Root resorption apparent cause
Denture irritation
Cyst and tumours
Unexplained pain
Jaw fracture
Orthodontic consideration
Inferior Alveolar Canal
 What is the problem? Why remove it?
Periodontal pocket
Pericoronitis Impacted tooth occupies space
Caries weak point in the
Root resorption mandible
Denture irritation
Cyst and tumours
Unexplained pain
Jaw fracture
Orthodontic consideration
Inferior Alveolar Canal
 What is the problem? Why remove it?
Periodontal pocket
Pericoronitis
Prevent distal retraction of the 1st
Caries and 2nd molar during ortho
Root resorption treatment.

Denture irritation
Mesially inclined impacted molar
Cyst and tumours
mesial force recurrence of
Unexplained pain
crowding after ortho tt.
Jaw fracture
Orthodontic consideration
Inferior Alveolar Canal
 What is the problem? Why remove it?
Periodontal pocket
Pericoronitis
Caries
Proximity to the nerve leading
Root resorption to symptoms
Denture irritation
Cyst and tumours
Unexplained pain
Jaw fracture
Orthodontic consideration
Inferior Alveolar Canal
 TAHAPAN ODONTEKTOMI
• ANAMNESA
• PEMERIKSAAN FISIK
• VITAL SIGN
• PEMERIKSAAN KLINIS GIGI & INTRA ORAL
• PEMERIKSAAN PENUNJANG  OPG
• PENENTUAN KELAS IMPAKSI  TINGKAT KESULITAN
• PERENCANAAN OPERASI
• PERSIAPAN ALAT
• OPERASI
• MEDIKASI
• KONTROL
PERSIAPAN ALAT
- DIAGNOSTIC SET
- SPUIT
- BLADE - NEEDLE HOLDER
- PINSET - PINSET ANATOMIS
ANATOMIS - SCISSOR
- KASSA - BENANG
- BEIN - SPONGOSTAN
- TANG POST
- TANG FRONTAL
- KURET
- SPUIT IRIGASI
- BONE FILE
- POV. IOD
- SALINE

SUSUN ALAT SESUAI URUTAN

TAHAPAN KERJA
NON RESOSRBABLE SUTURE
- 7 HARI HARUS DIAMBIL / AFF HECTING
- TERBUAT DARI SILK
- KUAT
- LEBIH EKONOMIS
- UNTUK JAHITAN LUAR
RESOSRBABLE SUTURE
- PLAIN CATGUT > 8 HARI
- CHROMIC 12-15 HARI
- SYNTHETIC 30 HARI
- MAHAL
- UNTUK JAHITAN DALAM
- UNTUK PASIEN YANG TDK BISA
KONTROL
 STAGES OF OPERATION
• Retraction
• Delivery
• Incision
• Clean-up
• Reflection
• Sew-up
• Bone removal
• Check-up
– access
– point of elevation
• Follow-up
– removal of obstruction
• Tooth section
 BLOK NAI
• FISCHER’S TECHNIQUE / INDIRECT
• DIRECT TECHNIQUE
• GOW GATES
• VAZIRANI-AKINOSI
 PEMBUATAN FLAP
TRIANGULAR FLAP
N.LINGUALIS
 DAERAH RAWAN

• NERVUS LINGUALIS

- PARESTHESIA LIDAH
- GANGGUAN PENGECAPAN

- OBSERVASI & MEDIKASI

(MECOBALAMIN)
- KONSUL KE BEDAH SARAF
POSISI NERVUS LINGUALIS
A = Retromolar region
B = Third Molar Socket
C = Submandibular duct
D,E = Lingual Nerve

A-D = 7.2mm
B-D = 9.4mm
B-E = 4.4mm
PENGURANGAN TULANG
 DAERAH RAWAN

• NERVUS ALVEOLARIS INFERIOR

- PARESTHESIA DAGU DAN BIBIR

- OBSERVASI & MEDIKASI

(MECOBALAMIN)
- KONSUL KE BEDAH SARAF
SUTURING
 KOMPLIKASI ODONTEKTOMI
• OEDEMA
• TRISMUS  e.c oedema or pain  gerakan
rahang terbatas
• PARESTHESIA
• BLEEDING