Oral Surgery · single question

Each of the following measures can help minimize fractures of the maxillary alveolar process during dental extractions EXCEPT one. Which is the EXCEPTION?

  1. Use of controlled force when applying forceps and elevators
  2. Removal of buccal bone and/or sectioning of teeth prior to extraction
  3. Thorough presurgical analysis and modifications to the surgical approach
  4. Use of forceps with beaks that grasp roots more firmly
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Correct answer: D. Use of forceps with beaks that grasp roots more firmly

All of the other options (controlled force, bone removal/sectioning, presurgical analysis, and the maxillary pinch grasp) are recognized measures to MINIMIZE alveolar fractures during extraction. The maxillary pinch grasp, where the index finger is placed buccally and thumb palatally, allows the surgeon to detect alveolar bone expansion and stop force before fracture occurs — it is a protective technique. Using forceps with beaks designed to grasp roots more firmly is the EXCEPTION because excessive grip force and uncontrolled force application through firmer-gripping forceps actually INCREASES the risk of alveolar fracture. The key principle is controlled, measured force — not maximizing grip on the root.

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