The avulsion of the included or semi-included dental elements is one of the most frequently used clinical procedures performed by the oral surgeon. This practice can be relatively simple or extremely arduous about many variables related to the element that has to be extracted such as the localization, anatomy of the dental crown and roots, depth, and type of inclusion. If some dental avulsion can be considered routine dental surgery, the extraction of Dental elements included requires considerable technical preparation, accurate knowledge of all noble anatomical structures, and mature surgical experience. It is essential to perform a correct treatment planning that allows, on the one hand, to minimize the risk of post complications surgical (pain, edema, trismus, alveolitis ...) and, on the other, to be able to manage those complications accurately, always with the lowest biological cost for the patient. In the latest years, Oral surgery has strongly suffered from the technological innovations introduced in this field. In particular, the use of ultrasound applied to surgery has changed some of the most frequent clinical procedures, such as the extraction of third parties molars included, thus spreading an innovative concept in all dentistry: piezoelectric surgery or piezosurgery.
Unlike implantology, it is a branch now widespread among dentists, extractive surgery still represents a "taboo" for many colleagues, who while practicing surgery daily implant, prefer to leave the avulsions often to maxillofacial surgeons or oral surgeons, considering it an intervention of greater complexity and often a source of anxiety and stress for the operator. So taking care of about 10 years of simple and complex extractive surgery I needed to elaborate a COURSE in which they have described simply and linearly the surgical techniques for the avulsion of the dental elements included, to provide a repeatable and predictable approach and method to reduce their invasiveness and traumatic procedures.