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OPUS 4 | Extraktionszangen der römischen Kaiserzeit

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The removal of the gingiva, the luxation and the ultimate extraction of a loose too 1. The removal of the gingiva, the luxation and the ultimate extraction of a loose tooth from the alveole along the tooth axis have in essence remained the same.

Ancient writings do not mention the removal of root fragments by osteotomy.

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The use of the root elevator was most likely unknown to the Ancient Romans. The incalculable risks involved in ancient times resulted in the evolvement of a routine procedure to treat a painful tooth, that all medical experts recommended.

An instrumental extraction of the tooth was carried out only in case of an emergency and was performed by a General Practitioner. Doctors that specialised in treating teeth were, although mentioned in ancient history medicus dentalisan exception and were referred to in connection with big cities like Rome and Alexandria.

One cannot really speak of dentistry as a separate profession in ancient times. It had an auxiliary status.

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The modern day literature assumes that forceps that were made of iron or bronze were used for the extraction of teeth. The beak and handle of the forceps are in line and correspond to that of the modern day forceps used in the maxilla.

It is clear from this instrument that the ancient Romans made no distinction in instruments used for the maxilla and the mandibula.

The forceps were used for the maxilla and the mandibula and the left and right side of the jaw.

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They did make a distinction in the usage of the forceps for the teeth in the front or back of the jaw. Forceps have been found with different sizes of beaks, which are of similar sizes as the ones used in modern dentistry. The non-ferrous metal medicinal forceps are not considered to be dental forceps as their large beak does not allow an optimum extraction.

During luxation movements they would damage the neighbouring teeth as a result of their size.

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The forceps that have been found so far date from the turn of the millenium until approximately A. The oldest datable findings are of forceps found in several excavations from Augsburg-Oberhausen earliest type of forceps till the tomb of Gadara Jordan dating back to the middle of the 4th century A.

During this whole period the construction of the forceps remained very much the same, with exception of the changes made in the construction of the beak.

This observation is familiar to us from studies of other areas of Roman culture.